Oral Answers to Questions
Victoria Atkins Excerpts(2 months ago)
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Victoria Atkins (Louth and Horncastle) (Con)
I congratulate all nominees and winners in the NHS parliamentary awards yesterday. Their success was richly deserved, and the awards were a very good example of the House coming together to celebrate those who work so hard in our health service and social care services.
In the past five weeks, I have asked the Secretary of State 29 questions at this Dispatch Box, yet he has managed to answer only one. For the rest, he has tried to bluster his way out of his policy decisions, as we have seen this morning. Let us try again. When will be the first week in which we see delivery of his promised 40,000 more appointments?
Wes Streeting
After the performances I had to put up with when the right hon. Lady was at the Government Dispatch Box, she has some brass neck complaining at the Opposition Dispatch Box that I am not answering her questions. She will know that we are working at pace to stand up 40,000 more appointments every week as our first step, as promised in our manifesto, and we will deliver. More than that, we will go into the next election with a record of which the right hon. Lady can only dream.
Victoria Atkins
After 14 years of opposition—two and a half of which the Secretary of State spent on the Front Bench and travelling around the world, funded by other Governments, to look at their healthcare systems—and more than 100 days in government, the right hon. Gentleman does not even know the start date of his own flagship policy. He is no Action Man; he is Anchorman.
Let us deal with Labour’s cruel decision to slash winter fuel payments, which will add pressure not only to patients, but to the NHS. The NHS’s deputy chief operating officer—
Mr Speaker
Order. I have got a lot of people to get in. Members on both Front Benches must be quicker.
Victoria Atkins
After Labour’s cruel decision to slash winter fuel payments, which will add pressure to the NHS, its deputy chief operating officer warned that this winter our health service will not have the extra capacity or funding that it needs, which the Conservatives had previously provided. Why has the Secretary of State—
Mr Speaker
Order. I gave the right hon. Lady a hint to come to an end and not to carry on fully. It is unfair to Back Benchers, who I am trying to represent. I want a short answer.
NHS Performance: Darzi Investigation
Victoria Atkins Excerpts(2 months, 1 week ago)
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Wes Streeting
The hon. Member’s point is taken.
The NHS stands at a fork in the road. There is a choice before us, and the parties represented in the House have different opinions on the best way forward. The first option is for the NHS to continue on its current path—to head down the road to ruin, on a mismanaged decline, with a status quo so poor that patients are forced to raid their savings to go private, and with the worst yet to come, because many Opposition Members believe that all patients should have to put their hands in their pockets when they fall ill. Reform UK has openly stated that it wants to change the funding model and replace it with an insurance-based system, and plenty in the Conservative party want to head in the same direction, chasing Reform UK down the hard-right rabbit hole.
Wes Streeting
The shadow Secretary of State says that it is nonsense. She is very upset about it, so let me point out to her that earlier this year, the Conservative former dentistry Minister, who served in her team, under her leadership, proposed a monthly £10 insurance fee to see a dentist. That is what the Conservatives were planning before the election. [Interruption.] If the hon. Member wants to intervene, I will give way.
Victoria Atkins
I will happily intervene. That is simply incorrect. There are a couple of points that the Secretary of State has made that are completely wrong, which I will have to correct in my speech. He is no longer in opposition. He needs to be careful what he says on the record. That is not right.
Victoria Atkins (Louth and Horncastle) (Con)
On this, the first anniversary of Hamas’s horrific attack on Israel, our thoughts are with Israel, the victims of that horrific attack and their loved ones, and with all those who are trying to rescue the hostages, get aid where it is needed and bring peace to the region.
Day 95 of this fumbling Labour Government, and yet another general debate to talk about a report that we talked about three weeks ago. That seems to be the golden—or Gray—thread running through this Government: lots of talk, but where is the action? If the Secretary of State for Health and Social Care wanted to make a meaningful contribution to the nation’s health, why did he not bring forward the Second Reading of the Tobacco And Vapes Bill this evening, to help our children and bring about the first smokefree generation? That Bill is ready to go; why are the Government not?
The right hon. Gentleman could have provided an update to the House on the 40,000 more appointments that he promised many times during the campaign, which the latest answer from his Minister to a written parliamentary question suggests is nowhere near happening. It is perhaps about as likely as the Prime Minister paying for his own glasses. The right hon. Gentleman could have set out the steps that his Department is taking to prepare the NHS for winter. In the spring, I asked the system to start planning for this winter. How many beds, ambulances and care packages has he put into the system to prepare it for winter? He could have set out the terms of the royal commission on social care. We in the Conservative party stand ready to help on that royal commission, because we believe in constructive opposition, yet we have heard nothing from this Government. The right hon. Gentleman could have launched the much-hyped 10-year plan, which he promised before the election was “oven-ready”, but appears to be in the deep freeze. How many more Government resets will there be before that 10-year plan is launched?
Instead, in their first 95 days, this Labour Government have talked down the economy and the NHS, stopped new hospitals from being built, scrapped NHS productivity improvements, overseen GPs entering industrial action, been exposed in a health cronyism scandal, and opened a dispute with hundreds of thousands of nurses and midwives. They seek to justify all of that with the Darzi report. That report, from a former Labour Health Minister, has sunk as quickly as it was briefed out. It looks backwards, but not far enough to mark the last Labour Government’s policy and operational failures. If this Government are serious about reforming the NHS—and I genuinely hope they are—they and the Secretary of State need to transition quickly from opposing to governing.
Victoria Atkins
I will finish this point. That transition must begin with the language that the Secretary of State is choosing to use about the NHS. Interestingly, we have heard a little bit of nuance for the first time tonight, perhaps because health leaders are raising concerns that his “broken” narrative is damaging public confidence and will lead to people not coming forward for care, as was reported on the day that the right hon. Gentleman gave his speech to conference. That narrative is hurting the morale of staff who are working tirelessly for their patients. As the confected doom and gloom of the new Chancellor damages business confidence, so too does the Health Secretary’s relentlessly negative language risk consequences in real life.
Let me say what the Health Secretary refuses to acknowledge: the NHS is here for us and is ready to help. Its dedicated staff look after 1.6 million people per day, a 25% increase from the days of the last Labour Government. That is why I am always a little concerned whenever the right hon. Gentleman harks back so far; I do not think he has quite understood the change in capacity and scale of the national health service since we inherited it from the last Labour Government. The majority of those 1.6 million people will receive good care. [Interruption.] These are just facts, but I know the Health Secretary finds them difficult to receive.
Dr Luke Evans (Hinckley and Bosworth) (Con)
Will my right hon. Friend give way?
Victoria Atkins
In one moment.
Of course, it is important that we focus relentlessly on those patients who do not receive good care, but that will not be achieved by writing off the 1.5 million people who work in the NHS. In fact, the NHS has more doctors, nurses and investment than at any point in its history. It is delivering millions more outpatient appointments and diagnostic tests and procedures for patients than in 2010, and NHS mental health services are supporting 3.6 million people a year, a 10% increase in one year alone.
Victoria Atkins
I will give way to the doctor behind me, and then I will give way again.
Dr Evans
It is interesting that Lord Darzi chose 2010, because there were some good points in what the Labour Government put in place, but there was also the problem of Mid Staffs. We had the Medical Training Application Service fiasco around medical careers, for which Patricia Hewitt had to apologise, and we had the £11 billion IT project that was put in place and has now failed as well. These things shape the NHS, and when we are trying to come up with solutions, they impact on the way that doctors, leaders and politicians come together. Does my right hon. Friend have suggestions for how we can take the politics out of this debate, enabling us to have a sensible debate on reform, which I think both sides of this House would like to see?
Victoria Atkins
I thank my hon. Friend, who brings his clinical experience and expertise to this debate. I say frankly to the Secretary of State that I wish he had taken the approach of the Defence Secretary, who has set up a cross-party commission on defence spending. Indeed, he has invited my former colleagues to sit on that review, because he understands that we bring an enormous amount of knowledge, experience, and—dare I say it?—some hard knocks from working in those massively complex Departments.
The right hon. Gentleman knows me. We have done good-humoured battle over the Dispatch Boxes for a long time now, and had he come to me and asked me to help him, I genuinely would have. [Interruption.] The public are hearing this. They want politicians to cut all the flim-flam and the bluster and work together, and had the right hon. Gentleman been serious about the Darzi report, he would have done exactly as his colleague around the Cabinet table has done and conducted a cross-party review of the NHS to ensure that we can make real progress. It is interesting that the Health Secretary does not appear to agree with the approach that his Cabinet colleague has taken.
Victoria Atkins
I will listen to the hon. Gentleman. [Interruption.] I am very generous with interventions, and I know that he brings expertise and experience to the House as well.
Peter Prinsley
I am grateful that you have given way, and thank you for that. I have been sitting listening to you—[Hon. Members: “Shadow Secretary of State.”] I am sorry, I am getting the hang of this. To be honest, I am struggling to recognise what the right hon. Lady is talking about. The state of the health service is a disgrace; the Opposition, who I believe were the Government until quite recently, have totally messed the situation up over a period of 14 years. What Lord Darzi has had to say is a pretty accurate diagnosis of the situation we are in, so it is quite surprising to listen to the shadow Secretary of State talk as if everything was perfect over the last 14 years. That is simply not the case.
Victoria Atkins
I will help the hon. Gentleman, because I appreciate that he is new to this place. If he had been listening carefully to me, he would have heard that I am and have always been—in fairness, I hope the Health Secretary would acknowledge this as well—very open about the fact that the NHS needs reform. In fact, I said as Secretary of State that I wanted to reform our NHS to make it faster, simpler and fairer.
By the way, I speak with personal experience. I know there are some Members on the Back Benches who are new to this place and perhaps have not quite moved on from the natural competitiveness of a general election campaign, but I was diagnosed with type 1 diabetes at the age of three. I have seen the very best of the NHS, but I have also seen some of its darkest corners. The NHS is genuinely one of the reasons why I came into politics, and one of the most damaging things about political discourse and the healthcare system in this country is when people seek to attribute to others a lack of care or commitment to our healthcare system, just because we have different ways of tackling these challenges and different solutions.
This is why—I will say this again, because I am not sure that the right hon. Gentleman is listening—I will work constructively with him to improve the health service, but we have to do this on the facts. Some of the suggestions he made in the debate today and in his discourse during the general election campaign and so on are not accurate, and this is where I will pull him up. For example, he has not mentioned the introduction of Pharmacy First or the 160 community diagnostic centres. Just to help him, those were backed by the largest central cash investment in MRI and CT scanning capacity in the history of the NHS. Those, as well as the new surgical hubs that we introduced, are not only putting healthcare into the community but, critically, helping to improve the numbers of chest checks and scans going through the system, which means speedier diagnosis.
Wes Streeting
The right hon. Lady mentions Pharmacy First. How many pharmacies went bust on her watch?
Victoria Atkins
As the right hon. Gentleman knows, because I imagine he will have got exactly the same briefing I used to get when I was in his shoes and being advised by exactly the same civil servants—and I am having to let this flow back into my memory here—the average person in England is within walking distance of their pharmacy. He will know that in many high streets in our market towns, as well as in London and other urban areas, there is a density of pharmacies. We want to support those pharmacies to ensure they are able to provide the services that they can provide, and in fairness, to enable pharmacists to work at the top of their licences. He supported Pharmacy First when I introduced it, so I am a little surprised that he appears to be casting doubt on it, but I am grateful for his intervention.
The next point is that our women’s health strategy—it does not have the attention from his ministerial team that it should have at the moment, and I hope that will improve over the coming months—is seeing the roll-out of women’s health hubs across England into every integrated care board area by the end of this year, ensuring that women’s health issues receive the attention they deserve.
Of course, there are parts of the NHS that need to change and do much better. The NHS needs to reform for the future of healthcare, and our focus must be on improving outcomes for patients, not protecting structures, bureaucracy and vested interests in the NHS. As I have said repeatedly, we will scrutinise constructively and support any meaningful efforts to reform the NHS to improve outcomes and experiences for patients, because we all want the NHS to thrive.
However, after nearly 100 days, there has not been anything yet for us to scrutinise or indeed support from this Government. [Interruption.] The Secretary of State says he has just given me a list. Interestingly, I am pretty sure that three out of those four were started under my Government. [Interruption.] I am pretty sure that I was the Secretary of State who ordered the review of the Care Quality Commission, precisely because I was so concerned. He will be able to build on that report, and quite rightly so, but he should please be careful of his facts. Disappointingly, it is the right hon. Gentleman’s fondness for parties and concerts that has made the news recently, rather than his health policies. This Government need to sober up and start taking responsibility for their choices.
Tom Hayes (Bournemouth East) (Lab)
On Saturday, I had a surgery appointment with a young lady who has struggled to access support for her eating disorder and mental health issues. She has gone through some of the most difficult experiences anybody can go through. She asked me a simple question: “Why have I been unable to access NHS support for my mental health?” What would the shadow Secretary of State say to my constituent, who, when she looks back at the reasons, frankly blames the previous Government?
Victoria Atkins
First, I am very sorry to hear that. Again, the way we were trying to deal with the enormous increase we have seen in mental ill health across our country was first of all to boost mental health services for children and young people. Indeed, the hon. Member may not be aware of this, but we rolled out mental health support teams across nearly 45% of schools. We wanted to complete that to 100% of schools by the end of the decade, and I very much hope that the Secretary of State will be taking up that policy and delivering it.
