(1 day, 2 hours ago)
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Alex Baker (Aldershot) (Lab)
Laura Kyrke-Smith (Aylesbury) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
I am pleased to report that both access to general practice and patient satisfaction with general practice have improved since Labour came to office. Over 75% of patients find it easy to contact their practice —an improvement of 14 percentage points since the general election. Not only have we recruited an extra 2,500 GPs; crucially, more patients are receiving continuity of care, backed by an additional £1.1 billion. Lots done, lots to do, and certainly a long way to go, but general practice is on the road to recovery.
Alex Baker
I am proud to see this Government’s improvements to GP services making a real difference locally, with over 2,000 more GPs hired and new investment already reaching practices like Jenner House surgery in Farnborough. However, many of my older and more vulnerable constituents tell me they are still struggling to get through on GP phone lines, especially as more practices move online. What steps is the Secretary of State taking to ensure that phone lines remain accessible for those who rely on them, so that everyone benefits from our NHS health plan? [Interruption.]
Wes Streeting
Well, Mr Speaker, you couldn’t script this! We have a doctor in the House—my hon. Friend the Member for Bury St Edmunds and Stowmarket (Peter Prinsley)—whose phone was alive as this very issue was raised by my hon. Friend, such is the commitment of doctors in our NHS to be available to patients wherever and whenever they are needed.
This Labour Government were elected on a pledge to end the 8 am scramble, and that is exactly what we are doing. We know that not everyone wants to contact their practice online. That is why practices must offer patients the option to telephone or visit in person in addition to online access. I thank GPs up and down the country for the work they are doing and the progress we are making in improving online access, access generally and patient satisfaction—lots done, lots to do.
Laura Kyrke-Smith
The number of qualified GPs in Buckinghamshire has risen by 8% in the last year thanks to this Government’s determination to recruit and retain more GPs. It is a great start, but I still hear from too many people in Aylesbury who cannot get through to their GP surgery or cannot get a quick enough appointment when they do. My constituent Jane, whose husband had suffered a stroke, was advised that he needed a GP appointment the next day, but it took a month to get one. I know my right hon. Friend is determined to keep improving access to primary care for people in Aylesbury and across the country, so can he set out his next steps?
Wes Streeting
I certainly can, and I am sorry that my hon. Friend’s constituent was let down. Everyone who needs a same-day appointment should be able to book one, and that is what we are working towards. As she says, we are recruiting more GPs. We are also investing £102 million to create additional space for appointments, including in 21 GP practices in my hon. Friend’s local integrated care board system. Nowhere is the state of the NHS, and the crumbling legacy we inherited, more evident than in the NHS estate, and that is why I am proud that in her Budget, the Chancellor will be setting out plans to roll out a new generation of neighbourhood health centres to deal with the crumbling NHS we inherited and to build an NHS that is fit for the future.
Dr Kieran Mullan (Bexhill and Battle) (Con)
There are a number of exciting opportunities for extended GP premises in my constituency—in places like Martins Oak in Battle, Little Common and Old Town, and Oldwood in Robertsbridge. One major challenge is the rates that the NHS district valuer is willing to offer for construction sites; they have just not kept up with the inflation we have seen across all sectors of construction. I did have a meeting with the Minister for Care and it was helpful to start those discussions, but we have not made the progress that we need to. Can we have a further meeting, and will the Secretary of State outline what he will do to ensure that district valuers are offering rates that can allow construction to go ahead?
Wes Streeting
I thank the hon. Gentleman for raising some of the practical challenges that stand in our way to improving and expanding the primary care estate. We are looking into the issues that he raises. We want to ensure that we can modernise the estate as effectively and quickly as possible. When there is progress to report, I have no doubt that the Minister for Care will be in touch.
Lisa Smart (Hazel Grove) (LD)
Over the summer, my team and I conducted a health survey across my constituency, and 40% of those living in the most deprived and most urban parts of my patch—Heaviley, Little Moor and Great Moor—were struggling to access GPs. What more can the Secretary of State do to ensure that urban and deprived communities get their fair share of GP access?
Wes Streeting
I am sure that the hon. Member’s constituents will have noticed what an assiduous and active Member of Parliament she has been in actively soliciting their views. I hope that they and she will find it reassuring to know that we are taking action to deal with the very inequalities that she mentions. The Royal College of General Practitioners found that in the poorest parts of the country, there are an extra 300 patients per GP. It cannot be right that the poorest parts of the country receive the poorest service too. That is why we are reforming the Carr-Hill formula so that deprivation is the driver of funding and prioritisation. That will help us to improve services for everyone and to tackle the gross health inequalities that blight our society.
Liz Twist (Blaydon and Consett) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
Too many people are waiting too long for mental health support. Since coming into office, the Government have put mental health support services on the road to recovery. We promised 8,500 more mental health staff by the end of the Parliament, and we have already recruited 6,500 of them. We are introducing the first 24/7 mental health crisis support services through NHS 111, and we have rolled out mental health support to schools and colleges across the country, providing help to 5 million children and young people.
Liz Twist
Our mental health system is still suffering from the strain of 14 years of Conservative government. Rethink Mental Illness has reported that 12 times as many people are now waiting for mental health treatment than for physical health treatment. Nearly one third of those surveyed attempted suicide while waiting, and one in five lost their jobs. What are the Government doing to tackle those long waits and offer support to people before they reach crisis point?
Dr Ahmed
I thank my hon. Friend for all her tireless work to improve the lives of people living with mental illness and to prevent suicide. The 10-year health plan will build on the work that has already been done to reduce waiting lists, including through an extra £688 million of real-terms investment this year, the hiring of more staff and the expansion of talking therapies for an extra 380,000 patients. In addition, as she will know, the Mental Health Bill, which is in its final parliamentary stages, will modernise legislation and make a significant impact on the lives of those who live with mental illness.
Wera Hobhouse (Bath) (LD)
My all-party parliamentary group on eating disorders recently published a report on preventing eating disorder-related death. The report highlighted that eating disorders are not accurately recorded on death certificates. I was promised an update from the Minister for Women’s Health and Mental Health over two months ago, but am yet to receive one. How much longer will I have to wait?
