Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 19th November 2024 Commons Chamber

[Wes Streeting]

General practice is a valued part of the NHS, and GPs are a vital part of our NHS family. In fact, they are delivering more appointments than ever before, and we recognise the significant pressures they face. At the same time, we know that patients are struggling to see their GP, which is why we have invested an additional £82 million into the ARRS to recruit 1,000 more newly qualified GPs this year. This will take pressure off general practice, and we will be announcing further budget allocations in the not-too-distant future to set out what further support we will provide for general practice.

[Mr Speaker]

I call the Chair of the Health and Social Care Committee.

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[Wes Streeting]

The hon. Gentleman is right. Last weekend, I was up in Middlesbrough with local Members, where we saw a great example of hospital at home delivered by the community nursing team and the community health trust. We have to do a lot more in that space to ensure we provide care closer to peoples’ homes—indeed, often in the home—keeping them out of hospital and close to home, which is better for them and better value for the taxpayer.

[Mr Speaker]

I call the shadow Minister.

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[Wes Streeting]

Again, we have not yet announced how we are allocating the budget for the year ahead, but I remind the Conservatives that it is thanks to the choices the Chancellor made in her Budget that she is able to invest £26 billion in health and social care. Would they cut the £26 billion this Labour Government are investing in the NHS? If not, how would they pay for it? Welcome to opposition.

[Mr Speaker]

We come to the Liberal Democrat spokesperson.

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[Wes Streeting]

I am grateful to the Liberal Democrat spokesperson for her question. I pay tribute to the children’s hospice in her constituency and, indeed, to Haven House children’s hospice, which serves my constituency.

[Mr Speaker]

And Derian House children’s hospice.

[Wes Streeting]

And indeed your very own local hospice, Mr Speaker—I am sure that will appear on the record. I am particularly thankful for the advocacy we have received from Hospice UK and charities such as Together for Short Lives and others that are making their voices heard about the pressures on the system. I say to all hospices across the country that I am taking those pressures into account before deciding allocations for the year ahead, because I want to ensure that everyone, whatever their age, receives access to the timely and good-quality end of life care, palliative care and, of course, support for people with life-limiting conditions that all of them deserve.

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

Before the election, we made it clear that investment and reform were needed in the NHS. The Chancellor announced the investment in the Budget, and since the general election we have confirmed the introduction of new league tables of NHS providers, with high-performing providers being given greater freedom over funding and flexibility. We are sending turnaround teams into struggling hospitals, giving the best performers greater freedoms over funding to modernise technology and equipment. We are creating a new college of executive and clinical leadership that will help to attract, keep and support the best NHS leaders. We are banning NHS trusts from using agencies to hire temporary entry-level workers in bands 2 and 3, such as healthcare assistants and domestic support workers. We are sending crack teams of top clinicians to areas with long waiting lists and high economic inactivity to improve the productivity of their clinics, and we are running a GP red tape challenge to slash bureaucracy. I could go on, because this is a Government who are walking the talk on NHS reform.

[Mr Speaker]

I think you already have, but there we are.

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[Wes Streeting]

I know, not least because of the mismanagement of the NHS during the last 14 years, that communities right across the country, including the hon. Gentleman’s constituents in Solihull, are struggling with poor services and crumbling estates. We would be happy to receive representations from him, but he has to level with his constituents. If he wants money to be spent in his community, he must support the investment and be honest about the fact that he supports the means of raising it. If he does not support the means of raising it, he should tell us where that investment would come from.

[Mr Speaker]

We have been very slow to get to topicals, so let us see if we can speed it up. Dan Tomlinson will set a good example.

[Dan Tomlinson (Chipping Barnet) (Lab)]

T1. If he will make a statement on his departmental responsibilities.

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[Wes Streeting]

I am grateful to my hon. Friend for his question. The Royal Free hospital saved my life when I went through kidney cancer, so it holds a special place in my heart. Thanks to the Chancellor’s decision and the investment she put into the NHS at the Budget, and the reform my Department is delivering, we will deliver the change and improvement that his constituents and mine, and the rest of the country, deserve.

[Mr Speaker]

I call the shadow Secretary of State.

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 15th October 2024 Commons Chamber

[Wes Streeting]

I am grateful to my hon. Friend for raising that question. When in opposition, I was delighted to spend time with a whole group of GPs from across Sheffield who showed us what primary care reform could look like. We are committed to increasing primary care as a proportion of the NHS’s budget, which will be important, and also to building exactly the kind of neighbourhood health service she describes, with more care closer to people’s homes. General practice has a key role to play in that.

[Mr Speaker]

I call the Chair of the Select Committee.

[Layla Moran (Oxford West and Abingdon) (LD)]

What we measure is often what we end up improving, and one of the great assets of Lord Darzi’s report is the technical annex with its 330 analyses. It is incredibly useful; it is a baseline. Will the Secretary of State make sure that it is updated yearly?

[Wes Streeting]

That is a great constructive challenge. I am absolutely committed to transparency and to keeping that dataset updated in the way that the hon. Lady requests. We are not going to get everything right and sometimes we are not going to make progress as fast as we would like, but where that is the case we are never going to duck it or pretend that things are better than they are. The reason that we will succeed where the previous Government failed is that we are willing to face up to the challenges in the NHS rather than pretend that they do not exist.

[Mr Speaker]

I call the shadow Minister.

[Dr Ben Spencer (Runnymede and Weybridge) (Con)]

The Prime Minister has repeatedly stressed the importance of preventing people from taking up smoking, as one of his priorities to improve the nation’s health, reduce waiting lists and lessen demand on the NHS, and we agree. The Government like to talk about the record of their first 100 days in office but, according to data from Action on Smoking and Health, 280 children under the age of 16 take up smoking in England each day. That is 28,000 children in England during the Secretary of State’s first 100 days. Why has he not yet reintroduced our Tobacco and Vapes Bill? How many children need to take up smoking before he makes this a priority?

[Wes Streeting]

Perhaps the shadow Minister would like to give us the figures for the entire 14 years that his party was in government. By the way, just to set the record straight, not only did I propose the measures in that Bill during an interview with The Times earlier last year, but if it was such a priority for the Opposition, why did they leave the Bill unfinished? Why had it only had its Second Reading? And why did we go into the general election with that Bill unpassed? I will tell him why: because his party was divided on the issue, and the then Prime Minister was too weak to stand up to his own right-wingers who are now calling the shots in his party. The smoking Bill will be back, it will be stronger and, unlike the previous Government, we will deliver it.

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

My constituent Mel Lycett has terminal cancer. After repeated visits to her GP, she was referred to a two-week urgent pathway in May. She was not diagnosed until the end of July, and she still has not started treatment. Every single target for her diagnosis and treatment was missed. That is not uncommon in Shropshire, and it is not uncommon in the rest of the country. Can the Secretary of State reassure me of what he is doing to deal with this terrible legacy left behind by the Conservative Government? How will he ensure that cancer patients are treated in a timely manner?

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[Wes Streeting]

My hon. Friend is absolutely right. This is about not just the necessary hospital projects, but the growth that will come through construction, getting these projects up and running and, of course, the role that the NHS plays as an economic anchor institution in communities, as some of these projects will necessarily unlock new housing sites and a local transport infrastructure. We are mindful of all of that. The most important thing is that we come forward with a timetable that is credible and a programme that is funded, and that is exactly what we will do.

[Mr Speaker]

We look forward to getting the land in Chorley on that basis.

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[Wes Streeting]

I am sorry for my hon. Friend’s constituents, and so many others who are dealing with the consequences of the Conservatives’ failure on dentistry. I would be delighted to meet him to discuss the challenges in his area.

[Mr Speaker]

I call the shadow Secretary of State.

[Victoria Atkins (Louth and Horncastle) (Con)]

I congratulate all nominees and winners in the NHS parliamentary awards yesterday. Their success was richly deserved, and the awards were a very good example of the House coming together to celebrate those who work so hard in our health service and social care services.

In the past five weeks, I have asked the Secretary of State 29 questions at this Dispatch Box, yet he has managed to answer only one. For the rest, he has tried to bluster his way out of his policy decisions, as we have seen this morning. Let us try again. When will be the first week in which we see delivery of his promised 40,000 more appointments?

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[Mr Speaker]

Order. I gave the right hon. Lady a hint to come to an end and not to carry on fully. It is unfair to Back Benchers, who I am trying to represent. I want a short answer.

