NHS Backlog

Julie Minns Excerpts

Monday 6th January 2025 Commons Chamber

[Ms Julie Minns (Carlisle) (Lab)]

Happy new year, Madam Deputy Speaker. Before I begin, I declare an interest, in that my daughter is an NHS nurse.

My Carlisle constituency includes Cumbria’s only city, but it also has a vast rural hinterland stretching from Rockcliffe in the west to the outer edge of the Northumberland national park in the east. Although my constituency’s rurality and relative geographic isolation make getting to appointments challenging, getting an appointment at all is by far the greatest challenge.

As of October 2024, NHS North Cumbria’s waiting list stood at 43,000. As for the target of 92% of NHS patients being seen for elective treatment within 18 weeks, the rate was just 59%. However, in 2010, the figure was 93.5%. In 2010, public satisfaction with the NHS stood at 70%, the highest rate ever recorded. By 2023, it had hit an all-time low of 24%.

Let us remind ourselves of what happened between 2010 and 2024. First, as my hon. Friend the Member for Ashford (Sojan Joseph) outlined, we had the disastrous Lansley reforms—reforms that the King’s Fund described as a “major distraction” for the NHS. They caused huge, unnecessary upheaval and created an “unwieldy” structure with “fractured leadership”. On top of those reforms, the Conservatives led a decade of under-investment in our health service. Spending grew by just 2% a year in real terms between 2010 and 2019, well below the long-term average in England of 3.8%, which we had seen since the 1980s. That meant that when covid struck, the NHS was already severely constrained in what it could do. The result is that overall waiting lists have risen to three times their 2010 levels, and 18 weeks is now more like 18 months. That is the record after 14 years of the Conservative Government, and why I am relieved that our NHS is no longer in the Conservatives’ hands.

As the Prime Minister set out today, this Government have a plan. By creating millions of extra appointments, we will finally get to grips with our backlog and give back millions of people their lives and livelihoods. I am delighted that there is recognition of the importance of providing services close to people, which is vital in rural constituencies like mine. That, and the injection of £26 billion into the NHS, will make a real difference for millions of people across the country. We are already seeing that difference in Carlisle, with the approval of a new £12 million urgent treatment centre at the Cumberland infirmary, which is set to open by the end of this year.

I am also delighted that north Cumbria will be one of the beneficiaries of a new £45 million pot set aside to create health and growth accelerators. These will not just improve health outcomes locally, but research the most effective approaches to helping people back into work and to standing on their own feet. That is Labour’s plan in action. This Government will set the shattered bones of our NHS.