Health and Social Care

Wes Streeting Excerpts

Friday 3rd December 2021 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I thank the Minister for advance sight of his statement. I pay enormous tribute to my predecessor, my right hon. Friend the Member for Leicester South (Jonathan Ashworth), who did a tremendous job as Labour’s longest-serving shadow Health and Social Care Secretary and worked constructively with the Government in response to the pandemic’s challenges. I intend to do the same.

In that spirit, I welcome this week’s announcements on the vaccine and booster roll-outs. I know from my own experience this year of kidney cancer and covid that some of the best people in our country work in health and social care. They are at the heart of my response.

NHS waiting lists stand at almost 6 million. Almost one in 10 people in England waits months or even years, often in serious pain and discomfort, because the Government have failed to get a grip on the crisis. Everyone understands that we are in the midst of a global pandemic that has placed the NHS under unprecedented pressure, but that does not excuse or explain why we went into the pandemic with NHS waiting lists at record levels and with unprecedented staff shortages.

Ministers want people to believe that the winter crisis is simply the result of the challenges of covid, but in reality, the entire health and social care system has been left dangerously exposed by their choices throughout the last 11 years. Before the pandemic, there were waiting lists of 4.5 million, staff shortages of 100,000 and social care vacancies of 112,000. This week, the National Audit Office detailed starkly that things are set to get even worse, with waiting lists set to double in three years.

Ministers cannot possibly believe that what we have been given today is a credible plan to meet those enormous challenges. If it were a genuine plan to prepare for the winter, why has it arrived on 3 December? A serious plan to bring down waiting lists would have the workforce at its heart, and would have clear targets and deadlines. A serious plan would recognise that, unless we focus on prevention, early intervention and fixing the social care crisis, Ministers have no chance of bringing waiting lists down to the record low levels we saw under the last Labour Government.

That Government had a serious plan to reduce waiting lists with 45,000 more doctors, 89,000 more nurses and the biggest hospital-building programme in our country’s history. The programme of investment, reform and clear targets delivered a decrease in waiting times from 18 months to 18 weeks. Although bricks and mortar and technology are important, and we do not sniff at the investment the Minister has outlined, the central challenge of the NHS winter crisis is a shortage of professional staff.

A credible plan to tackle the NHS winter crisis, which was foreseeable and foreseen, would have been published long before 3 December. Without a serious strategy to build the health and social care workforce that we need, this plan is not a plan at all.

[Edward Argar]

I join the shadow Secretary of State in paying tribute to his predecessor, the right hon. Member for Leicester South (Jonathan Ashworth), who is my near neighbour in Leicestershire. Although we may have occasionally crossed swords across the Dispatch Box, he is a deeply honourable and decent man. I also take the opportunity to pay tribute to the hon. Member for Leicester West (Liz Kendall), who is planning to take maternity leave in due course. She is a doughty champion for social care and the sector. I know that she will be much missed in her time away from the Dispatch Box.

I genuinely congratulate the hon. Member for Ilford North (Wes Streeting) on his post, although after that response, I do so with a degree of trepidation about what we might have in store for us in the months ahead from him challenging us—quite rightly. He is extremely diligent in all the roles he performs, so I welcome him to a challenging but fantastic role.

I will be relatively brief in my answers, because I am conscious that Fridays are for private Members’ Bills and private Members’ speeches. We brought the statement to the House because we believe it is important, given that it is going to the media, that we give the House an opportunity to question it.

The shadow Secretary of State was right to pay tribute to the workforce—the social care workforce and the health workforce, as well as all the other key workers who have helped get us to where we are in this pandemic. The workforce are the golden thread that runs through our NHS and through social care. Buildings and technology are important, but they are, essentially, the tools that the workforce use to provide that vital patient care.

We have a clear plan not only for winter, but for the recovery of waiting list times and for driving down those waiting lists. Ours is the party that has given the NHS record funding. Even before the pandemic, we put the £33.9 billion increase into law: we said we would do it, and we did do it. We are backing our NHS to give it the tools that it needs.