Dr Ahmed
I am genuinely sorry that the hon. Lady has not received the reply to which she is entitled. I will look into it myself, take it up with my ministerial colleague, and ensure that a reply is expedited in the fashion in which it should have been in the first place.
Gareth Thomas (Harrow West) (Lab/Co-op)
The Minister for Secondary Care (Karin Smyth)
Thanks to our investment and modernisation of the NHS, the Government are putting cancer services on the road to recovery by opening up community diagnostic centres on evenings and weekends, building new surgical hubs and investing in new radiotherapy machines. We are diagnosing cancer faster and treating it sooner. This year, an extra 193,000 patients received a timely diagnosis or the all-clear compared with the previous year. I am pleased to report that cancer services in north-west London rank among the best performing in England, and we are committed to further improvement.
Gareth Thomas
Northwick Park hospital is the acute hospital serving my constituents. It benefits from having excellent cancer clinicians. They are determined to go ever further to improve the speed of diagnosis and the quality of support for those diagnosed with cancer, and are developing plans for a cancer centre for the hospital. As part of the roll-out of the national cancer plan, would my hon. Friend be willing to visit and meet those clinicians, and perhaps bring the Secretary of State’s chequebook with her?
Karin Smyth
As my kids would say, that is a bit boomer, but I take the point. My hon. Friend is a tireless campaigner for Northwick Park and his constituents, and he has long campaigned for the improvement of cancer services. Any reconfiguration or change to services needs to be clinically led by local decision makers, following engagement with patients and stakeholders. I am sure that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for West Lancashire (Ashley Dalton), who is developing the cancer plan, would be happy to meet him to discuss services in his constituency.
Mr Gagan Mohindra (South West Hertfordshire) (Con)
Mount Vernon hospital is a cancer specialist hospital in north-west London. Following the recent closure of the Mount Vernon urgent care centre and the delay to the new Watford general hospital until at least 2032, both of which I have previously raised in the Chamber, uncertainty regarding the future of Hemel Hempstead hospital now looks set to further restrict access to vital healthcare services for my constituents. What steps is the Minister taking to ensure that my constituents receive the adequate access to healthcare that they deserve?
Karin Smyth
This question is about services across north-west London. We are working with all integrated care boards to ensure that they work with local Members of Parliament about service configuration. It is a matter for them to determine. I have spoken to the hon. Gentleman previously. We are determined to ensure that we have the best services for people in their local areas based on clinical need. Today I have been talking about neighbourhood health services, for example. As we develop the health service plan and put right the mistakes of the past in getting the new hospital programme on to a sustainable footing, all of this will be considered in the round. I am happy to keep talking with him.
Elaine Stewart (Ayr, Carrick and Cumnock) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
In England, for the first time in 15 years, waiting lists are falling. Through record investment and modernisation, we have cut backlogs by more than 230,000, and we smashed our target for additional appointments in our first year, delivering more than 5 million. There is a long way to go, but the NHS in England is on the road to recovery. Unfortunately, in Scotland the SNP cannot seem to get the car started.
Elaine Stewart
While the NHS is on the road to recovery in England thanks to the investment of this Labour Government, there are 61,000 patients in NHS Ayrshire and Arran on a waiting list for treatment, almost 11,000 of them for over one year. Does the Minister agree that after record levels of funding for Scotland in the last Budget, people in my constituency should be asking the First Minister and his Government, “Where’s the money gone, John?”
Wes Streeting
My hon. Friend is absolutely right. More patients are waiting a year for treatment in Ayrshire and Arran than in the entire south-west of England—that is shocking. Thanks to the investment the Chancellor has made, Scotland is receiving an extra £1.5 billion this year and £3.4 billion next year—the biggest funding increase since devolution. Labour is cutting waiting lists in England. Labour is cutting waiting lists in Wales. Why is the SNP failing where Labour is succeeding?
Joe Robertson (Isle of Wight East) (Con)
The Secretary of State has failed to end industrial action like he said he would. How is that helping to reduce waiting lists?
Wes Streeting
Industrial action sets back our progress on waiting lists, but frankly, the Conservatives presided over an absolute mess—not just over the course of 14 years, when waiting lists rose every single year during the Conservatives’ time in power, but in their catastrophic mishandling of industrial relations. We came in, and we settled with the British Medical Association—[Interruption.]
Mr Speaker
Order. Mr Fox, you were the last voice I heard. I want to hear what the Secretary of State has to say. If you do not want to, you can go and get a cup of tea.
Wes Streeting
We came in, and we settled with the resident doctors with a 28.9% pay rise. It should be clear to them from the questions that Opposition Members have asked and the extent to which they have opposed a pay rise for not just resident doctors but NHS staff more generally that there is not a more pro-NHS, pro-doctor Health Secretary or Government waiting in the wings. It is either the Conservative party, which lumbered the NHS in this crisis in the first place, or the Reform party, which does not believe in the NHS at all.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I would first like to say I am sorry that the Minister for Public Health and Prevention is unwell and convey to her the best wishes of the Opposition.
I would like the Secretary of State to consider a patient who has waited a year for a procedure and then, after three waiting list validation calls, finally sees the consultant to check that the procedure is still necessary. If the consultant agrees that it is, do the Government figures show that patient as waiting for a year or a much shorter period?
Wes Streeting
A clock stop would be in place from the moment the patient saw the consultant. The reason we have had to do waiting list validation is that, in addition to driving waiting lists up, the Conservative party presided over a total shambles where patients were often waiting in duplicate slots on the waiting list, removed from waiting lists unnecessarily or waiting far too long. That is the mess we inherited from the Conservative party.
Wes Streeting
It is no use shadow Ministers heckling from the sidelines. When they had the chance, they drove waiting lists up, and they drove the NHS into the abyss.
Dr Johnson
The Secretary of State does not seem entirely sure, so perhaps he can write to us with an answer—
Dr Johnson
As someone who is on the waiting list myself, I do hope that the Secretary of State is correct. Waiting lists for procedures and operations requiring day care or overnight admission are both rising and higher than they were a year ago. Orthopaedic surgery waiting lists are up, yet this Government scrapped our major conditions strategy and say that they have no plans for a musculoskeletal conditions framework. Gynaecology surgery waiting lists are up, yet the Government scrapped and are now reviewing the women’s health strategy. Waits for procedures and operations in ophthalmology, general surgery, neurology and gastroenterology are going up too. When is the Secretary of State going to get a grip of the surgical waiting lists?
