Victoria Atkins
MP for Louth and Horncastle · Conservative · United Kingdom
“Oh dear. This may be the last time the Secretary of State gets to give such an inadequate answer to what is a reasonable question about her grip on her Department. But let us look at Labour’s wider chaos.”
“In recent weeks, DEFRA’s quangos have made headlines: the Environment Agency is failing to prosecute waste criminals, instead going after virtuous volunteers who are cleaning up the rivers for it; Natural England is demanding more madcap fish schemes at Hinkley Point C, on top of its recommended £700 million fish disco policy, all of whic…”
“There are many questions still left unanswered in this report, and I hope that the Secretary of State will try to answer them rather than deflect, because that has been noticed. The plan looks to double the funding for Environment Agency inspections. Why are this Government focusing on bureaucracy rather than helping farmers survive?”
“In another leap from reality, the Government’s negotiations with the EU get barely a mention in this document, despite the enormous consequences they will have for farming businesses. CropLife UK has estimated that this EU reset could drain £810 million from UK farms and sacrifice almost 9,000 jobs from our rural constituencies.”
“We Conservatives view DEFRA as a vital economic Department, so we agree with its efforts to recalculate farming and food producers’ contributions to the economy. By the way, I note that Reform calls itself the farmer’s friend, yet there is not a single Reform MP in the Chamber.”
“As Labour MPs and Ministers in the Department for Environment, Food and Rural Affairs voted repeatedly for the family farm and family business taxes, DEFRA Ministers shut down farming payments without notice, including the SFI. Sadly, the record of this Government is rising food prices and a record number of farms closing.”
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“I thank the right hon. Gentleman for holding this important debate, and for welcoming me to my new role. From the arable fields outside my front door to the cattle and horticulture that stretch from the fens, the wolds and the marshes to the coast, my constituency feeds the country. I am delighted and determined to bring some of my county’s common sense and love of the countryside to this important portfolio. On Armistice Day, I pay tribute to the fallen, and particularly to the farmers who stayed behind to feed the nation in wars gone by. This is a critical time for our rural way of life. After years of unforgiving weather, rising commodity prices and more crop and livestock diseases, our farmers now face a new threat: a city-dwelling, socialist Government who do not understand or care for the rural way of life.”
“You couldn’t make it up, could you? This is what is so worrying. This is why, at the beginning, I talked about a Labour Government who do not understand and do not care, and it is exactly this attitude from the Government Front Bench that farmers and their families are seeing. In answer to the hon. Member for Boston and Skegness (Richard Tice), I say as a former Treasury Minister that if there is evidence of abuse, of course the Treasury and the Chancellor must go after that, but given the way the Government have designed this policy, it is going to go after the hard-working families that look after our farms in our great county.”
“My right hon. Friend makes an important point about our experience as Treasury Ministers. Labour Back Benchers are shouting “Give way!” because they do not like hearing the truth. They made this choice; we chose not to go down this route. There are many ways in which we can support our family farmers, and I have had the pleasure of having a cup of tea with many of them around their kitchen table after they have shown me their farm. Labour Front Benchers lack such experience, because their constituencies are all situated in the city.”
“When we warned in June that a Labour Government would do this, the Secretary of State said that such warnings were “desperate nonsense” and accused us of lying. This followed the assurances he gave in December that Labour would not change this policy. So that is a broken promise. He is doing the exact opposite of what he said. How can rural communities trust him in the future? The Secretary of State has given some helpful advice to farmers, however. He has told them that they will have to “learn to do more with less”. Labour has not said the same to train drivers, resident doctors or their other union friends. Indeed, pensioners and family businesses will be the ones paying for these public sector pay rises.”
“I promise that I will give way in a moment. As the hon. Member for Boston and Skegness and my right hon. Friend the Member for Salisbury (John Glen) have both said, the sense of betrayal is palpable. As a fifth-generation farmer put it to me this morning, “Would you want to work somewhere that you knew over your lifetime was going to be taken away bit by bit?” Another has urged us to “fight this vindictive, illogical and ideologically driven tax”. Just before I began my speech, in response to the Secretary of State’s speech, I received this message from another farmer: “So long as mum dies before March 2026, we’re okay”. Yet the farming Minister and the Secretary of State seem to think that these worries are exaggerated. Indeed, the farming Minister got a ripe old reaction when he said words to that effect at today’s poultry conference.”
