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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“Someone’s background should not be a barrier to becoming a doctor, so our job—especially as a Labour Government committed to social justice—is not just to ensure that a few kids like me beat the odds, but to change the odds for every child in this country so that they can go as far as their talents will take them.”
“I am certainly aware of my right hon. Friend’s concerns. I can give her that assurance and will report back to her on progress. Without action to prioritise UK medics, we will also make it tougher than it already is for those from working-class backgrounds like mine to become doctors—or, for that matter, to even consider a career in medicine. The odds are already stacked against them: they are less likely to know doctors, their teachers may be less familiar with how to help students into medical school, they will have fewer opportunities to do work experience, and fewer people in their lives will tell them that they should aim high and reach for the stars. The result is that only 5% of medical school entrants are from lower-income working-class backgrounds.”
“It is important that the Bill is workable. A number of factors may well interrupt our ability to move at the pace at which I want to open up those places. One of those factors is the ongoing risk of industrial action. We know that the BMA is balloting for further industrial action at the moment. We respect the process that it is undertaking, and we are not closing the door to discussions while it does so. However, we are clear that that is a further disruption risk. I hope that we will be in a position to open up a new application round very shortly for current applicants, but that will depend on our ability to expedite the passage of the Bill through both Houses, and to ensure that the system is ready to implement it. That is why bringing forward the Bill on this timescale has been particularly important.”
“From next year, under the terms of the Bill, we will set out in regulations how we are defining significant NHS experience.”
“It is not just the provision of additional training posts that reduces the competition ratio; it is also the measures in this Bill. I hope that that message is heard clearly by resident doctors as they think about their own futures immediately or in the coming years. For posts starting this year, there must be prioritisation at the offer stage, and for training posts starting from 2027, prioritisation will apply at both the shortlisting and offer stages. In the 10-year plan, we committed to prioritising international applicants with significant NHS experience for specialty places in recognition of the contribution they have made to our nation’s health. This year, we will use immigration status as a proxy for determining those who are eligible, so that we can introduce prioritisation as soon as possible.”
“Starting this year, it prioritises graduates from UK medical schools and other priority groups over applicants from overseas during the current application round and in all subsequent years. For the UK foundation programme, the Bill requires that places are allocated to UK medical graduates and those in a priority group before they are allocated to other eligible applicants. For specialty training, the Bill effectively reduces the competition for places from around four to one, where it is today, to less than two to one. That is a really important point for resident doctors to hear, not least because in the debate we had on the Government’s previous offer to the BMA, that point was lost amid some of the broader and, frankly, more contested arguments between the Government and the BMA around pay.”
“I am clear that this is about whether the system will be ready to implement the measures in the Bill. I must say that I view the Conservatives’ amendment on this issue with a degree of cynicism. Not so long ago, they were accusing me of being too kind to resident doctors when it came to making changes to pay or conditions without something in return. They seem to have completely changed their position. I am sure that that is not remotely cynical and is for entirely noble reasons, but I will wait for the shadow Health Secretary, the right hon. Member for Daventry (Stuart Andrew), to make his case. Let’s just say that I am not entirely convinced. The Bill implements the commitment in our 10-year plan for health to put home-grown talent at the front of the queue for medical training posts.”
“I also hope that that message resonates with people who are thinking about a career in medicine, when they think about what kind of career that might be.”
“My hon. Friend is absolutely right about the contribution that international medical graduates make, and I have no doubt that that will continue to be the case for many years to come. I hope it is clear to those going through medical school or aspiring to a career in medicine that, in terms of the future of healthcare in this country, general practice is where it’s at. We are looking to shift the centre of gravity in the NHS out of hospital and into the community, with care closer to people’s homes and, indeed, in people’s homes, with GPs as leaders of a neighbourhood health service. I hope that gives encouragement to GPs serving today about the future of their profession, about which they care enormously.”
“It is not about where students are born; it is about where they are trained. What the Bill does is return us to the fair terms on which those home-grown medics competed before Brexit.”
“Friend the Minister for Care says from a sedentary position, Reform UK are increasingly the teal Tories—it is certainly the most successful recycling project currently taking place in the House of Commons. Anyway, that was totally self-indulgent, and very churlish given that the hon. Member for Runcorn and Helsby (Sarah Pochin) is supporting the Bill, so I will slap myself on the wrist and get back to the serious matters at hand. As we set out these changes, it is important to note that they will have no impact on doctors working in the armed forces, who will continue to be a priority, and neither does the Bill exclude international talent, as people will still be able to apply for roles and continue to bring new and vital skills to our NHS. The principle here is home-grown talent.”
