Budget Resolutions Debate
Full Debate: Read Full DebateWes Streeting
Main Page: Wes Streeting (Labour - Ilford North)Department Debates - View all Wes Streeting's debates with the Department for Digital, Culture, Media & Sport
(8 months, 2 weeks ago)
Commons ChamberI would have raised this as a point of order, Madam Deputy Speaker, but, given that we are here, before I get right to the heart of the debate, I want to place on the record the revulsion that Opposition Members feel at Frank Hester, a Conservative party donor who has given more than £10 million to the party in the last year, saying of the right hon. Member for Hackney North and Stoke Newington (Ms Abbott) that she makes him
“want to hate all black women”
and that she
“should be shot”.
That is utterly revolting, racist and inciteful language, which has no place in our politics and public life. Given the vast sums that he has given not just to the Conservative party but to the Prime Minister, if they have any integrity whatsoever, they will give every single penny piece back and apologise to the right hon. Member for those appalling comments. I am sure that, at some point in the debate, those on the Treasury Bench will want to confirm both those things.
Turning to the Budget, the Government have summed up what is obvious to everyone in Britain: 14 years of Conservative incompetence has broken Britain’s economy. It is all there in black and white. The economy is back in recession. We have the highest tax burden in 70 years, a record tax-raising Parliament, wages lower today than in 2010 and households worse off than at the last election. We have a fall in living standards over an entire Parliament for the first time in history. From next month, we have a real-terms cut per person in NHS funding, when the NHS is going through the worst crisis in its history. What did this Budget contribute to that appalling record? We have
“millions of low and middle-income workers being dragged into paying higher tax. And unprecedented levels of low-wage, low-skilled migration are damaging the economy. The government could have fixed both problems today but did not.”
That is not my conclusion, but the words of the former Home Secretary and next leader of the Conservative party, the right hon. and learned Member for Fareham (Suella Braverman).
Will the hon. Member give way?
I am sure the hon. Member would like to leap to defend the current leader or his future leader—which is it?
The shadow Secretary of State underplays the strength of the British economy, with record employment and an unemployment rate one third below the EU average. I put this to him: the tax take is higher than we on the Conservative Benches would like, but the key reason is that in the pandemic, it cost a lot to make sure we left nobody behind. We had one of the most generous furlough schemes in the western world, for example. Would he have done anything differently?
We have never doubted the challenges that the pandemic has placed on the public finances or our public services, but that does not explain the fundamental weakness of the British economy going into the pandemic or the fact that NHS waiting lists were at record levels before the pandemic. Nevertheless, it is good to see the Conservative party at least acknowledge that major crises do have an impact on public finances.
I thank my hon. Friend for giving way, and I also thank the hon. Member for Basildon and Billericay (Mr Baron) for his intervention about what happened during the covid crisis. Does my hon. Friend agree that we would have had a lot more money for our public finances, for more doctors and nurses, if the Conservative Government had not been busy handing out billions of pounds’ worth of contracts to their friends and chums? That is one of the reasons we need a covid corruption commissioner. [Interruption.] Does my hon. Friend agree that the Chancellor failed to announce a covid corruption commissioner during his Budget?
My hon. Friend is absolutely right, and Government Members should not groan at him for raising a problem; they should be outraged at the misuse of public money. They should be as appalled as we are that in the midst of a national crisis, when so many people rushed to danger or played their part in a national response—those businesses that shifted from their normal activity to try to help, genuinely doing the right thing for the right reasons—there were others at the same time who sought to use the pandemic to make a quick buck at our expense. It is disgusting, and the fact that so many billions of pounds of personal protective equipment was wasted—much of it literally going up in smoke—should exercise all of us. Voters can make their own judgment on why the Conservative party is still so relaxed about that profligacy, waste and fraud.
I accept the point that the hon. Member for Basildon and Billericay (Mr Baron) made about the importance and impact of financial events, because a narrative was spun after the 2010 general election about the global financial crisis. The Conservatives love to say it was all the fault of the last Labour Government, but I have bad news for them: the former Chancellor of the Exchequer—I had better name him, as there have been so many—George Osborne was talking recently in his excellent podcast about the late, great Alistair Darling, and he said:
“In the financial crisis, he was the Chancellor of the Exchequer, who earned a lot of trust with the way he handled that crisis.”
