Jack Rankin (Windsor) (Con)
The Minister for Secondary Care (Karin Smyth)
We expect all women to be shown the utmost care and respect when receiving maternity and neonatal care. This year’s planning guidance requires integrated care boards and providers to deliver the key actions in this final year of NHS England’s three-year delivery plan. It is clear from listening to the harrowing stories of bereaved and harmed families, however, that we must do more. The Secretary of State is urgently considering the significant action needed to ensure that all women and babies receive the care they deserve.
Jack Rankin
Last year’s birth trauma inquiry report exposed that maternity services in this country are woefully underfunded, and now the Health Secretary intends to cut the budget for maternity improvement from £95 million to just £2 million, equating to less than £4 per child born in this country each year. What kind of change is that? What message will that send to mothers across the country? Does the Secretary of State plan to implement any of the recommendations from the birth trauma inquiry report, many of which were committed to by the previous Government?
Karin Smyth
The hon. Gentleman is not correct: maternity funding is not ringfenced at the same level—I think that is what he is referring to. It has, however, absolutely been committed to as far as ICB allocations are concerned. Local leaders will decide how best to allocate that money. We will continue to work with Donna Ockenden and the families who have been affected by previous incidents and ensure that the recommendations of her report and the maternity review are fully implemented.
Jen Craft (Thurrock) (Lab)
As colleagues will be aware, there is a consistent failure in maternity units to listen to women and put their experiences—and quite often their pain during childbirth—at the heart of driving improvements. What assurances can the Minister give us that women’s experiences and voices will be at the heart of any maternity improvement strategy that the Government focus on?
Karin Smyth
My hon. Friend is absolutely right to highlight that point, which has been found in all the reviews that have been undertaken. It is completely unacceptable. That is why the Secretary of State has continued to meet families and hear their experiences to ensure that we learn from them, continue to support the implementation of those recommendations and, crucially, ensure that women’s voices are taken forward as part of our 10-year plan.
Edward Argar (Melton and Syston) (Con)
I fear that many will have found the Minister’s answer to my hon. Friend the Member for Windsor (Jack Rankin) disappointing. He highlighted that the previous Government committed to the headline recommendation of the cross-party birth trauma inquiry led by the hon. Member for Canterbury (Rosie Duffield) and the former Member for Stafford, Theo Clarke, who has recently written about her experiences in a book, and in the Daily Mail called for a national maternity improvement strategy. No equivalent commitment has been made by this Government. Let us try again: will the Minister commit without any equivocation to implementing the inquiry’s recommendation to produce a national maternity improvement strategy?
Karin Smyth
To be clear for the shadow Secretary of State, the Secretary of State is continuing to look at all those recommendations and consider how best to respond.
Helen Morgan (North Shropshire) (LD)
Too many families in Shropshire have suffered the agonising loss of a baby following the scandal at Shrewsbury and Telford hospital NHS trust. The Care Quality Commission rates 65% of trusts as inadequate or requiring improvement for maternity safety, and the taxpayer forked out a staggering £1.15 billion in compensation for maternity failings last year. With the £100 million put aside to deal with unsafe staffing no longer ringfenced, can the Minister reassure us that those safe staffing levels will remain on our maternity wards?
Karin Smyth
I know the Liberal Democrat spokesperson follows this issue very closely in her own local community. As she knows, we are committed to ensuring that the recommendations of the reviews are fully implemented as part of that three-year plan, but I gently say to her that the Liberal Democrat party has consistently opposed the extra £26 billion that this Government raised to support the wider health service. Without that extra funding and the decisions that the Chancellor has made, we would not be able to make the progress that we are now starting to see.
Jessica Toale (Bournemouth West) (Lab)
Jo Platt (Leigh and Atherton) (Lab/Co-op)
The Secretary of State for Health and Social Care (Wes Streeting)
Despite my best efforts, may I welcome the hon. Member for Runcorn and Helsby (Sarah Pochin) to her place? Being a Member of Parliament is a privilege, and I know how special it is to sit on these Benches having been sent here by constituents. Regardless of our political differences, I wish her well personally.
As part of our 10-year plan for health, we want to deliver a real shift in the centre of gravity in the NHS, so that people get more care closer to home and, indeed, in their home, too. The NHS is as much a neighbourhood health service as a national health service. We have already made progress in shifting care to the community: providing more than £889 million in funding for GPs; agreeing the GP contract for the first time since the pandemic; and recruiting more than 1,500 GPs on to the frontline. Our 10-year plan will set out how we will continue to transform the NHS into a neighbourhood health service.
Jessica Toale
I am deeply concerned about the quality of healthcare for people experiencing homelessness in my constituency of Bournemouth West. HealthBus, a local charity, is doing great work in getting out into the community to treat people where they are and to prevent them from having to go into hospital, but it is not getting the funding that it needs and has discovered serious discrepancies in the way that the local integrated care board commissions services, particularly in relation to health inequalities. Can the Secretary of State tell me how this Government are prioritising health outcomes for people experiencing homelessness, and will he meet me and HealthBus to discuss how we can support its important work?
Wes Streeting
The founding mission of the NHS was to be there for people whenever they fall ill, so that they never have to worry about the bill. Unfortunately, thanks to the disaster and the failures of 14 years of Conservative Government, too many people in our country today experience the fear that Nye Bevan sought to eradicate. As my hon. Friend would expect, tackling health inequalities for homeless people and other vulnerable groups is central to the values of this Labour Government. Those values will be reflected in our 10-year plan for health. I would be delighted to hear from her further on what we can do to improve services in her area.
Jo Platt
I thank the Secretary of State for his announcement this morning regarding GP services. One way that pressure is eased in our GP services is through charities such as Compassion in Action, which provides non-clinical, whole-person care in my constituency. It receives GP referrals from across Leigh and aligns with the Government’s aim to shift care from hospitals to communities. Will the Minister join me in thanking the staff and the founder, Pam Gilligan, and agree to come for a tour of the facilities and to see at first hand the impact that they have?
Wes Streeting
I wholeheartedly join my hon. Friend in thanking Pam and everyone at Compassion in Action for the work that they do. At the heart of our approach to health is a recognition that Government action is essential for improving health outcomes in the country, and that Government acting alone will not be sufficient. That is why working with the voluntary sector, employers, trade unions, community groups and all of us as individual citizens is vital for tackling health inequalities and improving care in our country. I would be delighted to ensure that one of the team pays a visit to the charity as soon as possible.
