Ian Lavery (Blyth and Ashington) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
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.
Ian Lavery
Will the Minister join me in thanking the fantastic employees of Northumbria NHS foundation trust for their continued dedication and commitment, from the top surgeon to the ancillary workers? We know that the NHS is held together by their efforts, but that comes at a severe personal cost to many individuals. A recent YouGov poll showed that 73% of our heroes—the heroes of the NHS—reported suffering from burnout: that is severe exhaustion. Will the Minister tell the House what measures he is taking to ensure that those who put their own wellbeing on the line to protect the health of the nation receive the support and care that they so richly deserve?
Wes Streeting
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.
Rebecca Paul (Reigate) (Con)
One of the things that contributes to staff burnout is caring for patients in corridors. I recently visited St Helier hospital and saw that for myself, and it was very concerning and distressing. We are also seeing that at East Surrey hospital in Redhill, in my constituency. Will the Secretary of State confirm when we can expect to see the issue resolved for good?
Wes Streeting
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. 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.
Lloyd Hatton (South Dorset) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
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.
Lloyd Hatton
I have been campaigning to restore the rheumatology clinic at Swanage community hospital and the chemotherapy clinic at Wareham community hospital. Both of those clinics were closed despite good health outcomes and high levels of patient satisfaction, and local NHS bosses agreed that they were successful clinics before they were mothballed. With all that in mind, does the Secretary of State agree that we must deliver key services and clinics closer to where patients actually live? Will he take the opportunity to encourage local NHS bosses in Dorset to restore our much-needed chemotherapy and rheumatology clinics?
Wes Streeting
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.
Alan Mak (Havant) (Con)
Vital services such as X-rays and scans have been removed from the Oak Park community clinic in my constituency without any prior warning or consultation from the ICB. Will the Secretary of State meet with me to discuss how we can restore those services locally so that my constituents do not have to travel to Portsmouth?
Wes Streeting
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.
Rosie Duffield (Canterbury) (Ind)
The Minister for Secondary Care (Karin Smyth)
The PATHWAYS trial has undergone a thorough independent review and has received all the regulatory and ethical approvals. The sponsors of the study, King’s College London and South London and Maudsley NHS foundation trust, are working to ensure that it is conducted in compliance with the relevant regulations.
Rosie Duffield
The United States Department of Health and Human Services’ peer-reviewed report found that harms from paediatric medical transition are significant, long term and too often ignored and inadequately tracked, as testified by Keira Bell, who is here in Parliament today. What is the Government’s rationale behind medicalising yet more vulnerable children, given that we have no evidence of any benefit to this approach and, in fact, plenty of evidence of harm?
Karin Smyth
As the hon. Lady knows, the Government are acting on the recommendations of the excellent report from Hilary Cass, which I think she would agree is world-leading evidence, and moving the model away from medical intervention towards a more holistic approach to care. The Government will continue to be guided by that evidence, as the whole House will appreciate. The hon. Lady referenced Keira Bell, and I know that my hon. Friend the Member for Birmingham Edgbaston (Preet Kaur Gill) has asked the Secretary of State to meet clinicians and others who disagree with the trial. That meeting is being arranged, and we will continue to work under the guidelines for clinical evidence.
Nadia Whittome (Nottingham East) (Lab)
I remind the House that puberty blockers are still prescribed to young people who are not trans; I do not see some of my colleagues who are so exercised when puberty blockers are given to young trans people expressing the same concerns for their cisgender peers. Even Dr Cass herself acknowledged that puberty blockers are effective for some young trans people and recommended against a blanket ban. While the trial is ongoing, can the Minister outline what steps the Department is taking to increase funding and capacity for children and young people’s gender services to address the unacceptably long waiting times, which continue to cause enormous harm?
Karin Smyth
We need to be very careful about our language, in line with Dr Cass’s report. We are talking about children who are presenting with gender dysphoria and in gender distress. The Government support moving away from the medical intervention model towards a holistic approach to care based on the evidence, and that has cross-party support more generally, although I am not entirely sure of the position of the Liberal Democrats on supporting it. That is the model with which we are progressing. On the wider issues with regard to support for children and young people, particularly as they present across the board, this Government are investing much more than anyone else has indicated that they would in support for all services.
Gregory Stafford (Farnham and Bordon) (Con)
Part of the trial is to ask the child participants the Avon longitudinal study of parents and carers romantic relationships questionnaire. Is the Minister as concerned as I am that children under the age of 13 will be asked sexually explicit questions?
Karin Smyth
I think all Members across the House are concerned about the distress with which young people are coming forward for all of these services, and the need to support them and their families. Again, it is important that all parts of this trial follow clear ethical and clinical guidelines.
Jonathan Hinder (Pendle and Clitheroe) (Lab)
The Government were right to bring in the indefinite ban on puberty blockers due to concerns over the past 15 years about the gender services treatment that was being given. Over that time, 2,000 children who were questioning their gender identity have been given puberty blockers, so could the Minister explain why we are not following up on their long-term outcomes before we administer these powerful drugs to 200 more children?
