Budget Resolutions Debate
Full Debate: Read Full DebateJames Naish
Main Page: James Naish (Labour - Rushcliffe)Department Debates - View all James Naish's debates with the Department of Health and Social Care
(1 day, 6 hours ago)
Commons ChamberLet me say two things in response. I am almost certain that my hon. Friends will be delighted that he has intervened in defence of their plight at the hands of the Labour Whips, but he knows as well as I do that the Whip was removed from some of my hon. Friends not because of the substance of the issue they were raising but because we never, ever accept people voting against a King’s or Queen’s Speech. [Interruption.] That was the issue. He asked me a fair question, and he has got an honest answer. He should take it on the chin.
The hon. Member also asked why many people in our country believe that the two-child cap was right. It is because our Conservative predecessors peddled the myth and the lie that people in receipt of welfare are on the take, and are just looking for handouts, rather than help. We Labour Members take a different view; we recognise, as I have set out, that so many people affected by the two-child cap are in work and in poverty. That is one of the many scandals of the damage that more than a decade of Conservative rule did. The Conservatives broke the link between a hard day’s work and a fair day’s pay. In addition to the measures that we are taking on child poverty to remove the two-child limit, we are also increasing the national minimum wage. We are increasing it even higher for young people. We are doing this because this is the party of work, the party that wants to make work pay, and the party that is genuinely committed to waging war on poverty.
Just as we must win the argument for lifting children out of poverty, we must win the argument for the founding principles of our NHS. Having left the NHS in the worst crisis in its history, the right now argues that it is unaffordable and should be abandoned. The NHS was broken, but it is not beaten, and Labour is already breathing new life into our health service. Waiting lists are falling for the first time in 15 years. Ambulances are arriving 10 minutes faster in stroke, sepsis and heart attack cases.
Patient satisfaction with GPs is up from 60% to 74%, and nearly 200,000 more patients were given a cancer diagnosis or the all-clear on time.
With Labour, the NHS is on the road to recovery. That is in no small part because the Chancellor is reversing 14 years of austerity and investing in our NHS. We promised an extra 2 million appointments; we have delivered 5 million. We promised to recruit an extra 1,000 GPs; we have recruited 2,500. We promised to end the 8 am scramble; we have widened the window that patients have to request appointments and have made booking available online. A lot done and a lot more to do.
At this Budget, we announced the next steps on the road to recovery: 250 new neighbourhood health centres with the first ones in Birmingham, Barrow, Truro and Southall, and £300 million more to invest in technology to modernise healthcare. Next year, we will receive recommendations from Baroness Casey on laying the foundations to build a national care service.
The NHS does not just face an existential political challenge from the Conservatives and Reform UK; it faces a sustainability challenge.
James Naish (Rushcliffe) (Lab)
I appreciate the announcement about the 250 new neighbourhood health centres, but I am concerned for my constituency—a more affluent constituency that has health centres that were built in the ’60s. They are genuinely falling apart and need significant investment to ensure that GPs can continue to deliver outstanding service to my constituents. Could the Secretary of State provide some reassurance, or agree to meet me to discuss how we can ensure that deprivation is not the only aspect considered in that excellent initiative?
My hon. Friend is absolutely right. Of course, we want to ensure that investment is deprivation linked. We want to reverse the damage the Conservatives did when they pursued what I would characterise as the Royal Tunbridge Wells strategy, when our former Prime Minister, the right hon. Member for Richmond and Northallerton (Rishi Sunak), declared with pride to Conservative party activists that he had taken funding from the poorest communities in the country and funnelled it to the richest. There could be no shorter or clearer exposition of Conservative party values and politics in action than that claim.
To my hon. Friend’s point, he is absolutely right that within many affluent communities there are also pockets of deprivation, and we have to ensure that the NHS is there for everyone in every part of the country. We are dealing with enormous undercapitalisation in the NHS, totalling some £37 billion as identified by the noble Lord Darzi. It will take time to address that challenge, but I think my hon. Friend’s constituents know from his assiduous hard work and visible campaigning as a constituency MP that he will ensure that their needs and interests are not forgotten or overlooked by this Government.
Of course, as we improve the health of our health service, we also need to address the health of our nation. Children in England face some of the poorest health outcomes in Europe. Obesity in four and five-year-olds is reaching record levels—a health time bomb that leaves them at greater risk from cancer and heart disease later in life. What kind of start in life are we giving our children, and if we allow it to continue, what kind of future are we leaving to them? Our children will lead shorter, less healthy lives; our NHS will buckle under a tidal wave of chronic conditions; and our economy will suffer because businesses will be denied the potential of the next generation.
This Labour Government are tackling the sickness in our society. Whether it is the extension of the soft drinks industry levy, free school meals, a warm home discount that reaches millions more, the generational ban on smoking, Awaab’s law, cutting pollution and cleaning up the air that our children breathe, we are combating the drivers of ill health in children’s lives: poor diets, damp homes, dirty air and a lack of opportunity. In short, we are tackling poverty, because every child deserves a healthy start in life, and prevention is better than cure.