“I completely agree with right hon. Lady. If the Secretary of State would like to intervene on me, he can answer her intervention. Answer came there none.”
“Thirdly, the Chancellor—and, indeed, just now, the Secretary of State—gave assurances that only a quarter of farms will be affected, but that is not backed up by the data from the Secretary of State’s own Department. DEFRA figures show that, in fact, these changes will affect two thirds of farms—some 66%. Will the Minister explain that discrepancy and what he has done personally to confirm those figures, so that he ensures he gives only accurate information to the House?”
“First, the Chancellor herself does not seem to know the threshold at which her policy kicks in and whether spouses can transfer their allowances. Indeed, the Secretary of State does not seem to know that either. The Chancellor has said that the allowances can be transferred, yet Treasury documents supporting her Budget say that they cannot. In his winding-up speech, will the Minister clarify whether the Treasury’s documents are wrong or the Chancellor is wrong? Secondly, will the Minister explain why this Government have targeted only British-owned farms and businesses with this tax hike? Companies operating here but owned overseas, private equity-owned businesses and public companies listed on stock markets will not have to pay Labour’s tax; it is just British families.”
“Very much so, and I thank my hon. Friends the Members for Wyre Forest (Mark Garnier) and for North Dorset (Simon Hoare) for their accurate and insightful interventions. Not only do some farmers have mortgages, but we know tenant farmers worry that their farms will be sold off, so that the landowners can enter into what some call a “greenwashing” agreement with corporates, in order to plant trees and gain access to green funds. One should not make the mistake of assuming that this ill-thought-through policy will lead to cheaper land prices: the maths on that is almost as bad as the Chancellor’s cockeyed accounting with her economic inheritance. Let me tackle the ideology of this policy, reiterated by the Secretary of State during this debate, which is matched by Labour’s incompetence.”
“It most certainly is a concern, and I thank my hon. Friend for raising that. He represents a very rural constituency and knows only too well the concerns his constituents are facing. It is a good point, which I will develop later in my speech.”
“Of course, the Government’s permissions for solar and wind industrial units on prime agricultural land will only add to those pressures as well.”
“A tenant farmer has told me that he does not know how he is going to pay his rent next year, because the drop is worth more than £20,000. Can the Minister explain how this farmer should do more with less? The third broken promise is the hike in national insurance for employers, of course. As the OBR has said, an increase in employer NICS will be passed “entirely” on to working people. I know that Labour does not actually know who it means by “working people” but the Conservatives are clear that it definitely includes farmers, their staff and the small businesses that support them, day in, day out.”
“I will make some progress. The immediate impact of the changes, as my right hon. Friend the Member for New Forest West (Sir Desmond Swayne) said in his intervention on the Secretary of State, is that farmers are already stopping capital investments in machinery, systems and buildings for fear that any improvements to their farms will send them over the cliff edge into this tax trap. So for a Government that claim to want to grow the economy, their choices are achieving the exact opposite. This family farm tax is a broken promise that will break family farms. I move now to the second broken promise: the accelerated reduction in delinked payments. From next year, those vital payments will be substantially less than farms were promised. They cannot have foreseen that when they made their business plans.”
“Sadly, Labour’s jobs tax will see higher prices, fewer staff and more pub closures. The jobs tax is also hurting our frontline services. GP surgeries, care homes, hospices, pharmacies and dental practices will all see their costs rise, and some will close. That hurts in a city centre, but it is devastating in communities who live with the impacts of rural sparsity, where it is more expensive to deliver services.”
