Resident Doctors: Industrial Action

Baroness Bennett of Manor Castle Excerpts

Wednesday 16th July 2025 Lords Chamber

[Baroness Blake of Leeds (Lab)]

I thank the noble Baroness for her comments and the background. I shall particularly pick up on the issue of moonlighting, which she has raised before. As a point of reference, during the industrial action in 2022-24, it was picked up. There were isolated and anecdotal incidents of this behaviour. It is difficult to get accurate information, and with the current systems in place there is no clear or easy way to monitor the practice. However, resident doctors moonlighting while on strike is clearly unacceptable and in clear breach of the GMC code of practice. As I have said before, it is up to the employers to take any reports of this very seriously, and I am sure they will.

I echo the noble Baroness’s comments about the medical profession in this country. We have some extraordinary people working in the whole of the NHS, not just the doctors. It is a phenomenal organisation, and we believe it is our absolute duty to do everything we can to protect it and preserve it for the future, and to keep it true to its principles of delivering care free at the point of delivery and reaching everyone that needs it.

[Baroness Bennett of Manor Castle (GP)]

My Lords, I gave prior notice to the Minister that I want to ask a couple of questions about the Leng review into physician and anaesthetist associates which was published today, dealing with issues of high relevance to the concerns and the levels of dissatisfaction among resident doctors. Indeed, the review directly addresses some of the training issues for resident doctors which are set out in this Statement and which the Government say they are seeking to tackle, particularly rotational training and the lack of training places.

I have two questions. First, when and by what mechanism will Parliament, and particularly your Lordships’ House, have the chance to discuss the Leng report, given the high level of engagement on the statutory instrument that created the GMC registration of PAs and AAs in February 2024 and the level of expertise in your Lordships’ House?

Secondly, and this reflects many questions with which I am being bombarded by those concerned with these issues, some of the main recommendations of Professor Leng include the renaming of physician associates and anaesthetist associates as assistants. Professor Leng says they should not be seeing undifferentiated patients except within clearly defined national clinical protocols; they should get at least two years’ experience in secondary care when newly qualified before taking roles in primary care or mental health trusts; and there should be a named doctor as a line manager, which puts into question people operating as so-called locum physician associates.

Presumably, at least the first of these, the naming question, would require a new statutory instrument. Others may or may not. Can the Minister give me and all the other interested people some idea of how the Government are planning to take this forward?

[Baroness Blake of Leeds (Lab)]

The noble Baroness is certainly up to date as the report was published only this morning. If I am honest, asking such detailed questions at this stage is possibly slightly premature. We have committed to bringing in an implementation plan, which will be published in the autumn. The government-commissioned work has been very detailed. Professor Gillian Leng led the review, and the report sets out 18 recommendations that will give much-needed certainty and clarity to staff and patients. The Government are accepting these recommendations in full. By doing this, the Government have demonstrated their commitment to evidence-based policy informed by expert clinical advice, listening to patients and professionals.

I look forward to the implementation plan coming forward to make sure that we get some clarity. One of the most dangerous things is the lack of clarity that has surrounded these positions. The debate had, quite frankly, become polarised and in some cases toxic. That is not in anyone’s interest. Of course, there will be conversations between all interested parties following the report’s publication today and I look forward to discussions. I am sure it will come back to this place at the appropriate time.