Health and Social Care

Matt Hancock Excerpts

Thursday 16th January 2020 Commons Chamber

[Jonathan Ashworth]

I am afraid that on this occasion I will not, because many Members want to make maiden speeches. There is nothing worse for a Member waiting to make a maiden speech than seeing the time ticking down because Front Benchers are taking lots of interventions.

[The Secretary of State for Health and Social Care (Matt Hancock)]

You know you’re talking rubbish.

[Jonathan Ashworth]

I will tell you who was talking rubbish, Mr Deputy Speaker: the Secretary of State when he said at the general election that he was delivering 50,000 extra nurses. That is why he avoided Piers Morgan during the election campaign. I do not know why the Secretary of State avoided Piers Morgan—he is a pussycat. I went on Piers Morgan’s show every week; why did the Secretary of State not go on?

I will give way once more, and then if Members will indulge me, I will not give way again, because a lot of Members want to make their maiden speeches in the debate.

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[The Secretary of State for Health and Social Care (Matt Hancock)]

This Queen’s Speech has health and social care at its heart. For the first time in the history of the NHS, we will enshrine in law our long-term funding settlement. Yesterday we brought forward the NHS Funding Bill, which makes a record financial commitment of £33.9 billion more each year—the largest cash injection since the NHS was founded. It will enable us to go further and faster in delivering better health and social care in this country over the next decade. We are already delivering on this Queen’s Speech. We are already delivering on our manifesto, and this Queen’s Speech sets out how we will deliver on the rest of our manifesto. How many new hospitals will there be over the next decade? Forty! That was even mentioned by the hon. Member for Leicester South (Jonathan Ashworth).

[Robert Halfon (Harlow) (Con)]

Will the Secretary of State give way?

[Matt Hancock]

I give way immediately.

[Robert Halfon]

I am delighted that my right hon. Friend has mentioned new hospitals because we have a new hospital coming in the Harlow constituency. Does he not agree that that shows the level of investment that this Government are putting into our national health service? Will he set out the plans for our new hospital—not a rebuild, not a reconfiguration, but a new hospital for Harlow?

[Matt Hancock]

That is right, and of those 40 new hospitals over the next decade, one of the very first will be in Harlow. I pay tribute to my right hon. Friend, who has been a champion of Harlow for the last decade and has championed the need for a new hospital in Harlow. I am working very closely with the Harlow trust to make sure that that new hospital delivers what is needed for the people of Harlow. I very much look forward to working with him, and perhaps even being invited to cut a ribbon in due course.

[Mike Amesbury (Weaver Vale) (Lab)]

The reality on the ground in the Halton part of my Weaver Vale constituency is somewhat different. Twice the Halton hospital campus has been turned down for capital investment. If the Secretary of State is true to his word on delivery for northern constituencies such as mine, will he please meet me? Let us have some progress there.

[Matt Hancock]

I am very happy to meet the hon. Gentleman. As well as the new hospitals, we also have upgrades going on that are very important. Some hospitals need to be completely rebuilt, we need some that are completely new and we also need to upgrade some. I am very happy to take that forward.

[Steve Brine (Winchester) (Con)]

On the subject of the Secretary of State being true to his word—I welcome him back to his place—he will remember being robustly challenged on the NHS pensions issue when he came to Winchester hospital during the campaign. Can I thank him for what appears to be a very positive response to that conundrum, as reported this morning, and can I urge doctors’ leaders to recognise a compromise when they see one? However, does he recognise that there is a big job to be done now in rebuilding rotas? That could really have an impact on patient care in Winchester and across England.

[Matt Hancock]

It is good to see that the hon. Member for Weaver Vale (Mike Amesbury), having got the commitment to a meeting, is off—he’s done! That was quick. My right hon. Friend the Member for Harlow (Robert Halfon) is still here, but that is because there is so much more good news to come, and I am sure he wants to hear it.

The point about doctors’ pensions is very important. We have already delivered on the commitment in the manifesto to start a process to end the problems caused by the interaction of tax laws passed in the last Parliament but one and the NHS pension scheme. My hon. Friend the Minister for Health met Treasury Ministers, the royal colleges, the British Medical Association, NHS Employers and others to kick off this process, and we are working on it very urgently.

I absolutely take the point made by my hon. Friend the Member for Winchester (Steve Brine) that, as we resolve the tax issue, we also need to rebuild the rotas that have been reduced because of the high marginal rates of tax. I urge each and every NHS hospital to play its part in putting that right.