[Wes Streeting]

The shadow Secretary of State questions the budget for this winter, but it was set by her Government. Is that finally an admission of failure on her part? Something else that we will have this winter, which we did not have last winter or the previous winter is no—

[Mr Speaker]

I call Lola McEvoy.

NHS: Independent Investigation

Debate between Wes Streeting and Lindsay Hoyle

Thursday 12th September 2024 Commons Chamber

[Mr Speaker]

Order. I am sorry; I meant that you were to conclude now, not to continue with the rest of the speech. I call the Secretary of State.

[Wes Streeting]

The first word that the shadow Secretary of State for Health and Social Care should have said was “sorry”. She says that she never pretended everything was fixed, and that is true, but it is about time that she admitted that it was her party that broke the NHS in the first place.

In fact, it has been a feature of debate in the House since the general election that the Opposition have taken absolutely no responsibility for the mess they left our country in, including a £22 billion black hole and the new hospitals programme that the right hon. Lady referred to, in which the timetables were a work of fiction and the money ran out in March. She knew that when she went to the country to claim that the programme was fully funded. She talks about the decisions made by NICE; that was a new Labour reform and modernisation—one that thankfully survived the last 14 years.

The right hon. Lady has endorsed the right hon. Member for Newark (Robert Jenrick) in the Conservative party leadership election. I wonder what she makes of his admission that the Conservatives failed to make the tough reforms that the NHS needed because they were afraid of what Labour might say. Is that not the most derisory excuse for 14 years of neglect?

My predecessor does not bear responsibility for everything in the Darzi report—this crisis was more than a decade in the making—but I wonder when the right hon. Lady will show some humility on behalf of her party and apologise for the mess that her Government made of our national health service. Otherwise, why should anyone trust what the Conservatives have to say ever again?

This Government were given a mandate for change, and nowhere is that more needed than in our NHS. The report must mark the beginning of the long, hard work of change. It is the platform from which we will launch a decade of reform that will make sure that the NHS can be there for us when we need it—for us, our children and our grandchildren. It must draw a line in the sand, so that we never go back to the pain, fear and misery that the Conservative party inflicted on millions of patients.

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[Wes Streeting]

My hon. Friend is absolutely right that our country has stark health inequalities. It is not right that people who live in different parts of the country have such different chances of living well. A girl born in Blackpool can expect to live healthily until she is 54, whereas a girl born in Winchester can expect to live healthily until she is 66. That is why, with the Prime Minister’s mission-driven approach, we will not just get our NHS back on its feet and make sure it is fit for the future; we will also reduce the cost and burden of demand on our national health service by attacking the social determinants of ill health.

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Daisy Cooper (St Albans) (LD)]

Much of the content of Lord Darzi’s report has been known for some years. None the less, today’s report is a scathing summary of the complete devastation that the Conservatives have wrought on our health services and on the health of our communities. We Liberal Democrats have long argued that we need to shift healthcare from hospitals to high streets, and from treatment to prevention, because doing so improves health outcomes and saves taxpayers’ money. It is a win-win.

But the report is long on diagnosis and short on prescription, so may I invite Ministers to read our fully costed manifesto to fix public health and primary care by recruiting 8,000 GPs, ending dental deserts, boosting public health grants by £1 million, implementing our five-year plan to boost cancer survival rates, and putting a mental health expert in every school?

Does the Secretary of State accept that there is an elephant in the room: social care? Will he meet me to discuss the Liberal Democrat plans for social care, starting with free personal care? This bold idea would prevent many people from going into hospital in the first place, as well as enabling them to be discharged from hospital faster. Does he accept that it is a truth universally acknowledged that we cannot fix the NHS if we do not fix social care too?

As for the dire state of our hospitals and primary care estate, well, the Conservatives have left it to fester like a wound. Will the Secretary of State give the green light to hospitals that are ready to rebuild, such as mine in west Hertfordshire? Will Ministers look to reform outdated Treasury rules that are preventing our integrated care boards and hospital trusts from spending and investing their funds in the GP practices and hospitals that we need? This Government say that they want growth. Well, health and wealth are two sides of the same coin, which is something the Conservatives do not understand. If Labour wants economic growth, fixing our health and social care must be its top priority. And it must be a priority without delay.

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 23rd July 2024 Commons Chamber

[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.

[Mr Speaker]

I call the shadow Minister.

[Saqib Bhatti (Meriden and Solihull East) (Con)]

I welcome the right hon. Member and his new team to their places in the Department. The shadow Secretary of State, my right hon. Friend the Member for Louth and Horncastle (Victoria Atkins), prioritised access to care, including NHS dentistry, when she was Secretary of State. The dental recovery plan that she launched announced new dental vans to provide access to care to our most rural communities and coastal communities in England. We had agreed with NHS England that the first vans would be on the road by this autumn, and I know that that timescale was welcomed by colleagues across the House. Will he confirm that dental vans will be on the road by this autumn?

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[Cat Smith]

Lancaster’s royal infirmary is at capacity. It is a Victorian hospital, and I am sure it was cutting-edge back then, but it is now not fit for purpose. Yesterday, the joint investment strategic committee expressed its support for the new build scheme in Lancaster, so it will soon be on the Secretary of State’s desk. Will my right hon. Friend commit to meeting me and other interested local MPs in north Lancashire to ensure that, after 14 years of chaos under the Conservatives, the Labour Government will deliver a new hospital for Lancaster?

[Mr Speaker]

And a hospital for Chorley.

[Wes Streeting]

I was about to say, Mr Speaker, that the good people of Lancaster and Wyre will be delighted to have sent my hon. Friend to Parliament, because she is second only to you in collaring me about a local hospital project—you are the holder of that record. There is a serious point: thanks to her determined efforts to collar me around the parliamentary estate, I know the particular urgency around land. A scheme will be put to me shortly, which I will consider carefully, and I will look at the programme in the round and ensure that I am able to come back to this House and to the country with promises that we can keep and that the country can afford.

[Wes Streeting]

Hospitals with reinforced autoclaved aerated concrete are at the top of my list of priorities. I am extremely concerned about the dire state of the NHS estate. Once again, I think that is a bit rich from Opposition Members, whose party was in government only weeks ago. They had a Prime Minister local to that hospital, and they did not do anything when they had the chance, but they should not worry—we will clean up their mess.

[Mr Speaker]

I call the shadow Minister.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

I congratulate the right hon. Gentleman on his position. I should declare that I have been working in the NHS for 23 years, currently as an NHS consultant paediatrician. I look forward to using that experience in my new role as shadow Minister of State to scrutinise the Government constructively.

Under the new hospital programme, the previous Government had already opened six hospitals to patients, with two more due to open this financial year and 18 under construction. The Government are now putting that at risk by launching a review of that work, delaying those projects, which are vital to patients across the country. Could the right hon. Member please confirm when the review will be completed?

[Wes Streeting]

First, I welcome the hon. Lady to her new post. I must say I preferred her much more as a Back-Bench rebel than a Front-Bench spokesperson, but I have enormous respect for her years of contribution to the NHS and the experience that she brings to this House. I always take her seriously.

However, on this one, once again I say to the Opposition that they handed over an entirely fictional timetable and an unfunded programme. The hon. Lady might not know because she was not there immediately prior to the election, but the shadow Secretary of State, who is sitting right next to her, knows exactly where the bodies are buried in the Department, where the unexploded bombs are, and exactly the degree to which this timetable and the funding were not as set out by the previous Government.

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Daisy Cooper (St Albans) (LD)]

I welcome the Secretary of State and his Ministers to their roles, but let me gently warn him that if he intends to run a contest on which Member can harangue him the most on crumbling hospitals, our 72 Liberal Democrat MPs say, “Challenge accepted.”

Under the Conservatives, the new hospital programme ground to a halt. We know the terrible stories of nurses running bucket rotas and all the rest. We have the worst of all worlds at the moment: trusts such as mine in west Hertfordshire are champing at the bit to get going but cannot, and are being held back. Other trusts have capital funds that they want to spend but are not allowed to because of outdated rules, and there are industry concerns that the one, top-down, centralised approach of the Conservatives could decimate competition in that industry, when we need a thriving industry to rebuild our hospitals and primary care. What is the Secretary of State’s response to that approach?

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[Wes Streeting]

I am delighted to see my hon. Friend back in the House. She campaigns relentlessly on this vital issue, and it would be very risky for me to do anything other than agree to meet her, because I share her view that progress needs to be made on it.