Of course, it was politically expedient for the Conservative party at the time to pretend that the economy was going through so many challenges because a Labour Government had bailed out the banks, but when presented with a crisis, you do the right thing. We did the right thing then, and we would do the right thing in the future when presented with crises, as we expected this Government to do. In fact, we engaged with the Government in good faith throughout that crisis. We never imagined that people would use VIP lanes to rip off the British taxpayer. That is why, if she is the next Chancellor of the Exchequer, my right hon. Friend the Member for Leeds West (Rachel Reeves) will go after those people to get that money back. We do not doubt her determination to do so.
The Budget was pitched as the Tories’ last roll of the dice before the general election. It was meant to be the one to bamboozle the Opposition and wow the public, but instead of starting the campaign with a bang, they are going out with barely a whimper. It was meant to bring millions of voters who have abandoned the Conservative party back into the tent. Instead, it has driven the former deputy chairman of the Conservative party out of the tent all together. After 14 years of Conservative Government, Conservative MPs are leaving because, to quote the hon. Member for Ashfield (Lee Anderson):
“you can’t get a police officer to turn up to your house when it gets burgled…people are pulling their own teeth out, you can’t get a GP appointment.”
What a damning indictment of the Conservative party from a man who this Prime Minister chose to elevate to one of the highest offices in that party.
The claws came out as soon as today’s defection was announced, but they are not aimed at the hon. Member for Ashfield—no, Conservative MPs are begging him to come back. They have told “Channel 4 News”:
“The fact Rishi promoted him to Deputy Chairman and tells you all you need to know about his judgment.”
Even Conservative MPs admit in private that the Prime Minister is too weak to run his own party, let alone the country. As Lord Lloyd-Webber might have written if he were scripting a new musical for the Conservative party, they are past the point of no return and looking to Boris Johnson, saying
“Wishing you were somehow here again.”
I have to give credit where it is due: this is a Budget so bad that it has done what was previously unthinkable: it has united the warring factions of the Conservative party. They are united in agreement that it was a disaster. Before the Chancellor stood up, the leader of what is left of the Scottish Conservatives had already announced his opposition to it, soon followed by the Energy Minister, the hon. Member for West Aberdeenshire and Kincardine (Andrew Bowie), who exclaimed his deep disappointment with his Government’s own energy tax. Then, the Security Minister, the right hon. Member for Tonbridge and Malling (Tom Tugendhat) and a Foreign Minister, the right hon. Member for Berwick-upon-Tweed (Anne-Marie Trevelyan), wrote a joint article opposing the Chancellor’s lack of investment in defence. The Energy Minister does not support the energy policy; Foreign and Security Ministers do not support the defence policy, and even the Chancellor says that he does not support the tax rises that he is imposing on working people. It begs the question: is there anyone left who believes in what this Government are doing? Government Members should feel free to intervene and leap to the Government’s defence but, sadly, they agree.
The Chancellor named several Members in his speech, presumably on the basis that misery loves company. I wonder if even the Members who made their way on to the Chancellor’s list of the damned will defend this Government’s dismal record. I extended an invitation to them earlier today, but they have not shown up. I am sure that they are busy back in the office or in their constituency writing leaflets extolling how great the Budget was.
Twenty-five MPs who will not be extolling how wonderful it was are the New Conservatives. The 25 Conservative MPs who support that organisation said:
“We cannot pretend any longer that ‘the plan is working’. We need to change course urgently.”
Does my hon. Friend question, as I do, whether those 25 MPs who want to change course urgently will vote for this Budget? If they will, how can they possibly suggest that they are changing course?
Who knows? I must confess I do not even know who the New Conservatives are, there are so many warring tribes and families involved every week. It is a level of reproduction that even the former Prime Minister Boris Johnson fails to match.
Turning to the list of the damned who made their way into the Chancellor’s Budget speech, the hon. Member for Dudley North (Marco Longhi) was identified as pushing the Government to give into the shadow Chancellor’s call to cancel their planned rise in fuel duty. Where Labour leads, the Tories follow. I wonder if he will defend his Government making pensioners in Dudley £1,000 a year worse off. The hon. Member for Truro and Falmouth (Cherilyn Mackrory) was singled out by the Chancellor. Does she think her constituents earning £15,000 a year will forgive her for voting to pinch an extra £580 from their pockets in tax rises?
