Health and Adult Social Care Reform

John Glen Excerpts

Monday 6th January 2025 Commons Chamber

[Wes Streeting]

I am grateful for that question. I am not sure that the level of exploitation in either independent healthcare or adult social care mirrors what we have seen, disgracefully, in children’s social care, but we keep a sharp eye on that. I remind my hon. Friend of the commitments we made in opposition around tackling the excesses and the worst kind of behaviour of some private equity-owned care homes that are leeching money out of the system. We will not tolerate that. We will act to regulate further. I hope that provides Members across the House with the assurance that we are taking both a principled and a pragmatic approach to the constructive and positive relationship we want to build with the independent sector, as we rebuild our national health service and build a national care service we can be proud of.

[John Glen (Salisbury) (Con)]

I would love to see a consensus evolve on social care. I welcome the Secretary of State’s appointment of Louise Casey and the talk about the balance between the individual family and the state. However, in every fiscal event that I was part of in the Treasury, more money was put into the NHS, so I respectfully ask the Secretary of State this: what does he say about wide variance in performance across the NHS? Secondly, what does he say about consumption patterns? I understand his emphasis on the Deliveroo concept, but we have to come to terms with the fact that most GPs would say that they have excessive demand from people who do not really need to see their GP. That is a delicate and difficult subject to grasp, but one that we really must grasp, collectively, in this place.

[Wes Streeting]

I am grateful for that thoughtful question. Let me say two things to the right hon. Gentleman. The first relates to the wider fiscal pressures on the Chancellor. I find it difficult enough to manage the different choices and trade-offs to be made between different parts of health and social care and the competing challenges that I hear from Members in all parts of the House, so I am always thankful that I am not the Chancellor of the Exchequer, who has to balance demands from the NHS alongside the demands of education, a rising welfare bill, rising child poverty and the threats to our nation. These are enormous challenges, which is why I am determined to ensure that every penny that goes into the health service is well spent.

My second responsibility, in addition to ensuring that patients are treated at the right time, in the right place and in the right way, is ensuring that we have a sustainable healthcare system in which there is reduced demand. That means doing more on the prevention side, so that we can keep people out of hospital and not needing to knock on the door of their GP surgery, so that they do not achieve the frequent flier status in the NHS that so many people do achieve—the one frequent flier status to which they do not aspire. We can deal with this only through both health service reform and public health reform, and I want very much to build cross-party consensus on the latter.