[Mr Speaker]

I call the shadow Secretary of State.

[Victoria Atkins (Louth and Horncastle) (Con)]

May I welcome the Secretary of State and his ministerial team to their places, and wish them well in their endeavours? With your indulgence, Mr Speaker, I should also place on the record my thanks to my superb team of former Ministers, to those in the private office and to officials in the Department for their hard work and support, as well as thanking the doctors, nurses and social care and health professionals with whom I have had the pleasure of working.

Now, to business. In opposition, the Secretary of State described the 35% pay rise demand by the junior doctors committee as “reasonable’. What he did not tell the public was that this single trade union demand would cost an additional £3 billion, let alone the impact on other public sector workers. Will he ask the Chancellor to raise taxes, or will she ask him to cut patient services to pay for it?

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[Wes Streeting]

Obviously, there is a judicial review of the former Secretary of State’s decision, which I am defending. The matter is sub judice, so I will steer clear of it.

To go back to first principles, we are wholeheartedly committed to the full implementation of the Cass review, which will deliver material improvements in the wellbeing, safety and dignity of trans people of all ages. I think that is important. I want to reassure LGBT+ communities across the country, particularly the trans community, that this Government seek a very different relationship with them. I look at the rising hate crime statistics and trans people’s struggles to access healthcare, and I look at their desire to live freely, equally and with dignity. That is what we will work with them to deliver.

[Mr Speaker]

Order. I understand that today is a new start with Question Time, but we have to be short and speedy. That is the whole idea of oral questions, because otherwise Members are not going to get in.

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 23rd April 2024 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

Happy St George’s day, Mr Speaker.

Westminster is awash with rumours that the Prime Minister will call a July general election, presumably to avoid giving his Rwanda gimmick the time to fail. I have a very simple question for the Minister: will he repeat the pledge that the Prime Minister made last year and promise that NHS waiting lists will be lower at the time of the general election than when the Prime Minister came to office?

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[Victoria Atkins]

I am delighted to be able to tell the hon. Gentleman that we have modelled down the ambitions, so the figure we initially provided was higher than 2.5 million appointments. That is because we are focused on delivering the dental recovery plan, rather than overpromising.

The hon. Gentleman finds it easy to call our children short and fat, but he shies away from welfare reform, calling it shameless and irresponsible. He says he is ready to stand up to middle-class lefties, but Labour has never put patients first by condemning the unions that strike. He makes glossy promises about reforming the NHS in England, yet Labour has failed completely—

[Mr Speaker]

Order. I gently say that we need to get a lot of Back Benchers in, and I am sure both sides want to do that.

[Wes Streeting]

The last Labour Government delivered the shortest waiting times and the highest patient satisfaction in history, which is a record that the right hon. Lady’s Government cannot begin to touch.

Back to dentistry, the chief dental officer says the announcement is “nowhere near enough.” The British Dental Association says:

“This ‘Recovery Plan’ is not worthy of the title.”

It also says that the recovery plan will not stop the “exodus” of dentists and will not meet the Government’s targets. Who should the public trust, and why should they trust the Health Secretary to deliver when her own adviser, her own Minister and, crucially, dentists all say that she is brushing the truth under the carpet?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 5th March 2024 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

The simple fact is that the Conservatives have been in power for 14 years, and general practice has never been in a worse state. Despite slogging their guts out, GPs are struggling because this Government have cut 2,000 GPs since 2015, making it even harder for patients to get an appointment. Given that, why has the Government decided that the NHS needs what the Institute for Fiscal Studies has described as the biggest funding cut since the 1970s?

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[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

With a general election in the air, I welcome what the Secretary of State has said about baby loss certificates and Martha’s rule—there is genuine cross-party agreement on this. I also thank her for advance notice of today’s important written ministerial statement.

However, with a general election in the air and given the Secretary of State’s principled, vocal and consistent opposition to funding the NHS by abolishing the non-dom tax status, on a scale of one to 10—one being utterly shameless and 10 being highly embarrassed—how red-faced will she be when the Chancellor adopts Labour’s policy tomorrow?

NHS Dentistry: Recovery and Reform

Debate between Wes Streeting and Lindsay Hoyle

Wednesday 7th February 2024 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I wholeheartedly associate myself and my party with the Secretary of State’s remarks on sending our best wishes to His Majesty the King. Having gone through a cancer diagnosis myself, I particularly send best wishes to his family, for whom a diagnosis is often more difficult than for the person receiving it.

Also in the generous spirit in which we have begun, may I thank the Health and Social Care Secretary for accidentally e-mailing me her entire plan yesterday? That goes above and beyond the courtesy that we normally expect. I look forward to receiving her party’s election manifesto any day now—but of course we will have to write ours first to give her party some inspiration.

After 14 years of Conservative Government, NHS dentistry is in decay. Eight in 10 dentists are not taking on new patients, and in the south-west of England the figure is 99%. One in 10 people has been forced to attempt DIY dentistry—Dickensian conditions!—because they cannot see an NHS dentist, and they cannot afford to go private. [Interruption.]

[Mr Speaker]

Order. Mr Baker, I am sorry, but I don’t want any more heckling from you; you did a little bit earlier. I wanted everybody to listen to the Secretary of State, and I expect them to do the same for the shadow Secretary of State.

[Wes Streeting]

Don’t worry, Mr Speaker: I will come back to the Parliamentary Private Secretary shortly. Tooth decay is the No.1 reason for children aged six to 10 being admitted to hospital. Unbelievably, there have been reports of Ukrainian refugees booking dentist appointments back home and returning for treatment, because it is easier to fly to a war-torn country than it is to see an NHS dentist in England. Well, at least one Government policy is getting flights off the ground—and it is certainly not the Government’s Rwanda scheme failure.

Let us look at the human consequences of this Conservative tragedy. Labour’s candidate in Great Yarmouth, Keir Cozens, told me about Jeanette, a young woman in her 30s who has struggled with gum and mouth problems all her life. She used to be able to get treatment; now she cannot find an NHS dentist in all of Norfolk to take her. She cannot afford to go private. It hurts to smile, it hurts to laugh, and the pain is so great that Jeanette does not go out anymore. Just this week, she resorted to trying to remove her tooth herself. That is not right for anyone of any age, but Jeanette should be in the prime of her life. Will the Secretary of State apologise to Jeanette and the millions like her for what the Conservatives have done to NHS dentistry?

After 14 years of neglect, cuts and incompetence, the Government have today announced a policy of more appointments, recruiting dentists to the areas most in need and toothbrushing for children. It sounds awfully familiar. They are adopting much of Labour’s rescue plan for dentistry. Does that not show that the Conservatives are out of ideas of their own, and are looking to Labour to fix the mess they have made? I say: next time Conservative Ministers say that Labour does not have a plan, or that Labour’s plan is not credible, don’t believe a word of it.

There are some differences between our two parties’ approaches. Labour is pledging an extra 700,000 urgent and emergency appointments, which are additional to the appointments announced today. Can the Health Secretary confirm that the Government’s plan does not provide any additional emergency support? Labour proposed supervised early-years toothbrushing, and Conservative MPs accused it of being “nanny state”. Does the Health Secretary stand by that label, or does she now support children under five being supported in brushing their teeth?

The key difference is that we recognise that our plan is a rescue plan, and that to put NHS dentistry back on its feet, immediate reform of the dental contract is needed. Without that, the Government’s plan is doomed to fail. Do not just take my word for it; the British Dental Association has said that the plan will not stop the exodus of dentists from the NHS, will not provide a dentist for every patient who needs one, and will not put an end to this crisis.

I come to the Parliamentary Private Secretary, the hon. Member for North Norfolk (Duncan Baker), and the miserable script that the Whips are spreading out on the Table. If Labour’s contract is to blame, why have the Government not reformed it in 14 years, and why are they not reforming it now? In 2010, the Conservatives promised in their election manifesto to reform the dental contract. They are bringing back not just Lord Cameron, but his broken promises. People have been desperately trying to get dental care for years, but there was nothing from the Conservative party. Now that we are in an election year, the Conservatives are trying to kick the can down the road, and are scrambling for a plan. They only discover their heart when they fear in their heart for their political futures, and the consequences have been seen: queues around the block in Bristol.

