Mental Health Conditions, Autism and ADHD
Wes Streeting Excerpts(2 months ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
I am announcing today the launch of an independent review into the prevalence of, and support for, mental health conditions, attention deficit hyperactivity disorder, and autism.
Over the past decade there has been progress in reducing stigma and an increase in public awareness of mental health conditions, ADHD and autism, and the importance of psychological wellbeing. Yet the prevalence of common mental health conditions for adults has increased to one in five, and many people who are autistic or have ADHD are struggling to access the right support. This Government have already taken significant steps to stabilise and improve NHS services, but there is much more to do.
I am deeply concerned that many adults, young people and children with mental health conditions, ADHD and autism have been let down by services and are not receiving tailored, personalised or timely support and treatment.
That is why I am announcing this independent review to understand the rises in prevalence and demand on services to ensure that people receive the right support, at the right time and in the right place.
The review will look to understand the similarities and differences between mental health conditions, ADHD and autism, regarding prevalence, prevention and treatment, the current challenges facing clinical services, and the extent to which diagnosis, medicalisation and treatment improves outcomes for individuals. This will include exploring the evidence around clinical practice and the risks and benefits of medicalisation. The review will also look at different models of support and pathways, within and beyond the NHS, that promote prevention and early intervention, supplementing clinical support.
I have asked Professor Peter Fonagy to chair this review with the support of two vice chairs, Professor Sir Simon Wessely and Professor Gillian Baird. They each have specific expertise on mental health and neurodevelopmental conditions and extensive clinical and academic experience.
The review will appoint an advisory working group, which involves a multidisciplinary group of leading academics, clinicians, epidemiological experts, charities and people with lived experience, to directly shape the recommendations and scrutinise the evidence.
I have asked the chairs to provide a short report within six months setting out conclusions and recommendations for responding to the rising need, both within Government and across the health system and wider public services.
The terms of reference will be published on gov.uk.
[HCWS1132]
Budget Resolutions
Wes Streeting Excerpts(2 months ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
I begin by addressing the British Medical Association’s reckless call for resident doctors to strike in the run-up to Christmas. That is a cynical choice, coming as flu cases surge and we enter the most dangerous time of year for hospitals, and it is completely unjustified. After a 28.9% pay rise, the Government offered to create more jobs and put money back in resident doctors’ pockets. The BMA rejected that out of hand. My door has always been open, I have never walked away from the table and I stand ready to do a deal that puts patients first. We will prepare for this round of strike action.
I am extremely proud of the hard work and performance of NHS leaders and frontline staff who did so well to minimise costs and disruption during recent rounds of strike action. In fact, during the most recent round, we were able to maintain planned elective activity to cut waiting lists at 95%. Yet I must be honest with the House and with the country: if this strike goes ahead, this time will be different. Our hospitals are running hot and the pressures are enormous. That is why I urge the BMA not to go ahead. Not only does it put the progress we are making together in the NHS at risk; it threatens to do so in the worst way and at the worst time possible.
Florence Eshalomi (Vauxhall and Camberwell Green) (Lab/Co-op)
Does the Secretary of State agree that the hard-working staff at St Thomas’ hospital across the bridge, who deal with patients from right across the country, including many who have had surgeries and operations booked for many months, still kept the show going during the last rounds of strikes? Will he please do everything in his power to make sure that the strike does not go ahead?
Wes Streeting
I can certainly give my hon. Friend that assurance, and I absolutely endorse what she says about our local hospital, which I know very well. I genuinely thank frontline NHS staff, without whom the performance and improvements we are seeing simply would not be possible.
Let me turn to the substance of this debate. There was once a time, not long ago, when this place was bound in consensus on a number of issues addressed by this Budget. We used to be united on the need for a national health service as a publicly funded, public service, free at the point of use. The last Labour Government built a shared conviction that in 21st-century Britain, no child should grow up shackled by the scourge of poverty. We could go back as far as the Government of Benjamin Disraeli and find a Conservative Prime Minister committed to public health in a way that Labour and Conservative Prime Ministers have been in my lifetime. We did not always agree on how to get there, but there was at least agreement on the destination. However, as the opposition parties lurch to the right, consensus after consensus is breaking. [Interruption.] Admittedly, the Liberal Democrats have moved further to the left since their days in coalition; that is true. Maybe do not lead with your chins on that one, comrades.
Regardless of our friends on the centre left, old battles that were won must now be fought all over again, so it falls to Labour not just to cut waiting lists, improve the health of the nation and lift children out of poverty, but to win the argument, as well as hearts and minds. It falls to Labour to persuade people that we can and must help people lead healthier, longer lives, free from preventable disease; rebuild our national health service as a public service, free at the point of need; and give every child the best possible start in life, free from the scourge of poverty. Labour has won those fights before, and we will win them again.
Calum Miller (Bicester and Woodstock) (LD)
The Secretary of State knows, because his Department shares responsibility for special educational needs and disabilities education, that that is a major challenge facing the young people whose opportunity he so rightly champions. How will the announcement that the Government will take responsibility for that from 2028 alleviate the growing deficits facing many county councils across this country, which it is estimated will grow to nearly £17 billion by the time the national Government take over?
Wes Streeting
That is a good question, and I give the hon. Gentleman the assurance that my Department is working closely with the Secretary of State for Education and colleagues right across Government to make sure that we get that right. We have growing levels of need for provision for children with special educational needs and disabilities. We can all see in our casework, let alone through debates in the House, the unmet need, and its impact on children’s education, health and life chances. We are committed to modernising and reforming the system so that it meets needs and sets children up to not only survive but thrive. That is the ambition of this Government.
On Sunday, the Leader of the Opposition said that she would reinstate the two-child benefit limit. At the stroke of a pen, she would plunge half a million children back into destitution, shame and hunger. Gone are the days when David Cameron attempted to ape Gordon Brown on issues of inequality and poverty; in fact, the 2010 Conservative party manifesto included the word “poverty” 20 times and committed to an anti-poverty strategy. The 2024 Conservative manifesto mentioned the word once, in a chapter on foreign affairs. Was that because, after 14 years of Conservative rule, the stain of child poverty had been removed from our nation? No, of course it was not. The Conservatives plunged 900,000 children into poverty, more than a million children relied on food banks last year, and children are being admitted to hospital for malnutrition in 21st-century Britain—but now, this Conservative party does not even pretend to care.
On public health, remember it was George Osborne who introduced the sugar tax, and Boris Johnson who introduced legislation to ban certain “buy one, get one free” deals and free refills of fizzy drinks, yet today their successors dismiss these policies as nanny state. Their party is more apologetic about their record on public health than it is about Liz Truss’s catastrophic mini-Budget.
We are seeing the NHS’s founding principles contested for the first time in generations. The Leader of the Opposition says,
“we need to have a serious, cross-party national conversation”
about charging for healthcare. Well, if she wants one, she’s got it, and it will be a short conversation. The answer from this side is “No, over our dead body.” We will always defend the NHS as a publicly funded public service, free at the point of use, owned by us, and there for all of us. Of course, it is not just the Leader of the Opposition saying these things; the leader of Reform wants to replace the NHS with an insurance-style system. [Hon. Members: “Where are they?”] They are obviously not here to advocate for their policies. They find it increasingly hard to defend them. They want a system that checks your pockets before your pulse, and asks for your credit card before providing your care.
Where is the hon. Member for Clacton (Nigel Farage)? He is not normally the shy, retiring type—unless, of course, he is being asked challenging questions, like whether paracetamol is safe, whether he believes in science or whether he racially abused schoolchildren. In fact, it is reported that he told a Jewish contemporary at school that “Hitler was right”. Admittedly, he was at school a lot longer ago than me, but had I grown up in the aftermath of the second world war, I think I would remember if I had supported the losing side. His politics are a disgrace. He cannot stand by his record, and that is why he is not here to defend it, and why he is regularly referred to in his constituency as “Never-here Nigel”. But as we are in a debate on these issues, let me take on the Opposition parties’ arguments, whether they are here or not.
The Conservatives say that the route out of poverty is work, not welfare. I do not disagree that those who can work should work, but six in 10 households impacted by the two-child limit have at least one parent in work, and they are still in poverty because of low wages and a high cost of living. The Conservatives say that it is the responsibility of families, not the state, to ensure that children are well fed. I agree that parents have a responsibility to look after their own children, but life is a bit more complicated than that. It is far too easy for others who have never walked in the shoes of parents like mine to pass judgment on people whose lives they will never understand.
The Conservatives sneer about “Benefits Street”. They have never been there. They have not got the first clue what life is like for people living on welfare. They say that lifting the two-child limit helps only the feckless and irresponsible, so let me tell them about the mum who came to see me at my advice surgery one Friday afternoon with her three children in tow. She had fled domestic violence and had been rehoused on the other side of London in a bed and breakfast. That remarkable woman was hand-washing her girls’ uniforms, doing a three-hour round trip every day to get her kids to school and holding down three separate jobs. Please do not tell me that women like her are feckless or irresponsible, or on the take. She is facing down hardships and challenges that would break many of us. I will tell Conservative Members who is feckless and irresponsible. It is the people who exploited the covid pandemic, ripped off Britain and lined the pockets of the Conservative party.
Conservative Members say that abolishing the two-child limit is not affordable, but the policy is fully funded. It is paid for by cracking down on tax avoidance and evasion, and a tax on online gambling. What they really mean is that they would make different choices. They would put the interests of gambling firms over the wellbeing of children. By labelling it as unaffordable, they betray their view that the prosperity of our country has nothing to do with the talent of its people, but we know that by investing in our people, we are investing in a more prosperous future. Growing up in poverty is not an inconvenience; it is a trap. On average, the poorest children start school already behind, get worse exam results, are less likely to make it to university, earn less, are more likely to develop long-term illness, end up paying less tax, and are more likely to need welfare support and the NHS.
Investing in our children is a moral mission; morally, we do not believe it is right to punish children for the circumstances of their birth, or the choices of their parents. This is also a down payment on a better future. It is far better and more cost-effective to invest in children now than pay the price for social failure later. I stand here today as the product of the wise investment of the British taxpayer. It was taxpayers’ contributions that clothed me, housed me, fed me and educated me when I was growing up. As a result, I am now in a position to pay back that debt to society—and to pay it forward to the next generation, too.
We should all be proud that this Budget funds the biggest reduction of child poverty of any Budget this century. My right hon. Friend the Chancellor takes that prize from Gordon Brown, who took it from Denis Healey, because lifting children out of poverty is what Labour Governments do. And why is it that every time Labour enters office, there is the moral emergency of child poverty? It is because, since records began, every single Tory Government left child poverty higher than they found it. That is why they must never be allowed back in power.
Paul Holmes
I am grateful to the Secretary of State for intervening, but this is my intervention, not his. Why was he part of a Cabinet that stood by and punished his colleagues for voting against the two-child benefit cap? Why do we now see this sudden conversion and revisionism? Why does he think that most people in this country who were polled are against the removal of the child benefit cap?