Wes Streeting
I honestly cannot believe the brass neck of Conservative Members; their time in government led to the longest waiting times and lowest patient satisfaction in the history of the national health service. The best news I can offer the shadow Minister, and others like her who are on a waiting list, is that we have a Labour Government who are reducing waiting lists for the first time in more than 15 years.
Sally Jameson (Doncaster Central) (Lab/Co-op)
The Minister for Secondary Care (Karin Smyth)
We inherited a crumbling NHS estate. Many hospitals, including Doncaster Royal infirmary, are in a state of disrepair, thanks to the shocking record of the last 14 years. When I visited Doncaster Royal, I saw at first hand the outstanding care staff are providing despite significant infrastructure challenges. That is why the Government have supported Doncaster and Bassetlaw trust with £19.8 million in national funding to redevelop the critical care unit, and another £3.2 million from the estate safety fund for fire safety work. We have also provided nine years of certainty for maintenance budgets, allowing trusts to plan strategically and deliver further improvements.
Sally Jameson
As the Minister outlined, Doncaster was badly let down under the previous Administration, when after much fanfare and promise we were left off the new hospital programme. Since then, the trust has been working on revised capital projects to keep it going in the interim period, including a much-needed rebuild of the east block. Will the Minister continue to work with me and the trust to deal with the critical state of DRI?
Karin Smyth
My hon. Friend has been the most tireless campaigner on this issue since coming to the House in July 2024, so of course I will continue to work with her to support her local hospital. The previous Government neglected the NHS: those buildings were left to crumble and their new hospital programme was neither affordable nor deliverable. We are committed to reversing that decline and repairing hospitals like Doncaster Royal infirmary. That is why the trust will receive over £105 million in operational capital across the next four years to be allocated to local priorities, including repairs at Doncaster Royal infirmary.
Dr Neil Hudson (Epping Forest) (Con)
Clive Jones (Wokingham) (LD)
The Minister for Secondary Care (Karin Smyth)
In January we published an honest, realistic and deliverable plan that puts the programme on a sustainable footing, ensuring that taxpayers get the maximum value for money. We are committed to delivering all the schemes and are moving at pace, with funding in place for design work, construction and business case development. Outside the new hospital programme, we are investing £30 billion in day-to-day maintenance repairs of the NHS estate across this spending review period.
Dr Hudson
As my constituency neighbour, the Health Secretary will know that both his constituents and mine rely heavily on the Princess Alexandra hospital in Harlow and Whipps Cross in Leytonstone. Before the election, he promised the rebuild of the Princess Alexandra hospital and he supported the Whipps Won’t Wait campaign, yet under Labour it appears that both Princess Alexandra and Whipps must wait. Whipps Cross now faces an estimated £170 million in backlog maintenance, one of the highest figures in the country. Does the Health Secretary agree with me that rising maintenance costs must be taken into account when prioritising the new hospital programme?
Karin Smyth
Again, what the hon. Gentleman says is really quite astonishing: like everybody else, he knows that no money was allocated by his Government to the new hospital programme beyond last March. The Conservatives know that and they need to start being honest with their constituents—[Interruption.]
Mr Speaker
Order. Dr Mullan, I want you to set a better example—I expect better from you.
Karin Smyth
I think that the Conservatives’ constituents know exactly what their promises were built on: sand. That is why there are very few Conservative Members in the House and a lot of Members on the Labour Benches. We took hold of the programme and put it on a sustainable and credible footing, and we will deliver it.
Clive Jones
Frimley Park hospital is in wave 1 of the new hospital programme, with construction expected to start in 2028-29. Many of my constituents use the hospital, and they are rightly concerned about possible delays to its build, especially with the issue of reinforced autoclaved aerated concrete. Patients and staff cannot be expected to work in an unsafe environment longer than necessary, if at all. Will the Minister reassure my constituents and confirm that the construction on Frimley Park hospital will begin no later than 2029?
Karin Smyth
The hon. Gentleman is an assiduous campaigner on behalf of Royal Berkshire hospital and now of Frimley Park hospital. I met with Members of Parliament last week who are involved in the RAAC schemes, which are progressing to plan. We are absolutely on target with progressing that plan, and we look forward to the proposals coming through from the local integrated care board.
Maya Ellis (Ribble Valley) (Lab)
My constituents in Ribble Valley have been directly impacted by the delays to the new hospital programme, with the rebuilding of Royal Preston hospital being put back by almost a decade. Just last week, I received the disappointing news that Longridge community hospital, which is much loved and valued by local residents, will be closed for safety upgrades for the next six months. This Government’s impressive 10-year health plan rightly notes that they expect a shift from hospital to community. With that in mind, can the Minister confirm that she expects integrated care boards, such as Lancashire and South Cumbria ICB, to keep community hospitals open? That is opposed to centralising, which not only takes services away from communities but, in our case, transfers them to vastly inferior hospital buildings. Will she join with me and Longridge residents and say that she hopes the essential repairs are completed quickly at the community hospital?
Karin Smyth
I congratulate my hon. Friend on getting a lot of estates questions into that one point. The point is that local people value the local facilities that they have known for a very long time. That is why we are committed to reversing the decline in capital investment under the last Government—Lord Darzi outlined the shocking £40 billion black hole on capital. Part of our move towards neighbourhood health services is exactly about getting services closer to people’s homes, and we look forward to having further conversations with my hon. Friend and her constituents.
Bill Esterson (Sefton Central) (Lab)
Rowan View mental health hospital at Maghull health park in my constituency is benefiting from lower costs from the installation of solar panels from GB Energy. May I encourage the Minister to support Maghull health park’s bid for an innovation and research facility so that we can address the Government’s priority of giving parity of esteem to mental health and physical health?