Finally, the Secretary of State is promising reform after 2025 and after the next general election. Who is she trying to kid? After 2025, the Conservatives will be gone, and if they are not, NHS dentistry will be. How many more chances do they expect? How many more broken promises will there be? We had 2010, 2015, 2017 and 2019. Their time is up, and it is time for Labour to deliver the change that this country needs.

Building an NHS Fit for the Future

Debate between Wes Streeting and Lindsay Hoyle

Monday 13th November 2023 Commons Chamber

[Wes Streeting]

I am very grateful to the hon. Member for his intervention. I am deeply concerned about the situation facing children with cystic fibrosis in particular, given that there is radically life-extending treatment available that offers the hope to those young people not just of longer, happier, healthier lives, but of reduced admissions to hospital. It is right that the National Institute for Health and Care Excellence makes those judgments in a rigorous way, looking at the evidence. I hope that it will be successful in bringing down the price of those drugs by negotiating with the pharmaceutical companies to make sure that we can get affordable drugs to families who desperately need them and are desperately anxious that the announcement they have read about means shorter lives for their children. No family should go through that agony, and I hope that a resolution can be found.

The Government and the previous Health Secretary got into the habit of stealing Labour’s policies—I say that not as a complaint, but as an invitation. It is clear that the Government do not have a plan to cut NHS waiting lists, but we do: £1.1 billion will be paid straight into the pockets of hard-pressed NHS staff to deliver 2 million more appointments a year at evenings and weekends, paid for by abolishing the non-dom tax status, because patients need treatment more than the wealthiest need a tax break—[Interruption.] Conservative Members groan when we mention charging non-doms their fair share, they groan when we talk about closing private equity loopholes and they groan when we talk about taxing private schools fairly. They did not groan when taxes went up on working people. They did not groan when benefits were cut for the poorest people.

We know who the Conservatives are in it for. They are in it for the few; we champion the interests of the many. That is the Labour difference. We believe strongly that people who live or work in Britain should pay their taxes here too. There is still time for the new Secretary of State to lobby the Chancellor ahead of the autumn statement. This genuinely is an oven-ready plan, unlike some of the plans we have heard from the Conservatives, and I encourage the new Secretary of State to nick it.

After 13 years, we have an NHS that gets to people too late. We have a hospital-based system geared towards late-stage diagnosis and treatment, which delivers poorer outcomes at greater cost. We have an analogue system in a digital age. We have a sickness service, not a health service, with too many lives hampered by preventable illness and too many lives lost to the biggest killers. It could not be clearer: the longer we give the Conservatives in power, the longer patients will wait. This was an empty King’s Speech from a Government who have run out of road, run out of steam and run out of ideas; a Conservative party too busy tearing itself apart to govern the country; a Prime Minister who cannot decide whether it is time for a change or to go back to year zero.

The future of the NHS after another five years of the Tories is emerging before our eyes: a two-tier health service, where those who can afford it go private, and those who cannot are left waiting behind—our NHS reduced to a poor service for poor people; our country viewed as the sick man of Europe. It does not have to be that way. The Prime Minister was right when he said,

“It’s time for a change”,

but only Labour can deliver it.

Labour has a different vision for our country in which no one fears ill health or old age; people have power, choice and control over their own health and care; the place people are born, or the wealth they are born into, does not determine how long they will live or how happy their lives will be; patients benefit from the brightest minds developing cutting-edge treatments and technology; and children born in Britain today become the healthiest generation that ever lived.

Only Labour has a plan to get the NHS back on its feet and make that vision a reality: a plan to cut waiting lists, delivering 2 million more appointments a year; a rescue plan for NHS dentistry, delivering 700,000 more appointments, recruiting dentists to the areas most in need, introducing toothbrushing for three to five-year-olds in schools and having an NHS dentist for all who need one; a plan to double the number of scanners so that patients are diagnosed earlier; a plan to recover our nation’s mental health from the damage of lockdowns; a plan to cut red tape that ties up GPs’ time, so that we can bring back the family doctor; a plan for the biggest expansion of NHS staff in history—a plan so good that the Government adopted it and gave us a head start; and a plan to reform the NHS to make it fit for the future. To those who say that that cannot be done and that things cannot be better, I say this: the last Labour Government delivered the shortest waiting times and the highest patient satisfaction in history. We did it before and we will do it again.

It is not a change of faces we need but a change of Government. It is time to call a general election and give the British people the choice: more of the same with the Conservatives or a fresh start with Labour. Call a general election now, so that Labour can give Britain its future back.

[Mr Speaker]

We come now to a maiden speech, so there will be no interruptions. I call Steve Tuckwell.

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 17th October 2023 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

To listen to the Secretary of State, you would think it was all going so well, so let me give him a reality check. In Tamworth last year, only a third of patients said it was easy to get through to their doctor on the phone, one in three GP appointments were not conducted face to face and fewer than half of patients were offered a choice of appointment. The Government are not listening to the people of Tamworth. Perhaps the Secretary of State would like to explain to the people of Tamworth why, after 13 years of Conservative Government, this is the case, and better still, adopt Labour’s plan to cut red tape, incentivise continuity of care and bring back the family doctor.

--- Later in debate ---

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

In Mid Bedfordshire last year, 165 children—[Interruption.] I do not know why Government Members are laughing; perhaps they should listen, as it is not our party that has let down the people of Mid Bedfordshire. Last year, 165 children in Mid Bedfordshire had teeth removed due to tooth decay. Some 800 patients were forced into A&E for the same reason and 100,000 people across the region cannot get access to an NHS dentist. Instead of laughing, the Government might like to adopt Labour’s plan to provide 700,000 extra dentistry appointments every year.

[Steve Barclay]

Since 2010, we have had 6.5% more dentists, a quarter more appointments and, as we have just touched on, increasing flexibility in regulation and boosting overseas recruitment. It is striking that one area of the country that the shadow Secretary of State does not want to talk about is Wales, which has a record of what a Labour Government will deliver. Indeed, the Leader of the Opposition says that he wants Wales to be the “blueprint” for what the NHS would be in England. There, this week, we have seen a fiddling of the figures on health. Even without that fiddling, we know people are twice as likely to be on a waiting list in Wales as in England—

[Mr Speaker]

Order. One of us has got to sit down and it is not going to be me. I let you have a good crack at the beginning, Secretary of State. Your opening statement took quite a long time, which I do not mind. I do not mind your having a go about Wales, but I am certainly not going to open up a debate between the Government and Opposition Front Benches. Topical questions are for Back Benchers and about short questions with short answers. I want it to be kept that way, so please understand that. There must be too many by-elections, because Members are getting carried away.

[Wes Streeting]

It is not just Mid Bedfordshire. Across the country, the No.1 reason children aged six to 10 are admitted to hospital is tooth decay. Given that, will the Secretary of State at least adopt the modest measure that Labour has proposed to introduce national supervised tooth brushing for small children—low cost, high impact—to keep their teeth clean and keep children out of hospital?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 11th July 2023 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

The Minister is aware, I know, of the outstanding campaigning work that my hon. Friend the Member for Mitcham and Morden (Siobhain McDonagh) is doing, not least because of the experience of her sister—our late great friend Margaret McDonagh—with glioblastomas. Over decades now, we have seen no improvements in outcomes, no drug trials of any seriousness and no mandatory training of oncologists. I have learned through experience that, when the McDonaghs come knocking, it is best to say yes, and if anyone says no, they will be hit by this unstoppable steamroller. With that cautionary note in mind, might the Minister be prepared to meet me, my hon. Friend and relevant stakeholders across the Department, NHS England and the National Institute for Health and Care Excellence to see what more can be done? There are challenges, I know, but what more can be done to make sure that, for families such as my hon. Friend’s and Margaret’s, and for thousands of others each year, glioblastomas are not simply a death sentence?

--- Later in debate ---

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

Last week, the Health Secretary said that he was willing to offer doctors a higher pay rise. Last night, the Chancellor slapped him down, saying that any increased offer will have to be paid for by cuts. How can the Health Secretary negotiate an end to the NHS strikes when he cannot even negotiate with his own Chancellor?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 6th June 2023 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

First, I congratulate the Health Secretary on his recent write-up as the next Leader of the Opposition. According to the i newspaper, his supporters are calling him “Mr Consistent”. Is that because of the consistent rise in waiting lists since he became Health Secretary, the consistently longer waiting times that patients are facing, or the consistent delay to the NHS workforce plan?

