New Hospital Programme Review
Stella Creasy Excerpts(1 week ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Wes Streeting
We recognise the challenge of RAAC in the Queen Elizabeth hospital in King’s Lynn, and took that approach from the outset. I can confirm that the programme will start construction in 2027-28. It is due to complete in 2032-33 but will be prioritised for expedition as a RAAC scheme. If we can go faster, we will. Today I am setting out a credible timetable. If we are able to under-promise and over-deliver, I will be delighted, but I reassure the hon. Gentleman that we are going as far and as fast as we can, given the safety challenges. If he is not happy with the pace, he should reflect on the fact that one of the local MPs was a former Prime Minister. She had the chance to get on with it. I hope I do not get a legal letter, but she did not deliver, did she?
Ms Stella Creasy (Walthamstow) (Lab/Co-op)
For nearly 25 years, I have been part of campaigns to either save or rebuild Whipps Cross hospital. For the last 10 years, I have stood shoulder to shoulder with the Secretary of State, so I know—let me put this on the record for him, because he cannot say it—his pain and frustration that we are now talking about eight years to restart the building works that have already started at Whipps Cross, and which will finally deliver the new hospital that we need and a thousand new homes in our community. It is devastating to us all, but we can see from the list that some hospitals have moved between the different waves. Given that, and given the examples of funding sources that can be put together, will he organise an urgent meeting—we know about his conflict of interest—for all MPs whose constituents use Whipps Cross, to look at the criteria and possible new sources of funding? I know that he will agree that we owe it to our constituents not to give up fighting for the hospital that our community so desperately needs.
Wes Streeting
As my hon. Friend says, I must declare an interest, as Whipps Cross hospital and Barts health NHS trust serve my constituents. I would be delighted to lead a delegation with her to lobby the Minister of State for health, my hon. Friend the Member for Bristol South (Karin Smyth), who has to take decisions on schemes that affect my constituency. It would be nice to be on the other side of exchanges for the first time in a while. Let me reassure the constituents of my hon. Friend the Member for Walthamstow (Ms Creasy), and my own, that pre-construction work on Whipps Cross hospital is due to begin in 2029 to 2031, with construction beginning in 2032 to 2034. My constituents know me well enough to know that if we could go faster, we would do so. On alternative investment vehicles and means of raising additional capital investment—not to mention learning from some of the less successful initiatives of the past—I would be delighted to work with Treasury colleagues and Government Members on how we can get more capital investment, but for reasons that she will well understand, we need to tread carefully on that point.
Health and Adult Social Care Reform
Stella Creasy Excerpts(3 weeks ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Wes Streeting
I am very grateful for that question for two reasons. First, it gives me the chance once again to say that the first part of the Casey commission will be reporting next year, so we can set out a whole range of further actions that will be needed throughout this Parliament. We have taken a great number of actions already in the first six months and I dare say there will be more to follow in the next 12 months. I must say it is very encouraging that one thing we are hearing from across the House on the Casey commission overall is to go faster. I think that shows genuine cross-party appetite on this issue and that is a really good place to start.
Ms Stella Creasy (Walthamstow) (Lab/Co-op)
I welcome the Secretary of State’s commitment to tackling the backlog of appointments—all our constituents would benefit from that—and his honest recognition that there is a risk, because there are not two separate workforces. Unless we have sensible safeguards, we could end up paying the same NHS doctors more to do operations in the private sector. The Secretary of State for Education set a cap on the profits that can be made in the children’s care sector. Is the Secretary of State considering a similar cap to protect the NHS and ensure value for money in his work with the independent sector in the NHS?
Wes Streeting
I am grateful for that question. I am not sure that the level of exploitation in either independent healthcare or adult social care mirrors what we have seen, disgracefully, in children’s social care, but we keep a sharp eye on that. I remind my hon. Friend of the commitments we made in opposition around tackling the excesses and the worst kind of behaviour of some private equity-owned care homes that are leeching money out of the system. We will not tolerate that. We will act to regulate further. I hope that provides Members across the House with the assurance that we are taking both a principled and a pragmatic approach to the constructive and positive relationship we want to build with the independent sector, as we rebuild our national health service and build a national care service we can be proud of.