[Mr Steve Baker (Wycombe) (Con)]

I was a bit disappointed that the Secretary of State does not plan to build a new hospital in Wycombe, but I am glad to say that there is an opportunity to invest in a transformational digital project, bringing together healthcare, social care and council services. Does he agree with me that transforming the NHS, social care and council services for the 21st century is about more than buildings, and that we do need to put such resource into digital?

[Matt Hancock]

I was going to come on to that later in my speech, but my hon. Friend is absolutely right. I had an excellent visit to Wycombe during the general election campaign. He has a brilliantly led local hospital that is working incredibly hard. The use of modern technology is a critical part of the agenda for bringing forward the NHS. To make sure that we can address patients’ concerns and do more work more effectively, the technology has to work for the clinicians so that they can do their jobs better.

[Several hon. Members rose—]

[Matt Hancock]

I will continue to take some interventions, if the House will allow me, and then make some progress.

[Ben Everitt (Milton Keynes North) (Con)]

The Secretary of State is being very generous in giving way a number of times. I would like to thank him for his visit to Milton Keynes, and for his commitment to investing not only in extra capacity but in infrastructure improvements in our hospitals. Is he aware of the radiology and radiotherapy treatment situation in Milton Keynes, with patients having to travel to Oxford, temporarily, to receive their treatment? That is not the best situation for those patients. Is he aware of the situation?

[Matt Hancock]

I am, because Milton Keynes’s new MP has already been working with me to bring this concern to light. I can inform him that the new cancer unit will be handed over to Milton Keynes hospital at the end of next week. That problem is indeed temporary and it is being resolved, very much thanks to the hard work of the new MP for Milton Keynes.

[Sir Mike Penning (Hemel Hempstead) (Con)]

I thank the Secretary of State for his meeting the other evening. I am sure my right hon. Friend the Member for Harlow (Robert Halfon) is thrilled that he is one of the six to get a brand-new hospital.

In south-west Hertfordshire, as the Secretary of State knows, we are not happy about having a hospital in the middle of Watford, next to a football stadium. It is not right for my constituents or for many constituents of Members in the Chamber today. The Secretary of State has committed to me privately to look at whether we can have a new hospital elsewhere, and I know there is a review going on about the funding and how much that would cost. Would he like to reiterate that at the Dispatch Box?

[Matt Hancock]

Yes, we are doing that work to make sure that, as we pump hundreds of millions of pounds into Hertfordshire to improve its healthcare, we get the exact locations right. I look forward to working with my right hon. Friend on that.

[Sir John Hayes (South Holland and The Deepings) (Con)]

I am extremely grateful to the Secretary of State for giving way, and I know he will move seamlessly from new hospitals to new treatments. I have rushed here from a reception being held today in the House on the subject of tinnitus. Tinnitus affects numerous constituents of his and mine and people across this country, and it is urgent that we do more research and put more funding into the subject.

Will the Secretary of State give me news that I can rush back to the reception with—I am hosting it, while simultaneously being here—thereby giving good news to hundreds of thousands of our constituents?

[Matt Hancock]

I think that is an early warning that my right hon. Friend is going to leave immediately after his intervention. He is quite right to raise the subject. We are increasing the research budget, and I very much look forward to working with him on making sure that that research goes where it is needed. I am very happy to look specifically at the case for increased research funding for tinnitus and to work with him on it. If he were to meet the Lords Minister, who is responsible for the research budget, that would be the most productive way to take this forward.

[Sir Oliver Heald (North East Hertfordshire) (Con)]

Does the Secretary of State agree with me that, in Hertfordshire, we have been fortunate to have extensive funding for new facilities at the hospital in Stevenage? Of course, my constituents further south also benefit from the improvements at the Princess Alexandra in Harlow. However, one thing that would help to relieve the hospitals of some of their burden would be to have more NHS hubs for social care and health together—that is, of course, for primary care. Does he agree with that, and is he able to say any more about Royston, which I have discussed with him in the past?

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[Matt Hancock]

Yes, I hope that we can make some progress on Royston, because Royston is an example of how the NHS needs to be formulated more in the future. The NHS needs to be both more specific and more local—more specialist and more local—with the high-quality, specialist, cutting-edge technologies in the most specialist of centres, such as the tertiary hospitals of this country. At the same time, it needs to get those services that can be as close to home as possible as close to home as possible, using the best of modern technology to be able to do it. That means that hubs that are somewhere between primary and secondary care are the future, because so often someone can go and have a scan at a hub and the scan can then be interpreted off-site in one of the specialist centres, which means that the patient does not have to travel as far. For instance, especially for an elderly patient, it can be incredibly helpful to be able to go just to the local health hub or walk-in centre to have such a diagnosis.