Karin Smyth
I thank my hon. Friend for his question and his constructive work in this area on behalf of young people. I think there is a further question on this topic on the Order Paper. The Government are looking at how we can best use the data linkage study from that previous work. As I think hon. Members understand, that data was collected for different purposes—it is not of the quality that might be needed for this review—but we will continue to use all the evidence that is available, both in this country and in others, in line with the best clinical practice and under the guidance that Dr Hilary Cass prescribed in her review.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The Secretary of State has previously said that he accepts all the recommendations in the Cass review. One such recommendation is that the Secretary of State mandate the release of data for the data linkage study. Can the Minister tell us what specific steps have been taken to mandate the release of that data?
Karin Smyth
We absolutely stand by that work, and we are working with NHS England to make sure it is mandated to do exactly that.
Edward Morello (West Dorset) (LD)
The Minister for Care (Stephen Kinnock)
This Government are committed to ending the gaps in teeth by filing the gaps in local provision, including in rural areas such as Dorset. We will work to introduce fundamental changes to the dental contract before the end of this Parliament, but already from April the reforms to NHS dentistry that I announced last month will mean more NHS appointments and better oral health.
Edward Morello
NHS dentistry in West Dorset is in crisis. We have just 15 practices offering any kind of NHS care, and only half of young people have seen a dentist in the last two years. Residents are writing to me about elderly people removing their own teeth and children in A&E with preventable tooth decay. What consideration has the Minister given to requiring supervised trainee dentists on placement at dental training schools to work exclusively on NHS waiting lists rather than taking private appointments, which would help reduce the backlog?
Stephen Kinnock
The hon. Gentleman will have noted that we have committed to tie-ins for future dentists going through the training programme. It costs the taxpayer hundreds of thousands of pounds to train a dentist, and we believe it is absolutely right that a significant percentage of their time should be put into NHS dentistry.
In terms of improving access, in financial year 2023-24 there was a shocking £392 million underspend on NHS dentistry at a time when demand was going through the roof. I made clear that every penny allocated to NHS dentistry must be spent on NHS dentistry, and I am very pleased to report that we have got that underspend down to just £36 million. The decrease in the underspend is leading to an increase in NHS dentistry, but I accept that there is still a long way to go.
Mrs Sharon Hodgson (Washington and Gateshead South) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
I also put on record my condolences to the family and friends of Colin Pickthall, the former Member for West Lancashire. As the current Member for that seat, it is my privilege to build on his legacy.
We are committed to furthering investment to unlock new treatments and improve outcomes for brain cancer patients, including by investing in cutting-edge equipment to improve access to samples for research. Individual pathology services in England maintain their own standard operating procedures, and they outline local capabilities and practices, but we are continuing to invest in England’s pathology networks to deliver productivity and transformation improvements.
Mrs Hodgson
I welcome the Government’s focus on improving survival rates for cancer, particularly in the forthcoming national cancer plan. Will the Minister agree to attend the campaign for Owain’s law event here in Parliament on 3 February and meet the families, who will have travelled from across the country to brief Members of this House on the urgent importance of fixing the current tissue freezing postcode lottery?
Ashley Dalton
We are determined to ensure that everyone who receives a brain tumour diagnosis, regardless of where they live, has access to the latest treatment options. I look forward to meeting Owain’s wife, Ellie, later this month to hear more about their story and the next steps on this topic.
Paul Waugh (Rochdale) (Lab/Co-op)
Laura Kyrke-Smith (Aylesbury) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
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. 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.
Paul Waugh
The new maternal care bundle, to which the Secretary of State refers, is rightly aimed at reversing the recent worrying rise in maternal death and ill health. In particular, the increase in obstetric haemorrhage concerns so many midwives and doctors and the families affected. Given that the Government want to help women to make informed choices about how they give birth safely, can the NHS do more to highlight the well documented risks of severe bleeding and placenta accreta caused by caesarean sections?
Wes Streeting
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.
Laura Kyrke-Smith
I welcome the new maternal care bundle and its ambition to drive consistently high standards of care for every pregnant and new mum. It is great that maternal mental health is one of the five elements prioritised; I am grateful to the Secretary of State for his focus on that. The challenge now is to drive forward its implementation. Can he say more about how he intends to do that, and in particular how he will ensure that NHS staff are trained and confident enough to better screen and support women who are struggling with their mental health?
Wes Streeting
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. 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.
Layla Moran (Oxford West and Abingdon) (LD)
An Oxford midwife recently told me that sewage regularly rises through the floor and drips down through the ceiling on to a hospital maternity ward. This has become so common that it is now standard procedure for midwives to move the clinic whenever it happens so that patients are none the wiser. Obviously if the hospital had the money to fix the problem it would have already done so, but equally obviously, the staff should be looking after mothers and babies, not shovelling sewage. Can the Secretary of State confirm that when the Amos review has done its work, there will be a flexible pot of money so that specific issues such as this in specific hospitals can be dealt with to improve patient safety and staff retention?
Wes Streeting
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. 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.