Puberty-suppressing Hormones
Stella Creasy Excerpts(1 month, 2 weeks ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Wes Streeting
As I say, any young person in Great Britain and Northern Ireland who had a valid prescription for these medicines in the six months prior to 3 June and 27 August respectively can seek continuation of their prescription from a UK-registered clinician. More broadly, it is my intention to ensure we start bringing down those waiting lists, to make sure that children and young people and their families receive access to the wide range of support, information, advice and guidance that they need in order to navigate their pathway and to make sure they feel safe, respected and included in discussions about their own healthcare.
Ms Stella Creasy (Walthamstow) (Lab/Co-op)
The Health Secretary is right when he says that young trans men and young trans women in this country need us all to do better on their behalf, particularly in the debate and how we move forward—there must be more light, not heat. He is also right when he says that time is of the essence. I think we all share his concern that all medicines must be regulated properly and that we should all understand, for every patient group, the risks and benefits of any medication. However, can he give us more clarity, and give those who will be listening to this statement in fear a sense of where this is going? He has talked about an indefinite ban until 2027—not a rolling ban, but an indefinite ban—and he has talked about recruiting participants to a study that might begin its recruitment in 2025, but he has not said when the review will begin or when we will get the data that he feels is missing and that Dr Cass identified as needing to be provided so that we can move the debate forward. If time is of the essence and puberty is the matter, we need to give these young people a route map forward.
Wes Streeting
I am grateful to my hon. Friend for her question. We are trying to proceed at pace with the clinical trial. I share the urgency that she brings to her question. I have had to temper my own urgency with the need to make sure that the clinical trial that is established is as robust and ethically sound as, if not more robust and ethically sound than, any other clinical trial. The worst thing I could do at this stage, especially when the NIHR and NHS England are working at pace to establish a trial, would be to interfere politically in what must be an independent approach.
The planned pathway study, which includes the clinical trial component to build the evidence of the relative benefits and harms of puberty-suppressing hormones, is in the final stages of the commissioning process, subject to a robust ethical approval process. The study remains on track to commence recruitment in the spring, and I will issue further updates in early 2025 to keep my hon. Friend, the House, and young people and their families informed.
Oral Answers to Questions
Stella Creasy Excerpts(3 months, 1 week ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Wes Streeting
The hon. Gentleman asks what representations I am making to retain the funding. If only that were the case. The funding was not there. The Conservative party went into the general election with a programme timetable that was a work of fiction and a claim to have a funded programme that was simply not true. What we arrived to find was a timetable that was a load of rubbish and a £22 billion hole in the public finances that the party hid from the country because it did not want to confront the hard truths. This Government are facing the facts and answering the challenges.
Ms Stella Creasy (Walthamstow) (Lab/Co-op)
I am probably the only MP in this current Chamber who has recently used Whipps Cross hospital, which also serves my community in Walthamstow, because I had both my children there, so I know at first hand how desperately it needs redevelopment and how poor the facilities are that the amazing staff are having to use. Does my right hon. Friend agree that finally getting this project moving under a Labour Government will also deliver thousands of much-needed homes in our local community? It is a win-win situation, which is why it is such a travesty that, for years, Conservative Ministers came and took photos, but we never saw any diggers or spades in the ground. Does he agree that Labour can change that?
Wes Streeting
My hon. Friend is absolutely right. This is about not just the necessary hospital projects, but the growth that will come through construction, getting these projects up and running and, of course, the role that the NHS plays as an economic anchor institution in communities, as some of these projects will necessarily unlock new housing sites and a local transport infrastructure. We are mindful of all of that. The most important thing is that we come forward with a timetable that is credible and a programme that is funded, and that is exactly what we will do.
NHS: Independent Investigation
Stella Creasy Excerpts(4 months, 2 weeks ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Wes Streeting
I have never denied, nor have the Welsh Government, that our health and social care systems are in crisis across the United Kingdom, and that waiting times and patient outcomes are not where they should be. [Interruption.] The Conservatives do not wish to acknowledge the truth, and even now, without a shred of humility or acceptance of the responsibility of their record in government, they carp from the sidelines. They will not admit or accept that different parts of the United Kingdom have different strengths and weaknesses.
