Income Tax (Charge)

Debate between Christine Jardine and Kate Osamor

Tuesday 5th November 2024 Commons Chamber

[Kate Osamor (Edmonton and Winchmore Hill) (Lab/Co-op)]

Thank you, Madam Deputy Speaker, for calling me so early in the debate. I was not expecting that.

I very much welcome the investment in our NHS, and our renewed focus on public services. The Budget marks a break from the approach of the last Government, who presided over the decline of our health system. With this renewed investment, the biggest since 2010, there is now some hope that we can turn a dire situation around. We must improve patient outcomes, reduce waiting times and support the hard-working staff who form the backbone of our health system. However, I want to stress to the Secretary of State—my constituency neighbour —that investment must focus not only on delivering numbers, but on quality of care, with a human touch and equal access for all. That requires us to reject the creeping privatisation of our health service, which has proven costly, inefficient and bad for patients.

Before coming to this House, I worked in the NHS as a practice manager in the London borough of Enfield. I also worked in an out-of-hours GP co-operative, which covered north and east London. I know from first-hand experience that GP surgeries and core NHS services must remain publicly owned and accountable to their patients and staff, the public and stakeholders. Furthermore, I have deep reservations about the current plan to grant the NHS data platform contract to Palantir, which raises serious questions about privacy, security and the future of our NHS data infrastructure.

[Christine Jardine (Edinburgh West) (LD)]

I was listening very carefully to what the hon. Lady said about her experience as a practice manager. Over this past weekend and the last two days, I have been contacted by local practices in my constituency that are concerned about the impact of the national insurance changes on their ability to provide patient care and the vital first step towards getting people into the hospital and through the waiting lists. Does the hon. Lady agree that we have to address that as a fundamental problem that is potentially created by this Budget?

[Kate Osamor]

I thank the hon. Member for her intervention. I would add that it is important that patients, doctors and everyone else are listened to. I am assured that the Secretary of State will be listening to all voices.

NHS data is a public asset. Its management should be rooted firmly within the NHS, not placed in the hands of private interests, especially those controlled by an individual who is so hostile to the principles of public healthcare. Our NHS thrives due to the work of everyone in the system, from nurses to administrative staff and healthcare assistants, who each play a critical role in patient care. We must listen to all NHS staff, not just those in the highest-ranking medical roles, as everyone brings valuable frontline perspectives on improving efficiency, patient experience and accessibility.

I especially draw attention to the hard-working staff who provide out-of-hours services for our communities, often doing so on top of their normal hours. The Government must ensure that those professionals receive not only recognition, but the resources and support they need to continue serving our communities in this vital way. Staff in out-of-hours services often only work in such settings part time. However, they are often the last resort for people who are unable to get appointments with their GP or access the care they need.

We must also address the postcode lottery in healthcare. For various conditions, disparities persist in access to specialists, waiting times and outcomes in relation to area, ethnicity and gender.

The stark reality is that mental health services remain woefully inadequate. We face a mental health crisis, especially among young people, and this impacts on personal wellbeing and ruins life chances. We urgently need targeted investment in mental health services, and I look forward to supporting the Government in ensuring that the crisis in mental health support is treated with the seriousness it demands.

This Budget is a strong step in the right direction, but we must go further to ensure that the NHS remains public, that mental health is prioritised and that all NHS staff have a voice in shaping the future of our health system. I ask the Secretary of State to focus on all those areas, because I believe that if we have consistent investment throughout this Parliament, we can ensure that we make progress towards an NHS that works and in which everyone is able to access the quality and timely care that they justly deserve.