That is the future of the NHS: more local and more specialist at the same time. It is one of the reasons why I am such a fan of community hospitals, for instance. This is about making sure that we support the NHS where people live, and that we end the generation of putting more and more services into the really big hospitals and sucking them out of local community services. I will end that sucking out of local services, and in fact I will put more into local communities. I have talked about the technology agenda; one thing technology can do is empower the movement of the NHS to local communities. It is incredibly important that we do that.

Let me make some progress, Mr Deputy Speaker, in case you are unhappy with the amount of time I am taking. I mentioned that we will be having 40 new hospitals over the decade, and we will also have—how many more nurses? Fifty thousand more nurses! We will have 6,000 more doctors in primary care, and 50 million more GP appointments. In response to a point raised by the shadow Secretary of State, this Government will deliver on their promises. Given our ageing population, there is record demand on the NHS. I want to thank each and every one of the 1.4 million colleagues who work in the NHS, and the more than 1 million people who work in social care. We must support those people so that our health and care systems are always there for each and every one of us. With this Queen’s Speech, we will do that.

The Queen’s Speech commits us to six major legislative reforms that will help us to ensure the NHS is set fair for the future and underpin our priorities across health and social care. The top priority is people. The NHS is nothing without the people who work in it, and as demand increases, we need more people—more GPs, more nurses, more mental health staff, and others—all better trained and better supported by the best technology. They must be better cared for by their employers, and work to the top of their capabilities—that is incredibly important, and we must get the most out of people. For instance, pharmacists can do so much more than the current contract allows, and I want them to do much, much more.

[Bim Afolami (Hitchin and Harpenden) (Con)]

Does the Secretary of State agree that this is not just about having more GPs, although we do need that, but about the way GP practices work, with managers using technology and other things to manage the demand for GP services? Will the Secretary of State further set out his plans in that regard?

[Matt Hancock]

My hon. Friend is dead right. Pharmacies should be doing more to keep the pressure off GPs, because they are in the community and more accessible, and within a GP surgery not everything needs to be done by the GP. We are expanding the number of GPs by 6,000 over this Parliament, and increasing by 26,000 the number of other clinicians who work in primary care, supporting GPs. When someone goes to their primary care practice, they might see the GP, a practice nurse, a pharmacist, a physio or a geriatrician. The boundary that has existed since Lloyd George between primary and secondary care, where someone either sees a GP or goes to hospital, needs to become more porous so that we can have that care where it is right for patients.

My next point is that prevention is better than cure. Expanding primary care, allowing pharmacies to do more, growing our community teams—that is about driving prevention. My third priority is technology. That is not just because we stand at the cusp of a health tech revolution that has the potential to transform healthcare for the better, but because the first task is to drag the NHS out of the 20th century and into the 21st.

The next priority is infrastructure, much of which we have already started to discuss. Buildings have to be expanded and improved, and while we do that expansion, with upgrades to the 40 new hospitals, we will also repair the damage done by those terrible private finance initiative deals that have hamstrung hospitals—deals struck by the hon. Member for Leicester South and his friends: Mr PFI himself. When we hear from him about the challenges that the NHS faces, everyone should remember with every word he says that he was at the heart of the Treasury that was driving PFI, which has caused so many problems across our national health service. Our plan is for a more integrated NHS, with a culture that gives patients more control over their healthcare, and colleagues more control over their work.

[Jonathan Ashworth]

The Secretary of State is so pleased with himself and that attack line, he really is.

[Jonathan Ashworth]

The hon. Gentleman says that he has good reason to be. I was at the Treasury as a young man in my twenties, signing off paper, when the Secretary of State was at the Bank of England, so by his logic, he would have been putting up interest rates for hardworking families. I was at the Treasury, but I was not responsible for any PFI contract. If he is going to say that I was responsible for every decision made by the Treasury when I was there in my mid-twenties, I will take responsibility for giving the NHS the biggest cash boost in its history, which meant the shortest waiting lists. That is a record I am proud of; that is a record he has not been able to match.

[Matt Hancock]

The cash boost that we are giving now is bigger. I think today is the anniversary of Prime Minister Tony Blair sitting on the couch of a TV show, talking about increasing funding for the NHS, which was opposed by Gordon Brown, who was Chancellor of the Exchequer at the time. We will not take any lectures.

