Health and Adult Social Care Reform

Debate between Stella Creasy and Wes Streeting

Monday 6th January 2025 Commons Chamber

[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

Debate between Stella Creasy and Wes Streeting

Wednesday 11th December 2024 Commons Chamber

[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

Debate between Stella Creasy and Wes Streeting

Tuesday 15th October 2024 Commons Chamber

[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

Debate between Stella Creasy and Wes Streeting

Thursday 12th September 2024 Commons Chamber

[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.

Finance (No. 2) Bill

Debate between Stella Creasy and Wes Streeting

3rd reading: House of Commons & Report stage: House of Commons
Wednesday 21st February 2018 Commons Chamber

[Stella Creasy]

I rise to support the amendments tabled by the Opposition and to speak to my amendments 1 to 4.

I was into PFI before all the cool kids were. These amendments speak to a long-held concern of mine, which is that it is not enough for us as politicians to identify when something has gone wrong and to shrug our shoulders and say, “It’s complicated.” The consequences for the communities we represent and for this country’s public finances are so toxic that it is vital we act.

George Bernard Shaw said:

“Political necessities sometimes turn out to be political mistakes.”

Let me be clear that I am not seeking to blame anyone. Governments of all colours used PFI. It started in 1992 and has gone on to the present day. Absolutely, the last Labour Government used PFI to fund things, and it was not an ideological decision; it was a very simple one about keeping borrowing off the books.

However, we know now just how costly these decisions have been for this country. Every single school, hospital, street lighting system and motorway built was needed, but we know now that the consequence of these costs is that we may not be able to build such things in the future. I am in the Chamber today to propose a way in which Parliament can now act to get money back for our public services, because everyone of us has one of these projects in our constituencies.

We can talk about the numbers involved: £60 billion of capital building, on which we will pay back £200 billion. These companies are truly the legal loan sharks of the public sector, charging an excessive rate of interest in comparison with public sector borrowing for building and running services for us. Conservative Members may say that the cost I am talking about includes services, so it is worth breaking down the charges. Last year alone, this country paid out £10 billion in PFI repayments, over half of which was for interest and charges. The money we are paying for PFI is not paying for schools and hospitals to be run; it is paying the profits of the companies we borrowed from to be able to build them in the first place.

The National Audit Office has done absolutely sterling work uncovering just how bad a value-for-money calculation it was to go for PFI. On average, these projects are 2% to 4% more expensive than Government borrowing at the time. In total, with charges and fees included, they are now, on average, 40% more expensive than having worked with the public sector.

The interest rate matters because the costs are not necessarily about the management of a project; they are about the profits being made. Every single MP who is being lobbied about their schools and hospitals needs to recognise that 20% of the extra money the Government say they are giving to schools and hospitals will not touch the sides of emergency wards or go into the budgets of teachers to pay for the books and classes our schoolchildren need. It will go straight out of our public sector into pure profit for these companies.

The Centre for Health and the Public Interest has gone through the accounts of the few hundred companies running schools and hospitals to identify just how much money is involved. It found that they will get £1 billion in the form of pre-tax profit from NHS deals alone, which total just 125 of the 700 PFI projects. For example, the company holding the contract for University College London has, alone, made £190 million in the past decade out of the £725 million the NHS has paid out. In short, it has made enough in profits to build and run an entire hospital.

We have to talk about the human cost. I became interested in PFI when I saw the damage it was doing to my local hospital, Whipps Cross in Walthamstow, and to schools such as Frederick Bremer School in Walthamstow. Its headteacher is now desperately struggling to balance her budget in the face of this Government’s swingeing cuts to the schools budget, but the one repayment she cannot cut is the PFI one. Barts, the biggest PFI in our NHS—with a £1 billion capital build, and £7 billion repaid—is paying £150 million a year, of which £74 million is interest alone. It is no wonder that the hospital is in such persistent financial difficulty.

[Wes Streeting]

My hon. Friend is making a powerful case. Whipps Cross University Hospital also serves my constituents. To the east, the cost of PFI at Queen’s Hospital in Romford is such that it is creating enormous financial pressures on the Barking, Havering and Redbridge University Hospitals NHS Trust. Does she agree with me that that underpins the urgency of the need to tackle this issue? We should not stick to the ideological dogma of the past, but look at what has really happened and claw back some of that excessive greed to better fund our public services.

Finance Bill

Debate between Stella Creasy and Wes Streeting

Tuesday 12th September 2017 Commons Chamber

[Wes Streeting]

rose—

[Stella Creasy]

rose—

--- Later in debate ---

[Stella Creasy]

Age before beauty.

[Wes Streeting]

Imagine lacking both!

The right hon. Gentleman is absolutely right to say that we need more international co-operation if we are to curb the excesses of multinational corporations’ power. Does he therefore share my sadness that we are currently driving a coach and horses through the most sophisticated political and economic alliance in the history of the world—the European Union—which gives us that global power and the leadership to tackle those global excesses?

NHS Bursary

Debate between Stella Creasy and Wes Streeting

Monday 11th January 2016 Westminster Hall

[Wes Streeting]

Those statistics concern me greatly. I should probably have said at the outset of this debate that I am a member and supporter of Unison. I also draw the House’s attention to my entry in the Register of Members’ Financial Interests. For completeness, I should also say that I am a former president of the National Union of Students and have a long-standing interest in such issues.

It concerns me that there might be a detrimental impact on recruitment, particularly given that my local NHS trust had to fly nurses over from Portugal to fill vacancies. I have no problem with those Portuguese nurses coming over to help plug the gap, but we have plenty of home-grown talent in the form of nurses who would welcome such a job opportunity. That is felt strongly by local people in my area.

[Stella Creasy]

My hon. Friend is a near neighbour to Barts hospital trust, which is currently spending £10 million a year at Whipps Cross university hospital, our local hospital, such is the shortage. A hospital that is £941 million in debt due to its private finance initiative loans clearly needs to save money, yet it is having to pay £10 million for agency nurses. Does he think that the policy will make that easier or harder to deal with?

[Wes Streeting]

I am grateful to my hon. Friend for that intervention, and I believe it will make it harder. That concerns me, because Barking, Havering and Redbridge University Hospitals NHS Trust covers part of my constituency and the other half is served by the Barts Health NHS Trust. Both trusts are in special measures, and one issue that has contributed to that has been the inability of both trusts to recruit and retain the staff necessary to provide the timely and quality care that residents in Ilford North and other parts of north-east London have come to expect.