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.”
The complete record
Every one of 6,012 lines we hold for Victoria Atkins, in date order, each linked to its source. Free to read, in full, without an account. Page 7 of 121.
“Madam Deputy Speaker, I had not heard the news that you were stepping down. I share the House’s dismay, but also pass on our thanks to you for having been a Chair. It is always a pleasure to see you in the Chair, although it is a steely pleasure because you let us know, most of the time, when we speak for too long. [ Interruption . ]”
“I am trying to; the hon. Lady’s colleagues are trying to prevent me. We have committed to Whipps Cross Hospital. It takes time to build hospitals. We have six new hospitals open to the public already, and another 18 entering construction. I hope that the hon. Lady is challenging her own leadership, including the shadow Health Secretary, because Labour’s health mission—or first step, or pledge; who knows what the terminology is—says that one of its first steps in government would be to pause all capital projects in the NHS. The Labour party needs to answer on that.”
“The most common users of the NHS app are those over the age of 65. We can see just how powerful the app can be, and the role that it will play in prevention, but we need to invest in the technology. I view the long-term workforce plan as critical to building the next 75 years of the NHS, as is the tech plan that the Chancellor announced in the spring Budget, which provides £3.45 billion for technology to drive forward progress in the NHS—a plan that the Opposition has not supported.”
“My goodness me. I thank my right hon. Friend. I have an inkling of the responsibilities and pressures that he bore during the pandemic. There will be many thoughts about how the Government and society handled the pandemic, but he devoted his absolute all to keeping people safe, and to moving our society out of the lockdowns. I thank him sincerely for all his work. True to his character, my right hon. Friend wants to talk about the future. Outside the pandemic, he had a particular focus, when he was Health Secretary and in previous Cabinet positions, on the role that technology can play in our lives. Our NHS app now has three quarters of adults in England signed up to it. That is a testament to him and to those in the NHS who helped to deliver it. There are more subscribers to the NHS app than to Netflix.”
“I also urge the hon. Lady to look carefully at our dental recovery plan. We have seen more practices open up to provide more NHS appointments, and as the recovery plan is rolled out, we will see up to 2.5 million more appointments, roughly three times as many as will be seen under Labour’s dental recovery plans. Compare and contrast!”
“I join the hon. Lady in thanking her local NHS staff, and, indeed, NHS staff throughout the country. The NHS employs more than 1.3 million people, and every single one of them contributes in their own way, from clinicians to nurses to hospital porters to administrative staff. All those people play a really important part in keeping us well and safe. Notwithstanding the picture that the hon. Lady has sought to paint, I hope she will have the graciousness to acknowledge that we are diagnosing more cancer cases, and diagnosing them more quickly at stages 1 and 2. I hope she will acknowledge, for example, that some nine out of 10 cancer patients are treated within 31 days of a decision to treat them, and that the average waiting time in England—not Wales—is just under 15 weeks. Of course there is more to do, but we have plans in place.”
“I thank my right hon. Friend for presenting us with what is happening on the ground, rather than the relentless doom and gloom that we hear from the Opposition. There are excellent examples in our local areas of people not just enjoying working in the NHS, but thriving in it. My right hon. Friend’s general practice will be one of those that have contributed to the 60 million more GP appointments made available in the last year—an election promise that we made in 2019, and have kept. Let me explain the maths to the Opposition: that means more than 1 million primary care appointments each working day. That is something of which we should all be proud, and for which we should thank our GPs.”
“Member for Ilford North (Wes Streeting)—for whom I have considerable respect—has not been able to influence or direct his Labour colleagues in Wales to follow his ideas, if he thinks that they are so good. That is clearly not working.”
“May I gently remind the hon. Lady that her party leader is a former barrister? I declare an interest: so am I. In the old days, we barristers used to rely on the evidence, but the evidence on which the Leader of the Opposition relies is produced in Wales. He says that it is a blueprint for what will happen in NHS England. My goodness me! As I have said, a quarter of the people on NHS waiting lists are in Labour-run Wales. The highest number of patients who are waiting two years is in Labour-run Wales, and patients wait on average six weeks longer in Labour-run Wales than in England. I am genuinely surprised that, having been in his post for as long as he has, the hon.”
