Jen Craft (Thurrock) (Lab)
Under Labour, the NHS is on the road to recovery: with an extra £26 billion invested, 2,000 extra GPs and 100 community diagnostic centres now open weekdays and weekends, waiting lists are coming down and patient satisfaction is going up—lots done, but so much more to do to ensure that that improvement is felt everywhere. Where trusts underperform, we will send crack teams of top clinicians into those struggling trusts to cut waiting times faster. No more turning a blind eye to failure: this Government, unlike our predecessors, will do whatever it takes to improve the NHS in every part of the country—lots done; lots more to do.
Jen Craft
I welcome the Secretary of State’s work in improving the NHS and turning fortunes around, but as he has said, that is unfortunately not the case in every area of the country, including my own. Mid and South Essex NHS foundation trust, which looks after constituents in my area including at Basildon university hospital, has been named as one of the challenged trusts in the intensive recovery programme, which I strongly welcome. The issues with the trust are not just recent but historical—they sometimes go back decades—and quite frankly, my constituents are not getting the healthcare they deserve. Will the Secretary of State set out what the recovery programme looks like and how my constituents can be assured that they will get the level of healthcare they deserve?
I am grateful to my hon. Friend for her question and for the work that she has been doing on behalf of the people of Thurrock to speak up consistently for improving services and to expose failures at her local trust. As I told listeners to BBC Essex this morning, I will always report back on the things that this Government are doing well but I will also acknowledge where we are not seeing improvement fast enough. I am sorry to say that Mid and South Essex is one such trust, despite the best efforts of frontline staff. That is why we announced that Mid and South Essex is one of the first providers to be put in the new intensive recovery programme. We are sending in teams of clinical experts to identify the root causes of failure and a new chief executive will take up post shortly and get a grip on the issues at the trust so that we deliver for patients.
At the Queen Elizabeth hospital in King’s Lynn, nearly half of patients are waiting more than 18 weeks from referral to treatment and the trust is now part of the national improvement programme. Last month’s elective sprint delivered 2,000 additional elective activities, with evening and weekend working. Will the Health Secretary ensure that additional support is provided so that increased level of activity continues in the months to come?
I think that was a rare acknowledgment from the Conservative Benches that things are finally moving in the right direction, thanks to the work of this Labour Government. I am very grateful for the hon. Gentleman’s support. He is absolutely right that we need to provide digital support. That is why we have the biggest capital allocation in the history of the NHS and we continue to press on with the technological improvements and data infrastructure that is needed to provide the improvements that staff are working so hard to deliver.
I remain deeply concerned by the state of the maternity services that we inherited. Although the majority of births go well, I know through the courage of families and concerned staff of the devastating impact that comes from failures in care. That is why I asked Baroness Amos to chair an independent investigation into maternity and neonatal care. However, that has not stopped us from acting now, with an extra 2,000 midwives, over £149 million invested to address critical safety risks on the maternity and neonatal estate, and a £25 million boost for trusts to tackle causes of maternal death, enhance bereavement services and improve triage services. We are already making progress—lots done, but I would be the first to say on this issue: so much more to do.
The nation should be grateful for this Secretary of State and for what he is doing for maternal services, yet at Wythenshawe hospital in my constituency, the most recent Care Quality Commission report rated maternity services inadequate for safety. What assurances can the Secretary of State give that the improvements that he has outlined will be felt by mums locally?
My hon. Friend is absolutely right to present those issues and to be honest about the challenges that have been raised in his local trust. I assure him that following an inspection by the CQC, NHS trusts take action to address the recommendations cited in the report. Already, £40 million in funding has been allocated to Wythenshawe hospital to ensure that safety issues are addressed, with work scheduled for completion by 2028. In addition, through the new maternity and neonatal taskforce, the first meeting of which I have already chaired, we will act swiftly to translate the final recommendations of the independent investigation into a new national action plan so that services improve in my hon. Friend’s part of the country and across the whole of England.
The Secretary of State and I are equally frustrated that more progress has not been made despite numerous inquiries dating right the way back to the Morecambe Bay inquiry in 2014, which I commissioned. Does he agree that one reform that could make an enormous difference would be full continuity of care for every pregnant mum, so that from the moment someone knows they are pregnant, a team of clinicians led by a named senior clinician would be responsible for that mother and child, from pre-birth to birth to post-birth, and no one would ever be in any doubt about where the buck stopped?
There is so much evidence to underpin the importance of continuity of care. I do not want to get ahead of the recommendations of the Amos investigation, but there is much to commend what the right hon. Gentleman says. Even with the best planning, the challenge for maternity units is that they are often both elective and emergency, with women arriving when they are not necessarily expected to, so we have to bear those considerations in mind, but the idea of women and partners knowing the team that will be responsible for their care in advance is a compelling one.