I am thrilled that the public comprehensively rejected the Labour party’s baseless scaremongering, which was repeated through the election campaign and worried some of the most vulnerable people who rely on our NHS. I lost count of the number of times I had to debunk some politicised nonsense put about by the Opposition across the country because they had nothing positive to say. The hon. Member for Leicester South was at it again yesterday and in his speech. He said that the settlement in the NHS Funding Bill is a cap, although clause 1 states that it is a minimum. Clause 1(1) states:

“In making an allotment to the health service in England for each financial year…the Secretary of State must allot an amount that is at least the amount specified”.

Did the hon. Gentleman even read the Bill? Did he get to clause 1? I am not sure he bothered reading it.

Let us look specifically at the amendment. It calls for reform of social care and for the Government to bring forward a plan, and that is precisely what the Queen’s Speech provides for. It also calls for additional funding for the NHS, which is what we are legislating for. The long-term plan is fully funded by the largest cash injection in the history of the NHS, and I urge Members across the House to support it fully. We can only fund the NHS with a strong economy, and that is exactly what we will do.

[Mr Harper]

The Secretary of State will have heard my earlier exchanges with the shadow Secretary of State, which I hope were helpful. He will be aware that more than half the budget for adult social care in England is spent not on older people but on those of working age, as we try to enable people to be more independent and to work. Will he confirm that the social care plan that he plans to discuss with other parties, and which he will bring forward this year as the Prime Minister committed to do, will cover older people and those of working age, and will probably entail different solutions for those two groups?

[Matt Hancock]

The proposals that we are working on include solutions for the provision of social care for older and retired people as they decline in the later years of their lives, and for people of working age. Part of the point about consensus building is that we must be open to options and look right across the piece. It was a disappointment that the Labour party proposals that came out in the autumn only covered older people and not working-age adults, and that point must be addressed. I hope we can do that in a spirit of cross-party discussion, and that those on the Opposition Front Bench will engage positively with that. We will engage right across the House when trying to bring forward a solution.

[Kate Green (Stretford and Urmston) (Lab)]

A few moments ago the Secretary of State spoke about scaremongering. Has he had a chance to look at early-day motion 56, which highlights one group of patients who are scared? Pregnant migrant women face charges for their maternity care, and it is believed that two or three women might even have died as a result of their fear of going for treatment, because they did not know how to pay for it. Will the Secretary of State consider suspending those charges and conduct a proper review of the public health impact of that charging regime?

[Matt Hancock]

I will have a look at that early-day motion. This is an incredibly important subject that we must get right. Of course it is fair for those who use the NHS to make a contribution to it, and we have made changes to ensure that those who give birth get the support they need. The point I think the hon. Lady is making is not only about the exact details of the rules, but ensuring that people are not put off because of a concern about what the rules may be. I am very happy to take up that point. On social care, I hope we can reach a broad consensus.

[Barbara Keeley (Worsley and Eccles South) (Lab)]

I want to give the Secretary of State a chance to be clear, following on from the question from the right hon. Member for Forest of Dean (Mr Harper), about what he intends to do. The Secretary of State will know that I raised with him, on the day of the previous Queen’s Speech in October, that we would be willing to sit down and talk about this issue. Three months have been lost with nothing happening. All we hear from the Prime Minister is that something will happen in this Parliament. Why does he not use this chance at the Dispatch Box to say where the plan is. We have proposals. Where is his plan? When is he going to produce it?

[Matt Hancock]

The Minister for Care, my hon. Friend the Member for Gosport (Caroline Dinenage), wrote to the hon. Lady after the election and has not had a reply. We are up for this conversation. The Prime Minister has been absolutely clear. We hope we can do it in a spirit of cross-party consensus. I hope we can have an approach to the health service that has some consensus. The truth is that I like the shadow Secretary of State. His politics are quite close to mine, although I do not agree with his approach on PFI. There has been good news for both of us recently. Both of us got the election result we wanted. [Laughter.] I did not want Jeremy Corbyn to be Prime Minister and we discovered from the hon. Gentleman’s friends that neither did he. So let us go forward in a spirit of as much co-operation as possible.

Let me, if I may, go through each of the six measures in the Queen’s Speech in turn. In addition to the NHS Funding Bill we announced yesterday, there will be our long-term plan Bill. The plan, created in consultation with NHS colleagues, sets out how the NHS will improve the prevention, detection, treatment of and recovery from major diseases including cancer, heart attack and stroke.

