Keir Starmer
Main Page: Keir Starmer (Labour - Holborn and St Pancras)Department Debates - View all Keir Starmer's debates with the Cabinet Office
(2 years, 2 months ago)
Commons ChamberThank you, Mr Speaker. I could not make out whether that introductory noise was cheers or boos. [Interruption.] The trouble is, I do not know whether it is directed at me or the Prime Minister.
I join the Prime Minister in his comments about carers. Why did his Culture Secretary, who I think is hiding along the Front Bench, say that successive Conservative Governments left our health service “wanting and inadequate” when the pandemic hit?
Everybody knows that when the pandemic hit, it was an entirely novel virus for which the whole world was unprepared. Nobody at that stage knew how to test for it and nobody knew what the right quarantine rules should have been. But, as it happens, not only did the UK Government and our amazing NHS approve the first vaccine anywhere in the world but we were first to get it into anybody’s arms and we had the fastest roll-out anywhere in Europe, none of which would have been possible if we had listened to the right hon. and learned Gentleman.
I think the Prime Minister just agreed with the Culture Secretary. He did not deny it. Perhaps she said it because it is true.
It starts with GPs. People were unhappy with the service that they were getting before the pandemic—there were not enough GPs and it was too hard to get an appointment—and that is why he promised 6,000 new GPs, but his Health Secretary admits that he will not keep that promise. Despite the hard work of doctors, people cannot see a GP in person, and they are unhappier than ever with GP services. If GP provision was “wanting and inadequate” before the pandemic, what is it now?
I am afraid that the right hon. and learned Gentleman is simply wrong. He is wrong about what we are doing. Of course, we have got to clear the covid backlogs. Everybody understands that, and everybody understands the pressure that the NHS is under, but it is responding magnificently. I can tell him that, thanks to the investments that the Government have put in, we now have 4,300 more doctors and record numbers in training, we have 11,800 more nurses this year than last year and 72,000 in training. That is because of the investment that we put in, which was opposed by the Opposition. The only reason why we were able to make that investment is because we have a strong and robust economy thanks to the decisions we took.
The Prime Minister talks big but I have a letter here to the Prime Minister from the right hon. Member for Hereford and South Herefordshire (Jesse Norman) in which he said, “under you”—that is you, Prime Minister—
“the Government seems to lack a sense of mission. It has a large majority, but no long-term plan.”
The Prime Minister’s “big plan” act is so tired that even once-loyal MPs do not believe him.
It is not just about waiting for a GP appointment but waiting for all NHS treatment. Take cancer: for over a decade, waiting times for cancer care have been going up. The Prime Minister’s solution was supposed to be diagnostic hubs. The Health Secretary has been on a victory lap this week, but here is the rub: since those hubs were opened last year, 135,000 extra people are now waiting for scans and tests. Can the Prime Minister think of a better way to describe soaring cancer waiting lists than “wanting and inadequate”?
It is entirely right that, after the pandemic, people are now coming forward to get their cancer tests. We have actively encouraged that, and that is the right thing for people to do. But as a result of the community diagnostic hubs that we are bringing in— 100 of them across the country—we are able to cut the times for cancer diagnosis and help people to get their scans and tests faster. Above all, we can do that because we are hiring more radiographers, we are hiring more nurses and we are hiring more professionals in our NHS because of the investments that we made, which, as I say, the party of Bevan tragically opposed.
The problem is that the cancer waits have been going up for 10 years and they are even higher now, so blaming the pandemic just will not wash.
Perhaps the Culture Secretary was talking about the state of NHS buildings. Before the pandemic, the National Audit Office said that they were a risk to patients. The Government’s response: paint jobs and fix-ups, pretending that is the same as building new hospitals. The Treasury and the Cabinet Office apparently do not think the refurbs will even be delivered. Take University Hospital of North Tees: the ceiling is falling in, the roof leaks and staff have to hose down the pipes to stop them freezing over. Failure to fix “wanting and inadequate” NHS buildings is putting patients at risk, isn’t it, Prime Minister?
This line of criticism is satirical coming from Labour, attacking our hospital building programme when the Labour Government were the authors of the PFI scheme that bankrupted so many hospitals. [Interruption.] They were. What we are doing instead is building 48 new hospitals—[Interruption.] Yes, we are—thanks to the biggest capital investment programme in the history of the NHS. From memory, we put in £33 billion as soon as we came in, then another £92 billion to cope with the pandemic, plus another £39 billion in the health and care levy. Labour Members opposed that funding. They opposed the health and care levy. They do not have a leg to stand on. We are building the foundations of our health service’s future and they should support it. [Interruption.]