Mr Connor Rand (Altrincham and Sale West) (Lab)
A four-month-old baby in my constituency died after being placed in an unsafe sleeping position by someone who called themselves a maternity nurse despite having no medical qualifications. The coroner who worked on the case has called on the Secretary of State to regulate the infant sleep industry urgently. As it stands, anyone can call themselves a maternity nurse and create the illusion of expertise, all while providing life-threatening advice on sleep for babies. I know that the Secretary of State is aware of this case and is working on this issue, but can he provide an update on what he is doing to prevent a tragedy such as the one in my constituency from ever happening again?
I thank my hon. Friend for raising that absolutely horrific case; my sincere condolences go to the family for the loss of this poor baby. No patient should ever believe that someone is a trained professional, only to discover that they have no formal qualifications. This Government are protecting the professional title of nurse, so that no other families have to endure the suffering of his constituents. We will shortly be seeking widespread input to get that right, and we will be making changes in this Parliament. We will absolutely be addressing the issues that have been raised as a direct result of this tragedy.
Does the Secretary of State understand that the remarks that he made on Sky television prior to the recess about the maternity unit at the Queen Elizabeth the Queen Mother hospital in Margate were ill informed, anachronistic, deeply offensive and damaging to morale? I was heavily involved, and have been since, in the events following the death of baby Harry Richford at the hospital, and also in Bill Kirkup’s report. Massive improvements have been made since then, but the thing that is missing is the funding that was promised by the previous Government for the improvement of the real estate. When is that money going to be forthcoming?
We are investing in the maternity estate, and I am always ready to acknowledge improvements, but for the avoidance of doubt, I am not here to protect the professional blushes of NHS leaders and staff where services fall short. I am here to protect patients, and in this area, over and above any other, I will continue to put that principle first.
Baroness Amos’s recent review found that England’s maternity system was not working: poor quality care covered up, systemic issues around racism and even collapsing ceilings in maternity units. Poor maternity care has not only left many families devastated at a time that should have been joyful for them, as too many of my constituents know; it also costs the NHS £1.3 billion every year in medical negligence payments. Liberal Democrats are calling for a consultant to be present on every maternity unit 24 hours a day, seven days a week, and for guaranteed one-to-one midwifery care for every woman who is in labour as part of a £600 million-a-year maternity rescue package. Does the Secretary of State agree that that would be money very well spent, preventing families from experiencing the heartbreak of an injury or even worse to their new baby or mum, and saving the taxpayer billions every year?
I thank the Liberal Democrat spokesperson for raising this issue. I do not want to pre-empt the Amos investigation. I think there is an issue with the presence of consultants and other staff who are meant to be on-call and available, and we need to address that. The purpose of the investigation is to produce a strong evidence base and then a clear set of actions to provide much-needed clarity in an area that has been drowning in recommendations and needs clear direction. I would be surprised if the issue of appropriate staffing were not mentioned by Baroness Amos.
Good managers are crucial to fixing our NHS, which is why the Government are backing managers and leaders with targeted investment. We will introduce professional standards for managers, establish a leadership college and implement mechanisms to prevent unsuitable individuals from holding senior NHS posts. Our workforce plan will set out how we will professionalise managers and leaders, equipping them with the skills, tools and operating frameworks to deliver lasting improvements across the NHS.
Following on directly from the Secretary of State’s comments to my right hon. Friend the Member for Herne Bay and Sandwich (Sir Roger Gale), last month two national health service trusts in my constituency were found to be among the worst in England, one of them actually the worst. NHS England will now be brought in to turn those trusts around. However, the former chief executive of those trusts, who was responsible for overseeing their decline and was terminated in that job, has been promoted as the NHS turnaround manager for Yorkshire. Supposedly, he will be the man to correct the problem he created. That is by no means the first time that people have been found failing upwards in the national health service. What steps are the Secretary of State and the Minister taking to prevent NHS leaders who have failed in one role from being moved to a different post within the NHS?
I thank the right hon. Member for his question. I know he has raised it previously with the Leader of the House, and a similar issue has been raised with me by many hon. Members in his local geography. He knows that it would not be appropriate for me to comment on individual cases, but further to my comments about the importance of supporting good managers, we do not want people failing upwards as we have had in the past. I confirm that the planned disbarring system will prevent unsuitable NHS leaders who cover up poor performance or silence whistleblowers from taking up other leadership roles in the NHS and moving around the system.
Dr Beccy Cooper (Worthing West) (Lab)
Effective NHS management lives or dies on the ability of our integrated care boards to address population health needs. As the devolution Bill moves forward and at pace in areas such as mine in Sussex, it brings with it more opportunity for working strategically across sectors such as health and local government. What steps is the Minister taking to strengthen population health management in our integrated care boards?
I welcome my hon. Friend’s question. She is absolutely right, and it is an area I worked on myself as a local NHS manager. It is crucial to have that link between health and local government. That will dictate most of the social determinants of health, as she well knows from her own expertise serving the population. That is why our 10-year plan commits to strengthening joint working, so that we will have better alignment across ICBs and strategic boundaries where possible, including in her area of Sussex, as well as that work with local governments to improve local population health as part of our neighbourhood health plans.
