Wes Streeting
MP for Ilford North · Labour · United Kingdom
“We hope for the best and plan for the worst in terms of the continuation of this war, but we are also actively working to prepare for conditions in which a ceasefire has been agreed by Ukraine, with Ukraine and, from our perspective, for Ukraine.”
“The threats we face are not only evolving; they are getting closer to home. Every day, the UK and our allies encounter espionage, cyber-attacks and military posturing by hostile states.”
“One discipline I have to bring to the Ministry of Defence, drawing on my experience at the Department of Health and Social Care and the NHS, is to ensure there is no culture of routine overspending, that we are improving productivity, that we deliver value for money and that we recognise that the money we are investing in defence comes wi…”
“With permission, I will make my first statement to the House as Secretary of State for Defence on Ukraine, the ongoing threat from Russia and the Government’s approach. It is not yet clear whether freedom or tyranny will define the 21st century. What is clear is that the United Kingdom will not be a bystander in that struggle.”
“I am grateful to my hon. Friend for raising that very serious and important issue. She will understand that, as a matter of policy, I will not comment on intelligence, but I will address the reports she has raised.”
“We know that this Prime Minister and this Chancellor are both fully committed to funding our nation’s defence, including meeting our NATO commitment of 3.5% by 2035 and setting out an earlier 3% commitment at the next spending review.”
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“We will change that; we will create more in Britain, and ensure that it is rolled out right across the country. Staff will be liberated from the drudgery and toil of unnecessary bureaucracy and admin that can be automated, and patients will have more ease, convenience, choice and control at their fingertips. This revolution is happening, and it is crucial that no one is left behind. I take seriously the point the hon. Member made about the digitally disconnected, and there are two responses to that. First, people like me who book via the touch of a button free up telephone lines, get out of the way of reception desks, and free up more capacity for face-to-face and telephone appointments. I believe strongly in horses for courses, and in patient choice.”
“Government IT projects do not have a great reputation historically; let us be clear about that. We are learning from past mistakes and ensuring that we have the right experts in the room to help us. So much of that is about the digital clinical leadership helping to marry the best scientific and technological minds in our country to the best clinical and scientific experience to ensure that we get this absolutely right. We cannot afford to fail or be left behind. The tragedy in the country today is that there are so many brilliant innovators in life sciences and med tech who are designing and making things here in Britain, but when it comes to scaling up, they are shipping out, because the NHS has been a poor partner and a poor customer.”
“A one-size-fits-all approach to neighbourhood care simply will not work. My constituency is on the London-Essex border, and there are three hospitals within a 15-to-20 minute drive of where I live. In many rural towns, coastal communities and villages across the country, there is not even one hospital within that distance. In fact, people are driving huge distances across the country to get to a hospital. On our priority of rolling out neighbourhood health centres, I want to reassure Members on both sides of the House that we will start with the areas of greatest inequality and need, and communities where people have to travel far to their nearest hospital, so that people can genuinely receive care closer to home and, indeed, at home. Technology can play a big role in that. I understand the cynicism about digital roll-out.”
“Given what we have said about the importance of data, digital connections and better systems, I should say that in some parts of the country, the social care system is ahead of the NHS; it makes better use of data, and joins up systems in a more effective and efficient way. The NHS can learn lots from social care, as well as the other way round. I will take on board the representations of the Liberal Democrat and Conservative Front Benchers on speeding up the Casey commission—that is duly noted. I absolutely reassure the hon. Member for North Shropshire (Helen Morgan) on the point that she raises about neighbourhood health centres. One of the reasons we want to devolve so much power in the NHS is that I genuinely think that the closer decisions are made to the communities they serve, the better the outcomes and the provision.”