The hon. Member for Bournemouth East (Tom Hayes) might know that there seems to have been a real increase in eating disorders since the pandemic. We know, for example, that the impact of social media sites, and the algorithms that sit behind them, can lead people who are already feeling very vulnerable into even darker places. So when the Secretary of State says that there should be a cross-Government piece of work, I very much agree with him—I hope he will achieve that through his mission board. But we really have to look at how we as a society can deal with some of these causes, because I do not think anyone is happy with seeing such a huge increase in anxiety and mental ill health among our young people since the pandemic.
Jim Shannon
One of the things that came up at our party conference some time ago was a recommendation from the British Medical Association and the General Medical Council to encourage medical students into local trusts by paying their fees, which would pay for itself given the cost of locum doctors in each of our health trusts. Would the shadow Secretary of State support that, and would she in turn encourage the Government to do likewise?
Victoria Atkins
I hope the hon. Gentleman knows by now that when he makes a suggestion, I will take it away. He will appreciate that, as part of a constructive Opposition, I want to look carefully at the ramifications—both the intended and unintended consequences—of policies suggested in the Chamber, but that sounds very interesting. I thank him for his contribution, as always.
Several hon. Members rose—
Victoria Atkins
I am going to make some progress.
One of the choices facing the Health Secretary is whether he will fight for the investment required from the Treasury to implement the productivity plan. At spring Budget, the Conservatives announced more than £3.4 billion of investment to upgrade IT systems, expand services on the NHS app and make better use of artificial intelligence, in order to reduce bureaucracy for staff and free up clinical time for doctors and nurses. Alongside the long-term workforce plan—the first ever in the history of the NHS—this plan will see productivity grow by 2% a year by the end of the decade and unlock £35 billion of savings, yet the productivity plan is not mentioned anywhere in this 163-page report.
This plan was made in partnership with NHS England and funded by the Conservative Government. While the right hon. Gentleman has talked a good game on productivity, we are still waiting for him to confirm his commitment to deliver the plan that was drawn up with NHS England to help improve productivity. I asked him three weeks ago whether he was cancelling this plan, and he failed to answer. I am very happy to give way now if he wants to commit to it. The whole NHS would like to know.
Wes Streeting
I am delighted that the shadow Secretary of State has so generously given way. I am not going to pre-empt the Chancellor’s announcements at the Budget and the spending review, but I say to her that the reason why so many of the things she said at this Dispatch Box as Secretary of State were a pile of nonsense is that they were plans built on a pillar of sand—a £22 billion black hole for which she and her party are yet to apologise. Will she do that now?
Victoria Atkins
As the right hon. Gentleman knows, calculations were made in the Treasury for this economic inheritance, but the Treasury cannot even explain how it has arrived at those calculations. If I were him, I would be a little bit careful of relying on that figure, because I fear it may trip up his Chancellor in due course. Perhaps the reason why he cannot answer the question about whether he is in fact committed to the productivity plan is that his friend the former Health Secretary, who has been walking in and out of the Department for Health with all of his private healthcare businesses, has not told him whether he plans to accept it, but we will find that out in due course.
The Secretary of State’s silence continues with new medicines, technology and trials. These will be at the forefront of the reforms needed in health services across the world, let alone the NHS, yet the Darzi report mentioned NICE only once in 163 pages. Even worse, I am hearing from the life sciences sector that he and his team are refusing to meet these businesses, putting at risk the hundreds of millions of pounds of investment that the Conservative Government secured, as well as the highly skilled jobs they provide and the life-enhancing treatments they promise our constituents. It is his responsibility to persuade the Chancellor to continue supporting and investing in this innovation for the future, because patients will not thank Labour if it refuses to engage in the medical revolution with these businesses.
Another choice that the right hon. Gentleman must make—we perhaps have a precursor of what he is going to say—concerns the workforce. We know that NHS staff are at the heart of our healthcare services, and that training, retaining and developing our workforce is critical to the future of the NHS. The Conservative Government created the first ever long-term workforce plan for the NHS—again, a plan that was asked for and welcomed by the whole NHS, and developed hand in hand with NHS England to train the doctors, nurses, midwives and other healthcare staff that we need now and in the future. The plan was described by NHS England’s chief executive as
“one of the most seminal moments in our 75-year history.”
Crikey, even the right hon. Gentleman supported it. Yet this supposedly independent investigation failed to mention the plan once. Will the right hon. Gentleman confirm that this Government stand by this plan and will fund it as the Conservatives would do? [Interruption.] He says that he talked about it, but he did not give an answer, because his job is to ask the Chancellor for this funding—has he done so?
Victoria Atkins
Right, okay. We have that on the record now and we will wait to see what happens at the Budget.
It is also striking that the report mentions pay and wages only twice in 163 pages, despite the fact that staff costs account for 65% of provider operating costs a year. If the report and the Secretary of State do not acknowledge the single biggest cost pressure for providers, how can they claim to have the answers on reform? He claims to have sorted out industrial action in the NHS, and I must again correct him on something. He keeps referencing when I last had a conversation with the junior doctors committee, as it then was. What he neglects to tell us is that we entered mediation with junior doctors in May—he never thinks to mention that when he is holding forth at the Dispatch Box.
Victoria Atkins
We entered into that negotiation in good faith, and I gently remind Labour Members of Parliament who were here before the last election that again and again I asked the right hon. Gentleman and Labour MPs to condemn the strike actions and they refused to do so, because we know of their links to their union paymasters—[Interruption.] I will just say “train drivers” and leave that hanging in the air.
When I asked the right hon. Gentleman during Health and Social Care questions in July whether he was going to cut services or whether the Chancellor was going to raise taxes for the junior doctors pay rise, he assured the House that any pay rise would be affordable. How affordable does his deal look now? He has given resident doctors an inflation-busting pay rise for being on strike, and he is paying them for the days they were on strike. He did that with no reform and no productivity improvements attached to it, and with more strikes threatened for next spring. Completely foreseeably, that has led to nurses and midwives asking why they should accept less. Simply telling nurses, “We’re on your side” will not heat their homes this winter. The report does not deal with the here and now; it looks only at the past. Indeed, the Darzi report talks about the importance of capital investment, so if the right hon. Gentleman intends to use the report to inform his policy decisions, as he says he does, why is he stopping new hospitals from being built?
There are now 24 hospitals whose futures are at risk, despite commitments from the right hon. Gentleman and Labour candidates during the election campaign. Labour candidates in Watford, Hillingdon, Milton Keynes, Leeds and Basingstoke made promises to their voters that are now at risk under this Labour Government. Patients in Chelsea and Fulham, Truro, Harlow, Plymouth and Kettering will not get the investment and upgrades that they deserve, despite the promises of their Labour candidates. [Interruption.] Do not believe a word when this Secretary of State says, as he is saying now, that it is because of the economy. The truth is that he had been planning to pause those hospitals since May 2023. For those who are wondering, the details are in his health mission paper, which was published to great fanfare in May 2023—page 6, if that helps. He was planning this since May last year, which is exactly why the promises made at the election were so cynical and now need to be revealed.
Take a perhaps unhealthy dose of salt with the right hon. Gentleman’s claim that the money runs only until March next year. Let me help this very inexperienced Secretary of State understand basic Treasury rules. The comprehensive spending review period finishes in March. I wish I could have bound this Labour Government to committing to those hospitals in the next CSR period, but I could not. It is his responsibility and his role to fight for funding from the Chancellor to ensure that the hospitals are built. We promised that we would allocate the money needed, and would prioritise the new hospitals in the next CSR period. It is now the job of this Secretary of State to secure the money from his Labour Chancellor.
Through our plans to invest in more capital projects, we also sought to improve cancer diagnosis and treatment. While outcomes have improved since 2010, there is much more to do. That is why we opened 160 community diagnostic centres, rolled out new lung cancer screening programmes, and expanded the use of artificial intelligence to speed up diagnoses. Again, we note the lack of any mention of those centres or hubs, which would reduce waiting lists and speed up diagnoses, in this supposedly independent review by the former Labour Health Minister.
I want a straight answer from the Minister in their winding-up speech on an issue that is worrying families up and down the country. Cancer is the single biggest killer of children under the age of 14. I launched the children and young people’s cancer taskforce, which brought together top clinicians, leading cancer charities and the Government to combat childhood cancer, and improve diagnosis and access to new treatments. Its launch was warmly welcomed by parents and charities, and experts were lending their time to the taskforce for free, yet this Secretary of State has chosen to pause it. Parents and charities including the Teenage Cancer Trust, Young Lives vs Cancer, and Solving Kids’ Cancer UK cannot understand why the Health Secretary has chosen to stop that work. That is his choice, and the Minister must please explain in the wind-ups why the decision was taken to pause it.
Dame Siobhain McDonagh (Mitcham and Morden) (Lab)
The right hon. Lady makes the point that cancer is the biggest killer of people under 40, but glioblastoma brain tumours are the biggest killer of people under the age of 40. What progress has there been in the last 30 years in the treatment and diagnosis of glioblastoma brain tumours?
Victoria Atkins
I think the hon. Lady did not hear me; I said that cancer is the biggest killer of children under the age of 14, not 40. I know only too well how that terrible brain cancer has hurt her family, and the great loss that she has suffered. I know that she has ambitions for the work that we were doing to get cancer treatments, particularly new cancer treatments, as quickly as possible to patients who are getting towards the end of their life. We will of course support anything that the Government do to help people such as the hon. Lady’s sister; again, I come back to the fact that we all want this to work.
Victoria Atkins
I will make some progress, because I know that I am trying your patience, Madam Deputy Speaker.
Lord Darzi says that prevention is better than cure. We agree. The Government say that they are committed to prevention, but actions speak louder than words. Scrapping the winter fuel payment for millions of pensioners will undoubtedly come at a cost to the NHS. The equality analysis estimates that 780,000 of the most vulnerable pensioners who are eligible for pension credit will miss out this winter, and the cut will result in 262,000 pensioners needing NHS treatment because they are living in cold, damp homes, at an additional cost of £169 million in a year. How has the Secretary of State stood by as the Chancellor made that appalling decision, which will affect vulnerable pensioners in his constituency, as well as the NHS?
Finally, we have heard the words that the right hon. Gentleman has used about the NHS in England; it is surprising, to say the least, that he has not used those same words times 100 to describe the state of the NHS in Labour-run Wales. On almost every measure, the NHS performs the worst in Wales, where one in four people is on an NHS waiting list. Wales has the longest waiting times; Welsh patients wait on average seven weeks longer than in England. More than 23,000 people wait longer than two years, compared with just 120 people in England. Given the Secretary of State’s rhetoric about NHS England, why has he not asked Lord Darzi to take a cold, hard look at how Labour has run the NHS in Wales for 25 years?
In conclusion, we Conservatives want to support good reforms and good policies for the better health of the nation, but this backward-looking report will not improve productivity. Headlines will not drive better outcomes for patients, and speeches will not improve the life chances of our constituents. This Government need to move from words to action quickly.
NHS: Independent Investigation
Victoria Atkins Excerpts(3 months, 1 week ago)
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Mr Speaker
How long has the hon. Member been here? Points of order come at the end—you cannot intervene in the middle of these proceedings.
I call the shadow Secretary of State.
Victoria Atkins (Louth and Horncastle) (Con)
Thank you, Mr Speaker. I thank the Secretary of State for advance notice of his statement.
The NHS belongs to us all, and we all care about it, so let us stop the political posturing and talk constructively about its future. We all know that our healthcare system faces significant pressures, as do all health systems around the world. We are living longer, and with multiple and complex conditions. We have wider societal pressures, such as the impact of social media on the development of some young minds, as well as the cost pressures of miracle drugs developed by our world-class life sciences sector for their treatment benefits, and the shock of the pandemic has had catastrophic impacts on the NHS and its productivity.
I believe there is much to be proud of in the NHS. Its dedicated staff look after 1.6 million people a day— 25% more people than in 2010. It has more doctors, more nurses and more investment that at any point in its history. It is delivering tens of millions more out-patient appointments, diagnostic tests and procedures for patients than in 2010, and we delivered the fastest roll-out of vaccinations for covid in the world, freeing our society more quickly than other countries. We have more healthcare in the community, with the opening of 160 community diagnostic centres—the largest central cash investment in MRI and CT scanning capacity in the history of the NHS—and 15 new surgical hubs; and the launch of Pharmacy First, helping to free up 10 million GP appointments for those living with more complex conditions. [Interruption.] I say to the Secretary of State that I paid him the courtesy of listening to him in silence, so I hope he will do the same for me.
Victoria Atkins
The right hon. Gentleman was chuntering from a sedentary position. We on the—[Interruption.]
Mr Speaker
Order. I want to hear the right hon. Lady, and Members’ constituents want to know what is being said. Please, let us give the same courtesies that I expected for the Secretary of State.
Victoria Atkins
Thank you, Mr Speaker.
We on the Conservative Benches never pretended that everything was fixed. We have not pretended that we have a monopoly on wisdom or that there are easy answers to the difficult challenges we face. For the NHS to thrive in its next 75 years, it needs to reform, modernise and improve productivity. That is why the Conservative Government, working with NHS England, announced the NHS productivity plan at the spring Budget to transform how the NHS works through better IT systems for frontline staff, the expansion of services on the NHS app, which is used by three out of four adults in England, and the use of new technology, including voice-activated artificial intelligence. Together, that would see productivity grow by 2% a year by the end of the decade and unlock £35 billion-worth of savings, yet the plan is not mentioned in the 163-page report. Why is such an important and forward-looking reform missing from the report, and can the right hon. Gentleman confirm that he is choosing to cancel it—yes or no?
