NHS Workforce Expansion

Fleur Anderson Excerpts

Tuesday 28th February 2023 Commons Chamber

[Fleur Anderson (Putney) (Lab)]

It has been a long wait to speak—and it is a pleasure to follow my hon. Friend the Member for Stockton North (Alex Cunningham)—but I tell you, Mr Deputy Speaker, that the longer the Conservatives are in power, the longer patients in Putney, Roehampton and Southfields will have to wait for healthcare treatment. The Conservatives blame everything, from the weather to the pandemic and even NHS staff themselves, but it is the 13 years of their failure that has broken the NHS and brought us to the state that we have outlined in this Opposition day debate.

More than 7 million people are waiting for months, even years, for treatment, and held back from working and living their lives to the full. I declare an interest because my parents have been on waiting lists for their operations for a long time, as have other family members, one of whom sent me a message before the debate:

“Long term pain is very debilitating, and not waiting in pain for many months would have been better for my mental and physical health.”

That is the toll that being on a waiting list and waiting for treatment is taking for 7 million people across the country right now. There are more than 133,000 vacancies across the NHS, which is an all-time high, and the NHS is short of more than 47,000 nurses, 9,000 hospital doctors, and 4,200 GPs.

I knew the situation was bad, but I did not realise how bad until I spent the afternoon at my local A&E at St George’s Hospital back in January. The staff are providing excellent care, under what are increasingly very difficult circumstances. Everyone I spoke to said that it was the worst time they have experienced, and they have been through covid. The winter ward opened in St George’s last winter, but had to stay open all last year. There is now no more space on the A&E ward, and they are having to take on corridor care for the first time ever. They do not want to have to do that, but that is the state they are in.

Let me briefly highlight some gaps in our community care, in the social care plan, which I hope soon to be hearing about from the Government. First is the critical bed shortage for those with eating disorders. Second is the care shortage for Korsakoff dementia patients. Third is frail patients—those who have had a stroke or a fall and who need much better support. Fourth is those with functional neurological disorder and the need for bed-based neuro-rehab treatment. I have raised that issue in previous debates, and people who are treating those with FND have got in touch to say that yes, there is a critical gap. Finally, there is the impact on breastfeeding support and end-of-life care because of the shortage of district nurses and health visitors, as outlined in Labour’s plan. The Royal College of Nursing has issued an unprecedented warning that district nurses are “critically endangered” and face extinction by the end of 2025 if urgent investment is not made. It makes financial sense to have more care at home, rather than people going into hospital, but the past decade has seen a 47% reduction in the number of qualified district nursing staff in England. That is why we need Labour’s plan.

By the end of Labour’s time in office, public satisfaction with the NHS was at an all-time high of 70%. It is now at a 25-year year low of 36%. Currently, four in 10 people attending A&E wait for four hours to be seen. Under Labour, 95% of A&E patients were seen in under four hours. Things can be very different. As has been highlighted, the Chancellor, the right hon. Member for South West Surrey (Jeremy Hunt), has said that Labour’s plan was

“something I very much hope the government also adopts on the basis that smart Governments always nick the best ideas of their opponents”.

Labour Members hope that those good ideas—Labour’s plan—will be nicked. Labour will double the number of medical places, will deliver 10,000 more nursing and midwifery clinical placements, will train twice the number of district nurses per year, and will deliver 5,000 more desperately needed health visitors. Labour’s plan is fully costed and fully funded, and the Minister is welcome to it. Will she take it and save our NHS?