Stuart Anderson (South Shropshire) (Con)
Community hospitals can reduce pressure on major hospitals, especially in rural communities such as mine. Will the Secretary of State lay out his plans to support community hospitals in South Shropshire?
Wes Streeting
At the heart of this Government’s approach is investment in, and reform of, the NHS to ensure that we deliver better outcomes for patients. That means the biggest devolution of power in the history of the NHS with more decisions taken closer to patients and to their communities, and more power in the hands of patients, too. Community hospitals have a vital role to play, and thanks to this Government’s decision to deliver £26 billion more into our NHS—opposed by the Conservative party—we will no doubt be able to make further and faster progress.
Susan Murray (Mid Dunbartonshire) (LD)
In my constituency there is an ageing population in need of local healthcare services. Will the Secretary of State meet his Scottish counterpart to discuss the need for increased access to community healthcare, and specifically the need for a new health and care centre within my constituency?
Wes Streeting
The hon. Member will be delighted to know that only last week I met with my counterparts in Scotland, Wales and Northern Ireland to talk about how we can work together to improve health and care throughout the United Kingdom of Great Britain and Northern Ireland. She will know that health is devolved, but thanks to the decisions taken by this Labour Government, the Scottish Government have just been delivered the biggest financial settlement since devolution began. That might mean that they finally make some progress on their waiting lists in Scotland, where one in six Scots are on a waiting list and the SNP is on its fifth NHS reform plan in four years.
Alex Ballinger (Halesowen) (Lab)
The Minister for Care (Stephen Kinnock)
I am pleased to tell my hon. Friend that we have recruited over 1,500 additional GPs since October through an investment of £82 million, helping to fix the front door to the NHS. Today we have announced £100 million to unlock new capacity and more appointments in GP surgeries. We have also launched a red tape challenge and scrapped unnecessary targets in our new GP contract to cut down on bureaucracy and free up time to spend with patients.
Alex Ballinger
My constituents in Halesowen have written to me time and again complaining that they are calling their GP surgeries at 8 am, as instructed, but are still unable to get a same-day appointment. Can the Minister set out how the £100 million investment in GP surgeries, consulting rooms and other facilities will finally put an end to the frustrating 8 am scramble?
Stephen Kinnock
I absolutely share the frustrations of my hon. Friend and his constituents. The investment made today was in response to GPs telling us that they needed more space; the investment will lead to more capacity and better access and outcomes for his constituents. Today’s announcement was only possible thanks to the decisions made in the October Budget, which were opposed by every party opposite. The choice is clear: investment in our NHS with Labour, or cuts with the Tories and Reform.
Rebecca Smith (South West Devon) (Con)
My constituent Dr Toby Nelson, an NHS consultant dermatologist, has started a business that seeks to address the heavy demand on primary care for skin health screening. His business Map My Mole sends an image capture kit to patients to attach to their smartphones. The patients then send a high-resolution image remotely to be reviewed by a specialist consultant, bypassing the need for a GP appointment and freeing up time and resources for both doctor and patient. It has already resulted in a significant drop in skin cancer referrals in pilot GP surgeries. Will the Minister agree to meet Dr Nelson and me to discuss this revolutionary proposal?
Stephen Kinnock
The hon. Lady raises what sounds like an extremely interesting scheme. She will know that we have a strong commitment in our 10-year plan to shift from hospital to community, and indeed from analogue to digital. The digital aspects of that scheme sound very interesting, so I would be more than happy to take further representations from her.
Marsha De Cordova (Battersea) (Lab)
The Minister for Care (Stephen Kinnock)
My hon. Friend is an outstanding campaigner on this issue, as I am sure everybody across the House is aware. She will know that the NHS England accelerator pilots have shown how improved IT connectivity and a single point of access can speed up eye care referrals and allow more patients to be managed in the community. That is a great example of the shift we want to make from analogue to digital. We are developing the 10-year health plan with input from the public, our partners and health staff, and that of course includes the eye care sector.
Marsha De Cordova
I thank the Minister for his response, and I welcome all the work that he and the Secretary of State are doing in rebuilding our NHS. However, we know that there is a capacity crisis within eye healthcare. NHS ophthalmology continues to be the busiest and largest outpatient service. That is essentially what is leading to many people not getting seen soon enough, which is resulting in many of them losing their sight unnecessarily. What we need is a joined-up healthcare plan. Will the Minister ensure that eye healthcare will be part of the Government’s wider 10-year health plan?
Stephen Kinnock
My hon. Friend is right that early intervention is crucial, and the interface between the high street and secondary care is a vital part of that. That means having a joined-up eye health strategy. The 10-year plan will have that joined-up strategy at its heart. She will be pleased to know that, since July, ophthalmology waiting lists have dropped by 24,000, so change has begun. There is still a long way to go to dig us out of the mess left by the Conservative party, but it is thanks to the decisions that the Government have made, opposed by Opposition parties, that we are beginning to see that change gaining traction.
Sir James Cleverly (Braintree) (Con)
Another part of the 10-year health plan is the use of digital technology. Auto-contouring with artificial intelligence reduces waiting times and frees up capacity for radiotherapists, which is why £15.5 million was allocated to it under the Conservative Government; money that has been cut under the Minister’s Government. Why?
Stephen Kinnock
I think that the right hon. Gentleman is referring to the single point of access digital technology, which is game changing in terms of improving the interface between high street and secondary care. It is probably worth reminding him that the question is about eye care. We are absolutely committed to single point of access technology, which we believe can be game-changing technology and is a vital part of our shift from analogue to digital.
Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)
The president of the Royal College of Ophthalmologists has stated that the widespread outsourcing of NHS cataract surgery to private, for-profit providers risks the integrity of hospital eye surgery departments meaning that there will be few services to treat patients with preventable blindness. How can we reassure the public that such services will be maintained?
Stephen Kinnock
Although the independent sector clearly has an important role to play in tackling waiting lists and backlogs, we will not tolerate any overpriced or sub-par care, and we will not tolerate any distortion of patient choice. The recently published partnership agreement between NHS England and the Independent Healthcare Provider Network commits to ending incentives that can lead to that, and to supporting equal access and genuine choice for all patients. We are working together to deliver on that.
