Health Bill

James Murray Excerpts

2nd reading
Monday 1st June 2026 Commons Chamber

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

I beg to move, That the Bill be now read a Second time.

Madam Deputy Speaker, if you were to ask anyone in Britain what they think about the NHS, I bet they would give you an answer without hesitation. No one would be lost for words, because everyone has an opinion. Regardless of whether they tell you a story about how the NHS has helped them or their family in their moment of need, or whether they share a view on how they would change it for the better, everyone cares about the NHS. The NHS matters deeply to people right across our country because of how deeply it touches all our lives.

For my part, the NHS came to my rescue when I was diagnosed 18 years ago with a serious and rare neurological condition that threatened my ability to run, to write and to talk. After the best care I could have hoped for from my brilliant consultant and his team at the National Hospital for Neurology and Neurosurgery in Queen Square, and from other teams across the NHS, I am now symptom free. It is only thanks to the support of those people working in our health service, and to the faith of the Prime Minister in appointing me to this role, that I am able to stand here today as the Secretary of State for Health and Social Care and set out what this critical Bill will mean for the future of our NHS.

Like me, everyone across Britain will have their own story of the NHS, or a view to share about its future. It is an achievement that we all share together, and one that is personal for us all. My predecessor as Health Secretary, my right hon. Friend the Member for Ilford North (Wes Streeting), has spoken movingly about the importance of the NHS to him. He explained how it saved his life when he was diagnosed with kidney cancer at the age of 38 and how, amidst all his worries, the one thing he never had to worry about was how much the treatment might cost. Let me pay tribute to my right hon. Friend for what he did in the role as a great champion of patients everywhere, and as someone with a huge passion for building a modern NHS—something we can see in this Bill, which he and my hon. Friend the Member for Bristol South (Karin Smyth) put so much energy into.

As a former Chief Secretary to the Treasury and Exchequer Secretary, I have been incredibly proud to support my right hon. Friend the Chancellor in her determination to take the right decisions on the public finances to enable record investment in our national health service. Thanks to that investment, the changes that this Labour Government have begun to make, the leadership at the Department for Health and Social Care and NHS England, and the incredible work of frontline staff across the NHS, in just under two years we have seen: over half a million fewer people on the waiting list; 2,000 more GPs; 8,500 more mental health workers; four in five patients being seen within four hours in A&E; over 100 community diagnostic centres now open in evenings and at weekends; and over 240,000 more people getting their cancer tests on time. That is the difference that this Labour Government are making: an NHS in which more patients get the treatment they need when they need it, and in which taxpayers get better value for money.

[Tim Farron (Westmorland and Lonsdale) (LD)]

The Secretary of State mentions some achievements and the progress being made within the NHS. May I bring him back to the issue of cancer treatment? According to OECD figures, 53% of cancer patients should receive radiotherapy as their primary treatment. In the UK, the figure is only 35%. In Cumbria and Lancashire, it is only 29%. This is delaying treatment, delaying cures and preventing people from living long lives. Will he take a personal interest in correcting the commissioning so that every single part of this country has access to radiotherapy close to where people live, so that they can be cured with the most up-to-date technology?

[James Murray]

The hon. Gentleman is absolutely right to draw attention to the importance of having the right approach to cancer, and our national cancer plan sets out what we as a Government are doing to achieve that. He is also right to point to the regional variation in different parts of the country, and to say how important it is not just to raise standards across the country but to ensure that the increase in standards is evenly distributed, so that all areas improve. One of my roles as Secretary of State is to ensure that we not only deliver our national cancer plan but support local areas so that they have the right services.

[Catherine West (Hornsey and Friern Barnet) (Lab)]

I congratulate the Secretary of State on his excellent speech, and I thank him and my hon. Friend the Member for Bristol South (Karin Smyth) for their work in developing the Bill. Healthwatch Haringey plays an enormously important role in being a champion for the ecosystem within a locality. The Local Government Association is very concerned about some of the discussions. Will he reassure me that as the Bill passes through the House, how we do the NHS, as well as what we do, will be an integral part, so that everybody can feel included in the NHS?

[James Murray]

I reassure my hon. Friend that what the Bill seeks to achieve, through local health watches across the country, is to bring the voice of patients closer to the people who plan and deliver services. Too often, we have not seen action following feedback. We need to ensure that such feedback is integrated into the planning and delivery of services, so that patient voices are heard.

I have set out some of this Labour Government’s achievements less than two years into office, which shows that decline is not inevitable. Our determination to deliver on what people voted for is making a real difference. We have started to make progress, and we are building an NHS that is fit for the future.

Labour’s choice in government has been, and will always be, to strengthen and improve the NHS as a service that is universal and publicly funded, with use based on need, not on ability to pay. That choice is backed by people across Britain, yet for the first time in a generation, some Members of this House are openly calling for the NHS’s founding principles to be abandoned. The hon. Member for Clacton (Nigel Farage), who I note is not in his place—[Interruption.] He never is—good point. Time and again, he has made it clear that he would tear the principles of the NHS to shreds and bring in an insurance-based system that would benefit only his friends in finance. Be in no doubt: Reform would sell our health service to the highest bidder. That would be a devastating mistake, and we must not let it happen.

Instead of turning our backs on the principles on which the NHS was founded, as some Opposition Members would have us do, I will fight every day as Health and Social Care Secretary to build the modern health service that our country demands and that patients deserve.

[Calum Miller (Bicester and Woodstock) (LD)]

I welcome the Secretary of State to his place. He has spoken about two themes: the scale of ambition of this Bill, and the need for the patient voice to be heard at the heart of it, given how much all our constituents care about the NHS. In the case of Healthwatch, can he reassure the House that bringing the scrutiny of local voices up to the level of the Secretary of State will not diminish the independence of the local healthwatch organisations that, in Oxfordshire and elsewhere, do so much to promote the patient voice and to hold the NHS to account for its services?

[James Murray]

I thank the hon. Gentleman for his words about my taking on this post. I can reassure him that, as I will come to in my speech, the Bill sets out to integrate the national Healthwatch into the Department of Health and Social Care through a new patient experience directorate and to integrate local healthwatch organisations into integrated care boards and local authorities, which are responsible for delivering health and care at local level. This measure is about making sure that patient voices at national and local level are closer to those deciding on and delivering services, so that those voices are heard.

[Sarah Coombes (West Bromwich) (Lab)]

Will the Secretary of State confirm that the heart of this Bill is about modernising the NHS and reducing inequalities across this country, and that since my constituency has the third lowest healthy life expectancy in the UK—it is shocking—my constituents will benefit from this Bill and all the action on inequality that it is intended to deliver?

[James Murray]

My hon. Friend is absolutely right that this Bill is about modernising the NHS. As a Labour Government, our priority is to boost investment and to modernise the NHS for the future. It is exactly that combination of investment and reform that will deliver the health service that her constituents need and deserve.

[Several hon. Members rose—]

--- Later in debate ---

[James Murray]

I will give way one more time, and then I will make some progress.

[Jim Shannon (Strangford) (DUP)]

I welcome the Secretary of State to his place and I wish him well in the role he now takes on. I am very pleased that he has experienced the NHS at its best, and I am glad to hear that.

The Government have called for a duty of candour, so they must ensure that that is still possible, but the decision to scrap independent bodies such as Healthwatch and the Health Services Safety Investigations Body risks silencing the patient voice, so there is a need to be careful. Will the Secretary of State assure us that the Government have taken that on board in this Bill?

[James Murray]

The hon. Gentleman raises questions relating to Healthwatch and to HSSIB being integrated into the Care Quality Commission. I will set out more detail in a few moments about those decisions, but fundamentally they derive from conclusions arrived at by Dr Penny Dash, whose review of the patient safety landscape found that it was too full of different organisations, and that their impact on the services provided to patients was unclear. We are seeking through this Bill to simplify that landscape, make sure that patients’ voices are heard closer to decision makers and improve the NHS for everyone across the country.