Wes Streeting
Let me say two things in response. I am almost certain that my hon. Friends will be delighted that he has intervened in defence of their plight at the hands of the Labour Whips, but he knows as well as I do that the Whip was removed from some of my hon. Friends not because of the substance of the issue they were raising but because we never, ever accept people voting against a King’s or Queen’s Speech. [Interruption.] That was the issue. He asked me a fair question, and he has got an honest answer. He should take it on the chin.
The hon. Member also asked why many people in our country believe that the two-child cap was right. It is because our Conservative predecessors peddled the myth and the lie that people in receipt of welfare are on the take, and are just looking for handouts, rather than help. We Labour Members take a different view; we recognise, as I have set out, that so many people affected by the two-child cap are in work and in poverty. That is one of the many scandals of the damage that more than a decade of Conservative rule did. The Conservatives broke the link between a hard day’s work and a fair day’s pay. In addition to the measures that we are taking on child poverty to remove the two-child limit, we are also increasing the national minimum wage. We are increasing it even higher for young people. We are doing this because this is the party of work, the party that wants to make work pay, and the party that is genuinely committed to waging war on poverty.
Just as we must win the argument for lifting children out of poverty, we must win the argument for the founding principles of our NHS. Having left the NHS in the worst crisis in its history, the right now argues that it is unaffordable and should be abandoned. The NHS was broken, but it is not beaten, and Labour is already breathing new life into our health service. Waiting lists are falling for the first time in 15 years. Ambulances are arriving 10 minutes faster in stroke, sepsis and heart attack cases.
Patient satisfaction with GPs is up from 60% to 74%, and nearly 200,000 more patients were given a cancer diagnosis or the all-clear on time.
With Labour, the NHS is on the road to recovery. That is in no small part because the Chancellor is reversing 14 years of austerity and investing in our NHS. We promised an extra 2 million appointments; we have delivered 5 million. We promised to recruit an extra 1,000 GPs; we have recruited 2,500. We promised to end the 8 am scramble; we have widened the window that patients have to request appointments and have made booking available online. A lot done and a lot more to do.
At this Budget, we announced the next steps on the road to recovery: 250 new neighbourhood health centres with the first ones in Birmingham, Barrow, Truro and Southall, and £300 million more to invest in technology to modernise healthcare. Next year, we will receive recommendations from Baroness Casey on laying the foundations to build a national care service.
The NHS does not just face an existential political challenge from the Conservatives and Reform UK; it faces a sustainability challenge.
James Naish (Rushcliffe) (Lab)
I appreciate the announcement about the 250 new neighbourhood health centres, but I am concerned for my constituency—a more affluent constituency that has health centres that were built in the ’60s. They are genuinely falling apart and need significant investment to ensure that GPs can continue to deliver outstanding service to my constituents. Could the Secretary of State provide some reassurance, or agree to meet me to discuss how we can ensure that deprivation is not the only aspect considered in that excellent initiative?
Wes Streeting
My hon. Friend is absolutely right. Of course, we want to ensure that investment is deprivation linked. We want to reverse the damage the Conservatives did when they pursued what I would characterise as the Royal Tunbridge Wells strategy, when our former Prime Minister, the right hon. Member for Richmond and Northallerton (Rishi Sunak), declared with pride to Conservative party activists that he had taken funding from the poorest communities in the country and funnelled it to the richest. There could be no shorter or clearer exposition of Conservative party values and politics in action than that claim.
To my hon. Friend’s point, he is absolutely right that within many affluent communities there are also pockets of deprivation, and we have to ensure that the NHS is there for everyone in every part of the country. We are dealing with enormous undercapitalisation in the NHS, totalling some £37 billion as identified by the noble Lord Darzi. It will take time to address that challenge, but I think my hon. Friend’s constituents know from his assiduous hard work and visible campaigning as a constituency MP that he will ensure that their needs and interests are not forgotten or overlooked by this Government.
Of course, as we improve the health of our health service, we also need to address the health of our nation. Children in England face some of the poorest health outcomes in Europe. Obesity in four and five-year-olds is reaching record levels—a health time bomb that leaves them at greater risk from cancer and heart disease later in life. What kind of start in life are we giving our children, and if we allow it to continue, what kind of future are we leaving to them? Our children will lead shorter, less healthy lives; our NHS will buckle under a tidal wave of chronic conditions; and our economy will suffer because businesses will be denied the potential of the next generation.
This Labour Government are tackling the sickness in our society. Whether it is the extension of the soft drinks industry levy, free school meals, a warm home discount that reaches millions more, the generational ban on smoking, Awaab’s law, cutting pollution and cleaning up the air that our children breathe, we are combating the drivers of ill health in children’s lives: poor diets, damp homes, dirty air and a lack of opportunity. In short, we are tackling poverty, because every child deserves a healthy start in life, and prevention is better than cure.
The leader of Reform, the hon. Member for Clacton, says we should instead be educating people to make healthier choices—I assume that he will not be leading from the front on that campaign. But we know that Reform and the Conservatives oppose our agenda to improve public health. They oppose our investment in the NHS. They should just be honest and admit that they now oppose the NHS itself. [Interruption.] Conservative Members do not like it, but I challenge them to dispute a single claim I just read. Let me repeat the charge sheet for their benefit: they oppose our investment in the NHS. Have they not opposed every budget spending review since Labour came to office? [Interruption.] Honestly, from a sedentary position, the hon. Member for Kingswinford and South Staffordshire (Mike Wood), who does not want to intervene because I think he knows he is leading with his chin on this, wants to suggest that somehow the Conservative party left a legacy that they could be proud of. They inherited the shortest waiting times and the highest patient satisfaction in history. They left us the longest waiting lists and lowest patient satisfaction on record. No wonder so few of them have turned up to defend that shoddy record.
The Conservatives oppose our public health agenda, do they not? I thought this was an area where we had built consensus, but not under their present leadership. I have already quoted what their leader, the right hon. Member for North West Essex (Mrs Badenoch), has said. Maybe they were not listening—the country certainly is not. I would have thought, though, that their own side would at least listen to what she said. She says she wants a debate about charging for healthcare. I do not know whether they have heard that or whether they stand by it. Maybe we could just see a simple show of hands—how many of her own side want to see charging for healthcare in the NHS? Not a single hand has gone up. That does not bode well for the future of the Leader of the Opposition, but let’s leave the Conservative party to revel in its irrelevance.
In fact, I was probably one of the few people who paid any attention to what the shadow Health Secretary, the right hon. Member for Daventry (Stuart Andrew), said at the Conservative party conference. I noticed that he did not mention a single policy. I say to the Conservatives: if we are doing such a bad job, why would they not do anything differently? Would they cut the £26 billion this Labour Government are investing in the NHS, and if not, if they oppose this Budget, how would they pay for it? The Conservatives seem to think that the British people are so stupid that they will forget which party wrecked the NHS and led it to the worst crisis in its history.
To conclude, this is a Government who are cutting waiting lists, giving children a healthier start in life and lifting 500,000 children out of poverty. In doing so, we are restating the case for universal healthcare that is publicly owned, publicly funded and free at the point of use. We are showing that progress is possible after 14 years of decline, that things can get better. Abolishing the two-child limit is not a handout, it is a hand up. Our country cannot prosper while 6 million people languish on waiting lists, 4.5 million children grow up in poverty and 1 million young people are not in education, employment or training. But if we protect people’s health, give them the opportunities to put their talents to use and give them a strong foundation, they will build a good life for themselves and a better Britain for all, and we can fulfil the lost promise that tomorrow will be better than today.
Madam Deputy Speaker (Judith Cummins)
I remind all Members that the courtesies of this House require Members to inform other Members if they intend to name them in the Chamber.
I call the shadow Secretary of State.
Stuart Andrew
Well, we did not spend tens of billions of pounds in pay rises just for the same old problem to come back. There should have been proper reform, and conditions for those pay rises, but the Government did not make that happen, and here we are again.
The NHS Confederation has also warned that local services cannot continue to absorb the costs of ongoing strikes by the BMA without consequences for patient care. I pay tribute to frontline staff, who have been trying to keep everything going. I remind the Secretary of State that we have the answer: ban doctors from striking, like the Army and the police, and introduce minimum service levels, using the legislation that our Government passed. That would protect patients and taxpayers, so why won’t he do it? Labour’s Employment Rights Bill will make things much worse, because it reduces the vote threshold for calling a strike, and there will be no minimal service levels.
In addition, the Government have shown that they cannot stand up to the unions. By pushing up inflation, the Budget will make it harder to reach pay settlements across the rest of the NHS workforce. Even an additional rise in NHS pay of just 1% of what the Secretary of State included in his pay review body evidence would create another £1.5 billion hole in his budget. Is he confident that he can head off wider industrial action with a 2.5% offer, especially given that benefits are rising much faster under this Government?
The OBR has also raised the unknown risk of increasing drug prices. My understanding is that the spending review assumed that spending on branded medicines would rise by 25%—or £3.3 billion—between 2025-26 and 2028-29. In winding up, will the Minister clarify what happens when the negotiated price costs more than what was assumed in the spending review? The rest of the money is surely intended to be used to deliver more care and to cut waiting lists, so are frontline services at risk?
Wes Streeting
I am grateful to the shadow Health Secretary for giving way. We should be clear that the deal struck with the United States is the first and only deal with the United States that secures 0% tariffs and mitigations against most-favoured-nation pricing. It will ensure that patients get access to good drugs. For the avoidance of doubt, although some costs are unpredictable because of the complexity of medicine pricing, of course we will not cut NHS budgets to fund the pharma deal.
Stuart Andrew
We will see what happens. It would be interesting to know exactly where the money will come from. [Interruption.] The Secretary of State just said that if the prices go up, there will be no cuts to the NHS budget, but where will the money come from? Which other part of the national health service and social care will the money come from? We will have to wait and see.
The Budget last week made no mention of social care. After all, Labour’s only plan is to delay coming up with a plan for a few more years, despite the urgency and the scale of the challenge. Many of us entered the cross-party talks in really good faith, and they were encouraging, but we have only met once. Surely we should be getting on with it. The message was loud and clear that we want to work together, but we want to get on with it. Please can we have another meeting, so that we can get on with tackling this really important issue?
It is not quite true to say that social care is unaffected by what was announced. The increase in the national living wage will be welcomed by those on the lowest incomes, but the Nuffield Trust estimates that it will cost the social care sector £1.2 billion. The sector is already struggling with last year’s national insurance contributions hike, so who will pay for this? Will there be funding cuts to other parts of the health budget? Will self-funders have to fork out yet more again, or will it be passed on to local authorities, inevitably leading to council tax rises? What impact will this national living wage increase have on wider pay in the sector?
Wes Streeting
On a point of order, Madam Deputy Speaker. I have to confess a sin. Earlier today, in the debate on the Budget, I referenced the hon. Member for Clacton (Nigel Farage) and did not notify him in advance. This was particularly egregious because I was not very nice about him. With that in mind, and out of respect for the customs and conventions of this House, I would like to apologise to the hon. Member and put this note on the record. I have, of course, written to him in similar terms.
