Oral Answers to Questions

James Murray Excerpts

Tuesday 9th June 2026 Commons Chamber

[Mr Speaker]

Welcome, Secretary of State.

[The Secretary of State for Health and Social Care (James Murray)]

Thank you, Mr Speaker.

This Labour Government were elected to build an NHS fit for the future. As Secretary of State, I am accelerating modernisation, but health inequalities start long before people access the NHS, so our focus on prevention in the 10-year health strategy is crucial, as is the work of this Government to address wider inequalities, including in housing, air quality and getting more people into work.

[Perran Moon]

I warmly welcome the Secretary of State to his place. Oversimplified indices of multiple deprivation scores do not reflect the difficulties in caring for people in rural and remote coastal areas such as Cornwall. The Government are committed to neighbourhood health, but funding is getting caught up in integrated care board management structures and not flowing to GP practices, which should be delivering the care. How can the Government ensure that neighbourhood funding does not get held up by ICBs and flows to where it has the highest impact?

[James Murray]

My hon. Friend is absolutely right. Funding must not be held up; it must get to the frontline to help patients, his constituents and people across the country. We are supporting ICBs to work differently with providers to identify and meet the needs of their communities on a new population-based approach. We are also reviewing the outdated GP formula for the distribution of funding to ensure that, for the first time in two decades, it will accurately reflect need and ensure that deprived communities get their fair share.

[Will Stone]

I represent some of the most deprived parts of Swindon, yet residents are having to travel across town to get access to healthcare. What is the Secretary of State doing to address that?

[James Murray]

My hon. Friend is right to point to the fact that the current model of care works least well for some of those experiencing the greatest disadvantage. I am pleased that we have joint commissioning arrangements of more than £28 million in place between the NHS and Swindon borough council, which will help to tackle issues for those most at risk. As I mentioned in response to the question from my hon. Friend the Member for Camborne and Redruth (Perran Moon), we are reviewing the funding formula for the resources of GP practices for the first time in two decades. That is a crucial step to ensuring that we have a fairer distribution of resources across the country.

[Layla Moran (Oxford West and Abingdon) (LD)]

The Health and Social Care Committee’s most recent report into healthy ageing highlights the unacceptable 20-year gap in healthy life expectancy between the most and least deprived areas of the country. It also points out that physical activity can be as effective, if not more effective, in treating the ailments of older life than pharmaceutical intervention. That is why we recommend that the Government target the least active groups to narrow that gap and embed activity into clinical practice.

I welcome the Secretary of State to his place. We are yet to have our first conversation, so let us have our first meeting, in which we might discuss this issue and more, as well as how to embed tackling inequalities into the whole of the national health service.

[James Murray]

I look forward to working constructively with the hon. Lady in her role as the Chair of the Health and Social Care Committee. She is absolutely right to point to the importance of embedding prevention and healthier lifestyles in the way that we approach healthcare in this country. Although we talk a lot and passionately about the NHS, health is not just about the NHS; so many determinants of health start long before people access the NHS. In our 10-year health plan, there is a huge focus on tackling obesity, smoking and ensuring that people have more active and healthier lifestyles, because that is the way to reduce pressure on the NHS and ensure that people across the country live healthier lives.

[Alison Griffiths (Bognor Regis and Littlehampton) (Con)]

West Sussex county council’s health and adult social care scrutiny committee has concluded that the closure of Zachary Merton hospital in Rustington “constituted a significant variation” in services. Given the statutory requirements for consultation—promised, but never delivered—when can residents expect a decision on my call-in request?

[James Murray]

I thank the hon. Lady for raising the situation in her constituency. For all of us as MPs, our first job is to raise matters that pertain to our constituents, and healthcare is among the most important services that they receive. I will ask my team to look further into the points that she raises and get back to her.

[Mr Speaker]

I call the shadow Minister.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Does the Secretary of State agree that state-funded healthcare should be provided to all children based on clinical need, not economic or educational status?

[James Murray]

It is an essential part of our NHS and its founding principles that the NHS is available to all on the basis of need, not their ability to pay. That is a fundamental principle that we in the Labour party support. I know that some Opposition parties have been moving away from that recently and seeking to privatise the provision of our health service and move to an insurance-based model, but Labour Members believe that all people, including children, must get healthcare based on their need rather than their ability to pay.