“I welcome the Liberal Democrat support for the plan, and the constructive way in which Liberal Democrats have sought to work with us since the general election in pursuit of better health and social care services. I understand the point the hon. Member makes on social care. I will not repeat at length the points I made to the shadow Secretary of State, the right hon. Member for Melton and Syston (Edward Argar), but I hope the House is reassured by the action we are already taking on social care, whether through greater funding, the expansion of the carer’s allowance, increasing the disabled facilities grant, the fair pay agreements, and ensuring a partnership with social care to deliver better neighbourhood health services.”
“I certainly can give my hon. Friend that reassurance. We launched the biggest consultation since the NHS began. We had over 270,000 contributions, 250,000 thousand responses and almost 2 million visits to the change.nhs.uk website, so I can absolutely give people the assurance that staff and patients’ fingerprints are all over the plan. That is why we have such a rich plan, in which people can have confidence.”
“I strongly agree with my predecessor on that. It is important that the CQC’s reports and judgments can be understood by the public and the people responsible for carrying out the improvements that it recommends. Via the NHS app, we will have much more transparency for patients about the range of providers, the quality of services and the views of other patients. That will give patients the freedom to choose, in a more data-driven way, where and when they are treated. There is also the importance of data-driven face-to-face inspections by experts. We can also have early warning systems that would alert people who hold his office and mine that something is going seriously wrong, so that we can intervene before more lives are lost unnecessarily.”
“I thank my hon. Friend for that question. On whether people feel cautious optimism or quiet scepticism based on the experience that he describes, I have heard the same thing so many times. “I love AI, genomics and machine learning—yep, great. But can you just give me the basic technology that works?” Well, I can confirm that in 2026-27 we will make sure that we create a single log-on for staff. I am not holding my breath for that to be the front-page splash tomorrow, but that one thing, as well as saving loads of staff time, will give them confidence that genuine change is coming.”
“It is not the model of funding; it is the model of care, and that is what we are going to sort out.”
“I am always willing to search the world for ways to spend taxpayers’ money more effectively, and the right hon. Gentleman makes some good arguments on making sure that we get a good deal on medicines pricing, and on using the real procurement power of the single payer model—but therein lies the answer to the other part of his challenge. It is the single payer model, created in 1948, that makes the NHS ideally placed to get much better value in procurement, and to harness and lead the revolution in AI, machine learning, genomics and big data, in a way that many insurance-based systems struggle with. I assure him that if there were a better way of funding the NHS, I would have the political courage to make the argument, but we looked at other systems of funding and concluded that that is really not the problem.”
“I am confident that we have a plan that GPs will relish and embrace, and that they will feel reassured that the future of general practice is bright. After years of campaigning for a Government to rebuild general practice, they finally have a Government who are on their side.”
“I am grateful to my hon. Friend for his question; he is such a strong voice for the people of Gloucester. We are already delivering improvements in general practice, with 1,900 more GPs employed on the frontline, £900 million more for general practice, and the first contract agreed with GPs for quite some years. We are working in genuine partnership with GPs, who will be at the centre of the neighbourhood health service and of neighbourhood health centres. I am determined to ensure that we do things with our friends in general practice, not to them. Where things are working, I have no interest in going in like a bull in a china shop and imposing top-down change unnecessarily; we learned that lesson from Lord Lansley.”
“In England and Wales, where a Labour Government are in place, waiting lists are falling; in Scotland, waiting lists are rising, and we have heard astonishing admissions of failure from Ministers whose party has been in power for almost 20 years. It is very clear: Scotland needs an alternative. Scotland’s NHS needs an alternative: Scottish Labour.”
“We work closely with NICE to make sure that we consider, in an evidence-based way, the case for prescribing new medicines. We want patients to have access to the latest treatments and technology, and we work with the pharmaceutical industry to get as many medicines as possible to patients. We definitely need growth in this area. I have a counter-offer for the hon. Gentleman. I notice that the Scottish Government are now on their fifth health plan; none of the others has worked. We are always willing to help, and I will put a copy of the plan in the post to my Scottish counterpart, but I will not hold out much hope.”