For me, the way to build on the progress of the past two years is not just to maintain the improvement in performance that we have seen, but to accelerate our fundamental transformation and modernisation of the NHS. As Health Secretary, I am absolutely focused on delivery and putting the values that we in the Labour party all share into action. Crucially, I am determined to make sure that we benefit from the fullest possible use of technology, digitisation and artificial intelligence to renew the NHS for the future.

The changes in technology, digitisation and AI are not an add-on to the NHS’s core business. With a determined focus on driving innovation at every level and the confidence to reimagine our approach to the nation’s health for the modern world, they offer us the chance to transform the way the entire NHS works. They will improve the speed of diagnosis, helping people to get the right treatment much more quickly than they do today.

[Kim Johnson (Liverpool Riverside) (Lab)]

Will my right hon. Friend give way?

[James Murray]

I am going to make some progress, if I may.

These changes will streamline tasks for NHS staff, freeing them from admin and bureaucracy to focus their energy on caring for patients. They will transform the experience we all have as patients, giving us control and reducing our anxiety over the care we receive. They will reduce the costs of delivering healthcare, so that more of the money we spend goes to the frontline, where it belongs. That is the future we must build, and the road to that future runs through this Bill.

For many years, patient groups have warned about the pitfalls and shortcomings of fragmented information systems in the NHS, and they are absolutely right. Right now, information in the NHS tends to follow the institution, not the individual. That is why we all know the familiar frustration of having to repeat the same story over and over, every time we see a new nurse, doctor or consultant. The reason for this is that too often no one, including the patient themselves, can see a full summary of a patient’s medical record in one place. Those patchy care records are not just an inconvenience or a source of anxiety and distress; they can also be a risk to patient safety.

[Ben Obese-Jecty (Huntingdon) (Con)]

I welcome the Secretary of State to his place. Hinchingbrooke hospital in my constituency is one of the new hospitals to be built as part of the new hospital programme—it is in wave zero—but it currently does not have an electronic patient record system, so we have the fragmented patient history that he has just mentioned. It desperately needs to increase its rating on the HIMSS—Healthcare Information and Management Systems Society—scale as a new hospital, but it does not have the funding required to install a patient record system. Will he guarantee that the hospital will receive the funding required to deliver a new electronic patient record system?

[James Murray]

I am happy to look into the specific circumstances the hon. Gentleman refers to and get back to him. More widely, however, the investment is secured across the Government for implementing the single patient record system. That will mean that, rather than data being transferred from where it exists at the moment to a new system, it will remain where it is—in GP surgeries, hospitals and so on—but it will be linked up so that one person, including the patient, can see all that data from the middle of the network of information.

[Several hon. Members rose—]

[James Murray]

I will give way one more time.

[Sarah Champion (Rotherham) (Lab)]

Specifically on the single patient record, the explanatory notes say that it will

“allow patient information to be shared with patients and their relevant health and social care providers (such as GPs, hospital doctors, social care workers and others involved in their direct care)”.

By my maths, that is probably a couple of million people, so could the Secretary of State please talk about how safeguards will be implemented, particularly for children’s care data?

[James Murray]

I thank my hon. Friend for raising the very important question of data privacy and security. I will address that in a moment, because I am going to set out some of the protections in our approach to the single patient record, and I think that will exactly answer the questions she raises.

I will make progress, because I am conscious of time. As I have said, the patchy records are not just an annoyance or a source of anxiety or distress; they can also be a risk to patient safety. In other areas of our lives, getting information wrong or not having it immediately available may be an inconvenience; in a health service, the consequences can be profound. What happens to the patient who is rushed to accident and emergency and has complex conditions that require multiple medications, if the emergency team have no way of knowing that? What happens to the dementia patient who cannot keep track of all the different documents from all the different specialists in all the different providers? In today’s NHS, the GP or practice nurse at the clinic, the paramedics stepping through the front door and the consultant at the bedside are doing everything they can to try to solve a puzzle, but without all the pieces. This Bill will change that. It will do so by introducing a new approach—the single patient record—and that is nothing short of a game changer.

[Dame Chi Onwurah (Newcastle upon Tyne Central and West) (Lab)]

I congratulate my right hon. Friend on his new position.

On Wednesday, my Science, Innovation and Technology Committee will publish our report on the Government’s digital ambitions. My right hon. Friend will not be surprised to know that we will be raising serious concerns about data management, data hygiene and vendor lock-in. Many projects such as the single patient record have failed over the last 20 years. Will he confirm to me that he will ensure that patients can control when and how their data is seen, that he will be building on existing records such as the great north care record, and that this will be treated as critical national and sovereign infrastructure, not subject to capture by a single provider such as Palantir?

[James Murray]

I thank my hon. Friend for her intervention. She is absolutely right to underscore the importance of data security and data privacy. That is essential in building trust in what we are seeking to do.

To be clear, the single patient record, as I was just saying a moment ago in response to the hon. Member for Huntingdon (Ben Obese-Jecty), does not move data from one system to another; it preserves the data where it is, and builds links between systems so that one person, whether a clinician or a patient, can see all the data at once. The data will still be governed by the same privacy policies on a GP system, in a hospital trust system and so on. When linked together through the single patient record, it will be governed by the highest levels of security: only authorised individuals will be able to access the data, there will be an audit trail of anyone who has accessed it, and the cyber-security protection will be the strongest available.

[Kim Johnson]

I really appreciate the Secretary of State giving way on that point. This morning on Radio 4, he failed to rule out Palantir being awarded the single patient record. We know that the £330 million offered to it for the current federated data has been highly criticised by unions and the British Medical Association. What assurances can he give us that patient safety will be free from abuse and misuse?

[James Murray]

As my hon. Friend will have heard, as she listened to the rest of my interview on Radio 4 this morning, the situation with the single patient record is very different from that of the federated data platform, because it is likely that we will let a series of contracts to de-risk the delivery of the single patient record. The situation with Palantir is that the contract for the federated data platform is, as I am sure she knows, being reviewed ahead of a potential break clause in 2027, but the situation with the single patient record is a very different set-up. As I have said a couple of times now, information is stored on individual systems—in GPs, hospitals and so on. The single patient record links them up and will be delivered through a range of different contracts to make sure that the system works in the interests of clinicians and patients.

[Jeremy Corbyn (Islington North) (Ind)]

Will the Secretary of State give way?

[James Murray]

I am going to make some progress.

The single patient record will mean that wherever a patient is being treated, even if they are not at their local GP or are in a hospital they have never been to before, those caring for them will have access to all the accurate, relevant, up-to-date information they need. Through this new approach, we will bring together people’s health and social care records digitally, securely and conveniently, and make them available to patients on the NHS app.

A number of Members have raised questions about data privacy, so let me be very clear on that point. Patients rightly expect their highly personal and sensitive medical details to be protected, and they will be. Under our plans, strict safeguards, strong cyber-security and clear controls on who can read information will be backed by an audit trail of who has accessed what. The single patient record will also be subject to existing forms of scrutiny and oversight in the NHS, from data protection officers to legislative safeguards. Where the single patient record is being used for research or planning, it will be treated the same as all other sensitive health data, subject to the same legal protections, ethical approvals and governance.

[Dr Luke Evans (Hinckley and Bosworth) (Con)]

The Secretary of State is making himself the data controller of all the data that will be in place. What impact does that have on the sections he has just talked about?

[James Murray]

When the data is held by a GP surgery or an NHS hospital trust, for instance, the relevant bodies will remain the information controllers. Where that information is then shared through the single patient record, the Department of Health and the Secretary of State will take on a role as data controller as well. That will all be governed in the way that data protection currently applies across the NHS, through existing forms of data security. Fundamentally, it will reorientate the NHS to be a service that revolves around patients, rather than patients having to revolve around the NHS.