[Henry Smith (Crawley) (Con)]

Blood cancer is this country’s fifth-most common cancer and the third-biggest cancer killer. May I have assurances from my right hon. Friend that that will also be a focus in the long-term plan on the cancer strategy?

[Matt Hancock]

Yes. My hon. Friend has been an assiduous campaigner to make sure that blood cancers are right at the top of the agenda. It is an incredibly important subject and it is very much in the long-term plan. We have managed to increase the survival rate faster than most countries in Europe for most cancers. We need to keep that drive going forward.

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[Mr Deputy Speaker (Mr Nigel Evans)]

Before the Secretary of State answers that, may I just gently remind him that 40 people are trying to get in? It would be generous if he could at least keep that in mind as he takes interventions.

[Matt Hancock]

I will rattle through as fast as I can, Mr Deputy Speaker, but I also want to take as many interventions as I can, if that is okay. [Interruption.] No, okay, no interventions. That is an unusual request from the House, if I may say so. [Laughter.]

Putting social care on a sustainable footing, where everybody is treated with dignity and respect, is one of the biggest challenges we face as a society. The Prime Minister has said that we will bring forward a plan for social care this year. These are complex questions and the point my hon. Friend raises is very important.

The draft legislation on the long-term plan Bill aims to help us to: speed up the delivery of the long-term plan; reduce bureaucracy; and help to harness the potential of genomics and other new technologies. I hope the House will support it.

The third piece of proposed legislation is the medicines and medical devices Bill. We are at an important moment in the life sciences. This country can and will be at the forefront as the NHS gets access to new medicines and new treatments earlier, so patients can benefit from scientific breakthroughs sooner.

[Liz Twist (Blaydon) (Lab)]

During the election campaign the Prime Minister promised a member of the public that the Government would look into the availability of Kuvan. Kuvan has been available for the treatment of PKU for 11 years. Will the Secretary of State commit to ensuring that that drug becomes available?

[Matt Hancock]

I can tell the hon. Lady that since the election I have been working on precisely that. I am very happy to meet her to see whether we can make a breakthrough.

[Mike Wood (Dudley South) (Con)]

Increasing microbial resistance could have a devastating effect on the survival of people with sepsis. How will the medicines and medical devices Bill help to support new treatments to reduce antimicrobial resistance and support alternative ways of tackling infection?

[Matt Hancock]

The medicines and medical devices Bill is designed to make it easier for hospitals to take part in trials of cutting edge medicines, including personalised medicines, and allow us to be a part of an internationally competitive licensing and regulatory regime. This is all to improve patient safety right across the board. It is not condition-specific; it is right across the board.

Fourth is patient safety reform. Here, I want to pay tribute to my predecessor, my right hon. Friend the Member for South West Surrey (Jeremy Hunt), for his work on patient safety. The Health Service Safety Investigations Bill was introduced in the House of Lords in the previous Parliament to improve patient safety and create a learning culture across the NHS. We will bring forward those proposals.

[Duncan Baker (North Norfolk) (Con)]

I thank the Secretary of State for giving way and for visiting me on my campaign to become the newly elected Member for North Norfolk. On patient safety, the wonderful constituency of North Norfolk has the oldest constituency demographic in the entire country and the worst ambulance response times in the beautiful picturesque town of Wells. We recently learned that the nearest hospital, the Norfolk and Norwich University Hospital, has the worst accident and emergency unit. I think these matters are linked. Will my right hon. Friend commit to meeting me urgently to discuss these really serious matters?

[Matt Hancock]

Yes. I would be very happy to do that. I was struck by my hon. Friend’s enthusiasm for solving this problem when I visited during the election campaign. The problem is absolutely linked. The inability of ambulances to get off the ramps, so to speak, at the Norfolk and Norwich, is causing problems for ambulance response times. Many other hospitals have cracked this problem. I look forward to working with him and the Norfolk and Norwich, along with other local MPs whose constituents are affected, to try to solve that problem.

[Sammy Wilson (East Antrim) (DUP)]

May I first welcome the announcements the Secretary of State is making today? One of the benefits of being a part of the Union is that Northern Ireland, through the Barnett consequentials, will benefit from the huge influx of money into the health service. Northern Ireland has one of the longest waiting lists and we need many reforms to our health service. What work will he do with the newly appointed Minister in the Northern Ireland Assembly to ensure that the money is used effectively when it comes to the Northern Ireland Executive?

