Stuart Andrew
MP for Daventry · Conservative · United Kingdom
“The Minister will know that Onley Park is still owned by the Ministry of Justice. Although I welcome the funding, these residents have been waiting years, and frankly they are really worried—we have still not got a start date or clarity around backdated bills, and the situation is affecting house sales now.”
“My hon. Friend is making an important point about HSSIB. We have heard time and again that frontline staff value the safety that HSSIB provides to them and the confidence they have in reporting.”
“Despite what we have heard from the Minister, colleagues have been talking about the issue of developments near railway stations. That has a practical consequence for the rural village of Long Buckby in my constituency. Land that is currently in open countryside, beyond the village boundary, will now be designated as a priority area.”
“In a volatile world, I think we can all agree that energy security is important, but so too is food security. I was interested in the answer the Prime Minister gave to my hon.”
“Well, that was clearly no answer to my question, so let me give it: the Government’s own figures show that the number is higher. Additionally, in response to concerns that I have raised, the Office for Statistics Regulation confirmed that the published figures do not clearly distinguish between patients who are treated and those who are r…”
“Women’s symptoms may simply be dismissed or attributed to stress, hormones or ageing, and women have been consistently under-represented when it comes to cardiovascular research.”
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“I am grateful to the Secretary of State for advance sight of his statement and for the clarity that he has provided to the House this afternoon. Our thoughts are also with the families of the two young people who have so tragically lost their lives—I cannot imagine the pain that they must be going through at this difficult time. This will also be an extremely distressing time for parents, students, staff and the wider community across the south-east, especially as I understand that two more cases have just been announced. Yesterday, friends of mine were very anxious about their own son, who was in the vicinity over the weekend. I pay tribute to the NHS staff, public health teams, school and university leaders, and all those working at pace to respond.”
“They are now living into their late 20s, 30s and sometimes even 40s. There needs to be an appropriate environment for those people to have support, because palliative care is one of the most compassionate parts of our health system. The professionals, volunteers and charities that deliver that care do extraordinary work every day, and they deserve a system that supports them and ensures that every patient and family can access the care that they need at the end of life. I hope the Minister can tell us how the Government intend to achieve that.”
“It is also focusing more on home services, rather than services in the building, and on getting to more and more patients. It is important that we engage with and learn from it so that we can see it evolving into best practice. There is also a really important issue around transition, which is important for young adults. When I worked at Martin House, we had just opened the teenage unit, which enabled us to have a setting that was a bit more grown up but not old ladyish or old mannish, if I can put it that way; it was an environment suited to the needs of those young people. Thankfully, we now see that these young people are living longer. When I was working at Martin House, young boys with Duchenne muscular dystrophy would probably come to the end of their life at the age of 18.”
“I get the call for us not to have so much reliance on fundraising, but there is a real danger that hospices lose that independence if they take that statutory funding. The thing I always noticed was how they were more able to respond very quickly to the needs of individual families than the NHS. It is really important that we safeguard that independence. How will the Government ensure that this opportunity with the new plan seizes the chance to stop that postcode lottery? Will it see where we should firm up some of the guidance to ICBs around the country? Will Ministers look at the innovation that charities are doing in this work around palliative care? I think particularly of Sue Ryder, which is investing in add-on wards at the Airedale general hospital in Yorkshire.”
“The Government have indicated that they will publish a modern service framework for palliative and end-of-life care later this year, which I absolutely welcome and I commend the Government for that. That framework presents a really important opportunity to address the challenges facing the sector. I would like to ask the Minister a couple of questions. I will not repeat the ones that my right hon. Friend the Member for New Forest East mentioned because we all had that briefing. What steps will be taken to address the workforce shortages facing palliative services, particularly community children’s nurses and specialist consultants? What plans do the Department have to ensure that hospices have the sustainable funding required to continue delivering these vital services and protect their independence?”