“My hon. Friend is absolutely right about the importance of screening, and it is brilliant to see him fighting fit. That is exactly the sort of outcome that we want from effective diagnosis and treatment. He is also right to highlight the racial inequalities in this area. It cannot be right in this decade of the 21st century that black men are twice as likely as white men to die of prostate cancer. The national cancer plan will come out later this year, and the screening committee is looking at the case he makes. He will find at the centre of the 10-year plan a commitment not just to diagnose earlier and treat faster, but to tackle the gross health inequalities that blight our society in a way that is simply not tolerable in the 21st century.”
“and learned Friend the Member for Finchley and Golders Green (Sarah Sackman), have done an exemplary job in supporting people on both sides of the debate to give the Bill the detailed scrutiny that it had here and that it will no doubt have in the other place. That is a credit to this House.”
“I am grateful to the right hon. Gentleman for that question— [ Laughter. ] Given that the Bill is still passing through Parliament, assisted dying is not referred to in this 10-year-plan, but I assure both this House and the other place that regardless of different views among Ministers and across the House, we will abide by the law of the land. We will abide by the will of this House and the other place. If the Bill times out in the other place, I have no doubt that someone else will bring it back. I suspect it will not be a Government Bill. It is important that we have the debate and that we scrutinise the legislation well. I am proud of the way the House has conducted the debate. My hon. Friend the Minister for Care, who is not in his place now, along with the Minister of State, Ministry of Justice, my hon.”
“I am grateful for my hon. Friend’s support. Given his expertise, it means a lot. I am especially grateful to the GPs in his constituency with whom he and I spent time; that experience really had an impact on my thinking about neighbourhood health. On cancer, I am happy to look at the issue he raises with the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for West Lancashire (Ashley Dalton). We want to get this right. Cancer alliances have played a valuable role, and we want to see that approach to joined-up working between research, diagnostics and treatment go from strength to strength, so I will happily pick that up.”
“Member. Let me also reassure parties across the House that we will wait for the Casey commission to launch. I would like to be able to proceed with the actions we will be taking in this Parliament and, crucially, with the long-term plan for social care in a cross-party way, to build that genuine national consensus—I would be delighted to achieve that.”
“First, I thank the hon. Member for the Green party’s support for so much of the 10-year plan. She is right to highlight the importance of social care to resolving the NHS crisis. Let me reassure her that we are acting urgently as we await the first report of the Casey commission. The Chancellor did that with the Budget and the spending review, providing £4 billion more of investment. We have done that with the biggest increase in carer’s allowance since the 1970s, and with the disabled facilities grant, which does not just mean more ramps and home adaptations but more freedom, more dignity and more independence for disabled people. The Deputy Prime Minister and I will shortly set out how we will deliver fair pay agreements, and social care will absolutely be part of the neighbourhood health team. I hope that that reassures the hon.”
“Following the 10-year health plan, the chief nursing officer for England will work with the professions to develop a strategy that will make nursing and midwifery modern careers of choice, to address the decline in applications. As I have set out this week, we are looking forward to working closely with the Royal College of Nursing and Unison—of which, I should say, I am a member—to make sure that the status, the conditions and the impact of nursing on our NHS go from strength to strength, because nurses are the backbone of the NHS. We would not have a national health service without them.”
“I am so grateful to my hon. Friend for her question. I pay tribute to Professor Ian Abbs. He is an outstanding NHS leader, and we have loved working with him. As with many people of his calibre moving on from their positions of leadership in the NHS, it is a bit like the Hotel California—you can check out any time you like, but you can never leave. We will not let him drift off into a quiet retirement; we are determined to make use of his expertise. My hon. Friend is absolutely right to raise the importance of nursing. Nurses and midwives will play an increasingly important role in neighbourhood health. They are central to our shift to a modern, digital NHS. They are clinical leaders in their own right.”