“I can give the hon. Member that assurance—that is exactly what the Bill does. Madam Deputy Speaker, I cannot, however, resist the enormous temptation to say that while I welcome the support of the hon. Member and her party, I hope that her party’s position will not change now that it has adopted so many of the formerly Conservative culprits who landed us with this system in the first place. Whether it is the former Home Secretary, the right hon. and learned Member for Fareham and Waterlooville (Suella Braverman), or the former Immigration Minister, the right hon. Member for Newark (Robert Jenrick), I am afraid that Reform looks rather more like the Conservative party that the country rejected at the last election, which I am sure will not be lost on people when they go to the ballot box in May— [ Interruption. ] As my hon.”
“I absolutely give the hon. Member that assurance—the Bill covers medical graduates from the UK and Ireland, for very obvious reasons. I welcome the broad support that the Bill appears to have across the House, because for the changes to benefit applicants in the current round—for posts starting this August—it must achieve Royal Assent by 5 March. Any delay will risk vacancies in August and disrupt planning in NHS trusts, which rely on their new trainees to deliver frontline care. Doctors also need sufficient time to find somewhere to live, sort childcare and arrange other aspects of their lives before their posts start. I am grateful that Parliament has agreed to expedite the Bill’s progress, and confident that we will be able to work at pace with our majority in this House, and with cross-party support in the other place.”
“That is a fair question from the Chair of the Health and Social Care Committee. We are taking longer than I would have liked with the workforce plan. I hope it reassures the hon. Member and the House that we have taken more time because that is what the royal colleges, trade unions, and clinical and NHS leaders asked us to do. Their strong urging was to get it right, rather than rush according to a political timetable, which I thought was a fair challenge. It will be published this spring.”
“It looks like political gameplaying, at a time when we are trying to save the NHS, and it looks like party interest before national interest. I hope that the Conservatives will consider whether their amendment is really necessary. British taxpayers spend £4 billion training medics every year. We treat them poorly, place obstacles in their way and make them fearful for their futures. We are forcing young people, who should be the future of our NHS, to work abroad, in the private sector or to quit the profession entirely. It is time that we protect our investment and our home-grown talent. This Bill will ensure a sustainable workforce, cut our reliance on foreign labour, halve competition for places and give home-grown talent a path to become the next generation of NHS doctors. I commend this Bill to the House.”
“Secondly, there is a material consideration about whether it is even possible to proceed if strikes are ongoing, because of the pressure that they put on resources and the disruption that is caused operationally, particularly among the people I require to help me deliver the measures in the Bill. Of course, I am keeping my options open. We are in a good place with the BMA, and we have entered the latest round of talks in good spirit, but we do not yet have an agreement on their disputes and we are waiting for the outcome of their ballot, so I am not going to do anything now that unnecessarily makes it harder to end the strikes. The Opposition amendment to remove the commencement clause is designed to make industrial action more likely, not less likely. It tries to bind my hands and make this job even more difficult.”
“The goal is to be in a place, particularly with the BMA and resident doctors although this applies to other groups in the workforce too, where we can work together and make progress outside disputes, so that we can gather around tables as partners, rather than as opponents. That will take some gear shifting from where we have been to where we want to be, but I know that both the Government and the BMA have entered the new year in that spirit, so we will continue to make progress. Having stressed the urgency of the legislation, I want to address the commencement clause included in the Bill, which has already been raised. First and foremost, it is there as a failsafe. We are running to an extremely tight deadline. I do not want to be in a position where a law is enacted and we are unable to implement it in a timely and orderly fashion.”
“I hope that the BMA representatives know and have noticed that, regardless of the fact that we remain in dispute on these issues and have had a number of rounds of industrial action, I have not slammed the door in their faces and stopped talking—we have continued with good-natured and constructive talks—and I have not thrown my toys out of the pram either, and said “Right, we will not proceed with this Bill.” We have continued to work to enact solutions that we think are good for resident doctors, and therefore good for patients and good for the NHS. I hope that this will be the spirit in which we can work together.”
“In our discussions with BMA representatives, immediately prior to the last round of industrial action and since, it has been very clear that when it comes to jobs, we are not that far apart. We recognise the problems and we are working together to address the solution. On pay, there remains a gap between the expectations of the BMA and what the Government can afford. All I ask of resident doctors and their BMA representatives is some understanding and a bit of give and take about the range of pressures on the Government and the national health service, many of which require funding, which is why there are choices and trade-offs.”
