Health and Care Bill

Clive Efford Excerpts

2nd reading
Wednesday 14th July 2021 Commons Chamber

[Clive Efford (Eltham) (Lab)]

Our NHS is built on the values that Britain holds dear: each of us is equal, and we will be treated on the basis of our need, never on our ability to pay. It is part of our national heritage, so much so that even the Tories have to pretend that they believe in its founding principles. Those are principles of fairness for all, and from each according to their means, to each according to their needs. Those are the values that led to the creation of the Labour party over a century ago. If the Tories hold those values so dear, why have they failed to apply them everywhere else?

This is the Tory Government who left children without food during the school holidays, and who are failing to pay for children to catch up with their education. They are cutting £20 from universal credit for the poorest households in the country. Why did we have 11 years of austerity, when billions were taken from public services, hitting the poorest communities hardest? There was no sign of levelling up there.

In the past 40 years our NHS has come under threat on two occasions: first during the Thatcher years when it was starved of resources to breaking point, and again from 2010 with the Tory austerity years and the Lansley Health and Social Care Act 2012. Now the Tories are at it again. Integrated care systems are nothing short of capitulation to the forces of the market.

This Bill will give the private sector the freedom not only to plan services but to do so in their commercial interests above those of patients and to cover their tracks by hiding the records of meetings where they have intervened. For too long, there have been those within the NHS who believe that it can only be improved if it is exposed to the rigours of the marketplace. The rigours of the NHS are saving lives and healing patients. There is no higher market test for the skills and dedication of health workers and none is needed. Where the private sector is used, it should be to support NHS services, not replace them.

Nye Bevan said:

“The NHS will last as long as there’s folk with faith left to fight for it.”

The Labour party breathed life into the NHS. This Bill is one of those occasions where we have to fight for the NHS again, and the Labour party will lead that fight.