“The hon. Lady is new to her place. As Financial Secretary to the Treasury I used to collect taxes for the United Kingdom and as the Secretary of State for Health and Social Care I used to spend pretty much all of them, so I know that the £500 million that the Government have score-carded this increase as achieving by the end of the score-card period will buy a fraction of what the NHS needs on a daily basis, let alone annually. If you believe the Whips’ handouts, the difficulty is that they sometimes get you into trouble. For that matter, the phrase “working people” also includes our rural publicans. Labour Members are very proud of their Chancellor taking a penny off a pint. Yet any rural publican will tell you that will not even touch the sides alongside the NICs tax hike.”
“We will not forget that this Government are happy to plough straight over anyone who is not a trade unionist. We will not forget the huge bills put by this Chancellor on to working people, pensioners, farmers, pub landlords, business owners, and students. I repeat the pledge by the Leader of the Opposition—the Conservatives will reverse the cruel family farm tax. To all farmers, farming families and rural communities out there, I say that we Conservatives stand with you, we have your back and we will work night and day to hold this useless Labour Government to account.”
“But we also understood that farmers and rural communities need dynamic support, and that is why we committed to raising the farming budget by £1 billion over this Parliament—a move this Labour Government have failed to replicate. Their freeze in the farming budget with no guarantee of a forthcoming increase means they have chosen to offer farmers and rural communities a real-terms cut. That all adds up to a direct risk to food security, because if our farmers do not thrive, domestic food production suffers, and that means more imports and higher prices. This is the “don’t bother” Budget from the “don’t care” Government. This is the Labour Government’s choice and they should own it. They have turned their backs on rural communities and we will not forget.”
“This Government love raising taxes, so they are also raising taxes on fertiliser, on double-cab pickups and on business asset disposal relief, while risking food security by permitting solar and wind industrial plants to be built on prime agricultural land. The great shame is that none of this is necessary. This Chancellor’s cockeyed accounting is not believed by farmers, the public or even the OBR. In government, we provided the largest ever programme of grants to farmers and brought the farming budget to its highest ever level. We provided more than £5 billion for flood protection, and established a new national rural crime unit.”
“I know the hon. Gentleman’s part of the world very well and I am sure—I can sense that he will be a conscientious local MP, mindful of his small majority—that he will badger the Health Secretary and ask him why he has not delivered the Conservatives’ dental recovery plan, which this autumn would have seen dental vans in rural and coastal areas, because as the Secretary of State I wanted to ensure that those areas had dentistry services, and golden hellos for new dentists setting up in rural and coastal areas. We were also introducing additional dental training places. We can all see the need in our rural areas, but the jobs tax and the family farm tax are not the answer.”
“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?”
“After 14 years of opposition—two and a half of which the Secretary of State spent on the Front Bench and travelling around the world, funded by other Governments, to look at their healthcare systems—and more than 100 days in government, the right hon. Gentleman does not even know the start date of his own flagship policy. He is no Action Man; he is Anchorman. Let us deal with Labour’s cruel decision to slash winter fuel payments, which will add pressure not only to patients, but to the NHS. The NHS’s deputy chief operating officer—”
“After Labour’s cruel decision to slash winter fuel payments, which will add pressure to the NHS, its deputy chief operating officer warned that this winter our health service will not have the extra capacity or funding that it needs, which the Conservatives had previously provided. Why has the Secretary of State—”
“I will happily intervene. That is simply incorrect. There are a couple of points that the Secretary of State has made that are completely wrong, which I will have to correct in my speech. He is no longer in opposition. He needs to be careful what he says on the record. That is not right.”
“That report, from a former Labour Health Minister, has sunk as quickly as it was briefed out. It looks backwards, but not far enough to mark the last Labour Government’s policy and operational failures. If this Government are serious about reforming the NHS—and I genuinely hope they are—they and the Secretary of State need to transition quickly from opposing to governing.”
“We in the Conservative party stand ready to help on that royal commission, because we believe in constructive opposition, yet we have heard nothing from this Government. The right hon. Gentleman could have launched the much-hyped 10-year plan, which he promised before the election was “oven-ready”, but appears to be in the deep freeze. How many more Government resets will there be before that 10-year plan is launched? Instead, in their first 95 days, this Labour Government have talked down the economy and the NHS, stopped new hospitals from being built, scrapped NHS productivity improvements, overseen GPs entering industrial action, been exposed in a health cronyism scandal, and opened a dispute with hundreds of thousands of nurses and midwives. They seek to justify all of that with the Darzi report.”