Jess Brown-Fuller (Chichester) (LD)
NHS Sussex ICB is one of only five in England not to commission a minor eye conditions service—known as MECS—in community optometry settings. That means that patients in Chichester with urgent or minor eye issues have to either join the 8 am queue for a GP appointment or go to their hospital rather than being seen quickly on the high street. Given that 99.9% of MECS patients elsewhere in England are seen within 24 hours, will the Minister set out what action he is taking to ensure that those services are commissioned consistently across all ICBs within the 10-year health plan?
Stephen Kinnock
ICBs are responsible for the commissioning of these services, which are clearly extremely important, and the early intervention side of eye care is particularly important. I would be more than happy to look into that issue with the hon. Lady’s ICB if she wrote to me and made further representations.
Blake Stephenson (Mid Bedfordshire) (Con)
The Minister for Secondary Care (Karin Smyth)
Our mission-driven approach to this issue means that we are working with all Departments to deliver an NHS fit for the future. We expect integrated care boards to work closely with their mayors to maximise public health and contribute to the Government’s health and growth missions.
Blake Stephenson
Funding and delivery of a GP surgery for Wixams in my constituency continues to fall between the cracks of developers, local councils and the local ICB. Does the Minister agree that to break those deadlocks and build the infrastructure that our communities require, new mayors should have the power to direct ICBs, making locally elected politicians responsible rather than unelected quangos?
Karin Smyth
The hon. Member tempts me slightly on local accountability, on which he has been a strong campaigner. As he knows from meeting me, I agree that it is important that such local bodies respond properly so that where there are expansions of housing, which we want to see, they are supported by local infrastructure. I am happy to come back to him with any further detail.
Alice Macdonald (Norwich North) (Lab/Co-op)
Norfolk and Waveney integrated care board is consulting once again on closing Norwich’s walk-in centre. It asked the same question two years ago and the city and Norfolk said, “No, we want to save our walk-in centre.” Does the Minister agree on the importance of walk-in centres, and in the context of devolution, how will we ensure that ICBs heed what residents say?
Karin Smyth
My hon. Friend is right to campaign on behalf of her constituents to make sure that more services are delivered in communities. We want to see services brought out of hospital and into local communities. It is up to the ICB to decide how those are commissioned, but we will certainly make sure that, as part of our commitments under our 10-year plan, we see more of those sorts of services working together in neighbourhoods.
Natasha Irons (Croydon East) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
People deserve the very best health and care. Our plan for change is already bringing waiting lists down. Our 10-year plan for health will set out how we improve access and make the three shifts that I described earlier, so that the NHS is fit for the future. At the same time, we are rebuilding adult social care now and for the future. Baroness Casey’s independent commission has launched, and it will set out through its work how we will create a national care service. All that is made possible thanks to the investment decisions taken by the Chancellor in her Budget. That investment was opposed by the Conservative party, which shows that only Labour can be trusted to invest in and modernise our NHS.
Natasha Irons
Last week, the Centre for Young Lives published a report on the state of mental health support for children and young people across England. It outlines that despite an ongoing crisis in mental health among young people,
“There remains a 55% treatment gap”
between adult and children’s mental health, and that
“fewer than 10%...of ICBs have a dedicated strategy”
for supporting children’s mental health. Will the Secretary of State consider strengthening statutory guidance for ICBs to ensure they assess the local need of children and young people, publish treatment gap data on an ongoing basis, and create joined-up, community-based mental health support for our young people?
Wes Streeting
Young people’s mental health is a priority for this Government. That is why we set out in our manifesto our commitment to making sure that mental health support is available in every primary and secondary school in the country. We have walk-in mental health services in every community, and we invest in the mental health workforce, so that we can cut waiting times. I am also working closely with the Secretary of State for Education to make sure that our education and health services work together, so that children get the very best start in life, and so that we look after mind, body, soul, aspiration and futures.
Joe Robertson (Isle of Wight East) (Con)
The Chancellor increased the cost of employing people in social care by raising national insurance contributions for social care employers, and then exempted NHS employers from those increased costs. When will this Government properly support social care and relieve the sector from pressures caused by the Chancellor under this Government?
Wes Streeting
Thanks to the decisions taken by this Chancellor, we are putting £26 billion more into health and social care. Thanks to the decisions taken by this Chancellor, the spending power of local authorities has risen. Thanks to the decisions taken by this Chancellor, we have delivered the biggest expansion of carer’s allowance since the 1970s. Thanks to the decisions taken by this Chancellor, we have significantly increased the disabled facilities grant, not just last year but this year. That is the investment delivered by a Labour Government, and opposed by the Conservatives and Reform, and it shows that only Labour can be trusted with our NHS.
Mr Speaker
You will have another chance in a minute! I call the shadow Minister.
Dr Luke Evans (Hinckley and Bosworth) (Con)
This Government have been in power for 10 months. Two months ago, Labour postponed the cross-party talks on social care. When will they be rescheduled?
Wes Streeting
As I have announced to the House, Baroness Casey’s independent commission is up and running. She is making contact with parties across the House as part of the work of her commission, and it is for her to decide the basis on which she engages with parties. I look forward to working with parties at the conclusion of the process.
Dr Evans
I thank the Secretary of State for that change, making the process no longer cross-party. The Government have said that the changes will not be implemented fully until 2036. Only this week, the Health and Social Care Committee released its new report on social care and the huge cost of inaction. The report called for new actions that could be taken now, such as the publishing of annual assessments of unmet care needs for adults, and annual estimates of how much delayed discharges cost the NHS. Will the Secretary of State commit to those two today?
Wes Streeting
I take the Select Committee seriously, and I will look carefully at its report, but the shadow Minister has some brass neck. He mentions this Government having been in office for 10 months, but the Conservatives had more than 10 years in office, and we are picking up the pieces from the mess they left behind. That is why they were kicked out of government, and why they are being kicked out of opposition. Looking at this lot, I think: this must be how the islanders felt, looking at the dodo.
Manuela Perteghella (Stratford-on-Avon) (LD)
The Minister for Care (Stephen Kinnock)
We are already rolling out our manifesto commitment of 700,000 extra urgent dental appointments per year. These appointments are available across the country for those experiencing painful dental issues such as infections, abscesses or cracked or broken teeth. We are committed to reforming the dental contract and making NHS dentistry fit for the future.
Manuela Perteghella
The dental contract imposed in 2006 is widely recognised as a key factor driving dentists out of the NHS. In my constituency of Stratford-on-Avon, there are no NHS dentists currently taking on new patients, and existing NHS patients are being actively pressured to go private or seek care out of county. Will the Minister commit to urgent reform of NHS dentistry, and set out a timeline for negotiations, so that I can reassure my constituents?