Madam Deputy Speaker (Ms Nusrat Ghani)
I am grateful to the right hon. Member for giving me advance notice of his putting this point on the record. I am not sure that it is a sin, or whether he will be absolved of it, but it has been noted.
Oral Answers to Questions
Wes Streeting Excerpts(2 months, 1 week ago)
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Laura Kyrke-Smith (Aylesbury) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
I am pleased to report that both access to general practice and patient satisfaction with general practice have improved since Labour came to office. Over 75% of patients find it easy to contact their practice —an improvement of 14 percentage points since the general election. Not only have we recruited an extra 2,500 GPs; crucially, more patients are receiving continuity of care, backed by an additional £1.1 billion. Lots done, lots to do, and certainly a long way to go, but general practice is on the road to recovery.
Alex Baker
I am proud to see this Government’s improvements to GP services making a real difference locally, with over 2,000 more GPs hired and new investment already reaching practices like Jenner House surgery in Farnborough. However, many of my older and more vulnerable constituents tell me they are still struggling to get through on GP phone lines, especially as more practices move online. What steps is the Secretary of State taking to ensure that phone lines remain accessible for those who rely on them, so that everyone benefits from our NHS health plan? [Interruption.]
Wes Streeting
Well, Mr Speaker, you couldn’t script this! We have a doctor in the House—my hon. Friend the Member for Bury St Edmunds and Stowmarket (Peter Prinsley)—whose phone was alive as this very issue was raised by my hon. Friend, such is the commitment of doctors in our NHS to be available to patients wherever and whenever they are needed.
This Labour Government were elected on a pledge to end the 8 am scramble, and that is exactly what we are doing. We know that not everyone wants to contact their practice online. That is why practices must offer patients the option to telephone or visit in person in addition to online access. I thank GPs up and down the country for the work they are doing and the progress we are making in improving online access, access generally and patient satisfaction—lots done, lots to do.
Laura Kyrke-Smith
The number of qualified GPs in Buckinghamshire has risen by 8% in the last year thanks to this Government’s determination to recruit and retain more GPs. It is a great start, but I still hear from too many people in Aylesbury who cannot get through to their GP surgery or cannot get a quick enough appointment when they do. My constituent Jane, whose husband had suffered a stroke, was advised that he needed a GP appointment the next day, but it took a month to get one. I know my right hon. Friend is determined to keep improving access to primary care for people in Aylesbury and across the country, so can he set out his next steps?
Wes Streeting
I certainly can, and I am sorry that my hon. Friend’s constituent was let down. Everyone who needs a same-day appointment should be able to book one, and that is what we are working towards. As she says, we are recruiting more GPs. We are also investing £102 million to create additional space for appointments, including in 21 GP practices in my hon. Friend’s local integrated care board system. Nowhere is the state of the NHS, and the crumbling legacy we inherited, more evident than in the NHS estate, and that is why I am proud that in her Budget, the Chancellor will be setting out plans to roll out a new generation of neighbourhood health centres to deal with the crumbling NHS we inherited and to build an NHS that is fit for the future.
Dr Kieran Mullan (Bexhill and Battle) (Con)
There are a number of exciting opportunities for extended GP premises in my constituency—in places like Martins Oak in Battle, Little Common and Old Town, and Oldwood in Robertsbridge. One major challenge is the rates that the NHS district valuer is willing to offer for construction sites; they have just not kept up with the inflation we have seen across all sectors of construction. I did have a meeting with the Minister for Care and it was helpful to start those discussions, but we have not made the progress that we need to. Can we have a further meeting, and will the Secretary of State outline what he will do to ensure that district valuers are offering rates that can allow construction to go ahead?
Wes Streeting
I thank the hon. Gentleman for raising some of the practical challenges that stand in our way to improving and expanding the primary care estate. We are looking into the issues that he raises. We want to ensure that we can modernise the estate as effectively and quickly as possible. When there is progress to report, I have no doubt that the Minister for Care will be in touch.
Lisa Smart (Hazel Grove) (LD)
Over the summer, my team and I conducted a health survey across my constituency, and 40% of those living in the most deprived and most urban parts of my patch—Heaviley, Little Moor and Great Moor—were struggling to access GPs. What more can the Secretary of State do to ensure that urban and deprived communities get their fair share of GP access?
Wes Streeting
I am sure that the hon. Member’s constituents will have noticed what an assiduous and active Member of Parliament she has been in actively soliciting their views. I hope that they and she will find it reassuring to know that we are taking action to deal with the very inequalities that she mentions. The Royal College of General Practitioners found that in the poorest parts of the country, there are an extra 300 patients per GP. It cannot be right that the poorest parts of the country receive the poorest service too. That is why we are reforming the Carr-Hill formula so that deprivation is the driver of funding and prioritisation. That will help us to improve services for everyone and to tackle the gross health inequalities that blight our society.
Liz Twist (Blaydon and Consett) (Lab)
Elaine Stewart (Ayr, Carrick and Cumnock) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
In England, for the first time in 15 years, waiting lists are falling. Through record investment and modernisation, we have cut backlogs by more than 230,000, and we smashed our target for additional appointments in our first year, delivering more than 5 million. There is a long way to go, but the NHS in England is on the road to recovery. Unfortunately, in Scotland the SNP cannot seem to get the car started.
Elaine Stewart
While the NHS is on the road to recovery in England thanks to the investment of this Labour Government, there are 61,000 patients in NHS Ayrshire and Arran on a waiting list for treatment, almost 11,000 of them for over one year. Does the Minister agree that after record levels of funding for Scotland in the last Budget, people in my constituency should be asking the First Minister and his Government, “Where’s the money gone, John?”
Wes Streeting
My hon. Friend is absolutely right. More patients are waiting a year for treatment in Ayrshire and Arran than in the entire south-west of England—that is shocking. Thanks to the investment the Chancellor has made, Scotland is receiving an extra £1.5 billion this year and £3.4 billion next year—the biggest funding increase since devolution. Labour is cutting waiting lists in England. Labour is cutting waiting lists in Wales. Why is the SNP failing where Labour is succeeding?
Joe Robertson (Isle of Wight East) (Con)
The Secretary of State has failed to end industrial action like he said he would. How is that helping to reduce waiting lists?
Wes Streeting
Industrial action sets back our progress on waiting lists, but frankly, the Conservatives presided over an absolute mess—not just over the course of 14 years, when waiting lists rose every single year during the Conservatives’ time in power, but in their catastrophic mishandling of industrial relations. We came in, and we settled with the British Medical Association—[Interruption.]
Mr Speaker
Order. Mr Fox, you were the last voice I heard. I want to hear what the Secretary of State has to say. If you do not want to, you can go and get a cup of tea.
Wes Streeting
We came in, and we settled with the resident doctors with a 28.9% pay rise. It should be clear to them from the questions that Opposition Members have asked and the extent to which they have opposed a pay rise for not just resident doctors but NHS staff more generally that there is not a more pro-NHS, pro-doctor Health Secretary or Government waiting in the wings. It is either the Conservative party, which lumbered the NHS in this crisis in the first place, or the Reform party, which does not believe in the NHS at all.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I would first like to say I am sorry that the Minister for Public Health and Prevention is unwell and convey to her the best wishes of the Opposition.
I would like the Secretary of State to consider a patient who has waited a year for a procedure and then, after three waiting list validation calls, finally sees the consultant to check that the procedure is still necessary. If the consultant agrees that it is, do the Government figures show that patient as waiting for a year or a much shorter period?
Wes Streeting
A clock stop would be in place from the moment the patient saw the consultant. The reason we have had to do waiting list validation is that, in addition to driving waiting lists up, the Conservative party presided over a total shambles where patients were often waiting in duplicate slots on the waiting list, removed from waiting lists unnecessarily or waiting far too long. That is the mess we inherited from the Conservative party.
Wes Streeting
It is no use shadow Ministers heckling from the sidelines. When they had the chance, they drove waiting lists up, and they drove the NHS into the abyss.
Dr Johnson
The Secretary of State does not seem entirely sure, so perhaps he can write to us with an answer—
Dr Johnson
As someone who is on the waiting list myself, I do hope that the Secretary of State is correct. Waiting lists for procedures and operations requiring day care or overnight admission are both rising and higher than they were a year ago. Orthopaedic surgery waiting lists are up, yet this Government scrapped our major conditions strategy and say that they have no plans for a musculoskeletal conditions framework. Gynaecology surgery waiting lists are up, yet the Government scrapped and are now reviewing the women’s health strategy. Waits for procedures and operations in ophthalmology, general surgery, neurology and gastroenterology are going up too. When is the Secretary of State going to get a grip of the surgical waiting lists?
Wes Streeting
I honestly cannot believe the brass neck of Conservative Members; their time in government led to the longest waiting times and lowest patient satisfaction in the history of the national health service. The best news I can offer the shadow Minister, and others like her who are on a waiting list, is that we have a Labour Government who are reducing waiting lists for the first time in more than 15 years.
Sally Jameson (Doncaster Central) (Lab/Co-op)
Josh Newbury (Cannock Chase) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
May I first commend my hon. Friend not just on leading the recent International Men’s Day debate, but on his courage in speaking so openly about his own experience of sexual assault and the need to tackle the stigma surrounding it? [Hon. Members: “Hear, hear.”] For too long, men’s health has been overlooked, with a reluctance to accept that men suffer specific inequalities and hardships as men and boys. We know that men are less likely to come forward for healthcare. From partnering with the Premier League to rolling out health support in the workplace, we are meeting men and boys where they are and supporting them to live longer, healthier lives.
Josh Newbury
The publication of the first ever men’s health strategy for England was a historic step forward, including the drive to improve care for men with prostate cancer, the most common form of cancer in men under 50. I place on record my admiration for the right hon. Lord Cameron for speaking publicly about his diagnosis and successful treatment. The commitment to expanding home-based testing and remote monitoring is welcome, but can the Secretary of State tell the House what the Department will do to increase awareness and access to testing among the men most at risk, including those under 50?
Wes Streeting
I join my hon. Friend in commending Lord Cameron on his openness. Raising awareness, as we know, encourages men to come forward and leads to more diagnosis. He has done a great public service in talking about his own experience. We are improving care for men diagnosed with prostate cancer and undergoing active monitoring or treatment. We will be introducing support for individuals who are on prostate cancer active monitoring pathways to enable them to order and complete prostate-specific antigen blood tests at home from 2027. As for screening and the case being made for targeted screening, I await the recommendations of the National Screening Committee. We will study those carefully. We know that this is contested within the sector, so it is important that we have an evidence-based discussion, thrash out the arguments and reach the right way forward.
Mr Gregory Campbell (East Londonderry) (DUP)
I welcome the Secretary of State’s indication that he is awaiting the outcome of that report on screening for prostate cancer. If that report recommends what many of us hope it will recommend, will he act quickly to develop the report’s recommendations, whatever they are?
