Future of the NHS

Marie Rimmer Excerpts

Tuesday 24th October 2023 Westminster Hall

[Ms Marie Rimmer (St Helens South and Whiston) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Pritchard. I pay tribute to my hon. Friend the Member for Wirral West (Margaret Greenwood) for securing this vital debate today. I also wish to pay tribute to all those who work in St Helens South and Whiston hospitals and those who work in social care for St Helens Borough Council, as well as all the other agencies—police, housing—involved in our health and social care integrated service.

Our NHS is struggling: waiting lists are far too long; cancer survival rates are too low; and too many patients are kept in hospital when they could be, and want to be, at home. None of that can be fixed unless the NHS and social care is staffed to adequate levels. Right now that is not the case. Far too many medical professionals who are trained here are leaving the service. Not enough doctors and nurses are being trained here at home. That is a problem not just for recruitment but for retention.

Recruiting new staff is not good enough if the experienced are leaving. That is true of most professions, yet for some reason the Government are not doing more to retain the skills and expertise we so badly need. It takes years to train a doctor. Once they leave the NHS, they take their years of training and expertise with them. Instead, the Government try to plug the gaps by spending £3 billion a year on temporary or agency staff. A short-term solution to a long-term problem does not work. The UK is left with fewer practising physicians and nurses per person than the EU average.

One way the Government are attempting to fill the gap is by hiring physician associates, who are expected to perform duties similar to a doctor’s without the required training. Physician associates are not empowered to prescribe, so doctors are charged with the duty of prescribing for the patients. That is one of the many problems that our NHS faces caused by the workforce crisis. The remedy to the crisis is a two-pronged approach. First and foremost, the number of medical school places needs to be dramatically increased. The same needs to be done for nursing and midwifery clinical placements. The only sensible and viable long-term solution to the NHS staffing crisis is to train more homegrown professionals and to value them. Medical school placements need to be prioritised in current understaffed areas to help reduce the health inequality that exists across our country, which covid tragically put a spotlight on. Any long-term NHS workforce strategy needs to address that issue.

The second part of the approach needs to be retention. There is no better short-term solution than to keep as many trained medical professionals in the NHS as possible, yet this is more than just a short-term solution. Keeping experienced and skilled staff in the NHS helps us both now and in the future, and is about more than simply money. The general working terms and conditions, whether that is work-life balance, job flexibility or pension allowance, need looking at.

Yes, it costs money to improve the living standards and working lives of our medical professionals. What costs more money is having to recruit temporary or agency staff to plug the staffing gaps and losing the existing expertise in the workforce. What costs more money is having to send patients to private appointments due to lack of NHS staff.

Our doctors deserve respect. The title “junior doctor” can be misleading to the public. Junior doctors are trained professionals who could have 10 years, or up to 20 years, under their belts. The term “junior doctor” does not give doctors the respect they deserve with their skills and experience. Adopting the use of “postgraduate doctor” or another term would be more befitting and give doctors more of the respect they rightly deserve. The Government should be speaking to those doctors to find out how to improve their working conditions.

Believe me, I was horrified when I learned of the working conditions, and I thought I knew quite a bit about health. In some hospitals, the NHS staff—doctors—are lucky if they have a mess like a sixth form might have. Surely our doctors are worth more than that. Solving the NHS workforce crisis cannot just be a one-off solution. There needs to be continuous assessment of our future needs as a country, so we do not find ourselves in this situation again.

It takes years to train medical professionals, so the Government must plan continuously and years in advance. That is what a Labour Government will do; Labour will provide the short-term solutions along with a long-term strategy to ensure our NHS is never in the state that the current Government have driven it to. Looking after the health of the nation must be the top priority of any Government; looking after the health and wellbeing of all NHS staff is simply a must.