Stephen Kinnock
The hon. Member is right to say that the dental contract is fundamentally flawed and needs reform. I met representatives of the British Dental Association on 8 April, and had a productive discussion with them about dental contract reform. Officials from the Department of Health and Social Care are working hard with the BDA and other stakeholders to develop a dental contract that works for patients, for dental professionals and for the public purse. I will of course keep her and the House updated. I know this issue is of huge importance to the country, and to every Member of this House.
Chris Webb (Blackpool South) (Lab)
It is a year today since I was sworn into this House, and every single week, someone has raised with me the issue of getting access to an NHS dentist in Blackpool. Nowhere is taking on adults, and nowhere is looking after pregnant women. This has to change, so can the Minister outline to my constituents when they will be able to get access to an NHS dentist under this Labour Government?
Stephen Kinnock
There is no perfect payment system. We have to look at the issue around units of dental activity, and at options around capitation and sessional payments, and come to a conclusion about what works and about how to ensure that everything that we commit to NHS dentistry is spent on NHS dentistry. We are in a mad situation in which, although demand for NHS dentistry is going through the roof, we have an underspend every year on the contract. We have to fix that. It will take some time to work that out with the British Dental Association and other key stakeholders. What is tragic about this situation is that the Conservatives had 14 years to fix the situation and left it in a terrible mess.
Laura Kyrke-Smith (Aylesbury) (Lab)
The Minister for Secondary Care (Karin Smyth)
I commend my hon. Friend for her work on such an important topic; I know it is very personal to her. Specialist perinatal and maternity mental health services are available across England, providing vital support to parents before, during and after pregnancy, including increased access to evidence-based psychological therapies. We are training thousands more midwives to better support women throughout pregnancy, with mother and baby units and community services providing postnatal support.
Laura Kyrke-Smith
Tomorrow is World Maternal Mental Health Day, recognising the particular challenges that some mums face from pregnancy to birth, and after birth. I commend the Secretary of State and his team for their rapid work to get the NHS delivering better for patients again. As they develop the 10-year plan for the NHS, what measures will be taken to ensure that all women facing perinatal mental health challenges can access the right psychological support, and that there is no postcode lottery?
Karin Smyth
I absolutely join my hon. Friend in recognising the importance of supporting women’s health throughout pregnancy and into parenthood on Maternal Mental Health Day. We are committed to improving the support available, and it will form an important part of our 10-year plan. We are investing £126 million in family hubs and Start for Life services, to support parents from pregnancy to their child’s early childhood, and we will continue to work with her on this.
Freddie van Mierlo (Henley and Thame) (LD)
I thank the hon. Member for Aylesbury (Laura Kyrke-Smith) for her question and the Minister for her answer. I am delighted to be forming the all-party parliamentary group for fatherhood. Will the Minister outline the steps that she will take to improve perinatal mental health for fathers?
Karin Smyth
I congratulate the hon. Member on taking forward that work. The Minister responsible will be happy to continue to work with him in any way possible to support that work on this important aspect of parenthood.
Katie White (Leeds North West) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
We are already using technology to improve preventive healthcare and to transform the NHS. We have invested £11 million in artificial intelligence to trial breast cancer screening mammogram interpretation. We are piloting the NHS health check online to tackle cardiovascular disease, and our NHS Better Health digital products, including the award-winning Couch to 5K app, were used by millions of people last year to tackle preventable conditions. More will be included in the 10-year health plan.
Katie White
Leeds is leading the way in health tech, with Leeds teaching hospitals, the city council, NHS Digital and firms like EMIS, headquartered in Rawdon in my constituency, driving real innovation. How will the Secretary of State and his team ensure that Leeds is at the heart of the NHS 10-year plan, so that we can shift to prevention and spread the benefits to every corner of the UK?
Ashley Dalton
I commend the work that my hon. Friend refers to. The new HealthTech innovation hub—a flagship project of the West Yorkshire investment zone—brings together West Yorkshire combined authority, organisations like the HealthTech Leeds partnership, academics, clinicians, policymakers and more than 250 health tech firms headquartered in the region. They are already driving forward health innovation together. As we have said before, we must learn about the best of the NHS and take it to the rest of the NHS. The 10-year plan will shift us to a model in which the NHS focuses on prevention, with more services delivered in local communities through new technologies.
Alex Brewer (North East Hampshire) (LD)
A piece of technology that already exists that can prevent hydrocephalus is the humble tape measure. The Secretary of State said that he would ask the National Institute for Health and Care Excellence to conduct a review of the frequency with which infants’ heads should be measured to allow us to detect hydrocephalus early. The charity Harry’s HAT—Hydrocephalus Awareness Trust—based in my constituency says that this review is not necessary, and that the evidence is already there. Will the Minister meet me and the charity to discuss this further, so that more infants’ lives can be saved?
Ashley Dalton
And he has just sold me on what a wonderful charity it is. I would be more than happy to make sure that the relevant Minister meets the hon. Member to discuss the matter.
Gregory Stafford (Farnham and Bordon) (Con)
The Secretary of State for Health and Social Care (Wes Streeting)
As the Prime Minister and I announced, NHS England will be brought back into the Department to put an end to the duplication, waste and inefficiency resulting from two organisations doing the same job. That is the final nail in the coffin of the disastrous 2012 reorganisation, which led to the longest waiting times, lowest patient satisfaction and most expensive NHS reorganisation in history. Since the announcement, we have set up a joint board, assessed resources and responsibilities across existing organisations, developed proposals about the role, functions and structure of the new centre, and started detailed operational and legislative planning.
Gregory Stafford
The Secretary of State claims to support change, yet delays to NHS reorganisation, including to the promised abolition of NHS England, suggest otherwise. Is it not the truth, as he outlined in his Guardian article, that he is bogging the system down in a slow, top-heavy restructuring, while resorting to tax rises, instead of delivering the decentralised, locally delivered, value-for-money healthcare that our constituents deserve?
Wes Streeting
A lot of words and not a lot of sense. We are reforming the NHS and, as a result of these changes, redirecting hundreds of millions of pounds to the frontline. What was the Conservative party’s response to the abolition? The shadow Chancellor of the Duchy of Lancaster, the hon. Member for Brentwood and Ongar (Alex Burghart), said it could be a “great thing”, but it
“could be a total disaster”.
Will they let us know when they have made their mind up?