[Matt Hancock]

I look forward very much to speaking to and working with the new Health Minister in Northern Ireland. I am delighted that there is a ministerial team in Northern Ireland and I pay tribute to everybody who has worked so hard to make sure that that can happen. The right hon. Gentleman is right that the funding will increase. There are significant challenges in Northern Ireland, about which he knows all too well, and I look forward to trying to resolve them. The truth is that in Northern Ireland the number of people waiting more than a year for an operation is 10 times higher than in England, despite the much smaller population. It is four times higher in Wales, despite the fact that the Welsh population is smaller. We have to solve those problems and I look forward very much to working collaboratively across the Union to make sure that they are resolved.

[Sarah Atherton (Wrexham) (Con)]

Many patients from north-east Wales attend hospitals over the border in Oswestry, Chester and Liverpool for general and specialist care. Last year there was a disagreement between the Welsh Labour Government and the Countess of Chester Hospital over paying for that care, and subsequently care treatment was delayed or cancelled as a result. Can the Secretary of State reassure the House that he will speak to the Welsh Labour Government to avoid a recurrence of that situation?

[Matt Hancock]

Absolutely. I am glad that we resolved the problems with the Countess of Chester Hospital serving patients who live in north Wales. I know that part of the world well, not least because I was born in the Countess of Chester Hospital and, for the first 18 years of my life, lived but a mile from my hon. Friend’s beautiful Wrexham constituency—I travelled through it every day on my way to school—so I know these cross-border issues intimately. It is ridiculous that we reached a position where the Countess of Chester Hospital was unable to take patients from north Wales because the Welsh NHS was unwilling to pay the relevant costs. We reached a good compromise, and we must ensure that it keeps working so that the problem does not happen again.

I will turn briefly to the fifth and sixth measures, Mr Deputy Speaker, which are very important. The fifth measure is mental health reform. Throughout the entire history of healthcare, mental health has been seen, treated and organised on a different basis from physical health. That is wrong. Over my generation the attitude that society takes towards mental health has fundamentally shifted. We are not there yet, but our mental health and physical health must be seen on an equal footing, and mental health must be treated as seriously as physical health.

As Health Secretary, I have made mental health a priority. Within the £33.9 billion of additional funding, mental health funding is increasing the fastest. We have a plan to improve mental health services across the nation. Just this week we opened a new gambling addiction clinic in Sunderland, and we will have 13 more across the country, in recognition of the unmet demand in our society. I fully support Claire Murdoch, the NHS mental health director, in her call today for gambling firms to act responsibly and prevent the loss of life.

We are making progress in how we treat all forms of mental ill health, but the legislation for mental health was written for a previous generation and we must bring it into the 21st century. The Mental Health Act 1983 is nearly 40 years old, and some of our legislation is still shaped by 19th-century views of mental illness. It is badly in need of modernisation. It is paramount that we ensure that people have greater control over their treatment, and that everyone receives the dignity and respect they deserve. We must get the legislation right. I pay tribute to Sir Simon Wessely for the work that he has done to set the parameters. We will publish a White Paper within months and then bring forward a new mental health Bill.

I want to say a word about the law governing the care of people with autism and learning disabilities, which concerns some of the most vulnerable people in our society. Again, parts of the law are antiquated. We are looking at this alongside the work on the Mental Health Act to ensure that the systems are appropriate and co-ordinated.

These are the six health and social care measures in the Queen’s Speech. It is central to this Government’s priorities that we meet the public’s expectations and deliver on our commitments. This Conservative Government made clear and solemn commitments in our manifesto. People in their millions placed their trust in us, many for the first time. People have entrusted us with the future of the NHS, and we will deliver on that trust.

[Sir Charles Walker (Broxbourne) (Con)]

Will my right hon. Friend give way just before he finishes his speech, because he is such a good egg?

[Matt Hancock]

I do not know how my hon. Friend knew that I was about to finish.

[Sir Charles Walker]

I thank my right hon. Friend for giving way, and I am sorry for arriving late in the Chamber, Mr Deputy Speaker. First, I thank my right hon. Friend for his action on mental health, which is fantastic news. Secondly, can we look at smoking cessation and public health? Smoking is simply an appalling thing to do. There are many products now on the market and we need to look at their efficacy, to see whether we can move people from smoking lit tobacco to a pathway to zero tobacco.

[Matt Hancock]

I want to see a pathway to zero tobacco too. I pay tribute to my hon. Friend for the work that he has done to draw attention to mental health and to change the national conversation about it, and indeed the global conversation.

We must meet each and every one of the commitments we made in our manifesto, because we are the party of the NHS, and that is the way it is going to stay.

[Several hon. Members rose—]