[Dr Caroline Johnson]

I thank the Secretary of State for his answer. Does he therefore share my concern at reports that some children are being turned away from state-funded healthcare because they are not attending a state school? Will he look into those reports and ensure that he makes provision for children who are not attending state schools to receive the healthcare they need?

[James Murray]

I am surprised by the hon. Lady’s remarks, because where a child goes to school should have no bearing on their ability to access NHS services. If she would like to write to me with further details, I would be happy to look into that matter.

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

The former Secretary of State, the right hon. Member for Ilford North (Wes Streeting), recognised an appalling culture of medical misogyny and basic, everyday sexism within the NHS. As such, it was extremely disappointing to see that the new women’s health strategy was inferior to the men’s health strategy. The men’s health strategy received 60% more funding for new initiatives and has a named academic network, a formal research mandate aligned with the National Institute for Health and Care Research, and a commitment to publish a one-year accountability report with named, responsible organisations and formal timeframes for every action. It also commits specific funding to trials and pathfinders. As it stands, the women’s health strategy has none of those things. It contains no specific, measurable, time-bound target to reduce the backlogs in endometriosis care, nor does the NHS 10-year plan include endometriosis, polycystic ovary syndrome or fibroids in its prevention agenda. Can the Secretary of State explain why?

[James Murray]

The renewed women’s health strategy was a really important achievement under the previous Secretary of State, which updated the approach of this Government and reflected the differences in healthcare that women too often receive. If I might offer a personal reflection, since I have become Secretary of State, one issue that many women have raised with me is that they do not feel the health service adequately listens to them, takes their pain seriously, or gives them the right pathways to get the treatment they need. That must change, and this Government will change it.

[Liz Twist (Blaydon and Consett) (Lab)]

4. What assessment he has made of the adequacy of progress on implementing the suicide prevention strategy for England.

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[Robbie Moore (Keighley and Ilkley) (Con)]

6. What steps he is taking to increase access to care in the community.

[The Secretary of State for Health and Social Care (James Murray)]

This Government’s focus on shifting from hospital to community will benefit millions of people and increase access to care. This shift is underpinned by new community diagnostic centres that now deliver faster, more accessible care at 109 sites, 12 hours a day, seven days a week. By 2030, we will have opened 120 new neighbourhood health centres. This expansion will transform community access for those who most need it.

[Robbie Moore]

Back in 2023, the Conservative Government signed off £3.4 million for Keighley to build a new health and wellbeing hub to improve care in the community. We have plenty of brownfield sites and funding is secured, but we are progressing at a snail’s pace, with progress being made incredibly slowly. We are now in mid-2026, and no planning application has yet been submitted. Will the Secretary of State meet me so that we can unlock the project and get it delivered?

[James Murray]

This may not be the first project initiated under the last Government that has not exactly run ahead at the fastest pace possible. We need to ensure that neighbourhood health provision is delivered as quickly as possible across the country. Our plans to increase the number of neighbourhood health centres will focus on areas with below-average healthy life expectancy, ensuring that rural towns and deprived areas receive help most rapidly. Part of that will involve the shift from hospital to the community to prevent ill health before it occurs, as I mentioned in an earlier response.

[Cat Eccles (Stourbridge) (Lab)]

Last year I campaigned with the community and local councillors to save the Crystal dementia centre in Stourbridge. The centre provides community support for dementia patients and their carers, employs dementia advisers and assessors, and offers day services to many local people. Sadly, however, since we saved the centre Dudley council has sought to close it by stealth, preventing new assessments and preventing new users from joining. Does the Secretary of State agree that this is a disgraceful way for the council to act, which goes against the Government’s mission to provide quality care close to home, and will he meet me to discuss the matter further?

[James Murray]

It does sound concerning that that decision has been taken. I urge all councils to work with their local integrated care boards and other parts of the NHS system to ensure that healthcare of that kind is provided in areas where people can access it, as part of our plan to make certain that healthcare is available throughout the country.

[David Reed (Exmouth and Exeter East) (Con)]

7. What assessment he has made of the adequacy of the provision of health services for men.

[The Secretary of State for Health and Social Care (James Murray)]

Too many men lead too much of their lives in poor health and face barriers to access to health services. We have published England’s first ever men’s health strategy to get men speaking about their physical and mental health, and we are getting on with implementing it. From partnering with the Premier League to investing in the men’s health community fund, we are meeting men where they are, and helping them to lead longer, healthier lives.