Wes Streeting
We are expecting the draft recommendations, and then a three-month consultation period will follow, but I want to act quickly on the evidence and what the recommendations contain, not least because we know that as well as it being a prevalent form of cancer, some groups—particularly black men, men with a family history of prostate cancer and men with BRCA gene mutations—are at higher risk. Black men are twice as likely to die with prostate cancer than white men. There is therefore an imperative to act. Whatever the recommendation, we need to do much better on diagnosis and treatment of this terrible condition.
Ben Goldsborough (South Norfolk) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
Women’s health is a priority for me, for my Department and for the Government. Since I last answered questions in the House we have extended the NHS health check to include the menopause for the first time, following the brilliant campaigning of Menopause Mandate and others. We have also made the morning-after pill free in pharmacies. The Prime Minister is co-ordinating work across Government to tackle violence against women and girls, and in the health and care services we will play our part in protecting and supporting victims. I have also asked the Government’s women’s health ambassador to renew the women’s health strategy that was introduced by the last Government, so we can ensure that it is driving the right progress in the future.
Josh Dean
When my constituent Rachel attended numerous A&E departments with severe abdominal pain, swelling, fever and nausea, her fears of a ruptured ovarian cyst were repeatedly dismissed. In her day-to-day life Rachel is a professional advising on antimicrobial resistance around the world, but as a patient she felt that her concerns were being ignored and that she was being pushed aside. She is determined to use her experience to challenge the unacceptable medical misogyny that she and other women across the UK still face too often. What action are the Government taking to ensure that women are not left to endure painful reproductive health conditions, and will the Secretary of State agree to meet Rachel to hear her story at first hand?
Wes Streeting
I thank my hon. Friend for describing Rachel’s experience. We have introduced Jess’s rule and we are rolling out Martha’s rule, so that, whether in primary or acute care, patients’ voices will be heard and they will be given the power to ensure that health professionals are listening and responding appropriately. However, my hon. Friend is right to acknowledge that much of this arises from medical misogyny. It is not just a case of changing rules and regulations; it is a case of changing culture and practice, so that women are not just seen but heard and listened to. That is a fundamental problem that we determined to address—and of course I should be delighted to meet Rachel to hear about her experience at first hand.
Layla Moran (Oxford West and Abingdon) (LD)
Diethylstilbestrol, or DES, was prescribed to women until the 1980s to treat miscarriage. Those who took it were themselves at greater risk of breast cancer, and their daughters have a higher risk of rare cervical cancers. It is estimated that a whopping 300,000 women have been affected. Two weeks ago the Secretary of State made an apology to victims, but they rightly want more than “sorry”, and they have pointed out that the current screening regime is insufficient. Will the Secretary of State meet me, and campaigners and victims, in order to understand how this was allowed to happen, who will be held accountable, and how those women can go about securing compensation for this egregious scandal?
Wes Streeting
I thank the Chair of the Select Committee for raising that extremely serious issue. I am glad that she has drawn it to the House’s attention. I have apologised, on behalf of the state, for the failure that occurred and for the harm that has arisen as a result. My hon. Friend the Member for Bournemouth West (Jessica Toale) has been campaigning diligently, and the DES Justice UK campaigners have done a magnificent job in raising public awareness. I am always delighted to meet the Chair of the Select Committee because I know which side my bread is buttered on, but I should be particularly delighted to meet her to discuss this specific issue.
Helen Morgan (North Shropshire) (LD)
The impact of health inequalities on women’s health are starkest when it comes to maternity care, with many NHS trusts requiring improvement. Black and Asian women, and those from the most deprived communities, are far more likely to suffer the worst outcomes or even lose their babies. The Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives have vocally opposed the removal of the ringfence from the service delivery fund, saying that funding provided to drive change following the Ockenden review has disappeared at the stroke of a pen. Will the Secretary of State commit himself to reinstating that ringfence, and to ensuring that all the immediate and essential actions arising from that review of the failings at Shrewsbury and Telford hospital NHS trust are taken as soon as possible?
Wes Streeting
I thank the Liberal Democrat spokesperson for her question. She is right to raise the inequalities at the heart of poor maternity care, as well as failures in services overall. We are taking a number of actions, but on the issue of funding specifically—I think this will become a recurrent theme across a range of issues during this Parliament—the approach that we are taking as a Government is to try to devolve more power, responsibility and resources to the frontline. As we do so, we are removing national ringfences.
I appreciate what the hon. Lady says about the risk. It is important that we, and no doubt Parliament, scrutinise the situation to make sure that outcomes across the board improve and that the focus that this House wants to bring to issues like maternity safety is delivered in practice, but I think we are right to drive at the issue of devolution. Decisions are better taken within communities, close to communities and at a local-system level, but she is right to be vigilant about this issue, and we on this side of the House are absolutely open to challenge. If systems are not acting in the way that we want and it is having an adverse impact, we will reconsider.
Cat Smith (Lancaster and Wyre) (Lab)
Alison Griffiths (Bognor Regis and Littlehampton) (Con)
The Secretary of State for Health and Social Care (Wes Streeting)
Trade unions, representing the majority of NHS staff, are engaged in constructive dialogue with the Government, particularly around reform of Agenda for Change. All NHS staff have received above-inflation pay rises. No other staff in the public sector have received a pay rise as high as that of resident doctors. We offered extra jobs, prioritisation for UK graduates and help with out-of-pocket expenses. Against that backdrop, it is simply appalling that British Medical Association leaders led their members out on strike, even though a majority of resident doctors supported the Government’s offer.
I am pleased to report to the House that, thanks to NHS leaders and frontline staff, including the resident doctors who turned up, the NHS met its ambitious goal and 95% of planned elective activity went ahead, meaning that 850,000 patients got the procedures and operations they needed, despite the BMA’s reckless action. None the less, the time and money that this has cost us is detrimental, and I hope the BMA will come back to the table constructively.
Alison Griffiths
After warnings from the NHS Confederation and NHS Providers, my constituents are still rightly concerned that services may yet be cut, appointments lost and operations delayed as a direct result of the BMA’s industrial action. These strikes did not need to happen. What will the Secretary of State do to reassure patients in Bognor Regis and Littlehampton that their safety and wellbeing is a priority for this Government, who have no timetable and no plan, and who have made no progress towards ending these damaging rolling strikes?
Wes Streeting
I must say that a bout of collective amnesia has swept the Opposition Benches, because the Conservatives seem to have forgotten the absolute calamity of bad industrial relations over which they presided. The difference between Members on this side of the House and the Conservatives is that we have never closed the door to talks; we have always been willing to engage with resident doctors in good faith. Unlike under that party, resident doctors have received a 28.9% pay rise from this Labour Government. It is a reminder to resident doctors across the land that the grass is not greener on the other side, and that they should work with a Labour Government who want to work with them.
Gregory Stafford (Farnham and Bordon) (Con)
Sarah Olney (Richmond Park) (LD)
The Secretary of State for Health and Social Care (Wes Streeting)
Obesity robs children of the best possible start in life, hits the poorest hardest, sets them up for a lifetime of health problems and costs the NHS billions, so I can announce to the House that we are expanding the soft drinks industry levy to include bottles and cartons of milkshakes, flavoured milk and milk substitute drinks. [Interruption.] We are also reducing the threshold to 4.5 grams of sugar per 100 ml. This Government will not look away as children get unhealthier and our political opponents urge us to leave them behind.
Mr Speaker
The only thing I will say is that at least we are hearing it first in this House and not on Sky.
Sarah Olney
I congratulate the Secretary of State and the Department of Health and Social Care on the launch last week of the men’s health strategy. My constituent Philip Pirie, who sadly lost his son to suicide, has been calling on the Government to launch a public health campaign to reduce the stigma of suicide. Nearly 75% of those who lose their lives to suicide have not been in contact with mental health services, and that is why we need to reach out. Will the Secretary of State meet me and my constituent to discuss such a campaign?
Wes Streeting
I am sure that my hon. Friend the Minister for Care would be delighted to meet. The men’s health strategy sets out precisely the challenge in those terms. Through the partnerships that we have already announced, such as with the Premier League, as well as the people who have been knocking on our doors to get involved in such a campaign, I am absolutely confident that together, collectively across the House and across the country, we can tackle this terrible stigma.
Stuart Andrew (Daventry) (Con)
Thank you, Mr Speaker. Can I ask the Secretary of State why he has not sorted out the strikes and disputes?
Wes Streeting
I wish the shadow Health Secretary a very happy birthday—21 again! It is good to see him here.
We continue to hold the door open to the British Medical Association. If it wants to engage constructively, we are ready and willing. What we will not do is be held to ransom. What we cannot afford to do is pay more than we already have. What we are able and willing to do is go further to improve their career progression and job prospects, and to work with them to rebuild the NHS, which the Conservative party broke.
Stuart Andrew
But, Mr Speaker:
“The power to stop these strikes is in the Government’s hands.”—[Official Report, 6 February 2023; Vol. 727, c. 660.]
“They need to sit down and negotiate to end the strikes, but Ministers are too busy briefing against each other.” Those are not my words, but the Secretary of State’s words when he was standing here on the Opposition side. He said it was so simple. The Secretary of State is embroiled in a leadership battle that is taking over the need to focus on averting walkouts, and the Employment Rights Bill reduces voting thresholds on strikes and scrapping minimum service levels. Does the Secretary of State accept that things are only going to get worse as a result of the Bill? And in his words, does he agree that patients have suffered enough?
Wes Streeting
I was very clear in opposition about the Government’s responsibility to sit down and negotiate, and that is exactly what I have been doing. It takes two to tango. As for the other trivial nonsense the right hon. Gentleman mentions, I have been very clear that I am a faithful. Of course, if he were a gameshow, he would be “Pointless”.
Katrina Murray (Cumbernauld and Kirkintilloch) (Lab)
Helen Morgan (North Shropshire) (LD)
Every MP will be aware of the huge value that unpaid carers add to the NHS, taking the pressure off paid carers while often under intolerable pressure themselves. We were therefore really pleased to hear the news this morning that thousands of unpaid carers will have their cases reviewed, after they had been left with huge debts as a result of a failure of Government over a long period of time. However, it has been reported that debts will continue to accrue and overpayments will continue to be pursued for as long as a year from now. Given his responsibility to unpaid carers, will the Secretary of State raise the issue with colleagues, urging them to suspend repayments until the recommendations are enforced, and ensure that those people propping up the care system are treated fairly from today, not from in a year’s time?
Wes Streeting
I am grateful to the hon. Member for that question, as this is a terrible situation and one of the many messes that this Government are now working to clean up. I will certainly ensure that the issue she raises is taken up with my right hon. Friend the Work and Pensions Secretary.
