NHS: Doctors’ Strikes

Debate between Lord Markham and Lord Bishop of Exeter

Wednesday 5th July 2023 Lords Chamber

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Markham) (Con)]

My Lords, the Government have been clear that we want to resolve the strikes by doctors. We negotiated in good faith with the BMA’s junior doctors committee in May. The Government stand ready to meet junior doctors again if they move from their unreasonable ask of a 35% pay rise this year. We also want to open negotiations with consultants. We encourage unions to come to the negotiating table rather than proceeding with strike action.

[The Lord Bishop of Exeter]

I thank the Minister for his response. I am sure that today, on the 75th anniversary of the founding of the National Health Service, he will want to join me and all Members of this House in paying warm tribute to the hard-working nurses and clinicians in our NHS. All that underlines and underscores the urgency of settling this dispute. What consideration have His Majesty’s Government given to the request of the BMA to use ACAS to resolve this dispute?

[Lord Markham (Con)]

First, I absolutely echo the sentiment about the 75th anniversary and the hard work of all our doctors, nurses, dentists and medical staff. Clearly, we want to find a negotiated solution. I think we showed in the case of the nurses and Agenda for Change that we have a framework and the ability to find a solution between ourselves as parties. That is why we encourage them to please stop the strike action so that we can have a sensible conversation.

NHS Long-term Workforce Plan

Debate between Lord Markham and Lord Bishop of Exeter

Tuesday 4th July 2023 Lords Chamber

[Lord Markham (Con)]

It is absolutely a pipeline; some people might say, “Why are you not doing more earlier in this plan?”, but, as the noble Baroness says, there is no point training a lot of people at the university end if you do not have junior doctor places later in the system. That is why we are trying to get a sensible ramp-up so that we can build capacity into those places, recognising the point that the noble Baroness makes. On the numbers in the plan, we have set down £2.4 billion for the first five years of training and development, but the point about it being a live plan is that we will update it every two years. Given the data—this is an NHS document, not a Department of Health one—I would expect those numbers to change, as I would be amazed if we got it spot on first time. The whole point about making this an NHS living document that we can use and which updates is that we can all stick to the plan.

[The Lord Bishop of Exeter]

My Lords, we on these Benches very much welcome this workforce plan, in particular the expansion of places for training with a range of clinicians and the shift of gaze towards community care and prevention. Our anxiety very much mirrors that of the noble Baroness, Lady Merron, and the noble Lord, Lord Allan of Hallam. We notice that page 23 of the report says:

“This Plan is predicated on access to social care services remaining broadly in line with current levels or improving”.


That is a jolly big assumption given that the Care Quality Commission report tells us that there are vacancies of 10.7% in adult social care and of 13.2% in the home care services. Without an equivalent plan for social care, in our view this admirable workforce plan is unsustainable, so will His Majesty’s Government publish an equivalent plan for social care?

[Lord Markham (Con)]

As I mentioned previously, the NHS plan is something that we or the NHS can publish, being the employer. With there being hundreds, if not thousands, of employers in social care, it is clearly a different situation. What we can do is make sure that we put the investment into the sector, so that there is pull through in the number of places. Over the next few years, we are looking at an increase of up to £7 billion, which is about 20%. We know that, of that £7 billion, around 65% to 70% flows through to staffing and wages. We are seeing a massive investment on our side, which we are looking to lots of employers to fulfil. By increasing the number of medically trained people, we will be increasing the supply base to fulfil that demand.