Karin Smyth
My hon. Friend makes an excellent point about working across Government with GB Energy to support local health systems in reducing health costs. That is an important part of our efficiency drive. He is a strong advocate for a local facility at Maghull, and we are absolutely committed to working with the ICB so that it develops the most efficient services where people are actually located, rather than expecting them to go to and fro and get bounced around the health system. I hope he can see further progress on that issue.
Dr Luke Evans (Hinckley and Bosworth) (Con)
When it comes to hospital provision, the Conservatives believe that we should continue to use private providers to improve access and reduce waiting times. We believe the Government should not let spare capacity go to waste on ideological grounds; we should continue to make use of private-sector capacity to treat NHS patients where available. Does the Minister agree?
Karin Smyth
I am sure this is leading somewhere else but, broadly, yes, I think I do.
Dr Evans
I am pleased to hear that the Minister does, given that it is her current policy. The last time the Government brought in private finance, they brought in the private finance initiative, which brought in £13 billion of investment. The problem was that it cost the taxpayer a whopping £80 billion, and hospitals are still paying decades on. This time around, will the Government give a cast-iron guarantee and complete confidence to the public that this is not Labour’s version of PFI mark 2?
Karin Smyth
Yes, I can give the hon. Gentleman that guarantee. The last Government could have learned the lessons of some of the PFI schemes that were very costly and did not run. Why did they not learn those lessons? Why did they not take action to reverse some of the decline? Why did they not take control of the system and do something about it? We have learned the lessons from those schemes, thanks in part to the great work done by parliamentarians on Committees such as the Public Accounts Committee. The new system to build the new neighbourhood health centres, which are fundamental to our drive to shift care out of hospital, will be different and will be publicly owned; they will revert to the public. The schemes are fundamentally different, and I am very happy to talk about it in more detail.
Josh Newbury (Cannock Chase) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
May I first commend my hon. Friend not just on leading the recent International Men’s Day debate, but on his courage in speaking so openly about his own experience of sexual assault and the need to tackle the stigma surrounding it? [Hon. Members: “Hear, hear.”] For too long, men’s health has been overlooked, with a reluctance to accept that men suffer specific inequalities and hardships as men and boys. We know that men are less likely to come forward for healthcare. From partnering with the Premier League to rolling out health support in the workplace, we are meeting men and boys where they are and supporting them to live longer, healthier lives.
Josh Newbury
The publication of the first ever men’s health strategy for England was a historic step forward, including the drive to improve care for men with prostate cancer, the most common form of cancer in men under 50. I place on record my admiration for the right hon. Lord Cameron for speaking publicly about his diagnosis and successful treatment. The commitment to expanding home-based testing and remote monitoring is welcome, but can the Secretary of State tell the House what the Department will do to increase awareness and access to testing among the men most at risk, including those under 50?
Wes Streeting
I join my hon. Friend in commending Lord Cameron on his openness. Raising awareness, as we know, encourages men to come forward and leads to more diagnosis. He has done a great public service in talking about his own experience. We are improving care for men diagnosed with prostate cancer and undergoing active monitoring or treatment. We will be introducing support for individuals who are on prostate cancer active monitoring pathways to enable them to order and complete prostate-specific antigen blood tests at home from 2027. As for screening and the case being made for targeted screening, I await the recommendations of the National Screening Committee. We will study those carefully. We know that this is contested within the sector, so it is important that we have an evidence-based discussion, thrash out the arguments and reach the right way forward.
Mr Gregory Campbell (East Londonderry) (DUP)
I welcome the Secretary of State’s indication that he is awaiting the outcome of that report on screening for prostate cancer. If that report recommends what many of us hope it will recommend, will he act quickly to develop the report’s recommendations, whatever they are?
Wes Streeting
We are expecting the draft recommendations, and then a three-month consultation period will follow, but I want to act quickly on the evidence and what the recommendations contain, not least because we know that as well as it being a prevalent form of cancer, some groups—particularly black men, men with a family history of prostate cancer and men with BRCA gene mutations—are at higher risk. Black men are twice as likely to die with prostate cancer than white men. There is therefore an imperative to act. Whatever the recommendation, we need to do much better on diagnosis and treatment of this terrible condition.
Ben Goldsborough (South Norfolk) (Lab)
The Minister for Care (Stephen Kinnock)
NHS dentistry is out of reach for too many people, and that issue is felt particularly acutely in rural areas such as Norfolk. This Government are rolling out extra urgent dental appointments across the country, and we will be making further improvements for patients to come in from April 2026. NHS dentistry was left to rot for 14 years under the Conservatives; Labour is putting it on the road to recovery.
Ben Goldsborough
After 16 months of a Labour Government, the share of adults in Norfolk seen by a dentist has risen from barely scraping 30% to well over 40%—lots done, but lots more to be done. The University of East Anglia proposed a dental school as part of the solution. Will the Minister work with Department for Education colleagues to ensure that the Office for Students and other bodies give it the green light?
Stephen Kinnock
I, too, am absolutely delighted that more patients can see a dentist in Norfolk but, as my hon. Friend says, there is a long way to go. We are certainly not complacent, but we are showing that it is possible to turn things around. I am also pleased that the University of East Anglia has been approved as a dental school by the General Dental Council. The Office for Students has statutory responsibility for allocating dental school places, but I fully agree that UEA would be a good candidate for any additional Government-funded places allocated in future.
Several hon. Members rose—
James Wild (North West Norfolk) (Con)
The Minister told the Health and Social Care Committee that the spending envelope for dentistry would be confirmed by the end of the summer at the latest. Is the Office for Students still waiting for a ministerial direction to launch that competition for new places, so that UEA can bid along with others and so that we can get training places in Norfolk for the first time?
Stephen Kinnock
The hon. Gentleman is right: it is the Government’s responsibility to give a steer to the Office for Students, and we are very close to being able to put that together. I am expecting some advice from my officials later in the week, and I shall be happy to keep the hon. Gentleman updated on further progress.
Josh Dean (Hertford and Stortford) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
Women’s health is a priority for me, for my Department and for the Government. Since I last answered questions in the House we have extended the NHS health check to include the menopause for the first time, following the brilliant campaigning of Menopause Mandate and others. We have also made the morning-after pill free in pharmacies. The Prime Minister is co-ordinating work across Government to tackle violence against women and girls, and in the health and care services we will play our part in protecting and supporting victims. I have also asked the Government’s women’s health ambassador to renew the women’s health strategy that was introduced by the last Government, so we can ensure that it is driving the right progress in the future.