Calum Miller (Bicester and Woodstock) (LD)
The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
Mental health funding will rise by £140 million in real terms this year, reaching a record £16.1 billion. That is on top of capital investment of £473 million over four years to deliver new models of care and digital transformation. However, improving mental health services is about more than money because, despite the money from the last Government, they presided over a dramatic increase in mental health distress and waiting lists spiralling out of control. This Government will combine investment with reform to reduce waiting times, improve the quality of care, and strengthen prevention and early intervention.
Calum Miller
In my constituency, too many families face long and distressing waits for mental health support for children and young people. When I raised this with the Secretary of State some 15 months ago, he said that the Government were determined to ensure that mental health waits receive the same focus as the elective backlog. Yet a constituent recently wrote to me to explain that her son is waiting 10 months just for an assessment for his mental health needs. She asked me:
“How can we as parents and carers be expected to watch our young people suffer for a whole year before they get any help?”
I am worried that the revised mental health investment standard will not help this problem sufficiently. Can the Minister tell my constituents when child and adolescent mental health waiting lists will start to fall?
Dr Ahmed
The case that the hon. Gentleman highlights is indicative of the fact that much work has been done and much more needs to be done. We are providing early intervention for children’s mental health and wellbeing by rolling out mental health support teams, which will happen in every school by 2029. We are investing £13 million to pilot enhanced training for staff, so that they can offer more support to young people with complex needs. We are ensuring that, as we are digitally transforming, children and adults can access talking therapies where required. A lot has been done and there is a lot more to do, and we will carry on doing it.
Anna Dixon (Shipley) (Lab)
Since July 2024, we have been rebuilding a broken NHS dentistry system. We have delivered 1.8 million more treatments and reduced the underspend from £392 million to just £36 million, maximising the treatment provided for taxpayers’ money. Last year, we asked integrated care boards to commission additional urgent appointments, and the data will be published in August. Following advice from the chief dental officer, we broadened the scope of those appointments so that more patients could benefit.
Anna Dixon
I recently asked Shipley residents about their access to NHS dental services over the past two years. Over 1,100 respondents said that they could not see an NHS dentist when they needed to. I have heard from constituents who have had to go private, travel for hours to access NHS dentistry or resort to DIY dentistry. What progress is the Minister making to fix the rotten dentistry that we inherited from the previous Government?
My hon. Friend is a strong campaigner for her constituents. The situation that she sets out is unacceptable, but change is under way. I am encouraged by the latest data for her ICB area, which shows a 79% success rate for those who tried to get an NHS dentist appointment in the past two years, and that 10% more treatments were delivered between April and October 2025, compared with the same period before the election. Our reforms from this April will go further, focusing on those with the most urgent and complex needs, to ensure that people can access care when they need it most.
Tom Gordon
I have been contacted by dentists from across my constituency who want to expand access but are constrained by the current funding model. One NHS practice tells me that it has the physical space ready for a dentist to start working, but it cannot get them in because of the current funding model, forcing a reliance on short-term foundation dentists on rotations. Will the Minister outline what steps he is taking to reform NHS dental funding, and will he meet me to discuss the issues in my constituency?
I am encouraged by the fact that, in the hon. Gentleman’s Humber and North Yorkshire ICB area, 52,795 more NHS dental treatments were delivered between April and October 2025 compared with the same period before the election, so some progress is being made, but more must be achieved. Long-term contract reform will enable the resolution of some of the funding issues that he mentions—that is ongoing work—and we will come forward in the summer with a public consultation on delivering fundamental reform to the dentistry contract.
A constituent from Ilchester contacted me recently about their 14-year-old daughter, who is suffering from a painful dental abscess. Despite trying over several months to get treatment, she has been unable to access the treatment that she so desperately needs. Given that the Government have provided only 100,000 of the 700,000 extra urgent appointments that were promised, will the Minister provide a detailed breakdown of how many of the additional 1.8 million NHS dental appointments have been urgent appointments, as opposed to routine check-ups?
We will publish those data and statistics in August, in the usual way, but I can tell the hon. Lady that we have created a safety net for urgent dental care. Following the reforms that kicked in on 1 April this year, there is now a requirement for all NHS dentists to deliver 8.2% of their contract in urgent care. We absolutely recognise that more needs to be done in cases such as that of her constituent, and that is what we are focused on with fundamental dentistry contract reform.
Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)
May I congratulate the ministerial team, the University of East Anglia and the Office for Students on finally getting the new dental school at the university over the line? It will admit 25 students from September next year and will go some way to dealing with the dental deserts that we inherited in Norfolk and Suffolk. In the meantime, what progress has been made with the General Dental Council to increase exam capacity for dentists coming from overseas to help with the present crisis?
I am equally pleased about what is happening with the University of East Anglia. When we came into office in July 2024, I was shocked to discover that there had been no sustained increase in the number of dental places in our country since 2007, and I am very proud of the fact that this Government have turned that around.
With regard to the overseas registration examination, I had the General Dental Council in my office shortly after the general election to ask why the contract has been failing, and it is mainly due to the neglect and incompetence of the Conservative party. We have sorted that out. There is a new contractor in place, and we will be delivering thousands more out of the backlog of international dentists starting from 1 April this year.