“Friend the Member for New Forest East (Sir Julian Lewis) said, evidence suggests that fewer than one in five integrated care boards formally commission specialist children’s palliative care services that meet national standards. There are also serious workforce shortages. England has just over 1,000 community children’s nurses, when safe staffing estimates suggest that nearly 5,000 are required. Across the UK, there are only around 24 specialist paediatric palliative care consultants, when experts estimate between 40 and 60 are needed. For many families that means they cannot access the support they need at home, even when that is their preference.”
“Members have said, children’s palliative care also faces challenges. Children with life-limiting conditions and their families require specialist care that supports them from diagnosis through to the end of life and beyond. I remember one parent saying to me that if he got up eight times in the night to his daughter, he would consider that he had had a good night’s sleep— I cannot imagine what that must be like. I also saw siblings having a different life from those of their school friends because their brother or sister needed extra, additional care. Children’s hospices offer wonderful bereavement support to families, which is another issue that many hon. Members have mentioned. Access to that care remains inconsistent across the country. As my right hon.”
“Across the country, we are seeing reductions in services, bed closures and significant financial pressures. As many hon. Members have said, Hospice UK has warned that two in five hospices are now cutting or reducing services. I know that concerns every Member of the House. The Government will point to recent announcements about capital funding for hospices and the continuation of the children’s hospice grant, and those investments are welcome. But capital investment and capital funding cannot pay for nurses, doctors or the day-to-day delivery of care. What the sector needs is sustainable revenue funding. As a former head of fundraising, I know that capital fundraising is often the easiest, because people want to buy a new building or a piece of equipment, and paying the wages is never as, dare I say, sexy. As many hon.”
“That shows how important hospices are to so many families. Hospices are a vital part of our health system because they are relieving pressure on hospitals and providing specialist care in communities across the country. Hospices are not an optional extra in our health system—they are a core part of how our compassionate healthcare should work. Seeing adults and children get the care that they needed at the end of their lives, as I did at Hope House children’s hospice, East Lancashire adult hospice and Martin House children’s hospice, was phenomenal. It is no wonder that our hospice movement has been world-leading. However, the sector is under increasing strain. Hospice leaders report rising costs, workforce shortages and growing demand for services at the very moment that they are struggling.”
“Often those parents would say to me that when they realised that their child was living with a life-limiting condition, it meant that their dreams and aspirations changed. Suddenly they were not thinking about their child’s first day at school or university, or their wedding day; they were changing their whole aspect and plan for that child’s life. That is why hospices and palliative care services are so important, and they support more than 300,000 people every year. Much has been said about the wonderful Dame Cicely Saunders, but we should also pay tribute to Sister Frances Dominica, who set up the first children’s hospice in the UK. There was a wonderful saying in children’s hospices that I always used to relay: they cannot add days to their lives, but they can add life to their days.”
“When it works well, it relieves suffering, supports families, and allows people to spend their final days in the place and manner that they choose. Before coming to the House I had the privilege of working for 16 years in the hospice movement in both children and adult hospices, and with organisations supporting families whose loved ones were edging towards the end of their life. Many of those were supporting the families of children who had life-limiting conditions. That experience has stayed with me and informed how seriously I take this debate, because I saw first-hand the extraordinary compassion and professionalism of the people who provide such care, and the profound difference that it makes to families facing unimaginable circumstances. When it comes to children, no parent expects to outlive their child.”
“Member for Newcastle upon Tyne East and Wallsend (Mary Glindon), who said that we have gone into assisted dying but rather missed or leapfrogged the important debate around palliative care. I pay tribute to the hon. Member for Newcastle-under-Lyme (Adam Jogee) for his tribute to Dougie Mac, and to all colleagues who have made representations and congratulated hospices on the amazing work that they do around the country. We also heard moving contributions from the hon. Members for St Helens South and Whiston (Ms Rimmer), and for Worcester (Tom Collins). These debates are even more powerful when we talk about personal experiences that we have been through, and I thank them for sharing those. For me, palliative care is about dignity, compassion and choice at the most difficult moments in people’s lives.”