She does! She wants to defend the Chancellor and her fingerprints on the Budget.
The hon. Gentleman seems to be taking the wrong tone with my constituents. Being overly political with each other is not something we practice, and he would know that if he spoke to my Labour opponent in Truro and Falmouth. The Chancellor singled me out because we have worked very hard across Cornwall to remove advantages for short-term holiday lets; that is all.
I am grateful to the hon. Lady for that intervention. I do not think that that alters the fact that there are 60,000 people on the NHS waiting lists in Cornwall and the Isles of Scilly. I am sorry if she takes issue with my tone, but the simple truth is this: however much the Conservative party tries to build the idea that politics cannot change anything—that there is no point in voting, that we are all the same and that there will not be any change with a change of Government after the next general election—politics does make a difference and voting can change things. I cite in evidence the fact that when Labour left office we had the shortest waiting times and the highest patient satisfaction in the history of the NHS. I cite in evidence that if we had economic growth under this Government at the rate we had growth under the previous Labour Government, there would be £40 billion extra to invest in our public services without having to raise taxes on anyone. That is Labour’s record. It is a record we are proud to defend. Conservative Members cannot defend their record—they have no record.
Does my hon. Friend agree that we have to have measures to improve and boost our economy? Was it not disappointing that there was nothing about commercial trials for pharmaceutical companies in the Budget? On trials, we have fallen from fourth to 10th in the world, losing 44% between 2007 and 2017-18, and 50,000 a year between 2021 and 2022. Without those trials we will not only see a lack of money, but a lack of improvement in cancer outcomes.
I strongly agree with my hon. Friend. We should not be complacent about that, because slipping down international league tables is not just a missed opportunity, but a missed chance to save lives, improve outcomes and generate income for our national health service. Everyone wins when we have our national health service and life sciences sector working together in partnership to ensure we are developing the latest treatments and technologies in this country, to ensure we are manufacturing those treatments and technologies in this country, and to ensure patients get the benefit in this country. Should Labour win the next general election, I have no doubt that she and I will do a great deal together to improve outcomes, particularly in relation to brain cancer, which we are both passionate about—not least because of the late great Margaret McDonagh, who remains an inspiration to us all—but also in so many other areas where that kind of groundbreaking science has the potential to improve our economy and save lives.
I am grateful to the hon. Gentleman for giving way. I am enjoying his knockabout speech, but does he welcome the £650 million package we put out last spring to reverse the covid damage to life sciences, and, more importantly, does he respect the way that several of us have pursued this issue in a non-partisan way? The sector needs to know we are working together. I invite him to say that he intends to build on that legacy and continue to keep it as a sector that goes beyond politics.
I certainly give the former Minister this assurance: where the Government have had good ideas and where the life sciences strategy is in the right place, we do not intend to tear things up just because there are Conservative fingerprints. Indeed, we welcome aspects of reviews the Government have undertaken—particularly that conducted by Lord O’Shaughnessy, and we welcome the Government’s commitment to implement it in full—but there is more to do. I remain frustrated that when I talk to UK life sciences, in particular start-ups and medtech entrepreneurs, they describe the NHS in pretty poor terms as a partner. That culture and practice must change.
I can see the former Minister nodding emphatically. Even amidst this rowdy Budget debate, we have managed to achieve some consensus. Of course, the hon. Gentleman is very welcome to join us on the Labour Benches should he wish to help us in the task.
The hon. Member for Bassetlaw (Brendan Clarke-Smith) is another Member who will be absolutely delighted to have his fingerprints on the Budget. How will he explain to his constituents, getting by on £20,000 a year, that he is an architect of the Budget that will leave them paying £447 more in tax this year? They will all walk through the Lobby to raise taxes on working people, but they will not defend their decision in the House.
It is no surprise that the Conservatives are ashamed of what they have done to the country. Fred Thomas, Labour’s candidate in Plymouth, Moor View, told me about Izzy Cioffi. Izzy left the Royal Marines last year after eight years of service. He has been working hard as a telecoms engineer, in a good job which a few years ago would have enabled him to get by and even put some money aside each month. He wants to train for a commercial diving qualification, but the cost of all his basics—fuel, food, mortgage and energy bills—has risen so much that he cannot afford to put any money aside. This is a young man with no dependants, in a good job. He should have his entire future before him, but the state of the economy is holding him back from opportunity. That is the cost of what people in the country are calling “Rishi’s recession”.