Peter Swallow (Bracknell) (Lab)
We promised to improve GP access, and we are delivering. There are 2,000 more GPs than in July 2024—double our manifesto commitment of 1,000. The previous Government planned to increase GP numbers. Between 2019 and 2024, the number of fully qualified full-time equivalent GPs actually fell by 900. We have delivered 8 million more appointments, and we have seen satisfaction go up from 61%, where it was languishing in July 2024, to 74% today.
Peter Swallow
I declare an interest: my brother is a GP. Many residents in Bracknell Forest find the best way to contact their GP is online or by phone, but others have told me that they want to be able to visit their local surgery and book an appointment in person. Can my hon. Friend confirm that the new GP contract guarantees that patients have the right to choose to contact their GP in the way that works best for them, whether by phone, online or in person?
My hon. Friend is a doughty champion for his constituents. I can absolutely give him that assurance. The GP contract is clear that patients must have the option of telephoning or visiting their practice in person, and online tools must be an addition to, rather than a replacement for, other contact methods. However, we have found that by expanding online access, we have significantly reduced pressure on phone lines, and we are ending the 8 am scramble.
As the Question refers to a named area, I call the MP who represents the nearest constituency: Joshua Reynolds.
I am very pleased that we have our £102 million primary care utilisation and modernisation fund, the precise purpose of which is to develop more estate capacity in general practice, and of course we have our substantial commitment to neighbourhood health centres, with 120 to be delivered by the end of this Parliament and 250 by 2035. The hon. Member should certainly be talking to his ICB about its estate strategy. Now is the right time to intervene and ensure that the issue he raised is being addressed.
Under the Labour Government’s new GP contract, Bracknell GPs and all GPs will have to refer through a single point of access. Can the Minister confirm that every referral deemed clinically necessary by a GP will be reviewed explicitly by a specialist consultant before being rejected or redirected?
I am astonished that the Conservatives seem to be teaming up with the British Medical Association in opposition to our reforms. They ought to listen to their voters and their members, who are crying out for change. We are getting the NHS to do things differently because that is the only way we are going to turn it around. Advice and Guidance is seeing more investment in GPs and getting patients cared for in the right place at the right time.
The House will have heard that there was not an answer—that was a no. It is plain for all to see that this means patients will be blocked from seeing a specialist. They could potentially be assessed by a non-doctor, under Government pressure, with a target of one in four referrals being bounced. The Government’s own answers show that patients never appear on a waiting list. This is not about improving healthcare; it is about massaging the waiting lists, isn’t it, Minister?
I have honestly never heard so much nonsense in my entire life. We invested £80 million in Advice and Guidance. Some 1.1 million Advice and Guidance requests were diverted from the waiting list, so that care is being delivered in the right place. We have embedded A&G into the core contract, recognising it as routine practice, removing annual sign-ups and providing more predictable funding. The shadow Minister seems to be saying that patients who do not need to be treated in hospital should be treated in hospital. That runs completely counter to the entire strategy, which is about moving care from hospital into the community. The Conservative party needs to get with the programme.
It is vital that all forms of discrimination in the NHS are tackled, including Islamophobia and anti-Muslim hatred. As a former chair of the all-party parliamentary group on British Muslims, I am delighted that the Government have adopted a definition of anti-Muslim hostility that we will use to tackle this prejudice across the NHS, including in training for the NHS’s 1.5 million staff. My hon. Friend will know that I have serious concerns about the effectiveness of regulators in tackling racism, and we will be taking further action to ensure high standards, conduct and behaviour are upheld, so that the NHS is safe for all staff and patients.
The Health Secretary has long campaigned on tackling anti-Muslim hostility, and I know that we are both proud that this Government have adopted a working definition of it. According to the Muslim Doctors Association, almost 40% of Muslim healthcare professionals have been verbally abused by colleagues about their faith, and the British Islamic Medical Association has repeatedly found that Islamophobia is a persistent and under-recognised issue in healthcare. Will he commit to a rapid review specifically to look into anti-Muslim hostility experienced by patients and staff in the NHS?
Those statistics are shocking and a stark reminder that the NHS is not immune from the prejudices at large in wider society. All Muslim staff and patients—indeed, people of all faiths—should feel safe and confident as patients and staff in the NHS. As my hon. Friend knows, I am awaiting the review being conducted by Lord Mann. As well as looking at antisemitism, it will include recommendations that I have no doubt will apply in tackling Islamophobia and racism more generally. I am very happy to meet my hon. Friend and I do meet, and would be very happy to meet again, the BIMA to discuss how we tackle this pernicious hatred in our national health service and what more may need to be done, in addition to any recommendations Lord Mann makes.
I welcome the Secretary of State’s commitments about hostility to those of the Muslim faith, but I want to make a point about those of the Jewish faith. The Secretary of State referred in his reply to people of all faiths, and that includes those of the Jewish faith. However, we are well aware of recent newspaper headlines, including about a person who supports Palestine Action and one person who has made slurs against those of Jewish faith and Israeli nationality. Is it not time to ensure that everyone in the NHS, irrespective of their religious beliefs, is respected? I respect everybody’s beliefs. I am sure that the Secretary of State will tell me that that is the case in the NHS—I hope that it is.