“I agree with my hon. Friend. For context, I say to members of the BMA and resident doctors that to bring forward legislation in this way and at this pace is not easy. We have a packed legislative programme. The clock is ticking on getting everything through that we want to get through in the time that we have available, and I am grateful to the business managers in both Houses for facilitating the Bill. Cross-party support is going to be important, particularly in the other place, where we have lots of expertise to draw on, including from Cross-Bench peers. We have introduced the legislation because fundamentally we agree with the case that the BMA and resident doctors have been making.”
“May I associate Labour Members with your condolences, Mr Speaker? I am hugely grateful to NHS staff for the shift that they have put in through what remains a challenging winter. It is because of them that waiting lists are going down and ambulance handover times are 14 minutes quicker this winter than last winter, and during periods of industrial action this winter, NHS providers kept approximately 95% of elective activity running. We have got to ensure that we invest not just in our service but in our staff, and we are working actively with health unions to achieve that goal.”
“I am hugely grateful to my hon. Friend for his question and he is rightly proud of his local trust. It is absolutely right that we cannot expect the NHS to rely simply on the goodwill of staff going above and beyond the call of duty to meet the needs of patients. That is why the Government are committed to publishing a new workforce plan, to create the workforce that is ready to deliver the transformed service set out in our 10-year health plan. We are already working with health unions, both on issues around pay, as people would expect, and the conditions that people are working in, recognising, as my hon. Friend rightly does, that this is not just about doctors, important though they are, but about the entire NHS workforce that is delivering the improvements with this Government that the country is crying out for so desperately.”
“However, I want to be honest with the House and the country: even on the best days of this winter, patients are still being treated in corridors and in conditions that I do not believe are acceptable and that we should never allow to be normalised. That is why we are committed to year-on-year improvement.”
“The hon. Member is right to describe the appalling state of corridor care in this country. In fact, under the previous Government, not only was this allowed to emerge as an NHS issue, but it was normalised, with benign nomenclature such as “temporary escalation spaces” used to endorse that normalisation, which should never have been considered normal or acceptable. We will set out our plans shortly to publish data, so that the Government can be held to account as well as the system. I am clear that I want corridor care gone over the course of this Parliament, and I am confident that when we publish all the data for this winter, it will be better than last winter.”
“Rural and coastal constituencies, like South Dorset, are at the heart of our shift in the 10-year plan from hospitals to communities. Not only does everyone deserve care closer to where they live and work, but people in rural and coastal areas often see the sharp end of health inequalities. After 15 years of damage, this Government are determined to change the current postcode lottery of where people live determining the care they receive. As announced in the Budget, we are committed to delivering 250 neighbourhood health centres across every part of England. There are also now 100 community diagnostic centres across the country, offering out-of-hours services, 12 hours a day, seven days a week. Lots has been done but there is lots more to do.”
“I can well understand why my hon. Friend is particularly concerned about the impact of changes on cancer patients. I know that his integrated care board has heard his representations, and it will have heard them again today; I am sure it will be happy to meet with him, as will my hon. Friend the Minister of State for Health. It is important that people have the services that they need on their doorstep. That is one of the reasons why we are devolving so much power, responsibility and decision making closer to communities so that services can be designed around the differing needs of communities in different parts of the country.”
“The hon. Gentleman should absolutely make representations to his local ICB if he has concerns about service reconfigurations. We are investing more in the NHS, but I recognise that there are none the less big challenges for ICBs to face. I am sure that the ICB would be happy to meet him to hear his concerns.”
“There is so much more to do, however, to guarantee safety now and into the future, and also to ensure truth, justice and accountability for past failures. [ Official Report , 26 January 2026; Vol. 779, c. 6WC.] (Correction)”
“As the House knows, I am deeply concerned by the state of maternity care in the NHS that we inherited. While the majority of births go well, I know from the courage of families who have spoken up and the concern of staff that devastating impacts are arising from failures in care. That is why I asked Baroness Amos to chair an independent investigation into maternity and neonatal services to drive urgent action, but that has not stopped us from taking action in the meantime. We have invested more than £131 million to improve neonatal care facilities, brought in a new maternity care bundle, implemented a programme to reduce the two leading causes of avoidable brain injury during labour, and increased maternal mental health services.”