Tristan Osborne (Chatham and Aylesford) (Lab)
Wes Streeting
I am happy to report to the hon. Gentleman that we are well on the way towards delivering the 8,500 more mental health staff we promised in our manifesto, with over 6,500 already there. Digital tools can play a role, and I am pleased to report that, given the evolution of our online tools via the NHS app, ensuring that we have high-quality and clinically verified apps will be part of our approach, so that people have access to high-quality digital tools, not ones they have googled on the internet.
Kenneth Stevenson (Airdrie and Shotts) (Lab)
Wes Streeting
Yes, Mr Speaker. [Interruption.] Opposition Members do not like to hear it, but we are bringing waiting lists down for the first time in 15 years, patient satisfaction with general practice is rising, and we are delivering the investment, modernisation and change the country voted for.
Pippa Heylings (South Cambridgeshire) (LD)
Sarah Smith (Hyndburn) (Lab)
About 38% of children in my constituency are sadly growing up in poverty. This Government are committed to ensuring the best start in life for all children, so in addition to the increase in mental health support teams in schools, does the NHS workforce plan currently address the vital need for trained specialist community public health nurses in schools?
Wes Streeting
My hon. Friend is absolutely right about the need to improve the quality of the paediatric workforce. We are considering that as we revise the workforce plan. I am proud that already, with just one decision that we took in the first year of this Labour Government to expand free school meals, we are lifting 100,000 more children out of the poverty they were left in by the Opposition.
Seamus Logan (Aberdeenshire North and Moray East) (SNP)
In 2024-25, the NHS trust in the Secretary of State’s constituency collected £2.4 million from patient and visitor parking and a further £1 million from staff parking. Given that those costs fall hardest on the poor and the most seriously ill, will the Secretary of State consider abolishing this inequitable burden on the sick, their relatives and those who care for them?
Wes Streeting
If I were the hon. Gentleman, I would be more worried about the situation close to home and the SNP’s abysmal record of failure: while waiting lists are falling in Labour-led England and Labour-led Wales, in SNP-led Scotland they are rising, despite the biggest funding settlement since devolution began. It is a record that should make him and his party blush.
Stuart Andrew
On a point of order, Mr Speaker. I know that you have been incensed by the unprecedented briefings we have seen by the Government in the run-up to the Budget. It beggars belief that, despite your clear statements on this issue, they have done it again today by announcing that the Chancellor will announce £300 million for NHS tech in her Budget tomorrow—not through a briefing to journalists but with an article on the gov.uk website. This happened just today, after a Minister stood at the Dispatch Box yesterday and said:
“I can assure the hon. Member, given the respect that the Government pay to this House and to their obligations in it, that if there is an important policy announcement to be made, it will be made to this House.”—[Official Report, 24 November 2025; Vol. 776, c. 32.]
Given that that was clearly not the case in this instance, despite your statements, can you advise us as to what we as Members of this House can do?
Cass Review Implementation
Wes Streeting Excerpts(2 months, 2 weeks ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
I am today updating the House on the Government’s efforts to provide better outcomes for children and young people with gender incongruence, in line with the recommendations of the Cass review.
Children’s healthcare must always be led by evidence, and medicines prescribed to young people should be proven to be safe and effective.
The Cass review was clear that there is not enough evidence about the long-term effects of using puberty-suppressing hormones to treat gender incongruence to know whether they are safe or beneficial. It is a scandal that medicine was given to vulnerable young children without proof that it was safe or effective, and outside the rigorous safeguards of a clinical trial.
The review recommended that a clinical trial be commissioned within a full programme of research, which is being taken forward. This is the safest and most effective way of building an evidence base and charting a course through this challenging issue, where there are understandable concerns around safety, efficacy and consent. The Commission on Human Medicines —a statutory, expert body made up of clinicians and academics that provides independent advice to Ministers on the safety, efficacy and quality of medicines—considered information on the proposed trial and made recommendations, which have been adopted
On Saturday, following the receipt of full ethical approvals from the Medicines and Healthcare products Regulatory Agency and the Health Research Authority, King’s College London launched two new studies funded by NHS England to provide better evidence for how the NHS can support and treat young people with gender incongruence.
This includes the pathways trial—a carefully designed, randomised controlled clinical trial of puberty suppressing hormones for gender incongruence. This trial will involve young people being treated in NHS children and young people’s gender services with a formal diagnosis of gender incongruence. It will measure the impacts of these hormones on their cognitive, physical, social and emotional wellbeing. For their own wellbeing, there are strict eligibility criteria in place, including clinical review and parental consent. Young people will undergo comprehensive physical and mental health checks before and during the study, and will continue to receive psychosocial and other non-medical care while participating. If a young person meets the eligibility criteria, they will then be offered the opportunity to participate in the trial. The study team are now working to open sites for recruitment.
The trial has received comprehensive scientific, ethical and regulatory approval from the MHRA and from the Health Research Authority, including review by an independent research ethics committee. It follows the initiation of the observational pathways horizon study, and has been approved alongside the pathways connect study. The health and wellbeing of the children involved will always be our primary consideration.
NHS England has significantly increased both capacity and investment since April last year, with the opening of three new children and young people’s gender services in London, the north-west and the south-west. I am pleased to say a fourth service will open in the new year, with the ambition of service provision in every region of England by 2026-27.
Last year, NHS England reformed the referral pathway in these services. A referral can only be made by an NHS-commissioned, secondary care level paediatric service or a children and young people’s mental health service. This will ensure that healthcare professionals with the relevant expertise conduct the assessment and help to determine any co-existing mental health or other health needs of these children and their onward care.
I am determined to improve the quality of, and access to, care for all trans people. The full implementation of the Cass review will deliver material improvements in the wellbeing, safety and dignity of trans people of all ages. I will continue to work to help trans people to live freely, equally, and with the dignity that everyone in our country deserves.
[HCWS1088]
International Men’s Day
Wes Streeting Excerpts(2 months, 2 weeks ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
What a pleasure to follow the spokespeople for the Conservative party and the Liberal Democrats, the hon. Members for East Grinstead and Uckfield (Mims Davies) and for Mid Dunbartonshire (Susan Murray), whose contributions were very much in the spirit of what we have heard this afternoon. I can reassure both of them that the suicide prevention funding is not gone; it is devolved. This will be a challenge that we have to work through during this Parliament as we embrace devolution and set local authorities and health trusts free to spend as they choose. We will need to keep a focus to ensure that the emphasis on suicide prevention is not lost. I really welcome the challenge the hon. Members have brought and the spirit of it. I can confirm that we will be appointing a new men’s health ambassador, and I will keep the hon. Member for East Grinstead and Uckfield updated on that.
It is customary when beginning these debates to thank the Backbench Business Committee, as well as the hon. Member who opened the debate for their outstanding contribution, whether the speech was any good or not. I can honestly say, though, having been in this House for 10 years, that it is a rare moment to hear such a courageous speech as the one we heard opening this debate. We can be truly proud of my hon. Friend the Member for Cannock Chase (Josh Newbury). I hope his constituents know how diligently he fights for them every single day here. He is a conviction politician; he is prepared to speak truth to power and use his influence to get things done for his community. Just through his words today, he will have had such an impact on so many people he will never meet, but who will none the less draw strength from his courage.
I do not think anyone listening to the powerful contributions from right hon. and hon. Members today could fail to be moved by what we have heard—nor could they be anything but truly appalled by all the terrible dad jokes. I think the contribution from my hon. Friend the Member for Edinburgh South West (Dr Arthur) was truly the worst. I would like to get involved, Madam Deputy Speaker, but as is well known, I have absolutely no sense of humour—less sense of humour than Downing Street has for tolerating my jokes. I am not a fan of political jokes anyway, as too many end up getting elected. However, I did once hear of a Canadian politician who was popular with everyone—it’s probably not Trudeau. [Laughter.]
As I listened to the debate, two broad themes emerged. The first is how every day, many boys and men make wonderful contributions to our families, schools, communities and workplaces, and not just in jobs, roles and behaviours that are associated traditionally with masculinity and men, but in roles such as nurses, carers and primary school teachers. They have embraced a genuine commitment to equality—that no matter who someone is and where they are from, and whatever their background, sex or gender, they can grow up to be whoever they want to be.
As my hon. Friend the Member for Bolsover (Natalie Fleet) said so powerfully, the role of men and boys as allies, advocates, mentors and role models and their capacity for love, laughter and empathy inspire others, lift up our society, change lives and bring joy to those around them. I pay tribute particularly to two of the most important men in my life: my dad and his father, my grandad. For those who follow my family history, that is not the armed robber; it is the working-class east end Tory. I have to say that I have that in common with my hon. Friend the Member for Redditch (Chris Bloore), with his family heritage and political leanings.
Without those two men, I would not be standing here today. They have been a rock of stability and inspiration in life. My grandad was my closest friend and moral compass; my dad has been the rock of stability I needed, particularly when things were hardest in my childhood. I am lucky that both of my parents have always been in my life, but I must say that when I talk about being brought up by a single parent, the shorthand too often used in newspapers is “single mum”. As my dad often points out, he was the one who got the terrible teenage years and had to move out of the area to get me to move out before I hit the age of 30. I am very grateful to my dad, whom I love and admire very much.
We have heard powerful contributions today. I could not help but notice that almost everyone endorsed the Dad Shift campaign for greater paternity rights and leave. This Government are legislating for day one rights, but I know that the advocacy and representation that we have heard across the House will have been heard by my colleagues in Government. There will be a consultation, and I am sure that we have not heard the last of that.
None the less, for all the positivity, the second theme we have heard about today is an altogether less positive one. It is a startling reality that being and growing up as a man in today’s society can be very tough, especially for those from working-class backgrounds such as mine. My hon. Friend the Member for Loughborough (Dr Sandher) spoke powerfully about the economic injustice in our society, the poverty and inequality that add up to the pressures and strains, the educational disadvantage and the lack of security and opportunity that too often hold back people, and especially men and boys from backgrounds such as mine. Though I am proud to stand here today, proud of my working-class roots and proud of having beaten the odds that were stacked against me, the object of this Government—the object of the Labour party—has always been to change the odds for everyone and not just to have the exceptional few beat the odds. That is at the heart of this Government’s agenda.
I want to pay tribute to those who have brought this agenda to the mainstream. This debate is 10 years old, but I must remember and recall, back when it started, an awful lot of eye-rolling about whether it was necessary—including, I suspect, by me and others who wondered whether this was truly relevant. How wrong that sentiment was and how much of a brilliant riposte we have heard.
I pay particular tribute to my hon. Friend the Member for York Outer (Mr Charters) who spoke so powerfully at Prime Minister’s questions about the “dark cloud” that hung over him following the difficult birth of his and his wife’s first child. As he said, the strength of a man is about being open about his emotions. Sometimes, as we have heard so painfully today, those struggles become so overwhelming that men feel that the only way out is to take their own lives. When that happens, it is not just an individual, personal tragedy; it is like a nuclear bomb and the fallout hits everyone around them, as my hon. Friend the Member for Southend West and Leigh (David Burton-Sampson) spoke of so powerfully.