Josh Dean
When my constituent Rachel attended numerous A&E departments with severe abdominal pain, swelling, fever and nausea, her fears of a ruptured ovarian cyst were repeatedly dismissed. In her day-to-day life Rachel is a professional advising on antimicrobial resistance around the world, but as a patient she felt that her concerns were being ignored and that she was being pushed aside. She is determined to use her experience to challenge the unacceptable medical misogyny that she and other women across the UK still face too often. What action are the Government taking to ensure that women are not left to endure painful reproductive health conditions, and will the Secretary of State agree to meet Rachel to hear her story at first hand?
Wes Streeting
I thank my hon. Friend for describing Rachel’s experience. We have introduced Jess’s rule and we are rolling out Martha’s rule, so that, whether in primary or acute care, patients’ voices will be heard and they will be given the power to ensure that health professionals are listening and responding appropriately. However, my hon. Friend is right to acknowledge that much of this arises from medical misogyny. It is not just a case of changing rules and regulations; it is a case of changing culture and practice, so that women are not just seen but heard and listened to. That is a fundamental problem that we determined to address—and of course I should be delighted to meet Rachel to hear about her experience at first hand.
Layla Moran (Oxford West and Abingdon) (LD)
Diethylstilbestrol, or DES, was prescribed to women until the 1980s to treat miscarriage. Those who took it were themselves at greater risk of breast cancer, and their daughters have a higher risk of rare cervical cancers. It is estimated that a whopping 300,000 women have been affected. Two weeks ago the Secretary of State made an apology to victims, but they rightly want more than “sorry”, and they have pointed out that the current screening regime is insufficient. Will the Secretary of State meet me, and campaigners and victims, in order to understand how this was allowed to happen, who will be held accountable, and how those women can go about securing compensation for this egregious scandal?
Wes Streeting
I thank the Chair of the Select Committee for raising that extremely serious issue. I am glad that she has drawn it to the House’s attention. I have apologised, on behalf of the state, for the failure that occurred and for the harm that has arisen as a result. My hon. Friend the Member for Bournemouth West (Jessica Toale) has been campaigning diligently, and the DES Justice UK campaigners have done a magnificent job in raising public awareness. I am always delighted to meet the Chair of the Select Committee because I know which side my bread is buttered on, but I should be particularly delighted to meet her to discuss this specific issue.
Helen Morgan (North Shropshire) (LD)
The impact of health inequalities on women’s health are starkest when it comes to maternity care, with many NHS trusts requiring improvement. Black and Asian women, and those from the most deprived communities, are far more likely to suffer the worst outcomes or even lose their babies. The Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives have vocally opposed the removal of the ringfence from the service delivery fund, saying that funding provided to drive change following the Ockenden review has disappeared at the stroke of a pen. Will the Secretary of State commit himself to reinstating that ringfence, and to ensuring that all the immediate and essential actions arising from that review of the failings at Shrewsbury and Telford hospital NHS trust are taken as soon as possible?
Wes Streeting
I thank the Liberal Democrat spokesperson for her question. She is right to raise the inequalities at the heart of poor maternity care, as well as failures in services overall. We are taking a number of actions, but on the issue of funding specifically—I think this will become a recurrent theme across a range of issues during this Parliament—the approach that we are taking as a Government is to try to devolve more power, responsibility and resources to the frontline. As we do so, we are removing national ringfences.
I appreciate what the hon. Lady says about the risk. It is important that we, and no doubt Parliament, scrutinise the situation to make sure that outcomes across the board improve and that the focus that this House wants to bring to issues like maternity safety is delivered in practice, but I think we are right to drive at the issue of devolution. Decisions are better taken within communities, close to communities and at a local-system level, but she is right to be vigilant about this issue, and we on this side of the House are absolutely open to challenge. If systems are not acting in the way that we want and it is having an adverse impact, we will reconsider.
Cat Smith (Lancaster and Wyre) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
We are carefully considering the work undertaken by the Patient Safety Commissioner, which sets out various potential options for redress. I am both a clinician and a Minister who has recently taken on this area, and my hon. Friend will know that this is highly complex work, but it is a complexity that I am willing to step into. It requires input and planning across Government, which takes time. I am certainly committed to taking this issue seriously, and I will return to update my hon. Friend and the House in due course.
Cat Smith
I welcome the new Minister to his post. I have been campaigning on this issue for 10 years, and I have a stack of letters and answers to written parliamentary questions that say things like “in due course” and “the Government are considering”. On behalf of a group of people who have been gaslit by the medical profession, will the Minister step up and be the Minister who ensures that these families, who are victims of the sodium valproate scandal, actually see the redress that they absolutely deserve? Will he make sure that they get a meeting with him at the earliest opportunity?
Dr Ahmed
I thank my hon. Friend for all her tireless work, campaigning and advocacy on this issue for many years, particularly since the Hughes report was published in February 2024. Like me, she will be sensitive to the fact that we are coming up to the two-year anniversary of that report. It is a call to action for me and the Department to answer the questions that she has been asking for so long. I have a meeting with the Patient Safety Commissioner very shortly, and I am very happy to meet her separately when she wishes.
Robin Swann (South Antrim) (UUP)
The Minister will know that the Hughes report focused very much on England, but those affected by the redress scheme will be found across the entire United Kingdom. Will he ensure that he engages with Health Ministers from the devolved authorities?
Dr Ahmed
The hon. Gentleman can certainly be given that assurance from me, as the Minister also responsible for four-nation engagement. The Hughes report examined both the sodium valproate and pelvic mesh issues, and I know that these resonate across the four nations, particularly when it comes to licensing and regulation of medical technology. He has that assurance from me.
