Debate on the Address

Debate between David Davis and Anna Dixon

Wednesday 13th May 2026 Commons Chamber

[David Davis]

I will be careful how I answer the right hon. Member because I have an interest to declare here: I have a disabled grandchild, and her mother is one of the people who suffers the stress he talked about. As I say, we need a humane system that deals with people properly. Our current system for supporting disabled people and people looking after disabled people is incredibly bureaucratic, unpleasant and nasty to deal with. That is not the area of welfare that we need to deal with; it is principally the area of employment that we need to deal with. We want to get people back to work, because there is no better way out of poverty than employment, rather than, as it were, being on the dole.

To come back to the thrust of my argument, what is it that we are talking about paying for? I will pick three issues—I could pick any number, but the top three issues that matter to my constituents are healthcare, education and defence. Our health service needs radical reform. I know we have a Bill in this King’s Speech, but it does not look to me like it will have a sufficiently radical impact. For some reason, we do not actually speak enough about the fundamental aims of our health service. Healthcare must be free at the point of delivery—that is an absolute—but it also must do its job of saving lives, and we turn our face away from that too often. Too many Britons are dying early and avoidably under a system that swallows money without delivering the outcomes. Every year, 125,000 deaths are listed officially as avoidable, and the situation has worsened in recent years. It went from 129 deaths per 100,000 people to 156 in the course of a decade. That is a huge increase and, as a result, we have an avoidable death rate that is higher than all our comparator nations. I am not just talking about rich nations like Japan; we are even worse off than countries like Portugal that are much poorer than we are. It is an extraordinary problem that we have to face.

[Anna Dixon]

I agree that patient safety is not enough of a priority in the NHS. There are too many incidents of patient harm; we see that reflected in the large clinical negligence bill. Does the right hon. Member agree that it is essential that patient safety remains one of the top priorities for not only integrated care boards, but all providers?

[David Davis]

That is absolutely right. My concern is that the reason we have so many excess deaths is not poor doctors or poor nurses, but poor management. We have really, really poor national health service management. To put it starkly, poor management effectively kills 15,000 people a year. If we improved that number, we could get within range of our comparator nations.

That is a huge number of people, and we could do quite a lot about it if we set our mind to it. Experiments within the health service now demonstrate that. Just over the river at St Thomas’, a high intensity theatre programme triples the number of people who can be put through an operating theatre or under the hands of one surgeon in a day. That means we can do something like 17 hernia repairs rather than five, or 12 hip replacements instead of four—those are the numbers they measured. A lot of lives are saved rather than lost, because people are put through the system and are not effectively left waiting until they die, as has happened to a number of my constituents. We need to reflect that efficiency in the management of the health service. It requires a complete change in how we select, train and organise the senior management of the national health service. For the moment, they are not up to the job and we need to put that right, but I do not see anything in the King’s Speech that will do that.

My second point is about education. A number of speakers have already said that there is an intergenerational problem in our society today, and education is where that crystalises. We are failing both very young children and young adults. Evidence shows that one in four children are not sufficiently literate or mathematically capable by the age of 11 to get any benefit from the next stage of education. To put it another way, the state has failed a quarter of our children by the time they get to 11. For poor children—those on free school meals and so on—we can double that number; in fact, we can more than double it.

When I grew up, I was lucky to be at the peak of social mobility in this country. This was one of the world’s leading meritocracies, but that is no longer the case. That is a shame on our nation and we must put it right, starting at the bottom. We must do something about it, and we can. Uniquely, using AI and software, we can do quite a lot to help children at the bottom of the scale, but we do not currently do that, and the Department for Education is not up to it. It is not under this Government and it was not under the preceding one—I spoke about this at the time, and we need to put it right.

It is not just the very young who we are letting down; a whole generation in higher education is being failed. The transition to student loans and tuition fees by the Blair Government has been an unmitigated disaster, shackling a whole generation to mortgages without houses and futures without jobs. I opposed it when it came in, I opposed my party’s decision to uphold it when we came into government, and I oppose it today. It takes away much of the point of university, because at least one in five courses do not give youngsters opportunities that will pay for their education. That means that we have to write off their loans, and in the next 50 years, the Government—the state—will pay £430 billion in unpaid loans in cash terms. From what I have seen of the calculations, I am pretty sure that that is an underestimate.

In my view, we should revise the whole policy radically, and perhaps look again at grants for certain courses—I think the Liberals have talked about this—with a 2% graduate tax to offset it, or something like that. That is better than what we have now, which leaves a loan hanging over people for their entire adult life—a loan they may never pay back. We could have grants for science, technology, engineering, mathematics, medicine, architecture and design—courses that will contribute to the economic growth of this country—and take the rest from there. We need radical reform, but we will not see it in this year’s education Bill.

Finally, I want to talk briefly about defence. There has been much criticism of the Government, rightly, for taking too long over enlarging the expenditure we put into defence, and the simple truth is that we will face challenges that will materialise much faster than we expect. The hon. Member for Dewsbury and Batley (Iqbal Mohamed) spoke in an earlier question about peace being better than war, and since Roman times we have known that being well armed is the best way to prevent war. Nobody wants warfare. At the moment, our military is depleted beyond value and would struggle in a major war, and obviously we must address that. In addition, we must ensure that our strategy and management are right. Frankly, the management of the Ministry of Defence is a disgrace—to be honest, I cannot pick a better word.

I always think that it is symbolic of the extraordinary priorities of the MOD that we have 134 admirals to oversee 63 ships, many of which are not able to set sail at any point in time—Nelson must be spinning in his grave. That is symbolic, but similarly the UK currently maintains an Army of just over 70,000 people, and the Ministry of Defence employs roughly 60,000 civil servants—a ratio that defies logic. Of those civil servants, just under a quarter are employed in procurement, operating a system that is among the worst in the world. If hon. Members need to, they should look at the Dragon, the Type 45 ships, or the Ajax. If the Chair of the Public Accounts Committee were sitting here now, he could get up and given me a dozen cases of disgraceful scandals in procurement in our Ministry of Defence, and we need to put that right.

If we are to maintain effective armed forces, we must also maintain the morale and spirit of our soldiers. The simple truth is that the first step towards that is to treat those soldiers decently, and we are not doing that. The Northern Ireland Troubles Bill, which has been carried over into this Session, is exposing soldiers who fought in Northern Ireland to being dragged through the courts, sometimes three times over the course of five years, as with Soldier B in the Coagh case. They are in their 60s, 70s and 80s. Honourable people who fought bravely for their country and did nothing wrong are being punished in their old age. That is a disgrace.

The excuse that the Government used when they started the Bill was that the previous legislation was illegal—that is what a lower court found. Last week, however, the Supreme Court overturned that judgment in the Dillon case. There is now no legal basis for the Government’s policy, yet still we are pressing on. I asked the Prime Minister, and he said that they are still pressing on with it, effectively psychologically torturing people who served this country. That is morally wrong, but moreover it is causing people to leave the SAS in numbers—this is now in the public domain and I can say it. Our best and most active regiment is being depleted and destroyed. The regiment of which the rest of the world is envious is being undermined by the Government’s strategy, and they should walk away from that policy and drop it. We should bin that Bill.

I do not want to take any more of the House’s time. I have picked three subjects, but there are many other important issues that the Government need to address. I say again that I hope the Prime Minister succeeds in resetting the Government and giving them new dynamism. At the moment, however, the only attractive part of the King’s Speech for me was the last line, which always says the same thing:

“Other measures will be laid before you.”