New medicines and trials are an essential part of the productivity challenge. There is only one mention of the National Institute for Health and Care Excellence in the 163-page report. Do the Government have a strategy for life sciences and the provision of rare medicines, including cancer and dementia drugs? Why have they paused the childhood cancer taskforce?
The need for reform was also why we implemented the first ever long-term workforce plan with NHS England to train even more doctors, nurses, midwives and other healthcare staff for the future. The plan was described by the NHS CEO Amanda Pritchard as
“one of the most seminal moments in our 75-year history”,
yet it is not mentioned in today’s report. Again, why is such an important and forward-looking reform missing from the report? Is the right hon. Gentleman going to cancel the new places and forms of training, including apprenticeships, that were to be provided through that plan?
The need to modernise is why, in 2019, we announced the largest programme of hospital building in modern history: 40 new hospitals across England by 2030 [Interruption.] I would be careful if I were some Back-Bench MPs. Today, seven new hospitals have opened, the Midland Metropolitan university hospital will open at the end of the year—I imagine the Secretary of State will enjoy going to its launch—and a further 18 are in construction. We are not even halfway through the decade.
Since January 2023, it has been Labour’s plan to pause, review, delay and, presumably, possibly cancel those new hospitals. That was when it published its health mission; it is on page 6 for those who have not read it. In other words, it was always Labour’s plan to delay and possibly cancel the new hospitals, and it has nothing to do with the Chancellor’s questionable accounting since the general election.
When that was pointed out in the general election campaign, Labour candidates ran around promising voters that their new hospital or community diagnostic centre was safe with them—in Torbay, Chelsea and Fulham, Basingstoke, Watford, Bracknell, Truro, Corby and Kettering to name a few. Will the right hon. Gentleman confirm that Labour will delay those hospitals?
Mr Speaker
Order. It is difficult, but the time limit is supposed to be five minutes, and it has now been six minutes 22 seconds, so we are well over. Can you now conclude on that sentence?
Victoria Atkins
Thank you, Mr Speaker.
There is one part of Great Britain where, on almost every measure, the NHS performs the worst: Labour-run Wales. The right hon. Gentleman has compared—
Mr Speaker
Order. I am sorry; I meant that you were to conclude now, not to continue with the rest of the speech. I call the Secretary of State.
Government Policy on Health
Victoria Atkins Excerpts(3 months, 1 week ago)
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Victoria Atkins (Louth and Horncastle) (Con)
It is always nice to see the right hon. Gentleman, but I was expecting to see the actual Secretary of State respond to this question. Perhaps he is at a business meeting with health firms—
Madam Deputy Speaker (Ms Nusrat Ghani)
Order. May I ask the shadow Secretary of State just to pose the question? The Minister will respond, and then the shadow Secretary of State will get her two minutes after that.
Victoria Atkins
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on the involvement of people with no formal appointment in the development of Government policy on health.
I apologise to the House, Madam Deputy Speaker. I am more used to answering, but believe you me, I am looking forward to the questions.
The Secretary of State for Health and Social Care (Wes Streeting)
And I am committed to making sure that the right hon. Lady is there, asking the questions, for a very, very long time.
Unlike our predecessors, this Government cannot get enough of experts. We work with a wide range of stakeholders in developing policy, because that goes to the heart of our approach to mission-driven government. But I think the shadow Secretary of State was referring specifically to the right honourable Alan Milburn, so let me address him specifically. I walked into the Department of Health and Social Care on 5 July to be confronted with the worst crisis in the history of the national health service: waiting lists at 7.6 million, more than a million patients a month waiting four weeks for a GP appointment —if they could get one at all—the junior doctors still in dispute and on strike, and dental deserts across huge parts of our country, where people cannot get an NHS dentist for love nor money.
This Government are honest about the scale of the crisis and serious about fixing it, which means that we need the best available advice—it is all hands on deck to fix the mess that the previous Government left. If a single patient waited longer for treatment than they needed because I had failed to ask for the most expert advice around, I would consider that a betrayal of patients’ interests. I decide whom I hear from in meetings, I decide whose advice I seek, and I decide what to share with them. I also welcome challenge, alternative perspectives and experience.
The right honourable Alan Milburn is a former Member of this House, a member of the Privy Council and a former Health Secretary. He does not have a pass to the Department and, at every departmental meeting he has attended, he has been present at the request of Ministers. During Alan’s time in office, he gave patients the choice over where they are treated and who treats them, as well as making sure that the NHS was properly transparent, so that all patients were able to make an informed choice—a basic right that we expect in all other walks of life, but which only the wealthy and well connected were able to exercise in healthcare until Alan changed it. He gave patients access to the fastest, most effective treatment available on NHS terms, so that faster treatment was no longer just for those who could afford private healthcare. He made the tough reforms that drove better performance across the NHS and, along with every other Labour Health Secretary, delivered the shortest waiting times and the highest patient satisfaction in the history of the NHS. That is his record and Labour’s record, and it is the kind of experience that I want around the table as we write the reform agenda that will lift the NHS out of the worst crisis in its history, get it back on its feet, and make it fit for the future once again.
Victoria Atkins
I fear that the right hon. Gentleman is betraying his inexperience. It is a shame that he needs all that help and experience; the rest of us have just got on with the job.
The Department of Health and Social Care manages incredibly sensitive information, ranging from the development of healthcare policy to the handling of market-sensitive information concerning vaccines and medication, and the rules regarding patient confidentiality. It has emerged that Mr Milburn, a former Labour politician, has received more than £8 million from his personal consultancy firm since 2016. He advises one of the largest providers of residential care for older people, and is apparently a senior adviser on health for a major consultancy firm. [Interruption.] A Member sitting opposite says, “So what?” Given the risk of conflicts of interest—that, rather than the right hon. Gentleman’s inexperience, is the point of this UQ—has Mr Milburn declared his business interests to the Department? Can the right hon. Gentleman reassure the House on how such conflicts are being managed, so that we can get a sense of the scale of this open-door policy and Mr Milburn’s access?
Could the right hon. Gentleman tell us how many meetings Mr Milburn has attended? How many were with NHS England? How many were conducted without ministerial presence? What sensitive information has Mr Milburn been given access to? Does it include information concerning the sale of patient information to pharmaceutical companies? Has Mr Milburn seen internal DHSC or NHSE documents regarding the pricing of medicines and vaccinations, and other market-sensitive information? This is all information that comes across the right hon. Gentleman’s desk, and there is no formal record for understanding what Mr Milburn has seen.
If the right hon. Gentleman uses, as he has done just now, the excuse that this is all okay because Mr Milburn is a former Secretary of State and a Privy Counsellor, could the right hon. Gentleman set out where in the ministerial code or the civil service code such an exemption exists for unrecorded access to information by members of the public? I hope the Secretary of State will also confirm his lists of other advisers, their commercial interests and any other members of the public attending meetings that are of a deeply sensitive nature, so that we get a sense of just how far this goes.
This is just more evidence of cronyism at the heart of this new Labour Government. Following recent press reports that a Labour party worker had been parachuted into a civil service role in the Department through a closed recruitment process, will the Secretary of State finally come clean to the House and be transparent about who is running his Department and shaping policy for him?
Wes Streeting
The right hon. Lady wants to compare experience. It took me three weeks to agree a deal with junior doctors—she had not even met them since March—and in the two and a half years that I was the shadow Secretary of State for Health and Social Care, she was the fifth and among the worst. Does it not just tell us everything we need to know about the Conservatives’ priorities? She does not ask me what we are doing to cut waiting lists. She does not ask about the action we took to end strikes. She does not ask about the action that has been taken to hire a thousand GPs, who she left to graduate into unemployment. She has not asked me about the news on the front page of The Daily Telegraph that, on their watch, 50 years of health progress is in decline. And funnily enough, there was nothing on the news from The Observer this weekend that the NHS was hit harder than any other health service by the pandemic because it was uniquely exposed by a decade of Conservative neglect. Having broken the NHS, all they are interested in now is trying to tie this Government’s hands behand our back to stop us cleaning up their mess.
What the right hon. Lady is implying in this question is that, as Health Secretary, she never sought the advice of people who did not work in her Department, which would explain quite a lot actually. I feel sorry for her, because when I need advice, I can call on any number of Labour Health Secretaries who helped deliver the shortest waiting times and the highest patient satisfaction in history. But she never had that luxury, because every single one of her Conservative predecessors left NHS waiting lists higher than where they found them—except, of course, for Thérèse Coffey, who was outlasted by a lettuce.
In fact, it says a lot about the modern Conservative party’s anti-reform instincts that the right hon. Lady is so opposed to Alan Milburn. They used to hug him close when they were cosplaying as new Labour. Andrew Lansley even asked whether Alan Milburn would chair the new clinical commissioning board that his top-down reorganisation created, although Alan sensibly turned him down and labelled the reorganisation “the biggest car crash” in the history of the NHS, which just goes to prove that Alan Milburn has sound judgment and is worth listening to.
But if the right hon. Lady wants to lead with her chin and talk cronyism, let us talk cronyism. Why do we not talk about Owen Paterson lobbying Health Ministers on behalf of Randox? The Conservatives care so much about cronyism that they welcomed Lord Cameron back with open arms following his paid lobbying for Greensill. For reasons of ongoing court cases, let us not even get into Baroness Mone and the £200 million contract for personal protective equipment. Where was the right hon. Lady during those sorry episodes? Cheering on that Government and presiding over a record of abysmal failure that has put them on the other side of the Chamber.
This Government are having to rebuild not only the public services that the Conservatives broke and the public finances they raided, but the trust in politics that they destroyed. We will put politics back into the service of working people and rebuild all three. Clearly, we will have to do it without the support of the Conservative party’s one- nation tradition, who are not even running and have abandoned their flag. It is clear that the Conservatives have not learned a thing from the defeat they were subjected to on 4 July, and we will get on with the business of clearing up their mess.
Oral Answers to Questions
Victoria Atkins Excerpts(4 months, 3 weeks ago)
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Victoria Atkins (Louth and Horncastle) (Con)
May I welcome the Secretary of State and his ministerial team to their places, and wish them well in their endeavours? With your indulgence, Mr Speaker, I should also place on the record my thanks to my superb team of former Ministers, to those in the private office and to officials in the Department for their hard work and support, as well as thanking the doctors, nurses and social care and health professionals with whom I have had the pleasure of working.
Now, to business. In opposition, the Secretary of State described the 35% pay rise demand by the junior doctors committee as “reasonable’. What he did not tell the public was that this single trade union demand would cost an additional £3 billion, let alone the impact on other public sector workers. Will he ask the Chancellor to raise taxes, or will she ask him to cut patient services to pay for it?
Wes Streeting
May I welcome the shadow Secretary of State to her new position? She has behaved in her typically graceful and decent way. I enjoyed working with her on that basis, and will continue to do so. Although, I must confess that when I heard about the “abominable” behaviour of the shadow Health Secretary, I thought, “What on earth have I done now?” Then I remembered that our roles have swapped, and that it was not me they were referring to.
What I said was that the doctors were making a reasonable case that their pay had not kept in line with inflation, but we were clear before the election that 35% was not a figure we could afford. We are negotiating with junior doctors in good faith to agree on a settlement that we can deliver and that the country can afford.
Victoria Atkins
I am afraid I do not like it when Secretaries of State do not answer questions, and I am sorry to say that the right hon. Gentleman gave another non-answer, as has been the case for those on the Government Front Bench. I have a question that I hope he will be able to answer. The final act of the Conservative Government was to protect children and young people by banning private clinics from selling puberty blockers to young people questioning their gender. Will the right hon. Gentleman confirm that he will resist the voices of opposition on the Benches behind him and implement in full all of Dr Cass’s recommendations, including exercising “extreme caution”, as she said, in the use of cross-sex hormones in young people? They and their parents deserve certainty from this Government.
Wes Streeting
Obviously, there is a judicial review of the former Secretary of State’s decision, which I am defending. The matter is sub judice, so I will steer clear of it.
To go back to first principles, we are wholeheartedly committed to the full implementation of the Cass review, which will deliver material improvements in the wellbeing, safety and dignity of trans people of all ages. I think that is important. I want to reassure LGBT+ communities across the country, particularly the trans community, that this Government seek a very different relationship with them. I look at the rising hate crime statistics and trans people’s struggles to access healthcare, and I look at their desire to live freely, equally and with dignity. That is what we will work with them to deliver.
NHS
Victoria Atkins Excerpts(6 months, 3 weeks ago)
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The Secretary of State for Health and Social Care (Victoria Atkins)
With your permission, Madam Deputy Speaker, I would like to make a statement on this Government’s work in the national health service.
First, I pay tribute to my hon. Friend the Member for South Thanet (Craig Mackinlay)—I have warned him that I am going to refer to him—and welcome him back to this place. His magnificent question at Prime Minister’s questions yesterday was an absolute tribute to him and to his family, but also to the national health service, which has done so much to put him back together. My hon. Friend’s commitment to public service and dignity in the face of adversity are not only inspiring, but an example to us all. I make this commitment to him: as Secretary of State, I am determined to change the prosthetics policy to support quadruple amputees such as him. He makes the point passionately, and I have heard him.
