A Plan for the NHS and Social Care

Ben Bradley Excerpts

Wednesday 19th May 2021 Commons Chamber

[Ben Bradley (Mansfield) (Con)]

I rise to welcome the measures in the Queen’s Speech, particularly on skills—legislation to back up our White Paper on adult learning; retraining to help people move across sectors; funding for that learning; and better career paths for people into work. Those are particularly important in the wake of covid and vital to our levelling-up agenda. If we are going to make a long-term impact, capital investment is all well and good, but education is the key to long-term levelling up.

There is a strong expectation among my constituents that we will deliver on immigration, and I welcome that commitment in the Queen’s Speech. There is a strong theme on levelling up and what it means throughout the Queen’s Speech. The east midlands is consistently at the bottom of the charts when it comes to Government and private sector investment, so I would argue that it is most clearly in need of levelling up. I would welcome conversations with any and all Ministers about setting out a clear vision for that.

It is my belief that there is a handful of key decisions—about HS2, devolution, our freeport and our development corporation—that are fundamental to our long-term progress in the east midlands. We cannot afford to let our region down. Given his Leicestershire constituency, the Minister will appreciate the importance of support for the east midlands.

The theme today is health and social care. I have a number of points to make in a short time. First, I am pleased to see Government plans to make progress on social care reform in this Session. I welcome the elements of that in the Queen’s Speech—we know that such reform is long overdue. Although ad hoc grants to support local authorities in the delivery of social care have been welcome, they are not a long-term solution. We need certainty on this issue. Will the Minister give us some time scales, if he has them, for ideas and proposals coming forward?

Secondly, I would welcome some clarity on prevention in the health and care Bill. Perhaps, in truth, we could look again at some of these priorities. I have raised concerns about the obesity strategy a number of times and there are proposals that, in my view, verge on meddling in people’s freedom and choice. Over the past 18 months, we have seen that our public health functions have a huge amount to do to ensure their preparedness for major health issues. We should focus on that, rather than limiting people’s choices in shops, pricing people out of items or banning adverts, which has dubious impacts, if any. Let us support people with information and facilities to encourage healthy lifestyles and exercise; banning two-for-one Mars bars will not have the impact that we would hope for.

The Bill is set to look at a more integrated system of care between the NHS and local authorities. I make a plea to the Minister—I have spoken to him about this already—to start on the right foot by confirming our county’s integrated care boundaries and fixing those to the county boundary in Nottinghamshire. That will allow us to deliver more efficient and effective primary care, and I know that that is in line with Government priorities. Unblocking the gateway in primary care is absolutely vital to offering a better experience to residents. We can make a big impact with an early and good Government decision.

The Government can be proud of the record levels of support and investment in our health service. We need to use this opportunity now to ensure that funding is put to good use, with the most efficient and effective service delivery to residents. Let us not waste it on meddlesome interventions into eating habits; instead, let us look at direct support to improve healthy lifestyles for those who need it. Let us encourage activity, educate and improve access to community-based services, which are key to tackling our health inequalities and are therefore a big part of levelling up life chances.

There is a huge amount to welcome in the Queen’s Speech, and I have not even touched the surface in just four minutes, but I very much welcome the proposals and look forward to supporting the Government in delivering them during this Session.