Health Bill

Yvette Cooper Excerpts

Report stage & 3rd reading
Tuesday 8th September 2026 Commons Chamber

[The Secretary of State for Health and Social Care (Yvette Cooper)]

I beg to move, That the Bill be now read the Third time.

Let me thank all those who have been involved in bringing this Bill to this point, including all those involved in Committee. I thank the parliamentary staff, the departmental staff and the legal staff, and the Members on both sides of the House, who have debated so many different issues during the passage of the Bill. In particular, I pay huge thanks to the Minister for Secondary Care, my hon. Friend the Member for Bristol South (Karin Smyth), who has not only chaperoned this Bill through every stage from beginning to end—with some different Health Secretaries along the way—but has done today’s Report stage on her birthday; I wish her a hugely happy birthday.

I am grateful to everybody for their engagement, including those who, as well as debating the issues covered by the Bill, have taken the opportunity of these debates to raise so many issues that are so important to patient care right across the country, and to the improvements we need to make to patient and family care. I include in those thanks the parents of little Hugh Menai-Davis, who were in the House today.

Members in all parts of the House have been raising issues from special educational needs and disabilities to funeral regulation and health inequalities, and it is important that our NHS and health systems continue to improve.

[Jim Dickson (Dartford) (Lab)]

I thank the Secretary of State very much for giving way, because I know time is short. She is talking about the various issues that have come up while the Bill has been debated. One of them is the most common cause of death in the UK: dementia. An amendment that I tabled with the Alzheimer’s Society suggested that we bring the data on dementia, which is scattered right across the health system at the moment, into a single place to drive progress on early diagnosis and treatment. Does she agree that that is an important priority for the Government?

[Yvette Cooper]

My hon. Friend is exactly right to raise this vital issue. So many of us will have families and constituents who are affected by dementia. We are committed to introducing a dementia tsar as part of our response to Louise Casey’s commission, and we will be looking at data issues and evidence as part of that.

As this legislation completes its passage through this House, I thank my predecessor Health Secretaries for the work that they have done in bringing down waiting lists, improving treatment and getting more appointments than ever before. There are thousands more doctors, nurses, midwives and mental health workers in place than ever before, and we thank our national health service staff across the country. They also recognised that we inherited a system that was still badly held back by the failed 2012 Lansley reforms, including the huge administrative issue and unaccountable bureaucracy, with lots of duplication, poor communication and no proper accountability. This legislation is about strengthening democratic accountability and the focus on patient care. To be clear, I pay tribute to the work done by many people across NHS England—including in particular the recent work of the current chief executive, Jim Mackey, to substantially improve patient care and to reduce that duplication—but the systems and structures have been holding people back. That is why we have brought this reform forward, part of which will not just end the wasteful duplication, but ensure that our NHS system is better able to deliver.

I will update the House and the NHS shortly on the future operating arrangements. Let me say now that that means returning to some of the arrangements that applied before 2012, when we had strong national NHS leadership, but with much greater partnership and accountability and far less duplication than we have today. I have been frank with both the Department and NHS England that the focus needs to be on patients.

We are making some further reforms in response to the discussions in this House. I have made a commitment that we will bring forward amendments in the House of Lords to establish England’s first statutory maternity commissioner, implementing the Amos review’s recommendation, but also directly reflecting the work and determination of my hon. Friend the Member for Sherwood Forest (Michelle Welsh), the Government’s national maternity adviser. I thank her for the work that she has done. We have also amended the Bill to ensure that local government is represented on ICBs. That was raised by the Select Committee. I am also clear that we need to ensure that patients’ voices are properly embedded in decision making. Members have all debated the importance of the single patient record to improve care.

It is great to be back at this Dispatch Box as a Health Minister, 24 years since I last spoke at the Dispatch Box as a Health Minister. I am surprised by how little has changed in many ways, but one thing that has not changed, but which is so immensely important to all of us, is the dedication of NHS staff and the people who work right across the country to support patients and communities. This Bill is about helping them to ensure they can do their jobs in the most effective way. I commend this Bill to the House.