Vikki Slade (Mid Dorset and North Poole) (LD)
I recently visited the Dorset breastfeeding network at the Purbeck community centre, and it was fascinating to hear about the work that the team there are doing, but they told me that since covid, standard NHS antenatal classes have stopped and have never returned. As a result, women are not getting the information that they need in order to make informed choices, which is leading to various decisions about how they give birth and whether they breastfeed their babies. We know that the Pride in Place and Best Start in Life centres are going ahead, but they will not cover most of my area because they are covering only the deprived areas. How will we ensure that there is a universal offer for antenatal care for everyone?
Wes Streeting
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.
Wes Streeting
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. 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. 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!
Mr Jonathan Brash (Hartlepool) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
As previously stated, we are boosting investment to unlock new treatments and improve outcomes for brain cancer patients, including investing in cutting-edge equipment to improve access to samples for research. Each pathology service in England maintains its own standard procedures for tissue freezing, which inform local capabilities and practices, and we are investing in England’s pathology networks to deliver productivity and transformation improvements.
Mr Brash
I thank the Minister for her answer, and for her positive response during a recent Westminster Hall debate on this issue. As she will recall from that debate, my constituent Trevor Jones died in September last year from glioblastoma. His widow, Samantha, learned only later that life-extending treatment options might have been available had his brain biopsy not been stored in paraffin blocks, but instead been flash frozen. Will the Minister recommit to examining how flash freezing can be made standard practice for brain biopsies across the NHS, and will she meet me and Samantha to discuss a way forward?
Ashley Dalton
As my hon. Friend rightly points out, I was privileged to answer for the Government in the Westminster Hall debate last week on this very issue, and I vividly remember Trevor’s story. Last week, I did commit to exploring current arrangements for tissue freezing options and the options for change, and I recommit to doing that today. I would be more than happy to meet him and his constituent to discuss this further.
Aphra Brandreth (Chester South and Eddisbury) (Con)
The Minister for Secondary Care (Karin Smyth)
The Government will publish the 10-year workforce plan in the spring. This plan will ensure that the NHS has the right people in the right places with the right skills for patients when they need them, and we are engaging extensively with partners to ensure that this plan delivers for staff and patients.
Aphra Brandreth
I have been contacted by concerned doctors in Chester South and Eddisbury who, after five or six years at medical school and a further two years of foundation training, are now struggling to secure specialty posts and are being forced to consider leaving the NHS altogether. While I will reserve judgment on the medical training Bill to be presented later today until I have seen it in full, I welcome the fact that the Government are finally treating this issue with the urgency it deserves. Can the Minister set out how this legislation will be accompanied by a credible plan to expand training numbers, so that the number of places is sufficient to meet the NHS’s short, medium and long-term workforce needs?
Karin Smyth
I thank the hon. Member for her almost support for the Bill that we will present later to address much of this problem. Again, we are clearing up the mess we were left by her party, which, by changing the rules in delivering a workforce plan in 2023, essentially ramped up the supply of staff by extrapolating existing trends without any reference to the constraints or needs of the service. Our workforce plan will be different. We do hope for support for the Bill to remove some of the problem with foundation and specialty training places, and we look forward to rigorous debate on that subject.
Jen Craft (Thurrock) (Lab)
Unfortunately, my constituency is not unique in seeing long waits for diagnosis of neurodiversity. From 18 to 24 months is the expected waiting time in Thurrock, and some have to wait much longer. Given that, for a child, a wait of 18 to 24 months can sometimes be their whole lifespan or half their lifespan, will the upcoming workforce plan make sure that there is a plan for paediatric care, particularly for allied health professionals such as occupational therapists, speech and language therapists, and clinical physicians?
Karin Smyth
The services my hon. Friend outlines cover a number of different areas in different locations, and I think it is very important that the workforce plan we are bringing forward reflects a different model of care. We have seen more services going into secondary care and particularly hospitals, at the expense of community care and particularly primary care. That needs to change across the age spectrum, and the new workforce plan will be designed in lockstep with a new service design, more staff in neighbourhoods and more digital support, as well as to address the issues she outlines.
Joe Robertson (Isle of Wight East) (Con)
A study by the Health Foundation has found that the cost to the NHS of staff sickness and staff turnover is of the order of £12 billion a year. Will the Government’s new workforce plan cover the issue of excessive cost through the entirely avoidable turnover of staff?
Karin Smyth
Yes, because those issues are a result of the shocking staff morale as a result of the policies of the hon. Gentleman’s Government. As highlighted by Lord Darzi, staff morale, and issues around staff sickness and the huge increase in agency spending on their watch, are all signs of a system that is not functioning for patients or staff. We absolutely will bring forward measures to address those issues.
Josh Fenton-Glynn (Calder Valley) (Lab)
When the Secretary of State was in front of the Health and Social Care Committee, he recognised that we will not solve the workforce problems in the NHS without solving the workforce problems in social care as well. There are 150,000 unfilled posts in social care—three times greater than in the wider economy. What are we going to do to help solve this problem?
Karin Smyth
My hon. Friend and the Secretary of State are right to address the fact that we need to look across the whole span, and at people moving between those workforces. As he will know, the fair pay agreement, with the £500 million increase to support it, is part of our work to ensure those issues are addressed across the piece.