“That Bill is ready to go; why are the Government not? The right hon. Gentleman could have provided an update to the House on the 40,000 more appointments that he promised many times during the campaign, which the latest answer from his Minister to a written parliamentary question suggests is nowhere near happening. It is perhaps about as likely as the Prime Minister paying for his own glasses. The right hon. Gentleman could have set out the steps that his Department is taking to prepare the NHS for winter. In the spring, I asked the system to start planning for this winter. How many beds, ambulances and care packages has he put into the system to prepare it for winter? He could have set out the terms of the royal commission on social care.”
“On this, the first anniversary of Hamas’s horrific attack on Israel, our thoughts are with Israel, the victims of that horrific attack and their loved ones, and with all those who are trying to rescue the hostages, get aid where it is needed and bring peace to the region. Day 95 of this fumbling Labour Government, and yet another general debate to talk about a report that we talked about three weeks ago. That seems to be the golden—or Gray—thread running through this Government: lots of talk, but where is the action? If the Secretary of State for Health and Social Care wanted to make a meaningful contribution to the nation’s health, why did he not bring forward the Second Reading of the Tobacco And Vapes Bill this evening, to help our children and bring about the first smokefree generation?”
“Its dedicated staff look after 1.6 million people per day, a 25% increase from the days of the last Labour Government. That is why I am always a little concerned whenever the right hon. Gentleman harks back so far; I do not think he has quite understood the change in capacity and scale of the national health service since we inherited it from the last Labour Government. The majority of those 1.6 million people will receive good care. [ Interruption. ] These are just facts, but I know the Health Secretary finds them difficult to receive.”
“I will finish this point. That transition must begin with the language that the Secretary of State is choosing to use about the NHS. Interestingly, we have heard a little bit of nuance for the first time tonight, perhaps because health leaders are raising concerns that his “broken” narrative is damaging public confidence and will lead to people not coming forward for care, as was reported on the day that the right hon. Gentleman gave his speech to conference. That narrative is hurting the morale of staff who are working tirelessly for their patients. As the confected doom and gloom of the new Chancellor damages business confidence, so too does the Health Secretary’s relentlessly negative language risk consequences in real life. Let me say what the Health Secretary refuses to acknowledge: the NHS is here for us and is ready to help.”
“In one moment. Of course, it is important that we focus relentlessly on those patients who do not receive good care, but that will not be achieved by writing off the 1.5 million people who work in the NHS. In fact, the NHS has more doctors, nurses and investment than at any point in its history. It is delivering millions more outpatient appointments and diagnostic tests and procedures for patients than in 2010, and NHS mental health services are supporting 3.6 million people a year, a 10% increase in one year alone.”
“Gentleman been serious about the Darzi report, he would have done exactly as his colleague around the Cabinet table has done and conducted a cross-party review of the NHS to ensure that we can make real progress. It is interesting that the Health Secretary does not appear to agree with the approach that his Cabinet colleague has taken.”
“I thank my hon. Friend, who brings his clinical experience and expertise to this debate. I say frankly to the Secretary of State that I wish he had taken the approach of the Defence Secretary, who has set up a cross-party commission on defence spending. Indeed, he has invited my former colleagues to sit on that review, because he understands that we bring an enormous amount of knowledge, experience, and—dare I say it?—some hard knocks from working in those massively complex Departments. The right hon. Gentleman knows me. We have done good-humoured battle over the Dispatch Boxes for a long time now, and had he come to me and asked me to help him, I genuinely would have. [ Interruption. ] The public are hearing this. They want politicians to cut all the flim-flam and the bluster and work together, and had the right hon.”
“I will listen to the hon. Gentleman. [ Interruption. ] I am very generous with interventions, and I know that he brings expertise and experience to the House as well.”
