NHS 10-Year Plan

Bernard Jenkin Excerpts

Thursday 3rd July 2025 Commons Chamber

[Wes Streeting]

I am so grateful to my hon. Friend for her question. I pay tribute to Professor Ian Abbs. He is an outstanding NHS leader, and we have loved working with him. As with many people of his calibre moving on from their positions of leadership in the NHS, it is a bit like the Hotel California—you can check out any time you like, but you can never leave. We will not let him drift off into a quiet retirement; we are determined to make use of his expertise.

My hon. Friend is absolutely right to raise the importance of nursing. Nurses and midwives will play an increasingly important role in neighbourhood health. They are central to our shift to a modern, digital NHS. They are clinical leaders in their own right. Following the 10-year health plan, the chief nursing officer for England will work with the professions to develop a strategy that will make nursing and midwifery modern careers of choice, to address the decline in applications. As I have set out this week, we are looking forward to working closely with the Royal College of Nursing and Unison—of which, I should say, I am a member—to make sure that the status, the conditions and the impact of nursing on our NHS go from strength to strength, because nurses are the backbone of the NHS. We would not have a national health service without them.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

I join others in welcoming much of the Secretary of State’s plan, but I want to return to the question of the Health Services Safety Investigations Body, to which my right hon. Friend the Member for Melton and Syston (Edward Argar) referred. I welcome the tone of the Secretary of State’s response to that part of my right hon. Friend’s questions, but will he agree to meet those of us from the Select Committee—a cross-party group of people—who campaigned over many years to bring this body, which is still in its infancy, into existence before making any further decisions on it?

As my right hon. Friend says, HSSIB is not a regulator, and to put it in with a regulator will create confusion about what it is. If he were Secretary of State for Transport, he would never dream of putting the air accidents investigation branch into the Civil Aviation Authority, because they have completely different and separate functions. That needs to be understood across the health service, and it is obviously not well understood at the moment.

[Wes Streeting]

I welcome the hon. Member’s constructive approach. Of course, we are happy to receive representations on HSSIB. I would just like to outline the problem we are trying to solve, which is that the patient safety landscape is increasingly cluttered. We have far too many bodies trying to do the same thing, cutting across each other, and for frontline staff and leaders on the receiving end of those many and often competing instructions, it can actually make things less safe rather than more safe. I really value the expertise in the Health Services Safety Investigations Body. We do not want to see that expertise lost, nor do we want to move it into the CQC prematurely, before the CQC is ready to receive it. I hope that that reassures him, but we are happy to have that conversation.