Jo Platt (Leigh and Atherton) (Lab/Co-op)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
We know that many people with suspected ADHD—attention deficit hyperactivity disorder—experience severe delays in accessing assessments. That is not right. We want people with ADHD to receive the right support in their communities. Our medium-term planning framework sets out expectations for local areas to improve access to ADHD services. The independent review into prevalence and support for mental health conditions, ADHD and autism will work with people with lived experience to identify challenges and solutions. The final report is due to be published in summer and will build on the independent ADHD taskforce report, which we welcome.
Jo Platt
I declare an interest as the chair of the all-party parliament group on ADHD. ADHD providers estimate that untreated ADHD could cost the economy £11.2 billion over the next decade, largely due to avoidable impacts on justice, employment, education and health. Will the Minister commit to ensure that people with ADHD receive the support they need to succeed, and will she work with the APPG to develop strategies that will help individuals to reach their full potential?
Ashley Dalton
Through the medium-term planning framework, which we published in October 2025, we set out those expectations. We will continue to work with trusts to develop them to make sure that people with ADHD, or suspected ADHD, get the support they need. I am more than happy to meet the APPG to discuss these matters further.
Tim Farron (Westmorland and Lonsdale) (LD)
Roughly 50% of the young people on the books of child and adolescent mental health services in south Cumbria have ADHD or autism. The integrated care board provides no funding whatever to acknowledge that. That is a huge burden on those young people and their families. It stops them getting back into school and so on, but it is also a burden on all the other young people waiting for treatment for things like eating disorders. Will the Minister pay personal attention to this—obviously, it is her ICB as well—to make sure that children with autism and ADHD are properly supported through our CAMHS services?
Ashley Dalton
As it is the ICB shared by my constituency, I am equally concerned. This will be explored as part of the review and I am more than happy to ask the Minister responsible to contact the hon. Gentleman further on how we can take that forward.
Dr Neil Hudson (Epping Forest) (Con)
The Minister for Care (Stephen Kinnock)
Rapid housing and population growth can put real pressure on GP services. That is why we are investing an extra £1.1 billion in general practice, taking total GP funding to £13.4 billion. We are also creating 250 neighbourhood health centres, upgrading surgeries through a £102 million fund, and working with the Ministry of Housing, Communities and Local Government to determine how developer contributions from new housing, through section 106 and the community infrastructure levy, can be improved to enable the delivery of local health services as an integral part of new housing developments.
Dr Hudson
As my constituency neighbour, the Health Secretary will be aware that Chigwell parish has no GP surgery of its own, requiring many of my constituents to travel to his constituency to access primary care. Given the Government’s top-down housing targets, what assurances can the Health Secretary provide that any new developments in Epping Forest will be accompanied by the delivery of adequate primary care infrastructure, rather than placing further pressure on already overstretched services? Will the Government support the long-standing call, championed by me, local Conservative councillors and Chigwell parish council, for the provision of a GP surgery within Chigwell parish?
Stephen Kinnock
I am not familiar with the details of that case, but I get the impression that my right hon. Friend the Secretary of State is. A really important part of our manifesto commitment was to end the 8 am scramble, which is all about access, and that is precisely what we are doing. In September 2024, patient satisfaction with ease of access stood at just 61%; today it stands at 73%. That is huge progress. It is all about getting better access, and building a primary care estate that is fit for purpose is a very important part of that. I would be happy to meet the hon. Gentleman to discuss the details of that specific case.
Stephen Kinnock
I thank the hon. Gentleman for his question and congratulate him on the addition of the facial hair. I am glad to see that he is joining that particular club—I think it is the only club we may both be a member of!
The Government are aware of the pressure on pharmacy; it is a major challenge that we are facing. We gave pharmacy a 19% uplift in the last spending review. Of all the sectors in my portfolio, that was the one that received the largest uplift. We are also looking to secure better progress with the use of technology, and we are looking at the medicines margin and the dispensing fee, recognising the significant financial pressures that pharmacies are under. Through reform and investment, we believe that we can turn the corner and rebuild pharmacy in our country.
Dr Evans
I appreciate the Minister’s answer. However, the answer to my question is: 650 contracts across England and Wales. He only had to look at the newspaper headlines from yesterday to see that—this is his Department and his portfolio.
The chair of the Independent Pharmacies Association, Leyla Hannbeck, has specifically warned that higher business rates and increases in national insurance contributions, which are both set by the Government, are to blame and are driving up costs, while pharmacy income—which, again, is set by the Government—remains fixed. Does the Minister accept that those tax decisions taken by his Government directly increase the costs and contribute to the loss of pharmacy contracts, and will he therefore raise this matter with the Chancellor immediately?
Stephen Kinnock
I think there is some dispute over the number that was on the front page of the Express. We are looking into that number and will certainly come back to the hon. Gentleman on it. On his broader point about the decisions that the Chancellor took at the last Budget, I suppose I have a question back to him: would he be cutting the £26 billion that this Labour Government are investing in the NHS, and if not, how would he be paying for it?
Mr Speaker
I think just stick to the responsibility of being in government, Minister; don’t worry about the Opposition.
Chris Vince (Harlow) (Lab/Co-op)
The Secretary of State for Health and Social Care (Wes Streeting)
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.