Regardless of the fact that there is a Scottish National party Government in Scotland or a unique arrangement in Northern Ireland, as well my friends in the Welsh Government, I am proud that in my first weekend as Secretary of State for Health and Social Care, I made it my business to phone my counterparts in Scotland, Wales and Northern Ireland. I made it clear that we will always work constructively, whatever our parties and however hard we will fight each other at the ballot box. Rather than pointing fingers at other parts of the United Kingdom, as the Conservatives did when they were in government, this Government are determined, just as the last Labour Government were, to create a rising tide that lifts all ships. I look forward to working with every devolved Administration to improve health and care outcomes across the whole of our United Kingdom.
Ms Stella Creasy (Walthamstow) (Lab/Co-op)
The Secretary of State is right that the future of our NHS lies in reform, and not waiting until people get sick before we intervene to keep them well, but we cannot do that without money. He says we cannot waste money that is not there, but we are wasting money that is there on the contracts we have with the private sector. He knows I feel strongly about this issue. Millions of pounds are being paid to private equity-backed funds to run sexual health centres in the NHS—the iCare clinics. Billions of pounds are being lost to the legal loan sharks of our NHS—the private finance initiative companies—and some trusts are spending more on PFI payments than on drugs. As part of the process, will he commit to an urgent review of the way in which the NHS has worked with the private sector, because reform must also include restructuring our debt?
Wes Streeting
My hon. Friend has done a lot of work in this area and I would be delighted to meet her. Let me give the Conservative party a lesson in humility. However proud I am of the last Labour Government—and I am incredibly proud of what they did to our health estate, the investment they brought in, through a range of different types of private financing, and the impact that had; I can see the benefits in my own constituency— I have never shied away from what we did not get right. At the same time as celebrating what we got right in government, we must reflect on what we did not get right and genuinely learn those lessons, which is what we did in opposition. It took us too long to get back into government—we will learn from that for the future—but it has been really interesting to listen to Conservative Members over the past nine weeks. They have not learned anything, they have not got the message and they are not going to change.
NHS
Stella Creasy Excerpts(8 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Victoria Atkins
I congratulate my hon. Friend on the opening of those services. I look forward to attending that opening with him and colleagues across his area. In the dental recovery plan I set out a number of ways in which we will improve the delivery of dental care across England, including immediate, medium and long-term work. The immediate-term work is already seeing results. Having switched on the new patient premium, we are already seeing practices opening. We want to bring forward the golden hellos to encourage dentists into areas that do not have the services that we would like. There was a slightly misinformed Prime Minister’s question yesterday; we are in the middle of tendering our dental vans, because as a rural MP I want services as quickly as possible while we are building the foundations to ensure that people get the care they need.
Stella Creasy (Walthamstow) (Lab/Co-op)
Let me say that it has always been a pleasure to see you in the Chair, Madam Deputy Speaker. I shall miss you terribly; your fairness, insight and wit has brought colour to this Chamber. [Hon. Members: “Hear, hear!”]
Moment of consensus over, I stand here as the Member of Parliament for a constituency that will have listened to the Secretary of State with horror. For 14 years we have been desperately waiting for Whipps Cross Hospital to be redeveloped. The Minister for Social Care, the hon. Member for Faversham and Mid Kent (Helen Whately), and I had a meeting about it this morning that she had to cancel, presumably because the general election has been called. The failed new hospital programme has cost my constituents dearly. We were told under that programme that works would be finished by 2025. They have not even started, because the Government still have not committed the funding. The board meeting notes admit that they will not even start next year, and they certainly will not be finished by 2030. What a damning indictment of this Conservative Government.
My constituents have to be treated in corridors at Whipps Cross. The physical layout of the mangled, broken building is directly impacting on the quality of care that my constituents receive. There is an amazing team at Whipps Cross, doing incredible work, almost in tears that we still do not have our new hospital, because of the impact on patient care. Will the Secretary of State answer the question that I wanted to ask her colleague in that meeting this morning? We need urgent confirmation that we will get the funding to build the hospital at Whipps Cross, to finalise the plans and to start talking to a contractor so that works can begin in 2026. Conservative colleagues in my borough pledged to start works last year, but that was not true. Will the Minister at least confirm that under her plans we will finally get the funding? Walthamstow deserves better.
