Budget Resolutions

Andrew Murrison Excerpts

Tuesday 2nd December 2025 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

The NHS continues to face a historic crisis after years of mismanagement by the last Conservative Government. Their dire legacy is still felt across the country, with hospitals crumbling and dental deserts across England—not least in my constituency—as well as a mental health crisis and many people struggling to access their GP, waiting hours for an ambulance or suffering in crammed hospital corridors. The British people deserve better.

The Liberal Democrats welcome efforts to bring down the sky-high waiting lists left by the previous Government, and there have been green shoots of recovery across the country. In the Shrewsbury and Telford hospital trust, which serves my constituents, performance against the 28-day faster diagnosis standard has reached 80.1%—the highest on record. I thank all the hard-working hospital staff there and across the country, who are working tirelessly at the moment to improve the situation.

There are some welcome announcements in the Budget. The prescription price freeze is clearly the right thing to do, and we strongly support protecting victims of the infected blood scandal and their families from inheritance tax. It is an unacceptable injustice for bereaved families to lose out just because their loved ones died waiting for compensation. We also support the lifting of the two-child benefit cap, because it is the type of investment that will reap savings in the future and correct a moral injury.

I am afraid, though, that overall this Budget does not meet the moment. The Government are treading water on their spending commitments, and hundreds of millions of pounds are set to be drained from services to fund a medicines price hike. From the Office for Budget Responsibility’s report, it is not clear whether frontline NHS services will be raided to pay higher prices for branded medicines at the behest of President Trump, on top of the billions already anticipated in the spending review. No. 10’s briefing suggests that the money will come from the NHS budget, yet we have just heard from the Secretary of State that it will not. A statement to this House to clarify the details would be most welcome.

Yesterday we learned that the Government have capitulated to the US Government and will increase spending on medicines by 0.3% of GDP—more than the value derived from some trade deals—or from about 9.5% of the NHS budget to 12%. We desperately need to understand how that will be paid for; I hope it will not be by cutting frontline services. The Secretary of State has previously said that he would not allow the NHS to be ripped off by drug companies, and I hope the Minister will confirm that position.

The life sciences sector is vital to the UK. Rather than defunding vital NHS services, the Liberal Democrats urge the Government to take real actions to strengthen it by implementing a new, bespoke customs union with the EU to slash red tape, along with a major boost to research and development funding so that new drugs can be brought online as quickly as possible. NHS spending should be targeted at where our health service really needs it: ending the crisis in GP services so that everyone has a right to see a GP in seven days, or in 24 hours if it is urgent; guaranteeing that 100% of patients are treated for cancer within 62 days of an urgent referral; and ending unacceptable and degrading corridor care. I urge the Government to adopt these proposals without delay in order to protect patients and prevent trust in our NHS from being irreparably broken.

One of the most visible symptoms of decline is our crumbling hospitals and the degrading scenes that became commonplace under the Conservatives. Those patients falsely promised a new hospital by the Conservatives will continue to be bitterly disappointed. We all know that the 40 new hospitals promised to patients did not number 40, that they were not necessarily new, that they were not all hospitals, and that there was no plan to fund them. However, this Government have chosen not to pledge new investment, which means that the maintenance backlog will continue to balloon at eye-watering levels, having climbed from £13.8 billion in 2023-24 to an astonishing £15.9 billion in 2024-25.

The Chancellor should have guaranteed that no patient, doctor or nurse faces the indignity of substandard, broken and, frankly, unsafe estates. We appreciate that there is pressure on the public finances, but holding back on these improvements is a false economy when a fortune is being spent papering over the cracks to keep substandard buildings that should be condemned limping on. The repair backlog at the sites of new hospitals is set to reach nearly £6 billion by the time construction is due to start. The Liberal Democrats will continue to champion investment in our crumbling NHS buildings in order to protect patients, hard-working NHS staff and the taxpayer.