One issue on which I agreed with the hon. Gentleman is prevention. He is right: we need to look not only at the symptoms and the consequences in treating people, but at prevention of long-term and serious illness. He was also right in what he said about fixing social care, but I would urge a bit of caution. In 13 years we had two Green Papers, one royal commission and the 2008 spending review, all of which were designed to fix the social care problem. Result: nothing. This Government said they would come forward with a plan, and have come forward with a clear and coherent plan. I pay tribute to the Minister for Care and Mental Health, my hon. Friend the Member for Chichester (Gillian Keegan), and indeed to her predecessor, my hon. Friend the Member for Faversham and Mid Kent (Helen Whately), for the work that they have done in grappling with this very challenging issue.

The hon. Gentleman mentioned hospital buildings. Again, he was right: we are building 40 new hospitals. I would, however, say to him and to other Opposition Members that they should be very careful when talking about this subject. We all know that one of the biggest challenges we face with capital in our NHS is the millstone of PFI debt around the necks of NHS trusts—private finance initiative programmes put in place under the last Labour Government. We are still paying for that.

I welcome the hon. Gentleman to his post, and I suspect that on many occasions in the future we will have further such exchanges across the Dispatch Boxes. I am sorry that on his first outing in his new role he is facing me rather than the Secretary of State, but it is a pleasure to be opposite him.

[Wes Streeting]

We’ve been given the best.

[Edward Argar]

Charming as ever.

We are the party of our NHS. We are backing it with the resources and support that it needs to get through this winter.

Public Health

Wes Streeting Excerpts

Wednesday 6th January 2021 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

It is a pleasure to follow the right hon. Member for South Holland and The Deepings (Sir John Hayes). This morning, I and other local MPs met our local NHS leaders, and it is very clear from the pressures on the NHS in my community and up and down the country that these measures are needed for one reason and one reason alone: to prevent NHS services from being overwhelmed, with catastrophic consequences for people’s lives, people’s families and people’s communities. No one takes the imposition of these kinds of measure lightly. We do so in the national interest, and that is why we are voting with the Government this evening.

There are three lessons that the Government needed to learn from the last nine months. The first is the importance of acting quickly and decisively. Being too slow to act, as the Government were in the first lockdown, the second lockdown and now the third lockdown, has had serious consequences for people’s lives, people’s livelihoods and people’s learning. Had the Government acted more quickly, we would not have seen the excess death rate in this country, the rising levels of infection and the disproportionate amount of lost learning among children and young people, not to mention the enormous economic consequences that have followed. Quick and decisive action means a more manageable set of restrictions that allow businesses to carry on trading. We are all paying a heavy price in lives, livelihoods and learning.

The second lesson that the Government needed to learn from this period is that public health and the economic health of our country go hand in hand. It is simply unacceptable that we have not seen the Chancellor in this House since well before Christmas. There is a new set of national restrictions in place that are wreaking havoc with people’s livelihoods. Before Christmas, businesses literally closed overnight at a time when they were looking forward to big Christmas trading. Where is the Chancellor? Where is the support for businesses and for the millions of people who have been excluded since March?

Thirdly, the impact on children and young people has been devastating. Schools should absolutely be the last to close and the first to reopen, but where is the national plan for laptops and internet connections, to support children and young people to get online? The Government have had months to prepare. We urged them to act, and they failed to do so. Where is the plan for exams? We heard warm words from the Education Secretary today but precious little for teachers, children and young people to prepare for.

As we look to a brighter future and a post-vaccination future for our country, let us make sure that we have a position where families can get together, businesses can bounce back and we provide opportunities for young people, rather than allow an entire generation to be consigned to a lost generation of widening educational inequality.

Covid-19 Update

Wes Streeting Excerpts

Monday 14th December 2020 Commons Chamber

[Matt Hancock]

Absolutely. My hon. Friend puts it exactly right. We are working very closely with the Welsh NHS to deliver the vaccine right across Wales. I pay tribute to her father, who continues to play a leadership role in his community by stepping forward for one of the trials.

[Wes Streeting (Ilford North) (Lab)]

Mass testing in schools is something we have repeatedly called for in order to make sure that they can open safely. I welcome the fact that the Government are rolling out mass testing, but can they go further to ensure that schools can reopen in January, and stay open? On the vaccine, will he do everything he can, recognising that these decisions are clinically led, to make sure that school staff get access to vaccines as a priority?