[David Reed]

The NHS itself says that prostate cancer often has no symptoms at first, and Prostate Cancer UK says most men with early prostate cancer have no symptoms at all. The Government’s TRANSFORM trial exists because current detection methods are recognised as inadequate. Why does Government messaging still point men towards early symptoms that they are unlikely to have, while cancers that could be cured are becoming cancers that cannot?

[James Murray]

Let me be really clear in my advice to any man who is worried about prostate cancer, whether he has symptoms or not: go and discuss it with your GP. Testing is available when GPs recommend it, and I would recommend to no man that he should worry about it in silence, sit at home and fret about what might be going on.

The wider, targeted screening programme to which the Government have agreed is based on the evidence from weighing up the benefits of screening versus the harm that it can cause. We know that, at present, if cancerous cells are identified and treatment follows—for example, removal of the prostate—it leads to permanent urinary incontinence in 20% of cases and in two thirds of cases to permanent erectile dysfunction.

[Steve Darling (Torbay) (LD)]

8. If he will make it his policy to retain Healthwatch.

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[Josh Babarinde (Eastbourne) (LD)]

T1. If he will make a statement on his departmental responsibilities.

[The Secretary of State for Health and Social Care (James Murray)]

The NHS matters deeply to me, to every one of my colleagues and to people right across the country. That is why we are not wasting a second in driving delivery and pushing forward with extending prostate cancer screening to protect men at most risk, appointing a new national maternity adviser to give every woman and baby a safe birth, and accepting the Mann review recommendations to rid the NHS of antisemitism and all forms of racism. Last week, with my hon. Friend the Minister for Secondary Care, I took the NHS modernisation Bill through its Second Reading. As Secretary of State, I am determined to accelerate modernisation and build an NHS that is fit for the future.

[Josh Babarinde]

Following power outages at Eastbourne district general hospital that left operations and birth services suspended, hospital bosses submitted a strategic bid for more than £10 million to the estates safety fund to urgently fix the problem, which was rejected. How does the Secretary of State expect our hospital to provide consistent and safe care to patients if the power goes out?

[James Murray]

I am aware of the issues at Eastbourne district general hospital. Patients, staff and visitors deserve better than power cuts and electrical failures, which is why this Government have set out a credible and deliverable plan to deliver the new hospitals programme. I would gently remind the hon. Gentleman and his constituents that many of the problems that the NHS estate faces today stem from its being starved of £37 billion of capital investment in the 2010s, when the Lib Dems were in government.

[Peter Swallow (Bracknell) (Lab)]

T2. One of the biggest barriers to accessing community healthcare in Bracknell Forest is constituents not being able to get routine diagnostic procedures done at their local GP or health centre, and instead having to travel. One constituent with cancer was told that he had to go to Guildford for a simple blood test. How will the introduction of a single patient record help to break down some of those barriers?

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[Stuart Andrew (Daventry) (Con)]

I begin by welcoming the Secretary of State and the Under-Secretary of State for Health and Social Care, the hon. Member for Birmingham Edgbaston (Preet Kaur Gill), to their places.

The Secretary of State was in the Treasury when it imposed VAT on compassionate access medicine programmes, which provide some patients—especially children with cancer—with a vital last chance to access treatment. The policy has already led to the closure of one scheme. Will he now commit to abolishing this tax before any more follow suit?

[James Murray]

One thing I learned when I was in the Treasury is that decisions about tax are taken by the Chancellor at fiscal events, so I am certainly not going to start taking decisions about taxation in my new role at the Dispatch Box today. The broader point is how important it is to ensure that we have the medicines that we need for the future. That is why this Government are investing so much in research, development and innovation, to ensure that we have the drugs and medicines we need for the healthiest possible population in the future.

[Stuart Andrew]

I am sorry, but that was simply waffle. This matter needs decisive action now; these drugs are absolutely critical to some children. This cancer drugs tax has already closed one scheme, and companies are making real-time decisions now about whether to continue programmes in the United Kingdom. The Secretary of State must urgently get the Treasury to exempt compassionate use medicines permanently, so that the patients in most need can get these vital drugs, which, in some cases, are simply their only hope.

[James Murray]

I have explained the position about decisions on tax. More broadly, it is critical that we have the medicines of the future that we need. One of my very first visits as Secretary of State for Health was to a company that is using AI to determine new opportunities for medicines and drugs to tackle cancers and some of the other illnesses that people face. Making sure that we are investing in businesses—British businesses—to drive that innovation is crucial, not just to the future health of our country but to economic growth.