The leader of Reform, the hon. Member for Clacton, says we should instead be educating people to make healthier choices—I assume that he will not be leading from the front on that campaign. But we know that Reform and the Conservatives oppose our agenda to improve public health. They oppose our investment in the NHS. They should just be honest and admit that they now oppose the NHS itself. [Interruption.] Conservative Members do not like it, but I challenge them to dispute a single claim I just read. Let me repeat the charge sheet for their benefit: they oppose our investment in the NHS. Have they not opposed every budget spending review since Labour came to office? [Interruption.] Honestly, from a sedentary position, the hon. Member for Kingswinford and South Staffordshire (Mike Wood), who does not want to intervene because I think he knows he is leading with his chin on this, wants to suggest that somehow the Conservative party left a legacy that they could be proud of. They inherited the shortest waiting times and the highest patient satisfaction in history. They left us the longest waiting lists and lowest patient satisfaction on record. No wonder so few of them have turned up to defend that shoddy record.
The Conservatives oppose our public health agenda, do they not? I thought this was an area where we had built consensus, but not under their present leadership. I have already quoted what their leader, the right hon. Member for North West Essex (Mrs Badenoch), has said. Maybe they were not listening—the country certainly is not. I would have thought, though, that their own side would at least listen to what she said. She says she wants a debate about charging for healthcare. I do not know whether they have heard that or whether they stand by it. Maybe we could just see a simple show of hands—how many of her own side want to see charging for healthcare in the NHS? Not a single hand has gone up. That does not bode well for the future of the Leader of the Opposition, but let’s leave the Conservative party to revel in its irrelevance.
In fact, I was probably one of the few people who paid any attention to what the shadow Health Secretary, the right hon. Member for Daventry (Stuart Andrew), said at the Conservative party conference. I noticed that he did not mention a single policy. I say to the Conservatives: if we are doing such a bad job, why would they not do anything differently? Would they cut the £26 billion this Labour Government are investing in the NHS, and if not, if they oppose this Budget, how would they pay for it? The Conservatives seem to think that the British people are so stupid that they will forget which party wrecked the NHS and led it to the worst crisis in its history.
To conclude, this is a Government who are cutting waiting lists, giving children a healthier start in life and lifting 500,000 children out of poverty. In doing so, we are restating the case for universal healthcare that is publicly owned, publicly funded and free at the point of use. We are showing that progress is possible after 14 years of decline, that things can get better. Abolishing the two-child limit is not a handout, it is a hand up. Our country cannot prosper while 6 million people languish on waiting lists, 4.5 million children grow up in poverty and 1 million young people are not in education, employment or training. But if we protect people’s health, give them the opportunities to put their talents to use and give them a strong foundation, they will build a good life for themselves and a better Britain for all, and we can fulfil the lost promise that tomorrow will be better than today.
Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)
This was a Budget for young people. We are lifting the two-child benefit cap, bringing half a million children out of poverty; alongside free school meals, breakfast clubs, childcare and uniforms, we are reducing child poverty more than any Government ever. Our youth guarantee will make sure that every young person can access college, apprenticeships or job support, and SMEs will no longer have to pay towards apprenticeship training for under-25s, which is vital in Cornwall.
This was a Budget to tackle the cost of living, with measures to increase the minimum wage, cut household energy bills, freeze rail fares and prescriptions, extend the bus fare cap, and increase the state pension. It was also a Budget for growth. Our economy grew 50% more than the OBR expected in March. The Government have held fast to the decision to strongly invest in our infrastructure and worked to crowd in private investment and encourage companies to grow and list in the UK. I was pleased to hear the Chancellor confirm major investment in Truro neighbourhood health centre, which will be in the initial wave of centres to be upgraded and refurbished.
This was a Budget for Cornwall. The Kernow industrial growth fund is to be given £30 million over the next two years to invest in Cornwall’s economic potential. It reflects the fact that Cornwall has an important part to play in the UK’s industrial strategy. The Government have recently announced the critical minerals strategy and provided backing and investment for it. That is a brilliant example of a key industry vital to our national security being backed to the hilt by this Government. I hope they will do the same for the floating offshore wind.
Another key industry vital to national security is farming. The Government made a concession on inheritance tax by enabling automatic transfer of the £1 million allowance between spouses and civil partners. That will relieve pressure somewhat for older farmers who did not have time to plan. The Treasury says that few farmers and estates will be affected, but perception is everything when it comes to investment. I know that the Government have put a record amount of investment into farming.
I sit on the Environment, Food and Rural Affairs Committee, and it is clear that as a country we need to set a firm direction of travel on food security. Since Brexit we have diverged, particularly in England, from other places on the way we treat food production. I hope that the publication of various reports, including that of Minette Batters, will help to provide more certainty, and that the new incarnation of sustainable farming incentives will encourage farmers to invest.
James Naish
Although the new measures for farmers announced by the Chancellor have been welcomed by the industry, as Labour MPs we were advocating not for reduced revenue but for ensuring that the wrong farmers were not hit. Does my hon. Friend therefore share my view that Labour Members have fought hard for farmers and that our voices should be listened to moving forward?
Jayne Kirkham
It is important that we look very closely at the measures, as we in the Environment, Food and Rural Affairs Committee said in our report. Family farms are obviously very important and we need to consider them deeply when thinking about food security.
This is a long game. Fixing what is broken will be a hard path, but this Budget keeps us on that course without deviation. We are moving towards growth and the systematic rebuilding of our public services step by step. We are focusing on making life less of a daily struggle and on pulling our children out of poverty so that they can thrive now and take all the opportunities that this Government will offer them as they grow.