What about the Conservatives’ record on non-doms? We know that Conservative Members do not support the abolition of non-dom tax status, because they have been telling us so for the past decade. The howls of protest from the Benches opposite were deafening from the moment Labour first proposed what is a simple policy and principle—that people who live and work in Britain should pay their taxes here too. The right hon. and learned Member for Northampton North (Sir Michael Ellis) said that it would be “anti-aspirational”. If only he had as much aspiration for our NHS and schoolchildren as he has for people avoiding their taxes. His constituents will remember that he fought for non-doms, not nurses. In stark contrast, Labour’s candidate Lucy Rigby, whose mum worked in the NHS, is committed to getting the NHS in Northampton back on its feet and fit for the future. That is the choice that voters in Northampton face.
The hon. Member for Stoke-on-Trent North (Jonathan Gullis) suggested that the money raised would drop year on year, as non-doms would leave the country. Why does he have so little faith in Britain? Why does he think that the only reason people would want to live in this country is to avoid paying taxes? If he cannot see that Stoke-on-Trent has so much more going for it than non-dom tax status, I suggest that his constituents might prefer an MP who has some pride in his city and some pride in his country, and elect David Williams at the general election.
During the election campaign, when the Conservatives are touring the broadcast studios to criticise Labour’s plans, we must never forget that the Chancellor said that abolishing the non-dom tax status would not benefit the taxpayer, the Secretary of State for Levelling Up, Housing and Communities said that it would lead to “talent flight”, the Health Secretary said that it would put 230,000 nurses at risk and put in jeopardy Britain’s place as the filming location for the “Barbie” movie, and the Under-Secretary of State for Health and Social Care, the hon. Member for Lewes (Maria Caulfield), said that it was
“as much use as an ashtray on a motorbike.”—[Official Report, 28 February 2023; Vol. 728, c. 710.]
Now each and every one of them is preparing to vote for Labour’s plan. The bright glow coming from the red-faced Members opposite is blinding. We must never forget that they criticised our policy, they criticised our costings, they have adopted our policy and they have adopted our costings. They do not have any credibility left.
The fact that the Conservatives have finally relented is further evidence that Labour is winning the battle of ideas again today. Never again can the Conservatives claim with a straight face that Labour does not have a plan. They would not have the first idea what to do if they did not have our plans to pinch. In fact, it seems to me that the Labour party has replaced the Institute of Economic Affairs as the Conservatives’ most influential and favoured think-tank. Look at the impact that we are having on Government policy. Labour’s NHS workforce plan: nicked. Labour’s plan to recruit dentists to the most under-served areas: nicked. Labour’s plan for a progressive ban on tobacco: nicked. Labour’s plan for a windfall tax on oil and gas giants: nicked. And now Labour’s plans to abolish the non-dom tax status: nicked. If the Conservatives are so desperate to see Labour’s manifesto implemented, they should just call a general election.
I would not want my hon. Friend to miss out the consultation on banning water bosses’ bonus, which was also nicked from us.
The list is inexhaustible, is it not? It is just one thing after another, and then they have the audacity to say that Labour does not have any plans. If that is true, why are they swooping in like magpies every five minutes, ready to pick the next cherry from Labour’s tree?
It is just a shame that the Conservatives did not see the light earlier. Had they abolished non-dom tax status when Labour pledged to do so in 2022, 4.5 million children could be enjoying free breakfast clubs today. They could have funded an extra 3.6 million NHS appointments and operations, hundreds more artificial intelligence-enabled scanners, and 1.3 million more urgent and emergency dental appointments. The Prime Minister would have delivered on his pledge to cut waiting lists, if only he had listened to Labour. What stopped him? Why was the Prime Minister so wedded to the non-dom tax status?
The hon. Gentleman has mentioned schoolchildren a couple of times in passing. It was hugely disappointing to me that there was absolutely nothing in last week’s Budget about schools or colleges. Today’s theme is growing our economy, which starts in our classrooms. Investing in education is an investment in this country’s economy and society for generations to come, yet there was nothing for day-to-day spending, even though schools in my constituency and across the country are having to make cuts every day. Shockingly, the small print revealed that next year we will see a real-terms cut of £200 million in capital investment in school buildings, while hundreds of thousands of children learn in crumbling classrooms. Does he agree that the Conservatives have no clue about growing the economy if they will not focus on children and young people?