Oral Answers

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 25th April 2023 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

The Conservatives have cut 2,000 GPs since 2015 and now too many patients cannot get an appointment when they need one: 3,000 patients are waiting a month to see a GP in Dover; 3,500 are doing so in Mansfield; 3,500 are doing so in North Lincolnshire; and 5,000 are waiting a month in Swindon. So why will the Government not adopt Labour’s plan to double the number of medical school places, paid for by abolishing the non-dom tax status, so that patients have the doctors they need to get treated on time?

--- Later in debate ---

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

A 13-year-old girl who has already waited more than a year for spinal surgery has seen her operation cancelled twice because of the Government’s failure to negotiate an end to the junior doctors’ strike. Why on earth is the Secretary of State still refusing to sit down and negotiate with junior doctors?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 7th March 2023 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

I am afraid that talk is cheap. I was at Worcester University’s medical school yesterday, where I was told directly by the vice-chancellor that that university, which has great facilities, can only recruit international students because the Government will not fund places for domestic students. The NHS has asked for medical school places to be doubled. Labour has a plan to double medical school places, paid for by abolishing the non-dom tax status. Why do the Government not swallow their pride and adopt Labour’s plan in next week’s Budget?

--- Later in debate ---

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

When nurses and paramedics voted to take strike action, the Secretary of State refused to negotiate and said that the pay review body’s decision was final. He has now U-turned, but not before 144,000 operations and appointments were cancelled through his incompetence. Will he now apologise to patients for this avoidable disruption?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 24th January 2023 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

Labour founded the NHS to be free at the point of use, and we want to keep it that way. Given that the Prime Minister has advocated charging for GP appointments, and one of the Secretary of State’s predecessors has urged him to charge for A&E visits, will he take this opportunity to rule out any extension to user charging in the NHS?

Strep A Treatments: Supply

Debate between Wes Streeting and Lindsay Hoyle

Monday 19th December 2022 Commons Chamber

[Mr Speaker]

We now come to the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

May I wish you, Mr Speaker, and all staff of the House a merry Christmas? I also thank the hon. Member for St Albans (Daisy Cooper) for securing this urgent question. I put on record my deepest condolences to the families of the children who have tragically passed away with strep A. The news that cases are surging has been deeply worrying for parents of children showing symptoms, and it comes at a time when the NHS is facing unprecedented pressure.

We first heard about shortages of antibiotics to treat strep A almost two weeks ago, but when my right hon. Friend the Leader of the Opposition raised the issue with the Prime Minister, he said:

“There are no current shortages of drugs available”.—[Official Report, 7 December 2022; Vol. 724, c. 333.]

At the same time, parents were going from pharmacy to pharmacy to find the antibiotics their children had been prescribed, and they simply were not available. Why did the Prime Minister not know that there was a problem, when it was plain to see for parents of young people across the country? Had the Government been aware of the problem sooner, surely they could have acted to secure supplies earlier? The Minister said that there has been no shortage, just a supply chain issue. For a parent turning up to a pharmacy and finding that it does not have the antibiotics, it does not make much difference whether this is called a shortage or a supply chain issue, as the antibiotics are not there. The Government must get a grip on this situation and be honest with the public about the reality on the ground.

In addition to the export ban, will the Minister tell the House exactly what the Government are doing to shore up supply of drugs needed to treat strep A? During the past couple of weeks, as desperate parents have been looking for antibiotics, prices have disgracefully shot up. Will the Minister assure the House that the Government will come down like a ton of bricks on any company found to be exploiting this situation by jacking up prices for medication?

This is about access to not just medicine, but GPs and A&E. Parents concerned about symptoms are advised to seek prompt medical advice, yet about one in seven patients cannot get a GP appointment when they need one, a record 2 million patients are made to wait a month before they see a GP and A&E departments are overwhelmed. So will the Minister assure parents of children with symptoms of strep A that they will be able to see a GP when they need to? Finally, given that there are strikes planned in the NHS this week, may I ask the Minister whether the Secretary of State plans to update the House tomorrow and explain the Government’s disgraceful inaction on that issue too?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 6th December 2022 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

The chairman of the Conservative party claims that NHS strikes are exactly what Vladimir Putin wants, so why is not the Health Secretary negotiating to prevent them from going ahead?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 1st November 2022 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

I welcome the Secretary of State back and welcome his team, but I have had boxes of cereal with a longer shelf-life than Conservative Secretaries of State. As a consequence of the turnover and chaos, the truth is that the NHS is not prepared for this winter—it cannot even get allocated funds out of the door.

Let us turn to the future. Over the summer, the Prime Minister promised to establish a “vaccines-style taskforce” to tackle the Conservatives’ NHS backlog on “day one” and to have overall waiting list numbers falling by next year. May I ask the Secretary of State who is on that taskforce, how many times it has met and what its programme of work is?

Tributes to Her Late Majesty the Queen

Debate between Wes Streeting and Lindsay Hoyle

Saturday 10th September 2022 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

It is a privilege to follow so many others in rising to pay tribute to her late Majesty the Queen on behalf of the people of Ilford North and the London Borough of Redbridge. The depth of our sorrow reflects—in part—the length of her reign, her lifetime of service and duty, and the devotion she gave to her family, our country and our Commonwealth, but it also reflects how special the woman beneath the Crown was: at once the head of our royal family and yet able to touch the hearts of every family in the land.

East London holds a special place in its heart for the royal family. During the second world war, King George VI and his family stayed in London during the blitz and visited families whose lives and livelihoods had been devastated by the Nazi onslaught. The then Princess Elizabeth visited Ilford to see those affected by the bombing the day after VE Day in 1945 and returned again in 1949 to see the one thousandth council home that had been built by Atlee’s Government. She is said to have remarked,

“of all the houses and estates I have visited, Ilford’s are the best”.

She also visited a care home where one elderly resident was so thrilled to meet the Princess that they immediately burst into tears of happiness.

I saw a similar outpouring of emotion when the Queen visited Ilford again for her diamond jubilee in 2012, where she unveiled a plaque to the dry garden created in her honour in Valentines Park. It spoke to the great challenge of climate change—a cause close to the heart of our dear King. One resident told the Ilford Recorder,

“we have always read about queens and princesses in the story books. To have the Queen in our neighbourhood, it’s like a dream come true.”

A dream come true—that is a sentiment I cannot imagine being elicited for a mere President, and one that was certainly elicited with no effort for Her Majesty the Queen. It hardly seems real that that dream has ended.



We are privileged to have lived in the second Elizabethan age. Her late Majesty the Queen oversaw our country’s transition from empire to Commonwealth, to a modern democracy, witnessing huge social changes throughout her lifetime. So many of my constituents are proud of those changes, and of course retain strong familial bonds across the Commonwealth. Her Majesty showed by example that tradition and modernity are not adversaries but well-suited companions, from her first televised address to her very last Zoom call. From the beginning of her reign, amid rationing and post-war reconstruction, to her address to the nation at the height of the covid pandemic, she reminded us that whatever the triumphs and disasters of our history, our country’s best days now lie ahead. History, like life, moves on.

His Majesty the King has told us that the grief of the nation, and indeed the grief of the world, has provided comfort to his family for their irreparable loss. I hope he knows that his presence in our lives in recent days has been comforting and reassuring too—and if I may say so, Mr Speaker, when the Queen welcomed the then Duchess of Cornwall into her family, the nation took her into our hearts. It is a privilege and a pleasure to see her take her place as Queen Consort.

We are blessed to have known the reign of Elizabeth II, our greatest Queen. May God rest her soul, and may God save the King.

[Mr Speaker]

Before I leave the Chair, let me remind Members and staff that a service will take place tomorrow at 6 pm in St Margaret’s Church for the parliamentary community to remember Her late Majesty the Queen. Will those wishing to attend please contact my office?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 19th July 2022 Commons Chamber

[Mr Speaker]

I call shadow Secretary of State, Wes Streeting.

[Wes Streeting (Ilford North) (Lab)]

I welcome the Secretary of State to his first oral questions and, as this is likely to be his last oral questions, also wish him the best for the future. I associate myself with his remarks about his predecessor, who of course resigned from the Government on a point of principle as others chose to remain loyal; on that note, I also pay tribute to the former Minister, the hon. Member for Charnwood (Edward Argar), for the diligent approach he took to his work and the spirit in which he engaged with the Opposition. One of the contenders for the Conservative leadership says that public services are in a state of disrepair. Another describes the NHS backlog as frightening. A third called ambulance waiting times appalling, and of course the Secretary of State for Culture, Media and Sport said that the former Health Secretary’s preparation for a pandemic was “found wanting and inadequate”. They are right, aren’t they?

