Department of Health and Social Care

John Glen Excerpts

Wednesday 5th March 2025 Commons Chamber

[John Glen (Salisbury) (Con)]

It is a privilege to make a contribution in this important seasonal debate. I pay tribute to my hon. Friend the Member for North Cotswolds (Sir Geoffrey Clifton-Brown) for bringing the debate to the House and commend him on his work chairing the Public Accounts Committee. As he set out, the NHS faces a number of enduring challenges: productivity, the integration of different systems, the challenge of public health, and the enduring issue of social care and how local authorities can provide the space for the NHS to deliver some of the outcomes we all aspire to.

I spent some of my time prior to the election in the Treasury. At every fiscal event that I was part of, whether as Parliamentary Private Secretary to the Chancellor, Economic Secretary or Chief Secretary, more money was given to the NHS. An attempt was made before every fiscal event to ensure that all the relevant stakeholders made the right positive statements about the new commitments, yet six or 12 months later there would be another pressing financial challenge. I say that because it is frustrating—we all come to this place to try to find enduring solutions to problems that are complicated. I therefore want to make some observations about the challenges of multiple systems operating effectively in allocating resources.

I meet GPs in my constituency regularly, as I am sure we all do. One such person is Dan Henderson, who is a partner at Salisbury medical practice. Alongside Anna Morton, who is a practice manager, he explained to me the complicated dynamics with our ICB over how to ensure that the right allocations are made for the inputs that they are organising at GP practices. It is mindboggling how difficult that process of securing the right allocations is and the lack of ability to plan effective systems over one, two or three years and beyond because the budget cycle is so overwhelmed with managing the health system. If we are to tackle the productivity challenge, we have to come to terms with those connection points between ICBs, GPs and local authorities and with how we can embed behavioural shifts that lift productivity.

The second area I want to touch on, despite the record £200 billion of funding going into the NHS, is the problem of public health and coming to terms with how we consume health services as a country. Where something is free at the point of need, we can become very inefficient in the way we draw down that provision. I really think we have to work on pathways for informing and helping our constituents access health systems effectively.

We have seen an explosion of mental health challenges in recent years and the NHS has done a fantastic job of trying to deal with that. However, we should not tolerate the variable performance of the NHS across different trusts and across the country. One way in which we can raise productivity is by exposing those variances in performance so that those who are leading the NHS can be accountable for them. Those systems will be different for many reasons, with different demographic pressures and different challenges due to their capital estate. We must get those issues out in the open rather than always thinking that just ploughing more money into our NHS system is the way forward.

I welcome the greater investment, once again, in the NHS, but I recognise that we will need radical solutions if we are to change the productivity story. As a House, we need to unite in finding the right fixes and looking at the best ways of bringing them to fruition across our country.