Anna Dixon (Shipley) (Lab)
The Lansley reforms were implemented top down by the Conservatives. The idea that the NHS could ever be truly independent, when it is there to serve us—the taxpayer and the general public! Does the Secretary of State agree that it is absolutely the right decision to move funding away from the centre to the frontline to prioritise patients in the NHS’s work?
Wes Streeting
My hon. Friend has huge experience in this area, and she is absolutely right. What we saw under the Conservatives was bloated bureaucracy—layer upon layer of checkers, when we need more doers. That is why frontline staff, patients and provider leaders all welcome the changes that we are making, so that we can invest more into our frontline.
Edward Argar (Melton and Syston) (Con)
The Health Service Journal reports that officials have acknowledged that the first draft of a high-level plan for merging NHS England and DHSC has been delayed. When we ask any written question about the merger, the standard answer seems to be:
“Ministers and senior Department officials will work with the new transformation team at the top of NHS England, led by Sir Jim Mackey, to determine the structure and requirements needed to support the creation of a new centre for health and care.”
Even when we ask a question specifically about the size of the transformation team, the answer is virtually identical. The Government either wilfully decide not to answer, or simply do not know. As with so many things, the Government go for the headline-grabbing announcement and talk the talk on reform, without having done the actual work to deliver it. My question to the Secretary of State is simple: when will that first high-level plan for the merger, with a full assessment of costs and savings, be published?
Wes Streeting
Honestly, the right hon. Member had his chance—he was the Minister who took forward the last reform Act, under the Conservative Government. He failed in that task, and now he turns up without a shred of remorse or a shred of humility, attacking this Government for cleaning up the mess that the Conservatives left behind. They are not a party of government—they are not even a party of opposition any more. They are a total irrelevance.
Josh MacAlister (Whitehaven and Workington) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
We are committed to fixing the front door of the NHS, including by delivering the primary care infrastructure required to enable a neighbourhood health service. We have already taken steps to improve primary care infrastructure, including by providing £100 million of capital funding to upgrade GP buildings. We will set out how we will move to a neighbourhood health service in our upcoming 10-year plan, following the spending review.
Josh MacAlister
I thank the Minister for her answer. Workington suffers from some really poor health outcomes and has an incredibly fragmented health system. I have worked with local leaders in my constituency to pull together a plan for a new neighbourhood health centre called the Workington health zone, based around multidisciplinary teams, clear goals, less bureaucracy and much greater access for patients. Does the Minister agree that this is exactly the kind of reform that we need to enable through the forthcoming 10-year plan?
Ashley Dalton
I do agree, and I would be delighted to work with my hon. Friend on the Government’s commitment to delivering a neighbourhood health service that reinforces integrated working for the NHS, local government, social care and wider partners as the norm.
Esther McVey (Tatton) (Con)
Knutsford desperately needs a modern medical centre. The local GPs and the community are united in feeling that current provision is no longer fit for purpose. With the population growing, it cannot meet everybody’s needs. In the light of the Government’s announcement of £102 million to modernise GP surgeries, so that it is easier for them to see more patients, will the Minister meet me to discuss a new modern medical centre for Knutsford?
Ashley Dalton
I thank the right hon. Member for recognising the significant investment announced today in GP services and buildings, and I would be delighted to ensure that the relevant Minister meets her.
Gareth Snell (Stoke-on-Trent Central) (Lab/Co-op)
The Minister for Secondary Care (Karin Smyth)
Driving down waiting times is one of this Government’s top priorities, and my colleagues at NHS England continue to keep in regular contact with ICBs on improving waiting times and delivering the ambitions set out in our elective reform plan. Since July, we have cut waiting lists by more than 219,000 across England, and by 6,000 for University Hospitals of North Midlands, and have delivered 3 million more appointments.
Gareth Snell
I thank the Minister for her answer, and recognise the Herculean effort the Department is making to reduce waiting times, particularly in Stoke-on-Trent, but one cancer patient who is having treatment at the Royal Stoke hospital in my constituency has shared her story with me. From the initial operation, it took six weeks for her to be told that she may have cancerous cells in her lymph node. There was a delay in getting the CT scan, and after the scan, she was told that it would be 10 weeks before she could meet an oncologist to discuss the results. Will the Minister say a bit more about how the Department, while reducing waiting times to access services, will make sure that treatment is given in a timely fashion once someone has a treatment plan?
Karin Smyth
I am sorry for the experience that my hon. Friend’s constituent has had, and he highlights a really important aspect of the patient journey through the system. I want him and the House to be assured that we are looking at the entire patient journey, both into hospital and between hospitals. We are determined to improve patient experience and quality of care, and to get back the patient satisfaction that was squandered by the last Government.
Adam Jogee (Newcastle-under-Lyme) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
Reducing hospital backlogs is a key priority in this Government’s plan for change, as the 18-week standard for elective care has not been met for almost a decade. Our elective reform plan sets out how we will return to that standard by the end of this Parliament, through a combination of investment and reform. Since July, the waiting list has reduced by over 219,000 and we have delivered an extra 3 million appointments, exceeding our manifesto pledge and doing it earlier than planned.
Adam Jogee
I am grateful to the Secretary of State for his answer and for the progress made, but there is still more to do. My constituent in Newcastle-under-Lyme has recently been recovering from brain surgery at the Royal Stoke university hospital. However, she has faced multiple setbacks due to failures in the duty of care, including scalding injuries and a severely mishandled admission process. She is now receiving the correct care, but she had to wait many months to be admitted to the correct ward, and has been given limited time for rehabilitative treatment. Does the Secretary of State agree that to tackle backlogs, our hospitals must have the resources they need to provide the right care the first time round, so that patients are given the time and support to fully and effectively recover?
Wes Streeting
I am grateful to my hon. Friend for his question, and horrified to hear about his constituent’s experience. This Government will never brush problems under the carpet or pretend that things are better than they are, and I know that for all the progress we have made in the past 10 months, there is still so much more to do. When we publish our 10-year plan for health, we must ensure that quality and safety are at the heart of every patient interaction. My hon. Friend is right about the need for investment. That is why we are investing £26 billion in the NHS and social care, and why it is so disappointing that the Opposition parties voted against it.
Wera Hobhouse (Bath) (LD)
On a recent visit to the breast unit of the Royal United hospital in Bath, specialists told me about a red flag system that could help to speed up care. If someone has a red flag symptom, such as a lump or a bleeding nipple, the triage team can book them straight into the breast clinic, rather than waiting to see a GP. Does the Secretary of State support such an approach?