Chris Vince
Will the Secretary of State to join me in thanking the extraordinary efforts of the staff at Princess Alexandra hospital in Harlow for their work over the winter period? A few years ago, we saw the shocking statistic that people were waiting in A&E at Princess Alexandra hospital for 13 hours. Can the Secretary of State outline the changes that this Government are making to bring down waiting times, improve GP satisfaction levels and decrease ambulance waiting times, and explain how this Labour Government are ensuring that the NHS is fit for the future?
Wes Streeting
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.
Helen Maguire (Epsom and Ewell) (LD)
Last night, Surrey Heartlands ICB and two hospital trusts in Surrey declared a critical incident, which means that some hospitals cannot guarantee that patients will be treated safely and operations could be cancelled to make urgent care a priority. Will the Secretary of State confirm what action the Government are taking to support those trusts and what funding will be made available to ensure that such incidents do not recur?
Wes Streeting
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. 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.
Dr Rosena Allin-Khan (Tooting) (Lab)
Working my shifts in A&E over Christmas and the new year, like many colleagues up and down the country I experienced what has become the undignified norm of corridor care. I welcome the Secretary of State’s commitment to ending it. The all-party parliamentary group on emergency care, which I chair, working closely with the Royal College of Emergency Medicine, is keen that the Government adopt our recommendations on ending corridor care. The Secretary of State previously agreed to meet us. Will he today reaffirm his commitment to meet us to end this scourge in our A&Es?
Wes Streeting
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.
Seamus Logan (Aberdeenshire North and Moray East) (SNP)
I genuinely welcome the fact that the Secretary of State is able to praise the efforts of NHS staff this Christmas and new year, but there is good news in Scotland, too: waiting lists have fallen for the longest waiters for the sixth month in a row and threatened industrial action by resident doctors has been called off. However, there is anxiety not just in Scotland but across these islands about the new UK-US medicines deal and its impact on the NHS. Will the Secretary of State change his habit this new year with a new year’s resolution and answer my question? Where is the money coming from for the UK-US drugs deal?
Helen Morgan (North Shropshire) (LD)
I always am, Mr Speaker; thank you very much. Recently, I have heard from Candice, who was interrupted while changing her stoma bag behind a curtain on the emergency ward; Lynne, who waited 17 hours for an ambulance after breaking several ribs; and Sandra, who has bladder cancer and spent 31 hours on a plastic chair in the “fit to sit” area. They all want to share their stories so others do not have to suffer like they did, in pain for hours and hours. Will the Secretary of State commit to ending the waits and back the Liberal Democrat call, welcomed by the Royal College of Emergency Medicine this morning, for a guarantee that no patient will have to wait for more than 12 hours in A&E?
Wes Streeting
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.
Melanie Onn (Great Grimsby and Cleethorpes) (Lab)
The Minister for Care (Stephen Kinnock)
As my hon. Friend knows, we inherited an NHS dentistry system in crisis. This Government are determined to fix it with fundamental reform of that vital service by the end of this Parliament. Since last April, we have delivered extra urgent dental appointments nationwide, and last month we announced new measures to get the right care to the right people at the right time, incentivising dentists to offer more NHS care.
Melanie Onn
The latest NHS statistics show that the Government really have the bit between their teeth as 7,000 more children saw a dentist in 2024-25 than in the previous year in the Humber and North Yorkshire integrated care board area. However, the rate for adults has slipped from 43% to 41% over the same period. How quickly does the Minister think that my adult constituents in Great Grimsby and Cleethorpes will benefit from more appointments and more dentists?
Stephen Kinnock
I congratulate my hon. Friend on the pun in her question. There is good news, in that we are making progress on children’s oral health, but we accept that we still have a way to go on the broader picture. We are making 27,196 additional urgent appointments available in the Humber and North Yorkshire ICB area. Our reforms, which I announced in December, will kick in from April of this year. They will significantly increase the unit of dental activity fee rate that we pay for urgent care to incentivise more dentists to do urgent NHS dentistry. We also have the golden hello system and a number of other measures that we are taking to address underserved areas. A lot has been done, but there is still a long way to go.
Topical Questions
Tom Collins (Worcester) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
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.
Tom Collins
Patients in Worcester are struggling to access urgent care. Far too many are falling through gaps in our system, with devastating consequences and huge amounts of double work, and patients feel that they have to travel too far for treatment. Will the Secretary of State meet me to discuss the results of my deep dive into the failures in Worcestershire’s NHS?
Wes Streeting
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.
Stuart Andrew (Daventry) (Con)
With one in five hospice beds no longer available because of increased costs such as national insurance contributions, it is hardly surprising that doctors are raising concerns about the increase in the number of end-of-life patients in our hospitals. It is therefore concerning to hear that the palliative care modern service framework will not now be available until the autumn. Given that the situation is increasingly urgent, will the Secretary of State commit to accelerating that timescale?
Wes Streeting
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.
Stuart Andrew
Capital funding is welcome, but we cannot pay doctors and nurses with bricks and mortar. Hospice UK has said that without additional support, there will be
“more unnecessary hospital admissions, more unneeded A&E attendances and more patients not getting the care”
they need, so I push the Secretary of State again to accelerate the timescale. Their lordships are considering the assisted dying Bill and they need to see the palliative care MSF before making such an important decision. We must also make sure that we relieve hospices of this Government’s NIC hikes.