[Ms Julie Minns (Carlisle) (Lab)]

Just before my right hon. Friend moves away from the single patient record, may I highlight the challenge remaining in cross-border communities such as mine in Cumbria? My constituents in Carlisle often register with a GP across the border in Scotland. Unfortunately, at present that means that their single patient record will not necessarily flow with them. Will he work at pace with his colleagues in Scotland —and Wales; I can see my hon. Friend the Member for Clwyd East (Becky Gittins) nodding in front of me—to ensure that we get this right for anyone, regardless of where they live?

[James Murray]

My hon. Friend is absolutely right that the single patient record applies to the NHS in England, but my colleagues in the ministerial team have regular conversations with our counterparts in Scotland and in other devolved Governments to ensure that we are working on such cross-border issues wherever we can.

[Becky Gittins (Clwyd East) (Lab)]

Does the Secretary of State agree that the introduction of the single patient record will be a huge step forward in the safe treatment of people with allergies? Will he join me in calling on the new Minister in the Plaid Cymru Government in Wales to follow our lead for the betterment of allergy care for people in Wales?

[James Murray]

I very much join my hon. Friend in urging the new Health Minister in Wales to follow our lead by introducing a way for patients to access the data and, crucially, for clinicians to be able to see all a patient’s data when making those decisions. With complex cases, where people see multiple nurses, doctors, consultants and so on, it can be crucial that clinicians see all the relevant information when making choices on how to treat their patients. I thank my hon. Friend very much for her question.

Madam Deputy Speaker, I should make some progress, as I know that many Members wish to speak this evening. I am getting a nod from you that that is the right thing to do.

As I have set out how the single patient record will help to improve patient safety, I also want to be clear that no Government should ever pretend that things do not go wrong. When they do, it is crucial that the right systems are in place to hold people accountable, and to ensure that we learn from mistakes in order to prevent them from happening again. As I mentioned earlier, Dr Penny Dash conducted an independent review into the patient safety landscape. What she found was a confusing landscape of multiple, overlapping organisations that are responsible for patient safety in the NHS, making it harder for staff and organisations to do the right thing. That is why the Bill simplifies the patient safety landscape, streamlining and consolidating functions to make the system more effective and efficient, and to restore patient confidence.

[Tom Gordon (Harrogate and Knaresborough) (LD)]

Will the Secretary of State give way on that point?

[James Murray]

I am going to make some progress.

Following Dr Dash’s recommendations, the Bill will embed the mission and functions of the Health Services Safety Investigations Body into the Care Quality Commission to establish a clearer link between investigating safety concerns and increasing the quality of care. We will ensure that we protect the principle of a safe space for people to share their concerns. To ensure that patients are heard at every stage, from commissioning to delivery, we will make sure that patient feedback is embedded alongside decision makers at every level.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

I am most grateful to the Secretary of State for giving way, and I congratulate him on his appointment. He has inherited this policy—it is not his own. I assure him that the abolition of the Health Services Safety Investigations Body is a dreadful mistake, because which other investigative function in the healthcare system is completely unconflicted in what it does? By abolishing HSSIB he is taking its functions into the CQC, which is a regulator and compliance enforcer, not an investigator, so that there is no longer any independent, unconflicted body conducting healthcare investigations. Has he consulted the royal colleges about this? I have not spoken to a single royal college that is in favour of the abolition of HSSIB.

[James Murray]

As I made clear, we will protect the principle of a safe space for people to share their concerns. The investigatory function will remain protected within the CQC. The benefit of embedding the HSSIB in the CQC will be to establish that clearer link between investigating safety concerns and increasing the quality of care. That is something on which we can all agree.

[Tom Gordon]

Will the Secretary of State give way on that point?

[James Murray]

I am going to make some progress, because, Madam Deputy Speaker, you have asked me and looked at me several times, suggesting that that is what I should do.

I mentioned the changes that the Bill makes to HSSIB and the CQC, but the functions of Healthwatch England—I spoke about that earlier—will move to a new patient experience directorate within the Department of Health and Social Care. The functions of local healthwatch groups will be incorporated into ICBs and local authorities. That approach brings the voices of patients closer to decision makers, so that people have a direct impact on the services they receive. Of course, the changes will neither fix everything at the stroke of a pen, nor take effect overnight, but rather than the voices of patients being kept at arm’s length, the Bill puts them where they should be: right at the heart of the NHS.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

The Secretary of State has not talked about the role of the governors of hospital trusts, which also appear to be abolished by the Bill. With the creation of mega-ICBs, the removal of healthwatch, and the removal of governors, I am worried that the voice of the local community is reducing rather than increasing.

[James Murray]

The principle behind the changes to local healthwatch organisations is to bring the voice of patients closer to those who are planning and delivering services. Whether through ICBs or local authorities for health and care, it is an important principle to ensure that feedback is followed by action, and that people can have an influence on the design and delivery of health and social care at an earlier stage in the process.

[Tom Gordon]

Will the Secretary of State give way on that point?

[James Murray]

I am going to make some progress, because I need to update the House on the important measures in the Bill to abolish NHS England. Those critical measures will reduce bureaucracy so that more energy, time and funding in the NHS can be focused on the frontline, helping patients. The Bill will abolish the world’s largest quango by merging NHS England into the Department of Health and Social Care and the wider NHS system.

[Gregory Stafford (Farnham and Bordon) (Con)]

I have asked this question both as a member of the Health and Social Care Committee and on the Floor of the House to the Secretary of State’s predecessor. Given that the new Secretary of State is a numbers man, I hope that he can answer it where his predecessor could not. How much in redundancy payments will this measure cost the British taxpayer, and can he confirm that no person currently employed by NHS England will be fired, paid a redundancy fee, and then rehired by the Department of Health and Social Care?

[James Murray]

As the hon. Gentleman will appreciate, we are going through that process with the workforces at NHS England and the Department of Health and Social Care. Crucially, however, by 2028, across the Department of Health and Social Care, NHS England and ICBs, we will see a 50% reduction in headcount. That means that the money that would otherwise be spent on those members of staff will now go towards healthcare on the frontline, which is what patients want to see.

As hon. Members will know, NHS England was established by the Health and Social Care Act 2012. That Act established more than 300 new NHS organisations, and has led to too much time, money and effort being wasted on overlapping processes, as good people try to navigate a labyrinthine system that holds them back from delivering for patients. In short, we have a system that gets in the way of what staff, patients and taxpayers want to see.

[Wendy Morton (Aldridge-Brownhills) (Con)]

I welcome the right hon. Gentleman to his new role as Secretary of State. The point about ICBs and the devolution of responsibility for NHS eye tests is one that we often forget to talk about in this place, as is the case with eyecare—I know that there are some ophthalmic experts in the Chamber. On that point, can the Secretary of State assure me that the changes will not result in a postcode lottery in the provision of eyecare tests? At the end of the day, NHS sight tests are a universal entitlement, so can he ensure that that will continue?

[James Murray]

The right hon. Lady raises an important point, but local services are already commissioned locally in many cases. The changes that we are making by abolishing NHS England will mean that more power and resources go to ICBs and local areas to allow them to make the right choices for their local area. That is a way of bringing the services that we deliver closer to the people who need them.

Let me be absolutely clear that abolishing NHS England is in no way a reflection on the committed public servants who work at NHS England and in my Department. The truth is that unnecessary structures are getting in the way of them doing their crucial work and it is time for us to change that. The Bill will mean that more time, money and effort will be spent on improving the care that patients receive, rather than navigating the system around them.