“Just to help him, those were backed by the largest central cash investment in MRI and CT scanning capacity in the history of the NHS. Those, as well as the new surgical hubs that we introduced, are not only putting healthcare into the community but, critically, helping to improve the numbers of chest checks and scans going through the system, which means speedier diagnosis.”
“The NHS is genuinely one of the reasons why I came into politics, and one of the most damaging things about political discourse and the healthcare system in this country is when people seek to attribute to others a lack of care or commitment to our healthcare system, just because we have different ways of tackling these challenges and different solutions. This is why—I will say this again, because I am not sure that the right hon. Gentleman is listening—I will work constructively with him to improve the health service, but we have to do this on the facts. Some of the suggestions he made in the debate today and in his discourse during the general election campaign and so on are not accurate, and this is where I will pull him up. For example, he has not mentioned the introduction of Pharmacy First or the 160 community diagnostic centres.”
“I will help the hon. Gentleman, because I appreciate that he is new to this place. If he had been listening carefully to me, he would have heard that I am and have always been—in fairness, I hope the Health Secretary would acknowledge this as well—very open about the fact that the NHS needs reform. In fact, I said as Secretary of State that I wanted to reform our NHS to make it faster, simpler and fairer. By the way, I speak with personal experience. I know there are some Members on the Back Benches who are new to this place and perhaps have not quite moved on from the natural competitiveness of a general election campaign, but I was diagnosed with type 1 diabetes at the age of three. I have seen the very best of the NHS, but I have also seen some of its darkest corners.”
“Gentleman’s fondness for parties and concerts that has made the news recently, rather than his health policies. This Government need to sober up and start taking responsibility for their choices.”
“As I have said repeatedly, we will scrutinise constructively and support any meaningful efforts to reform the NHS to improve outcomes and experiences for patients, because we all want the NHS to thrive. However, after nearly 100 days, there has not been anything yet for us to scrutinise or indeed support from this Government. [ Interruption. ] The Secretary of State says he has just given me a list. Interestingly, I am pretty sure that three out of those four were started under my Government. [ Interruption. ] I am pretty sure that I was the Secretary of State who ordered the review of the Care Quality Commission, precisely because I was so concerned. He will be able to build on that report, and quite rightly so, but he should please be careful of his facts. Disappointingly, it is the right hon.”
“The next point is that our women’s health strategy—it does not have the attention from his ministerial team that it should have at the moment, and I hope that will improve over the coming months—is seeing the roll-out of women’s health hubs across England into every integrated care board area by the end of this year, ensuring that women’s health issues receive the attention they deserve. Of course, there are parts of the NHS that need to change and do much better. The NHS needs to reform for the future of healthcare, and our focus must be on improving outcomes for patients, not protecting structures, bureaucracy and vested interests in the NHS.”
“As the right hon. Gentleman knows, because I imagine he will have got exactly the same briefing I used to get when I was in his shoes and being advised by exactly the same civil servants—and I am having to let this flow back into my memory here—the average person in England is within walking distance of their pharmacy. He will know that in many high streets in our market towns, as well as in London and other urban areas, there is a density of pharmacies. We want to support those pharmacies to ensure they are able to provide the services that they can provide, and in fairness, to enable pharmacists to work at the top of their licences. He supported Pharmacy First when I introduced it, so I am a little surprised that he appears to be casting doubt on it, but I am grateful for his intervention.”
“We know, for example, that the impact of social media sites, and the algorithms that sit behind them, can lead people who are already feeling very vulnerable into even darker places. So when the Secretary of State says that there should be a cross-Government piece of work, I very much agree with him—I hope he will achieve that through his mission board. But we really have to look at how we as a society can deal with some of these causes, because I do not think anyone is happy with seeing such a huge increase in anxiety and mental ill health among our young people since the pandemic.”
“First, I am very sorry to hear that. Again, the way we were trying to deal with the enormous increase we have seen in mental ill health across our country was first of all to boost mental health services for children and young people. Indeed, the hon. Member may not be aware of this, but we rolled out mental health support teams across nearly 45% of schools. We wanted to complete that to 100% of schools by the end of the decade, and I very much hope that the Secretary of State will be taking up that policy and delivering it. The hon. Member for Bournemouth East (Tom Hayes) might know that there seems to have been a real increase in eating disorders since the pandemic.”