“Everyone accessing maternity care should be offered a personalised care and support plan, informed by a personalised risk assessment. That is so women have more control over their own care based on what matters to them and their individual needs and preferences, as well as to ensure that every woman understands the risk factors that might arise in her case. A caesarean section is generally a very safe procedure, but like any type of surgery, it carries a risk of complications. All women should have the confidence of knowing that the doctors and midwives dealing with them are robustly trained to deal with severe complications, including haemorrhage. That is why the maternity care bundle, as well as other measures, will lead to greater safety, more information and, crucially, the personalisation of care and patient choice for the mother.”
“Those are difficult issues to challenge, and it will require investment, but those are the sorts of areas we are getting into as we think more thoughtfully about how to ensure that we take care of not just the physical health of the mother and baby, but the mental health and wellbeing of mother and the wider family.”
“My hon. Friend is absolutely right to raise that issue, and I commend her for the work she is doing in this area. There is a real risk of post-natal depression. Certainly where there have been complications in birth or, worse still, injury or the most unimaginable experience of loss, we need to make sure that women and their partners and the wider families are supported from day one. That does not just mean training and support for staff and making sure that they are doing emotional wellbeing screening; it also means thinking more thoughtfully about estates. One thing that has really struck me is the experience of women who have suffered loss during labour who are asked, during the care that follows, to go back to the very maternity units where their unimaginable pain was first endured.”
“We are putting the largest ever capital investment into the NHS, but she has made a powerful point about the need for capital investment in this area, which was impressed on me at Queen’s hospital in Romford during one of my recent visits, and I will be looking at the issue very closely.”
“Without pre-empting Baroness Amos’s work, let me say that the hon. Lady is absolutely right. We need to give staff the tools that will enable them to do the job to the best of their ability, and they need the right facilities and environment in which they can work and patients can be cared for. It is completely unacceptable that on top of the other challenges that staff and families face at such an important time—the unique moment of bringing new life into the world—they are having to do so against the backdrop of crumbling estates that the hon. Lady has described.”
“I will make certain that my Department and the NHS look into what has happened to provision in the hon. Lady’s area, and I will write to her about it. She is quite right about the need to ensure that parents are given high-quality information from the time of conception so that they can make informed decisions about everything from whether to breastfeed through to the steps that they can take in those formative first 1,001 days to secure the best possible outcomes. I welcome the appointment of Will Quince to lead the 1,001 Critical Days Foundation; although in the past we have crossed swords in the House, I know how committed he is to that agenda.”
“We have created targeted tools and schemes to promote midwife retention. We have increased the provision of maternal mental health services to help women. We have had to do all that—not wasting a single day in 18 months. Imagine how embarrassed we would be if we had wasted 13 whole years!”
“Let me just point out that in the 18 months for which I have had the privilege of holding this post, we have invested more than £131 million in 122 infrastructure projects across 49 NHS trusts to improve the safety of neonatal care facilities. We have implemented a new programme to reduce the two leading causes of avoidable brain injury during labour. [ Official Report , 26 January 2026; Vol. 779, c. 6WC.] (Correction) We have piloted Martha’s rule in maternity and neonatal units in 14 trusts across six regions to give patients and families the right to request a second opinion. We have launched a package of initiatives and interventions to reduce the number of still births, brain injuries, neonatal deaths and pre-term births. We have held a culture and leadership programme.”
“Regardless of the challenges this winter presents, this is a Government who are facing into them. We have vaccinated over 17 million people this winter, which is 350,000 more than this time last year and 60,000 more NHS staff. We are not out of the woods yet by any stretch, but I can give an example of how our investment in modernisation is paying off: new year’s day was the busiest day in NHS history for 999 calls, but despite that, ambulances arrived to heart attack and stroke patients 15 minutes faster compared to this time last year. Backed by £450 million, our urgent emergency care plan will expand same-day and urgent care services. We are delivering new same-day emergency care and urgent treatment centres, more mental health crisis assessments and 500 new ambulances. Lots done, but so much more to do.”
“I absolutely join my hon. Friend in thanking NHS staff in Harlow and across the country for their incredible efforts during the toughest winter weeks. I particularly thank all those staff who have supported their colleagues and worked throughout Christmas and new year, sacrificing time with their families to care for ours. Of course, Mr Speaker, I particularly thank the staff at Chorley and South Ribble hospital who facilitated our visit. Your representations from the Chair for longer A&E access have not been lost on me, or indeed the record.”