[Tom Gordon]

Obviously, the Secretary of State has just outlined a huge raft of changes that are coming with the abolition of NHS England and everything else that goes with that. Last year, families and MPs got the inquiry into the Tees, Esk and Wear Valleys health trust—the mental health trust in the north of England that had been failing. My worry is that a chair of that inquiry was meant already to be in place. Will that inquiry now be lost amid all the changes to the healthcare system? Will the Secretary of State commit to meeting the families of those affected by the TEWV scandal, and will he get a chair in place as soon as possible?

[James Murray]

I am happy to look into the case to which the hon. Gentleman refers. The abolition of NHS England and the transfer of its responsibilities either to the Department of Health and Social Care or to local ICBs is being managed carefully, to ensure that we can continue making progress while the structural change happens. To return to my earlier point, the money saved as a result of these changes can go directly to frontline patient care. We expect about £1 billion to be saved, which is the equivalent of 15,000 nurses. I do not see how anyone can disagree with our decision to ensure that resources are spent on the frontline.

As I have explained, abolishing NHS England as a separate organisation will strip out bureaucracy and ensure that we focus on delivery. The decision also has an important democratic role. The core goal of the 2012 Act, brought in by the Conservatives and Lib Dems, was to take politics out of the day-to-day running of the NHS. However, that is a fundamental misunderstanding of the NHS and its place in the democratic life of the nation. The public pay for the NHS; they own it, use it, care deeply about its future, and so they should always have a say in how it is run.

People voted Labour because they trust us to build on our party’s legacy by transforming the NHS for the future, and they will rightly hold us responsible for the decisions we take as we do so. It is not about politics getting in the way; it is about accountability driving change. That accountability has been lost in the confusion of having two separate centres for the NHS, and the Bill will end that.

[Dr Ben Spencer (Runnymede and Weybridge) (Con)]

I welcome the Secretary of State to his post. Could he explain what the pathway of local accountability is for ICBs?

[James Murray]

ICBs, as the hon. Gentleman will know, have a board structure that oversees how they operate. The removal of local healthwatch organisations will mean that the voice of patients and their experiences go directly into the bodies that are commissioning and overseeing services. One of the changes the Bill makes is to ensure that strategic mayoral authorities will have a place on the board of ICBs, which helps them ensure that wider objectives in an area of health are aligned.

[Several hon. Members rose—]

[James Murray]

I am going to make more progress.

Alongside the removal of confusion and duplication at a national level, the Bill also gives those with local expertise the power, resources and flexibility they need to design and deliver health and care services for their area. The Bill will empower them to innovate, drive progress and do what is in the best interests of the patients they serve.

Under the Bill, ICBs will have more direct responsibility for their services than ever before. They will be at the heart of integrating health and social care, and they will include those people responsible for housing, transport and jobs, so that we can tackle the root causes of ill health, which is better both for patients and for the NHS.

The NHS gave me a second chance at life, and so as Health Secretary I will fight for the NHS every day with the strength it has given me back. The Tories ran down the NHS through 14 years of neglect, and the Lib Dems enabled them. Reform wants to abolish the NHS altogether and replace it with an insurance-based system. The Greens seem intent on ignoring clinical advice and have no practical solutions for the health service. Only Labour has a plan to get the NHS back on its feet. Only Labour is determined to both invest in and fundamentally transform the NHS for the future. Only Labour is showing that change is possible.

We promised to cut waiting lists—we delivered the biggest annual fall in 16 years. We promised an extra 1,000 GPs in our first year—we delivered twice that number. We promised 8,500 more mental health staff by 2029—we have delivered them three years early. We promised 700,000 more NHS dentistry appointments—we have delivered an extra 1.8 million already.

We promised to transform the NHS for the future, and that is what this Bill will do. We are already boosting investment in the NHS where it needs more. We have begun stripping out bureaucracy from the NHS where it needs less. And now we will build a truly modern NHS that will be there for generations to come. The Bill is the next crucial step in our mission, and I commend it to the House.

[Madam Deputy Speaker (Judith Cummins)]

I call the shadow Secretary of State.

Maternity Adviser

James Murray Excerpts

Tuesday 19th May 2026 Written Statements

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

I am today announcing the appointment of Michelle Welsh MP as a maternity adviser to the Department of Health and Social Care.

Improving the safety of maternity and neonatal services and the experiences of women and their families is a key priority for me as Secretary of State for Health and Social Care, and for this Government. We are committed to acting with urgency, transparency and accountability to drive improvements in care, working closely with families, clinicians and stakeholders. A central part of this work will be tackling the unacceptable inequalities in outcomes that persist across maternity and neonatal services.

Michelle Welsh MP will provide me, and my Department, with independent advice to support the Government aim of improving the quality of care for women, babies and their families in NHS maternity and neonatal care, and to reduce the stark inequalities faced by so many.

The new DHSC maternity adviser will support my Department to deliver for maternity services by:

Providing advice on improving the quality of care in maternity and neonatal services, including addressing inequalities in outcomes and access to care. This will include supporting the Department to agree priority areas and deliverables to support improvement, drawing on the experiences of women and families, available evidence, stakeholder views and her own experience and expertise.

Supporting and driving forward the work of the national maternity and neonatal taskforce, including by chairing the parliamentary and mayoral panel and as a member of the taskforce.

Engaging with stakeholders, including families and under-represented groups, to ensure that a wide range of perspectives inform the Government work to improve maternity and neonatal care, particularly those experiencing health disparities.

This appointment, alongside the membership of the national maternity and neonatal taskforce, and the expert reference groups that feed into it, bring together the depth and breadth of expertise and experience needed to truly drive forward the taskforce’s urgent work to improve maternity and neonatal care.

The taskforce will oversee the development of a new national action plan based on the findings and recommendations of the national maternity and neonatal independent investigation led by Baroness Amos, and by holding the system to account for implementation of the action plan and for improvements in care and experiences for women, babies and families, and for the experiences of staff.

The action plan will also consider any recommendations from other reviews and inquiries that have national implications, including the independent review of maternity and neonatal care at Nottingham University Hospitals NHS Trust. It will tackle the systemic issues in maternity and neonatal care, providing clear priorities for action so that the workforce is supported to ensure that women and families are listened to and provided with safe care, and so that truth, accountability and learning take place when things go wrong.

Transparency on how the national maternity and neonatal taskforce is delivering the necessary change is important for public accountability. To support this, today my Department will be publishing the taskforce’s terms of reference, ways of working charter and summary note of the first meeting on gov.uk. We will also be publishing the names and organisations of those involved in the expert reference groups which support the work of the taskforce.

The appointment will take effect from Tuesday 19 May 2026 and is an unpaid role.

[HCWS42]

Budget Resolutions

James Murray Excerpts

Tuesday 2nd December 2025 Commons Chamber

[The Chief Secretary to the Treasury (James Murray)]

I thank my right hon. Friend the Secretary of State for Health and Social Care for opening the debate.

Of course, today’s debate follows yesterday’s publication of the OBR’s report into the early release of the “Economic and fiscal outlook” and the subsequent resignation of Richard Hughes. Let me be clear that what happened last week with the EFO should never have happened, and nor should it ever happen again. We take the report’s findings very seriously. As I informed the House yesterday, we will work with the National Cyber Security Centre to take forward a forensic examination of potential premature access at previous fiscal events.

The OBR is a key part of our fiscal framework, and the OBR’s Budget Responsibility Committee continues under the experienced leadership of Tom Josephs and Professor David Miles. In the coming weeks, the Treasury will launch a competitive external recruitment process to appoint a new chair. As with all appointments to the Budget Responsibility Committee, the appointment of the new chair will be made by the Chancellor and will be subject to the consent of the Treasury Committee.

This Government put the utmost weight on Budget security, including the prevention of leaks of information, and a leak inquiry is under way. The Treasury will work closely with the OBR to ensure that robust security arrangements are in place before the spring forecast and for all future forecasts, and the permanent secretary to the Treasury will conduct a review of the Treasury’s security processes to inform future fiscal events.