The hon. Gentleman is right. I only wish that I could tell him that it was the case that Jewish patients and staff are always being treated in the way that they deserve to be, but unfortunately I have heard first-hand accounts of Jewish people being afraid to disclose their race and faith when completing forms. That is not just a question of indignity; it is a question of safety because risk factors, particularly those related to genetics, need to be taken into account by the NHS, and it is about the provision of things that lead to people having a dignified and high-quality experience, such as the provision of food. I am afraid to say that I have also heard about shocking racism experienced by Jewish staff in the NHS from patients and from other NHS staff. That has got to stop.
Finally, all staff in the NHS have a right to speak and express opinions in a democracy, but all of them must always ask themselves, especially when writing on social media, “Will a particular comment or a particular action make my patients feel more safe or less safe in my hands? Will they question my commitment to treating all people fairly and equally or not?” That is the standard on which too many doctors have fallen short, and that is before I get to the explicit, vile racists whom we are taking on.
John Whitby (Derbyshire Dales) (Lab)
Thank you, Mr Speaker.
Embedding Healthy Babies services in a system that prioritises prevention is central to this Government’s ambition to raise the healthiest generation of children ever. We are starting by investing £200 million to maintain Healthy Babies services in 75 local authorities with high levels of deprivation, and we will deliver the 10-year health plan ambition to roll out Healthy Babies nationally over the next 10 years.
John Whitby
Sure Start delivered long-term health benefits, with the Institute for Fiscal Studies finding that it reduced the number of hospitalisations of young people with mental health-related causes by 50%. It is therefore appropriate for the Department of Health and Social Care to support our Best Start family hubs. Healthy Babies funding enables that and ensures that family hubs can deliver sessions on topics such as parent and infant relationships. Will the Minister confirm when Derbyshire will be able to benefit from Healthy Babies funding?
Despite the huge success of Sure Start, which my hon. Friend details, the Tory-Lib Dem Government disastrously cut Sure Start centres, leaving parents and babies without any support. That is why this Government are investing £200 million as part of an almost £1 billion package for Best Start family hubs and Healthy Babies. This funding will help all areas to integrate neighbourhood-based health services in hubs, and it will roll out to his area during the next decade.
May I welcome the Minister to her new post? The Government’s support for Healthy Babies is very welcome, but the best way to keep babies who have type 1 spinal muscular atrophy healthy and help them to lead normal lives is by screening them at birth, because they can then access transformative gene therapy. My constituent little Charlie, who will soon be two, would be walking now instead of learning to use a wheelchair if he had been diagnosed at birth through screening, rather than when he was a few months old. Will the Minister consider adding SMA type 1 screening to the newborn screening schedule?
I thank the hon. Lady for her good wishes. She may be aware that on 19 January, the Secretary of State met Jesy Nelson and Giles Lomax, the CEO of the charity SMA UK, to discuss the very issue of newborn screening for SMA. The NHS is planning an in-service evaluation offering SMA screening to newborn babies in England. The ISE is being brought forward to October 2026—it was originally planned for January 2027—so there will be more information to follow in October.
Tom Rutland (East Worthing and Shoreham) (Lab)
Samantha Niblett (South Derbyshire) (Lab)
We inherited from the Conservatives an NHS facing the worst crisis in its history, with waiting lists at a record 7.6 million and public satisfaction at record lows. This Labour Government are getting the NHS back on its feet and making it fit for the future. We have delivered record numbers of appointments, tests and surgeries. Since we took office, waiting lists have been down to the lowest level in nearly three and a half years, and we are driving modernisation through our 10-year plan. Lots has been done, but there is so much more to do with a Labour Government.
Tom Rutland
Waiting lists at my local acute trust are down by more than 20,000 since the general election, which I welcome, but musculoskeletal waits remain a challenge in Sussex, with the Sussex MSK service holding about 10% of NHS England’s overall MSK waiting list. What more can be done to improve the performance of the service and get my constituents off the waiting list, back to health and back to work?
I am grateful to my hon. Friend for all the work he is doing, including with our Labour team in Worthing, to improve the health of people across his constituency. I congratulate staff at University Hospitals Sussex on the progress that they have made in bringing waiting lists down. To help them to go further, I am delighted to announce that my hon. Friend’s local community diagnostic centre in Southlands hospital will benefit from a new multimillion-pound MRI scanner to drive down waiting times, including for MSK patients. We are combining investment with modernisation to send crack teams of top clinicians to MSK community services, drive down waiting times and improve outcomes. That is the difference that a Labour Government make.