I also want to reassure the victims of the infected blood scandal and their families that the general election that the Prime Minister called yesterday will in no way affect the process that is already under way. Throughout the election period, Government officials and I will continue to study the report, to make sure that the lessons of Sir Brian’s inquiry are learned and that the mistakes can never be repeated. We will work with the NHS Business Services Authority to make sure that everyone who is eligible receives the second interim payment of £210,000 over the summer. The report lays bare the many failings of successive Governments, including historic failings in my own Department. As Secretary of State, I apologise unreservedly for the actions that have hurt and harmed so many people, and I know there is consensus in this House that we will work together to ensure nothing like this scandal ever happens in our country again.
I last updated the House in January, and I would like to use this opportunity to share the steps we have taken since then to make our NHS faster, simpler and fairer for patients and staff. In 2019, we promised 50 million more GP appointments a year, and thanks to the hard work of our GPs and their teams, we have delivered on that promise. In January, we went further by launching our Pharmacy First programme, which empowers pharmacists to prescribe medication for seven common conditions without the need to see a GP. The numbers of people using that programme are encouraging, and when it is at full power, 10 million GP appointments will be freed up.
In the face of industrial action, we have reduced the NHS waiting list by more than 200,000 since September. Outside the pandemic, we have delivered the biggest six-month fall in the waiting list in more than a decade, with waiting lists falling for six months on the bounce. Through our new hospital programme, we have committed to delivering 40 new hospitals by 2030. I am pleased to tell the House that six hospitals are now open to patients, two more are expected to open by the end of the financial year and 18 more are in construction.
We have launched a recovery plan for dentistry that will create 2.5 million new NHS appointments this year alone. That is being done by giving dental practices extra cash for new patients they see, introducing golden hellos and deploying dental vans to isolated rural and coastal communities. Since I launched our recovery plan, more than 500 additional practices have opened their doors to NHS patients. Today, we are going further by publishing a consultation on introducing a tie-in for graduate dentists, which will commit them to a period of NHS work when they can hone their skills, develop a breadth of experience and give back to the people who helped fund their training. It costs the taxpayer up to £200,000 to train a dentist, and we think it is right and fair to ask new graduates to use their new skills in the NHS.
Ensuring that the NHS works for women is one of my priorities, and we have taken a number of steps to support them. We are opening women’s health hubs across England, we are helping 50,000 bereaved parents acknowledge their beloved baby with baby loss certificates, and we have helped half a million women to get cheaper hormone replacement therapy. We are also rolling out new maternal mental health services for new mums, which are already available in all but three local health systems.
We are looking to tackle conditions that disproportionately affect the female population, such as osteoporosis. Every year in England, some 67,000 fractures are suffered by people of working age, the majority of whom are women, and many of them are entirely preventable. I have listened to the tireless campaigning of the Royal Osteoporosis Society and the campaigns of the Express and The Mail on Sunday, so today I want to confirm that this Government have the ambition to expand the use of fracture liaison services to every integrated care board in England and achieve 100% coverage by 2030.
I have also made it my priority to protect our children, who have been questioning their identity in ever increasing numbers. The Cass review laid bare the damaging effect that social media and degrading pornography have had on young people’s sense of self. It also set out clearly the need for extreme caution in medical interventions. Today, I want to set out my clear intention to introduce a banning order on puberty blockers, with limited exceptions, under section 62 of the Medicines Act 1968. This is an extraordinary use of that power, but it is the right use of that power because we must protect our children and young people from this risk to their safety.
We know that to make the NHS sustainable in the long term, we need to work on prevention, not just cure. To drive this progress, we need to embed prevention within the structures of the national health service and the Government. That is why we will be benchmarking, identifying and publishing health service prevention spending. To support investment in prevention, NHS England and the Department of Health and Social Care will work closely with integrated care systems to develop practical information and evidence that will aid local investment decisions.
As Secretary of State, I have seen how prevention tests across the NHS are not joined up, and I want to make the NHS app the front door for prevention as well as for cure. By 2026, people across England will be able to book vaccinations for 16 preventable diseases, including MMR—measles, mumps and rubella—and human papillomavirus, on our app. This move will make sure that millions more people receive the vital vaccines we all need, not just saving them from life-threatening conditions, but saving the NHS money and resources in the long term.
We also have a duty to give families the information they need to make healthy choices. There has been a lot of talk about the potential damages of ultra-processed foods, including in the press recently. We want to cut through the noise and give people the facts. That is why I have asked our National Institute for Health and Care Research to gather evidence on the impacts of ultra-processed foods on health to help us support people to make informed and healthy choices.
In conclusion, when it comes to the NHS, this Government have a record to be proud of. We have 50,000 more nurses, 60 million more GP appointments and 7 million tests, checks and scans at community diagnostic centres. We have waiting lists coming down, more dental appointments available, better care for women and more protection for vulnerable young people. We have the first ever long-term workforce plan, and more doctors, dentists and nurses than ever before. We have a clear plan and we are taking bold action to build a secure future for our national health service. I commend this statement to the House.
Wes Streeting (Ilford North) (Lab)
Let me start with a few points of genuine consensus. First, I associate myself and my party wholeheartedly with the right hon. Lady’s remarks about the hon. Member for South Thanet (Craig Mackinlay) and the extraordinary courage and strength he has shown. I greatly welcome her reassurance to victims of the contaminated blood scandal and the emphasis she placed on the cross-party commitment to continue at pace to deliver justice, whatever the outcome of the general election. I also welcome what she said about the justifiably cautious and responsible approach she is taking in relation to puberty blockers in the light of the Cass review.
That is the end of the consensus, however, because after 14 years of Conservative incompetence, neglect and vandalism, the national health service has never been in a worse state. The Government cut 2,000 GPs and now it is impossible to get an appointment. They wasted billions of pounds on top-down reorganisations, recruitment agencies and crony contracts for useless personal protective equipment instead of training the workforce the NHS needs. They forced nurses out on strike for the first time in history; and now the Prime Minister shamelessly tries to blame them for his own failures, sending the country into an election with strike action still looming. He promised to cut waiting lists; they are up to 7.5 million. Even their claim that waiting lists have fallen in the last six months has been achieved only by excluding the community figures—fiddling the figures. He promised to build 40 new hospitals and the Government have failed to build a single one. They hold people in this country in such contempt: the Conservatives think the public are so stupid that they will fall for the same recycled soggy promise all over again. Vast swathes of the country have been left without a single NHS dentist, forcing people in Britain, in 2024, to perform DIY dentistry on themselves.
After 14 years, the fundamental promise of the NHS has been broken: people can no longer be sure the NHS will be there for them when they need it. Listening to the Prime Minister’s interviews this morning, it is clear he has given up on the NHS. He has called this election with no plan to cut waiting lists, no plan to end the strikes, and no plan to reform the service. The Conservatives have taken the NHS to breaking point; if they are given five more years, they will finish the job.
This election is the country’s chance to turn the page on 14 years of failure, to end the chaos in the NHS and to rebuild our NHS. No part of our country is crying out louder for change than our health service—not just investment but reform, because if the NHS is to be there for us free at the point of use for the next 75 years, as it has been in the last, it must change. Only Labour can deliver that change.
Our damp squib of a Prime Minister is dripping into this election with a puddle not a plan. In contrast, Labour has a plan to get our NHS back on its feet and make it fit for the future. [Interruption.] Conservative Members ask what it is: give the people what they want—40,000 extra appointments a week at evenings and weekends to cut waiting lists; double the number of scanners, with AI-enabled scanners diagnosing patients faster; 700,000 emergency dental appointments and reform of the contract to rescue NHS dentistry; double medical school places and train thousands more nurses, GPs and midwives, delivering Labour’s workforce plan; bring back the family doctor so patients can see the same GP for each appointment; 8,500 mental health professionals to treat people on time, with mental health support in every school and hubs in every community, alongside landmark reform of the Mental Health Act 1983. That is Labour’s plan, and that is just the start. More than that, unlike the Conservatives, we have a record on the NHS to be proud of: a record of the shortest waiting lists and the highest patient satisfaction in history. We did it before, and we will do it again. That is why representatives of the nationalist parties in Wales and Scotland know, and even admit in private, that a Labour Government in Westminster will be a rising tide that lifts all ships across our United Kingdom.
I say to people that it is not enough to send MPs to Westminster to oppose the Conservatives; they need to send Labour MPs to replace the Conservatives. If they are given five more years, nothing will change. The chaos will continue, and the NHS crisis will get worse. As we approach this general election, be in no doubt: the only way to deliver the change our country needs is to vote Labour. I have every hope that our country will do just that.
Victoria Atkins
I know that the hon. Gentleman has spent a lot of time in recent days studying that infamous pledge card. It has obviously taken up a lot of space in his brain, because he seems not to have understood that not only did we settle months ago with the consultants, so they are not on strike, but we have arrived at a settlement with the specialty and specialist doctors, which is going out to ballot. He asked about junior doctors, and he has obviously missed the news that we have just entered mediation with them. We are bringing together, with the workforce plan, the progress we are making on working conditions. The Labour party does not like conversations about mediation—no, no, no —because we all know that Labour MPs are beholden to their trade union masters and have never condemned a single strike that has affected our constituents and their access to healthcare.
The hon. Gentleman asks about the new hospital programme, and I was wondering whether he would. It is, as some might say in politics, bold. I have taken the trouble—it was a lot of trouble—to read the Labour party’s health mission. One of its pledges is that one of the first steps of a Labour Government would be to pause all capital projects in the NHS. Our constituents should be clear: the Conservatives have a new hospital programme, which we are delivering; the Labour party has a no new hospital programme.
The hon. Gentleman also talked about the ideas for the NHS—ones he could not quite remember over the weekend—and the number of appointments that Labour would bring. I think it was appointments, because when he was asked to clarify whether he meant appointment or treatments, he could not define it. I hate to break it to him, but there is a difference between an appointment and, for example, a triple heart bypass. I would love to know whether he is talking about appointments or treatments. Just to help him understand the scale of NHS England’s activities on a weekly basis, it provides 575,000 out-patient appointments a week. His pledge sounds like a big number, but the truth is that it will not even touch the sides, even when Labour has worked out where the sides are.
The hon. Gentleman also bravely talks about the Cass review, and I genuinely welcome the fact that he has thrown away his long-held principles and relied on the evidence that Dr Cass provided, but I wonder whether he ought to have a conversation with his fellow shadow Cabinet members, because they announced a policy this week that is self-identification by the back door. They want to put the responsibility for self-identification and the gender recognition certificate process on the shoulders of our GPs, when we have been clear that we want our GPs focusing on the 60 million more appointments they are making in the past year. He does not understand—[Interruption.] Forgive me, he is chuntering at me, and he needs to go away and read the Gender Recognition Act 2004, because it is a panel that looks after that process, and Labour is seeking to change that to make it a single GP.
The hon. Gentleman talks about the record of the Conservative party, and we are proud of it. I am particularly proud of the fact that we have record funding under the Government for mental and physical health. I wonder whether he is quite so proud of the record in Wales. By the way, Labour runs the NHS in Wales; I wish I had responsibility for Wales, but I only have responsibility for England.
Victoria Atkins
It is going better than it is in Wales. Under the Labour-run NHS in Wales, a quarter of people are on a waiting list in that part of the NHS. The number of patients waiting two years is higher in Wales than it is in England. Patients are waiting on average six weeks longer in Labour-run Wales than in England. If that performance were replicated here in England, waiting lists could be as much as six million higher. The choice is clear: unfunded Labour failure or a clear plan for a more secure future with the Conservatives.
Madam Deputy Speaker (Dame Rosie Winterton)
I call the Chair of the Health and Social Care Committee.
Steve Brine (Winchester) (Con)
Record funding, a long-term workforce plan finally in place and serious investment at last from the Chancellor on health tech in the spring Budget. That is really welcome and a record to be proud of, as the Secretary of State said, but she will be aware that if demand continues to exceed supply, we have a problem.
My right hon. Friend told us that she does indeed believe that prevention is the new cure, so throughout the general election campaign and from here on as she continues as Health Secretary, will she please bang on remorselessly about the big drivers of ill health—smoking, alcohol addiction, obesity, poor housing and bad diet—because, remember, we can only protect the NHS if we are a healthier society?
Victoria Atkins
I thank my hon. Friend not just for his question, which was excellent as always, but for his long record in the House, particularly in the world of healthcare. He was a superb Minister in the Department of Health and has chaired the Select Committee with great skill. He has scrutinised many a Minister, which I promise him is not a relaxing experience. I really pay credit to him.
May I also thank my hon. Friend for highlighting the importance of prevention? We want to bend the demand curve on the NHS. We know that demand has risen in recent years—we are seeing more people in A&E, we are seeing more cancer referrals and we are seeing more people accessing scans, checks and diagnostics—and we need to help people to understand that we can take responsibility for our own health. Through work such as that on using the NHS app as a gateway to prevention, I genuinely think that we will be helping not only our generations but, importantly, younger people, who sometimes get forgotten in our conversations about healthcare.
Dame Diana Johnson (Kingston upon Hull North) (Lab)
I welcome the commitment from the Health Secretary to paying the £210,000 interim payment to those infected under the contaminated blood scandal. But can I say that there is no clarity at all from the Government about the payments that Sir Brian recommended in April 2023 to those who have received nothing so far—the parents who have lost children and the children who have lost parents?