I agree with the hon. Member. Politics is about choices, which is why we choose to end the tax breaks enjoyed by private schools, which are attended by the 7%, in order to fund more teachers and education for the 93%. The Conservatives have not nicked that policy yet—it could be any day now—but it does say something about choices.
There is something else that I found really galling. When the Government appointed Sir Kevan Collins as their catch-up commissioner, they could not have found someone better to advise on education, life chances and how to correct the obvious damage that had been done to children’s education as a result of successive lockdowns. Most of us in this House—on both sides—felt that the lockdowns were necessary, given the scale of the virus, but we ought collectively to acknowledge that there was a consequence and a debt to be repaid to that generation. When Sir Kevan Collins published his report, which was commissioned by the Government, the Prime Minister decided that he could not do any more. If the Prime Minister’s children attended state schools and he understood the challenges that such schools were facing with recruiting teachers and providing the wide range of extra-curricular opportunities that so many independent schools offer, I wonder whether the Prime Minister would have made the same political choices—or is it just for other people’s children that this Prime Minister and his Government have low aspirations?
I think it is fair to say that we know why the Prime Minister was so wedded to the non-dom tax status. In fact, the only way the Chancellor could have upset his neighbours more was if he had raised taxes on helicopter rides and heated swimming pools too. But at least the Prime Minister can now look the British people in the eye and honestly tell them that we are all in this together. In fact, we have to pity poor non-doms—they cannot even look to their friends, or indeed their husbands, in the Conservative party to defend them any longer. Nor can pensioners, incidentally, because 8 million pensioners will see their taxes increase as a result of this Chancellor’s decisions. I do not think that is right or just, and I do not think people will forget it come the general election.
I turn to the Prime Minister and how he evaluates his own performance. At a Wetherspoons in Maltby last week, he told the public that at the start of this year we “turned a corner.” He is right: at the start of this year the economy turned the corner from flatlining and entered recession. Rishi’s recession is taking a heavy toll on working people. Labour’s candidate for Rother Valley, Jake Richards, told me about John from Maltby, who lives just down the road from what was probably the first ’Spoons the Prime Minister has ever been in. John is a veteran of our armed forces. He served his country and now, thanks to the recklessness and incompetence of this Government, he cannot make ends meet. That is the price that people are paying, and it is why this country is crying out for change.
Having crashed the economy just two years ago, the Conservative party is at it again with a £46 billion unfunded tax plan. Can any Conservative Member explain how on earth they are going to pay for the abolition of national insurance? This is a bigger unfunded commitment than the “kamikwasi” Budget of the right hon. Member for South West Norfolk (Elizabeth Truss). Mortgage payers are still paying the price for that grotesque act of economic self-harm, and the Conservatives are at it again—
I hope that the right hon. Member for Gainsborough (Sir Edward Leigh) can tell us why.
This is great knockabout stuff, but I would like to make a serious comment on the whole national insurance thing. With the retention of the triple lock and with fiscal drag, more and more pensioners are being dragged into paying tax. I understand that the Labour party will support the cut in national insurance rather than in income tax, so what is its long-term plan?
The right hon. Member made a right and fair point earlier about the cuts to national insurance and what is happening to pensioners’ incomes at the moment, but the Government’s long-term plan is totally unfunded. They cannot tell us how they will fund it or when it will be delivered by. I am happy to give way if anyone wants to correct me on that, as I am sure the whole country would like an explanation on this £46 billion unfunded tax plan. We cannot have a situation where once again the Conservative party gets away with an entirely unfunded gimmick. We saw where that led our country before, and Labour will not play fast and loose with the public finances in the way that the Conservatives have—[Laughter.] It is no use laughing. I am amazed that Conservative Members still laugh when people’s mortgages are going up month after month. They still have the audacity to laugh at their recklessness and not take responsibility for their mistakes.