“I am delighted to hear that, and also to say that on my travels last Thursday, I had the great pleasure of visiting Dorset and seeing for myself not just a wonderful community hospital in Shaftesbury, but the brand new A&E unit that is being built in Dorchester. It is thanks to the hard work of the local trust, but also to Government investment, that that important hospital—alongside those that my right hon. Friend has described—can ensure that people in Dorset receive the care that they need in a modern way. That is the modern national health service as we Conservatives see it.”
“We Conservatives want to make it even easier for patients to choose where they receive their treatments, so that they receive them more quickly, as well as the quality of service that they want. I do not know whether he will be here after the election campaign, but we there is at least one area on which we have agreed, namely PFI.”
“Let the record reflect this rare moment of agreement between the right hon. Gentleman and me. The PFI contracts signed by the last Labour Government have been an unmitigated disaster for our hospitals, and for the integrated care boards and others who are trying to fund them. The Labour Government drafted the contracts so incompetently that we cannot leave them without a massive cost to the taxpayer. That is the real cost of Labour-run private finance initiatives. However, I part company with the right hon. Gentleman on the role of the independent sector. We already rely on that sector to provide something to the tune of 10% of elective procedures. I want our residents treated as quickly and as well as possible, and to my mind the independent sector must play an important role in that.”
“I very much share my hon. Friend’s concerns. I will take away what he has said, but I want to look into this issue, because I understand the points that he and our right hon. and learned Friend the Member for Kenilworth and Southam (Sir Jeremy Wright) have made.”
“Again, I pay tribute to our general practitioners and all the staff who work with them in practices, because we know that they have delivered some 60 million more appointments than in 2019. That was an election promise made and kept. On the hon. Lady’s wider question about primary care, that is precisely why we have rolled out Pharmacy First to free up GP appointments. It is precisely why we have a focus on prevention, because we know that if we can help people through the NHS app, it will take the burden off GPs. It is also why we are looking at fit notes in an imaginative and thoughtful way, because I have listened to GPs, who say that if we can reduce these sorts of responsibilities on GPs, it will leave them with more time for patients.”
“I thank my right hon. Friend, who has been such a firm campaigner on these issues. Her constituents should be very pleased with everything that she has done to press upon me the importance of this matter. The community diagnostic centre is opening and will provide more tests, checks and scans for her local residents. I will take up those conversations, and I am very much looking forward to coming to visit her in the next Parliament to celebrate the opening of the centres.”
“I thank the hon. Gentleman, and I know that he has been working very closely with the Minister for Health and Secondary Care, my right hon. Friend the Member for Pendle (Andrew Stephenson), on this issue. He will remember the cross-party working that we had when I took the Domestic Abuse Act 2021 through the House, and our concerns about the disproportionately high rate of ABI among female prisoners. I will take away the hon. Gentleman’s thoughts. He will appreciate that I might not be able to enter into detailed discussions with him on this issue during the campaign, but I very much look forward to continuing our discussions from the Dispatch Box in six weeks’ time.”
“Part of my work to reform our NHS and make it faster, simpler and fairer is about ensuring that we are living longer, healthier lives and concertinaing the period of ill health towards the very end of life, so that it is better not only for us as individuals and for our families, but for society and, of course, for the NHS.”
“I thank my hon. Friend not just for his early commitment to the medical profession, but for his work as a Health Minister. He did so much to help prepare the dental recovery plan, and I am so grateful to him for all his work. On his question about prevention and the scale of the demand on the NHS, he is absolutely right. One piece of work that we are trying to bring together is about looking at the whole person, rather than individual conditions, because we know that, as we age, we will develop more conditions and live with more than one condition.”
