(4 months ago)
Lords ChamberMy Lords, I thank the noble Baroness for introducing today’s important debate on the humble Address. It was a privilege to be present to hear the second King’s Speech of the King’s reign in your Lordships’ House on Wednesday. It is good to see that he is making a good recovery from his recent illness.
I warmly welcome the noble Baroness, Lady Smith of Malvern, to her place at the Dispatch Box and congratulate her on her excellent maiden speech. She brings a wealth of experience to your Lordships’ House through her work as an economics teacher, a local authority councillor, a Member of Parliament, and an Education Minister—and, of course, she can be very proud of the fact that she became the first woman Home Secretary and the third woman to hold one of the great offices of state, after Margaret Thatcher as Prime Minister and Margaret Beckett as Foreign Secretary. Finally, I think I am right in saying that the noble Baroness is the first at the Dispatch Box to have appeared on “Strictly Come Dancing”. This will help her to be fleet of foot at the Dispatch Box, to pirouette around the departmental civil servants, and to get into the rhythm of this great place. For my side, I do hope I will not step on her toes.
We on this side of the House are proud of our track record while in government in relation to education. Our children are now the best readers in the West, ranked fourth globally in the PIRLS survey, and ninth in maths in the TIMSS survey—a marked improvement on the position in 2010. We have seen 90% of our schools judged to be good or outstanding by Ofsted, and our free schools programme delivered quality, innovation and great education for pupils, particularly in disadvantaged areas and for those with SEND.
It is so important to have stability in skills policy. Apprenticeships are unrecognisable now in their breadth and quality compared with 2010, a time when some people doing apprenticeships did not even know what they were. They are real engines of social mobility and directly address our skills shortage. We have real concerns about the Government’s proposals to reform the apprenticeship levy. First, we think that this approach risks diluting the focus on apprenticeships and halving the number of apprentices. Apprentices are key to addressing our skills gap in the economy, including in our public services. Secondly, there is a real risk that the state ends up funding skills training that employers would otherwise have funded themselves. How will the Government avoid this?
Finally, we were determined to support as many families as possible with access to high-quality, affordable childcare. This is why, in the 2023 Spring Budget, we announced major new investments, providing up to 30 hours of free childcare a week from the age of nine months by September 2025. This translates to over £4 billion of additional funding by 2027-28, and a total of over £8 billion of spending annually on free hours and early education. Will the noble Baroness reassure the House that there is a commitment to stick to our plan?
It gives me and my noble friend Lord Markham great pleasure to welcome the noble Baroness, Lady Merron, to her new role as Health and Social Care Minister—a just reward for her hard work and dedication serving on the Opposition Front Bench in your Lordships’ House, as Member of Parliament for Lincoln, as a Government Minister, and as chief executive of the Board of Deputies of British Jews. She is entering a challenging environment. We wish her luck and our constructive support—accompanied, of course, by constructive challenge.
We are pleased to see the continuation of many of our policies, such as the smoke-free Bill and the mental health Bill. I hope and trust that work will continue in other areas where there is broad agreement, such as the long-term workforce plan and implementation of the Cass recommendations. Will the Minister confirm that this is still the case? We hope the Government will continue the work on technology and see this as a major way to take the NHS into the 21st century. App usage is exploding and presents a real way for people to take control of their own health. Artificial intelligence can truly transform in ways we are only just beginning to understand. This will all be fuelled by our NHS data, which is unparalleled in the world and gives us the opportunity to be the Silicon Valley of AI tech here in the UK. Will the Government continue to prioritise these measures?
We will support the Government’s focus on waiting lists. We took a lot of action in this space and managed to bear down on some of the longest waiting lists post Covid, but it is a source of frustration that these efforts were hampered by the junior doctor strikes. We wish the Government well in the negotiations with junior doctors and hope that they can reach a settlement without breaking the bank.
Key to this, of course, is NHS productivity. Given the importance of the productivity plan, can the Minister assure us that this process will continue? Another area that is key to productivity and patient care is the capital programme, in particular the new hospital programme. While it is understandable that new Ministers will want to review the programme, it is essential that there is continuity and no loss of momentum. Can the Minister assure us that this review will be undertaken in a timely manner and tell us when we can expect the results?
We also note that very little was said about social care in the King’s Speech. We appreciate that this is a very difficult area, but one that I am sure we all agree is crucial to get right for the sake of patients and to free up beds in hospitals. The steps we took in government in providing a career structure and professional qualifications and training programmes are key to making it an attractive profession to work in, but we realise there are challenges around the cost and supply of social care. Given the hot potato this subject represents, a cross-party conversation might be the best way forward. I note that the £86,000 cap on social care is still due to be implemented. Do the Government intend to continue with this implementation?
Finally, and most importantly, we have all agreed for some time that we need to get up stream of the problem and shift resources from treatment in hospitals to investment in primary care and prevention. These are fine statements of intent, but making this happen is often far more difficult. It is often a gutsy move to move money away from hospitals and into primary care. Such moves require a grown-up conversation bolstered by cross-party support. In this vein, I offer our support in having such conversations and moving from statements of intent to firm action. We wish the noble Baroness all the best of British luck in her new position, and we look forward to working with her in the months and years ahead.