[Matt Hancock]

I understand the yearning for a vaccine among school staff, and of course it has to be clinically led. The goal is to reduce hospitalisations and fatalities from this disease as quickly as possible. I am absolutely delighted by the community testing roll-out and the roll-out of testing to schools in the hon. Gentleman’s patch. I thank him for the leadership he has shown locally, and I encourage that.

Childhood Cancers: Research

Wes Streeting Excerpts

Monday 7th December 2020 Westminster Hall

[Wes Streeting (Ilford North) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Mundell, and to follow many moving and powerful speeches.

I congratulate the petitioners, because securing a Westminster Hall debate through the petition route is no small achievement. We have heard many of their stories this afternoon, and I suspect that much of the campaigning activity has been driven by families whose children have died as a result of DIPG or are suffering from DIPG. When we think about the number of families who have gone through that—it is a very rare childhood cancer—it is inspiring to see the time and effort that they put into campaigning, in some cases long after their children have passed, because they are determined that no other family should go through what they have been through or the ordeal that they have suffered.

My constituent Kaleigh Lau died of DIPG. Her family, including her father Scott, her mother Yang and her brother Carson, are just as committed to making sure that we find a cure for DIPG. I have been thinking about how the families will feel watching the debate. More than anything else, unfortunately—with great respect to the hon. Members who have spoken and the way in which they have told powerful stories—too many of them will have a sense of déjà vu.

With great respect to the Minister, who is a good person and absolutely committed to what she does, those families are not looking for warm words, reassurance or sympathy. They want action. They want to know what the Government are doing. They want to be able to hold the Government to account for progress against that action. They want real commitments. So far, although we have undoubtedly had steps in the right direction from successive Ministers, progress has been insufficient. Certainly, that is how Kaleigh’s family feel and how I feel as their constituency MP, having raised the issue on a number of occasions in recent years.

We know from Cancer Research UK of some of the challenges of researching children’s cancers. There are too few researchers, too little discovery research, not enough industry support, poor awareness of particular cancers, fragmented expertise and a lack of research tools. That is absolutely true in the case of DIPG, which is incredibly rare, as we have already heard.

What could we reasonably ask of the Minister? What would we like her to say, if not this afternoon, then in the not-too-distant future? We want to ensure that the UK seeks to be a world leader in researching DIPG and in the efforts to find a cure. We want to ensure that the UK seeks to be a world leader in researching DIPG and in the efforts to find a cure. I was particularly struck by the experiences of the hon. Member for Winchester (Steve Brine), who speaks with great authority and experience, having done the job and understanding the pressures on his successor. I think that the sort of action that he outlined would give families some reassurance that serious actions are being taken, but also that that is transparent and we can measure and monitor progress as personalities come and go—and hopefully, in the not-too-distant future, Governments too. In all seriousness, I think that the strength of cross-party consensus on this issue is obvious, and the Minister will get a great deal of support from those on the Opposition Benches if she is able to come forward with that kind of action plan. That is really what the families are looking for today.

HIV Commission

Wes Streeting Excerpts

Tuesday 1st December 2020 Commons Chamber

[Steve Brine (Winchester) (Con)]

Through you, Madam Deputy Speaker, I thank Mr Speaker for granting what is a special Adjournment debate on the launch of the HIV Commission, falling as it does on World AIDS Day. I am very grateful.

World AIDS Day is a campaigning moment, a day when we wear a red ribbon and, on this World AIDS Day, when we launch the final report of the HIV Commission. That is very much how I viewed it when I was the Public Health Minister, but actually World AIDS Day is a day of remembrance and reflection.

Terry Higgins, who gave his name to the Terrence Higgins Trust, was one of the first people in the UK to die of an AIDS-related illness. He was only 37 when he died in July 1982, just across the bridge from here, in St Thomas’ Hospital. He was of course followed by many more. Today, we remember not only someone whose name is well known and synonymous with the fight, not only the rock star who made Live Aid what it was, but the dad, the mum, the son, the daughter, the brother, the sister, the partner, who we will never know, but those they left behind certainly did.