The hon. Gentleman invited an intervention to clarify his position on national insurance. I wonder whether, rather than engaging in this knockabout, which I am rather enjoying—he is terribly good at it, by the way—he could answer the direct question from my right hon. Friend the Member for Gainsborough (Sir Edward Leigh). If Labour is going to support this change to national insurance, how does the hon. Gentleman reconcile that support with what he has just said? It is a straightforward question.
It is that we have once again won the argument. We have been arguing for some time that taxes on working people are too high. They have gone up time and again under this Conservative Government, and it is only because there is a general election around the corner that they have suddenly discovered a heart, and discovered Labour’s policy and raided our cabinet. Until now, the Conservatives have used working people as their first and last resort to raise money.
Whenever we have talked about fairer choices—whether on non-doms, on the oil and gas giants, on the carried profits loophole, or on the tax exemptions enjoyed by private schools—we get a howl of opposition from the Conservatives, telling us how difficult it is: “Oh, that won’t work, it won’t raise the revenue, it’s not fair, it’s so harsh on all these people.” They never say that about the people on low and middle incomes who are being absolutely clobbered. They never say that about the people who lie awake at night worrying about how they are going to pay their bills, do the shopping and pay their rent or their mortgage. Picking the pockets of working people is the first and last result of this Conservative Government, and it is only because there is an election around the corner and Labour is chomping at their heels that they have finally discovered the cost of living crisis.
My hon. Friend is right to pick up on this unfunded £46 billion proposal to scrap national insurance. Just a quick glance on the gov.uk website shows, under the heading
“What National Insurance is for”,
that it is for:
“Basic State Pension, Additional State Pension, New State Pension, New Style Jobseeker’s Allowance, Contribution-based Employment and Support Allowance, Maternity Allowance, Bereavement Support Payment”.
If that £46 billion is going, how will all these be paid for?
My hon. Friend asks an excellent question, and it is one that the Government will have to answer, because we are not having this double standards in politics. If the Labour party had announced unfunded commitments of this kind, the Conservatives would be the first to howl and complain, and it would be the question confronting every Labour spokesperson on every broadcast platform and every national newspaper. This is the question that should be levelled at the Government, because this is not just hypothetical recklessness; we have seen where the Conservatives’ ideological recklessness led our country, through a disastrous mini-Budget, for which they have never apologised, never taken responsibility and apparently never learned the lessons. It is a disgrace.
If the money is not coming from the sources that my hon. Friend the Member for Denton and Reddish (Andrew Gwynne) suggested, in terms of pensions and support, let us bear in mind the scale of £46 billion. It is a quarter of the NHS budget. Is that where the money for abolishing national insurance will come from? The Government would have to close 130 hospitals and sack 96,000 nurses, 37,000 doctors and 7,000 GPs. Will these cuts be evenly spread across the country, or will they just shut down the NHS in the west midlands and Yorkshire, leaving the rest of the country untouched? They are very welcome to tell us when this policy will be introduced, how they will fund it and where the cuts or the alternative tax rises will come from, because we will hound them with these questions every day of the general election campaign.
Some of that £46 billion could have been allocated to compensation payments for those affected by infected blood. Does the hon. Gentleman share my concern that the Budget did not mention infected blood and that those who are impacted feel very frustrated and very angry at the Government’s delays in dealing with the issue?
I am grateful to the hon. Gentleman, who brings me to the next section of my speech. Infected blood is another crucial detail missing from the Budget. Where is the compensation for the victims of the contaminated blood scandal? The Prime Minister acknowledged that this is an appalling tragedy, and he promised that he will speed up the award of compensation. Sir Brian Langstaff gave final recommendations on compensation in April 2023, almost an entire year ago. Why can the Prime Minister act quickly to help the Secretary of State for Science, Innovation and Technology with her legal fees but drags his feet when it comes to helping the poor victims of this scandal?
We should be in no doubt that the Chancellor allocated no money and has not left enough headroom in his Budget to meet the levels of compensation likely to be required, so what is his plan? Is he going to break his fiscal rules or break his promise to the victims? Which is it? It is not a hypothetical question, and I think people would like an answer from the Government on the contaminated blood scandal. We have heard the warm words and we have heard the commitment. In fact, the Prime Minister said he is acting speedily. I would love to see him in snail mode, but this is serious. People are dying without compensation.