“I welcome the hon. Member’s constructive approach. Of course, we are happy to receive representations on HSSIB. I would just like to outline the problem we are trying to solve, which is that the patient safety landscape is increasingly cluttered. We have far too many bodies trying to do the same thing, cutting across each other, and for frontline staff and leaders on the receiving end of those many and often competing instructions, it can actually make things less safe rather than more safe. I really value the expertise in the Health Services Safety Investigations Body. We do not want to see that expertise lost, nor do we want to move it into the CQC prematurely, before the CQC is ready to receive it. I hope that that reassures him, but we are happy to have that conversation.”
“I am grateful to my hon. Friend for her question. We want a society where everyone receives high-quality, compassionate care from diagnosis through to end of life. Palliative and end-of-life care services will have a big role to play in our shift out of hospitals and into the community, the emphasis on personalisation for patients and their families, and the joining up between primary and community care services. I would be delighted to hear more from the commission. It is really important that we get this right. Regardless of where people stood on the debate about assisted dying, the one thing that united everyone across the House was a belief that palliative care needs to be so much better than it is today, and that is what we will work on together.”
“Does he support the European-style insurance system? I think he probably does—it is the only European thing he has ever supported, by the way. We are in no doubt: the NHS needs reform, but it needs the Reform party like a hole in the head.”
“The NHS leadership are absolutely determined to work with us to reduce waste, inefficiency and bureaucracy. We have in Sir Jim Mackey an outstanding chief executive of the NHS, and he and his team are working closely with Ministers to make sure we achieve that goal. As for the funding model, I just do not know where the Reform party stands from one day of the week to the next. I heard the leader of the hon. Member’s party on the radio this morning doing the dance of the seven veils. He is normally very good at being a straight-talking politician—that is how he likes to present himself—but I cannot follow what the hon. Member for Clacton (Nigel Farage) thinks about this issue. Does he support a taxpayer-funded universal NHS free at the point of use? [Hon. Members: “No!”] I do not think he does.”
“My hon. Friend is absolutely right; it was on a snowy day of campaigning for him in Bury North that I received the phone call that would change my life, giving me my kidney cancer diagnosis. Despite that fact, I have since been back to Bury North; I am not saying that it was his bad luck—”
“It was coincidence rather than causation, as my hon. Friend the cancer Minister says—although, given both our experiences, we will rethink our visit schedule to Bury. On a serious note, my hon. Friend the Member for Bury North (Mr Frith) is absolutely right to make the link between poverty, particularly child poverty, and ill health. The last Labour Government lifted 400,000 children out of poverty; I am so proud to think that when in the first year of this Labour Government we chose to extend free school meals to half a million children from low-income families, with that one measure on one day we lifted 100,000 children out of poverty. That is the difference Labour Governments make, and that is how we will deliver not just an NHS fit for the future, but a fairer, more equal, more just society.”
“I thank the hon. Gentleman for his support with the plan, which I am sure is in no way connected to the fact that he wants some money out of us for that neighbourhood health centre. I will take his question as the first bid we have had from those on the Opposition Benches, and I look forward to receiving those representations from him.”
“That is how we not only help people to achieve their best when they are young and in education, but ensure that people are supported to stay in the world of work or to find work. We know there is a demonstrable link between mental health and wellbeing, good work and good outcomes. That is very relevant this week.”
“I thank my hon. Friend for his service to our country and our NHS. We are so lucky to have his expertise in the House. I am really proud that this Government will deliver mental health support in every primary and secondary school in the country and neighbourhood mental health services in every community. We will also ensure that people who are in mental health crisis do not end up in busy, noisy, overwhelming A&E departments, but will instead go to new mental health emergency departments, which we aim to roll out across 50% of type 1 A&E departments—either co-located or, if not, certainly nearby. I look forward to working with him on that. My hon. Friend is quite right to emphasise the importance of talking therapies.”