Alison Griffiths (Bognor Regis and Littlehampton) (Con)
The Secretary of State for Health and Social Care (Wes Streeting)
Trade unions, representing the majority of NHS staff, are engaged in constructive dialogue with the Government, particularly around reform of Agenda for Change. All NHS staff have received above-inflation pay rises. No other staff in the public sector have received a pay rise as high as that of resident doctors. We offered extra jobs, prioritisation for UK graduates and help with out-of-pocket expenses. Against that backdrop, it is simply appalling that British Medical Association leaders led their members out on strike, even though a majority of resident doctors supported the Government’s offer.
I am pleased to report to the House that, thanks to NHS leaders and frontline staff, including the resident doctors who turned up, the NHS met its ambitious goal and 95% of planned elective activity went ahead, meaning that 850,000 patients got the procedures and operations they needed, despite the BMA’s reckless action. None the less, the time and money that this has cost us is detrimental, and I hope the BMA will come back to the table constructively.
Alison Griffiths
After warnings from the NHS Confederation and NHS Providers, my constituents are still rightly concerned that services may yet be cut, appointments lost and operations delayed as a direct result of the BMA’s industrial action. These strikes did not need to happen. What will the Secretary of State do to reassure patients in Bognor Regis and Littlehampton that their safety and wellbeing is a priority for this Government, who have no timetable and no plan, and who have made no progress towards ending these damaging rolling strikes?
Wes Streeting
I must say that a bout of collective amnesia has swept the Opposition Benches, because the Conservatives seem to have forgotten the absolute calamity of bad industrial relations over which they presided. The difference between Members on this side of the House and the Conservatives is that we have never closed the door to talks; we have always been willing to engage with resident doctors in good faith. Unlike under that party, resident doctors have received a 28.9% pay rise from this Labour Government. It is a reminder to resident doctors across the land that the grass is not greener on the other side, and that they should work with a Labour Government who want to work with them.
Gregory Stafford (Farnham and Bordon) (Con)
The Minister for Care (Stephen Kinnock)
I am delighted to have announced in a written ministerial statement yesterday that the Government are developing a palliative care and end-of-life care modern service framework for England. The modern service framework will be aligned with the 10-year health plan, prioritising shifting care out of hospitals and into the community to ensure personalised, compassionate support for individuals and their families.
Gregory Stafford
There has been cross-party and cross-charity campaigning for this strategy, so I welcome the fact that the Minister has announced it. However, hospices across the country and especially in my constituency are telling me that their biggest problem is the national insurance rise. For example, a children’s hospice that covers my constituency tells me that the £90,000 extra it has to pay in national insurance could have funded three nurses. What discussions has the Minister had with the Chancellor ahead of tomorrow’s Budget to ensure that hospices, and indeed other health and social care organisations, are exempt from any national insurance rises, either in the past or in the future?
Stephen Kinnock
I thank the hon. Gentleman for his question. I notice he did not welcome the fact that we are supporting the hospice sector with a £100 million capital funding boost and £80 million in revenue funding for children’s hospices over three years. We also notice that Conservative Members do like to welcome the additional investment generated from the last Budget, but they do not seem to welcome the means by which it was generated, so I would say to them: what would they cut or what taxes would they put up to pay for what we are doing to get our NHS back on its feet and fit for the future?
Alistair Strathern (Hitchin) (Lab)
I welcome the Government’s commitment to a strategy for palliative care, which is as overdue as it is important, but it will mean nothing for hospices that are not able to last out until it comes into effect. Garden House hospice in my constituency is facing a crucial funding shortfall, and although the capital funding from the Government that came through earlier this year is incredibly welcome, it is still just short of filling the cash-flow gap it needs to fill to secure its operations. Would the Minister meet me to see what further work the integrated care board may be able to do to protect this vital hospice serving my constituents?
Stephen Kinnock
I am very pleased that the measures we have taken have provided financial support. I absolutely recognise the challenging financial position, and I would of course be more than happy to meet my hon. Friend to discuss that further.
Mr Connor Rand (Altrincham and Sale West) (Lab)
The Minister for Secondary Care (Karin Smyth)
We are committed to transforming cancer care, having already invested £70 million in new radiotherapy machines to help patients to be treated more quickly. We are investing £26 million in the NHS, opening community diagnostic centres in the evening and at weekends to catch cancer early, and our national cancer plan will have patients at its heart—from referral to diagnosis, treatment and ongoing care.
Mr Rand
My constituent Mike lost his wife to cancer, but as well as battling the physical symptoms, she faced devastating mental health effects, becoming deeply depressed after her terminal diagnosis. Despite that, she never received appropriate mental health support, and this significant issue for cancer patients should be addressed as part of our welcome reforms to palliative care. Could the relevant Minister meet me and Mike to discuss his campaign to improve mental health support for those with a terminal diagnosis?
Karin Smyth
Of course, I am sorry to hear about the loss of my hon. Friend’s constituent’s wife, and our thoughts are with him and his family. My hon. Friend raises an excellent point, and we are supporting people with cancer who are experiencing poor mental health care by expanding access to psychological therapies through NHS talking therapies. I am sure that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for West Lancashire (Ashley Dalton), will be happy to talk to him as she develops her cancer plan to ensure that these issues are incorporated.
Dame Caroline Dinenage (Gosport) (Con)
A constituent of mine recently had successful high-intensity focused ultrasound treatment for prostate cancer, which was at Charing Cross hospital because it is not even offered to men at Portsmouth hospitals, despite being a less invasive treatment with fewer long-term health implications. As if to underline that inequality, imagine his surprise when he turned up at the hospital and found that the same doctor who had diagnosed him in Portsmouth was actually carrying out the procedure in London. What more are the Government doing to ensure that there is no postcode lottery when it comes to HIFU, and what will the Minister do to ensure that more men can access it?
The Minister for Secondary Care (Karin Smyth)
I thank the hon. Lady for that question and for her work on this issue. She makes a really important point about consistency of care. We understand that services are different in different parts of the country—sometimes the needs are different—but we want to ensure that, where there is good practice and proven evidence, care is rolled out. As we say, bring the best of the NHS to the rest of the NHS. I am sure that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for West Lancashire (Ashley Dalton), will take note of that point.