Can I seek a guarantee from the Health Secretary that we will see psychological support services put in place in England immediately? They are in place in Northern Ireland, in Scotland and in Wales. Since 2020, Ministers in the Department have been saying that those services would be made available. That is four years ago; it is not acceptable. After the statements earlier this week by the Prime Minister and the Paymaster General, that is something that the NHS could do quickly and which would have enormous impact, especially because, with the general election having been called, people do not quite know what will happen to the Government’s promises.
Victoria Atkins
I thank the right hon. Lady for all her work. She may recall that, when the inquiry was announced by the then Prime Minister, my right hon. Friend the Member for Maidenhead (Mrs May), we had a debate on that matter where I spoke as a Back Bencher on behalf of a constituent; I very much hope that he and others gain some reassurance from the fact that I understand exactly the issues they have faced over many years. As Health Secretary, it is my responsibility, and indeed my privilege, to try to help them now.
In relation to the compensation schemes for those who have not yet received payments, I know that the right hon. Lady will have carefully pored through the responses of my right hon. Friend the Minister for the Cabinet Office and Paymaster General. We want to give the independent compensation authority—I underline independent because I am sympathetic to the sensitivities of families and victims around the role that the Department of Health and others played in their pain—and Sir Robert the chance to set up the scheme, assisted by the expert panel.
I promise the right hon. Lady that I have been discussing psychological support with the chief executive of NHS England for some time. We want to recruit the right people to conduct that incredibly sensitive work. It will take us a little more time, but I assure her that NHS England is acting quickly to bring in those services, we hope, by the end of the summer.
Madam Deputy Speaker (Dame Rosie Winterton)
I call the Father of the House.
Sir Peter Bottomley (Worthing West) (Con)
I thank the Secretary of State for her answer to the right hon. Member for Kingston upon Hull North (Dame Diana Johnson). I hope that the letter that her Department received from us will get a full reply, and I thank her for her interim words.
I hope that the Secretary of State will be able to come to the opening of the new integrated care centre by the town hall in Worthing—a local authority enterprise carried on by the present administration in Worthing. There has been great concern about dentistry in my constituency. The pressure is coming off, but not fast enough. Would she please encourage everyone in NHS England to ensure that dentists are encouraged to provide the kinds of service that all our constituents want?
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.
Matt Hancock (West Suffolk) (Ind)
May I add to the tributes, Madam Deputy Speaker?
This is my final contribution to the House. Having served in the Secretary of State’s shoes, I know how hard it is to deliver on manifesto commitments. Delivering on the commitment to 50,000 more nurses and the commitment on GP appointments, and being on track with the 40 new hospitals, is a great achievement. Could I urge her to say a little more about how all that is supported by the incredible improvements in technology in the NHS in the last decade? Without them, there is no way for the NHS to succeed in the next decade. Harnessing extraordinary opportunities such as AI, but not only that, will stand the NHS in great stead, if we can get the data used properly. And with that, that’s over.
Victoria Atkins
My goodness me. I thank my right hon. Friend. I have an inkling of the responsibilities and pressures that he bore during the pandemic. There will be many thoughts about how the Government and society handled the pandemic, but he devoted his absolute all to keeping people safe, and to moving our society out of the lockdowns. I thank him sincerely for all his work.
True to his character, my right hon. Friend wants to talk about the future. Outside the pandemic, he had a particular focus, when he was Health Secretary and in previous Cabinet positions, on the role that technology can play in our lives. Our NHS app now has three quarters of adults in England signed up to it. That is a testament to him and to those in the NHS who helped to deliver it. There are more subscribers to the NHS app than to Netflix. The most common users of the NHS app are those over the age of 65. We can see just how powerful the app can be, and the role that it will play in prevention, but we need to invest in the technology. I view the long-term workforce plan as critical to building the next 75 years of the NHS, as is the tech plan that the Chancellor announced in the spring Budget, which provides £3.45 billion for technology to drive forward progress in the NHS—a plan that the Opposition has not supported.
Rachael Maskell (York Central) (Lab/Co-op)
May I take this opportunity to thank all NHS staff for their dedication, professionalism and care, which are really quite extraordinary in the light of the circumstances that they face? I spent 30 years working in and around the NHS, and I know that it was on its knees in 1996 and 1997, before the Labour Government made such a difference, but nothing compares to the state of it today. I am thinking particularly about NHS dentistry; my constituents are having to wait seven years for an appointment with an NHS dentist. I know that my hon. Friend the Member for Ilford North (Wes Streeting) will meet dentists on the first Monday after Labour come to office.
The Secretary of State has not adopted a plan that would have worked, the one produced by the Health and Social Care Committee. Can she tell us why she did not adopt that plan in full, and what she will say to my constituents, who will vote at the polls for a service that works, as opposed to one that is broken?
Victoria Atkins
I join the hon. Lady in thanking her local NHS staff, and, indeed, NHS staff throughout the country. The NHS employs more than 1.3 million people, and every single one of them contributes in their own way, from clinicians to nurses to hospital porters to administrative staff. All those people play a really important part in keeping us well and safe.
Notwithstanding the picture that the hon. Lady has sought to paint, I hope she will have the graciousness to acknowledge that we are diagnosing more cancer cases, and diagnosing them more quickly at stages 1 and 2. I hope she will acknowledge, for example, that some nine out of 10 cancer patients are treated within 31 days of a decision to treat them, and that the average waiting time in England—not Wales—is just under 15 weeks. Of course there is more to do, but we have plans in place.
I also urge the hon. Lady to look carefully at our dental recovery plan. We have seen more practices open up to provide more NHS appointments, and as the recovery plan is rolled out, we will see up to 2.5 million more appointments, roughly three times as many as will be seen under Labour’s dental recovery plans. Compare and contrast!
Sir Simon Clarke (Middlesbrough South and East Cleveland) (Con)
Let me add my best wishes for your retirement, Madam Deputy Speaker. I hope it will be a long and happy one.
I thank my right hon. Friend for her statement. As waiting-list figures continue to fall, which is fantastic, it is vital that we continue to boost access to primary care, so will she join me in welcoming the news that the excellent Garth surgery in Gisborough, in my constituency, is seeking to expand by creating six new consulting rooms and more space for the recruitment of GP registrars?
Victoria Atkins
I thank my right hon. Friend for presenting us with what is happening on the ground, rather than the relentless doom and gloom that we hear from the Opposition. There are excellent examples in our local areas of people not just enjoying working in the NHS, but thriving in it. My right hon. Friend’s general practice will be one of those that have contributed to the 60 million more GP appointments made available in the last year—an election promise that we made in 2019, and have kept. Let me explain the maths to the Opposition: that means more than 1 million primary care appointments each working day. That is something of which we should all be proud, and for which we should thank our GPs.
Chi Onwurah (Newcastle upon Tyne Central) (Lab)
May I say how sad I am, Madam Deputy Speaker, that whatever the result of the general election, it will not bring you back to the place that you so wonderfully occupy?
Waiting lists, dental services, mental health services, clinical trials, workforce morale, cancer care, innovative treatments, childhood obesity—whatever the measure, the Tories have failed us on health. Is the Secretary of State really asking the people of this country to vote for five more years of Tory failure, when they can, by voting Labour, vote for the change that the health service, and indeed the country, so desperately need?
Victoria Atkins
May I gently remind the hon. Lady that her party leader is a former barrister? I declare an interest: so am I. In the old days, we barristers used to rely on the evidence, but the evidence on which the Leader of the Opposition relies is produced in Wales. He says that it is a blueprint for what will happen in NHS England. My goodness me! As I have said, a quarter of the people on NHS waiting lists are in Labour-run Wales. The highest number of patients who are waiting two years is in Labour-run Wales, and patients wait on average six weeks longer in Labour-run Wales than in England. I am genuinely surprised that, having been in his post for as long as he has, the hon. Member for Ilford North (Wes Streeting)—for whom I have considerable respect—has not been able to influence or direct his Labour colleagues in Wales to follow his ideas, if he thinks that they are so good. That is clearly not working.
Sir Conor Burns (Bournemouth West) (Con)
May I add my best wishes to you, Madam Deputy Speaker, as you become one of the Members of this place who have chosen to leave it voluntarily in the coming weeks, and may I say, advisedly, that I wish you all the best as you leave this Chamber of Parliament?
May I return my right hon. Friend to the subject of her statement: an NHS update? Recently, on International Nurses Day, I visited Poole Hospital to see the amazing new barn theatres that have resulted from the huge investment going into the NHS in Dorset. When we talk about the money that we are putting into the NHS, that often appears to the public to be mere statistics. However, in Dorset, and in Bournemouth in particular, we see not only the new barn theatres in what is becoming the primary elective part of the local NHS, but, as a result of the £250 million overall investment, the development of the BEACH building—BEACH stands for birth, emergency and critical care and children’s health. These are real investments, which—notwithstanding the outbreak of hyperbole that I confidently predict we will see more of in the coming weeks, and which, sadly, we have not been able to cure in the last 14 years—are tangible examples of this Government’s commitment to delivering on the frontline.
Victoria Atkins
I am delighted to hear that, and also to say that on my travels last Thursday, I had the great pleasure of visiting Dorset and seeing for myself not just a wonderful community hospital in Shaftesbury, but the brand new A&E unit that is being built in Dorchester. It is thanks to the hard work of the local trust, but also to Government investment, that that important hospital—alongside those that my right hon. Friend has described—can ensure that people in Dorset receive the care that they need in a modern way. That is the modern national health service as we Conservatives see it.
Jeremy Corbyn (Islington North) (Ind)
Does it not concern the Secretary of State that we are spending a great deal of money because of the private sector, which is an undermining factor in the NHS? The NHS paid £11 million to the private health sector in 2022, and many hospitals are spending 15% of their budgets on private finance initiative contracts. Does she not think that we could save an awful lot of money by concentrating on expanding the NHS workforce? Their loyalty, dedication and efficiency are far better and far greater than the atomisation of our services into myriad private sector providers. It is cheaper and more efficient to provide the service publicly, thus providing a better service for everyone.
Victoria Atkins
Let the record reflect this rare moment of agreement between the right hon. Gentleman and me. The PFI contracts signed by the last Labour Government have been an unmitigated disaster for our hospitals, and for the integrated care boards and others who are trying to fund them. The Labour Government drafted the contracts so incompetently that we cannot leave them without a massive cost to the taxpayer. That is the real cost of Labour-run private finance initiatives.
However, I part company with the right hon. Gentleman on the role of the independent sector. We already rely on that sector to provide something to the tune of 10% of elective procedures. I want our residents treated as quickly and as well as possible, and to my mind the independent sector must play an important role in that. We Conservatives want to make it even easier for patients to choose where they receive their treatments, so that they receive them more quickly, as well as the quality of service that they want. I do not know whether he will be here after the election campaign, but we there is at least one area on which we have agreed, namely PFI.
Several hon. Members rose—
Madam Deputy Speaker
Order. I fear that my authority is draining away, so I will make another plea for brief questions. I thought the hon. Gentleman was going to set a superb example. However, I am sure the Secretary of State will now respond briefly.
Victoria Atkins
I very much share my hon. Friend’s concerns. I will take away what he has said, but I want to look into this issue, because I understand the points that he and our right hon. and learned Friend the Member for Kenilworth and Southam (Sir Jeremy Wright) have made.
Helen Hayes (Dulwich and West Norwood) (Lab)
The Secretary of State comes to the House, at the end of a Parliament, to paint her Government’s record on the NHS in the most positive light possible. I have to say to her that the picture she paints will not be recognised by staff working in the NHS or patients anywhere in my constituency. I will give her an example: it is impossible for my constituents to get an appointment at some GP practices in a timely manner. At the same time, our local hospital, which is under severe financial pressure, is reporting a record number of patients attending its urgent care centre because they cannot get an appointment in primary care. Will the Secretary of State acknowledge her Government’s failure to tackle primary care, which is placing unbearable pressure on doctors working in our hospitals to do the best for their patients?
Victoria Atkins
Again, I pay tribute to our general practitioners and all the staff who work with them in practices, because we know that they have delivered some 60 million more appointments than in 2019. That was an election promise made and kept. On the hon. Lady’s wider question about primary care, that is precisely why we have rolled out Pharmacy First to free up GP appointments. It is precisely why we have a focus on prevention, because we know that if we can help people through the NHS app, it will take the burden off GPs. It is also why we are looking at fit notes in an imaginative and thoughtful way, because I have listened to GPs, who say that if we can reduce these sorts of responsibilities on GPs, it will leave them with more time for patients.
Kelly Tolhurst (Rochester and Strood) (Con)
I thank my right hon. Friend for her support in ensuring that my community diagnostic centre in Rochester will have extra funding so that an MRI scanner can be secured, which will make a big difference to my local community. As she knows, I have been working with the hospital and having conversations about my campaign for a second hospital site in Medway. Could my right hon. Friend have some conversations with her colleagues in the Department for Levelling Up, Housing and Communities? We have a Homes England, Government-owned site on the Hoo peninsula that is absolutely primed for a second hospital site. Medway Council is doing its local plan, and it is imperative that the area is used as a health site, rather than a housing site.
Victoria Atkins
I thank my right hon. Friend, who has been such a firm campaigner on these issues. Her constituents should be very pleased with everything that she has done to press upon me the importance of this matter. The community diagnostic centre is opening and will provide more tests, checks and scans for her local residents. I will take up those conversations, and I am very much looking forward to coming to visit her in the next Parliament to celebrate the opening of the centres.