Wes Streeting
I thank the hon. Member for her extremely constructive contribution. That is exactly why at the heart of our plans for reform and modernisation, we are placing such an emphasis on digital and technological transformation. We have such rich data about the experiences of our patients, but we are not using it effectively enough. If we use the information more effectively and efficiently, we can spot and identify risk much more proactively, and ensure that people get timely access to urgent care and treatment when they need it.
Dr Marie Tidball (Penistone and Stocksbridge) (Lab)
I am grateful to the Secretary of State for the work that he and his team have done to reduce NHS waiting times month on month for the last six months. However, the backlog that grew under the last Conservative Government is still impacting on my constituents. I have listened to countless constituents who have told me about the upsetting impact of long waiting times for an ADHD diagnosis for children. That is having a detrimental knock-on impact on access to support, including child and adolescent mental health services and shared care agreements, and there is a lack of support for adopted children. I welcome the news that waiting lists have gone down, but will the Secretary of State set out how his work will be targeted at bringing down waiting lists for ADHD diagnoses in my constituency, to ensure consistency in diagnosis rates across trusts?
Wes Streeting
I am so grateful to my hon. Friend for her question, and I pay tribute to my right hon. Friend the Secretary of State for Education, who is leading cross-Government work in that area. We have a taskforce that is specifically looking at the issues that my hon. Friend raises, and together we are looking to ensure that our education and health services are better joined up to meet the needs of young people. I am working with my hon. Friend the Member for Whitehaven and Workington (Josh MacAlister) and drawing on his experience to look at how we can improve the health and care of care-experienced young people and young adults. I hope we will have lots of progress to report on those issues.
Lee Anderson (Ashfield) (Reform)
One way to reduce the backlogs is to reduce or put an end to health tourism in this country, whereby people come to this country, get their treatment, and then nip back to where they come from. Does the Secretary of State think it is a good idea that people entering this country should provide evidence of health insurance or be refused entry?
Wes Streeting
When any of us travel abroad, we expect to take out travel insurance and pay for our healthcare needs overseas, and that is the standard that we expect for visitors to our country. We have lots more to do to improve on that front. I deplore the comments made by the hon. Gentleman’s party leader, who said that he does not support a taxpayer-funded NHS for the British people. He might want that debate, and the Leader of the so-called Opposition says that she wants that debate, but as far as Labour is concerned, we are clear about where we stand. Under Labour, the NHS will always be a national health service, publicly funded and free at the point of use.
Seamus Logan (Aberdeenshire North and Moray East) (SNP)
The Secretary of State for Health and Social Care (Wes Streeting)
This Government are taking a hard-headed approach to cutting waiting times. We are investing an extra £26 billion in our NHS, and where the independent sector has spare capacity, we will pay to get NHS patients treated faster and free at the point of use. So far, our approach to investment and reform has cut waiting lists by more than 200,000. Perhaps the hon. Member will tell us how it is going in Scotland.
Seamus Logan
The Secretary of State claimed this morning on BBC Radio 4’s “Today” programme—a most excellent programme—that Labour is the only party that can be trusted with the national health service. Can he confirm that no aspect of the NHS whatsoever, whether it is ownership of the estate, the provision of specialist services or any other form of privatisation, will be included in the much-promised trade deal between the UK and the United States? No more excuses, Secretary of State: just give a direct answer to a direct question.
Wes Streeting
I have said it before, and I will say it again: the NHS will be privatised over my dead body. This party founded the NHS as a publicly funded public service, free at the point of use. We use the independent sector to cut waiting lists, and guess what? The SNP-led Government in Scotland do the same thing. We have made it clear that the NHS is not up for sale in any trade deal. That is clear and unequivocal. The hon. Gentleman can sling mud as much as he likes, but he cannot run from the SNP’s abysmal record on the NHS over 18 long, poor years.
Yuan Yang (Earley and Woodley) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
GPs are at the front door to our NHS. Today, I can announce that we are supporting more than 1,000 surgeries across the country to modernise their buildings, backed by more than £102 million—the biggest public investment in GP facilities for five years. Following years of neglect, this vital funding will create additional space to see more patients, boost productivity, improve patient care and enable 8 million more family doctor appointments each year.
Yuan Yang
I very much welcome today’s announcement on refurbishing 1,000 GP surgeries across the country, because I have made it my priority to meet with as many GPs as possible in my constituency. Our local GPs have told me that our health centres need more physical space in order to accommodate growing local needs and facilitate the expansion of healthcare into the community. Is the Secretary of State willing to meet me and my local GPs to discuss how we can better improve the physical space needed for care to be brought closer to people’s homes?
Wes Streeting
I would be delighted to do so. Since we came into government, we have made this announcement today, put £889 million into general practice and agreed a contract with GPs, including reform for patient access and services. We are fixing the front door to the NHS, but of course that will take time. We recruited 1,500 more GPs by the end of March, but day by day, week by week, month by month and year by year, people should see improvements in their GP services thanks to Labour.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Taking medicines on time is important, especially for those with conditions such as diabetes and epilepsy. Dr Acheson, an A&E consultant who has time-critical medicines for his own Parkinson’s disease, understands that well. He has been running a quality improvement programme to ensure that time-critical medicines are given on time in A&E. Will the Secretary of State lend that project his support and commit to reviewing how time-critical medicines are delivered on wards?
Wes Streeting
I thank the shadow Minister for her constructive question. I would be delighted to hear more about that initiative. She is absolutely right about timely access to medicines, and through a combination of service reform and the modernisation of technology, we can assist clinicians and patients to help them to manage their medication and ensure that people get timely access to medicines.
Dr Johnson
I thank the Secretary of State for that answer, and I would be delighted to meet him to discuss it further.
Unfortunately, when Labour negotiates, Britain loses. The Government capitulated to union demands with nothing in return. It is therefore of no surprise to anyone that within months, they are back in dispute with resident doctors and the British Medical Association has announced a ballot for strike action. What will the Secretary of State do to protect patients and taxpayers?
Wes Streeting
I will tell the hon. Lady what we are not going to do: we are not going to see £1.7 billion wasted on strikes by resident doctors or 1.5 million cancelled operations and appointments, which is exactly what happened on the Conservatives’ watch. Within three weeks, we ended the strike by resident doctors and we have cut waiting lists by 200,000 as a result. As I have said to resident doctors, their pay offer will be fair and neither staff nor patients want to go back to the bad old days of strikes under the Tories. They had an unwilling and incalcitrant Government under the Conservatives, who were unwilling to work with resident doctors, but we want to work with them to deliver better care for patients.
