NHS: Independent Investigation

Bob Blackman Excerpts

Thursday 12th September 2024 Commons Chamber

[Wes Streeting]

First, my hon. Friend is right that we should celebrate and thank staff who are doing an outstanding job against a very difficult set of circumstances. On his second point, we have to ensure that, on the tech side, we unlock productivity in the system. Having literally sat looking over the shoulder of GPs at their IT systems, I well understand those frustrations. For the benefit of all observers, there is sometimes a perception that I am up against NHS staff when it comes to reform. Actually, it is staff who are crying out for change.

[Bob Blackman (Harrow East) (Con)]

One aim of the Lansley reforms was to transfer from Ministers to clinicians decisions on the day-to-day running of the health service. It is not clear from his statement whether the Secretary of State intends to change that process, but let me give him a constructive proposal that he might take on board, which is to streamline the business planning side of the NHS. Staff have to go through multiple bids and preparations of business plans before decisions are made. That means that more money is spent on employing business consultants than consultants in hospitals. I have campaigned for this change for many years. Will he take that on board? [Interruption.]

[Wes Streeting]

The Minister for Secondary Care was whispering in my ear that it was her frustration with exactly the bureaucratic processes that the hon. Gentleman describes that led to her seeking election as a Member of Parliament to sort them out, so I defer to her on this one.

On a serious note, he is right that wherever we find waste and inefficiency designed in, we must deal with it. I want to see an NHS that is more clinically led, free from political interference. We must also be honest: as it is such an enormous part of the public sector, which the public pay an enormous price for and value so much, there will always need to be an accountability relationship. What I have tried to build with NHS England in the last couple of months, with real joy in the process, is a real team between the Department of Health and Social Care and NHS England, as well as the team across the country. I look forward to continuing to galvanise that team as we embark on the 10-year plan process.