Access to GP Services and NHS Dentistry

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 21st June 2022 Commons Chamber

[Wes Streeting]

I am very, very grateful to the hon. Lady for that intervention. Our party has been clear: we did not want to see the strikes go ahead. We believe the strikes could have been averted if the Government had shown responsible action. The absolute brass neck of the Secretary of State! It is one thing pretending they have not been in government for the last 12 years; now they are pretending they are not in government today and that, somehow, it is down to me, the shadow Health Secretary. Somehow, if I had uttered the magic words, “Don’t go ahead,” the RMT would have said, “Oh no, the shadow Secretary of State for Health has spoken now. We better put a stop to it.” [Interruption.]

[Mr Speaker]

Order. I want to help a little bit. We do not want to open up a debate that is not down for today. We have got a little bit carried away. The hon. Member for Kensington (Felicity Buchan) got in, and I was quite right to allow a response, but I think we have heard enough now.

[Wes Streeting]

Thank you, Mr Speaker.

I was about to quote the great political philosopher, Jonn Elledge, who, in response to what the Secretary of State said, commented on Twitter that we are

“all as ants before the might of the all powerful shadow health secretary”.

When is the Health Secretary going to wake up to the fact that he is in government, he has responsibilities, he is discharging the greatest crisis in the history of the NHS and he is doing nothing about it? Instead of lecturing the Opposition, when is he going to show some leadership and get on with governing?

--- Later in debate ---

[Dr Johnson]

As part of that, I suggest that the hon. Gentleman remembers that GPs take 10 years to train. He is right to say that we have been in government for 12 years, but most of the current GP shortage is because the previous Labour Government did not train those GPs at the time. One of the first things the Conservative Government did was to set in train the opening of five medical schools to increase the number of medical students. We had enough doctors but they do take 10 years to train. The reason I stood up to intervene on the hon. Gentleman was to say that one of the challenges that doctors—I refer to my entry in the Register of Members’ Financial Interests, as a doctor—and members of staff face is being abused in a surgery. I wonder whether he would like to apologise for some of the comments he has made on social media—

[Mr Speaker]

Order. Interventions are meant to be questions. I know that the hon. Member is down to speak. I would not want you to use up your speech now; I want you to save something for later.

[Wes Streeting]

Let me first say in response to the final point the hon. Lady made that there is absolutely no excuse for abusing NHS staff whatsoever. Most people in this country do not blame NHS staff for the state of the NHS; they place the blame squarely where it belongs, with the Government who have been in power for the past 12 years. Her first point would be more powerful if we did not have 1,500 fewer full-time equivalent GPs now than we did when her party came to power. Her point would have been more powerful if her party had not whipped its MPs to vote against having a workforce plan for the NHS, but I am afraid that that is what it did. Conservative Members cannot run way from their choices and decisions, and from the fact that they have now been in government for 12 years and there is no one else to blame but themselves. In communities right across the country, we now see the consequences of their mismanagement.

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 14th June 2022 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

I associate myself with the Secretary of State’s remarks as we remember the anniversary of the Grenfell Tower tragedy and support the families in their ongoing quest for justice. I also associate Opposition Members with your remarks, Mr Speaker, on the 40th anniversary of the end of the Falklands war.

Last night’s shocking BBC “Panorama” investigation into Operose Health revealed the extent of the crisis in GP surgeries, with patient referrals and test results left unread for up to six months, and with patients being seen by less qualified staff standing in for GPs without supervision. This is exactly what happens when private profit is placed above patient health and safety. Why is the Secretary of State asleep at the wheel instead of launching an investigation into this scandal?

North East Ambulance Service

Debate between Wes Streeting and Lindsay Hoyle

Monday 23rd May 2022 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

Can I start by saying how horrified I was to read the concerns raised about the North East Ambulance Service in reports over the weekend? My thoughts are first and foremost with the families affected by the tragic events described. I cannot imagine the distress they are going through. It is hard enough to lose a loved one suddenly, but to have fears that mistakes were made that could have made a difference, and more than that, that the facts of what happened were not revealed in every case, goes further. They have my unreserved sympathy and support.

In healthcare, a willingness to learn from mistakes can be the difference between life and death, and it is because of this that, as a Government, we place such a high value on a culture of openness and a commitment to learning across the NHS. That is why the allegations raised by The Sunday Times this weekend are so concerning. As was made abundantly clear by the Secretary of State’s predecessor almost a decade ago, non-disclosure agreements have no place in the NHS and reputation management is never more important than patient safety.

The Government are wholly supportive of the right of staff working in the NHS to raise their concerns. Speaking up is vital for ensuring that patient safety, and quality of services, improve, and it should be a routine part of the business of the NHS. That is why, over the last decade, substantial measures have been introduced to the NHS to reduce patient harm and improve the response to harmed patients, including legal protections for whistleblowers, the statutory duty of candour, the establishment of the Health Services Safety Investigations Body and the introduction of medical examiners. It is also why, in response to a recommendation of the Sir Robert Francis “Freedom to speak up” review in 2015, the Government established an independent national guardian to help to drive positive cultural change across the NHS so that speaking up becomes business as usual. However, when it comes to patient safety, we cannot afford to be complacent. It remains a top priority for the Government and we continue to place enormous emphasis on making our NHS as safe as possible.

I note the concerns raised in this weekend’s reports. They have been subject to a thorough review at trust level, including through an external investigation, and the trust’s coronial reporting is subject to ongoing independent external audit and quarterly review by an executive director. I also note that the Care Quality Commission has been closely involved. However, given the seriousness of the claims reported over the weekend, we will of course be investigating more thoroughly and will not hesitate to take any action necessary and appropriate to protect patients.

The Government are also committed to supporting the ambulance service to manage the pressures it is facing. We have made significant investments in the ambulance workforce, with the number of NHS ambulance and support staff increasing by 38% since 2010. Health Education England has mandated a target to train 3,000 paramedic graduates nationally per annum from 2021, further increasing the domestic paramedic workforce to meet future demands on the service, while 999 call handlers have been boosted to over 2,400, so we are very serious about improving resources for the service.

I fully appreciate the concerns of right hon. and hon. Members across this House, and we will be pleased to meet any who have constituents affected by the reports this weekend so we can look at the issue more fully.

[Mr Speaker]

Can I just say that it is three minutes—and that means three minutes, not three minutes and 40 seconds —and I am sure whoever writes these speeches can actually time them through? I say to those on both Front Benches that we have to think about Back Benchers, who need to get their hospitals mentioned and their ambulance trusts as well.

I call the shadow Secretary of State, who I am sure will stick to the allocated time.

[Wes Streeting]

I pay tribute to the courage of the whistleblowers, as well as The Sunday Times journalists David Collins, Hannah Al-Othman and Shaun Lintern, without whom none of this would have come to light. But with respect to the Minister, it should not have taken an urgent question to bring her to the House today. On what she said about the Department further investigating, what form will this investigation take, who will be involved and what assurance can she give the families that there will be both answers and accountability, which is what they deserve?

Peter Coates died after an ambulance did not reach him in time. An ambulance two minutes away could not be dispatched because the station door was faulty, and staff did not know about the manual override. The ambulance that was dispatched decided to stop at a service station, even though it had sufficient fuel. Information about these errors was then withheld by the service, statements were changed and staff were asked to withhold the mistakes from the coroner. Peter Coates’ family learned the full truth only when contacted by reporters last week. His is just one of what is thought to be 90 cases involving gross negligence, cover-ups and tens of thousands of pounds of taxpayers’ money offered in exchange for staff silence.

The Minister mentioned the CQC. Why did it fail to spot this, rating the service “good” in 2018? Why did it fail to spot the situation even after being tipped off in 2020? Why is taxpayers’ money still being offered to buy the silence of staff when non-disclosure agreements were supposedly banned in 2014? What role did under-resourcing and understaffing play in this scandal?

Record ambulance waits exist in every part of the country, with heart attack and stroke victims waiting longer than an hour for an ambulance. As for the North East Ambulance Service, it is advising the public to phone a friend or call a cab rather than wait, while presiding over gross negligence, cover-ups and taxpayer-funded gagging orders on staff. That is the record on its watch. It is a national disgrace. What are the Government doing about it?