Mr Richard Quigley (Isle of Wight West) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
I add my heartfelt condolences to Arlo’s family. In September, we launched a new series of funding opportunities designed to improve brain cancer research for both adults and children. We are committed to furthering our investment and support for high-quality brain tumour research, ensuring that funding is used in the most meaningful and impactful way. Hon. Members will note that there is a debate on Thursday on brain tumours, and I will be attending the all-party parliamentary group on brain tumours next week.
Helen Morgan (North Shropshire) (LD)
In his statement to the House just after Christmas, the Secretary of State acknowledged that cross-party consensus is essential to delivering meaningful social care reform. The Liberal Democrats support him in that endeavour, but we still do not have a date for those cross-party meetings, so will he give us one now?
Wes Streeting
Dates for meetings with the commission are now a matter for the independent commission.
Josh MacAlister (Whitehaven and Workington) (Lab)
The Minister for Care (Stephen Kinnock)
The Government have launched a scheme to provide 700,000 urgent dental appointments. There are 57,500 allocated to my hon. Friend’s integrated care board. He will know that ICBs are responsible for commissioning primary care services based on the needs of the population, but I know that he is a strong campaigner for his constituents. I understand that his dialogue with his ICB on this matter has been positive and constructive, and I am sure that he will continue to fly the flag.
Sir Jeremy Hunt (Godalming and Ash) (Con)
Wes Streeting
The funding is still there, but as many people have urged me, including the right hon. Gentleman, we are taking the decision to give more freedom and flexibility to independent care boards, systems and providers to determine how they can best spend NHS resources on services to improve patient care, safety and outcomes. Everyone will know that maternity safety is understandably a priority for this Government. We expect the NHS to deliver on maternity safety standards and will hold it to account on that.
Olivia Bailey (Reading West and Mid Berkshire) (Lab)
Stephen Kinnock
My hon. Friend will know that we have hired 1,500 more GPs, which will help with access. We have also renegotiated the contract, so there will be online booking systems in every practice in the country, and we have changed the contract to incentivise continuity of care in order to bring back the family doctor. There is a suite of reforms coupled with investment, which I hope will deliver for my hon. Friend’s constituents.
Bob Blackman (Harrow East) (Con)
Wes Streeting
We are absolutely convinced that better use of digital tools will enable us to reduce the number of missed appointments significantly and factor in the likelihood of no-shows, so that we can reduce waste and eliminate inefficiency. I understand the case for penalties that the hon. Gentleman is making, but that is not a route we want to go down until we have made those improvements and judged how effective they have been.
Jim Dickson (Dartford) (Lab)
Mr Speaker
Order. I think Ministers have got the message. If they have not by this stage, I would be surprised. Who is answering?
The Minister for Secondary Care (Karin Smyth)
My hon. Friend is absolutely right that this is exactly the sort of thing that is being rolled out across the country, and that we are committed to delivering care closer to where his residents live.
Blake Stephenson (Mid Bedfordshire) (Con)
Wes Streeting
Thanks to the investment that the Chancellor committed to, we are investing in the NHS estate, which is in a sorry state. I am afraid that that is an investment that the hon. Gentleman did not vote for, and his constituents will be fuming when they find out who was responsible.
Mr Bayo Alaba (Southend East and Rochford) (Lab)
I recently heard from Chelsea, a constituent of mine, who raised concerns about her grandmother Anna’s care. After a delayed discharge, she was released with the wrong equipment, which sadly resulted in her falling out of bed and sustaining a further injury. Ensuring that patients are discharged in a safe and timely manner is key to continuing the Department’s significant progress in cutting waiting lists for treatment, so what steps is the Secretary of State taking to promote integrated working between services to support discharge into the community for patients?
Wes Streeting
I am extremely sorry to hear about that particular case. It is really important that we support and facilitate better discharge, which is why we are reforming the better care fund and looking to better integrate health and social care services through our 10-year plan. I would be delighted to hear further from my hon. Friend about what we can do to improve in his area.
Tessa Munt (Wells and Mendip Hills) (LD)
Stephen Kinnock
As the hon. Lady knows, we now have a commitment to providing 700,000 more urgent dental appointments. Those who do not have an NHS dentist can call 111 and will be prioritised. We are very clear that every integrated care board has a target within those 700,000 appointments, and if they are not hitting that target, we will want to know why.
Olivia Blake (Sheffield Hallam) (Lab)
As someone with ADHD, it is disappointing to hear from many of my constituents about difficulties in accessing diagnosis, medication and other therapeutic inputs for ADHD, and the impact on their lives and livelihoods as a result. Whether for children or adults, waits of two, five or seven years are becoming the norm. What steps are the Government taking to make sure that individuals can exercise their right to choose?
Stephen Kinnock
I pay tribute to my hon. Friend for improving support for ADHD and recognise the valuable perspective that she brings through her lived experience. This Government inherited a broken NHS, with too many people facing long waits for an assessment. NHS England’s ADHD taskforce is looking at how support for people with ADHD can be improved. I look forward to reading its report, and I recently had a very productive meeting with the director of that taskforce.
Mr Peter Bedford (Mid Leicestershire) (Con)
Stephen Kinnock
I give the hon. Member that assurance. We have been clear that every ICB has a target, and that was transparently published, and we will be monitoring it. I am holding regular meetings with officials to check that every single ICB is on track to hit those targets. If ICBs are not on track to hit those targets, we will want to know why.
Markus Campbell-Savours (Penrith and Solway) (Lab)
Earlier this year, I met the Cockermouth and Maryport primary care network, which told me about the increasing challenge of supporting my constituents with their mental health. Has the Secretary of State considered relaxing the additional roles reimbursement scheme funding rules to allow mental health nurses to be employed wholly by a PCN, and not need to be under the employment of a local mental health trust? That flexibility could help GP practices to intervene earlier and reduce referrals to secondary care quickly.
Stephen Kinnock
We have, in fact, relaxed the rules on ARRS so that a mental health worker can be employed by the PCN. My hon. Friend is absolutely right that that is an important part of stepping from hospital to community, but there is more we can do on that. We continue to do whatever we can to ensure that mental health and GP surgeries are actively integrating.