We also pay tribute to the HIV activists—many are still with us, and too many are not—who have never given up in their pursuit of better treatment for HIV, a cure one day, an end to new transmissions, improved services and the fight against the dreaded stigma of HIV, which still persists. The best way we can honour all those people is to refocus our efforts and to end new cases of HIV by 2030. Today, it so happens we have a plan to do just that.

In 1986, I was one year into secondary school when AIDS touched down. No one can forget seeing the tombstone advert—never mind the iceberg version, which was actually more scary—of the “Don’t Die of Ignorance” campaign, with the raspy, menacing voiceover provided by the wonderful John Hurt. I want to read out the opening words of that TV commercial:

“There is now a danger that has become a threat to us all. It is a deadly disease, and there is no known cure...Anyone can get it, man or woman. So far it has been confined to small groups, but it is spreading”.

Does that sound familiar? Back in 1986, AIDS seemed to be a threat that would overwhelm us—also familiar. Those words of John Hurt that I read out—those adverts —terrified a nation, and they were meant to. I would argue that it was the most successful public health message in our history—until, perhaps,

“Stay at home. Protect the NHS. Save lives.”

Fast forward 30 years and I find myself, much to my surprise, the Public Health Minister with the opportunity to put what has become scientifically possible—ending new cases of HIV by 2030—into policy. When we first proposed the idea to my right hon. Friend the Secretary of State—I am deeply touched that he is here to respond to the debate, today of all days—it was not a tough sell. We had already done so much as a country, meeting the UNAIDS 90-90-90 targets on testing, treatment and early suppression, and the Secretary of State understands that prevention is better than cure more than most. It was terrific to watch him tell the AIDS-free cities global forum in London in January 2019 that this Government would set themselves the ambitious—but we think wholly achievable—goal of today’s commission. Just as Lord Fowler, in 1986, as Secretary of State for Health and Social Security, rejected a moral crusade against a way of life in favour of a practical plan to fight a virus, so we, in creating the HIV Commission, turned the possible into policy and the policy into this practical plan.

I pay tribute to Dame Inga Beale, who chaired the commission with a firm hand and great style, as well as the hon. Member for Ilford North (Wes Streeting) and the eight other commissioners, who put so much into producing what we launched this morning, with the help—wearing a fabulous jacket, if I may say so—of Sir Elton John. I also pay tribute to the three CEOs who made this possible—Ian Green of the Terrence Higgins Trust, Deborah Gold of the National AIDS Trust and Anne Aslett of the Elton John AIDS foundation; thank you so much. I also pay tribute to many, including the chair of the all-party group on HIV and AIDS, the hon. Member for Cardiff South and Penarth (Stephen Doughty), and my hon. Friend the Member for Finchley and Golders Green (Mike Freer) who cannot speak this evening, who have done so much to assist us in this journey.

The prize is clear: England could be the first country to end new cases of HIV, and we can help the world do the same.

[Wes Streeting (Ilford North) (Lab)]

It has been such a privilege being a member of the independent HIV Commission, not least because of the wide range of people we have met and engaged with during our work. That has helped us to put together a concrete action plan that could help us, if we get this right, to end HIV transmissions by 2030. That is such an enormous prize.

I want to join my hon. Friend in thanking everyone who took part in the commission, particularly the chair, Inga Beale, for her wonderful leadership. If I may do so from the Opposition Benches, I want to thank the Secretary of State for Health and Social Care for being in the Chamber this evening to respond to the debate. We have seen great cross-party leadership from him, and from the Leader of the Opposition—the leader of my party. Therein lies the hope that, with joined-up political leadership locally and nationally, we will turn the report into not just a worthy piece of work, but a concrete plan of action that changes people’s lives and changes the course of history.

[Steve Brine]

I bless my hon. Friend for that. It has been a pleasure to work with him on the commission. He has Front-Bench responsibilities himself and it is a big commitment. We had to be sure that that commitment would lead to something proper, something realistic, something deliverable; and I do not think we could have asked for better in the plan that has been produced. The cross-party element is so important. There is no room for an inch of partisanship in the all-party group for HIV and AIDS in this fight because, whatever happens at the 2024 general election, we cannot reset after that election if there should be a change of Administration; we need to keep up the focus and keep working across the House. I give way to the Chair of the all- party group.