We know that that impacts men in different ways, from different backgrounds and in different sectors. During an interview on Fix Radio: The Builders Station yesterday, I was told that men in the construction industry are four times more likely to die by suicide. One of the biggest causes of stress and anxiety for tradesmen is tool theft. That is why I thank my hon. Friend the Member for Portsmouth North (Amanda Martin), who has been like a dog with a bone on that issue, with her campaign already delivering tougher punishments for the perpetrators of tool theft. Indeed, I promised Clive Holland, the host of Fix Radio, that I would pass on this message to the House. He said:
“I would love to stand up at that Dispatch Box and speak to all the people in Parliament…and I would grab them by the lapels and say, ‘Get it through…Just get it through. It’s crucial. We all need this industry. We’d still be living in caves without the skills of our industry’.”
He is absolutely right and that is why we are lucky to have my hon. Friend championing that issue on behalf of that industry.
The Government’s response to many of the issues raised in today’s debate is the country’s first ever men’s health strategy. It covers physical and mental health, and I am most proud that it was drawn up in partnership with men themselves, experts, men’s groups, charities and campaigners. We are all aware that politicians today are about as popular as tax collectors and traffic wardens, so we need wider allies and advocates, groups such as Movember, Men’s Sheds and Everton in the Community, which I had the pleasure of visiting last week. There are also campaigners such as Stephen Manderson, better known as Professor Green, and Clarke Carlisle, the premier league footballer, who use their own experiences with suicide and mental ill health to spread awareness and prevent that from happening to others. I also pay tribute to the journalists, such as the LBC philosopher king Tom Swarbrick, for talking about modern masculinity, the importance of male friendship and keeping the ties that bind us.
There are a number of ways in which we will act. First, by expanding access to support services; secondly, by helping men to take better care of ourselves; and thirdly, by ensuring that stigma is challenged and every man feels empowered to reach out for help. This is not just a plan; it is a call to action. It is not just about changing services and laws; it is about changing hearts and minds and culture, particularly in an online world of harms and radicalisation, as pointed out by my hon. Friend the Member for Watford (Matt Turmaine), as well as many positives, as identified by my hon. Friend the Member for Ribble Valley (Maya Ellis).
Half the battle for men and boys is to have the conversation in the first place, opening up the space to utter what are often the most challenging words: “I need help.” That is why our strategy meets men on their own terms and their own turf—partnering with the Premier League’s “Together Against Suicide” initiative; investing £3 million in community-based men’s health programmes; workplace pilots with EDF to support workers in male-dominated industries; support for minors; and new research to help us tackle the biggest killers of men, including rising cocaine and alcohol-related deaths, as well as taking action on gambling, as my hon. Friend the Member for Dartford (Jim Dickson) exhorted us to. On prostate cancer, I will keep the House updated as we await the recommendations of the National Screening Committee. I heard the representations today, particularly from the hon. Member for Wokingham (Clive Jones) and my hon. Friend the Member for Leyton and Wanstead (Mr Bailey).
Our aim is to create a society where men and boys are supported to live longer, healthier and happier lives, where stigma is replaced by understanding and where every man knows that his health matters. As we heard so powerfully, including from some of this House’s most outstanding feminist campaigners, like my hon. Friend the Member for Walthamstow (Ms Creasy), this is not an either/or. This is not a choice between men and women; it is the recognition that while women’s health inequalities have sexism and misogyny layered on top of them—something that we as men must take responsibility for tackling, too—men and boys do face challenges when it comes to our education, employment, health, wellbeing, life chances and opportunities.
As we heard so powerfully, especially from my hon. Friend the Member for Portsmouth North, it is not as if the women out there do not care about their sons, dads or brothers—quite the opposite. Similarly, we care about our mums, sisters, daughters, nieces, friends and colleagues. There are differences between the sexes—there are differences in how we are impacted by and contribute to the society around us—but we are born equal, and we have a responsibility to stand together to make sure that we create a rising tide that lifts all ships. A healthier, happier, more equal and more just society is what this strategy will help to bring about, and it is why this debate has been so wonderfully powerful.
Madam Deputy Speaker (Ms Nusrat Ghani)
As the Secretary of State mentioned brothers, it would be remiss of me not to mention my five brothers—this will give Hansard a run for its money—Basharat, Nasim, Rasalat, Nazir and Imran, and obviously my husband David. Those wonderful men in my life have enabled me to be in this Chair today. I call Josh Newbury to wind up.
Transforming the Health Service
Wes Streeting Excerpts(2 months, 3 weeks ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
I am today updating the House on the Government’s plans to reform the health system in England, in line with our commitment to deliver a more accountable, productive and patient-focused national health service.
The Government intend to abolish NHS England by March 2027, subject to the will of Parliament. And as we have set out, the role of integrated care boards is also changing. ICBs now have a clear purpose as strategic commissioners, tasked with building a neighbourhood health service focused on preventing illness.
We are doing this to deliver a more streamlined, efficient and strategic centre. The size of the centre has more than doubled since 2010. The 2012 reorganisation of the NHS led to worse care for patients, at soaring costs, leaving taxpayers paying more but getting less. That is why the Government’s ambition remains to reduce staff numbers by up to 50% across the Department of Health and Social Care, NHS England and ICBs. These reductions will be made by March 2028.
Patients will experience better care as we end duplication and slash bureaucracy across the NHS, with around 18,000 posts abolished and more than £1 billion per annum saved by the end of the Parliament. These reforms will also give more power and autonomy to local leaders and systems—stripping away red tape and bureaucracy, and providing more freedom to better deliver health services for their local communities. Today’s announcement comes ahead of next week’s Budget, which will focus on cutting waiting lists, cutting the national debt and cutting the cost of living, and driving more productive and efficient use of taxpayers’ money by rooting out waste in public services.
As set out in our 10-year health plan, we are revitalising the foundation trust model that drove previous improvements in performance, but with the shift from treatment to prevention at its heart. And as our next step in delivering this commitment, I can today update Parliament that eight high-performing trusts will be assessed by NHS England to become the first advanced foundation trusts, based on their record of delivering quality care, strong finances and effective partnerships with staff and local services:
https://www.england.nhs.uk/advanced-foundation-trusts/
Further waves will follow over the coming years, driving up standards in every community.
This new designation will reward excellence with greater freedom for providers and clinicians to make decisions locally—from how services are organised to how money is spent—so that care can be designed around what works best for local people, not dictated from Whitehall.
On top of this, the best foundation trusts—those embracing the three shifts and demonstrating the strongest partnerships—will also be given the opportunity to hold integrated health organisation contracts. As an IHO, they will hold the whole health budget for a local population, alongside responsibility for improving health outcomes.
From the first wave of advanced foundation trusts, two will go forward as candidates for first wave IHO designation. We will work with these designates to further develop the IHO model, and over time we expect IHOs to become the norm.
All of this adds up to a very different kind of NHS. It marks a fundamental shift: from command and control to collaboration and confidence. It will not happen overnight, but with our investment and modernisation, this Government will rebuild our NHS so that it is there for you when you need it once again.
[HCWS1051]
Points of Order
Wes Streeting Excerpts(3 months, 2 weeks ago)
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Mr Speaker
We all remember Oliver Colvile very fondly. He really was a good MP and a nice kind of guy to meet. I knew Oliver way before he came to this House. We are all saddened to hear the news.
Wes Streeting
Further to that point of order, Mr Speaker. On behalf of the Government and Labour Members, I associate myself fully with the remarks of the shadow Secretary of State, the right hon. Member for Daventry (Stuart Andrew). Oliver Colvile was a decent man and a wonderful public servant—we all share that view. I am sure that my hon. Friends on the Labour Benches will absolutely follow his example when it comes to following the Whip.
Graham Stuart (Beverley and Holderness) (Con)
Further to that point of order, Mr Speaker. Oliver Colvile was loved by Members from across this House. As it will soon be the 175th anniversary dinner of the Lords and Commons cricket team, it is worth remembering one of the most famous wickets ever taken, when Oliver Colvile bowled and took that wicket in India, on live television, watched by tens of millions. I had never seen a triumph like it. He will be much missed. He was always loved and respected in this House.
Oral Answers to Questions
Wes Streeting Excerpts(3 months, 2 weeks ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
This Government have invested an extra £26 billion in the NHS, delivered 5 million more appointments in our first year and cut waiting lists by more than 200,000. We are also tackling the NHS postcode lottery. Patients should not have to wait longer for worse care because of where they live. Our new NHS league tables shine a light on the poorest performers so they receive the extra support and accountability needed to turn them around. The best leaders are being sent into the most challenged trusts to turn them around, failing managers will have their pay docked and persistent failure will lead to restrictions on boards, as we saw in Leeds this week. We will not tolerate failure.
Shaun Davies
In Telford and wider Shropshire, we know that the NHS has an absolute mountain to climb after years of underperformance. We have begun that journey with falling waiting times, increased Government investment and plans for Telford’s first ever cancer treatment unit. Will the Secretary of State ensure that trusts that show signs of improvement are backed to catch up with the rest and continue their improvements, particularly with investment in technology, research and infrastructure?
Wes Streeting
Absolutely. My hon. Friend deserves real credit for championing Telford and Shropshire and helping to get the trust the investment it needs. He is right that local services have not been good enough for a number of years. We will not turn a blind eye to that failure; we will do something about it. There is a long way to go, but we have already delivered an extra 94,000 appointments and cut waiting lists by over 14,000 at his local trust since the general election—so a lot done, but lots more to do.
Joe Robertson (Isle of Wight East) (Con)
I see the Health Secretary is having a bust-up with the Chancellor over who pays his £1.3 billion redundancy bill for breaking up NHS England. Will he guarantee that, once he has resolved his differences with the Chancellor, not a single penny will be taken from delivering frontline health and social care services or from underperforming NHS trusts to pay for making staff redundant?
Wes Streeting
The hon. Gentleman should not believe everything he reads in the newspapers. I make no apology for trying to cut unnecessary bureaucracy in large national organisations to redeploy savings to frontline services. His Government really should have taken a leaf out of our book.
Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
The Secretary of State need look no further than Homerton university hospital in Hackney for good performance: it has managed to increase productivity by over 11%. What is he doing to support great leaders who deliver great progress and to make sure that they have the funding they need to continue with that?
Wes Streeting
I was delighted to meet my hon. Friend only recently to hear about the really impressive productivity gains being made at her local trust. I am keen to learn more. We need to incentivise and reward leaders for that kind of outstanding performance and we also need to get some of that best practice to some of our poorest performing trusts.
Freddie van Mierlo (Henley and Thame) (LD)
Oxford university hospitals trust is one of just three trusts that do not provide givinostat for Duchenne through the early access programme. Last week, I attended a roundtable at which one of my constituents, Alex, advocated on behalf of his son, Ben, who is not getting the treatment. We discussed lessons learned from the early access programme. Will the Secretary of State meet me, Duchenne UK and the all-party parliamentary group on access to medicines and medical devices so that we can share those lessons with him?