“I welcome the hon. Gentleman to his place, and I say to him that Blackpool has a very special place in my heart, because I went to school there. Indeed, I could hear the cheers from the “Big Dipper” and the “Pepsi Max Big One” from my classroom. I had coastal towns such as Blackpool and Mablethorpe, which is in my own constituency, at the forefront of my concerns when we were looking at how we could help some of these dental deserts. It is why I have been focused on getting dental vans into tender so that we can try to push out some of these services. They are not a permanent fix, but they will help people in the short term while we are building up new practices through golden hellos and suchlike. Of course, today we have had the announcement of the consultation for dental graduates.”
“My hon. Friend has devoted her career in this place not only to representing the steelworkers in her constituency, but to her constituents’ healthcare, and it is thanks to her campaigning, and that of other colleagues, that we have a CDC, and facilities like that, in her local area. She has very tactfully described my position. I, of course, acknowledge my awareness of her campaign, and I really look forward to working with her in the future to see whether we can ensure that the residents of Scunthorpe—and the residents of Grimsby—have those services that we all hold so dear.”
“That is why I want to work closely with my counterpart in Northern Ireland, and, as I have indicated—or am indicating now— I would be very happy to work with the Health Ministers in Scotland and Wales to help them with their waiting lists.”
“I thank the hon. Gentleman. One of the joys of this Parliament has been to have him contributing in every statement and debate. On the particular healthcare needs in Northern Ireland, he will appreciate that healthcare is devolved, and that we are all very mindful of recent history, in terms of the devolution of power in that particular set of circumstances. However, I have very much enjoyed working with the Health Minister, Minister Swann. Clearly, we value our United Kingdom, and we want to do whatever we can to help all corners of the United Kingdom in healthcare—although, of course, we respect that they are devolved matters.”
“I most certainly do, and it is a pleasure to hear that my hon. Friend, who is such a great campaigner in his constituency, has that as a clear target for his area to represent his constituents. On the recruitment of general practitioners, we have set out, through our long-term workforce plan, our ambitions—and, importantly, the plans underlying those ambitions—to ensure that we recruit even more doctors, nurses, midwives, dentists, and so on, to build the NHS of the future. My hon. Friend might want to share this fact with his constituents: since 2010, there are more than 41,000 more doctors in our NHS in England and more than 73,000 more nurses. Those are figures to be proud of.”
“I am very grateful to my hon. Friend, who, of course, brings her professional expertise into the Chamber. On the Bill, she will appreciate that we are at a very delicate stage, which I am not allowed to say anything about at the Dispatch Box, but she should be confident of my commitment, and that of the Prime Minister, to this important legislation and to a smoke-free generation.”
“I am delighted to not just support my hon. Friend, but commend him for his campaigns. This Conservative Government are committed to building the facilities that we need in the national health service, and it is a pity that the Labour party does not seem to be in the same place.”
“May I say how delighted I am to see my hon. Friend back in one piece, given her abseil down the hospital recently, and also say how much I enjoyed seeing the confidence, ambition and professionalism of the new services being provided by her local hospital? I hope that she is pleased that I can confirm today that the Government have the ambition to expand the use of fracture liaison services to every integrated care board in England, achieving 100% coverage by 2030, which is very much inspired by her hospital.”
“I thank my hon. Friend, and very much understand and acknowledge his campaigning on this matter. Yes, we want to ensure that his county has the modern hospital facilities that it needs. I note in passing that, in the Norfolk and Norwich trust, this summer, we will see the opening of more surgical capacity precisely to help to deal with some of the waiting lists in his county. This is positive, practical action to secure a bright future for his local NHS.”
“I am delighted to join my hon. Friend in thanking the staff in his local area who support that very important hospital, and I praise the confidence and ambition for his local area through the opening of that community diagnostic centre. He is going to see more constituents being diagnosed and getting treated more quickly because of the investment that this Government have put in to that centre in his constituency. I thank all his staff and particularly the project team.”