“May I begin by congratulating the hon. Member for York Central (Rachael Maskell) on securing this important debate, and the independent commission on palliative and end-of-life care on the amazing work that it has undertaken? Its report certainly provides an important contribution to the discussion about how we ensure that people receive compassionate and high-quality care at the end of life. This debate is important. There is a saying that nothing is certain in life other than death and taxes, but it seems that we spend an awful lot of time in this place talking about taxes, and until recently we have not really talked about death. I agree with the hon.”
“In the plan for change, the Government committed to meet the 18-week standard for routine operations, but the latest data suggests that the Government are not on track to meet that commitment by the end of the Parliament. In December, fewer people were treated within 18 weeks than in the previous month. Will the Secretary of State now accept the reality that patients are experiencing and, as the Institute for Fiscal Studies has warned, that the Government will not deliver their commitment on their key milestone to deliver the 18-week standard?”
“Another leadership ambition, I see. On 29 September, I wrote to the Secretary of State regarding the late Dr Susan Michaelis’s campaign for better research into lobular breast cancer, but sadly I still have not had a reply. She established the Lobular Moon Shot Project and the last Government committed to support its aims. However, despite meeting the Secretary of State, representatives from the project say that they still have no clarity on how the project and research will be expedited. Will the Secretary of State confirm now Government approval for the funding required for this research, which is critical for so many women in this country?”
“Hospices are also notably absent from today’s statement. Will the Government urgently convene a crisis meeting with the hospice sector and set out what immediate steps they will take to stabilise services and expedite delivery of the palliative care plan? We will support any serious, deliverable reforms that improve earlier diagnosis, speed up treatment, strengthen the workforce and improve patient experience. But we will also hold Ministers to account on turning long term ambitions into real improvements now, because we want to see patients getting the care that they need.”
“Friend the Member for Gosport (Dame Caroline Dinenage), who I know did some incredible work in this area. Having worked in children and young people’s hospices, I will never forget the journey that those children and their families go on, and I am really grateful to the Government for having a big section on that in the plan. My fourth question is about life after—and at the end of—treatment. The plan rightly talks about improving quality of life and support after treatment, including personalised support and rehabilitation; we all want people to live longer, but for many patients and their families, hospice and palliative care are essential. Yet hospices across the country are under severe pressure, with many now in crisis, exacerbated by recent Government tax rises hitting staffing and running costs.”
“We have heard big promises before, but less clarity on delivery, so my third question is this: where is the fully funded long-term workforce plan to deliver the staffing needed to expand diagnostic and treatment capacity and to make sustained improvements, including in neighbourhood health centres? Will the Government explain clearly who will staff them and how they will be funded? Blood Cancer UK has highlighted the importance of ensuring that blood cancers are properly recognised in planning and that patients receive consistent support from the point of diagnosis, including access to a named healthcare professional. That underlines why delivery and accountability across the system matter so much to patients. I also welcome the commitments in this plan to children and young people. I pay tribute to my hon.”
“My second question is this: will Ministers set out how the plan will expand radiotherapy capacity in practice, including equipment replacement and the workforce, so that patients can benefit in reality, rather than the plan just being something written on paper? Are we learning the lessons from the Danish example? They invested in radiotherapy and saw significant improvements over a period of years. That point brings me on to the workforce. The success of this plan depends on cancer nurses, radiographers, pathologists and oncologists who are already under immense pressure.”
“My first question is simple: when will the Government publish clear, funded milestones showing how and when patients will see improvements in the next year or two? We welcome investment in diagnostics, technology and innovation. It is also right to recognise that this plan builds on the significant expansion of diagnostic capacity delivered by the last Conservative Government, including the roll-out of more than 160 community diagnostic centres. Earlier diagnosis on this scale is only possible because of that foundation, but technology is only meaningful if it translates into real capacity and quicker treatment for patients. That is why radiotherapy matters. Radiotherapy UK is right that it is a core part of modern cancer care, but it relies on up-to-date equipment and a skilled workforce.”