Victoria Atkins
Madam Deputy Speaker, I had not heard the news that you were stepping down. I share the House’s dismay, but also pass on our thanks to you for having been a Chair. It is always a pleasure to see you in the Chair, although it is a steely pleasure because you let us know, most of the time, when we speak for too long. [Interruption.]
Victoria Atkins
I am trying to; the hon. Lady’s colleagues are trying to prevent me.
We have committed to Whipps Cross Hospital. It takes time to build hospitals. We have six new hospitals open to the public already, and another 18 entering construction. I hope that the hon. Lady is challenging her own leadership, including the shadow Health Secretary, because Labour’s health mission—or first step, or pledge; who knows what the terminology is—says that one of its first steps in government would be to pause all capital projects in the NHS. The Labour party needs to answer on that.
Oral Answers to Questions
Stella Creasy Excerpts(9 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Dame Andrea Leadsom
I assure the hon. Member that we remain firmly committed to the mandatory fortification of flour with folic acid. That will help to protect around 200 babies each year from being born with neural tube defects. The policy is being delivered across the UK as part of a wider review of bread and flour regulations. In January we published our consultation response, and we will bring forward legislation to implement the policy later this year.
Stella Creasy (Walthamstow) (Lab/Co-op)
Ten days ago I went to the Whipps Cross A&E department to see for myself the pressures that the brilliant team there are under—pressures that are heavily exacerbated by the failure to redevelop the hospital. Originally, we were promised that the new hospital would be open by 2026, but we have still not agreed with the Department a plan and timetable to submit to the Treasury for that redevelopment. As a result, the hospital is having to spend huge amounts of money trying to stem the damage as well as being able to treat patients. It is costing us all. For the sake of patient care and NHS budgets, will the Minister meet me to work out where the hold-up is in getting Whipps Cross redeveloped?
Helen Whately
The hon. Member raises the performance of the A&E department in her local hospital. I have worked closely with the NHS over the past year to improve the performance of urgent and emergency care. Since this time last year, we have seen ambulance response times improve by over a quarter and waits in A&E cut. I am happy to meet her to talk about her specific A&E department.
Cass Review
Stella Creasy Excerpts(9 months, 1 week ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Victoria Atkins
I very much agree with my hon. Friend. He is always very good at exposing the differences in treatment that patients in Wales receive compared with those in England. Given that the leader of the Labour party has said that Wales is the “blueprint” for how it plans to run the NHS in England, I hope and expect that the Labour party will be true to its word and the Labour-run NHS in Wales will be announcing its immediate adoption of these recommendations, as well as the transformation to services that we in England are already undertaking.
Stella Creasy (Walthamstow) (Lab/Co-op)
Many of us recognise the value of the Cass report, as my hon. Friend the Member for Brighton, Kemptown (Lloyd Russell-Moyle) set out, in its call for evidence and a thoughtful approach, and its recognition that the collapse of child and adolescent mental health services has contributed to the difficulties in children accessing services. However, I stand here today with terrified constituents who are part of the backlog. I dare say that thousands of those children have been watching this debate with their families and are frightened to hear the heat, not light. The Secretary of State has a brief in front of her, so can I ask her a practical question for my constituents who do not understand what this will mean for waiting times and delays? She said that she was not putting any new money into the service but funds were being reprioritised. In practical terms, what will that mean for those young people who are trying to navigate what is happening to them, who need our support and care, not the derision of any political movement?
Victoria Atkins
I refer the hon. Lady to the answer I gave earlier about funding. In relation to the waiting list, we have already removed the Tavistock as the single provider of these services. We have now set up two sets of services in highly respected—world-respected—children’s hospitals, and we will add more. Again, the issue goes back to giving GPs and other practitioners the confidence to look after these children as they would if they were presenting solely with, for example, ADHD symptoms or concerns about mental health. This is about saying that this issue is one part of the patient they must treat, not isolating and siloing it in the way that has happened historically.