“That is an irresistible invitation, if I may say so, and I will very much look forward to visiting my hon. Friend’s constituency to support her in her campaign for a community diagnostic centre. I think we are on the last question, Madam Deputy Speaker, so, as we enter into this general election period, may I give my sincere thanks to every single member of our NHS staff and to every single person working in social care across England? You all do amazing jobs, and it is my great privilege to serve as your Secretary of State. I wish everybody a very calm—not quiet—six weeks. The medics will understand what I mean by that.”
“Gentleman’s constituency and elsewhere are getting the care they need.”
“May I wish you a happy St. George’s day, Mr Speaker? I also wish the hon. Member for Bristol South (Karin Smyth) a speedy recovery; I hope to see her across the Dispatch Box soon. The Government have invested significant sums to maintain and modernise NHS buildings, including £4.2 billion for integrated care boards this financial year. This is on top of the expected £20 billion for the new hospital programme. We have invested a further £1.7 billion for over 70 hospital upgrades across England, including in mid and south Essex.”
“I thank my hon. Friend, and also wish her the very best of luck, as she is due to abseil down the hospital next month for its radiotherapy appeal. I very much hope she lands safely and does not trouble Southend hospital. I was delighted to visit the hospital at her invitation earlier this month, and I was very much impressed by the immediate improvements that the £8 million funding has meant in the Dowsett ward and for discharge and treatment times through accident and emergency. This is part of our plan, both through the urgent and emergency care plan and through our recovery plan for electives and the new hospital programme, to rebuild hospitals and provide that investment so that clinicians can use it to treat their local patients.”
“I very much hope that the hon. Gentleman has already spoken to his integrated care board, because he will know that responsibility for local investment decisions rightly rests at local level. I can say that, as a Government, we have very much invested in hospital upgrades, including £4.2 billion going to integrated care boards this financial year. I hear the timetable he cites, but I encourage him to go to his integrated care board to ask what more it is doing.”
“We are committed to levelling up health, narrowing the gap in healthy life expectancy by 2030, and increasing healthy life expectancy by five years by 2035. That aligns with our mission to reform our health and care system to be faster, simpler and fairer.”
“No, I do not, and I would point to the legislation that the Government brought forward last week, which is the largest and most significant public health reform that we can make to help the hon. Member’s constituents and those in other parts of the country who face inequalities. We know that smoking rates are disproportionately higher in poorer communities, which is one of the many reasons why we introduced such landmark legislation. It is just a shame that the Labour party felt that they had to whip their Members to get them to vote for it.”
“I completely agree. Further on ethnicity and inequalities, I have not only prioritised women’s health as Secretary of State, but announced £50 million of research into maternity disparities for women of colour, given the worrying statistics associated with that. I have also responded to calls from brave constituents, put forward by hon. Members on both sides of the House, for further research into lobular breast cancer, because although it is responsible for 15% of diagnoses, we do not have the research or evidence to help women who are affected by it.”
“I am so glad that the hon. Gentleman has mentioned levelling up, because presumably he will know from his bid that the 12 levelling-up missions are mutually reinforcing. Conservative Members take the approach that in order to help people with their health— [ Interruption. ] The hon. Gentleman is shouting at me. I thought that this answer would be important to his constituents. Levelling up is not just about health. It is about the impact of education, housing and other matters in our environment, which is why in the forthcoming major conditions strategy we will tie together the conditions that have the most impact on a healthy life. We will draw together a cross-Government strategy to help people who are living with those conditions to live longer but also healthier lives.”
“My right hon. Friend makes an important point. The purpose of the levelling-up fund is to help local areas to address what they need locally, rather than respond to diktat from central London. I encourage her to work closely, as I know she will, with local agencies, the council and others making those important decisions, so that their levelling-up announcements include health, as an integral part of her mission to improve the lives of her constituents.”
“As someone who is proud to have gone to school in Blackpool, I do not need a lecture from the hon. Gentleman about what Labour has done to the town centre, or about the important work that Conservatives in Lancashire are doing to help communities such as Blackpool. On Labour’s record, I gently point out, as I try to do at every orals, that the record of the Labour-run NHS in Wales is lamentable. People are almost twice as likely to be waiting for treatment in the Labour-run NHS in Wales. That is not a record of which to be proud.”