Wes Streeting
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.
Ben Goldsborough (South Norfolk) (Lab)
The Minister for Care (Stephen Kinnock)
We are committed to delivering 250 centres by 2035, with a progressive roll-out over this Parliament. Early sites are focused on areas of greatest need, with consideration of factors including deprivation and access. Integrated care systems are in the process of planning the best holistic local configuration of a neighbourhood service. I would be very happy to meet my hon. Friend to discuss the potential for a neighbourhood health centre for Long Stratton.
Helen Morgan (North Shropshire) (LD)
The social care crisis is piling pressure on hospitals, with beds taken up by patients who are fit enough to be discharged. It is also piling pressure on local councils such as Shropshire, where 80% of the budget goes to social care, yet the Government are shifting funding from counties to cities and dragging their heels on the social care crisis. Will the Secretary of State take action by reinstating the cross-party talks on social care as a priority, because we need to fix social care if we are going to fix councils, care and the NHS?
Wes Streeting
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.
Mr Speaker
Ahem! I am getting a bad throat because of the Secretary of State.
Mr James Frith (Bury North) (Lab)
Stephen Kinnock
My hon. Friend is right that NHS mental health, ADHD and autism services have never fully met the needs of the population in a tailored, personalised or timely way. The independent review into prevalence and support for mental health conditions, autism and ADHD will explore the current challenges facing clinical services. My hon. Friend the Minister for mental health is currently overseas on departmental business, but I am sure that he would be delighted to meet my hon. Friend on his return.
Ian Roome (North Devon) (LD)
Stephen Kinnock
We are in negotiation with the British Dental Association about the long-term contract reform that is so clearly needed, but I also draw the hon. Member’s attention to the announcement I made in December about a range of interim reforms, particularly on urgent work, where we are significantly increasing the fee rate for urgent dental activity. That will kick in from April and will make a real difference in access to urgent care.
Sojan Joseph (Ashford) (Lab)
Wes Streeting
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.
Adam Dance (Yeovil) (LD)
Access to mental health services in rural communities is a challenge when services are stretched and underfunded. What steps is the Secretary of State taking to improve access to mental health services in Yeovil?
Wes Streeting
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.
Julia Buckley (Shrewsbury) (Lab)
Wes Streeting
I am sure that I will be able to swing by on my rounds. It is so important, especially against the backdrop of the crisis that the NHS has been through over many years, that as well as celebrating the best performance, we celebrate when there is real improvement. My hon. Friend knows as well as I do that there is of course more to do, but it is to the credit of leaders and staff that there has been improvement—lots done, and a lot more to do.
Jess Brown-Fuller (Chichester) (LD)
Last summer, Sussex ICB cut its IVF provision from three cycles to one due to budget pressures. There is currently a postcode lottery for IVF, and going through fertility treatment can be harrowing for those families. Given that additional cycles improve success rates, will the Secretary of State commit to a nationally consistent standard for IVF?
Wes Streeting
This is an issue that the Government are looking at. As with all treatments, we should be following National Institute for Health and Care Excellence guidelines, but I recognise that in this area there is a degree of regional variation in provision in a way that, frankly, I find difficult to justify. We are looking at this and, as we make decisions, we will of course report on progress to the House.
Mr Jonathan Brash (Hartlepool) (Lab)
Stephen Kinnock
My hon. Friend is right that, although we are making progress on urgent treatment with the urgent dental access centre that he mentioned, there is a real challenge with new routine care in Hartlepool. We are looking to improve that unacceptable situation, which we inherited, by offering dentists £20,000 to work in underserved areas and making it a requirement for new dentists to practise in the NHS. However, he is right to point out that the situation is not acceptable and we have to improve it.
Simon Hoare (North Dorset) (Con)
The Government’s interim dental measures will of course be welcomed by residents in North Dorset, but they know, as I do, that we in this place have been discussing the inadequacy of the dental contract for years. What they and I cannot understand is why it will take until the end of this Parliament, as the Minister told us just a little while ago, and not sooner, to sort out that big problem and turbocharge NHS dentistry in rural North Dorset.
Stephen Kinnock
I have a huge amount of respect for the hon. Gentleman, but I have to say that I am a little taken aback to be told about the lack of progress when the Conservatives had 14 years to sort out NHS dentistry. Nevertheless, we are engaging intensively with the BDA. The interim reforms, which kick in from April, will make a big difference, as I have said, but we are looking to put the long-term reforms in place from 2027 onwards. We want this situation to be rectified by the end of this Parliament, not to have a new contract by the end of this Parliament.
John Whitby (Derbyshire Dales) (Lab)
The Minister for Secondary Care (Karin Smyth)
I know that this is of great concern to my hon. Friend and his constituents. It is a matter for the commissioning officer at his local ICB. I recommend that he keeps talking with them about the best provision for his constituents.