Under-age Vaping
Stella Creasy Excerpts(1 year, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Andrew Gwynne (Denton and Reddish) (Lab)
I beg to move,
That this House is concerned that children are being inappropriately exposed to e-cigarette promotions and that under-age vaping has increased by 50% in just the last three years; condemns the Government for its failure to act to protect children by voting against the addition of measures to prohibit branding which is appealing to children on e-cigarette packaging during the passage of the Health and Care Act 2022 and for failing to bring forward the tobacco control plan that it promised by the end of 2021; and therefore calls on the Government to ban vapes from being branded and advertised to appeal to children and to work with local councils and the NHS to help ensure that e-cigarettes are being used as an aid to stop smoking, rather than as a new form of smoking.
It is a pleasure to open this debate on behalf of His Majesty’s Opposition. We are witnessing an incredibly alarming rise in under-age vaping. In many ways, the statistics speak for themselves. A recent study conducted by Action on Smoking and Health found that in the last three years alone, the number of children taking part in so-called experimental vaping has increased by 50%. That has come alongside significant growth in awareness of e-cigarette promotions, with 85% of children now conscious of e-cigarette marketing either in shops or online.
What does that promotion look like? If hon. Members walk down any high street in the country and pop into a vaping shop or off-licence, they will see it at first hand. Brightly coloured e-liquids with names such as “blue razz”, “cherry cola” or “vampire vape” line the shelves. Some liquids are even designed to imitate well-known brands. We can find “Len & Jenny’s mint Oreo cookie” alongside “pick it mix it sherbet lemons”. In fact, it really is not an exaggeration to say that some stores selling vapes resemble old fashioned sweet shops, with pretty much any flavour we can think of covered in cartoon-led packaging. Let us make no mistake, this is not packaging marketed towards adults. It is deliberately designed to appeal to children and, most concerningly, it appears to be working.
Stella Creasy (Walthamstow) (Lab/Co-op)
Like my hon. Friend, I have been horrified to see custard, banana, bubble gum and doughnut-flavoured vapes, clearly targeted at younger palates. They are clearly not about helping people cease smoking. One of the challenges is that we know children are increasingly moving from vaping to actual cigarettes. Does he agree that there is no case for any further delay in the Government’s work to look at how we take vapes out of the hands of young people all together? Our generation all fought so hard against Nick O’Teen; now, we have Mr Vape to deal with. Does he agree that it must be an urgent public health priority?
Andrew Gwynne
My hon. Friend is absolutely right. There is a place for banana, custard and even doughnuts, but that is not on a vape package. She is right that we need to close the loophole and protect children’s health. That is why we have tabled this motion.
In a recent evidence session on youth vaping, Laranya Caslin, the headteacher at St George’s Academy in Sleaford, told the Health and Social Care Committee:
“we have a significant proportion of students vaping. They vape regularly”.
The problem is so bad that St George’s has had to change smoke sensors to heat sensors, to clamp down on young people leaving the classroom to vape.
I would love that to be an isolated case, but we all know, across the House, that it is not. In Hartlepool, concerns have been raised about an increase in primary school children using vapes—that is just shocking. In Devon, schools have reported confiscating e-cigarettes from children as young as seven. Those claims seem to be reinforced by the fact that last year 15 children aged nine or under were hospitalised due to vaping, with health experts warning that the excessive use of e-cigarettes in children could be linked to lung collapse, lung bleeding and air leak. In Yorkshire and the Humber, it is estimated that 30% of secondary school students have tried vaping, which equates to around 109,000 children. It is just staggering.
The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)
Protecting children from the risks of vaping is a key Government priority. We regulate vaping, with a minimum age of sale of 18; advertising restrictions, such as a ban on TV and radio; and a cap on nicotine levels and tank sizes. However, in the past two years there has been an increase in children vaping, which is why we have already taken action and will take further actions.
Despite its effectiveness as a tool for adults to quit smoking, we are concerned about the risks that vapes pose to children and non-smokers. Vapes are not risk-free. Nicotine is highly addictive and can be harmful, and there are unanswered questions on the longer-term use of vaping. As Professor Chris Whitty, the chief medical officer says:
“If you smoke, vaping is much safer; if you don’t smoke, don’t vape”.
