Future of the NHS

Debate between Ian Lavery and Christian Matheson

Monday 31st January 2022 Westminster Hall

[Christian Matheson (City of Chester) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Gray.

There are actually a couple of aspects of the speech of the hon. Member for Stockton South (Matt Vickers) that I agree with and congratulate him on. First, I do not support PFI either. History suggests that although that hospital was completed and perhaps started under a Labour Government, PFI was originally a Conservative initiative under the Major Government, so I would not be too confident about attacking it but I am pleased that it is gone.

I also profoundly agree with the hon. Member’s support for NHS staff; I think we will be hearing a lot of that this evening. The NHS is recognised and envied around the world. It is something that we should celebrate and admire, not chop up, neglect and sell off piecemeal at every opportunity. It is the NHS and its staff that are getting us through this pandemic. I would like to take this opportunity, as I am sure all hon. Members would, to once again thank the NHS and care staff who have worked so hard and sacrificed so much over the last two years.

The NHS cannot continue to look after us if we do not look after it. Tory mismanagement over the last decade and the pressures of the pandemic mean that the NHS is running on empty and surviving solely on the good will of its employees. Even before the pandemic, we were seeing record waiting lists and staffing shortages. Now the numbers are through the roof.

[Ian Lavery (Wansbeck) (Lab)]

On that point, my hon. Friend mentions that the NHS is running on empty—of course it is. A Unite survey published in January 2022 showed that 77% of the NHS workforce believe that they are worse off than they were a year before, 55% are working during their lunch breaks, and more than 50% are working in excess of their contracted hours. Is it any wonder that the NHS is running on empty?

[Christian Matheson]

I could not have put it better myself. The NHS is running on empty, but also on the good will of the staff because they believe in the NHS and in what they are doing. There were 6 million people on the waiting list in England in November—the highest number ever recorded. In my constituency of City of Chester, the latest figures show that 36,000 people are waiting for care at the Countess of Chester Hospital.

Those record waiting lists are also true for NHS dentistry, as my constituency neighbour, my hon. Friend the Member for Weaver Vale (Mike Amesbury), has pointed out. Some people are being told that they may have to wait up to two years for a NHS dental appointment. Over the past few months, many of my constituents have told me the difficulties that they have had in finding and accessing an NHS dentist in my constituency and the surrounding areas. On average, there are only 4.4 dentists per 10,000 people in England, and the number is shrinking. With shortages of staff, a lack of funding, the pressures of the pandemic and dissatisfaction with NHS dentists’ contracts, the waiting lists are growing. Many dental practices are feeling pressure to turn private just to be able to cover wages and equipment costs, and to survive as a business.

Dr Simon Gallier, who owns a dental practice in my constituency, wrote to me with a heavy heart to say that earlier this month, he had to make the difficult decision to make his dental practice private; he had to inform over 7,500 patients that they will no longer be receiving NHS treatment. Practices around the country are doing this not through choice, but out of necessity and lack of funding. Dr Gallier just cannot make ends meet. Indeed, in the last year for which figures were available, 2018-19, the amount spent on dentistry fell in real terms, compared with the six years previously. While the £50 million announced recently by the Minster is welcome, only £7 million of that will go to dentistry in the north-west, which is clearly insufficient when the national budget for England was over £2 billion in 2019. With fewer NHS dental practices, many constituents have no choice but to go private—an option many will not be able to afford, especially given the cost-of-living crisis we face. I worry that the Tory masterplan all along has been to starve the NHS of funding, resulting in inevitable back-door privatisation—or perhaps there has been a more sinister scheme to monetise dentistry, as there has been in similar services, including some GP practices and many vets practices.

Dentists cannot afford to operate under the NHS, so they sell the practice to an umbrella company, which is the front for a finance company. That company then offers quasi-insurance or membership programmes, in which the patients pay an amount every month that entitles them to an annual check. That stream of money from numerous practices becomes a valuable commodity in the City of London, which the Conservative party exists to serve, along with Putin-linked Russian oligarchs, but we will not mention that now.

Talking of privatisation, what I fear is not the sale, lock, stock and barrel, in a public floatation, as happened in the 1980s, but sale bit by bit, behind the scenes, to private companies that extract money for their profit—money that should surely instead be spent on patient care. NHS dentistry is in crisis. I will not look that £50 million gift horse in the mouth, but let us be clear: much more is needed.