Sir Chris Bryant (Rhondda) (Lab)
Dame Rosie, in the words of “South Pacific”, if we ain’t got dames, where would we be?
In November 2021, Boris Johnson and the right hon. Member for Bromsgrove (Sir Sajid Javid) appointed me to co-chair a programme board to create a national strategy on acquired brain injury. This issue matters in every single one of our constituencies, and I am afraid we are still failing. Despite the months that have passed, it has not been possible to put the strategy together for a whole series of reasons, including churn of ministers and the fact that the Government are not able to put a single penny into it—not even enough money to check how many people suffer a brain injury every year. This is a cross-party issue. How can we ensure that later this year—regardless of who forms the Government—we end up with a national strategy for acquired brain injury, so that we do not just save people’s lives when they have been in a road traffic accident, but give them back the quality of life and independence that they so dearly deserve?
Victoria Atkins
I thank the hon. Gentleman, and I know that he has been working very closely with the Minister for Health and Secondary Care, my right hon. Friend the Member for Pendle (Andrew Stephenson), on this issue. He will remember the cross-party working that we had when I took the Domestic Abuse Act 2021 through the House, and our concerns about the disproportionately high rate of ABI among female prisoners. I will take away the hon. Gentleman’s thoughts. He will appreciate that I might not be able to enter into detailed discussions with him on this issue during the campaign, but I very much look forward to continuing our discussions from the Dispatch Box in six weeks’ time.
Neil O'Brien (Harborough) (Con)
Thank you for your service. Madam Deputy Speaker.
A long time ago I was a medical student, and improving access to general practice is really important to me. I am proud that the record funding that we have put into the national health service has enabled us to have not just 50,000 extra nurses, but 56% extra clinical staff in GP surgeries in my constituency. The average surgery is doing 44 extra appointments every working day compared with at the start of this Parliament, but an ageing society means more and more pressure. What is the Minister doing to take the pressure off with things like Pharmacy First?
Victoria Atkins
I thank my hon. Friend not just for his early commitment to the medical profession, but for his work as a Health Minister. He did so much to help prepare the dental recovery plan, and I am so grateful to him for all his work.
On his question about prevention and the scale of the demand on the NHS, he is absolutely right. One piece of work that we are trying to bring together is about looking at the whole person, rather than individual conditions, because we know that, as we age, we will develop more conditions and live with more than one condition. Part of my work to reform our NHS and make it faster, simpler and fairer is about ensuring that we are living longer, healthier lives and concertinaing the period of ill health towards the very end of life, so that it is better not only for us as individuals and for our families, but for society and, of course, for the NHS.
Chris Webb (Blackpool South) (Lab)
In the first few weeks that I have been the Member for Blackpool South, many of my constituents have contacted me about the lack of NHS dentistry in the town. No NHS dentist is taking on adult patients, and children with tooth decay are forced to go to our local A&E. This is a huge issue in our town, which has so many other troubling issues. Will the Secretary State finally admit that this Government have let my constituents down, and that only under a Labour Government will we get access to the dentistry we desperately need?
Victoria Atkins
I welcome the hon. Gentleman to his place, and I say to him that Blackpool has a very special place in my heart, because I went to school there. Indeed, I could hear the cheers from the “Big Dipper” and the “Pepsi Max Big One” from my classroom. I had coastal towns such as Blackpool and Mablethorpe, which is in my own constituency, at the forefront of my concerns when we were looking at how we could help some of these dental deserts. It is why I have been focused on getting dental vans into tender so that we can try to push out some of these services. They are not a permanent fix, but they will help people in the short term while we are building up new practices through golden hellos and suchlike. Of course, today we have had the announcement of the consultation for dental graduates. If the taxpayer has contributed to their training, we would love them to have experience of the NHS.
Holly Mumby-Croft (Scunthorpe) (Con)
I thank my right hon. Friend for arranging for the Minister for Health and Secondary Care, my right hon. Friend the Member for Pendle (Andrew Stephenson) to come to Scunthorpe hospital. We were absolutely delighted to show him our brand new A&E, our ambulatory care unit and the renovated wards that have now been completed.
The Secretary of State will know that we are also midway through the construction of our community diagnostic centre, which we are really looking forward to getting up and running. Is she aware of my campaign to ensure that the small number of services that the hospital is indicating might be moved to Grimsby remain in Scunthorpe? It might only be a small number of patients who are affected, but it is incredibly important to them. I know that she cannot influence it at this point, but will she acknowledge the great strength of feeling on that issue?
Victoria Atkins
My hon. Friend has devoted her career in this place not only to representing the steelworkers in her constituency, but to her constituents’ healthcare, and it is thanks to her campaigning, and that of other colleagues, that we have a CDC, and facilities like that, in her local area. She has very tactfully described my position. I, of course, acknowledge my awareness of her campaign, and I really look forward to working with her in the future to see whether we can ensure that the residents of Scunthorpe—and the residents of Grimsby—have those services that we all hold so dear.
Jim Shannon (Strangford) (DUP)
I thank the Secretary of State very much for her statement. It is clear that the NHS is, in some cases, in need of critical care. While we all prepare for an election, there are ill and vulnerable people unable to prepare for the surgery and treatment that they so desperately need. How will the Secretary of State ensure that, while this Parliament dissolves, the NHS continues to consolidate and grow, and delivers much-needed diagnoses and operations for its patients—our constituents?
Victoria Atkins
I thank the hon. Gentleman. One of the joys of this Parliament has been to have him contributing in every statement and debate. On the particular healthcare needs in Northern Ireland, he will appreciate that healthcare is devolved, and that we are all very mindful of recent history, in terms of the devolution of power in that particular set of circumstances. However, I have very much enjoyed working with the Health Minister, Minister Swann.
Clearly, we value our United Kingdom, and we want to do whatever we can to help all corners of the United Kingdom in healthcare—although, of course, we respect that they are devolved matters. That is why I want to work closely with my counterpart in Northern Ireland, and, as I have indicated—or am indicating now— I would be very happy to work with the Health Ministers in Scotland and Wales to help them with their waiting lists.
Rob Butler (Aylesbury) (Con)
This Conservative Government have invested hugely into the NHS. Doctors are working extremely hard, but because of the rapid growth of Aylesbury, unfortunately, there are still many local residents who have to wait too long to get appointments. Innovative ideas such as Pharmacy First and health hubs on the high street are already undoubtedly helping, but I believe that we can do even more. That is why, in this election, I am campaigning for a permanent walk-in health centre in the heart of the town—a one-stop shop where people can go for check-ups, see a nurse, physio or paramedic, and receive expert medical advice and support. Does my right hon. Friend agree that that is exactly the sort of clear plan for bold action that will secure the future of our NHS?
Victoria Atkins
I most certainly do, and it is a pleasure to hear that my hon. Friend, who is such a great campaigner in his constituency, has that as a clear target for his area to represent his constituents. On the recruitment of general practitioners, we have set out, through our long-term workforce plan, our ambitions—and, importantly, the plans underlying those ambitions—to ensure that we recruit even more doctors, nurses, midwives, dentists, and so on, to build the NHS of the future. My hon. Friend might want to share this fact with his constituents: since 2010, there are more than 41,000 more doctors in our NHS in England and more than 73,000 more nurses. Those are figures to be proud of.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I associate myself with the good wishes that have been sent to you this morning, Madam Deputy Speaker.
Prevention is, of course, better than cure, so will my right hon. Friend confirm that she is doing all that she can to ensure that the Government’s world-leading Tobacco and Vapes Bill is passed during the wash-up? She knows of my concern about children’s exposure to vaping. If the Bill will not be passed through wash-up, will she confirm that a Conservative Government would act quickly, once re-elected, to protect our children from deadly nicotine addictions?
Victoria Atkins
I am very grateful to my hon. Friend, who, of course, brings her professional expertise into the Chamber. On the Bill, she will appreciate that we are at a very delicate stage, which I am not allowed to say anything about at the Dispatch Box, but she should be confident of my commitment, and that of the Prime Minister, to this important legislation and to a smoke-free generation.
Greg Smith (Buckingham) (Con)
Buckinghamshire has seen significant improvements to the NHS estate, not least with a new paediatric A&E at Stoke Mandeville Hospital, but my right hon. Friend will know that we have had many conversations about getting a new primary care facility into the village of Long Crendon and about critical upgrades to Wycombe Hospital to replace the ageing tower. Can she confirm that a future Conservative Government will remain absolutely on track to deliver on those facilities?
Victoria Atkins
I am delighted to not just support my hon. Friend, but commend him for his campaigns. This Conservative Government are committed to building the facilities that we need in the national health service, and it is a pity that the Labour party does not seem to be in the same place.
Anna Firth (Southend West) (Con)
I thank the Secretary of State for visiting Southend Hospital last month. She knows that, when I was elected, ambulance handover times in Southend were the worst in the region. They are now often the best, and the emergency village is helping thousands of residents. She also helped to launch the first trust-wide fracture liaison service in the UK in Southend, which will save thousands of fractures, millions of pounds and thousands of bed days. Will she join me in congratulating CEO Matthew Hopkins, CEO Andrew Pike and consultant rheumatologist Dr Way Main Wong on this life-transforming service?
Victoria Atkins
May I say how delighted I am to see my hon. Friend back in one piece, given her abseil down the hospital recently, and also say how much I enjoyed seeing the confidence, ambition and professionalism of the new services being provided by her local hospital? I hope that she is pleased that I can confirm today that the Government have the ambition to expand the use of fracture liaison services to every integrated care board in England, achieving 100% coverage by 2030, which is very much inspired by her hospital.
James Wild (North West Norfolk) (Con)
Since being elected to represent North West Norfolk, I have campaigned, with strong local support, for a new hospital. Can my right hon. Friend the Health Secretary confirm that only this Conservative Government are committed to building a new Queen Elizabeth Hospital in King’s Lynn by 2030, for patients and staff, as part of our fully funded plan?
Victoria Atkins
I thank my hon. Friend, and very much understand and acknowledge his campaigning on this matter. Yes, we want to ensure that his county has the modern hospital facilities that it needs. I note in passing that, in the Norfolk and Norwich trust, this summer, we will see the opening of more surgical capacity precisely to help to deal with some of the waiting lists in his county. This is positive, practical action to secure a bright future for his local NHS.
Mr Louie French (Old Bexley and Sidcup) (Con)
My right hon. Friend will be aware of the incredible work that the late James Brokenshire MP did for Old Bexley and Sidcup constituents, particularly with Queen Mary’s Hospital in Sidcup. Building on James’s legacy, I have been proud to work with my right hon. Friend’s Department, Oxleas NHS Foundation Trust and other partners locally to deliver new services for patients in Old Bexley and Sidcup.
Will my right hon. Friend join me today in thanking all the teams and all staff at Queen Mary’s Hospital in Sidcup? Will she join me in thanking particularly the project team that is working very hard to deliver the new community diagnostics hub, which will open in Old Bexley and Sidcup early next year?
Victoria Atkins
I am delighted to join my hon. Friend in thanking the staff in his local area who support that very important hospital, and I praise the confidence and ambition for his local area through the opening of that community diagnostic centre. He is going to see more constituents being diagnosed and getting treated more quickly because of the investment that this Government have put in to that centre in his constituency. I thank all his staff and particularly the project team.
Mrs Heather Wheeler (South Derbyshire) (Con)
Dame Rosie, I thank you for your service to this Chamber.
Will my right hon. Friend recall the conversations that we have been having about a community diagnostic centre in South Derbyshire, where we do not have one? We do not have a hospital; everybody has to travel. Could I invite her, not only during the next six weeks but after the six weeks—when she is back at that Dispatch Box and I am back here—to visit us and talk to the great teachers, doctors and nurses that want to put this project together?
Victoria Atkins
That is an irresistible invitation, if I may say so, and I will very much look forward to visiting my hon. Friend’s constituency to support her in her campaign for a community diagnostic centre.
I think we are on the last question, Madam Deputy Speaker, so, as we enter into this general election period, may I give my sincere thanks to every single member of our NHS staff and to every single person working in social care across England? You all do amazing jobs, and it is my great privilege to serve as your Secretary of State. I wish everybody a very calm—not quiet—six weeks. The medics will understand what I mean by that.
Madam Deputy Speaker (Dame Rosie Winterton)
On that note, I thank the Secretary of State for her statement. Once again, I thank everyone who made very kind comments.
Specialist, Associate Specialist and Specialty Doctors: Revised Pay Offer
Victoria Atkins Excerpts(7 months ago)
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The Secretary of State for Health and Social Care (Victoria Atkins)
I am pleased to inform the House that, earlier this week, I made a revised, reforming offer to the British Medical Association specialist, associate specialist and specialty doctors committee. The committee have agreed to put this deal to their members for a vote with a recommendation that they accept.
SAS doctors are a vital part of the NHS. They focus predominantly on providing direct patient care by providing clinical expertise in their specialist area and taking responsibility for a full range of patients within their area of practice, making them essential to our efforts to cut waiting lists and deliver the highest quality service to patients.