Wes Streeting
I have had the privilege of meeting some of the campaigners, and particularly the young people affected by that cruel condition, and I understand the hon. Gentleman’s frustrations. I know that the medication is being put through the National Institute for Health and Care Excellence process, and I hope that that will deliver a positive outcome. I would be delighted to keep him apprised of progress.
Mr Speaker
Can I just suggest to Members that their supplementary question should relate to the tabled question? That would be helpful. I call the shadow Minister.
Dr Luke Evans (Hinckley and Bosworth) (Con)
With reports of over £1 billion in costs for integrated care board redundancies and the chief executive officer of NHS England warning that services could have to move to plan B, could the Secretary of State set out what plan B is?
Wes Streeting
We are absolutely committed to delivering the transformation that we have outlined, and we are working with ICB leaders and NHS leaders to do that in a timely way. Those savings will deliver better value for money and enable us to redeploy resources to the frontline where they belong.
Dr Evans
I thank the Secretary of State for his answer, but waiting lists have risen for three successive months now, doctors are on strike, GPs are in formal dispute with the Government, and the ICBs are cutting 50% of their staff and do not have £1 billion to pay for it, all while the NHS 10-year plan has been published but with no delivery chapter. When will the Secretary of State come to the House with the delivery plan for the NHS 10-year plan?
Wes Streeting
Not only have the Conservatives failed to get in the news, but they have clearly not been reading it either. There have been no doctors strikes in the NHS since before the summer, and we have sat down with resident doctors and their new leadership to try to avert future strike action. The hon. Gentleman is right to point out that the action taken by the previous committee—unnecessary and irresponsible as it was—has impacted on waiting lists in the last few months, as have higher levels of demand than anticipated. I say that by way of explanation, by the way, not by way of excuse. I am determined to make sure that we hit our target, as outlined in the Government’s plan for change, and I think he will find that in the coming months we will be back on track and well on course to achieving something that the Conservatives failed to do when they had the chance.
Samantha Niblett (South Derbyshire) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
I am deeply concerned by the state of maternity care that we inherited in the NHS. That is why I have asked Baroness Amos to chair an independent investigation into NHS maternity and neonatal services. Families deserve truth and justice, there must be accountability for failings, and services must improve. I am committing to doing whatever it takes to provide patients and babies with safe, comfortable and dignified care.
I should also inform the House that this week I have announced an inquiry into failings at the Leeds teaching hospital trust. I am working with the families affected to agree on a chair and terms of reference, and I will keep the House updated on next steps.
Samantha Niblett
Pregnancy can be a worrying time for any expectant parent, and knowing they can access their GP to see a person face to face is hugely important. That was denied to my constituent, Hayley Johnson, who sadly went on to lose her baby, Evelyn, when she was delivered in an emergency at 26 weeks and six days due to a huge misdiagnosis given over the phone. With regard to maternity support specifically, what is the Minister doing to ensure that excellent maternity care is delivered in local communities so that that never happens to another family, and that when the very worst does happen and parents are suffering the loss of a baby, the support also extends to bereavement counselling?
Wes Streeting
I thank my hon. Friend for the work she is doing to campaign for better support in this space and for raising these tragic cases, not just today but in her powerful contribution to last week’s debate. She is right to say that GPs are critical for supporting women during pregnancy, providing compassionate physical and mental health care and signposting relevant services, which is why continuity is important. I am happy to report to her that, in terms of mental health and bereavement support, a record number of women accessed a specialist community perinatal mental health service or maternal mental health service in the 12 months to July 2025, but clearly there is much more to do. We have announced a £36.5 million package for bespoke perinatal mental health and parent infant relationship support as part of the continuation of the family hubs and Start for Life programme, but as we heard in last week’s debate, although a lot has been done, there is so much more to do.
Mr Joshua Reynolds (Maidenhead) (LD)
Safe maternity care depends on adequate staffing, and we on these Benches have been calling for better recruitment and retention of staff in women’s health services for a long time now. Can the Secretary of State outline what specific measures the Government are taking to address the shortage of midwives and specialist neonatal nurses across England?
Wes Streeting
We need to make sure that there is better staffing and that we have the right people in the right place. I should just caution the House, though, because in recent years there has been an increase in staffing but not a corresponding increase in the quality of care, so we have to make sure we are looking at this issue in a nuanced way. It is about having the right staff in the right place at the right time to deliver safe maternity and perinatal services, and that is exactly what we will do.
Helen Morgan (North Shropshire) (LD)
Our maternity wards are in a state of crisis, with death and injury rising at an alarming rate. Sadly, this issue is not confined to Shropshire, and there has been a steady drumbeat of maternity scandals, with review after review finding consistent failings across the NHS. Can the Secretary of State explain to me and the many mothers I have met who have faced tragedy and unacceptable trauma why the Government are cutting national service development funding—ringfenced funding to improve maternity care—by more than 95% and why the immediate and essential actions from the Ockenden review into the failings at Shrewsbury and Telford hospital trust, which were to be implemented nationwide, are still not in place more than three years later?
Wes Streeting
We really are not; what we have done is devolve funding and responsibility to local level, which we think is the right thing to do. If I may say so, it is quite irresponsible to suggest that maternity funding and funding for services has been cut in the way that the hon. Lady describes. I think it causes unnecessary concern. We are taking into account the recommendations made by Donna Ockenden, as well as a wide range of other reviews and inquiries, as part of Baroness Amos’s rapid investigation, because I, like the hon. Member, want to see rapid improvement in maternity services across the country.
Neil Duncan-Jordan (Poole) (Ind)
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I am concerned that the disruption caused by an uncosted, unplanned simultaneous reorganisation of NHS England and the ICBs is affecting patient care. Before the summer, the Joint Committee on Vaccination and Immunisation recommended that the RSV vaccine should be given to those over 80 and those in adult care homes. In July, I asked the Secretary of State to confirm that this vaccine will be available in time for the winter season, and he said,
“I can certainly reassure the shadow Minister on this.”—[Official Report, 22 July 2025; Vol. 771, c. 677.]
The winter vaccine programme started three weeks ago. Why has he not delivered on his promise?
Karin Smyth
As my right hon. Friend has just said, we have delivered on that commitment. The hon. Member talks about the reorganisation being a distraction. If her party had focused taxpayers’ money on patient services rather than ballooning bureaucracy, with costs increasing both among providers and through ICBs, we would not have inherited the mess that we did, and would be able to roll out programmes more effectively. We have committed to doing that.
Michelle Welsh (Sherwood Forest) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
We strengthened the NHS front door with £1.2 billion for general practice, the biggest cash increase in over a decade. We promised to recruit an extra 1,000 GPs in our first year—we recruited 2,000. Patients are now able to request appointments online, which is a huge step towards delivering our manifesto commitment to end the 8 am scramble.
Olly Glover
Great Western Park has added 3,000 homes to Didcot, in my Oxfordshire constituency, and Valley Park, which is under construction, will add 4,000 more. However, the new GP surgery promised in 2008 remains a barren patch of land and existing facilities cannot cope. The integrated care board is supportive, but progress has stalled due to NHS England’s involvement. Does the Secretary of State agree with me that integrated care boards should have the authority to direct primary care funding, and will he meet me to help to unblock the new GP surgery my constituents desperately need?
Wes Streeting
Let me come back to the hon. Gentleman after I have found out what has gone wrong in this case. As he points out, ICBs are responsible for commissioning, planning, securing and monitoring GP services within their health system, through delegated responsibility from NHS England, and capital is allocated to ICBs on a basis that takes account of annual population growth. I can understand his frustration and that of his constituents, so let me find out what has gone wrong and come back to him.
Michelle Welsh
After 14 years of a Conservative Government, poor access to GPs is something that we have come to know well in certain areas of my constituency of Sherwood Forest. In Hucknall, demand for GP appointments is overwhelming to the point that one practice has had to close its online system. Promises of a super-healthcare system were made by the previous Government but never delivered. Meanwhile, local Ashfield independent politicians have disgracefully used this as a political football. Does the Secretary of State agree with me that there has been far too much talk and not enough action, and that it is now time that both the integrated care board and Ashfield district council deliver on this?
Wes Streeting
It is of no surprise to me that my hon. Friend raises yet another example of Conservative broken promises, and the hot air that comes from independents, who have all the luxury of being commentators but none of the responsibility of ever having to deliver anything. I would be happy to meet her to look into what has gone wrong here. This has gone on for far too many years, and I can well understand her frustrations.
Gurinder Singh Josan (Smethwick) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
Since I last answered questions in this House, the Government have announced: half a billion pounds for a fair pay agreement for care workers; NHS Online, the first ever online-only hospital trust; and £80 million for children’s hospices. We have announced an independent inquiry into maternity services in Leeds, introduced Jess’s rule, implemented online requests for GP appointments, opened the 100th community diagnostic centre, made the chickenpox vaccine available on the NHS, and published NHS league tables—a lot done; a lot more to do.
Gurinder Singh Josan
We promised 2 million more appointments, and we have delivered 5 million, along with 2,000 extra GPs, 6,500 more mental health workers, 7,000 more doctors, and 13,000 more nurses and midwives. The cancer diagnosis standard has been met, GP satisfaction is up and waiting lists are down. The brand-new Midland Metropolitan University hospital has opened in my constituency. Does the Secretary of State agree that this is the difference that a Labour Government make, and that we are only just getting started?
Wes Streeting
Why stop there? We have 15,000 more home adaptations for disabled people through the disabled facilities grant and 135,000 more suspected cancer patients receiving a diagnosis on time. We have more than 200,000 cases off the waiting list, £500 million for the first ever fair pay agreement for care workers and the biggest uplift in carer’s allowance for a generation. The Tories did not do it, and Reform would undo it. That is the difference that a Labour Government make.
Stuart Andrew (Daventry) (Con)
First, it is great to be in this new role. I genuinely want to be part of a constructive Opposition, but equally I want to do my role in holding this Government to account. I note the lack of detail in the Secretary of State’s answers on reorganisation, so can I ask the basics again? How many people will be made redundant, what will it cost and who is paying?
Wes Streeting
I welcome the shadow Secretary of State to his place. It is good to hear from the Conservative Front Benchers; I had almost forgotten they existed. The Conservatives created a complex web of bureaucracy. It is a bit rich to complain we are not abolishing their creation quickly enough. We have had a number of expressions of interest in voluntary redundancy across my Department, NHS England and the integrated care boards, and we are working through that as we speak.
Stuart Andrew
Again, the Secretary of State cannot answer. His answers are too vague. He is very good at making promises, but the facts are that he is presiding over a reorganisation that has stalled, creating uncertainty for staff. Waiting lists are up 50,000 in the past three months, hospices are in crisis because of national insurance contribution rises, and we have had strikes again—despite big pay rises—with the threat of more. If the Secretary of State wants the leadership in the future, perhaps he should show leadership in the NHS now, and tell us not just the plans, but when he will give the details and how he will deliver on his promises to patients.