[Dr Andrew Murrison (South West Wiltshire) (Con)]

The hon. Lady is outlining an extensive programme of capital expenditure on the national health service. Between last year and this year, we have had the largest set of Budget increases in the history of this country, but are the Liberal Democrats proposing that we should tax the British public even further to pay for the kind of thing that she has just described?

[Helen Morgan]

If the right hon. Gentleman had listened to our leader’s response to the Budget, he would understand that the Liberal Democrats do not propose to tax the British taxpayer further. We would sign a customs union deal with the EU and create £25 billion in extra tax revenue every year without going back to the British taxpayer.

The crisis in our NHS is perhaps most acute in our community services. For all the welcome promises on shifting care from hospital to community and treatment to prevention, the truth is that local health services are on their knees, with record waits to see a GP. Liberal Democrats have championed new investment and we welcome the Government’s announcement on neighbourhood health centres, but unless we see health centres in every community, with investment to ensure that everyone can see a GP within a week as a legal right, and the restoration of public health funding, this risks being an expensive failure.

--- Later in debate ---

[Dr Andrew Murrison (South West Wiltshire) (Con)]

I will start on a positive note by commending the lines on productivity in the Red Book, and the recent comments that various Ministers have made about that. Productivity has to be the No. 1 objective in getting our NHS to where it needs to be to deliver for our constituents. I have to say to the Health Secretary that objectives two and three are probably dentistry and adult social care, and on those, I have heard less positive news.

Dentistry in particular is still struggling as a result of the units of dental activity created by Gordon Brown back in the day—a system that has bedevilled the provision of dentistry in this country and is in urgent need of reform. Without that reform, we will make no progress at all on one of the principal issues in the health service that concern my constituents at the moment.

I think that a degree of humility is important when we talk about the NHS, and I say that with all due respect to the Health Secretary, because otherwise he will be setting himself up for a fall. Reform in the NHS is fiendishly difficult, and we all remember the ghost of PFI, which still stalks the corridors of our hospitals and clinics and will do so for some time to come.

The day before the Chancellor of the Exchequer gave her pre-Budget speech, her boss—the Prime Minister, no less—took the very unusual step of personally moving the Second Reading of a Bill. The Bill was admittedly a very important one indeed, and the Prime Minister might have thought, perfectly understandably, that it was too important to be delivered by his Justice Secretary. It was the Public Office (Accountability) Bill, which begins its Committee stage today.

At the heart of the Bill is a new duty of candour, and despite its name, it extends well beyond the holders of public office. It carries a legal obligation to act transparently, creates new criminal offences of misleading the public, and contains new codes of conduct based on the Nolan principles of selflessness, integrity, objectivity, accountability, openness, leadership and honesty, and it imposes appropriate sanctions. Lying is a very strong test, Madam Deputy Speaker, and you would call me out of order if I applied it to any right hon. or hon. Member, but this Government, through their Bill, are insisting on another test. They are insisting on a test of candour, and a duty of candour is a noble principle, but nobility cannot be confined to one area of the public realm; it has to be universally applicable, and it has to be applied from the top.

Now, I am not accusing anyone of lying, but it should be abundantly clear that in preparing for this Budget, the Chancellor of the Exchequer did not approach her duties with the candour that she and her colleagues are demanding of others—which the public have a right to expect—and that is incorporated, in principle at least, in the Bill that the Prime Minister introduced on Second Reading just a few days ago. I suggest that before that Bill comes back to the Floor of the House, the Chancellor might like to reflect on the duty of candour as far as it applies to Ministers. I feel that a new clause that would make it more difficult for her and her successors to stray into the kind of shenanigans that we have seen over the past couple of months would be greatly welcomed by the House.

[Madam Deputy Speaker (Caroline Nokes)]

Order. I think that the right hon. Gentleman means to be discussing the Budget, not the Bill that is in Committee.

[Dr Murrison]

I am grateful for your guidance, Madam Deputy Speaker.

What has unfolded since September reflects badly not just on the Chancellor of the Exchequer, or the Prime Minister, or the Government, but on all of us. On 17 September, the OBR—

[Madam Deputy Speaker]

Order. I call Marie Rimmer.