As the Health Secretary so powerfully set out when he opened today’s debate, cutting NHS waiting lists is a top priority for this Government. We prioritised the NHS at the Budget because a strong health service where people can get the treatment they need is a priority for the British people. Our determination to get the national health service back on its feet and invest in the future of our country stands in stark contrast to the Conservatives, who offer nothing but decline. They offer cuts to funding for public services that are equivalent to firing every police officer in the country twice. After 14 years in power and one year in opposition, the Conservatives still refuse to take responsibility for the state they left the country in, and offer no apology for the damage they did to our public services and our economy when they were in power—and on top of that, they boast that they would do it all again.

The Government are taking the fair and necessary choices to renew our country. Last year at our first Budget, we fixed the foundations by funding the largest ever capital settlement for health, introduced fiscal rules to ensure that the books are always balanced, and chose to invest in roads, rail, energy and homes across the UK.

[Chris Hinchliff]

Throughout the Budget debate, all those on the Government Front Bench will have heard the concerns of Labour MPs who represent rural constituencies, as I have, about the proposed changes to agricultural property relief. Many of us feel that those changes are not properly calibrated. Will the Minister commit to keeping those changes under close review as they are rolled out, and will he take immediate action if we begin to see farms disappear?

[James Murray]

The changes that we have set out to agricultural property relief are a fair way forward. They represent generous relief for people, while raising money for the public finances. In this Budget, the Chancellor announced that any unused £1 million allowance for the 100% rate of agricultural property relief and business property relief will be transferable between spouses and civil partners.

Following the Budget last week, we are going further. Despite the challenges that we faced, with the OBR recognising the deep scars to the economy caused by the previous Government, we refused to repeat the mistakes of the past. We rejected uncontrolled borrowing and refused to slash investment. We chose to keep cutting NHS waiting lists, to cut the cost of living and to cut debt and borrowing.

The Chancellor delivered a Budget last week that made fair choices on tax, protected investment in our public services and made our economy more secure. As a result of our choices, people will see more money in their pockets, thanks to the increase in the living wage; they will see rail fares and prescription charges frozen; they will see £150 off their energy bills; and they will see action across the country as we tackle the scourge of illicit businesses blighting our high streets. In short, this was a Budget that we were elected to deliver—

[Simon Hoare (North Dorset) (Con)]

rose—

[Madam Deputy Speaker]

Order. The Minister is clearly not giving way to you, Mr Hoare, and the rest of us want to hear what he has to say.

[James Murray]

As the hon. Gentleman knows, Madam Deputy Speaker, I give way to him week in, week out in this place, so I know pretty much what he is going to say. I do not have much time, so I am going to make some progress. [Interruption.] The Opposition are very loud at the moment, but time and again there is deafening silence when they are asked to defend their record in government. They simply refuse to own up and face up to the damage they caused to our economy by slashing investment.

Our decision not to slash investment and to reject uncontrolled borrowing means that we have had to take fair and necessary choices on tax. We are being up front that those choices will mean everyone contributes more, but, as we promised last year, we are keeping taxes on working people as low as possible. We are doing that by reforming the tax system, increasing the rate of tax on property income and on those with £2 million-plus homes, increasing tax rates for online gambling while removing bingo duty, and ensuring that HMRC has the right technology for a modern, effective tax system. We are making the changes that the Conservatives always ducked, and we are keeping taxes on working people as low as possible.

When it comes to growth, the Chancellor has already beaten the forecasts once, with improved growth reported this year. We are determined to beat the forecasts in future years too, because we will not let the previous Government’s record hold Britain back in the future. We are backing entrepreneurs with tax breaks for businesses to scale and stay in the UK. We have secured hundreds of billions of pounds of private investment, and we are making sure that investment goes to every region and nation of the UK, so that everyone across the country feels the benefits of growth.

Families across the country plan how much to spend week in, week out. They budget, save and economise to stay on top of their household finances. We will hold ourselves to the same, and higher, standards when it comes to taxpayers’ money. We will always make sure that the Government live within their means and make every penny count. We have already begun to improve the efficiency of Government, saving £14 billion a year by 2029 through greater use of AI and automation, as well as reducing unnecessary bureaucracy and duplication through the abolition of NHS England.

At last week’s Budget, we set out our plan to make a further £4.9 billion of efficiencies by 2031, beginning by getting rid of police and crime commissioners, cutting the cost of politics and selling Government assets that we no longer need. This means we can make sure that taxpayers’ money—

[Sir Edward Leigh (Gainsborough) (Con)]

Will the Minister give way?

[James Murray]

Oh, go on then.

[Sir Edward Leigh]

As a matter of interest, why did Labour Chancellor Hugh Dalton resign?

[James Murray]

The right hon. Gentleman may not have been here, but a colleague of his asked me that same question before. Unfortunately, I did not know the history of that story; I shall have to look it up on Wikipedia tonight to find out. [Laughter.] Clearly, it was before my time.

Our focus on spending public money wisely means we can make sure taxpayers’ money is spent on what matters: the NHS, schools, roads and railways, our armed forces and the police. This Budget means that we can continue to invest in the future. That investment in our future includes our decision to lift 450,000 children out of poverty. Those children should not go hungry simply because of the circumstances of their birth, and their life chances should not be written off before they have even got going.

We do not want to be a country where one in ten 15-year-olds goes hungry once a week because they cannot afford a meal. We want to be a country that recognises the profound damage that child poverty causes to us all. This Labour Government are taking the opportunity to change that. We do not want to be a country where £1 in every £10 of public money is spent on the interest on our national debt alone. That is why it is crucial that we cut borrowing and increase our fiscal headroom. That is the way to make sure that our country is less vulnerable to global shocks. We are determined to make our economy more resilient and ensure that taxpayers’ money is spent on taxpayers’ priorities.

There is an old saying that to govern is to choose. Politics is about making choices, yet the Conservatives are never keen to be judged by the choices they made when they were in government. They chose to cut investment in the foundations of our society, gutting our NHS, failing our schools and abandoning great swathes of the country and the next generation. They botched the Brexit deal, which stifled British trade and wrapped our businesses in red tape. They oversaw a covid recovery that left us lagging behind our neighbours while their donors and cronies pocketed millions of pounds of taxpayers’ money, and they were responsible for a mini-Budget that crashed our economy, did great damage to our global reputation and cost mortgage payers hundreds of pounds a month.

Our Government are willing to choose and ready to stand by our choices. I am proud of the choices that we have made in this Budget. Those are choices that protect the NHS and get waiting lists down; cut the cost of living and take £150 off energy bills; and reduce the national debt and bring down the cost of borrowing. We will invest in the infrastructure that will drive growth and productivity across the country. We will not leave the broken welfare system unchanged, and we will spend every penny of taxpayers’ money wisely. Those are fair choices, those are necessary choices, and those are the right choices for the future of our country.

Question put and agreed to.

Resolved,

That income tax is charged for the tax year 2026-27. And it is declared that it is expedient in the public interest that this Resolution should have statutory effect under the provisions of the Provisional Collection of Taxes Act 1968.

The Deputy Speaker put forthwith the Questions necessary to dispose of the motions made in the name of the Chancellor of the Exchequer (Standing Order No. 51(3)).

2. Income Tax (Main Rates)

Resolved,

That for the tax year 2026-27 the main rates of income tax are as follows—

(a) the basic rate is 20%,

(b) the higher rate is 40%, and

(c) the additional rate is 45%.

And it is declared that it is expedient in the public interest that this Resolution should have statutory effect under the provisions of the Provisional Collection of Taxes Act 1968.