Coronavirus

Wes Streeting Excerpts

Tuesday 15th September 2020 Commons Chamber

[Mr Speaker]

I am pleased you are bringing me back into it. We still have a lab at Chorley Hospital that you can use if you get on to it.

[Wes Streeting (Ilford North) (Lab)]

We have had a spike in cases in Redbridge, yet in recent days the Mildmay Road walk-in centre closed for walk-in appointments, without notifying the council or either of Ilford’s MPs. People have been struggling to get access to tests. A local secondary school says that it will close within two weeks unless staff get access to tests, and the local walk-in centre will not even share testing data, which the Secretary of State says is so important, with public health officials at the local council. It is an utter shambles. Can the Secretary of State reassure us that he will help us get a grip in Redbridge? Does he recognise from the voices we have heard across the Chamber that these problems are not only in Ilford? There are problems right across the country, and the only way that this system is world-beating is through world-beating incompetence. When will he get a grip?

[Matt Hancock]

I am happy to consider the specific issues that the hon. Gentleman raises about Ilford. We have an extremely good working relationship with the London group, which is cross-party and includes health professionals. I am happy to take that point offline and work on a solution specifically for Ilford with the hon. Gentleman. As he knows, nationally we are seeing an increase in overall capacity, but because of the increase in demand we have to prioritise. Having said that, in Ilford, like everywhere, I want to ensure that we have access to tests for the people who need them, and that is the job, day and night.

Covid-19 Update

Wes Streeting Excerpts

Thursday 16th July 2020 Commons Chamber

[Matt Hancock]

I am happy to give that answer, which is very clear. For those in the city of Leicester, and in Oadby and Wigston, the position is that of the measures that I have set out: releasing, on 24 July, the closure of non-essential retail and of schools and childcare facilities, but keeping all the other measures in place. Those not in those two specific areas return to the same measures that the rest of the country is living with, except of course that we will keep the higher vigilance, the higher level of testing and the communications in those areas. The decisions on this geography were taken on the advice of local council leaders. While I have been on my feet, I have seen that the Mayor of Leicester has made some comments on this. I did ask him whether he wanted to put forward a different geography within the city of Leicester and he declined to do so, but we work very hard and as closely we can with Leicester and especially with the public health officials there, who are doing a valiant job in difficult circumstances.

[Wes Streeting (Ilford North) (Lab)]

On lessons learned, given the circumstances in Leicester, does the Secretary of State agree that the Government made a terrible mistake in cutting the Health and Safety Executive’s budget by 48% and by instructing the HSE to reduce inspections in the textiles industry by a third?

[Matt Hancock]

I have not seen those figures, but what I do know is that local councils have incredibly important responsibilities in this space and we will now act to make sure that we tackle some of the challenges that we find, especially in Leicester.

Coronavirus

Wes Streeting Excerpts

Wednesday 17th June 2020 Commons Chamber

[Matt Hancock]

My right hon. Friend is an incredible campaigner for Epsom General Hospital. The injection of approximately half a billion pounds into the local health economy will be a very welcome step. We absolutely have to ensure that the lessons of covid are learnt before the new development goes ahead, but I commend all those staff at the Epsom and St Helier hospitals for the work they have done, some of which has been done under great pressure. I also commend the leadership of the trust, who have done a fantastic job.

[Wes Streeting (Ilford North) (Lab)]

The Secretary of State did not answer the question from the hon. Member for Central Ayrshire (Dr Whitford), so I thought I would give him another chance. Can he explain why £108 million of the £350 million of personal protective equipment contracts was awarded, without being advertised, to Crisp Websites Ltd, which trades as PestFix, a small pest extermination company? Why was such a large contract awarded to a company with no expertise in trading or supplying any PPE, let alone highly specialised equipment for NHS staff? How do the Government think that such a small company, with only £18,000 of registered assets, can manage the cash flow required to procure £108 million of PPE?

[Matt Hancock]

When the demand for PPE shot up, as it did not only here, but around the world, we worked with so many companies to deliver extra PPE, and we have managed to deliver on what was needed. That is why we have now the medium-term supply chains in prospect. I pay tribute to all my commercial team, who did extraordinary and sometimes innovative things in order to make that happen, and that is what they did.