Samantha Niblett
Recently, University Hospitals of Derby and Burton NHS foundation trust took part in the Q4 sprint, which involved out-patient appointments and surgical procedures. The work focused mainly on areas such as gynaecology, trauma and orthopaedics, general surgery, and ear, nose and throat, reflecting where that trust’s waiting lists are longest. We have seen a significant drop in the 18-week position, which apparently is a key marker of overall access to care. At the start of the sprint, around 56% of patients were being treated within 18 weeks; as of last week, that figure had increased to 60.2%. A lot of work has been done, so will the Secretary of State join me and the chief executive officer, Stephen Posey, in thanking the teams involved in helping to deliver that sprint? More importantly, what assurances can he give that this is not just a one-off? We have people in South Derbyshire and across the country who need consistently good and quick care.
I thank my hon. Friend, and join her in congratulating Stephen and the whole team at University Hospitals of Derby and Burton trust on their hard work to drive down waiting lists and waiting times. We are not complacent; we have set ambitious targets and invested in modernisation to simplify pathways, increase clinical capacity and improve patients’ experience. We have managed to cut waiting lists despite resident doctors’ strike action—I fear we may have to continue doing that. Through our investment and modernisation, waiting lists and waiting times are coming down, and we have shown that the NHS is on the road to recovery. Our foot is on the accelerator, with lots done, but lots more to do.
Making sure that our GP surgeries are revving on all cylinders is key to ensuring that people get the access to NHS treatment that they need. The Secretary of State will know of my campaign to get a new site for Summertown health centre—in fact, we have been trying to meet to talk about it for over 14 months—but we are now at a key moment. The council and the local practices are at a point where, if we do not get a decision in the next few weeks, we risk losing the opportunity. However, there is a block, which is the district valuer. It often asks for rents far below market value, so what is the Secretary of State doing across Government to make sure that the role of district valuers in ICBs is reassessed?
The Chair of the Health Committee raises a very important point, and—not least given the timeliness of the issue—I would be very happy to meet her very soon.
Among the things that can help reduce waiting lists and waiting times is increased use of existing community hospital facilities, such as Melton Mowbray hospital in my constituency. Will the Secretary of State join me in calling on the local ICB and University Hospitals of Leicester NHS trust to invest in moving more services out of inner-city acute settings and into Melton hospital, so that more of my constituents can get the treatments they need nearer to home?
The right hon. Gentleman is absolutely right that we need to see more services moving out of hospital and into the community. That is why I am proud that we are announcing a new wave of community diagnostic centres and expanding lots of existing provision, as well as improving same-day emergency care and urgent treatment centres in hospitals. He has raised the issue of the Melton Mowbray site; I am sure the local commissioners responsible for that will want to look at it, but I also know that I owe him a meeting, so I will follow up with him directly.
Mrs Elsie Blundell (Heywood and Middleton North) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
We all recognise the devastating impact that eating disorders have on people’s lives, so this Government are committed to going further. Increases in mental health spending, which reaches a record £16.1 billion this year, include funding for eating disorder care. We have also commissioned an independent review to better understand rising prevalence, and the interim report of that review highlights the worrying rise in the prevalence of eating disorders. We look forward to the final report, which will set out recommendations on improving support.
Mrs Blundell
Too many people affected by eating disorders are not receiving the help they need—help often comes too late, with serious physical symptoms overlooked or misattributed. It is clear that those on the frontline must have the training they need to identify early warning signs. What further steps are being taken to ensure that people are supported before they reach crisis point, especially in areas such as mine, which were on the receiving end of significant cuts to public services under the Conservative party?
Dr Ahmed
I am grateful to my hon. Friend for highlighting those cuts and the devastating impact they had, particularly on mental health and eating disorder services. She is absolutely right that we have to do a lot more on the pathways, including harmonising some of the data and clinical coding to make sure that we are catching people early in the process. As I said, the prevalence review will now focus on eating disorders as well—that is a welcome intervention—and of course, children become adults, so we must end the cliff edge at the age of 18 and make sure that care continues in a holistic fashion. We are getting on with that.
Freddie van Mierlo (Henley and Thame) (LD)
Young girls are particularly vulnerable to eating disorders, which are a parent’s worst nightmare. We are seeing social media companies push content on to young girls that encourages eating disorders. What is the Minister doing with Cabinet colleagues to take on this problem?
Dr Ahmed
The hon. Gentleman is absolutely right. The Government are conducting a consultation to examine the most effective ways that we can go further to ensure that children have healthy online experiences. The three-month consultation, which is evidence-led and has input from independent experts, will include determining the right minimum age for children to access social media, and it will report in the summer.
Dan Aldridge (Weston-super-Mare) (Lab)
Ms Polly Billington (East Thanet) (Lab)
We are backing cancer patients with a plan to end the postcode lottery that was baked in by the previous Tory Government due to chronic underfunding. We have already announced that more cancer specialists will be allocated to rural and coastal areas, increasing capacity where it is most needed. Over the past year, around 39,000 more people started their cancer treatment within 62 days, compared with the 12 months prior to the 2024 election.
Dan Aldridge
Weston-super-Mare is a growing, thriving town with a population comparable to the city of Bath, yet cancer patients regularly make a round trip of 90 minutes by car or more than three hours by public transport to Bristol to get their treatment. After his own difficult battle with cancer, my constituent John Kiely is leading an inspiring campaign to finally bring a radiotherapy machine to Weston general hospital. A feasibility study is under way, so can Ministers outline how we can secure the support that we need to make his campaign a reality and improve the treatment experience for my constituents?
