Puberty Suppressants Trial

Debate between Wes Streeting and Joe Robertson

Wednesday 17th December 2025 Commons Chamber

[Joe Robertson (Isle of Wight East) (Con)]

The Secretary of State said earlier that there is an extremely high bar for him stepping in and stopping these tests using puberty blockers. What bar could be higher than a Government protecting children from being tested on with drugs specifically to stop or alter their sexual development? There is not a unified clinical view on this. It is his choice; he is the Secretary of State. These tests are on him.

[Wes Streeting]

I certainly do not need to be told what my responsibilities are on this. I always take responsibility for the decisions I take. I acknowledge the extent to which the hon. Gentleman and members of his party seek to weaponise this issue, and to personalise it. [Interruption.] We can simply refer back to his question and to the shadow Minister’s reference to the “Streeting trial”—if that is not personalising, I do not know what is.

I’ll tell you what: I will take an evidence-based approach. I have done that on this issue from day one. Had the Conservatives done so, we would never have seen the Tavistock scandal. We would never have seen puberty blockers dished out willy-nilly to children and young people in this vulnerable patient group. I have sought at all times, including when I sat on the Opposition Benches, to treat this debate with the care, sensitivity and humility it deserves, and not to be tribal in my interactions. I only wish this Conservative Opposition would take the same approach.

NHS: Winter Preparedness

Debate between Wes Streeting and Joe Robertson

Monday 15th December 2025 Commons Chamber

[Wes Streeting]

I thank my hon. Friend for his support and questions. We will indeed reflect on our performance after this winter, just as we did after last winter. He raised interesting points about the way in which we deliver vaccines. As for the questions about eligibility and timing, we rely on the expert advice of the JCVI, which will also look at the data on how this winter has panned out. We look forward to receiving its recommendations in due course.

[Joe Robertson (Isle of Wight East) (Con)]

The Secretary of State says that the strikes come at a time of maximum danger for the NHS and has called on the junior doctors to call off the strikes. I agree with him, but will he accept at least some responsibility for the second round of strikes on his watch? Last year he conceded a bumper pay deal to the same junior doctors with no strings attached. It is hardly surprising that they judge him a soft touch on pay and have come back for more this year.

[Wes Streeting]

Regardless of the result today, I think that the BMA is finding that I am not a soft touch and that we will not accede to a completely unreasonable and unaffordable demand. The reason we made that pay award within weeks of coming into government was that we did not think that the BMA’s treatment at the hands of our predecessors had been fair, and we recognised the issues that it was raising on pay. Indeed, the irony of this round of strikes, and previous rounds of strikes under this Government, is that I recognise that whether it is about pay, jobs or working conditions, resident doctors make a whole series of fair and reasonable points, and we are doing our best to address those.

I think that 28.9% is a meaningful step in the right direction on pay. Our offer of emergency legislation, which is unusual in this House, would make a real difference, reducing competition for jobs from 4:1 to less than 2:1—but the BMA has rejected that course of action. In the end, I think that people will judge the BMA’s actions to be unreasonable. Of course the issues that it raises are serious and substantial, but we see similar issues raised not just across the NHS but across the entire public sector.

We cannot fix everything for everyone everywhere all at once. Most reasonable people accept that; for reasons I cannot understand, the BMA does not.

Oral Answers to Questions

Debate between Wes Streeting and Joe Robertson

Tuesday 25th November 2025 Commons Chamber

[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.]

Oral Answers to Questions

Debate between Wes Streeting and Joe Robertson

Tuesday 21st October 2025 Commons Chamber

[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.

Oral Answers to Questions

Debate between Wes Streeting and Joe Robertson

Tuesday 6th May 2025 Commons Chamber

[Wes Streeting]

Young people’s mental health is a priority for this Government. That is why we set out in our manifesto our commitment to making sure that mental health support is available in every primary and secondary school in the country. We have walk-in mental health services in every community, and we invest in the mental health workforce, so that we can cut waiting times. I am also working closely with the Secretary of State for Education to make sure that our education and health services work together, so that children get the very best start in life, and so that we look after mind, body, soul, aspiration and futures.

[Joe Robertson (Isle of Wight East) (Con)]

The Chancellor increased the cost of employing people in social care by raising national insurance contributions for social care employers, and then exempted NHS employers from those increased costs. When will this Government properly support social care and relieve the sector from pressures caused by the Chancellor under this Government?

[Wes Streeting]

Thanks to the decisions taken by this Chancellor, we are putting £26 billion more into health and social care. Thanks to the decisions taken by this Chancellor, the spending power of local authorities has risen. Thanks to the decisions taken by this Chancellor, we have delivered the biggest expansion of carer’s allowance since the 1970s. Thanks to the decisions taken by this Chancellor, we have significantly increased the disabled facilities grant, not just last year but this year. That is the investment delivered by a Labour Government, and opposed by the Conservatives and Reform, and it shows that only Labour can be trusted with our NHS.

