Future of the NHS

Amy Callaghan Excerpts

Tuesday 24th October 2023 Westminster Hall

[Amy Callaghan (East Dunbartonshire) (SNP)]

It is a pleasure to see you in the Chair, Mr Pritchard. I congratulate the hon. Member for Wirral West (Margaret Greenwood) on bringing forward this important debate. She made an insightful opening speech, and I thank her for this opportunity to highlight the incredible work of the Scottish Government despite real-terms cuts to funding. It is a privilege to contribute to the debate as the SNP health spokesperson and as someone who understands the true value of our NHS. I will break down my contribution into two core components—funding and staffing—and explain why British Governments of any colour are causing real and lasting damage to both of them.

I turn first to funding. With more and more privatisation creeping in through the back door in NHS England, there are dire consequences for our NHS in Scotland through Barnett consequentials. The reality is that how much is spent by the British Government on England’s NHS dictates how much the Scottish Government have to spend on our NHS up the road. Despite cuts to Barnett consequentials, our NHS, run by the Scottish Government, is continuing to invest in new and innovative ways to reduce health inequalities and protect our NHS for future generations; the young patients family fund comes to mind. We are leading the way in Scotland, supporting young patients and their families to get through ill health without suffering financial detriment, too. The other nations across these isles should take note and replicate the young patients family fund to improve health outcomes. The First Minister’s pledge of £300 million to cut NHS waiting times is another example. There will be 100,000 fewer patients on NHS waiting lists come 2026 because of that investment.

What happens down here is that the Treasury gives money to private companies to provide a service for NHS England. That means less capital investment in NHS England, which means less money for the Scottish Government to spend on NHS Scotland. Despite the year-on-year reduction in Barnett consequentials for health, NHS Scotland staff remain the best paid across these isles. What does that look like in practice? A band 2 porter in Scotland earns £2,980 more a year than their counterpart in England, and a band 5 nurse in Scotland earns £3,080 more a year than their counterpart in England. That is all despite the increased privatisation in NHS England.

I have two questions for the Minister on funding. What representations has he made to the Treasury ahead of the autumn statement? And will there be a change or, indeed, an increase to the money given to private enterprises to provide services to NHS England?

I will move on to staffing. Our staff are our NHS—past, present and future. The staffing issue we face because of being dragged out of the European Union is the single biggest issue for our NHS in Scotland. The future of our NHS hinges on staff recruitment and retention. As I said, our NHS in Scotland pays comparatively higher wages than the rest of these isles. The hon. Member for Liverpool, Riverside (Kim Johnson) rightly pointed out the urgency of ending the exodus of NHS staff. Despite that, attracting and retaining top talent remains our biggest concern, indicative of broken Brexit Britain.

The British Government’s shift to being increasingly insular has significant consequences for our NHS in Scotland. That is why the SNP has repeatedly called for the devolution of powers over migration, because we in Scotland are committed to expanding our workforce. The toxic, hostile atmosphere created by the British Government is a barrier to that recruitment. What representations has the Minister made to Cabinet colleagues about the devolution of migration powers to the Scottish Government?

The hon. Member for Wirral West rightly pointed out that underfunding the NHS, quite apart from the harm it does to our constituents, is not a viable economic strategy. Poverty is expensive, as are health inequalities. Cuts to NHS funding are totally false economies that have real costs in the form of longer waiting lists, lost productivity and pain. As the hon. Member pointed out, it is not the model of the NHS that is broken, but the chronic underfunding that has led us here.

The hon. Member for Shrewsbury and Atcham (Daniel Kawczynski) made the point that NHS England is receiving higher funding than ever before. However, he failed to mention the capital given to private companies to provide services, instead of that funding going directly into NHS England.

[Daniel Kawczynski]

I will repeat the question that I posed to the hon. Member for Wirral West, who instigated the debate. We are putting record levels of investment into the NHS. Where will the hon. Member for East Dunbartonshire (Amy Callaghan) get the extra money that she wants to put into the NHS?

[Amy Callaghan]

We look at progressive taxation measures in Scotland to generate income and revenue to put into our NHS, but we are experiencing cuts to Barnett consequentials because of how the British Government down here are spending money on the NHS, with investment in private enterprises as opposed to capital going directly into the NHS. We are experiencing real-term cuts to our funding despite our generating money through other means.

It will come as no surprise that the financial and staffing issues facing our NHS in Scotland are a result of being tied to this broken Union. We cannot afford to be in this financial Union. Our NHS cannot afford for us to be in this financial Union. I look forward to the day when Scotland is an independent nation within the European Union, with a fully funded NHS and no recruitment or staff retention issues because we have created an inclusive and welcoming environment for all.

Before I conclude, I will say that it is fitting, with World Stroke Day just around the corner, that I am standing here talking about the future of our NHS. I have a future because of our NHS. We must provide proper funding and staffing to ensure that there is a future for the NHS and the millions who will need it for generations to come.