Too many patients experience issues in accessing radiotherapy treatment, and I am sorry to hear about the experience of my hon. Friend’s constituent, John Kiely. We are determined to change that. After the previous Government’s chronic underfunding, this Government have invested £70 million of central funding on 28 new radiotherapy machines across the country to replace the older, less efficient machines. Providers have been allocated £15 billion in operational capital for local priorities and £5 billion to support a return to constitutional standards on waiting times. We expect local systems to use that capital to deliver further investment, and I encourage my hon. Friend to meet his local ICB to discuss this issue.
Ms Billington
I welcome my hon. Friend to her place and congratulate her on her appointment. I noticed in the cancer plan the commitment to fill NHS workforce gaps in coastal towns such as mine—Margate, Broadstairs and Ramsgate—and to end the postcode lottery that means many patients in coastal communities are missing out on the best possible cancer care. Can my hon. Friend update the House on progress in closing workforce gaps in coastal areas?
I commend my hon. Friend on her great work campaigning for her coastal community in East Thanet. The national cancer plan sets out how we will make sure that everyone has timely access to high-quality diagnostic and treatment services by increasing medical training places in rural and coastal areas. The national cancer plan will save 320,000 lives over the next decade and deliver the fastest improvement in cancer survival in UK history.
Seamus Logan (Aberdeenshire North and Moray East) (SNP)
Cancer patients, like so many other patients, are worried and concerned about the resident doctors strike in England, which is reportedly costing around £50 million a day, not to mention its impact on waiting lists. Meanwhile, in Scotland, we have a Health Secretary and a Government who are competent in negotiations and have none of this industrial action. The final bill for this industrial relations shambles could be as high as £3 billion. What can the Secretary of State reveal to the House about the special skills he has in dealing with the BMA?
Patients are 30 times more likely to wait two years for care in Scotland than in England. Labour has ended austerity and provided Scotland with the biggest funding increase since devolution. The question is: where has the money gone?
May I pursue the point about coastal communities and cancer care? A young dad in Withernsea, a coastal town in my east Yorkshire constituency, went to the doctor repeatedly saying that there was something wrong with him and was repeatedly told that he was fine, before being diagnosed with stage 4 cancer. He survived, but only just. What, in real terms, will happen to ensure that communities such as those in Withernsea can see decent cancer care and proper diagnosis, especially given that, as was pointed out by my right hon. Friend the Member for Goole and Pocklington (David Davis), Hull university teaching hospitals NHS trust is one of the worst-performing trusts in the country?
The national cancer plan is a key part of our work to build an NHS fit for the future, and it explains how we will make England a world leader in cancer outcomes. The right hon. Gentleman’s constituents will now be able to see a GP much sooner than they could before the 2024 election, which will ensure that they can get that earlier diagnosis, which is the only thing that will help them to survive and live longer.
I welcome the Minister to her post.
To provide cancer care of the best quality, we need the right workforce. Before the election, the Secretary of State said that he would double the number of medical school places, but he now appears to be quietly dropping that plan. He said that he would provide thousands more medical training jobs, but now he is rowing back on that promise. He said in 2024 that he would publish a comprehensive NHS workforce plan, which was promised for summer 2025 and then for autumn 2025. We are now in spring 2026. When will the workforce plan be published, and does the Secretary of State still intend to double the number of medical school places?
We are well aware that there are issues with the workforce across the NHS, which is why we are working on a new workforce plan that will be published in the spring—very soon.
I hope that it will be published very soon, because for people with cancer, being seen quickly is key.
Let me return to what the Minister for Care said to my hon. Friend the Member for Hinckley and Bosworth (Dr Evans). The Government appear to have decided that referrals will no longer be triaged by a consultant, and that a set proportion will be rejected. What evidence do the Government have that it will be safe for others to provide this triage? If a set proportion are to be rejected, does that mean that the Government will ask doctors to change their clinical thresholds, and if so, what evidence do they have that that is safe? Surely the Minister would not compromise patient safety for a short-term improvement in figures.
No, it wasn’t—not at all.
Unlike the Conservative party, we trust our GPs. This will be consultant-led advice and guidance, on which GPs will then decide.
Matt Bishop (Forest of Dean) (Lab)
I am delighted to announce that we are investing in 36 new and better community diagnostic centres in shopping centres and high streets across England. This is what a Labour Government deliver: the biggest expansion in diagnostics in a generation, shorter waits for tests, checks and scans, and an NHS on the road to recovery. It is a record that the Tories could not touch, the Scottish National party cannot match, Plaid Cymru cannot sustain, and Reform would destroy. On 7 May, people can only trust Labour with the NHS.
Matt Bishop
A constituent of mine, Emma, has been left with significant injuries following poor maternity care during childbirth. For more than 20 years she has been fighting for, but has been denied, corrective treatment on the NHS because it has been deemed cosmetic, despite the clear impact on her mental health and relationships. What steps can the Secretary of State take to ensure that women in such circumstances have access to the treatment that they need?