Robin Swann (South Antrim) (UUP)
Getting It Right First Time is a clinician-led programme that leads on improvement and transformation. Can the Secretary State give reassurance that in any restructuring of NHS England, that programme will not just be continued, but expanded and still available to the devolved Administrations?
Karin Smyth
I am absolutely willing to give the hon. Member that commitment, and I know he worked on this programme in his previous role in Northern Ireland. It is delivering results, and we want to see results. We want to take the best to the rest of the NHS, and we absolutely want to work together across the United Kingdom to make sure that all our residents benefit from the programme.
Gregor Poynton (Livingston) (Lab)
Lung cancer causes more deaths in Scotland than anywhere else in the UK. In England, early detection programmes are under way, and by 2028 every patient is likely to gain access to screening. In Scotland, doctors tell me that that programme is a distant dream. Does my hon. Friend agree that the SNP is failing Scottish patients and Scottish healthcare professionals? This UK Government are getting on with the task of fighting this deadly cancer.
Ashley Dalton
I agree with my hon. Friend. We are making great strides in developing our cancer plans. We will be launching a national cancer plan later this year, and the targeted lung cancer screening programme has been particularly effective. The SNP has had a record settlement for Holyrood, and we expect the Scottish Government to deliver. If they cannot, I am sure that Anas Sarwar and Jackie Baillie would be willing to take over.
Ellie Chowns (North Herefordshire) (Green)
Yesterday’s report from the Health and Social Care Committee is explicit that we cannot build an NHS fit for the future without effectively reforming social care. Back in January, the Secretary of State promised cross-party talks as well as Baroness Casey’s commission. He cannot outsource political leadership to Baroness Casey. Political will is the sticking point with the reform of social care. Will he show that leadership and bring the parties together to find the solutions to unblock this crisis?
Wes Streeting
Since we came into government, we have already taken action on social care with the investment we have put in—the biggest expansion of carer’s allowance and the funding for home adaptations through the disabled facilities grant. Now that the commission is up and running, there will be cross-party engagement, but it is an independent commission and for Baroness Casey to decide how to engage.
Catherine Atkinson (Derby North) (Lab)
Last week, this Labour Government announced the freezing of prescription charges, putting pounds back in the pockets of people in Derby. I have visited pharmacies, including the Littleover pharmacy, which provide essential care and support for their communities. The Conservatives underfunded pharmacies and more than 750 closed across England between 2021 and 2024. What is the Minister doing to support community pharmacies so that we do not lose these vital local services?
Stephen Kinnock
After years of neglect, this Government have agreed with the sector a record uplift to £3.1 billion for 2025-26 for this vitally important front door to our NHS. We are also supporting pharmacies to operate more efficiently, including enabling hub and spoke dispensing between all pharmacies later this year. I am pleased to say that the legislation for that has been laid. What a contrast that is with the previous 14 years. I am also pleased to see that the National Pharmacy Association has withdrawn its view on taking collective action. We are moving in the right direction, but there is still a lot more to do.
Calum Miller (Bicester and Woodstock) (LD)
I welcome today’s announcement of new money for GPs’ surgeries, but GPs in my constituency tell me that they cannot get capital out of the integrated care board and that the Valuation Office Agency consistently undervalues the cost of rents, making future building impossible. Will the Secretary of State agree to meet me, and GPs from my constituency, in order to understand the problem better?
Wes Streeting
Thanks to the investment that we have announced, those practices will be upgraded. I advise the hon. Gentleman to engage with his local ICB. We are happy to receive representations if we can help, but let me gently point out that the investment is only possible thanks to the decisions made by the Chancellor, which he opposed.
Sonia Kumar (Dudley) (Lab)
Ladies Walk NHS health centre in Sedgley is a vital hub for my constituents, providing essential services such as phlebotomy and diabetic foot care, but owing to the inaction of the Conservative council this much-needed community asset faces closure in 2026, leaving residents without access to critical care. Will my hon. Friend agree to meet me to discuss urgent steps to safeguard the future of the centre and ensure that Sedgley residents continue to receive the NHS services on which they rely?
Stephen Kinnock
I pay tribute to my hon. Friend, who is a qualified physiotherapist, and who is right to refer to the value of community care. I would be happy to meet her to discuss the important issue that she has raised.
Jim Shannon (Strangford) (DUP)
What steps will be taken to support more community pharmacies that can offer a broad range of services to people in rural areas, to ensure that those who are most isolated from busy towns still have access to those important services?
Stephen Kinnock
As I said earlier, we are giving pharmacies a record 19% uplift to £3.1 billion, and I am pleased to confirm that of all the sectors in the NHS they received the best uplift in the 2025-26 settlement. We have also maintained the pharmacy access scheme, which provides £19 million to support pharmacies in areas where there are fewer of them, including the rural areas that the hon. Gentleman mentioned.
Jon Trickett (Normanton and Hemsworth) (Lab)
Pharmacies play a key role in communities in rural areas such as mine, but it is deeply frustrating when the supply chain breaks down and a pharmacy cannot deliver its medicine. Can the Minister tell me where we are now with the supply chain? Will she also thank all the heroic workers up and down the country who are doing their very best to deliver medicines, and will she thank in particular the 400 Superdrug workers in my constituency who are trying to make the supply chain work?
Karin Smyth
I am pleased to congratulate the pharmacies that are on the frontline on their hard work, and also to congratulate all those in the Department and elsewhere who ensure that our supply chain is as resilient as possible. I know that this issue concerns many Members and many of our constituents, and we hope to arrange a parliamentary event to ensure that Members have more information. Those people do a great deal of work; we know that the issue is important, and I will update the House on other measures that we intend to take to ensure that Members and their constituents are better informed.
Vikki Slade (Mid Dorset and North Poole) (LD)
Last month I began to receive concerning emails from employees of the NHS trusts in my constituency, saying that the trusts were seeking to create a subsidiary company and move staff into it. They are really worried about their future rights. I know how important it is to the Secretary of State that people have good employment rights. What steps is he taking to ensure that there is full consultation with staff before the creation of subsidiaries, and to prevent the creation of two-tier employment practices in the NHS with no continuity of service?
Wes Streeting
While I understand the desirability of such arrangements for NHS trusts, this Government are absolutely clear that staff must be in receipt of good NHS terms and conditions, and must feel part of the NHS workforce and the NHS family. I would be happy to receive further representations from the hon. Lady.