Sarah Olney (Richmond Park) (LD)
The Secretary of State for Health and Social Care (Wes Streeting)
Obesity robs children of the best possible start in life, hits the poorest hardest, sets them up for a lifetime of health problems and costs the NHS billions, so I can announce to the House that we are expanding the soft drinks industry levy to include bottles and cartons of milkshakes, flavoured milk and milk substitute drinks. [Interruption.] We are also reducing the threshold to 4.5 grams of sugar per 100 ml. This Government will not look away as children get unhealthier and our political opponents urge us to leave them behind.
Mr Speaker
The only thing I will say is that at least we are hearing it first in this House and not on Sky.
Sarah Olney
I congratulate the Secretary of State and the Department of Health and Social Care on the launch last week of the men’s health strategy. My constituent Philip Pirie, who sadly lost his son to suicide, has been calling on the Government to launch a public health campaign to reduce the stigma of suicide. Nearly 75% of those who lose their lives to suicide have not been in contact with mental health services, and that is why we need to reach out. Will the Secretary of State meet me and my constituent to discuss such a campaign?
Wes Streeting
I am sure that my hon. Friend the Minister for Care would be delighted to meet. The men’s health strategy sets out precisely the challenge in those terms. Through the partnerships that we have already announced, such as with the Premier League, as well as the people who have been knocking on our doors to get involved in such a campaign, I am absolutely confident that together, collectively across the House and across the country, we can tackle this terrible stigma.
Jacob Collier (Burton and Uttoxeter) (Lab)
The Minister for Care (Stephen Kinnock)
I thank my hon. Friend, who is a tireless campaigner on this issue. We want to see more dentists in Burton and Uttoxeter, and across the country, which is why we are offering dentists £20,000 to work in underserved areas. We are making it a requirement for new dentists to practice in the NHS through our tie-in policy. We are also making additional urgent appointments available across the country, including for my hon. Friend’s constituents in Burton and Uttoxeter.
Stuart Andrew (Daventry) (Con)
Thank you, Mr Speaker. Can I ask the Secretary of State why he has not sorted out the strikes and disputes?
Wes Streeting
I wish the shadow Health Secretary a very happy birthday—21 again! It is good to see him here.
We continue to hold the door open to the British Medical Association. If it wants to engage constructively, we are ready and willing. What we will not do is be held to ransom. What we cannot afford to do is pay more than we already have. What we are able and willing to do is go further to improve their career progression and job prospects, and to work with them to rebuild the NHS, which the Conservative party broke.
Stuart Andrew
But, Mr Speaker:
“The power to stop these strikes is in the Government’s hands.”—[Official Report, 6 February 2023; Vol. 727, c. 660.]
“They need to sit down and negotiate to end the strikes, but Ministers are too busy briefing against each other.” Those are not my words, but the Secretary of State’s words when he was standing here on the Opposition side. He said it was so simple. The Secretary of State is embroiled in a leadership battle that is taking over the need to focus on averting walkouts, and the Employment Rights Bill reduces voting thresholds on strikes and scrapping minimum service levels. Does the Secretary of State accept that things are only going to get worse as a result of the Bill? And in his words, does he agree that patients have suffered enough?
Wes Streeting
I was very clear in opposition about the Government’s responsibility to sit down and negotiate, and that is exactly what I have been doing. It takes two to tango. As for the other trivial nonsense the right hon. Gentleman mentions, I have been very clear that I am a faithful. Of course, if he were a gameshow, he would be “Pointless”.
Katrina Murray (Cumbernauld and Kirkintilloch) (Lab)
Stephen Kinnock
My hon. Friend raises an important point, and I would be more than happy to meet her to discuss it, because I think the complexity of what she raises needs some detail.
Helen Morgan (North Shropshire) (LD)
Every MP will be aware of the huge value that unpaid carers add to the NHS, taking the pressure off paid carers while often under intolerable pressure themselves. We were therefore really pleased to hear the news this morning that thousands of unpaid carers will have their cases reviewed, after they had been left with huge debts as a result of a failure of Government over a long period of time. However, it has been reported that debts will continue to accrue and overpayments will continue to be pursued for as long as a year from now. Given his responsibility to unpaid carers, will the Secretary of State raise the issue with colleagues, urging them to suspend repayments until the recommendations are enforced, and ensure that those people propping up the care system are treated fairly from today, not from in a year’s time?
Wes Streeting
I am grateful to the hon. Member for that question, as this is a terrible situation and one of the many messes that this Government are now working to clean up. I will certainly ensure that the issue she raises is taken up with my right hon. Friend the Work and Pensions Secretary.
Tristan Osborne (Chatham and Aylesford) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
My hon. Friend is absolutely right. As announced in the 10-year health plan, David Lock KC is providing expert policy advice on the rising legal costs of clinical negligence and how we can improve patients’ experience of claims. That review is ongoing, and following initial advice to Ministers and the recent report from the National Audit Office, the results of David Lock’s work will inform future policymaking in this area. I am happy to update my hon. Friend as soon as that happens.
Dr Danny Chambers (Winchester) (LD)
Wes Streeting
I am happy to report to the hon. Gentleman that we are well on the way towards delivering the 8,500 more mental health staff we promised in our manifesto, with over 6,500 already there. Digital tools can play a role, and I am pleased to report that, given the evolution of our online tools via the NHS app, ensuring that we have high-quality and clinically verified apps will be part of our approach, so that people have access to high-quality digital tools, not ones they have googled on the internet.
Kenneth Stevenson (Airdrie and Shotts) (Lab)
Dr Ahmed
While the NHS in Scotland has no app and no plans for a national roll-out, the NHS in England has had an app since 2019, with 71 million logins in October 2025. Three in four people now have the app in their pockets and it has more subscribers in England than Netflix. You may ask, Mr Speaker, why NHS Scotland does not have an app? The answer comes in a freedom of information request by the champion journalist Simon Johnson: when asked about some of the drawbacks of applying the NHS England app in Scotland, they said:
“political optics of adopting an English solution”.
It is time for Analogue John to move over and let Anas Sarwar and Jackie Baillie finally drag the Scottish NHS into the 21st—
Mr Speaker
Order. We are on topical questions. The Prime Minister is in the Chamber. If you do not want Members to get in, please tell me; it would be easier.