[Mary Glindon (Newcastle upon Tyne East and Wallsend) (Lab)]

T3. At the age of six, Ellis Lake was diagnosed with metachromatic leukodystrophy, which is treatable if diagnosed early. His parents Tracy and Luke are campaigning for newborn screening for the disease. The UK National Screening Committee did not recommend screening in its last review of the condition, but it did outline that it was gathering more evidence. Will the Minister look at how the process can be expedited?

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[Helen Morgan (North Shropshire) (LD)]

A damning report by the Royal College of Emergency Medicine has estimated that more than 15,800 deaths were associated with long waits in emergency departments in 2025—I think we all agree that figure is an outrage—but the Government still have not published reliable data on long waits and corridor care despite promising to do so by the end of May. Will the Secretary of State tell the House what the Government are trying to hide? Will they adopt Liberal Democrat calls to end corridor care within a year by freeing up beds throughout hospitals and in social care to end the blight of excess deaths in overcrowded accident and emergency departments?

[James Murray]

Let me be clear that corridor care is unacceptable and undignified and we are committed to eradicating it. We have begun by getting specialist teams to go into the worst offending trusts to ensure that we are getting rid of corridor care in those places. The NHS now has a national definition of corridor care for the first time ever. We will publish data on that shortly, because the first step in getting a grip of the problem is to be open and transparent about its scale.

[Nadia Whittome (Nottingham East) (Lab)]

T4. We all know that social care is in crisis, with huge staff shortages, unmet needs and councils’ finances being pushed to the brink, so it is disappointing that the King’s Speech did not contain anything on social care. Given that the full Casey review is not expected until 2028 and that implementation is estimated to take up to 2036, what steps is the Minister taking now to alleviate pressures in the system? Will the Government expedite social care reforms so that we can meet our manifesto commitment on a national care service?

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[Dr Al Pinkerton (Surrey Heath) (LD)]

The relocation of Frimley Park hospital in my constituency is a £1.8 billion project, but none of the costs of the essential infrastructure to enable the new site to go ahead have been costed or budgeted for. The chief executives of the hospital simply have said that those costs will have to come from the new hospital programme contingency fund. Does the Secretary of State agree that that is no way to start a project of such size, scale and significance, and will he meet me to address those concerns?

[James Murray]

The hon. Gentleman is persistent in raising this issue—he has also raised it with me in the lunch queue. It clearly matters to him, and indeed to hon. Friends on my side of the House—

[Mr Speaker]

Order. I say to the hon. and learned Member for North Antrim (Jim Allister) that he should not walk in front of the hon. Member for Surrey Heath (Dr Pinkerton) when the Secretary of State is answering him. Please show each other respect.

[James Murray]

The hon. Member for Surrey Heath can rest assured that this Government are focused on the new hospitals programme, which is now credible and deliverable after what we inherited from the previous Government, and that we will get those hospitals in place.

[Kirsteen Sullivan (Bathgate and Linlithgow) (Lab/Co-op)]

On Thursday I will chair the all-party parliamentary group on endometriosis’s first evidence session of our inquiry into endometriosis in the workplace. We will look at the experiences of women living with the condition and at the lack of timely treatment for chronic symptoms and how this impacts them in the workplace. Will the Secretary of State commit to reviewing our recommendations, once they are published later this year?

[Helen Maguire (Epsom and Ewell) (LD)]

Epsom and St Helier hospitals need urgent funding now, not just patchwork repairs. In 2024, 600 operations were cancelled due to ventilation issues and the situation is only going to get worse, so will the Minister address the backlog of hospital repairs now to ensure that patients and staff have safe and modern facilities in Epsom and Saint Helier hospitals?

[James Murray]

Under this Government, we have increased capital investment in our NHS estates, including hospitals. Under the previous Government, that was sorely lacking, which stored up the problems we are experiencing today. There is a huge amount that we need to invest in, to ensure that the NHS is fit for the future, but we also need to reform the service, which is why modernising the NHS is a key priority for me and this Government.

[Chris Webb (Blackpool South) (Lab)]

At the beginning of the year, Blackpool had the worst 12-hour A&E waiting times in the country, but thanks to the tireless work of local NHS staff, that has been reduced by 43%. However, we face some of the biggest challenges in the country with health inequalities, deprivation and the 21 million visitors that come every year, so will the Secretary of State agree to meet me and the chief executive officer of our hospital to talk about what support we can get to bring these numbers down, so that residents in Blackpool can get the care they need?