3. Income tax (default and savings rates)

Resolved,

That—

(1) For the tax year 2026-27 the default rates of income tax are as follows—

(a) the default basic rate is 20%,

(b) the default higher rate is 40%, and

(c) the default additional rate is 45%.

(2) For the tax year 2026-27 the savings rates of income tax are as follows—

(a) the savings basic rate is 20%,

(b) the savings higher rate is 40%, and

(c) the savings additional rate is 45%.

And it is declared that it is expedient in the public interest that this Resolution should have statutory effect under the provisions of the Provisional Collection of Taxes Act 1968.

4. Income tax (dividend rates)

Question put,

That—

(1) In section 8 of the Income Tax Act 2007 (which provides, among other things, for the dividend ordinary rate and dividend upper rate)—

(a) in subsection (1) (the dividend ordinary rate), for “8.75%” substitute “10.75%”, and

(b) in subsection (2) (the dividend upper rate), for “33.75%” substitute “35.75%”.

(2) The amendments made by this Resolution have effect for the tax year 2026-27 and subsequent tax years.

And it is declared that it is expedient in the public interest that this Resolution should have statutory effect under the provisions of the Provisional Collection of Taxes Act 1968.

Building an NHS Fit for the Future

James Murray Excerpts

Monday 13th November 2023 Commons Chamber

[James Murray (Ealing North) (Lab/Co-op)]

It is a pleasure to follow my hon. Friend the Member for Liverpool, Wavertree (Paula Barker).

Let me begin by paying tribute to His Majesty the King on the occasion of his first Gracious Speech as our sovereign. Let me also take this opportunity to put on record how proud and glad I was to spend yesterday with my local community in Greenford, laying a wreath at the Greenford war memorial, coming together at the Royal British Legion club, and celebrating Diwali at Shree Jalaram Mandir.

I turn now to what was in and, just as importantly, what was lacking from the King’s Speech. It is astonishing that the Government announced new legislation on energy and yet their Energy Secretary was immediately forced to admit that the new laws would not take a penny off people’s bills. It is deeply frustrating, although sadly unsurprising, that the Government have announced legislation on housing that walks away yet again from unfulfilled promises that they have made time and again to leaseholders and private renters. It is a sign of how tired this Government are that there was nothing in the King’s Speech about a plan for economic growth to make people across the country better off, or the planning reform that we need to get Britain building. In short, this King’s Speech shows that the Conservatives are incapable of delivering the change that even the Prime Minister concedes our country needs.

People and businesses in my constituency, like others across Britain, have been paying the price of the Government’s failure on energy for the past 13 years. The Government’s failure meant that the energy crisis hit people in Britain harder than those in any other western European country. People are right to ask what on earth the Government were doing over the past 13 years to allow us to get into this mess. At the very least, people might have expected the energy crisis to serve as a wake-up call for Ministers, but the Government’s flagship energy policy in the King’s Speech shows no sign of their waking up. In fact, it shows just how tired and out of touch Ministers are that they appear to have simply given up trying to bring down energy bills for British families, and are happy to admit that. That is why Labour’s plan is so important to making Britain energy independent, to investing in British industry and to cutting bills for families.

Energy bills are far from the only pressure on household budgets. As the cost of living crisis continues to hit families across the country, the housing crisis that has also been growing under the Conservatives is getting worse and worse. Homeowners with mortgages are being hit by the Tory mortgage penalty. Private renters face relentlessly rising rents as they struggle to get on the housing ladder and live in perpetual insecurity. Families in social housing that does not meet their needs often have no choice other than to wait for years on end. And yet the King’s Speech offers nothing to truly get a grip on the housing crisis. The only legislation that it includes on housing represents yet more walking away from some of the promises the Government have repeatedly made and delayed.

We know that the Government have been dragging their feet for years over reforming the private rented sector. We finally have the Renters (Reform) Bill before us, but I will believe that it will become an Act under this Government only when I see it gain Royal Assent. Despite the Bill having come forward, we have already learned that the implementation of much-needed changes is to be delayed even longer. The Government are kicking the ban on no-fault evictions into the long grass yet again, despite tens of thousands of households being evicted and threatened with homelessness as Ministers dither.

Meanwhile, the legislation that the Government have announced for leaseholders would apply only to new homes, and there is nothing to roll out commonhold for new flats. Their plans fall woefully short of the fundamental and comprehensive reform that Britain’s feudal leasehold system needs. We know that that change will only come from Labour, as we have committed to enacting the Law Commission’s recommendations on enfranchisement, commonhold and the right to manage in full. More widely, there was no sign in the King’s Speech of any wider ambitious plan to do what is necessary to reform the planning system or to begin to fix the housing crisis.

Just as there was no plan to fix the housing crisis, there was no plan for economic growth. The economy is just not working under the Conservatives. Figures published on Friday confirm that the UK economy failed to grow at all between July and September, yet there was no change from the Government in the King’s Speech last week. There was no attempt to draw a line under the economic failure and decline of the last 13 years and set out a serious plan for growth.

We know that economic failure and stagnant growth have a direct impact on people’s lives, leaving working people worse off. We know that, faced with low growth, the Government have increased taxes 25 times in this Parliament alone, leaving British people and businesses paying the price. As if that were not enough, we know that working people are still paying the price of the Conservatives’ disastrous mini-Budget last year.

That is why Labour has a plan to replace 13 years of national decline with a decade of national renewal. Our plan has economic responsibility as its foundation, and under our plan, the Government will work with businesses to grow the economy and make working people in all parts of the country better off. As Members of Parliament, we are here to serve, and making life better for people across Britain is what Labour’s plan—our alternative to the King’s Speech—would set out to achieve.

NHS Workforce

James Murray Excerpts

Tuesday 6th December 2022 Commons Chamber

[James Murray (Ealing North) (Lab/Co-op)]

There can be no doubt that the NHS is in crisis. We have heard shocking stories today from hon. Members about what their constituents are having to endure. Each and every one of these deeply distressing stories helps to confirm the devastating impact of the Conservatives’ neglect of the NHS. Patients deserve so much better than this Government and everyone who works in the NHS deserves so much better, too, for the invaluable work they do.

We all know that from the experience we have in our constituencies, as we have heard so powerfully today. My hon. Friend the Member for West Ham (Ms Brown) spoke powerfully and in detail about the impact of vacancies in the NHS, particularly in maternity services, in her constituency and the surrounding areas. My hon. Friend the Member for Coventry North West (Taiwo Owatemi) spoke about the role of community pharmacists and the wider struggles that NHS workers face. She was speaking with particular authority, given her background in the NHS before becoming an MP. My hon. Friend the Member for Ilford South (Sam Tarry) spoke about the severe impact of vacancies and exhaustion in nursing after 12 years of the Conservatives.

My hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy) spoke about the impact that workforce shortages were having, even before the pandemic, on crucial radiotherapy services in her constituency and beyond. My hon. Friend the Member for Streatham (Bell Ribeiro-Addy) spoke about the scale of the crisis that we face in NHS recruitment and retention. My hon. Friend the Member for Leeds East (Richard Burgon) rightly mentioned those shameful attacks by Conservative Ministers on nurses.

My hon. Friend the Member for Bristol South (Karin Smyth) spoke with great experience, having spent three decades working in the NHS, about the growing crisis of retention over the past decade. My hon. Friend the Member for Worsley and Eccles South (Barbara Keeley) spoke about the NHS crisis and set it in the context of the Government’s unfair decision in the recent autumn statement. My hon. Friend the Member for Halifax (Holly Lynch) gave a wide-ranging and powerful speech that drew attention to the genuine sense of fear among people across the country at the prospect of not being able to access vital NHS services. My hon. Friend the Member for Wirral West (Margaret Greenwood) made it clear that the staffing crisis in the NHS is the failure of 12 years of the Conservatives.

