NHS Long-term Workforce Plan

Richard Fuller Excerpts

Monday 3rd July 2023 Commons Chamber

[Steve Barclay]

I think there is actually a lot of agreement between the hon. Lady and I. She talked about the plan, and having read it a number of times—that is part of my role—I know that childcare is specifically referred to in the summary, no less, in terms of the key issues that it goes on to set out. It goes into detail about our proposals, including linking up to the NHS people plan and greater flexibility in terms of roles and people retiring. One aspect of the NHS Staff Council deal is the expansion of pension abatement rules. So there is a huge amount.

The hon. Lady calls for more flexibility. I set out a number of the areas, and she does not seem to realise that there are three sections to the plan, with the second being all about giving greater flexibility to help retain our staff. So the plan addresses the points she raises; that just does not seem to be the answer she wants to hear. As for flexibility being important to mums, yes it is, and the NHS has a largely female workforce, but it is also important to dads. It is important to all NHS staff that we have that flexibility.

[Richard Fuller (North East Bedfordshire) (Con)]

The NHS today, at 1.4 million employees, is the fifth-largest employer in the world, and if the ambitions in this welcome plan are met, it will be the largest employer in the world. That raises the question of how effective the management of those human resources is. It is a little disappointing that there is so little commentary in the plan on two important management issues: the ambitions on improving the quality of management systems, and particularly clarification of decision rights and responsibilities; and the quality of accounting control systems and how the NHS seeks to improve them. Will my right hon. Friend ensure that the NHS looks at those two important matters?

[Steve Barclay]

Those are both fair points. I know that my hon. Friend comes at this with great commercial experience, and I hope he knows that I have an interest in those issues. Just to reassure him, the plan is iterative; it is not a one-off. It is a framework from which we will do further work. Indeed, one of the areas that I am often criticised for is my interest in data and variation in data across the NHS—he and I probably agree on that more than some of those who are critical. That speaks to his point—the Chair of the Health and Social Care Committee’s point relates to this—that in a system the size of the NHS, data on the performance of the integrated care boards and their role in terms of the workforce is one area that the House will want to return to.