Sarah Dyke (Glastonbury and Somerton) (LD)
Stephen Kinnock
We have the interim reforms, and our response on those will be published very soon. We are working on the long-term reform of the NHS dentistry contract with the British Dental Association, and I would be happy to keep the hon. Lady updated on our progress.
Mr Connor Rand (Altrincham and Sale West) (Lab)
Wes Streeting
Yes, Mr Speaker. [Interruption.] Opposition Members do not like to hear it, but we are bringing waiting lists down for the first time in 15 years, patient satisfaction with general practice is rising, and we are delivering the investment, modernisation and change the country voted for.
Pippa Heylings (South Cambridgeshire) (LD)
Peter Swallow (Bracknell) (Lab)
Bracknell is a life sciences superpower, with Eli Lilly, Sandoz and Boehringer Ingelheim all having a footprint in our town. What can we do to speed up clinical trial set-up to help to deliver the next generation of treatments for our NHS?
Dr Ahmed
The Government are already committed to clinical trials being under 150 days by next March. I commend my hon. Friend on all the work he does with his local pharmaceutical companies in advancing medical science locally and nationally.
David Mundell (Dumfriesshire, Clydesdale and Tweeddale) (Con)
The Secretary of State will be aware that since the law change, the number of children who have received NHS prescriptions for medical cannabis for severe epilepsy has been pitifully low. Families and campaigners believe that part of the reason is that the Home Office still has large responsibility for those products. Will the Secretary of State meet me and other interested MPs to discuss whether his Department could take more responsibility?
Dr Ahmed
Although the Government have no plans to change the departmental responsibilities applicable to unlicensed cannabis-based products, we are cognisant of the need for research in this area. We have agreed to more than £8.5 million in funding for two world-first clinical trials to investigate the safety and efficacy of cannabinoid treatments for drug-resistant epilepsy in both adults and children, and I am happy to speak to the right hon. Gentleman about this matter further.
Sonia Kumar (Dudley) (Lab)
I have seen at first hand how severe musculoskeletal conditions such as lower back pain can devastate someone’s ability to work, have relationships and sleep, as well as their overall wellbeing. The education of more than 1 million children is disrupted by MSK conditions due to missed schooling and fragmented, hard-to-navigate services. Will the Minister therefore prioritise MSK conditions in phase 2 of the modern service framework and confirm when that will be published?
Stephen Kinnock
I pay tribute to my hon. Friend for saving the Ladies Walk health centre in her constituency, which the Conservatives were trying to shut. We are advancing modern service frameworks for conditions where we can swiftly and significantly raise the quality of care. The National Quality Board makes recommendations on future modern service frameworks; its next meeting is on 8 December.
Sir Roger Gale (Herne Bay and Sandwich) (Con)
It is estimated that there are some 200 highly qualified Ukrainian dentists resident as refugees in the United Kingdom. They could be working for the health service, but, because of the moribund attitude of the General Dental Council, they are not allowed to do so. Can we try to drag the GDC into at least the 20th century so that those talents can be utilised?
Stephen Kinnock
I thank the right hon. Gentleman for that question. I met the GDC recently. It has completed the procurement of the new management agent to run the overseas registration examination, and I am confident that we will see a significant boost in the numbers—that is coming onstream very quickly. However, I agree with the right hon. Gentleman: it has been too slow, and it needs to speed up.
Sarah Smith (Hyndburn) (Lab)
About 38% of children in my constituency are sadly growing up in poverty. This Government are committed to ensuring the best start in life for all children, so in addition to the increase in mental health support teams in schools, does the NHS workforce plan currently address the vital need for trained specialist community public health nurses in schools?
Wes Streeting
My hon. Friend is absolutely right about the need to improve the quality of the paediatric workforce. We are considering that as we revise the workforce plan. I am proud that already, with just one decision that we took in the first year of this Labour Government to expand free school meals, we are lifting 100,000 more children out of the poverty they were left in by the Opposition.
Seamus Logan (Aberdeenshire North and Moray East) (SNP)
In 2024-25, the NHS trust in the Secretary of State’s constituency collected £2.4 million from patient and visitor parking and a further £1 million from staff parking. Given that those costs fall hardest on the poor and the most seriously ill, will the Secretary of State consider abolishing this inequitable burden on the sick, their relatives and those who care for them?
Wes Streeting
If I were the hon. Gentleman, I would be more worried about the situation close to home and the SNP’s abysmal record of failure: while waiting lists are falling in Labour-led England and Labour-led Wales, in SNP-led Scotland they are rising, despite the biggest funding settlement since devolution began. It is a record that should make him and his party blush.
Stuart Andrew
On a point of order, Mr Speaker. I know that you have been incensed by the unprecedented briefings we have seen by the Government in the run-up to the Budget. It beggars belief that, despite your clear statements on this issue, they have done it again today by announcing that the Chancellor will announce £300 million for NHS tech in her Budget tomorrow—not through a briefing to journalists but with an article on the gov.uk website. This happened just today, after a Minister stood at the Dispatch Box yesterday and said:
“I can assure the hon. Member, given the respect that the Government pay to this House and to their obligations in it, that if there is an important policy announcement to be made, it will be made to this House.”—[Official Report, 24 November 2025; Vol. 776, c. 32.]
Given that that was clearly not the case in this instance, despite your statements, can you advise us as to what we as Members of this House can do?
Mr Speaker
It is frustrating for me and all Back Benchers, because everything should be heard here in the Chamber first. The Budget should be sacrosanct; it should be heard only on Budget day. What I would say is that it makes a change for Budget speculation to at least come to the Chamber, as that is quite out of the ordinary at the moment.
I thank the right hon. Member for giving notice of his point of order. As I have said on a number of occasions in recent weeks, the Government’s own ministerial code states that major announcements should be made in the House in the first instance, not in the media. We had an urgent question yesterday on this issue. The Public Administration and Constitutional Affairs Committee has been conducting an inquiry into ministerial statements and the ministerial code. I look forward to seeing its report earlier rather than later. I would also point out that the country expects the Budget to come out on Budget day. It does nothing for the City and it does nothing for how people view this Chamber if it does not. We will leave it there.