Madam Deputy Speaker, that is the truth. The Conservatives have spent 12 years running down the NHS and letting our economy fall further and further behind, but, make no mistake, this is not inevitable. After 1997, Labour not only grew the economy 1.5 times the rate that the Conservatives subsequently managed, but delivered an NHS to be proud of, and we are proud of our record.

Although the challenges now are even greater than they were in the late ‘90s, if we take office at the next election, we will, again, deliver a modern, sustainable NHS that is fit for the future that we face. We know that, to make the NHS fit for the future, it needs a prescription of reform and sustainable funding from a growing economy. For our economy to grow, we need to start getting our public services back on track, too. As my hon. Friend the shadow Health Secretary set out, one of the first steps that a new Labour Government will take to get the NHS back on track is to deliver a workforce plan that addresses the root cause of the crisis it is in.

Under our plan, we would double the number of medical school places to 15,000 a year. We would double the number of district nurses qualifying each year. We would train 5,000 new health visitors a year and we would create 10,000 more nursing and midwifery clinical placements each year, too—all part of a long-term workforce plan for our NHS.

[Steve Brine]

On the doubling of the number of medical school places, can the hon. Gentleman tell me what the cost of that is, especially as the shadow Chancellor is so handily sitting next to him? It would be helpful for those of us on the Select Committee to put the price tag on that one.

[James Murray]

All the pledges that the Opposition make are fully costed and fully funded. [Interruption.] If the hon. Gentleman waits one second, I will address that point. Today is about political choices. It is not just a political choice of whether we invest in the NHS; it is a political choice of how we pay for it. That is why we have made it clear that, to pay for our NHS workforce expansion plan, Labour would abolish the unfair, outdated non-dom tax status. Non-dom tax status is passed down through people’s fathers and it costs the public purse £3.2 billion a year, while failing to support economic growth in the UK. Under the current arrangements, a small group of high-income people who live in the UK are able to avoid paying tax on their overseas income for up to 15 years. We would abolish that 200-year-old tax loophole and introduce a modern scheme for people who are genuinely living in the UK for short periods. We believe that if a person makes Britain their home, they should pay their taxes here.

[Paul Bristow]

My hon. Friend the Member for Winchester (Steve Brine) asked the hon. Gentleman a very specific question about the exact cost of doubling the number of places at medical school. Is the hon. Gentleman able to confirm the exact cost of that—not the non-dom cost, but the exact cost of doubling the number of medical places?

[James Murray]

I thank the hon. Gentleman for his intervention. I have set out that scrapping the non-dom status would raise £3.2 billion, and that our workforce expansion plan would cost £1.6 billion, so we would be well able to afford that measure from the amount of money that we have raised from scrapping this outdated, unfair tax loophole.

Non-dom status should have no place in our modern tax system. It is unfair. When the Government are making working people pay more tax, it is simply wrong to allow wealthy people with overseas income to continue to benefit from an outdated tax break. It is also bad for UK business: the loophole prevents non-doms from being able to invest their foreign income in the UK, as bringing it here means it becomes liable for UK tax. Abolishing non-dom status would end that barrier to UK investment—and, as I have said, raise £3.2 billion, money we would use to put towards priorities including expanding the NHS workforce.

To be honest, we would have thought abolishing non-dom status, replacing it with a modern system and using the money to strengthen the NHS and economy would be a no-brainer. What is it about this Conservative Government, led by the right hon. Member for Richmond (Yorks) (Rishi Sunak), that makes them so reluctant to close that loophole? Last week, during the rushed debates on the Government’s autumn Finance Bill, I asked Treasury Ministers to confirm whether the Prime Minister had been consulted on the option of abolishing non-dom status and whether it was ever considered as an option for last week’s Finance bill. I also asked whether, when the current Prime Minister was Chancellor, he had ever recused himself from discussions on the matter, for obvious reasons.

I put these questions to Treasury Ministers on three separate occasions last week, but they refused each time even to acknowledge the questions, never mind answer them. For a Minister to overlook a set of questions once might be an oversight, but to ignore them three times looks like something else. Perhaps the Minister will today show that they have nothing to hide by answering the questions I have raised.

In the autumn statement and last week’s Finance Bill, the Chancellor chose to leave non-dom status untouched, while picking the pockets of working people, including nurses, with stealth taxes such as freezing income tax thresholds and pushing up council tax. Today, the Secretary of State for Health only mounted a brief defence of non-dom status; I wonder whether his colleague from the Treasury will, in her closing remarks, repeat some of the defences that Treasury Ministers tried to set out last week.

Last week, Ministers tied themselves in knots trying to find a justification for the £3.2 billion tax break for non-doms. They tried to pretend that the Government's investment relief is working, when only 1% of non-doms invest their overseas income in the UK in any given year, and last week they tried to win praise for ending permanent non-dom status, while keeping quiet about the new loophole they created, which allows people to use trusts to retain non-dom benefits permanently.

The truth is that, unless the Conservatives vote with us today to abolish non-dom status once and for all, the British people will be clear that no amount of reason or common sense will get this Government to come round. The British people need a fresh start and a new Labour Government that would take those fairer choices on tax to support the stronger NHS we so desperately need.

The NHS is an achievement we share together as a country and one that we all have a personal relationship with. We all want to know that when we have medical symptoms, concerns or needs, the NHS will be there for us. We want to know it will be there as a publicly funded service, free at the point of use, able to provide us with the high-quality help we need. That is what I wanted to know in my early 20s, when I started to notice symptoms of what would later be diagnosed as myasthenia gravis, a rare neurological condition that caused muscle weakness throughout my body.

After the best care I could have hoped for from my brilliant consultant and his team and colleagues at the National Hospital for Neurology and Neurosurgery in Queen Square, I have been symptom-free for many years now, but the memory of first feeling those symptoms and then finding my way towards the right treatment sticks with me. I would never want anyone to feel symptoms like mine and not be sure whether the NHS would be there to help.

We all know stories like that. We all need the NHS to diagnose and treat us when we are worried. We all need to be able to turn to the NHS so that we get that treatment in good time. We all connect with the NHS through our own lives and the lives of our family and friends. That is why the NHS matters so much to us all and why we are so determined to deal with the crisis the NHS is facing and to make sure it is ready for the modern challenges we face.

At the heart of our vision for the country are stronger public services and stronger economic growth. We know that getting public services back on track will support a growing economy, which will in turn support modern, sustainable public services. Before us today we have a chance to end the unfair 200-year-old tax loophole, which lets a small number of people avoid tax on overseas income, and use the money saved to fund one of the biggest workforce expansion plans in the history of the NHS. That is the choice in front of us today, and I urge all MPs to do the right thing by backing our plan.

Royal Assent

[Madam Deputy Speaker (Dame Rosie Winterton)]

I have to notify the House, in accordance with the Royal Assent Act 1967, that His Majesty has signified his Royal Assent to the following Acts:

Identity and Language (Northern Ireland) Act 2022

Product Security and Telecommunications Infrastructure Act 2022

Counsellors of State Act 2022

Northern Ireland (Executive Formation etc) Act 2022

Children’s Mental Health

James Murray Excerpts

Tuesday 8th February 2022 Commons Chamber

[James Murray (Ealing North) (Lab/Co-op)]

On 10 February 2020, when I had been an MP for less than two months, I was glad to be invited to a youth-led mental health summit at William Perkin Church of England High School, in the heart of my constituency, organised by the brilliant Ealing Citizens. On that Monday morning, I listened to young people in their late teens talk about their and their friends’ mental health. Not only was their openness inspiring, but they spoke with great intelligence about what support and help they needed from their school and the NHS. When they asked me to contribute to the discussion, I said that, when I was their age, about two decades previously, I could not have imagined talking with such clarity and honesty about mental health. I said I did not think that, 20 years ago, I even understood my own mental health; I certainly never considered sharing my thoughts openly with dozens of my peers.

