Future of the NHS

Kim Johnson Excerpts

Tuesday 24th October 2023 Westminster Hall

[Kim Johnson (Liverpool, Riverside) (Lab)]

It is a real pleasure to serve under your chairship, Mr Pritchard. I thank my hon. Friend the Member for Wirral West (Margaret Greenwood) for securing this important debate and for her tireless defence of the NHS. This year we celebrate 75 years of the NHS. It is the greatest achievement of this country and of the Labour party: delivering a universal healthcare system based on need, not profit. We know the fight for this system is now existential. Thirteen years of austerity and the systematic defunding of public services have left our communities facing abject poverty and inequalities—conditions not dissimilar to those of the 1940s when the NHS was first introduced. Health inequalities are rampant and growing: children living in poverty are now diagnosed with Victorian diseases, life expectancy is falling for the first time in recent memory, children’s height is now reducing year on year, and chronic ill health, both physical and mental, is increasing. Systematic underfunding, private sector plundering, decades of privatisation via the back door and the fragmentation of diagnostics and treatment services have brought the NHS to its knees.

Before the NHS existed, there was a complex, fragmented and chaotic patchwork of services. This led to poor and inconsistent practices motivated by profit, rather than best practice. This is the direction in which many on the Government Benches are now pushing, with demands for a public-private partnership and insurance-based funding models—the privatisation of sections of the health service being touted under the guise of reform. It did not work then, and it will not work now. The evidence is clear: health services are of a better quality, more equitable and more cost-effective when nationally planned and provided by democratically accountable public bodies with expertise.

The hon. Member for Shrewsbury and Atcham (Daniel Kawczynski) has talked about the benefits of the private sector. I want to point out that Carillion, which was building an NHS hospital in Liverpool, went bust. This had a significant impact on the delivery of services to my constituency of Liverpool, Riverside.

We must repeal the Health and Care Act 2022 and reverse and eliminate the US-style integrated care systems which enable corporate influence over policy and profiteering, at the expense of patient care and workers’ pay. We must tackle health inequalities head on and push back attempts to establish a two-tier health system, which would only entrench these inequalities yet further. We must completely abolish the private sector in the delivery of NHS services and instead restore much needed funding levels, with a serious programme to recruit and retain the staff needed to end the exodus of NHS staff.

Only with this bold action to restore the fundamental model of the NHS—universal provision free at the point of need—can we once again make the NHS a world-leading institution. I will end by thanking all the hard-working staff across the NHS services in my constituency of Liverpool, Riverside.