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 19th April 2022 Commons Chamber

[Mr Speaker]

I call the shadow Secretary of State, Jake Berry. [Laughter.] Sorry, Wes Streeting.

[Wes Streeting (Ilford North) (Lab)]

Thank you, Mr Speaker. You have clearly had a happy Easter.

The fact is that the Government’s failure to fix the social care crisis is causing huge pressures on the NHS. As of last week, more than 20,000 patients were fit to leave hospital but could not be discharged because the care was not available, which means that 22,000 patients each month are waiting more than 12 hours in A&E and that heart attack and stroke victims have to wait more than an hour for an ambulance. We are used to hearing about winter crises, but is it not the case that, after more than a decade of underinvestment in the NHS, a failure to fix social care and the absence of a plan even to address the staffing challenge in the NHS and social care, we have not just a winter crisis but a permanent crisis in the NHS?<

--- Later in debate ---

[Mr Speaker]

I call the shadow Secretary of State.

[Wes Streeting (Ilford North) (Lab)]

Why does the Health Secretary think he has any licence to lecture the British people on their moral duty to pay taxes when he spent so many years avoiding his own?

--- Later in debate ---

[Mr Speaker]

Order. Secretary of State, I have got it. These are questions about your responsibilities. Now we can have another try—Wes Streeting.

[Wes Streeting]

Thank you, Mr Speaker. I would just say to the Secretary of State that he should be careful what he wishes for. I hope he will at least reply to the letter I sent him last Thursday—I will place a copy in the Library of the House. He has been stonewalling journalists’ questions, but since he says he wants to talk about the Government’s record, let me ask him about that instead. We went into the pandemic with NHS waiting lists already at 4.5 million. We went into the pandemic with NHS staff shortages of 100,000. We went into the pandemic with social care staffing vacancies of 112,000. So it is not just the case that the Tories did not fix the roof while the sun was shining; they dismantled the roof, removed the floorboards and now they have no plan to fix it. Where is the Secretary of State’s plan to fix the NHS crisis?

[Mr Speaker]

Order. Once again, I remind Members that topicals are short and punchy questions, not lengthy statements. A lot of Back Benchers on both sides deserve to get in to raise constituency matters, so please let us give them time. I do not want a lengthy fall-out, and these are Health questions.

Points of Order

Debate between Wes Streeting and Lindsay Hoyle

Wednesday 8th December 2021 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

On a point of order, Mr Speaker. Have you been notified by the Government of their intention to make a statement today from the Department of Health and Social Care, because if media reports are to be believed there will be a Cabinet meeting this afternoon followed by a Downing Street press conference to announce the introduction of new restrictions? Mr Speaker, you have made it clear in the past that statements should be heard here first. I want to say that, despite what the Prime Minister said at Prime Minister’s questions to the Leader of the Opposition, this party and we on the Labour Benches have always put public health before party politics, which is why we have voted with the Government time and again—do not abuse that trust in the way that the public trust has been abused. We will always put public health first, but we expect that announcement to be made here.

[Mr Speaker]

First, I am grateful to the hon. Member for giving me notice of his point of order. I can confirm that I have had no request from the Government to make a statement. Of course, I am open to that, as soon as the Government come forward and say that they wish to make a statement. I say to the Government, as I have repeatedly said—and I will continue to repeat it—that it must be made here so that Back Benchers, whether Government or Opposition, can hear it in this Chamber. This Chamber is where statements are made. Otherwise it goes against the ministerial code. I do not want to fall out with the Prime Minister, but this is not a good way of getting Christmas cards sent between us, because I find it very offensive. There is plenty of time for the Government to come forward and say that they wish to make a statement here. What I do not want is statements to be made outside. I want respect for this House. I expect the Government to make sure that they respect their own Back Benchers, because I do even if he does not. So this is a chance for all to make sure that this House hears it first. I hope that, with my voice, they will be able to hear that in Downing Street, because I will make sure that they do hear it. So please let us not take this House for granted, and I stand firmly behind all Members of this House in saying that it must be heard here first.

Points of Order

Debate between Wes Streeting and Lindsay Hoyle

Wednesday 16th September 2020 Commons Chamber

[Mr Speaker]

I thank the hon. Lady for giving me notice of her point of order. As she is well aware, it is not a point of order for the Chair, but we have quite rightly ensured—this is the advice, which is simple—that she has got it on the record. It is there for everybody to see that it is corrected, and I am sure that the sound of her voice will be whirling around, on its way to remind the Chancellor of what has been said.

[Wes Streeting (Ilford North) (Lab)]

On a point of order, Mr Speaker. I seek your advice on correcting an injustice. My hon. Friend the Member for Nottingham East (Nadia Whittome) was wrongly accused of fabricating a shortage of personal protective equipment at the care home in which she used to work as a carer and to which she had returned to work to assist during the pandemic. Unfortunately, as well as my hon. Friend being accused of lying in the media and on social media, her account of the serious PPE shortage was called into question by the hon. Members for Rutland and Melton (Alicia Kearns), for Mansfield (Ben Bradley), for Mid Bedfordshire (Ms Dorries) and for North West Durham (Mr Holden), the right hon. Member for Braintree (James Cleverly) and the noble Lord, Baron Goldsmith of Richmond Park. I notified them in advance that I would be raising this matter.

Today the care home in question has confirmed to the Daily Mirror that there were shortages of PPE, that my hon. Friend had been telling the truth and that she was asked to record a video appeal for PPE donations, an issue that has been a source of national concern. Can you advise me, Mr Speaker, on how I might bring these facts to the attention of the House, and the hon. and right hon. Members concerned? In the short time that she has been here, my hon. Friend the Member for Nottingham East has shown herself to be a principled, caring and compassionate Member of this House. The Government must listen to frontline workers and stop trying to distract from their own catastrophic failure to support care homes and their staff during this crisis.

[Mr Speaker]

Very much on the same lines, I thank the hon. Gentleman for giving me notice of the point of order. It is very important that it is placed on the record. I hope Members will reflect on what has been said, and I am sure that when they read it, they may quite rightly wish to speak with the hon. Member in question. I say to hon. Members in all parts of the House that we ought to be a little more careful before we point the finger at each other. If we think before we act, in the end, with a little more care and caution, we will not have to hear these points of order. However, I say to the hon. Member for Ilford North (Wes Streeting) that it is not a point of order for me, but it is certainly on the record, and I am sure that other Members will reflect on it.

Coronavirus

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 15th September 2020 Commons Chamber

[Mr Speaker]

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

[Wes Streeting (Ilford North) (Lab)]

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

Oral Answers to Questions

Debate between Wes Streeting and Lindsay Hoyle

Monday 22nd June 2020 Commons Chamber

[Wes Streeting]

May I associate myself with the condolences expressed by the Secretary of State to the family, friends and pupils of James Furlong? No one who heard the “Today” programme interview this morning with one of his former pupils could fail to be moved. I also express my condolences to the family of Fred Jarvis, the celebrated educationalist and trade unionist, who is sorely missed.

The Secretary of State says that the Government will do whatever they can, which seems some way short of whatever it takes. The Government’s latest Social Mobility Commission report reads like a litany of failures, with references to a lack of “coherent” strategy; “mounting evidence” that welfare changes over the past 10 years have put many more children into poverty; children in disadvantaged areas already facing “limited life prospects” by the age of five; the attainment gap at 16 widening; and further education “underfunded and undervalued”. I do not know whether it was incompetence or a row between the Department for Education and the Treasury, but last Thursday we saw a DFE press release at half-past 6 announcing support, including for early years and post-16 education, and by half-past 8 we saw a support package only for schools. Is it not time for the Secretary of State to get a grip and take the action that we really need?

[Mr Speaker]

Order. We were very good at the beginning. This is important, but lots of Members want to speak, and it is not fair to take all the time. When I stand up, it means that I want to bring in the Secretary of State.

Police Employer Pension Contributions

Debate between Wes Streeting and Lindsay Hoyle

Wednesday 14th November 2018 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

Let me begin by congratulating my right hon. Friend the Member for Wolverhampton South East (Mr McFadden) on securing this important Adjournment debate. Let me also express my view, which I think is widely held—certainly among Labour Members—on how outrageous it is that while the Cabinet is making a decision that has the potential to affect this country for generations to come, it is the reported intention of the Prime Minister to make a statement to the press immediately after—

[Mr Deputy Speaker (Sir Lindsay Hoyle)]

Order. This is a debate about pension contributions. I have allowed the scope to be widened, but we cannot take it this far. Are we going to stick to the debate? Brilliant.