Covid-19 Update

Wes Streeting Excerpts

Tuesday 24th March 2020 Commons Chamber

[Matt Hancock]

If they are essential, yes, but the aim here is to try to absolutely push down the speed of transmission of this disease over the next few weeks, to get a grip on its spread. That means that, while we have set out four reasons where it is reasonable to leave one’s home, people should stay at home if they do not have a good reason.

[Wes Streeting (Ilford North) (Lab)]

I will not read the text message that I have received from my hon. Friend the Member for Birmingham, Yardley (Jess Phillips) because it contains unparliamentary language. However, further to the reply given to my hon. Friend the Member for Brentford and Isleworth (Ruth Cadbury), I think the Secretary of State needs to give the House a clear explanation as to why it was yesterday that clear guidance was provided by the Government on access to abortion early in the day, only for it to be removed from the Government website later in the day. Why is that? Why are the Government not listening to the royal colleges, and why are they making it more difficult for women to get access to an essential procedure during this time of crisis?

[Matt Hancock]

All I can do is repeat the clarity that there are no proposals to change abortion law.

Coronavirus Bill

Wes Streeting Excerpts

2nd reading & 2nd reading: House of Commons
Monday 23rd March 2020 Commons Chamber

[Matt Hancock]

Absolutely—all of that is in hand. My right hon. Friend is quite right to raise it.

[Wes Streeting (Ilford North) (Lab)]

I thank the Secretary of State for everything that he is doing. We are all rooting for him to be successful. I am genuinely worried about what is happening in London hospitals, and what it says about the prospects for the rest of the NHS. He is right to try and get staff to return, but we have to be able to keep them when they arrive. I have seen disturbing reports over the weekend of agency staff walking out mid-shift because they do not have the right protective gear, the right sanitising hand gel, and the things that they expect to keep themselves and patients safe. Can he look urgently at this issue, because London is the story that will follow for the rest of the country if we do not get this right?

[Matt Hancock]

Yes, this is what I have been spending the weekend on—absolutely; it is incredibly important.

Turning to the second part of the Bill, which is about easing the burden on the frontline and follows from that intervention, that refers not only to the NHS frontline but to the dedicated public servants who guard our streets, who care for our children, and look after communities, in local government—in short, all those who keep the UK running safely and securely. By cutting the amount of paperwork that they have to do, by allowing more remote working, by delaying some activities until the emergency has ended, we can keep essential services going while we get through the pandemic.

Some of the measures are difficult, and not what we would choose to do in normal times. For instance, the Bill will modify temporarily mental health legislation, reducing from two to one the number of doctors’ opinions needed to detain someone under the Mental Health Act 1983 because they pose a risk to themselves or others. In circumstances in which staff numbers are severely affected, the Bill allows for the extension or removal of legal time limits governing the short-term detention of mental health patients. The Bill also allows for an expansion of NHS critical care by allowing for rapid discharge from hospital where a patient is medically fit. NHS trusts will be permitted to delay continuing healthcare assessments, a process that can take weeks, until after the emergency has ended. The people who need this support will still receive NHS funding in the interim.

The Bill contains powers allowing local authorities to prioritise the services they offer, as we discussed earlier in relation to social care, and that prioritisation, while challenging, is vital. The measures would only be activated in circumstances where staff numbers were severely depleted. They do not remove the duty of care to an individual at risk of serious harm or neglect. We do not take any of these measures lightly. I hope that many will not have to be used, but we will do whatever it takes to beat this virus.

--- Later in debate ---

[Matt Hancock]

Well, what can I say? I am concerned that people are not following the public health advice.

[Wes Streeting]

Some holiday companies have been responsible. For example, Sykes Cottages has cancelled a raft of bookings for weeks ahead. However, my hon. Friend the Member for West Ham (Ms Brown), by phone, has raised the fact that lots of Airbnb bookings are still available in holiday resorts. Surely that is irresponsible. If the companies will not do the responsible thing by limiting access to holiday properties, does the Bill give the Government the power to act? If so, will they act to stop this kind of behaviour?

[Matt Hancock]

If it is deemed a risk to public health, the Bill does give the potential power, through secondary legislation, to take action if that is needed.