During the course of the multi-year agreement for SAS doctors, pay for the pre-2021 contracts has been increasing at a faster rate than for the 2021 contracts. Therefore, the revised offer continues to address the unintended imbalance between the pre-2021 and the 2021 contracts to ensure consistency and fairness across the workforce, help speed up the delivery of elements of the new contracts introduced in 2021 and encourage more existing doctors to take up the new contract. This offer, if accepted, would mean that pay scales for those on the pre-2021 contracts would receive an uplift of £1,400. New pay scales would take effect from 1 April 2024. The offer also includes steps to support career progression opportunities for SAS doctors.
As in the original offer, the revised offer includes a joint piece of work to consider how locally employed doctors—doctors who are employed on local terms and conditions as opposed to national ones—can be better supported to progress in their careers.
This offer is independent of the headline pay uplift SAS doctors received in 2023-24 and that they will receive in 2024-25 through the established pay review body process. The Review Body on Doctors’ and Dentists’ Remuneration will still recommend a pay uplift for SAS doctors in 2024-25 and the Government will consider it in the usual way.
If this offer is accepted, the BMA will withdraw the rate card for SAS doctors in England with immediate effect and the dispute will come to an end, meaning no industrial action would be taken by BMA SAS doctors in England under their current mandate.
The BMA will recommend this offer to their members in a vote in the coming weeks.
I also want to inform the House that we have agreed with the BMA junior doctors committee to explore a process of mediation, which I hope will move us towards a resolution. Both parties have mutually agreed a preferred mediator, and the BMA and my Department will now begin the process of engaging with the selected mediator.
[HCWS477]
Public Health
Victoria Atkins Excerpts(7 months, 1 week ago)
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The Secretary of State for Health and Social Care (Victoria Atkins)
I wish to update the House on an increase in whooping cough—Pertussis—cases across England and the actions that the Government and health system are taking to control spread of the disease.
Data published by UK Health Security Agency on 9 May 2024 shows, provisionally, that whooping cough cases are continuing to rise with 2,793 cases in England between January and March 2024. Cases are spread across all regions in the country and across all age ranges, with around half in those 15 years and older. Very sadly, there have also been five infant deaths in England in this period. Losing a child is the greatest sorrow any parent can experience, and our deepest sympathies are with the families of the children in these tragic cases.
As a Government, we are, alongside the NHS and partners in the health system, redoubling our efforts and reiterating the key message that vaccination offers a safe and highly effective defence against whooping cough. It is vitally important that pregnant women and young infants receive their vaccines at the correct time, to protect young infants from severe disease.
Whooping Cough
Whooping cough is an acute bacterial infection caused by Bordetella Pertussis and is spread through coughing and sneezing. Whooping cough can affect people of all ages but can be a very serious illness in young babies who are not fully vaccinated against it, in some cases leading to pneumonia, brain damage, and as we have sadly seen in a very small number of cases recently, death. Prompt treatment with antibiotics is important in preventing spread of the disease and individuals with whooping cough are no longer considered infectious 48 hours after starting the appropriate course of antibiotics.
In common with other diseases, cases of whooping cough fell to very low numbers during the pandemic due to restrictions and public behaviours. This is likely to have reduced immunity to whooping cough in the population. Since summer 2023 cases have been increasing and, in the last quarter of 2023, the first infant death since 2019 was confirmed. An increase in whooping cough cases is also being reported across several countries in Europe and globally.
Our principal means of protecting against whooping cough is vaccination, and vaccines against whooping cough are given to pregnant women—to protect babies in the first few weeks of life and before they can be directly protected by the infant vaccine programme— and to infants at eight, 12 and 16 weeks of age as part of the routine immunisation programme, with a booster also offered at pre-school. Uptake levels in pregnant women, babies and young children have fallen in recent years across England.
To address this decline and increase the uptake of the whooping cough vaccines, with a particular focus on uptake in the maternal vaccination programme, my Department is working hard with NHS England, the UK Health Security Agency, GPs and other health professionals around the country so that we can prevent severe disease in young babies and those most at risk.
Actions include:
working to ensure that advice on vaccination in pregnancy is being offered antenatally and that information materials are available across antenatal and primary care settings;
the NHS will implement best practice, vaccinating pregnant women opportunistically during maternity appointments wherever possible;
updating case management guidance and collaborating with the health system to cascade these to clinicians and settings;
the recent launch of a national marketing campaign reminding parents to check their children’s vaccination status and stressing the importance for pregnant women of getting vaccinated;
raising awareness of whooping cough and the maternal vaccine uptake with clinicians and key Royal Colleges through targeted epidemiological updates and supportive communications;
working to ensure that we capitalise on monthly data publications to highlight the importance of vaccination for the public;
engaging local communities to highlight the importance of vaccination and make sure people know how to access the jabs as quickly as possible;
implementation of the NHS vaccination strategy which builds on the success of the NHS’s world-leading covid-19 vaccine programme when local teams found innovative ways to reach people during the pandemic; and
implementing the new national NHS objective to increase vaccination uptake for children and young people year on year towards World Health Organization (WHO) recommended levels, as set out in NHS England’s 2024-25 priorities and operational planning guidance.
Getting your whooping cough vaccination
While vaccination does not prevent transmission it is a critical public health control measure for preventing severe illness and it is vitally important that everyone who is eligible for a whooping cough vaccine—pregnant women and young infants—receive their vaccines.
This Government’s message to all pregnant women is: you can help protect your baby by getting vaccinated. The immunity you get from the vaccine passes to your baby through the placenta and protects them until they are old enough to be vaccinated at eight weeks old. The whooping cough vaccine is safe and highly effective at preventing deaths in young infants from whooping cough. It is the best way to protect your baby. You can access a whooping cough vaccine from your GP and through some antenatal clinics and for further advice on getting your whooping cough vaccinations in your area, speak with your local maternity service.
Parliamentarians can help spread this message to their constituents and local communities. Please feel free to share this WMS to spread the message. Information for people who are concerned a baby, or a child may have whooping cough can find information on what to do at www.nhs.uk/conditions/whooping-cough/. Further information about the whooping cough vaccination programme in pregnancy can be found at www.gov.uk/government/publications/resources-to-support-whooping-cough-vaccination
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Health and Social Care
Victoria Atkins Excerpts(7 months, 1 week ago)
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Victoria Atkins
I thank my hon. Friend for his question. We want to not just help with crisis support, but prevent our young people from getting into a position of crisis in the first place, so we are rolling out mental health support teams, ahead of our schedule, across schools. That is a really important piece of work that will help 44% of the student population, but we want to go even further. In the 12-month period ending in March 2021, we increased the number of children and young people aged under 18 who received NHS-funded mental health services to some 758,000.
[Official Report, 15 April 2024; Vol. 748, c. 65-66.]
Written correction submitted by the Secretary of State for Health and Social Care, the right hon. Member for Louth and Horncastle (Victoria Atkins):
Victoria Atkins
I thank my hon. Friend for his question. We want to not just help with crisis support, but prevent our young people from getting into a position of crisis in the first place, so we are rolling out mental health support teams, ahead of our schedule, across schools. That is a really important piece of work that will help 44% of the student population, but we want to go even further. In the 12-month period ending in January 2024, we increased the number of children and young people aged under 18 who received NHS-funded mental health services to some 758,000.
Oral Answers to Questions
Victoria Atkins Excerpts(7 months, 3 weeks ago)
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Anna Firth (Southend West) (Con)
The Secretary of State for Health and Social Care (Victoria Atkins)
May I wish you a happy St. George’s day, Mr Speaker? I also wish the hon. Member for Bristol South (Karin Smyth) a speedy recovery; I hope to see her across the Dispatch Box soon.
The Government have invested significant sums to maintain and modernise NHS buildings, including £4.2 billion for integrated care boards this financial year. This is on top of the expected £20 billion for the new hospital programme. We have invested a further £1.7 billion for over 70 hospital upgrades across England, including in mid and south Essex.
Anna Firth
I thank the Secretary of State very much for the Government’s commitment to delivering the £110 million in capital funding for south Essex hospitals and for her recent visit to Southend hospital, where she saw in our emergency village how much £8 million can do in the hands of Southend hospital’s inspirational NHS staff. However, our aged buildings do also need urgent maintenance, so what can she also do to deliver the £38 million in maintenance funding also needed for Southend hospital?
Victoria Atkins
I thank my hon. Friend, and also wish her the very best of luck, as she is due to abseil down the hospital next month for its radiotherapy appeal. I very much hope she lands safely and does not trouble Southend hospital. I was delighted to visit the hospital at her invitation earlier this month, and I was very much impressed by the immediate improvements that the £8 million funding has meant in the Dowsett ward and for discharge and treatment times through accident and emergency. This is part of our plan, both through the urgent and emergency care plan and through our recovery plan for electives and the new hospital programme, to rebuild hospitals and provide that investment so that clinicians can use it to treat their local patients.
Navendu Mishra (Stockport) (Lab)
Last month, I met the chief executive of Stepping Hill Hospital in Stockport. She informed me that the primary out-patient building, which provides 85% of out-patient capacity, was recently condemned. While funding has been secured to build two additional wards, they will not be ready for at least 15 months, causing huge disruption in the interim. Fourteen years of underinvestment has left Stepping Hill Hospital quite literally crumbling. Will the Government provide urgent capital investment for Stepping Hill, so that my constituents and our brilliant NHS staff can have the facilities they need?
Victoria Atkins
I very much hope that the hon. Gentleman has already spoken to his integrated care board, because he will know that responsibility for local investment decisions rightly rests at local level. I can say that, as a Government, we have very much invested in hospital upgrades, including £4.2 billion going to integrated care boards this financial year. I hear the timetable he cites, but I encourage him to go to his integrated care board to ask what more it is doing.
Lee Anderson (Ashfield) (Reform UK)
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
The Secretary of State for Health and Social Care (Victoria Atkins)
We are committed to levelling up health, narrowing the gap in healthy life expectancy by 2030, and increasing healthy life expectancy by five years by 2035. That aligns with our mission to reform our health and care system to be faster, simpler and fairer.
Debbie Abrahams
In January, Professor Sir Michael Marmot published “Health Inequalities, Lives Cut Short”, which confirmed that between 2011 and 2019, driven by political choices, 1 million people in 90% of areas in England lived shorter lives than they should. The inequalities were amplified by Covid. These lives cut short are matched by shorter lives in good health. Does the Secretary of State believe in evidence-based health? If so, does she accept the overwhelming evidence that current levels of ill health reflect 14 years of escalating poverty, services that have been run into the ground, including the NHS, and the Government’s failure to do what they promised in 2019: level up?
Victoria Atkins
No, I do not, and I would point to the legislation that the Government brought forward last week, which is the largest and most significant public health reform that we can make to help the hon. Member’s constituents and those in other parts of the country who face inequalities. We know that smoking rates are disproportionately higher in poorer communities, which is one of the many reasons why we introduced such landmark legislation. It is just a shame that the Labour party felt that they had to whip their Members to get them to vote for it.
Theresa Villiers (Chipping Barnet) (Con)
Will the Secretary of State support Breast Cancer Now’s campaign to improve the uptake of breast cancer screening, especially among women in minority ethnic communities, because that is a good way to tackle health inequalities?
Victoria Atkins
I completely agree. Further on ethnicity and inequalities, I have not only prioritised women’s health as Secretary of State, but announced £50 million of research into maternity disparities for women of colour, given the worrying statistics associated with that. I have also responded to calls from brave constituents, put forward by hon. Members on both sides of the House, for further research into lobular breast cancer, because although it is responsible for 15% of diagnoses, we do not have the research or evidence to help women who are affected by it.
Imran Hussain (Bradford East) (Lab)
The reality is that someone living in the inner city in the Bradford district is likely to live 20 years less than those living in the more affluent parts of the region. That has not just happened; it is a result of 14 years of underinvestment in and cuts to not only our NHS, but our community services. Will the Secretary of State just admit that the Government frankly could not care less about people from places such as Bradford, because otherwise they would have accepted my levelling-up bid, which would have addressed this injustice at its core?
Victoria Atkins
I am so glad that the hon. Gentleman has mentioned levelling up, because presumably he will know from his bid that the 12 levelling-up missions are mutually reinforcing. Conservative Members take the approach that in order to help people with their health—[Interruption.] The hon. Gentleman is shouting at me. I thought that this answer would be important to his constituents.
Levelling up is not just about health. It is about the impact of education, housing and other matters in our environment, which is why in the forthcoming major conditions strategy we will tie together the conditions that have the most impact on a healthy life. We will draw together a cross-Government strategy to help people who are living with those conditions to live longer but also healthier lives.
Priti Patel (Witham) (Con)
The Health Secretary will know about the health inequalities across the east of England, including in Maldon district, which will only be made worse if the NHS’s plans to close St Peter’s Hospital in Maldon proceed. Does she agree that the levelling-up funding that has been made available to Maldon District Council should be prioritised to facilitate investment in new localised health services, so that those inequalities can be tackled?
Victoria Atkins
My right hon. Friend makes an important point. The purpose of the levelling-up fund is to help local areas to address what they need locally, rather than respond to diktat from central London. I encourage her to work closely, as I know she will, with local agencies, the council and others making those important decisions, so that their levelling-up announcements include health, as an integral part of her mission to improve the lives of her constituents.
Andrew Gwynne (Denton and Reddish) (Lab)
Back in the real world, the record of the last Labour Government is that we increased life expectancy by three years. Under this Government, it has stalled for the first time in a century, with people in Blackpool, for example, expected to live four and a half years less than the national average. Is the Secretary of State proud of this shocking record, or will people have to wait to elect Chris Webb in Blackpool South and a Labour Government at Westminster to finally turn the tide on health inequalities?
