Building an NHS Fit for the Future

Rachel Hopkins Excerpts

Monday 13th November 2023 Commons Chamber

[Rachel Hopkins (Luton South) (Lab)]

It is a pleasure to speak in today’s King’s Speech debate on getting the NHS back on its feet. It is clear that the country is crying out for change. We do not mean bringing back one of the architects of austerity, who started 13 years of failure on his watch, to try to help a Conservative party that is out of ideas and has given up on governing. We are seeing stagnant growth, skyrocketing mortgages, crumbling schools and hospitals, and a cost of living crisis, yet the Government’s agenda includes no meaningful action to deal with the past 13 years of failure.

Only Labour is offering true change—a decade of national renewal to overcome the Conservative party’s national decline—with unshakeable commitments to driving economic growth, safer streets, cheaper home-grown British power, better opportunities for all and a rejuvenated NHS. What working people deserve is a good job, a secure home and a safe community. The cornerstone of a good life is our and our family’s health, and at the heart of that is our NHS. This example of socialism in action is the jewel of the British crown, and a proud creation of the post-war Attlee Labour Government. However, that creation has been pushed to breaking point by the Conservatives as the health service is short of 125,000 staff; patients are waiting longer than ever for operations, in A&E or for an ambulance; and NHS staff are forced to use outdated, creaking equipment, which means longer waits for patients. The answer is not to sack healthcare workers by introducing minimum levels of service on strike days.

It is clear that only Labour can rescue the NHS from the biggest crisis in its history, get it back on its feet and make it fit for the future. We can see that already, with the welcome announcement that the Conservatives are finally adopting our plan to train the doctors and nurses the NHS needs. The Secretary of State could have included a few more of our ideas in the King’s Speech, beginning with our plan to provide 2 million more appointments, to be funded by abolishing the non-dom tax status. We would also arm NHS staff with the latest cutting-edge technology and equipment and support more care in the community so that patients are not stuck in hospital. A Labour Government will ensure that the NHS is there when people need it, from cradle to grave in a fairer Britain, allowing everyone to live well for longer.

The King’s Speech sadly confirmed that the Conservatives have shelved the much-needed reform of the Mental Health Act, breaking their 2019 and 2017 manifesto pledges. Rightly, the absence of Mental Health Act reform has been heavily criticised by social work and health leaders and by mental health campaigners. We need a prevention-based approach whereby people can access mental health support in the community when they first need it, rather than having to wait until they reach crisis point. That is why a Labour Government would recruit 8,500 more staff to expand access to talking therapies and cut waiting times. We would provide mental health support in every school and an open-access mental health hub for children and young people in every community. We would fund that by closing interest-tax loopholes and charging VAT on private schools. Accessible and timely mental healthcare is vital to the creation of a healthy society.

Let me take this opportunity to give credit to Luton Borough Council’s 2040 vision: a plan to create a healthy local community in our town, to improve population wellbeing, and to enable everyone to have a good quality of life and reach their full potential, as part of a commitment to become a Marmot town by tackling health inequalities with action on the social factors that impact health. That means embedding health across all policy areas. The covid-19 pandemic further highlighted and exacerbated many health challenges, and widened inequalities that affect health, such as education, housing and employment.

The Government’s 13 years of failure have had a substantial impact on working people’s lives in Luton. Under this Conservative Government, people are struggling to afford to meet their most basic physical needs—to stay warm, dry, clean and fed. How can the UK have a healthy society when the Conservatives are failing to ensure that people have the basics? People deserve the security and opportunity to get on in life, and a good job is an important part of a healthy life.

The Government need to recognise that they are failing to break down the barriers that prevent people from re-joining the workforce. One in seven people in England are waiting for NHS treatment; unaffordable childcare costs are locking parents out of full-time work; the number of young people out of work due to ill health has nearly doubled in a decade; and only one in 10 older or disabled people has had any support to find work. Labour will tackle the root causes of economic inactivity by driving down NHS waiting lists, reforming social security, making work pay and supporting people into good jobs across every part of the country.

A secure home is essential to a healthy life, but the King’s Speech does nothing to tackle the housing emergency in Luton and across the UK. There is no sign of local housing targets or the reform needed to our planning system. Homeowners face eye-watering mortgage rates, young people are struggling to get on the housing ladder, and the dream of home ownership has been snatched away for so many who are stuck paying unaffordable private rents. Labour’s plan for secure homes, including council housing, will put an end to the Conservatives’ housing emergency.

This is the Prime Minister’s first King’s Speech and, much like his predecessors, he has nothing to offer the country other than division and more of the same. Labour has a plan to rebuild Britain and our public services. We respect and understand the effort that millions of people put in every day. They deserve better from politics and government, and they will get it from the next Labour Government’s King’s Speech.