“I thought for a moment there that the hon. Gentleman, having called for the plan, was going to write it. I can reassure him that he has covered all the right areas; I am delighted that he is as enthusiastic as we and the whole cancer community are about the plan. We deliberately did not go into specific conditions in the 10-year plan for health, because otherwise it would have turned into a Christmas tree, with every condition group trying to attach its bauble to it, but it is really important that this 10-year plan creates the rising tide that lifts all ships—including, as he notes, not just common conditions, but the rare ones too.”
“Of course, there are still challenges: ophthalmology is one of the largest out-patient specialties, representing 8% of the total NHS waiting list, and the Royal College of Ophthalmologists workforce census found that 76% of units do not have enough consultants to meet demand. We will address those issues; we are working across both the public and the independent sectors to ensure that people receive the care they need, when they need it. A lot has been done but, as my hon. Friend says, there is so much more to do.”
“I congratulate my hon. Friend on her consistent campaigning on this issue, which has done so much to keep it on the national agenda. We will support more eye care services being delivered in the community, helping to create capacity within secondary eye care services too. Patients can be assured that optometrists have the training to manage a wide range of eye conditions safely in the community. We will also support improved IT connectivity between primary and secondary care, which has been shown to improve the referral and triage of patients, and enable the better use of technology to support local services.”
“I thank the hon. Member for the outstanding way she has represented her constituents since she arrived in this House—not only on this issue, but on many others. I reassure her that we will work with families in a spirit of co-production to ensure that we identify what has gone wrong, so that families receive truth and accountability for failures and the reassurance of knowing that improvements will be made so that other families do not have to suffer in the way that they have. Things have gone so badly wrong, but I am confident that, with the approach we are setting out, we will be able to make rapid improvements, and I will keep the House regularly informed.”
“I remember that visit to Barnard Castle—unlike visits by some people from Westminster, I was not there to get my eyes tested and my visit was perfectly within the rules. My hon. Friend is right to emphasise the importance of neighbourhood health, which is in the plan, and of reducing the cost of agency spend in the NHS. I want staff to feel that they are part a team and for there to be more flexible working, so that people do not feel that they have to resort to agency work to receive flexibility. I am proud that within our first year we have saved a billion pounds in agency expenditure, getting better outcomes for patients and better value for taxpayers.”
“I can give the hon. Gentleman the assurance that we are reforming the Carr-Hill formula and ensuring that funding is based on need. I am delighted to be working closely with the British Medical Association’s general practitioners committee on the reforms that we are making in this and other areas of general practice.”
“Given my hon. Friend’s expertise, I am delighted that he has welcomed the plan so enthusiastically. I wholeheartedly agree with what he said. I give him 10 out of 10 for his product placement of the 10-year plan and, in particular, his remarks on the design of the front cover, which I will pass on to the team.”
“I welcome the hon. Gentleman’s support for the plan. Success has many masters, and I thank him for putting the Carr-Hill formula on the parliamentary agenda through his debate. I can reassure him about a few things. First, what the Chancellor has done in the spending review gives us the advantage of medium-term certainty, so the NHS will now be in the business of medium-term planning with the system, which enables it to make better use of the money that is allocated. Secondly, we are ending Healthwatch—I express my thanks to the people who have worked in Healthwatch for many years—but we are giving power directly to the patients. Alongside that, we are looking at what we can do to strengthen democratic accountability from elected representatives, to ensure that the patient voice and interests are protected.”
“My hon. Friend is absolutely right and it is brilliant to have her expertise represented on the Government Benches. She is right about the importance of physiotherapy, not just for improved and better-quality recovery, but for admission avoidance. I want physios and other allied health professionals to be at the heart of the neighbourhood health service, and I know that she will hold us to account to ensure we deliver.”
“In that constructive spirit, I can assure the hon. Gentleman that those things are contained in the 10-year plan for health. These changes are only possible because people voted Labour and because we have a Labour Government. In that spirit, he can be assured that in the run-up to the next general election, I will be pounding the streets of Dewsbury.”