So earlier this year, in April, I announced new measures to step up our efforts to stop children getting hooked on vaping. First, I announced a new specialised illicit vapes enforcement squad. It is a dedicated new team to tackle underage vape sales and the illicit products that young people have access to, hold companies to account and enforce the rules. We are providing £3 million of new funding to trading standards, which will help to share knowledge and intelligence across the country; undertake test purchasing; disrupt illicit supply, including by organised crime gangs; remove illegal products from our shelves and at our borders; and undertake more testing to ensure compliance with our rules, bolstering the training capacity of trading standards. We have already made firms withdraw products where they do not comply with the rules. With the new squad, more companies that fail to comply with the law will be held accountable. I am pleased to announce that the National Trading Standards has begun its operation—that directly answers the question asked by the hon. Member for Denton and Reddish (Andrew Gwynne)—and is gathering intelligence, training staff and bolstering capacity to begin its fieldwork.
In April, I also launched a call for evidence on youth vaping, to identify opportunities to reduce the number of children accessing and using vape products, and to explore where Government can go further. Our call for evidence explored a range of issues about how we ensure regulatory compliance. It was partly about the appearance and characteristics of vapes, including colours and flavours, and partly about their marketing and promotion, particularly the role of social media. Our call for evidence closed on 6 June and the Government are urgently and carefully examining the response.
Stella Creasy (Walthamstow) (Lab/Co-op)
I know that the Minister is committed to closing that loophole that allows vaping companies to give children free samples, but, as we have all discussed, this is about the direct gateway effect between people vaping and then smoking. Parents in Walthamstow they are convinced that more children will end up smoking as a result of being able to access vaping in any form at all. So why are the Government consulting on limiting access to vaping for under-18s, rather than just stopping it altogether?
Neil O’Brien
We are trying to stop access to vapes for the under-18s—it is literally illegal. We are trying not only to enforce the law but to reduce demand, as we have been discussing in this debate. We are not in disagreement about what the objective is: we do not want any kids to smoke or to vape—it is as simple as that.
NHS Long-term Workforce Plan
Stella Creasy Excerpts(1 year, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Steve Barclay
I hope my right hon. Friend is pleased to see the measures we are taking with the Lord O’Shaughnessy review on clinical research trials to make it easier and faster to do research in the NHS. That in turn attracts private investment to the NHS. He will have seen the announcement I made on Tuesday of £96 million for 93 different research projects, such as at Great Ormond Street Hospital, where we have allocated £3.5 million for research into rare conditions in children. That translates into research that is then deployed, usually in adults. We are investing there, and we are screening 100,000 children through Genomics England. We have got a deal with Moderna and BioNTech so that we can have bespoke cancer vaccines. On Monday, we rolled out national lung cancer screening. Previously, in our most deprived communities we were detecting lung cancer late—80% were diagnosed late—but in those pilots we turned that on its head with 76% detected earlier.
I know that my right hon. Friend, as a former Chair of the Public Accounts Committee, will agree that by detecting earlier, not only are patient outcomes far better but treatment is far cheaper, whether that is for lung cancer or through our innovation on HIV screening in emergency departments picking up HIV in people who do not realise that they have it. When we treat it early, the patient outcomes are better, and it is fiscally much more sustainable. That is how we will address some of his concerns.
Stella Creasy (Walthamstow) (Lab/Co-op)
The Secretary of State could do something now—not in eight years’ time—to relieve the pressure on our NHS, and it has nothing to do with pension funds. Figures from the Royal College of General Practitioners show that 53% of GPs think they cannot work in a flexible way to balance family and work commitments. It is little wonder that GPs aged 35 to 44 are the biggest group on the retention scheme who are leaving the profession—it does not take a rocket scientist to work out that it is the mums.
When I asked the Secretary of State’s Department what he was doing to monitor flexible working and whether we are getting roles that people can do—not just sitting with their 16 hours but finding ways to work and balance family—it said that it did not monitor the situation. It was not even looking at it. We are losing brilliant staff and wasting billions of pounds, and we will have a delay before our constituents see the benefit of any workforce plan unless that changes. I have listened to him and looked at the statement that does not make a single mention of childcare, although he did refer to it in passing. What will he actually do not just for retirees but for doctors with families to get them back into the NHS so that we can all benefit?
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.