“I hope the hon. Gentleman knows by now that when he makes a suggestion, I will take it away. He will appreciate that, as part of a constructive Opposition, I want to look carefully at the ramifications—both the intended and unintended consequences—of policies suggested in the Chamber, but that sounds very interesting. I thank him for his contribution, as always.”
“Gentleman has talked a good game on productivity, we are still waiting for him to confirm his commitment to deliver the plan that was drawn up with NHS England to help improve productivity. I asked him three weeks ago whether he was cancelling this plan, and he failed to answer. I am very happy to give way now if he wants to commit to it. The whole NHS would like to know.”
“I am going to make some progress. One of the choices facing the Health Secretary is whether he will fight for the investment required from the Treasury to implement the productivity plan. At spring Budget, the Conservatives announced more than £3.4 billion of investment to upgrade IT systems, expand services on the NHS app and make better use of artificial intelligence, in order to reduce bureaucracy for staff and free up clinical time for doctors and nurses. Alongside the long-term workforce plan—the first ever in the history of the NHS—this plan will see productivity grow by 2% a year by the end of the decade and unlock £35 billion of savings, yet the productivity plan is not mentioned anywhere in this 163-page report. This plan was made in partnership with NHS England and funded by the Conservative Government. While the right hon.”
“Gentleman confirm that this Government stand by this plan and will fund it as the Conservatives would do? [ Interruption. ] He says that he talked about it, but he did not give an answer, because his job is to ask the Chancellor for this funding—has he done so?”
“Gentleman must make—we perhaps have a precursor of what he is going to say—concerns the workforce. We know that NHS staff are at the heart of our healthcare services, and that training, retaining and developing our workforce is critical to the future of the NHS. The Conservative Government created the first ever long-term workforce plan for the NHS—again, a plan that was asked for and welcomed by the whole NHS, and developed hand in hand with NHS England to train the doctors, nurses, midwives and other healthcare staff that we need now and in the future. The plan was described by NHS England’s chief executive as “one of the most seminal moments in our 75-year history.” Crikey, even the right hon. Gentleman supported it. Yet this supposedly independent investigation failed to mention the plan once. Will the right hon.”
“These will be at the forefront of the reforms needed in health services across the world, let alone the NHS, yet the Darzi report mentioned NICE only once in 163 pages. Even worse, I am hearing from the life sciences sector that he and his team are refusing to meet these businesses, putting at risk the hundreds of millions of pounds of investment that the Conservative Government secured, as well as the highly skilled jobs they provide and the life-enhancing treatments they promise our constituents. It is his responsibility to persuade the Chancellor to continue supporting and investing in this innovation for the future, because patients will not thank Labour if it refuses to engage in the medical revolution with these businesses. Another choice that the right hon.”
“As the right hon. Gentleman knows, calculations were made in the Treasury for this economic inheritance, but the Treasury cannot even explain how it has arrived at those calculations. If I were him, I would be a little bit careful of relying on that figure, because I fear it may trip up his Chancellor in due course. Perhaps the reason why he cannot answer the question about whether he is in fact committed to the productivity plan is that his friend the former Health Secretary, who has been walking in and out of the Department for Health with all of his private healthcare businesses, has not told him whether he plans to accept it, but we will find that out in due course. The Secretary of State’s silence continues with new medicines, technology and trials.”
“Right, okay. We have that on the record now and we will wait to see what happens at the Budget. It is also striking that the report mentions pay and wages only twice in 163 pages, despite the fact that staff costs account for 65% of provider operating costs a year. If the report and the Secretary of State do not acknowledge the single biggest cost pressure for providers, how can they claim to have the answers on reform? He claims to have sorted out industrial action in the NHS, and I must again correct him on something. He keeps referencing when I last had a conversation with the junior doctors committee, as it then was. What he neglects to tell us is that we entered mediation with junior doctors in May—he never thinks to mention that when he is holding forth at the Dispatch Box.”