“The national cancer plan sets out major commitments, including on early diagnosis, improving performance against cancer waiting time standards, the faster set-up of clinical trials, and the national roll-out of targeted lung screening. It also talks about modernising services through technology and innovation. Cancer Research UK has said there is “much to welcome” in the plan, but it is right for it to say that delivery, funding and accountability will determine whether patients see change. Too often, plans sound impressive on paper but fall short when it comes to clear published delivery milestones and accountability. In many respects, this plan mirrors the ambitions of the 10-year NHS plan: it is strong on aspiration, but light on the detail of how change will actually be delivered on the ground.”
“I thank the Minister for advance sight of her statement. May I say right at the outset that we share the ambition to improve cancer survival and outcomes? Almost every family in Britain has been touched by cancer, and patients deserve timely diagnosis, treatment and proper support. I also recognise the Minister’s personal experience and the commitment that she has clearly brought to this agenda. We on the Opposition Benches wish her every success for the future. I also join her in thanking all those who have taken part in the shaping of this plan. It makes a big difference when we hear the voices of patients and families who have been through these experiences.”
“If industrial action is paused, will the Government still honour their commitment to prioritise UK medical graduates? Many doctors took industrial action because they felt that their career progression was blocked. This Bill could play a part in rebuilding that trust, but that will only happen if Ministers deliver, publish the detail and follow through. They must be straight with the House. If this Bill is urgent, it should commence on Royal Assent. If implementation takes time, the Government should publish a timetable and the steps required to deliver it. To do anything else, frankly, would be discourteous to Parliament.”
“It is not right for doctors, including those not involved in industrial action, to be treated as bargaining chips, and it is not right for Parliament to be treated in this way to give him the tools that he needs because he did the first set of negotiations so badly. Will the Government support amendment 1, so that the Bill takes effect on Royal Assent? Will they commit to enacting the Bill as quickly as possible? When does the Secretary of State intend to commence the Bill? If the Minister for Secondary Care cannot give the House a date today, what makes the Bill so urgent that it needs to be pushed through Parliament in a single day? Will the Government proceed with this legislation, even if no agreement is reached with the BMA?”
“Backing doctors means giving them a route to progress and ensuring that the system is properly planned and properly resourced. I repeat that, in principle, we support the Bill. We want doctors trained in Britain to build their careers in the national health service. That brings me to enactment. As we have heard, the Government propose that the Bill should take effect when the Secretary of State decides, rather than on the date of Royal Assent. When he said that he wanted to introduce this Bill, and that it would be urgent, I said that we encourage that and support it. However, if this Bill is truly urgent, and if Ministers want it to affect this recruitment round, why would they not commence it immediately? The Secretary of State should not be playing politics with people’s jobs.”
“Workforce planning depends on more than allocating training posts; it requires enough trainers and clinical supervisors, viable rotas that support learning and facilities that make training possible. The revised NHS workforce plan must set out how those needs will be met, and how the extra training places will be staffed and supported. With NHS England set to be abolished in April 2027, we need to hear from the Government who will lead workforce planning and accountability thereafter. Our approach is straightforward. We will support measures that are fair and practical, that strengthen patient care and that respect staff. We will press the Government where we feel that proposals are rushed, underfunded or left vague.”
“Another issue that cannot be ignored is the impact on medical schools, especially those that rely on international students. New clause 3 would require an annual report to Parliament on the number of international students at UK medical schools and the financial consequences flowing from the Bill’s provisions. International students pay higher fees and help sustain our universities. If those numbers fall, what funding model would replace them? When she sums up, will the Minister for Secondary Care outline what assessment has been made of the impact on medical school finances? How many international places do the Government expect to fund in future, and on what basis? The Bill cannot stand in isolation.”