“We are focused on delivering our women’s health priorities for 2024. Recent successes include new women’s health hubs opening across the country, with £25 million of investment; the investment of nearly £35 million over three years in improving maternity safety, on top of the extra £186 million already being invested each year; the success of the hormone replacement therapy prepayment certificates; and research into the important issue of maternity disparities, which I have already mentioned.”
“As the hon. Lady will know—she saw the statistics published very recently—we are in fact treating more people at earlier stages of their cancer. I want to take on her point about gynaecological waits, because that is important. We are spending more than £8 billion in this spending review period on additional elective activity, and investing in additional capacity, including community diagnostic centres and surgical hubs, many of which provide gynaecological tests and procedures. She may have missed it, but the latest published management information for March shows that the longest waits for gynaecology services have reduced by nearly 95% since their peak in September 2021. Of course there is more to do, but we are making progress. I thank all the doctors and teams who are involved in that important work.”
“That is absolute nonsense. As I say, I have prioritised women’s health. I am pretty sure that I invited the hon. Lady to the women’s health summit earlier this year.”
“She is very graciously saying that I did. The point is that I want women to receive the sort of care that we would all hope and expect them to have. I have prioritised that precisely because there are conditions, including gynaecological conditions, that have historically not received the attention they deserve. As our women’s health ambassador Dame Lesley Regan says, the NHS was created by men, for men. I am the Health Secretary who is sorting that out.”
“I thank everyone who has delivered this vital work, and I very much look forward to hearing the results of the call for evidence in due course so that we can reform our welfare system for the sake of our constituents and our GPs.”
“We know that people in work lead happier, healthier lives. However, over 10 million “not fit for work” fit notes were issued last year. Most were repeat fit notes issued without any advice, so we are missing a golden opportunity to give millions of people the support they need to remain in work. That is why we are launching a reform of the fit note process to create a new system in which fit note conversations focus on what people can do, not what they cannot do. As part of this, the Government will consider shifting the responsibility for issuing fit notes away from GPs to reduce the pressures they face and to free up millions of appointments.”
“I dispute the 17-year figure, as it can vary across innovations. The figure is contested, but my hon. Friend raises an important point. We have a plan to prioritise the acceleration of patient access, thereby ensuring safe, effective and innovative medical technology for patients and the NHS. Our ambition is backed by funding, and we are reforming the medical technology regulatory framework, introducing the innovative devices access pathway pilot and launching frameworks to increase the availability of innovative products for the sake of patients across England and the United Kingdom.”
“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—”
“Again, let us bring ourselves back up to date. I know the Labour party likes looking back to the last time it found favour with the British public, but Wales is the up-to-date record of today. Labour’s lamentable record of running the NHS in Wales speaks for itself. If the hon. Gentleman is so set on reform, why on earth is he not helping his Labour colleagues in Wales to do exactly as he is promising? It is because they are empty promises, and because the hon. Gentleman and, I am afraid, the Labour party will step back from reform rather than grappling with the issues, as we are doing with our recovery plan. Finally, on the dental recovery plan, within a month of the new patient premium being switched on, hundreds of surgeries have opened to new patients, which means that patients in the hon.”
“I thank my right hon. Friend for raising that matter. I understand that a consultation was conducted locally and that more than 5,000 local people and staff responded. Their feedback will be analysed by an independent research agency, which will produce a report for the Mid and South Essex ICB, and a meeting is due to take place in public in July. I will, of course, continue to take an interest in this matter.”
“These reforms are being brought forward because of a simply unsustainable rise in the number of people being given fit notes so that they cannot re-enter the world of work. We want to support people into work, not only because we believe that it is the best way to help them to recover, but because it helps us to fund the NHS. It is funded by people who work and pay their taxes. Again, I draw the hon. Lady’s attention to matters a little closer to home; sadly, Scotland’s record on health is very difficult to read and it includes the worst level of drug deaths in Europe. I encourage her to concentrate on how the SNP is running health services in its local area.”