“Member’s constituents—to think that the Government believe that what we have seen this winter is acceptable every day, in every case everywhere. Until that is the case, we will continue to strive for further improvement day by day, week by week, month by month, and year on year.”
“A number of critical incidents have been running across the country this week. To be clear, a critical incident does not mean that there is unsafe care or that we are unable to provide care. A critical incident means that there is a challenge, and the system mobilises in response to help meet that challenge so that people do receive safe care. As I have said, we are investing more in our urgent and emergency care services and we are seeing the impact of that through year-on-year improvements to date. We are not out of winter yet; we still have lots of hard yards ahead. I am confident that when we emerge from winter, we will be able to tell a story of year-on-year improvement. However, while the NHS is on the road to recovery, I would not want anyone watching—not least the hon.”
“My hon. Friend can be absolutely assured of that. I thank her for her powerful advocacy in this place, as well as for putting her words into action on the NHS frontline. She does not need to do that—she could do the bare minimum to keep her licence going—but she always goes above and beyond to take care of patients and constituents, literally rolling up her sleeves and putting on her scrubs to do that. She has made a number of thoughtful recommendations in her report, and I look forward to engaging with her and the all-party group on that.”
“We are striving towards meeting those standards, which were met so successfully under the last Labour Government. This Labour Government are having to pull out every stop to repair the enormous damage done by our predecessors. The Liberal Democrat spokesperson is right: safety, of course, is paramount, but so is dignity. When she describes those patients’ stories in those terms, it underscores the fact that behind the two words “corridor care” are countless stories of indignity and treatment in conditions that neither we, nor they as patients, nor staff want to see those people treated in. We are determined to put an end to it.”
“Today, we are bringing forward the Medical Training (Prioritisation) Bill. It implements our commitment in the 10-year plan for health to prioritise UK medical graduates and doctors with significant NHS experience for medical training posts. Taxpayers spend £4 billion training medics every year. It is time we protect that investment, ensure that we have a sustainable workforce and give home-grown talent a path to become the next generation of NHS doctors. On that note, Mr Speaker, I also wish to update the House that constructive talks with the British Medical Association’s resident doctors committee are ongoing. Let us see if, collectively, we can do better in 2026 than we did in 2025.”
“My hon. Friend is right; we have to shift care out of hospitals and closer to people’s homes to make sure that we do not end up with the situation he describes. I know that he is doing a lot of work on that in his community, and I am very happy to meet him to hear about his findings and what we can learn and apply both locally for him and his community and elsewhere.”
“We are moving at pace on the modern service framework, but we have recognised those financial pressures, whether through the continuation of the children’s hospice grant over multiple years so that hospices can plan or through the capital investment we have put into hospices, providing the biggest funding uplift for hospices in a generation. I recognise that there is more to do, and I enjoy a close working relationship with the hospice movement to look at what more we as a Government can do to support the vital work that it does.”
“I understand the point the shadow Health Secretary makes about capital funding, but I would also say that, through that capital funding, lots of hospices are able to free up their own resources, which would previously have been committed to rebuilding works, to spend on services. I recognise that there is more to do, and we are working closely with the hospice movement. I hope that the right hon. Gentleman is reassured to learn that we will be reporting on the modern service framework initially in spring, so that we can then take on board feedback and reiterate. Then we will get to the autumn, but people will not have to wait until then to hear the direction of travel.”
“Cross-party working on social care has never been un-instated. I know there is much more to do, but we have been in government for 18 months and we have put in £4 billion of investment, legislated for the first ever fair pay agreements with £500 million committed to that, made significant additional investment in the disabled facilities grant and, in building the workforce plan for the future, we have commissioned Baroness Casey to do her work. She will be reporting soon and we look forward to taking that work forward.”
“I am grateful to my hon. Friend for his advocacy on this matter. I know that it has been taken seriously by NHS leaders nationally as well as locally, and they listen carefully to what he says on behalf of his constituents. I have reported to the House this morning on all the action we are taking to drive improvement. We are seeing improvement, but there is so much more to do. We are determined to consign corridor care to the history books, and not just in Ashford but right across the country.”
“The Government increased investment in mental health by an extra £688 million in 2025, with all systems forecast to deliver the mental health investment standard. As our medium-term plan makes clear, we need a new approach to mental health to drive down waits and improve the quality of care, but our expectation is that integrated care boards will be required to protect mental health spending in real terms, rising in line with inflation year on year, ensuring that we meet the needs of constituents in all parts of the country.”