Dame Caroline Dinenage (Gosport) (Con)
I was fascinated by the Minister’s earlier answer about the closure of pharmacies, because there has been fantastic news in Lee-on-the-Solent in my constituency: a new pharmacy wants to open there. Local people are desperate for a second pharmacy in Lee-on-the-Solent and the local GP practice supports it. The problem is that the Hampshire ICB has rejected it. Does the Minister share my disappointment that local people are not going to be served in the correct way by pharmacy provision, and will he meet me to discuss this?
Stephen Kinnock
That does sound somewhat baffling, given that there is demand for the service. Pharmacies play an absolutely vital role in our communities. I would be happy to meet the hon. Lady to discuss the details further.
Emma Foody (Cramlington and Killingworth) (Lab/Co-op)
Stephen Kinnock
My hon. Friend is absolutely right to point out this issue. As I have said, the reforms that we announced in December will make a major difference, because dentists have not been incentivised to do NHS dentistry. That requires us to significantly increase the UDA, as we are doing, but there is a range of other measures that we need to take. I would be happy to meet my hon. Friend to discuss the specific details of that case.
Shockat Adam (Leicester South) (Ind)
Failed private finance initiative schemes from the noughties in three Leicester hospitals resulted in the NHS being sued for almost £30 million, despite no work being carried out. Leicester hospitals are still without any new buildings. I ask the Minister that expensive, inefficient financial packages—£60 billion of private money costing £306 billion of taxpayers’ money—not be utilised for future projects.
Wes Streeting
This Government are putting record levels of capital investment into the NHS to correct more than 14 years of Conservative failure. We are using public investment. We are certainly learning the lessons of the past in relation to PFI. We are able to do that only because people voted Labour and elected a Labour Government. I look forward to working with the city’s Labour MPs to deliver the improvements in services that it deserves.
Rachael Maskell (York Central) (Lab/Co-op)
To date, Baroness Casey’s review of adult social care has been pretty impenetrable, but in York we want to engage and innovate. Will my hon. Friend provide Parliament with a briefing on the progress, scope and scheduling of the review? The clock is ticking and the crisis is growing.
Stephen Kinnock
My hon. Friend and I have discussed this matter. I hope that her issues in accessing the commission, which I know has made contact with her, have been resolved. The commission is, of course, an independent body, but I am in no doubt at all that parliamentarians will hold it to account through the mechanisms at their disposal—the Select Committee, for example. The Government are not sitting on our hands; we are delivering the fair pay agreement, we have delivered the biggest uplift to unpaid carers since 1976, and we are pursuing a range of other measures to get our adult social care system fixed and fit for purpose.
Sarah Bool (South Northamptonshire) (Con)
We have just been notified that William Blake House in my constituency—a residential home for people with severe learning disabilities—has been issued with a winding-up notice, and the court hearing is tomorrow. The families were given no notice of any of this, and no consultation was carried out, so naturally they are worried about what provision will be in place for their loved ones. Will the Minister meet me urgently to discuss putting a contingency plan in place for them?
Stephen Kinnock
I thank the hon. Lady for that question. I am not familiar with the details, of course, so might she write to me with the clear details? I am sure that officials will then take the matter up as a matter of urgency.
Matt Bishop (Forest of Dean) (Lab)
Parents supported by Harry’s Pals, a small charity, consistently describe the fragmented and emotionally exhausting system of accessing support for children with life-limiting conditions. Will the Secretary of State commit to exploring a dedicated national support pathway for parent carers, including better access to counselling and respite, and will he meet me and Hayley Charlesworth, the founder of Harry’s Pals, who is watching at home today with Harry, to discuss how we can better support families in the Forest of Dean and nationally?
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
Local authorities must assess disabled children’s social care needs and provide respite care, including funding short breaks where appropriate. We are currently developing an all-age palliative care and end-of-life care modern service framework, and will consider the issue of emotional and practical support, including for parents who are carers, as part of that work. My hon. Friend the Minister for Care chairs a cross-Government meeting with Ministers from the Departments for Work and Pensions, for Business and Trade and for Education, to consider how we can provide care as we improve recognition and support. I would be happy to meet my hon. Friend and the founder of Harry’s Pals.
Lisa Smart (Hazel Grove) (LD)
My local mental health trust is commissioned to deliver just 100 autism assessments and 88 ADHD assessments per year. The team is led by Clare, a constituent from Marple. There are approximately 1,600 people on the waiting list for ADHD alone—that is a 12-year waiting list. That is driving constituents to seek private diagnoses, but their GPs then refuse to sign up to a shared care arrangement, as the numbers just do not add up. What plans do the Government have to review the shared care protocols so that they work for patients and GPs?
Wes Streeting
I am grateful to the hon. Member for her question. Although of course we are considering prevalence and what is driving the apparent increase in conditions such as autism and ADHD, we are really driving at ensuring that we meet everyone’s needs. I do not want for this country a future in which those who can afford it pay to go private and those who cannot are left behind. Nor do I want to see a situation in which people who have a diagnosis do not receive the care they need. We are looking at those issues with urgency.
Tracy Gilbert (Edinburgh North and Leith) (Lab)
I and a number of colleagues have concerns about the upcoming PATHWAYS trial. The Secretary of State has powers to use existing medical records for research purposes. Will he therefore consider using those powers to increase the evidence base and prevent the PATHWAYS trial from proceeding?