Victoria Atkins
As someone who is proud to have gone to school in Blackpool, I do not need a lecture from the hon. Gentleman about what Labour has done to the town centre, or about the important work that Conservatives in Lancashire are doing to help communities such as Blackpool. On Labour’s record, I gently point out, as I try to do at every orals, that the record of the Labour-run NHS in Wales is lamentable. People are almost twice as likely to be waiting for treatment in the Labour-run NHS in Wales. That is not a record of which to be proud.
Gill Furniss (Sheffield, Brightside and Hillsborough) (Lab)
Lilian Greenwood (Nottingham South) (Lab)
The Secretary of State for Health and Social Care (Victoria Atkins)
We are focused on delivering our women’s health priorities for 2024. Recent successes include new women’s health hubs opening across the country, with £25 million of investment; the investment of nearly £35 million over three years in improving maternity safety, on top of the extra £186 million already being invested each year; the success of the hormone replacement therapy prepayment certificates; and research into the important issue of maternity disparities, which I have already mentioned.
Lilian Greenwood
House of Commons Library figures reveal that one in four women with suspected breast cancer are waiting more than two weeks to see a specialist. The waiting list for gynaecological treatments has risen by 40,000 in a year, which means that there are now almost 600,000 women waiting, which is up by a third over two years. Labour has pledged to tackle that backlog, so that more women are seen faster. How much pain, misery or worse do women have to endure before this Government start prioritising their health?
Victoria Atkins
As the hon. Lady will know—she saw the statistics published very recently—we are in fact treating more people at earlier stages of their cancer. I want to take on her point about gynaecological waits, because that is important. We are spending more than £8 billion in this spending review period on additional elective activity, and investing in additional capacity, including community diagnostic centres and surgical hubs, many of which provide gynaecological tests and procedures. She may have missed it, but the latest published management information for March shows that the longest waits for gynaecology services have reduced by nearly 95% since their peak in September 2021. Of course there is more to do, but we are making progress. I thank all the doctors and teams who are involved in that important work.
Preet Kaur Gill (Birmingham, Edgbaston) (Lab/Co-op)
Today, we have seen alarming figures pointing to the systematic de-prioritisation of women’s health, with 600,000 women in England waiting for gynaecological treatment, 33,000 women waiting more than a year, and under two thirds of eligible women screened for breast cancer in the last three years. Will the Secretary of State come clean and admit that under this Government, women’s health has become an afterthought?
Victoria Atkins
That is absolute nonsense. As I say, I have prioritised women’s health. I am pretty sure that I invited the hon. Lady to the women’s health summit earlier this year.
Victoria Atkins
She is very graciously saying that I did. The point is that I want women to receive the sort of care that we would all hope and expect them to have. I have prioritised that precisely because there are conditions, including gynaecological conditions, that have historically not received the attention they deserve. As our women’s health ambassador Dame Lesley Regan says, the NHS was created by men, for men. I am the Health Secretary who is sorting that out.
Mark Eastwood (Dewsbury) (Con)
The Secretary of State for Health and Social Care (Victoria Atkins)
We know that people in work lead happier, healthier lives. However, over 10 million “not fit for work” fit notes were issued last year. Most were repeat fit notes issued without any advice, so we are missing a golden opportunity to give millions of people the support they need to remain in work. That is why we are launching a reform of the fit note process to create a new system in which fit note conversations focus on what people can do, not what they cannot do. As part of this, the Government will consider shifting the responsibility for issuing fit notes away from GPs to reduce the pressures they face and to free up millions of appointments. I thank everyone who has delivered this vital work, and I very much look forward to hearing the results of the call for evidence in due course so that we can reform our welfare system for the sake of our constituents and our GPs.
Mark Eastwood
According to the Association of British HealthTech Industries, it takes, on average, 17 years for lifesaving and life-enhancing technologies to be adopted in the NHS. What steps is my right hon. Friend taking to speed up the adoption of new technologies so that the NHS can save more lives and improve patient outcomes?
Victoria Atkins
I dispute the 17-year figure, as it can vary across innovations. The figure is contested, but my hon. Friend raises an important point. We have a plan to prioritise the acceleration of patient access, thereby ensuring safe, effective and innovative medical technology for patients and the NHS. Our ambition is backed by funding, and we are reforming the medical technology regulatory framework, introducing the innovative devices access pathway pilot and launching frameworks to increase the availability of innovative products for the sake of patients across England and the United Kingdom.
Wes Streeting (Ilford North) (Lab)
The Health Secretary has promised that the Government will provide an extra 2.5 million dental appointments this year, but the dentistry Minister, the right hon. Member for South Northamptonshire (Dame Andrea Leadsom), says the figure has
“a high likelihood of not being reliable”.
Which one of them is wrong?
Victoria Atkins
I am delighted to be able to tell the hon. Gentleman that we have modelled down the ambitions, so the figure we initially provided was higher than 2.5 million appointments. That is because we are focused on delivering the dental recovery plan, rather than overpromising.
The hon. Gentleman finds it easy to call our children short and fat, but he shies away from welfare reform, calling it shameless and irresponsible. He says he is ready to stand up to middle-class lefties, but Labour has never put patients first by condemning the unions that strike. He makes glossy promises about reforming the NHS in England, yet Labour has failed completely—
Mr Speaker
Order. I gently say that we need to get a lot of Back Benchers in, and I am sure both sides want to do that.
Wes Streeting
The last Labour Government delivered the shortest waiting times and the highest patient satisfaction in history, which is a record that the right hon. Lady’s Government cannot begin to touch.
Back to dentistry, the chief dental officer says the announcement is “nowhere near enough.” The British Dental Association says:
“This ‘Recovery Plan’ is not worthy of the title.”
It also says that the recovery plan will not stop the “exodus” of dentists and will not meet the Government’s targets. Who should the public trust, and why should they trust the Health Secretary to deliver when her own adviser, her own Minister and, crucially, dentists all say that she is brushing the truth under the carpet?
Victoria Atkins
Again, let us bring ourselves back up to date. I know the Labour party likes looking back to the last time it found favour with the British public, but Wales is the up-to-date record of today. Labour’s lamentable record of running the NHS in Wales speaks for itself. If the hon. Gentleman is so set on reform, why on earth is he not helping his Labour colleagues in Wales to do exactly as he is promising? It is because they are empty promises, and because the hon. Gentleman and, I am afraid, the Labour party will step back from reform rather than grappling with the issues, as we are doing with our recovery plan.
Finally, on the dental recovery plan, within a month of the new patient premium being switched on, hundreds of surgeries have opened to new patients, which means that patients in the hon. Gentleman’s constituency and elsewhere are getting the care they need.
Sir John Whittingdale (Maldon) (Con)
Victoria Atkins
I thank my right hon. Friend for raising that matter. I understand that a consultation was conducted locally and that more than 5,000 local people and staff responded. Their feedback will be analysed by an independent research agency, which will produce a report for the Mid and South Essex ICB, and a meeting is due to take place in public in July. I will, of course, continue to take an interest in this matter.
Kirsty Blackman (Aberdeen North) (SNP)
The recent announcements on fit note reform are just the latest in a long string of attacks on the most vulnerable people in society. Sick and disabled people are being vilified, when, as the Joseph Rowntree Foundation points out, almost two thirds of those living in destitution live with a chronic health condition or a disability. The UK Government are continuing their track record in failing, and making life more difficult for, disabled people. Does the Secretary of State understand how much more difficult these changes will make people’s lives?
Victoria Atkins
These reforms are being brought forward because of a simply unsustainable rise in the number of people being given fit notes so that they cannot re-enter the world of work. We want to support people into work, not only because we believe that it is the best way to help them to recover, but because it helps us to fund the NHS. It is funded by people who work and pay their taxes. Again, I draw the hon. Lady’s attention to matters a little closer to home; sadly, Scotland’s record on health is very difficult to read and it includes the worst level of drug deaths in Europe. I encourage her to concentrate on how the SNP is running health services in its local area.
Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (Con)
Richard Burgon (Leeds East) (Lab)
Victoria Atkins
We switched on our fully funded dental recovery plan, in case the hon. Gentleman was not listening carefully earlier, on 1 March. Nearly 500 more practices in England are accepting new adult patients than at the end of January, and even more will do so under the dental recovery plan. We have plans to bring in new dental vans to help our most isolated communities. We are also bringing in the Smile4Life programme for children, because prevention must be a critical part of our dental recovery plan.
Steve Brine (Winchester) (Con)
Ministers will be aware of a rather boastful claim last weekend by the makers of Elfbar and Lost Mary vapes. They have already launched rechargeable, refillable products, which, with a coil in each pod, are not by definition single-use or disposable according to the published regulations. Can the Minister reassure the House and parents that they are alive to that and will pivot as necessary now that the Tobacco and Vapes Bill is going into Committee?
Victoria Atkins
I thank my hon. Friend for raising that matter, which shows the cynicism with which the tobacco and vaping industry is approaching these landmark public health reforms. On vapes, we have committed to consulting on the powers that we are adopting in the Bill precisely because we want to ensure that the regulations, when they come to the fore, address the realities of the market and the cynicism of the companies behind it, and help to ensure that our children do not continue being plied with these horrible items to get them hooked on nicotine.
Lee Anderson (Ashfield) (Reform UK)
Victoria Atkins
This is a very serious matter, which I have raised with the chief executive of NHS England, and asked her to raise with the regional director and Nottinghamshire integrated care board. We have done so because we believe that it might be a breach of the Nolan principles.
Maggie Throup (Erewash) (Con)
Just yesterday, the Office for National Statistics released data showing that alcohol-specific deaths in 2022 were 4.2% higher than in 2021 and a massive 32.8% higher than in 2019. Will my right hon. Friend now seriously consider a stand-alone alcohol strategy based on this worrying trend and agree to meet me and other interested parties to discuss a way forward to tackle alcohol-specific deaths?
Ruth Cadbury (Brentford and Isleworth) (Lab)
At my last surgery, a young woman told me that, thanks to the delay in her GP diagnosing her ovarian cancer, she is now infertile and receiving aggressive treatment. She had made four GP appointments over several months for her unexplained stomach cramps. Only in an emergency admission in another country was the ovarian cancer diagnosed and the tumour removed. How long will it be before the symptoms of female-specific conditions are taken seriously by our medical establishment, from initial training onwards?
Victoria Atkins
I thank the hon. Lady for raising this, and I very much send our best wishes to her constituent. The hon. Lady raises a really important point. The symptoms that women can experience are often very different for conditions relating not just to cancer, but to heart attacks, for example. Part of my prioritisation of women’s health is to get that message out to clinicians so that, as this case demonstrates so tragically, they are able to make the best and most prompt diagnosis for all women.
Matt Hancock (West Suffolk) (Ind)
What is the Secretary of State doing to ensure that the UK Health Security Agency has the budget and the capabilities it needs? The recent expansion of bird flu among mammals in the United States is a salutary lesson. Thankfully, there are no signs yet of human-to-human transmission, but it reminds us of the incredible value and importance of being vigilant in this space and having the best possible technology ready to respond as soon as possible.
Victoria Atkins
I thank my right hon. Friend for his question, and of course for his integral role not just during the pandemic, but in setting up the UKHSA. He will understand that I and others are keeping this under very close review, and the chief medical officer is briefing me as and when needed.
Alison Thewliss (Glasgow Central) (SNP)
Victoria Atkins
The hon. Lady raises an important point, and I ask her to write to me, please, so that we can look into it.
Will Quince (Colchester) (Con)
Given the importance of the UK’s life sciences sector, could my right hon. Friend update the House on commercial clinical trial recruitment?
Dean Russell (Watford) (Con)
I again thank the Secretary of State for visiting Watford General Hospital earlier this year, where we shared exciting plans for the new hospital, with preparation work starting this year, and construction starting by the end of 2026. I spoke with the West Hertfordshire NHS Trust leadership team this week, who confirmed that they are on track for that delivery within those timescales. Will my right hon. Friend please join me in thanking them for their hard work on that?
Victoria Atkins
I would be delighted to join my hon. Friend, and I thank him again for a really positive visit to his local hospital. That is a great example of a local MP working in his local area for his constituents and, what is more, delivering for them.
Greg Smith (Buckingham) (Con)
As a practical measure to improve radiotherapy waiting times, will the Minister agree to further work on the radiotherapy dataset, to include the collection of data on delays at each stage of the radiotherapy pathway, and by tumour type, so that we can better understand pinch points in services?
Daisy Cooper (St Albans) (LD)
West Hertfordshire Hospital Trust is at the front of the queue for the new hospital programme. We have the land, planning permission, building design, political and staff support, and enabling works are under way. But, like many other trusts around the country, the hospital trust is being asked to submit business case after business case. Will the Secretary of State clarify whether those delays are down to bureaucracy and the new hospital programme, or are they deliberate delaying tactics by a Government who do not want to release funds to hospitals before the general election?
Victoria Atkins
Normally, a Secretary of State would appear at the Dispatch Box after a question like that and say, “I refer the hon. Member to the answer I gave earlier.” On this occasion I will refer her to the question from my hon. Friend the Member for Watford (Dean Russell). He has just set out the business case for Watford General, which is great news, and I hope she will join him and me in welcoming that new hospital when it is open.