“I hope the Secretary of State will consider accepting that amendment to give reassurance to our armed forces, which I know is something he cares about. These are practical changes that would improve fairness and operability, and we hope the Government will adopt them. We also support new clause 2, tabled by my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer), which would make clear that once priority groups are established, training places should be allocated on merit. That allocation should be based on academic achievement and clinical performance, rather than a lottery or a computer-generated ranking divorced from real performance. Again, I hope the Government will seriously consider the new clause. When the Minister for Secondary Care sums up, will she put on record that merit will remain central to selection?”
“Prioritisation must apply not only at the final offer stage, but at interview, which is where selection decisions are often made. The amendment addresses many of the points that Labour Members have been raising, so I encourage them to support amendment 9 when we divide on it. We are also concerned about doctors serving overseas with the armed forces. I was pleased to hear the Secretary of State talk about them, since they certainly should not be penalised because part of their training takes place abroad on service. As such, amendment 10 would expand the definition of a UK medical graduate to include those undertaking placements as part of an armed forces posting outside of the British Isles.”
“The real impact of this Bill will be determined by the rules that sit beneath it—who qualifies, how experience is assessed, and how decisions can be challenged. We welcome the focus on foundation training; prioritising UK and Irish graduates for foundation training is sensible, as it strengthens the pipeline and improves workforce planning. However, it will only work if there are enough placements and the system is transparent. That is why amendment 8 would clarify that a UK foundation programme must mean a programme in which the majority of training takes place in the United Kingdom. That is a necessary safeguard against loopholes. Amendment 9 would ensure that from 2027, British citizens on UK foundation programmes are prioritised in a meaningful way.”
“Much of what is in the Bill has been promised by the Government since their election in plans, reviews and ministerial statements, and the fact that it is only being brought forward now suggests that this is catching up, not leading. The first test is delivery. We cannot solve a shortage by changing the queue. Unless the Government deliver the 4,000 new specialist training places that they have promised, including the 1,000 places that are needed early, the Bill will not fix the bottlenecks; it will simply shift frustration from one group of doctors to another. That is why we are proposing constructive amendments to the Bill that we believe are workable and fair. The next test is clarity.”
“No, I am most definitely not defecting. In the spirit of being constructive, I will start by saying that the Opposition support the principle behind the Bill. Doctors trained in Britain and funded by the taxpayer should have a fair, clear and consistent route to progress in our NHS. Britain trains some of the best doctors in the world, yet too many are leaving—not because they want to, but because they cannot access the training places they need. That wastes talent, damages morale, and ultimately affects patient care. However, support in principle is not a blank cheque; the Bill must work in practice, not just look good in a headline. We should also be honest about why we are here.”
“When he came to Parliament just a few weeks ago, he said that we needed to get on with this urgently, and that he would encourage business managers to provide the time. Well, if that is the case, let us get on with the job.”
“I absolutely agree with my right hon. Friend. I said right at the outset that we would be constructive, but we have heard from many who are anxious about their future and do not know what will happen. The sooner that we can give them that certainty, the better. That was the premise on which we offered to support the Bill. I am grateful to him for making that point. I am conscious that others want to speak, so I will end by saying this. Prioritisation without capacity will not fix the workforce crisis. Promises without delivery and headlines without planning will not retain the doctors whom our NHS needs. The Government must fund the extra places, set out the operational detail, and begin this reform without delay, because that was the premise that the Secretary of State identified.”
“With one in five hospice beds no longer available because of increased costs such as national insurance contributions, it is hardly surprising that doctors are raising concerns about the increase in the number of end-of-life patients in our hospitals. It is therefore concerning to hear that the palliative care modern service framework will not now be available until the autumn. Given that the situation is increasingly urgent, will the Secretary of State commit to accelerating that timescale?”