Oral Answers to Questions

Debate between Wes Streeting and Joe Robertson

Tuesday 11th February 2025 Commons Chamber

[Joe Robertson (Isle of Wight East) (Con)]

12. What steps his Department is taking to help reach the national dementia diagnosis rate target.

[The Secretary of State for Health and Social Care (Wes Streeting)]

The dementia diagnosis rate target was not met for the last five years of the Conservative Government, and it declined over the course of the last Parliament. This Government are committed to ensuring that at least two thirds of people living with dementia receive a diagnosis. The Government are investing in dementia research across all areas, from causes, diagnosis and prevention to treatment, care and support, to help people live with this condition.

[Joe Robertson]

Nearly 1 million people are living with dementia—it is the biggest cause of death in the country today—and by the end of the 2030s that figure is set to rise to 1.4 million. Early diagnosis is one of the best things we can do to support people living with dementia, so will the Secretary of State explain why the dementia diagnosis target no longer features in NHS England’s priorities, as published two weeks ago? Will he commit to reinstating both dementia and the commitment to a diagnosis target in NHS England’s priority guidelines?

[Wes Streeting]

I just restated the Government’s commitment to ensuring that at least two thirds of people living with dementia receive a diagnosis. Our investment and reform agenda will speed up diagnostics across the board. Under the last Government, NHS planning guidance was a wish list of fantasy targets, most of which were never met. As the NHS got worse and worse, they piled on more targets to make themselves look busy. This Government are ending the micromanagement, turning our NHS around and clearing up their mess.

Health and Social Care: Winter Update

Debate between Wes Streeting and Joe Robertson

Wednesday 15th January 2025 Commons Chamber

[Wes Streeting]

That is an excellent question from my hon. Friend. This Government have been walking the talk on primary care since we came into office. There was an immediate release of funding, within weeks, for 1,000 GPs, who are to be employed on the frontline by this April, and an £889 million uplift in funding for general practice that we announced prior to Christmas. I think that care in the home and care closer to home will be how we not only get the NHS back on its feet, but make sure it is fit for the future. That shift from hospital to community is one of the three big shifts that will lie at the heart of our 10-year plan for the national health service.

[Joe Robertson (Isle of Wight East) (Con)]

The Secretary of State referred to social care in his update on winter pressures, and he is of course right that social care has an important role to play in taking pressure off hospitals. However, surely he can understand the frustration that the sector and those in receipt of social care feel about his pushing the issue into a three-year review, which Sir Andrew Dilnot says is an inappropriately long time. Why will it take so long? Please can he put pressure on the review? I am sure that Baroness Casey is well capable of doing it in a shorter time.

[Wes Streeting]

I am happy to report that people will not have to wait three years for action on social care. In fact, we have seen lots of it in the last six months. We have had the biggest expansion of carer’s allowance since the 1970s; the legislation for fair pay agreements in the Employment Rights Bill, brought in within the first 100 days of this Government; the uplift in funding provided by the Chancellor through her Budget; and the expansion of the disabled facilities grant. There will be more for us to do this year, including reform to make the better care fund more effective. Baroness Casey’s first report will in fact be next year. It will set out the action required on social care throughout this Parliament. I hope that reassures people right across the House and, more importantly, right across the country that social care is a priority for this Government. We will seek to do better than our predecessors of all parties—I have made this point before—because we have to tackle this generational challenge facing our country.

Oral Answers to Questions

Debate between Wes Streeting and Joe Robertson

Tuesday 23rd July 2024 Commons Chamber

[Wes Streeting]

I am grateful to the hon. Member for her question and congratulate her on her re-election to the House. She is right to point to the detrimental impact that the Conservatives’ failure is having on people’s lives. In fact, in 1948, when the national health service was founded, Nye Bevan received a letter from a woman who had worked her entire life in the Lancashire cotton mills about how the dentistry she was given by the national health service had given her dignity and the freedom to associate in any company. What a tragedy that 76 years later, the Conservative party has squandered and destroyed that legacy to the point where people are suffering not just pain and agony, but the indignity of being unable to find a job and unable to socialise in polite company because they are ashamed of the state of their rotting teeth.

The hon. Member is absolutely right: Lord Darzi is conducting a review on the state of the NHS, and it will report in September. That is not preventing us from making progress, talking to the BDA and working within the Department and across the sector to get those 700,000 appointments up and running as a matter of urgency. I look forward to reporting the progress to her and other right hon. and hon. Members.

[Joe Robertson (Isle of Wight East) (Con)]

As the right hon. Gentleman is aware, there is a particular shortage of NHS dentists in coastal and rural communities such as mine on the Isle of Wight. Will he therefore commit to the previous Government’s plan for 240 golden hellos for newly qualified dentists by the end of the year to address that issue?

[Wes Streeting]

I welcome the hon. Member to the House—it is a rare thing to welcome new Conservative Members, and he is welcome. He is absolutely right to touch on the workforce issues in NHS dentistry, and to say that we need to incentivise dentists, on two fronts: we need them to commit to and do more work in the NHS—we are looking at a range of things in that regard—and we need to ensure that we get more dentists to the areas in which they are most needed. We will certainly support incentives to that effect.