“We have to ensure that the NHS is genuinely there for everyone, and that everyone has agency, voice, personalisation, power and control—that is what this plan will deliver.”
“I am grateful to my hon. Friend for her question: I can tell that she has already read a lot of the plan, not least because she had such a heavy role in shaping it, bringing her expertise to bear as we were deliberating. I also thank her constituents in Shipley, who took part in the engagement and consultation that she did locally; I hope they feel that their fingerprints are on this plan. She talks about the “My Carer” feature of the NHS app, which will make an enormous difference. I hope that the people who tend to be heavier users of health services feel that they have more power, choice, agency and control. That has to be true not just for people with physical disabilities, but people with learning disabilities.”
“That is the peace of mind that everyone deserves and that is what this plan will deliver. I am sure the relevant Minister will be delighted to meet the APPG.”
“I give the hon. Gentleman the assurance that we will be delivering on type 1 diabetes, as well as type 2 diabetes. He is right about the breakthroughs in science that allow us to predict and diagnose faster. Through its emphasis on technology, the plan will deliver wearables that will enable people to track their blood sugar levels in real time and enable insulin to be deployed at precisely the right time, in precisely the right amount, to provide stability, certainty and peace of mind. That will not only be important for adults with type 1 diabetes, but for parents who worry about their children. When they send them off to school or to play with friends, they will have the peace of mind that they can monitor their condition, and be reassured that they will be alerted if something does not look right.”
“As soon as my hon. Friend got to his feet, I knew exactly where the question was going. I was delighted to spend time campaigning for him in his constituency, and I know that the focus on neighbourhood health will be particularly welcome to people living in rural communities just like his. I would be delighted to meet with him to discuss his proposal, not least because he will hound me relentlessly if I say anything other than yes.”
“I can absolutely give the hon. Gentleman that assurance. We will ensure that we are delivering that intermediate care in the community through not just the NHS, but our partners in social care. I have a really good relationship with Mike Nesbitt, my counterpart in Northern Ireland, so I am happy to share our learnings there. The hon. Gentleman is absolutely right to emphasise the importance of ensuring that it is not just the sons and daughters of doctors, but more working-class people from backgrounds such as mine who get to go into medicine. That is exactly what this plan will deliver.”
“I can certainly give my hon. Friend the assurance that Chris Whitty’s work as chief medical officer had a big bearing on our thinking about how we meet the needs of rural and coastal communities and tackle health inequalities. His analysis is clear: we need people not just living longer, but living well for longer. We need to push illness much later into old age so that people can live life to the full until the very end. That must apply to everyone, not just the privileged few. My hon. Friend’s constituents will really benefit from this plan as well as the new facilities coming later this year.”
“I really welcome that support, and that is an absolutely great question. On the point about connectivity, I will ensure that the Science Secretary receives those representations and dons his skinny jeans and flip-flops and comes down to improve connectivity for her community—he is committed to doing that for people right across the country. The hon. Lady is absolutely right: we have to ensure that people in every part of the country have access to all those things that make life worth living, such as grassroots sport, culture, leisure, recreation, clean air, parks and open spaces. She has my assurance that, working with the Deputy Prime Minister and my right hon. Friend the Secretary of State for Culture, Media and Sport, we will bring those opportunities to everyone, not just the wealthiest areas or big cities.”
“I can absolutely give my hon. Friend that assurance. The great opportunity for technology is that we can design in accessibility; I had a great meeting here with some of my constituents who suffer from hearing loss. We have a great opportunity for the NHS to once again be the great social leveller, providing quality care to everyone, whatever their background, and personalised care that meets their needs. We need to have better digital connectivity and AI-enabled hospitals. My hon. Friend’s constituents will know how hard she bangs the drum here for investment in her local hospital, and that is very much on my mind.”