“Capital funding is welcome, but we cannot pay doctors and nurses with bricks and mortar. Hospice UK has said that without additional support, there will be “more unnecessary hospital admissions, more unneeded A&E attendances and more patients not getting the care” they need, so I push the Secretary of State again to accelerate the timescale. Their lordships are considering the assisted dying Bill and they need to see the palliative care MSF before making such an important decision. We must also make sure that we relieve hospices of this Government’s NIC hikes.”
“What action will he take to ensure RSV vaccine access for older people, and what will he do to raise flu vaccine uptake in vulnerable groups, particularly in NHS staff? Families are frightened, and some are already grieving. This crisis was not inevitable, but the Government’s failure to prepare has made it much worse.”
“Still there is no winter discharge plan, no new funding and no clarity—and today, yes, resident doctors confirmed further strike action this week, which will add pressure to a system already under significant strain. That is why we would ban strike action, but at the same time this Government are literally making it easier for unions through their Employment Rights Bill. When the NHS is under this level of pressure, families deserve the reassurance that care will be there when they need it, so I ask the Secretary of State: will he now publish the Government’s plan for managing winter pressures, including on delayed discharges and emergency care? Given that he is worried about a double whammy of rising flu cases and a strike, what extra resources is he providing, and if he is not, where is the money coming from?”
“This winter, a serious flu wave and rising respiratory syncytial virus infections are pushing the NHS to its limits. Flu admissions, as we have heard, are up 55% in a week, and RSV cases are rising, especially in older people. However, the Government have failed to prepare, as we pointed out earlier in the year. In July, the Health Secretary accepted Joint Committee on Vaccination and Immunisation advice to expand the RSV vaccine to over-80s, but that expansion seems to have been quietly dropped. Flu vaccine uptake remains dangerously low, with fewer than 30% of some key groups vaccinated. Most worryingly, that includes NHS staff, who are going off sick because of flu, adding to staffing pressures. Delayed discharges are worsening: 19,000 more bed days have been lost this year.”
“Will he have to disapply the Act? These strikes must end. The BMA is behaving appallingly, but if the Secretary of State does not deal with those issues around thresholds and minimum service levels, it will only get much worse, with unions like the BMA causing more issues. It is patients—our constituents—and their families and loved ones who will suffer.”
“As the Secretary of State has said himself, the NHS is under pressure from combined flu and RSV, so what is he doing to ensure that those who are eligible for the vaccines actually have them? What additional resources has he made available to manage the strikes if they happen, and for winter pressures if they do not? Does the Secretary of State recognise that if the BMA membership reject this offer and carry on with the strikes, his Government’s own Employment Rights Bill will make things much worse next year? Will he think again about the reductions in the minimum thresholds for strikes and reintroduce the minimum service levels? Does he expect that this new legislation and the announcements he has made today will have any implications for the Equality Act 2010? If so, what are they, and how will he address them?”
“GPs are trained in general practice and in hospitals, and there is community training for some specialists, such as paediatrics. When will these places be available for applications? Will he also look at replicating the Australian model of placing any international doctors in areas of the country with the greatest need? We know we need to address those issues. All of this is dependent on the BMA accepting the offer, but what if it does not? After all, its track record speaks for itself. We warned that giving pay awards with no conditions would encourage the BMA to come back for more, and it has. If its members rejects this offer, what are his plans to manage and deal with the situation?”
“Why is it only now that he is addressing it, so close to a damaging strike? He could have dealt with this issue back in the previous talks with the unions, but he did not. I have said, though, that I want us to be constructive in opposition, so I welcome the work that he has done to offer more places to UK doctors. Depending on the detail of the legislation, we will help to secure that aim. I make this offer to work with him to ensure that we get there. On the 4,000 places that the Secretary of State has announced, and the 1,000 specifically announced for this year, can he tell the House in which specialisms those places will be? Can he break it down into GPs, surgery, obstetrics, anaesthetics and so on? Is he confident that there are enough trainers and that there is enough capacity in the training settings he has chosen?”