--- Later in debate ---

[Wes Streeting]

Forgive me, Mr Deputy Speaker; I just wanted to make the point at the outset that my constituents will be appalled that this House is adjourning about three hours early.

[Mr Deputy Speaker]

Order. I am being very good, and I am going to keep this debate going, but these are the rules of the House. They are not my rules; they are rules that we have all agreed to, and the fact is that those are the rules. We have to work within the rules, and as much as everybody is disappointed, the rules are there; they are made by Members, so please do not complain about the rules that have been introduced.

[Wes Streeting]

I accept that, Mr Deputy Speaker, and I am certainly not criticising the Chair for enforcing the rules.

[Mr Deputy Speaker]

I want you to criticise yourself; that is the problem.

[Wes Streeting]

I would never knowingly criticise myself, Mr Deputy Speaker, and you will be pleased to know that my constituents care about and raise with me far more than Brexit the issue of policing and in particular the consequences of Government changes to employer national insurance contributions and what that will mean for the funding of policing in my constituency and every other community up and down the country, because, as was stated in the excellent opening speech made by my right hon. Friend the Member for Wolverhampton South East, the consequence of increasing employer contributions will be a cost on police forces of an entirely unexpected and unplanned £165 million for 2019-20, and, as has been stated, that employer pension contribution liability will rise over time, so by the time that we get to 2020-21 the liability will be more like £420 million.

Money, as we know, does not grow on trees, and those responsible for managing police budgets and resources and making sure the budget is properly deployed to keep our constituents and country safe will be faced with an invidious choice. Of course they will want to make the right contributions to people’s pensions, but, as the National Police Chiefs Council has warned, the reality is that this could amount to the loss of a further 10,000 police officers right across the country, with every police force in this land being affected.

--- Later in debate ---

[Wes Streeting]

As my hon. Friend says, it is not just policing. Before I was elected to this place, I was deputy leader of the London Borough of Redbridge. I had the enormous privilege of representing my home community on Redbridge Borough Council for eight years, and what I consistently saw across local government services was exactly the same pattern of behaviour: decisions taken in the Treasury brutalised the budgets of Government Departments, and then the Government Departments devolved the cuts, and the responsibility for those cuts, to local authorities. That is absolutely outrageous.

When the austerity agenda first began, I think everyone would acknowledge that some cuts were made to services that, frankly, some people did not really notice. What has changed over the past eight years is that the Government started by clamping down on some of the inevitable inefficiencies and waste that exist in any organisation with big infrastructure, then they began to impact on services—particularly specialist services that do not necessarily benefit the largest number of people but that have a substantial impact on particular service users—and now we are in a position where these cuts and the austerity agenda are not just widely felt, but deeply felt. That is why the Government have felt compelled to change their narrative on austerity.

[Mr Deputy Speaker (Sir Lindsay Hoyle)]

Order. The hon. Gentleman is doing very well, and I know he wants to keep it going, but he has to try to stick to the subject. By talking about austerity, he will widen the debate completely out of where we are meant to be. This is about police pension cuts. I do not mind a debate around policing, but we cannot go over everything. There are a lot of other speakers, so he does not need to filibuster.

[Wes Streeting]

Thank you, Mr Deputy Speaker. I will take your advice.

In London we have already lost 3,000 police officers, which is having a serious impact on community policing. In fact, my constituents are now under no illusion. Community policing only really exists in speeches by Ministers at the Dispatch Box; it certainly does not exist in reality on the ground. The few stretched resources that we have left on the ground are really struggling.

The changes to police employer pension contributions are one of the most egregious changes that the Government have made to policing, and no doubt we will hear the same rhetoric as they try to make the contribution changes sound as technocratic and as irrelevant to people’s everyday experiences as possible. The reality is that people have really noticed the police cuts. This invidious language, saying, “Don’t worry, because we have cut out all the back office,” is not only disrespectful to public servants who did an excellent job, and who have now lost their job. I can tell the Minister that what police officers in my constituency tell me is that they are now spending more time processing criminals than catching them. That is not an acceptable state of play, and I fear that things will become far worse as a result of these changes to police employer pension contributions.

I give fair notice via the Treasury Bench that, when the Chancellor next comes before the Treasury Committee, he can be assured of a rough ride on the decisions he is taking and their impact on Home Office budgets, and therefore on police budgets. What he and his predecessor have done is absolutely outrageous, and I note the irony of editorials in the Evening Standard railing against police cuts and rising crime in London, and trying to pin responsibility on the Mayor of London. The editor of my local newspaper might like to look in the mirror before dishing out blame to others.

How the Government are proceeding is a terrible mistake, and we must not countenance it. I am grateful to my right hon. Friend the Member for Wolverhampton South East for securing this Adjournment debate, and I am grateful to the Government, because their shambolic handling of the business of the House means that we now have so many hours to debate this subject before the House adjourns.

[Mr Deputy Speaker]

Only if you let somebody else get in.

[Wes Streeting]

We have so long, but I will draw my remarks to a conclusion. [Hon. Members: “More!”] This is a novelty I am not used to. We know why we are here—obviously, we are trying to draw out the business—but this is a serious issue. We would not have stuck around for any old Adjournment debate on an obscure issue; this is so important to us in our constituencies. Whatever is going on in the wider world around Brexit, I cannot emphasise strongly enough that no issue is more important to my constituents than policing, police numbers, police budgets, crime and community safety, and therefore no issue is more important to me.

--- Later in debate ---

[Mr Deputy Speaker]

This man has been here throughout the debate!

[Wes Streeting]

I am grateful to the Minister for giving way so that the voice of Ilford can be heard.

Budget Resolutions

Debate between Wes Streeting and Lindsay Hoyle

Wednesday 22nd November 2017 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I welcome the exemption on the vehicle excise duty supplement for new zero-emission-capable taxis, so I thank the Chancellor for listening to representations. Through the right hon. Lady, may I urge the Chancellor to bring forward that measure so that it will kick in earlier than April 2019, because many such vehicles will be on the road from next month and we will want drivers to be able to take advantage of these new zero-emission-capable and environmentally friendly taxis?

[Mr Deputy Speaker (Mr Lindsay Hoyle)]

Order. May I just say, because the hon. Gentleman will want to make a separate speech, that if Members make interventions, they should please make them short?

Compulsory Emergency First Aid Education (State-funded Secondary Schools) Bill

Debate between Wes Streeting and Lindsay Hoyle

Friday 20th November 2015 Commons Chamber

[Mr Deputy Speaker (Mr Lindsay Hoyle)]

Order. I must say to the Minister that he cannot read out a telephone book of examples. He needs to try to get to the point we are dealing with.

[Wes Streeting]

Why is he talking out the Bill?

Finance Bill

Debate between Wes Streeting and Lindsay Hoyle

Monday 26th October 2015 Commons Chamber

[Mr Deputy Speaker (Mr Lindsay Hoyle)]

Sir Edward, as you well know, it takes both Houses to agree. The subject has come before this House and I am sure that this is not the end of the matter, but you have certainly enabled us to be informed.

[Wes Streeting]

Further to that point of order, Mr Deputy Speaker. The very fact that the hon. Member for Gainsborough (Sir Edward Leigh) raised that point of order in the manner he did underpins the importance of Members of this House—I believe the majority of them are also opposed to the changes—trooping through the right voting Lobby to ensure that there is in fact an alignment of opinion between the two Houses, even though the Government Whips colluded last week to ensure—

[Mr Deputy Speaker]

Order. I am not getting into a debate on the merits or not of the subject. I have given my answer and I am sure that all hon. Members have taken it on board. I want to get back to the debate. We still have a lot of speakers to come.

Tax Credits

Debate between Wes Streeting and Lindsay Hoyle

Tuesday 20th October 2015 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

On a point of order, Mr Deputy Speaker. I was wondering whether it was disorderly or simply discourteous that in his winding-up speech the Chief Secretary to the Treasury neglected to congratulate the hon. Member for South Cambridgeshire (Heidi Allen) on her maiden speech.

[Mr Deputy Speaker (Mr Lindsay Hoyle)]

If that was the case, I am sure it was not deliberate. No hon. Member would miss out a maiden speech.