[James Murray]

I am very happy to work with my hon. Friend to tackle health inequalities in his area. As he rightly highlights, our investment in the NHS and in the wider health of the nation is specifically about tackling health inequalities such as those that he raises, which affect the life chances of his constituents.

[Joe Robertson (Isle of Wight East) (Con)]

The crisis in social care is particularly bad in my constituency on the Isle of Wight, partly because of our unique geography but also because the Government have reduced funding to our local authority. Our council is now looking at discharging patients to the mainland, away from family and friends, which is completely unacceptable. Will the Government recognise our unique challenges as an English island and help provide a social care solution that recognises the challenges that we face?

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[Mr Speaker]

Order. I have to get through the questions from others, so Members have to help me by asking shorter questions.

[James Murray]

I can reassure my hon. Friend that the Government respect the Supreme Court decision. We are considering it carefully, and will set out updated guidance shortly.

[Paul Holmes (Hamble Valley) (Con)]

Waiting times for cataract operations in my constituency are rising hugely because the local ICB and its AI system have stopped offering services through all the advertised providers, and the ICB has scrapped its contract with Specsavers, meaning that only GPs can diagnose the problem. Will the Minister have a look at the local problem and intervene so that we have the widest and best range of providers to reduce those waiting lists?

[Adam Thompson (Erewash) (Lab)]

Particularly for people with a very low body mass index or an eating disorder, the use of app-based fitness classes for hours of ultra-high-intensity exercise every day can lead to addiction. When I wrote to one brand to ask about implementing access limitation tools in its app, it was dismissive. Will the Secretary of State consider reviewing whether such tools could be mandated to support those with eating disorders?

[James Murray]

I thank my hon. Friend for raising that issue—it is an important angle on a problem of which we are all aware, but in a slightly different context, given some of the modern features that are available on the devices in our pockets. I will look into it further and pick it up with him in due course.

[Seamus Logan (Aberdeenshire North and Moray East) (SNP)]

Many Members in this place will be all too familiar with the trauma of a miscarriage; for some, the tragedy occurs more than once. Scotland is the first nation in the UK to implement a miscarriage patient charter, based on the so-called Tommy’s graded model of miscarriage care. Will the new Secretary of State—I welcome him to his place—outline whether the Westminster Government are considering replicating that system in the rest of the UK?

[James Murray]

I thank the hon. Gentleman for raising that incredibly sensitive and important issue. As a Government, we want to ensure that, through the NHS, we are supporting women who suffer miscarriages and their families. We will make sure that we have the right provision to support them, and that the NHS and wider health system are there for them when they need that help.

[Sonia Kumar (Dudley) (Lab)]

Dudley has high levels of deprivation and health inequality. That is why I am campaigning to bring healthcare to Dudley town high street. Will the Minister meet me to discuss how we can leverage the 10-year plan to reduce health inequalities in Dudley, and does he agree that we need a healthcare hub?

[James Murray]

I definitely agree that my hon. Friend is a formidable champion for her constituency. She is absolutely right to raise the importance of easily accessible healthcare in places such as high streets. I am keen to ensure that the 250 neighbourhood health centres we have announced—with 120 by 2030—are delivered as quickly as possible. That is part of our plan to ensure that healthcare gets right into every local neighbourhood and community. I look forward to discussing that further with my hon. Friend.

[Sir Desmond Swayne (New Forest West) (Con)]

May I have a meeting to discuss my parents, carers and babies Bill, which affords support to the Best Start family hubs and healthy babies programme?

[Dr Rupa Huq (Ealing Central and Acton) (Lab)]

There are half a million coeliac sufferers in the UK, but there is little understanding of the condition, which is massively underdiagnosed. Can I invite everyone here—even you, Mr Speaker—to the drop-in session that I am doing on Tuesday 16 June with the campaign? In particular, can the campaign have a follow-up meeting with the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson), as she has been a long-standing advocate for the campaign and gets it?

[James Murray]

It is welcome that my hon. Friend and constituency neighbour has raised this matter in the Chamber, drawing it to the attention of many Members on both sides of the House. I do not want to speak on behalf of my fellow Minister, but I am getting a nod from her—we will be happy to pick this up with my hon. Friend in future.

[Jim Allister (North Antrim) (TUV)]

On a point of order, Mr Speaker.