Karin Smyth
I thank my hon. Friend for her constructive approach to this difficult issue. She is right to challenge; we must have open and transparent debate. To be very clear—and to refer to my previous answer—the Secretary of State will use that power. We will have a retrospective data linkage study to identify the associations informing patient experience and outcomes, through the analysis of available digital information in health records and other nationally held databases. It will not establish causation but will be an important contribution to the evidence base.
Ben Obese-Jecty (Huntingdon) (Con)
Mr Speaker, I am not ashamed to say that I have had a finger up my bum—not like that! In all seriousness, as a black man in the target age range, and with a family history, I am a keen advocate for prostate cancer screening. One of my constituents has been told by his GP surgery that, as there is no national screening programme for opportunistic testing, they follow national guidance and patients cannot request a screening without GP authorisation. What advice does the Secretary of State have for those of my constituents who are struggling to get screening for prostate cancer? I say a big thank you to the team at Kingston hospital for their swift action in moving my dad from active surveillance to treatment—he raves about them.
Wes Streeting
I certainly join the hon. Member in his final message and commend him for his declaration, because the more we can break taboo and stigma around these issues and get people talking more openly about the telltale signs of risk, the better protected we will all be. As he will know, we are looking very carefully at the recommendations around screening. I will be convening a group of experts with the chief medical officer to probe some of the recommendations, and I will keep the House informed.
Alex McIntyre (Gloucester) (Lab)
Last Friday, I went on a visit to my fantastic local GP service, Hadwen Health. The team there are already using technology and AI to make sure patients get the right care that they need, but they told me that there is currently no technological solution that allows patients to both be triaged and directed to their hard-working family doctor when booking online. What steps is the Department taking to support the roll-out of technology in GP surgeries like Hadwen Health in Gloucester?
Stephen Kinnock
I am a little bit surprised; I think that that technology does exist. I have visited a couple of GP practices where the online booking system gives the patient the option to specify the doctor that she or he would like to see. I would be happy to connect my hon. Friend with relevant officials in the Department, so that they can connect with the GP surgery to resolve that issue.
Andrew Lewin (Welwyn Hatfield) (Lab)
In NHS Providers data published just before Christmas, we learned that in East and North Hertfordshire NHS trust, the number of people waiting for treatment has fallen more than in any other trust in the country. That is fantastic news for my community. Will my right hon. Friend commend all the staff involved in this success, and does he agree that this is precisely what people voted for when they voted for change in the NHS?
Wes Streeting
Of course, I endorse what my hon. Friend said. Waiting lists are falling for the first time in 15 years. Lots done, and so much more to do, but with Labour, the NHS is on the road to recovery.
Zöe Franklin (Guildford) (LD)
In Bellfields and Slyfield ward in my constituency, the local GP surgery is squeezed into a unit that is part of a parade of shops, and it is clearly no longer the size needed for the growing community. The team do a great job in spite of the challenges. Will the Minister set out the steps the Department is taking to support community health hubs in areas like this ward, in order to bring GP and wider services together locally and improve facilities and access for my residents?
Stephen Kinnock
We have the £102 million primary care estate fund, which can help with refurbishments and improving the functionality of primary care, particularly GP surgeries. If the hon. Member writes to me about the specifics of that case, I am sure that the relevant officials can give her the answer she needs.
James Wild (North West Norfolk) (Con)
The Health Secretary has said he is “shocked” at the inability to acknowledge and then remedy state failures. It is now two years since the Hughes report was published, but no timeframe has been set for compensation for the valproate scandal. When will my constituents Colleen and Andy get the redress they need, so that they can make long-term provision for their son?
Wes Streeting
The hon. Member is quite right to hold the Government’s feet to the fire on this issue. We are having cross-Government discussions about this issue and other groups of victims of state failure. We will keep him and the House updated.
Sonia Kumar (Dudley) (Lab)
A constituent of mine who attends Dudley Voices for Choice has autism with complex mental health needs and is at risk of self-harm. Despite not being able to use a telephone, they are still required by mental health services to do so, and therefore they cannot be treated. They were told that they are non-compliant, so their support was reduced. What steps is my right hon. Friend taking to ensure that mental health services offer alternative ways to communicate for those who cannot use a telephone? I would like to thank Sarah Offley and the team at Dudley Voices for Choice.
Stephen Kinnock
We are recruiting 8,500 more mental health workers by the end of this Parliament. The Mental Health Act 2025 reforms will ensure that people with a learning disability, autistic people and people with the most severe mental health conditions have greater choice and control over their treatment and receive the dignity and respect they deserve.
Blake Stephenson (Mid Bedfordshire) (Con)
Constituents of mine have been reporting that they have been directed to hospital for regular blood tests, rather than having them at their GP surgery. Will the Secretary of State outline how he will ensure that blood tests are done in a community setting, which surely must be much better value for the taxpayer and much more convenient for patients?
Wes Streeting
The hon. Member is absolutely right, and that is why a big part of our modernisation approach is to shift care out of hospital and into the community, making greater use of community diagnostic centres, community pharmacies and GPs. As his question shows, 18 months in, lots done, but a lot more still to do.