The Government are now floating the idea of an autumn general election, bottling it on a 2 May general election. Are they seriously saying that this will drag on into the autumn for a new Government to pick up the pieces? That is what it looks like to me, and I think it is shameful. Given everything the Chancellor has said about this scandal, and given his role as this country’s longest-serving Secretary of State for Health under this Conservative Government, I think it is a real shame on him.
Finally, I turn to the NHS. In announcing the productivity review, the Chancellor admitted something that Labour has been arguing for some time, that the Conservatives have failed to reform our public services and that they have hiked taxes on working people, wasted taxpayers’ money and delivered poor services. In short, under the Conservatives we are paying more and getting less. Now the Chancellor wants us to trust the arsonists to put out the fire they started.
The Chancellor promised a crackdown on agency spend:
“For too long staffing agencies have been able to rip off the NHS by charging extortionate hourly rates which cost billions of pounds a year and undermine staff working hard to deliver high-quality care. The tough new controls on spending that we’re putting in place will help the NHS improve continuity of care for patients and invest in the frontline—while putting an end to the days of unscrupulous companies charging up to £3,500 a shift for a doctor.”
I agree with every word he said, but it was not from the Budget speech. It was from a speech in 2015, nine years ago, when he was Health Secretary. What has changed? Last year the NHS spent £3.5 billion on agency staff—£5,200 for a single doctor’s shift. The taxpayer is getting ripped off worse than ever before, because the Chancellor refused to train the doctors and nurses our NHS needs. Just last year, the Conservatives poured an extra £400 million into agency staff. Why? Because they have forced NHS doctors and nurses out on the worst strikes the NHS has ever seen, and the Budget confirmed that they have no plan to end this chaos. The truth is that the Prime Minister would much rather blame poor performance on NHS staff than the abysmal failure of 14 years of Conservative government.
The Chancellor promised new artificial intelligence technology for the NHS. We will add that to the long list of Labour’s plans that the Government are adopting. This is a man who promised in 2013 that the NHS would go paperless. Four years later—I am not joking—he said:
“I am quite relieved that most people seem to have forgotten that I made that promise.”
Well, the country has not forgotten that record. It is 2024 and the NHS still runs on pagers, fax machines and paper records. The Chancellor’s failure left the NHS with the longest waiting lists and the lowest patient satisfaction in history. Now the butcher of the NHS is back, and he wants five more years to finish the job. The hon. Member for Loughborough (Jane Hunt) was named and shamed by the Chancellor as playing a role in drafting the Budget. The question is: where was the plan to cut NHS waiting lists? There are 125,000 patients waiting in Leicestershire, so why did she not ask the Chancellor for something to help her constituents who need treatment today?
The last Labour Government delivered the shortest waiting times and highest patient satisfaction in NHS history. We did it through investment and reform. We did it before, and we will do it again. At the next general election, the question that people across Britain will ask is: after 14 years of Conservative government, are they and their families better off? Are our public services better off? In fact, is anything working better today than it did 14 years ago? Let me help them out: one institution is working better than at any point in the past 14 years, and that is the Labour party. It is the only party with a plan to deliver Britain out of the mess that the Government have made. It is the only party that has a strong leader, with a united party behind him.
If the magpies on the Conservative Benches are looking for more plans to adopt before their time runs out, they could adopt our planning reforms to get Britain building again; our industrial strategy, which sees Government and business working hand in hand to get our economy growing again; our national wealth fund to harness investment in the green jobs of the future; our plan to switch on GB Energy, in order to invest in our energy security; our plan to insulate 5 million homes, bringing down household energy bills for good; our plan to get Britain back to work, because we understand that we can build a healthy economy only with a healthy society; and our plan to get millions off NHS waiting lists, back in work and free to live their life to the full.
We will have 2 million more appointments a year, at evenings and weekends, to cut waiting lists; we will double the number of AI-enabled scanners in our NHS to diagnose people faster; we will have 700,000 more urgent dental appointments a year, and reform the NHS dentistry contract; we will have 8,500 more mental health professionals, with a community mental health hub in every community and mental health support in every primary and secondary school in the country. That is what a plan for growth looks like. It is a plan for the NHS, too. That is what the Budget would have looked like if Labour were in office and the shadow Chancellor was sat in the Treasury. That is the change our country needs. It is time for a general election, so that we can put the British people out of their misery and have a Labour Government who can give Britain its future back.