NHS: Independent Investigation

Debate between Wes Streeting and Mark Francois

Thursday 12th September 2024 Commons Chamber

[Wes Streeting]

I am delighted to see my hon. Friend in her place, standing up for her communities in Penistone and Stocksbridge. In opposition, it was very frustrating watching successive Ministers promise better hold music for people trying to get through to their GP, rather than solving the problems of access. Fixing general practice, and building general practice so that it can meet the needs of this century, will be a vital part of our 10-year plan process.

[Mr Mark Francois (Rayleigh and Wickford) (Con)]

May I make the Secretary of State a little more nervous? The Darzi report makes seven high-level recommendations, the fourth of which is to drive productivity in hospitals. From 2017, in south Essex we saw a merger of Basildon, Chelmsford and Southend hospitals to create the Mid and South Essex NHS Hospital Trust. It has not been an unmitigated success. As local MPs, we were promised significant back office savings that could be channelled into patient care. In fact, the reverse has been true, and there has been such a turnover of senior managers in that trust in recent years it has been like a game of musical chairs. The trust is now trying to appoint three permanent managers and directors for each hospital to provide stability, which makes sense, but is offering a salary of £200,000 for each post, which is more than the Prime Minister earns to run the country. Now that this is on his watch, will the Secretary of State take a personal interest? We should pay a good rate for that job, but £200,000 sends the wrong signals to all the other very hard-working people in the trust.

[Wes Streeting]

I thank the right hon. Gentleman for that question. He is not too far away from me geographically, but he is miles away from me politically, and I always get nervous when he stands up to praise me. We have to keep a sharp eye on value for money. The Darzi report presents some politically challenging messages about NHS management. I could be wildly popular with the country if I stood up and said, “I’m going to take the axe to management across the country and sack loads of managers.” What we need is better management and a sharp eye on value for money. The NHS would not work without good leadership. We have to ensure that we have the right people in the right place, delivering against the public’s expectations, so it is a more nuanced position, but I am sure that what he says will have been heard by his local trust. I will certainly keep an eye on value for money across the country.