I promised the young people I met that day that I would make their mental health and that of other young people I represent one of my priorities as their MP. That day, we were not to know that the following month we would go into the first covid lockdown. As we have all gone through lockdowns and restrictions, the importance of mental health for the young people I represent has become even more acute. One of the things the young people at the summit told me was that they wanted a mental health worker at their school whom they could talk to about their mental health, so I arranged a meeting with the Health Minister at the time. The Minister offered no extra support, but referred me to the local NHS. After a series of meetings with the NHS, I was glad when it was confirmed last summer that the NHS would, from September that year, put in place a dedicated mental health worker one day a week in every high school in Ealing North.

That represents important progress with limited resources, and I thank the local NHS for listening to the many of us who made the case for such a service, but when I have spoken to high schools about having a mental health worker one day a week, it has been clear that, although welcome, it comes nowhere near to meeting the level of need. The truth is that, without a Government who take this seriously and offer the support that is needed, we will never see the transformation that young people deserve. That is why we have committed that the next Labour Government will provide a full-time mental health professional in every secondary school. That is what young people told me in February 2020 that they want and need, and that is what we would make a reality as part of a package that would also include a part-time professional in every primary school, open-access mental health clubs for children and young people in every community, and a guarantee of mental health treatment within a month for all who need it. Our plans for mental health services would be funded by closing tax loopholes for private equity fund managers and removing the VAT exemption from private schools.

I know we need this transformational change because I was told so by young people themselves. As a new MP, I learned so much from that summit in February 2020. Since then, I have made it a priority to keep listening to young people in my constituency, making sure to visit schools whenever covid restrictions have allowed. I was glad to visit Northolt High School and Alec Reed Academy recently. As ever, I am very grateful to students and teachers for sharing with me their time and their views on mental health. As I was in the mental health summit before the pandemic, I have been informed and inspired by listening to young people talk about their mental health and what support they need. A number of the young people I have met have explained their own techniques for looking after their mental health. From their talking about the subject, I and their fellow pupils have learned something, showing the simple but crucial effectiveness of people talking about mental health, understanding how they can help to look after themselves, and having support there when they need it.

Now is the time for us as MPs not just to listen to young people, but to act. Young people need us to do the right thing and put in place the high-quality mental health services they deserve.

Vaccine Roll-out

James Murray Excerpts

Thursday 21st January 2021 Commons Chamber

[Matt Hancock]

That is a really important question. For the most part, even when there is an outbreak, a care home can offer vaccinations with its local primary care network to those residents who do not have covid. Of course, when this is done, very scrupulous infection control needs to be in place. For instance, many care homes have vaccinated in a garden hub to make sure that the vaccination is outside, which is, of course, so much safer if there is an ongoing outbreak. Sometimes, an outbreak in a care home is so significant that it has to wait, and that has happened in a couple of cases, but all these decisions should be based on the local clinical advice of the GPs who are in the lead on the roll-out of the vaccination to care homes. I am really glad that this situation has been resolved in Biggleswade, and, of course, I am delighted at the new pharmacy-led vaccination centre in Biggleswade, which, as my hon. Friend said, is plugging a gap. He will have heard colleagues across the House praising the roll-out of the vaccinations in Bedfordshire.

[James Murray (Ealing North) (Lab/Co-op) [V]]

I thank the local NHS staff in my constituency for their hard work to vaccinate people. In the spirit of working together with them, I raised my concerns about the lack of vaccination sites, particularly around Greenford and Northolt in the northern part my borough, and they agreed with my suggestion that we ask Boots to consider opening a community pharmacy site at their Greenford Westway retail park store. I raised this plan with Boots, who were positive and helpful, and now we need support from NHS England. Will the Health Secretary please ask NHS England to look urgently at lending its support for this plan, so that we can move forward without delay?

[Matt Hancock]

Let us see what we can do.

Covid-19 Update

James Murray Excerpts

Programme motion
Monday 19th October 2020 Commons Chamber

[Matt Hancock]

We published further data late last week on exactly the question that the hon. Lady asks. We have the backward contact tracing in place that the hon. Member for Leicester South (Jonathan Ashworth) asked for—I apologise for not answering his question on that—and we have seen the evidence from that. The critical thing, though, is for us all to recognise that in places like Warrington and the surrounding area, where the number of cases is going up—and the number of cases among the over-60s is going up, which is particularly worrying—we do need to act, and to act together if at all possible.

[James Murray (Ealing North) (Lab/Co-op) [V]]

The October 2020 “World Economic Outlook” published by the International Monetary Fund clearly states that

“the short-term economic costs of lockdowns could be compensated by stronger medium-term growth, possibly leading to positive overall effects on the economy.”

The Government clearly disagree with the IMF’s assessment, but can the Secretary of State tell me whether he or his colleagues have carried out any analysis of the economic impact of a national circuit break?

[Matt Hancock]

Of course we look at all the impacts of all the policies, but we know that the more targeted a policy can be, both in terms of the measures and the geography, then the less disruption it will have. If the hon. Gentleman’s concern is with a national circuit break, that is not the policy of the Government; the policy of the Government is to have a localised approach. He might therefore want to have a word with his own Front Benchers.

Covid-19 Update

James Murray Excerpts

Monday 21st September 2020 Commons Chamber

[Matt Hancock]

I am afraid I do agree. All councils, including Leeds City Council, should make it clear that if students have coronavirus symptoms—and we all know what they are: a new continuous cough, a temperature or a loss of taste and smell—they should come forward for a test. If they have symptoms of another illness—not coronavirus symptoms—they should not come forward for a test. We have set this out very clearly once again in the prioritisation document that we have published today, and I hope that everyone will follow it.

[James Murray (Ealing North) (Lab/Co-op) [V]]

Schools that become aware of a covid-19 case have been encouraged to take swift action and contact the dedicated advice service introduced by Public Health England. However, several primary school heads in my constituency have reported that the service appears to be overwhelmed, with significant delays in Public Health England getting back to schools with advice. Can the Secretary of State tell me what the average waiting time is between a school contacting Public Health England and its receiving the advice that it needs?

[Matt Hancock]

I do not have those figures, but I would be very happy to look into specific cases, because the speed of turnaround in the instance that the hon. Gentleman describes is very important.

Coronavirus

James Murray Excerpts

Tuesday 15th September 2020 Commons Chamber

[Matt Hancock]

I have looked very closely at the situation in Sweden, and the challenge is that Sweden brought in significant laws curtailing social activity and that the population in Sweden followed more closely more than in almost any other country in the world a lot of guidance that was not enforced by law. The case rate in Sweden was also higher than in other geographically comparable countries.

The conclusion I have come to is that the approach we are taking, where we look around the world, learn from similar countries and take action where necessary, is the best way to control the virus and protect the economy. The rule of six is designed to try to restrict the transmission where we see it happening most, which is in social circumstances, and to protect the economy as much as possible by keeping the economy open within those social constraints. We are constantly vigilant and we are looking around the world for other examples of where we might be able to make changes. As my hon. Friend knows, we have made changes to our approach as we have learned throughout this unprecedented pandemic.

[James Murray (Ealing North) (Lab/Co-op) [V]]

My constituent Rachel has an 11-year-old daughter who came down with covid symptoms on Sunday. All her family have spent days self-isolating and desperately trying to book a test. At one point, they were directed to Wales, which is a six-hour round trip. At the same time, Rachel has seen private tests for £140, and often much more, that seem to be easily available. Does the Health Secretary think that this disparity is acceptable?

[Matt Hancock]

We do not recommend any private tests that are not signed off and verified. Therefore we are providing as many tests as we possibly can with a growing capacity. If the hon. Gentleman writes to me with the details of that individual case, I will absolutely look into it and make sure that one of the hundreds of tests that are being done in Ealing today is available for his constituent.