Order. Can I just say to both of you that you need to calm down? And there are two over here as well. The four of you could have a very nice cup of tea if you wish.
Oh dear. Prime Minister, dear, dear me. [Interruption.] Pretending no rules were—[Interruption.] He chunters on. Pretending no rules were broken did not work, pretending the economy is booming did not work and pretending to build 40 new hospitals will not work either. Conservative Members want him to change, but he cannot. As always with this Prime Minister, when he is falling short he just changes the rules and lowers the bar. In March, he proposed changing the NHS contract. He wants to double the length of time patients can be made to wait for surgery from one year to two years. On top of that, he scrapped zero tolerance of 12-hour waits at A&E. “24 Hours in A&E” used to be a TV programme. Now, it is his policy. Well, it is health week and he is telling all of them—[Interruption.]
Order. Mr Cleverly, we have a tea party gathering. I am sure you do not want to be part of it. I want to hear the question. The problem is so do our constituents. [Interruption.] I would not if I were you, and I think one or two of you might be going early. Look, I need to hear the question in the same way that I expect to hear the answer, so please.
Mr Speaker, I bet they wish they had been this organised on Monday.
It is health week and the Prime Minister is telling Conservative Members that he is going to turn over a new leaf, so why does he not start by scrapping his plans to green- light “wanting and inadequate” NHS standards?
I have to tell the right hon. and learned Gentleman that I just think this line of attack is not working—[Interruption.] It is not working because they refused to approve—[Interruption.]
Not only have we raised standards in the NHS, and not only are we reducing waiting times for those who have had to wait the longest, but more fundamentally, we are doing what the people of this country can see is simple common sense: using our economic strength to invest in doctors and nurses and get people on the wards, giving people their scans, screens and tests in a more timely manner and taking our NHS forward. We are on target to recruit 50,000 more nurses, thanks to this Government—[Interruption.] I am just going to repeat this, because the right hon. and learned Gentleman does not seem to have heard it so far—and thanks to the investments that the Labour party opposed. Perhaps he can explain why they opposed them.
Raising taxes because you have failed to grow the economy is not a plan for the NHS, and everyone sitting behind the Prime Minister knows it. Members of his Cabinet admit that the Conservatives left our health system “wanting and inadequate” when the pandemic hit. He has been in power for three years and things are getting worse, not better. There are fewer GPs, more waits for cancer tests, buildings are still crumbling and he is changing the rules to cover up his failure.
There is real human pain as a result. Today, I spoke to Hamza Semakula. He is 20 and plays semi-professional football for Hendon. He tore his anterior cruciate ligament earlier this year and, because of the two-year wait for surgery, he had to crowdfund for a private operation. I also spoke to Akshay Patel. Last year, his mother woke up unable to breathe. Akshay called 999 six times. In his last call, he said:
“I rang an hour ago for an ambulance as she had difficulty breathing, and now she’s dead.”
Even the Prime Minister must admit that Akshay, Bina and Hamza deserve better than a “wanting and inadequate” Government, utterly unable to improve our NHS.
I think everybody in the House has sympathy with Akshay and the other constituents, and their families, that he mentions. I share their feelings, but when we look at what this Government are doing— I must say this to the right hon. and learned Gentleman—we see that we are making colossal investments in our NHS. We are cutting waiting times, raising standards, paying nurses more and supporting our fantastic NHS. By the way, he continually came to this House—I will just remind him of this—and said that we had the worst covid record in Europe. It turned out to be completely untrue; he still has not retracted it. We can make those investments because of the strength of the UK economy, because of the fiscal firepower that we have to deploy. We have the lowest unemployment now since 1974 and we are going to continue to grow our economy for the long term.
The right hon. and learned Gentleman asks about the mission of this Government. It is to unite and level up across our whole country, to unleash the potential of our entire country. We have the biggest tutoring programme in history for young people and are raising literacy and numeracy standards for 11-year-olds from 65% adequacy to 90%—that is the highest objective that a Government could achieve. We are expanding home ownership, as the Secretary of State for Levelling Up, Housing and Communities and I will do for millions of people who currently do not have it—[Interruption.] No. We are cutting the costs of business to make this the enterprise centre of Europe. That is our vision, creating high-wage, high-skilled jobs for this country. As for jobs, I am going to get on with mine and I hope he gets on with his.