“I thank the Secretary of State for advance sight of his statement, and sincerely thank him for making me aware last night of his intention to come to the House today and make a statement. Given that the next set of planned industrial action is due just a few days before Christmas, and at a worrying time when winter pressures are increasing early, with more flu patients needing hospital beds, we all want to see an end to these strikes. We on the Opposition Benches offer our thanks and gratitude to all those in the workforce who have worked so hard to try to minimise the impact of the strikes so far. In his statement, the Secretary of State talks about the competition for places. This is not new information. He said himself that the figures have soared in the last two years.”
“The Office for Budget Responsibility specifically raised two risks to health spending. The first was the doctors’ strikes, which the Health Secretary has failed to resolve, despite making that sound very easy to do when he was in opposition. I will give him credit, because he did briefly end them, for a few short months, but only by caving in to the demands of the British Medical Association, in return for no productivity or modernisation reforms. We warned him that giving in to the trade unions would only see them come back for more—and indeed, here we are, with patients and taxpayers paying the price, and no end in sight. The OBR confirmed that strikes have already cost £500 million, and warned about further strikes. Now it has been confirmed, just before Christmas—the worst time of year for it—that the doctors are out again.”
“However, has Labour truly learned the lessons of all the private financial initiative deals that it botched back in the 2000s, which NHS trusts are still paying for decades later? Will the Government simply move resources around or will there be genuinely innovative new ways or working, joining up services and improving the patient care experience? I hope that it is the latter, because shuffling the deck chairs into new buildings will not deliver the benefits that patients deserve. Despite those few bright spots, it simply is not right for the Prime Minister, the Chancellor and others to justify this latest tax grab by saying that it is to protect the NHS. As the NHS Confederation noted, this year’s Budget did not have a health focus. That means that we are left with a lot of unanswered questions.”
“We welcome the fact that the Budget finally provided some clarity, but shifting money between years means significant risk. The NHS is already behind on its efficiency targets. If this reorganisation falls short of its goals—no small risk given the Government’s performance—there is an even more significant shortfall to make up in future years, which will hit patient care. There are other elements of the Budget that we welcome for the health service. Focusing on improving productivity is the right thing to do, but whether the extra investment will make any difference in the grand scheme of things remains to be seen. Neighbourhood health centres can be cautiously welcomed. They build on the great success of the Conservatives’ efforts to bring care closer to where people live through the community diagnostics centre programme.”
“Friend the Member for North East Cambridgeshire (Steve Barclay), reduced in a single year the number of civil servants in the Department for Health and Social Care by around one in six. Let us be clear: this is yet another announcement made by the Government without any plan for delivery. For months, not one Minister has been able to answer any of our questions about how much NHS restructuring will cost or who will be expected to cover redundancy packages. For months, integrated care boards have been warning that frontline patient services were at risk because they simply do not have the money to do what is asked of them. For months, staff were left in limbo, not knowing whether their job would still exist or for how much longer.”
“The truth is that the Labour Government do not have a plan for the NHS; they have fallen into the classic Labour trap of thinking that issuing a press release about cutting waiting lists will magically make it so, just because they are in charge. I am afraid that is not how government works. What has the Secretary of State been focused on? A top-down reorganisation of the NHS—which not only did he not tell anyone about before the election but he explicitly said he would not do. As Conservatives, we support the principle of cutting duplication, reducing bureaucracy and saving on administration costs. The House will remember that a recent Conservative Health Secretary, my right hon.”
“We warned at the time that that money would be swallowed up, in large part by decisions of the Government’s own making. The then chief financial officer of NHS England said that it would go almost entirely on pay awards, national insurance contributions and drug price increases. What does Labour actually have to show for that? Elective care waiting lists have fallen by less than 2% since October last year. Meanwhile, waiting lists for community health services and diagnostic scans are rising. Waits to start cancer treatment are increasing. Trauma and orthopaedic waits are up; ophthalmology—up; neurosurgery—up; gynaecology—up. Winter pressures are growing, and long waits in A&E have hit record highs.”