Wes Streeting
Waiting lists are lower now than when Labour took office, and that is in stark contrast with the record of the Government in which the shadow Secretary of State served; waiting lists increased every single year they were in charge. This is the first year in 15 that waiting lists have fallen. That is the difference that a Labour Government make. We are only just getting started. As for leadership changes, we all know why they are calling the Leader of the Opposition “Kemi-Kaze”.
Naushabah Khan (Gillingham and Rainham) (Lab)
Helen Morgan (North Shropshire) (LD)
Every year we come here to discuss the winter crisis in the NHS, but this summer saw record waits at accident and emergency, with more than 74,000 12-hour trolley waits in June and July. That used to be unheard of. With winter looming and the potential for the A&E permacrisis to be even worse this year, what package of emergency measures is the Secretary of State putting in place to ensure that patients are not left to suffer on trolleys or worse in our hospital corridors this winter?
Wes Streeting
The hon. Lady is absolutely right to point out that the NHS is already running hot ahead of winter. We brought forward our winter planning for this year to get ahead. We are making sure that all NHS trusts and systems have developed plans that have been tested regionally. The flu vaccination programme is well under way, the autumn covid-19 vaccination began on 1 October, and we are driving improvements in urgent and emergency care. This will be a challenging winter—we are not complacent about that—but we are getting the system ready for it.
Markus Campbell-Savours (Penrith and Solway) (Lab)
Sojan Joseph (Ashford) (Lab)
Wes Streeting
I am grateful to my hon. Friend for bringing this matter to the House’s attention. It is appalling for coffee shops to be commandeered as spaces for the care of patients, and we will not accept it. I am happy to look at the case that my hon. Friend has mentioned. We will also be publishing figures on corridor care so that we can hold the system to account, and the public can hold us to account, to improve the situation that we inherited.
Ian Sollom (St Neots and Mid Cambridgeshire) (LD)
Ben Obese-Jecty (Huntingdon) (Con)
Wes Streeting
The hon. Gentleman draws to our attention the appalling state that the NHS was left in by the previous Government. We are working at pace to introduce EPRs across the system. I am sure that Ministers would be happy to look at the case at his local hospital to clean up the mess that the Conservative party left behind.
Dame Siobhain McDonagh (Mitcham and Morden) (Lab)
In the Secretary of State’s list of what has happened since his last oral questions, he failed to mention the appointment of our hon. Friend the Member for Glasgow South West (Dr Ahmed) as a Minister. He is particularly looking at life sciences. Without life sciences and drug trials, we will not see an improvement in outcomes for rare cancers. Can the Secretary of State make a statement on what will be done about rare cancers?
Wes Streeting
My hon. Friend is absolutely right to welcome my hon. Friend the Minister to his place. I will be honest: in effect, he has been a Minister since we came into government. We very much welcome the work that he has been putting in.
We are determined to do more on rare cancers, working with my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh). All the work that she is doing, particularly on rare brain cancers, is much appreciated.
Rebecca Paul (Reigate) (Con)
Most young people referred to gender identity services are same-sex attracted, neurodiverse and/or traumatised. Looked-after children are also over-represented in this cohort. Is the Secretary of State really comfortable with children being given puberty blockers, which essentially chemically neuter them, for the purposes of the PATHWAYS clinical trial?
Wes Streeting
Within days of taking office, I upheld the judgment made by my predecessor. We need to tread carefully and be sensitive in this space. We need to take an evidence-based approach to trans healthcare in our country, and that is the approach that this Government will take.
Sarah Smith (Hyndburn) (Lab)
As you may be aware, Mr Speaker, Reform-led Lancashire county council has opened a consultation on the future of care homes across Lancashire, including the proposal to close Woodlands care home in my constituency of Hyndburn. Will the Minister join me in urging Lancashire county council not to take forward these proposals, to protect much-valued local services, and to keep care close to the community and to the amazing staff who support our residents in Woodlands care home?
Wes Streeting
I am grateful to my hon. Friend for his question and the inequalities to which he draws our attention. We will look at that report carefully. I am awaiting the recommendation of the UK National Screening Committee. We will look carefully at that, and I will report to the House on our decision.
Liz Saville Roberts (Dwyfor Meirionnydd) (PC)
The secure supply of medical radioisotopes is critical for the treatment and diagnosis of many conditions. Is this the Department’s responsibility, and does it support the Welsh Government’s Project Arthur scheme at the nuclear licenced site in Trawsfynydd in my constituency?
James Wild (North West Norfolk) (Con)
Greater transparency about NHS data should be used to drive improvements, so what assessment has the Health Secretary made of the impact on the Queen Elizabeth hospital in King’s Lynn of being forced to make savings of £18 million this year? What impact will that have on the need to reduce waiting times for A&E and cancer treatment, as identified in the league table that he published?
Wes Streeting
We are putting £26 billion more into the NHS this year, which is investment that was opposed by the Conservative party.
Juliet Campbell (Broxtowe) (Lab)
As the chair of the all-party parliamentary group on dyslexia—an issue on which I have campaigned for many years—I remain alarmed at the high number of dyslexic people who still need to use mental health services. Will the Minister meet me to discuss how we can better serve dyslexic people in Broxtowe and across the UK, and will he consider measures to prevent more dyslexic people from needing mental health services?
Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)
My constituents’ baby, Bran Tunnicliffe, sadly died last year. His parents shared their experience with me, and described the wait for a coroner’s report as a lottery that depends on which hospital, pathologist and coroner is involved. I know that there is a shortage of pathologists in the UK. Will the Secretary of State meet me to discuss my constituents’ experience?
Wes Streeting
I am so sorry to hear that having experienced such unimaginable heartbreak, the family then had to go through that additional trauma. I would be delighted to meet my hon. Friend and look at what we can do together with our friends at the Ministry of Justice to improve the experience for families in that awful situation.
Wes Streeting
I can absolutely give the hon. Gentleman that commitment. I work very well with my counterparts across Wales, Scotland and Northern Ireland, regardless of party affiliations. I think he makes a very sensible suggestion.
Health and Care System: Tackling Antisemitism and Racism
Wes Streeting Excerpts(3 months, 3 weeks ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
Today I am updating the House on urgent action to tackle antisemitism and racism across the NHS.
The NHS is a universal service which demands the highest standards of care and respect for all patients, regardless of their background. It is unacceptable that many people, including those in the Jewish community, do not currently feel safe working in or using the NHS.
The vast majority of doctors, nurses and healthcare workers embody the very best of our country. But recent cases have exposed something deeply troubling.
That is why we are taking immediate action.
I have commissioned Lord Mann, the Government’s adviser on antisemitism, to conduct a rapid review into how healthcare regulators can better tackle racism. As well as addressing the real challenges of antisemitism, I also expect Lord Mann’s recommendations to improve the NHS’s ability to tackle all forms of racism in its ranks.
At the same time, all 1.5 million NHS staff will be required to complete updated mandatory antisemitism and anti-racism training, with existing equality, diversity and human rights programmes being expanded.
We are also asking NHS England and all Department of Health and Social Care arm’s length bodies to explicitly adopt the IHRA working definition of antisemitism to ensure consistency across the health system. NHS trusts and integrated care boards are being strongly encouraged to follow suit. The Government are also reviewing the recommendations of the independent working group on Islamophobia.
NHS England is reviewing the uniform and workwear guidance last updated in 2020, in light of recent successful approaches rolled out at University College London Hospitals NHS foundation trust and Manchester University NHS foundation trust. NHS England will engage stake- holders on its proposals and issue new guidance shortly. The principles of this guidance will be that religious freedom of expression will be protected, patients feel safe and respected at all times, and that staff political views do not impact on patients’ care or comfort.
Together, these actions will help us build a health and care system where everyone feels safe to work and be treated.
[HCWS971]
Primary Care Clinicians: Jess’s Rule
Wes Streeting Excerpts(3 months, 3 weeks ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
On 23 September, this Government announced the introduction of Jess’s rule—“three strikes and we rethink”—in England. Under this new rule, we are asking GPs and other clinical staff working in primary care to reflect, review and rethink when a patient comes in for the third time with the same symptom or concern.
Re-evaluation may be particularly important if the condition remains unexpectedly unresolved, the symptoms are worsening, or there is still no confirmed diagnosis. Listening carefully to the patient’s symptoms and concerns, and recognising that they are an expert in their own body, remains crucial.
This call for change follows the tragic death of Jess Brady in December 2020. Jess was just 27 when she died of stage 4 adenocarcinoma. In the five months leading up to her death, she had 20 appointments with her GP practice. Tragically, her cancer remained undiagnosed until she was admitted to hospital, by which time it was too late. Her story, and the tireless efforts of her parents Andrea and Simon Brady, prompted an important and necessary reflection on how we can better support clinical teams in identifying serious conditions earlier, especially in younger adults, whose symptoms may not always align with typical diagnostic expectations. Her story should never be forgotten.
This initiative is jointly led by the Department of Health and Social Care and NHS England, and is supported by the Royal College of General Practitioners, reflecting a united commitment to improving early diagnosis and patient safety across the healthcare system.
At its heart, Jess’s rule provides clear, structured guidance that sharpens and reinforces the intuition which so often saves lives. It is there to back those instincts with a prompt for timely, proactive action when something does not feel right. By reviewing patient records and questioning initial assumptions, we hope to ensure that fewer serious conditions are missed, especially among young adults who may not fit typical diagnostic patterns.
We know that the practice of “three strikes and rethink” is commonplace. Every day, clinicians across the country are doing an extraordinary job, making complex decisions under immense pressure, often with limited time and information. Jess’s rule is designed to support them in this challenging work, offering a prompt for reflection and reinforcing the instincts they already rely on every day.
I want to pay tribute to Jess’s parents, Andrea and Simon. They have shown extraordinary courage and determination in the face of unimaginable loss. They have worked tirelessly to raise awareness of Jess’s story, and to ensure that what happened to Jess drives lasting change in how we think, how we listen, and how we act in primary care.
I would like to recognise the work of Dr Claire Fuller, Dr Kiren Collison and the entire team at NHS England. Jess’s story is included in the “Primary Care Patient Safety Strategy”, published in 2024, which highlight the importance of re-evaluation when a diagnosis remains unclear. Dr Fuller’s leadership has been instrumental in developing and embedding Jess’s rule.
Finally, I would like to acknowledge the support of the Royal College of General Practitioners in taking this work forward. Under the leadership of Professor Kamila Hawthorne, the RCGP has partnered with Jess’s family’s charity, the CEDAR Trust, to develop an online resource to support GPs in earlier cancer detection. This resource is available to all healthcare professionals registered on the RCGP’s learning platform.
Jess’s rule is more than a clinical process, It is a vital step toward ensuring that patient concerns are taken seriously, that patterns are reviewed carefully, and that every opportunity is used to identify serious conditions as early as possible. We owe that to Jess. And we owe it to every patient who places their trust in our health system when they seek help.
[HCWS961]