NHS: Long-term Strategy

Toby Perkins Excerpts

Wednesday 11th January 2023 Commons Chamber

[Wes Streeting]

The hon. Gentleman has got some brass neck. I have already given him figures showing that per capita funding increased by 5% under the last Labour Government—[Interruption.] And as for GDP, perhaps he should look at growth figures and ask why the economy is so much smaller than it would have been if we had had a Labour Government managing the economy well. That is the truth; it is a simple fact. If not, perhaps he wants to explain how his Government will put more money into the NHS, but I did not hear that commitment.

[Mr Toby Perkins (Chesterfield) (Lab)]

I thank my hon. Friend for his excellent speech. I do not quite know why I have intervened, because I am very much enjoying watching him flay the bowling to the boundary when he gets questions from Conservative Members. He is absolutely on to something in relation to the money that has been wasted in our NHS by the failure to plan for NHS staffing. Is not the reality that far too much money is being spent on agency workers because there is no long-term strategic plan for NHS staffing?

[Wes Streeting]

My hon. Friend is absolutely right. We are spending £3 billion on agency costs that would surely be better spent on ensuring that we have a serious workforce plan, and on hospital departments that are staffed by regulars who get to know their shift, get to know their colleagues, and get to know their patients and communities.

Let me turn to what the Secretary of State for Department for Business, Energy and Industrial Strategy said about ambulance staff, because I think he irresponsibly suggested that ambulance staff have not committed to minimum service levels for category 2 calls today, which is just not true. I think he ought to apologise to ambulance workers.

--- Later in debate ---

[Mr Toby Perkins (Chesterfield) (Lab)]

I rise to support the motion on behalf of not only the Labour party but every person in Chesterfield who has contacted me in recent times in despair about the state of our national health service.

I first came to this place in 2010. Over the first year or two that I was a Member of Parliament, I had virtually no casework about the health service. Very occasionally someone might have got in touch with me, but now in every single surgery, someone comes to see me about being unable to access a doctor’s appointment, or about how long they have been waiting for a hospital appointment or an operation. Tragically, far too often I meet the families of people who are deceased but would be alive today if they had got the treatment that they should have had. It is for them that we are having this debate. It is for them that we need a long-term plan.

One of my first duties in the new year was my regular monthly catch-up with Hal Spencer, the chief executive of the Chesterfield Royal Hospital. I was expecting it to be a difficult meeting, and my goodness it was. The strain put on the senior management in our national health service, due to the failures under this Government, was etched all over his face. Chesterfield Royal Hospital had a critical incident over the Christmas period. It is a very good hospital, staffed by wonderful people who are professional, committed and passionate about the service that they provide. But imagine being a caring, dedicated, passionate, committed person and meeting patients who have been waiting 24 hours on a trolley before you get to see them. Imagine being an A&E registrar and knowing that people are arriving in agony, but that all you can give them is paracetamol to get them through the next 12 or 18 hours before they are seen. Imagine being a professional and seeing people with cancer who have been waiting, knowing that their cancer has got worse because you have not been able to see them soon enough.

The constant sticking-plaster approach of this Government is letting those people down. It is, as the motion says, costing hundreds of lives every week due to the collapse of emergency care. As my hon. Friend the Member for Ilford North (Wes Streeting) said, we need that long-term plan to address the staffing crisis in our national health service, which has 160,000 vacancies. We need it to address the failure in general practice where the poorer you are, the more likely it is that your GP service will be unable to see you. We need it to address the failure in care that means 100 people in Chesterfield Royal Hospital over Christmas were fit to leave but did not have a care package to support them.

If we can get that long-term plan to address the failure in general practice and social care, we will save money. One of the maddest things about the failure in our NHS is that we are spending far, far more treating people in hospital beds than if we were able to treat them at home with a social care package, or in a general practice if they were able to get in there. I support the motion and I thank my hon. Friend for introducing it. The people of Chesterfield will demand that we deliver when we get a Labour Government.