I am grateful to my hon. Friend for raising that case. It is shocking but sadly not surprising, because the injuries sustained by women during childbirth are often completely ignored as well as going unaddressed. We have to learn from the case raised by my hon. Friend to ensure that constituents such as his are not fighting for the care that they deserve, and we will act on those lessons.
The latest industrial action by the British Medical Association has now ended, yet many will be appalled by reports of individuals boasting online that
“the ability to have 10 days off will make turnout quite high.”
Does the Secretary of State agree that this behaviour is indefensible and represents a slap in the face to patients whose treatments have been cancelled, as well as to the NHS staff who have been left to pick up the pieces?
Yes. It reflects very poorly on the BMA and the cavalier way in which it has inflicted disruption and a £300 million bill on the country in straitened times. It was also unnecessary. Although the resident doctors committee chose to reject a generous offer, that did not mean that it needed to rush out and announce six days of strike action the very same day. With the BMA, strike action is a first resort, not a last resort. It needs to change its tune, because the country cannot afford to fund its reckless behaviour.
This is a rare occasion, as I agree with the Secretary of State. The increasingly militant stance adopted by the BMA is plainly out of step with some resident doctors, who continue to report for duty. The Government’s handling of this dispute has been marked by inconsistency. First, they attempted to buy their way out of trouble, then they withdrew the training places that this House voted for. Instead of persisting with a failed strategy, is it not time for the Government to heed our calls and bring forward legislation to ban doctors from striking?
The Government’s approach has been consistent. We recognise that resident doctors suffered years of pay erosion and worsening conditions under the Conservatives. We came in and sought to address that substantially with a 28.9% pay rise and an offer on the table that would have gone further on pay, gone further on training places and cancelled exam fees, which is the best deal that anyone will have got in the entire public sector. Resident doctors have rejected that approach, but the shadow Secretary of State reminds the BMA that however much it might disagree with this Labour Government, the alternatives are far worse. It is far better to work with us than against us, but we will not cave.
Joe Powell (Kensington and Bayswater) (Lab)
I thank my hon. Friend for his question; he is a strong voice for palliative care and for Pembridge hospice in his constituency. Palliative care is vital in our communities, and I completely agree that ICBs, like West London, should engage with their local communities to ensure that they can meet their palliative care needs.
Wherever I go in North Shropshire, constituents tell me that access to a GP only gets worse when new homes are built, and they are right. Across the country, there are billions of pounds in unspent community infrastructure levies for new surgeries, and the average number of families that a GP serves has gone up by 917 since 2015. Will the Minister support Liberal Democrat calls for CIL to be used to support the early running costs of new GP practices, or to expand existing ones, as soon as people move into new housing, so that GP access really does come first when housing developments happen?
There is absolutely an issue with developers not delivering what they say they are going to deliver either through section 106 or through CIL. We are working closely with the Ministry of Housing, Communities and Local Government to address this issue. I would be more than happy to hear more about the hon. Lady’s specific proposal. We want to work pragmatically and constructively to resolve this issue.
Kirith Entwistle (Bolton North East) (Lab)
Ophthalmology waiting lists have fallen since we have taken office. Average waiting times have reduced, and 18-week performance has improved. ICBs have the flexibility to commission services across specialties within a fixed financial envelope, and may use contract levers to manage that activity. That is good management of public money to achieve the outcomes we want to see.
Clive Jones (Wokingham) (LD)
I am delighted that, as well as announcing the £10 million needed to purchase the new site for the Royal Berkshire, we are investing in the existing estate; that is what local residents deserve. I was delighted to make that announcement last week with our brilliant Labour Reading council team. It once again underlines that Labour councils work much better with a Labour Government, and people should remember that on 7 May.
Gurinder Singh Josan (Smethwick) (Lab)
I wish a happy Vaisakhi to all who are celebrating today.
Let me reassure my hon. Friend that he is absolutely right. As I reported only this morning on BBC West Midlands, we are bringing down waiting lists in his area and across the west midlands, and we will make further and faster progress; that is what a Labour Government do. We are much more able to improve the health of our nation by working with Labour councils across the country.
Helen Maguire (Epsom and Ewell) (LD)
As I said to the hon. Member for North Shropshire (Helen Morgan), we are looking at the way that section 106 and CIL are used. I certainly look forward to working with councils across the country, but as my right hon. Friend the Secretary of State has said, when people go to the ballot box on 7 May, they should think very carefully about how much more effective it is when councils work in partnership with this Labour Government.
Several hon. Members rose—
Patrick Hurley (Southport) (Lab)
These organisations play an important role. We are making sure that they are treated fairly, and are supported to play a bigger role. They will be supported by the forthcoming plan for voluntary, community and social enterprise spending targets to 2028, and a combined action plan for small and medium-sized enterprises and VCSEs. That will include measures to ensure clearer visibility of opportunities, earlier market engagement, proportional financial and evaluation requirements, and a strong performance on prompt payment across the health system.
Adrian Ramsay (Waveney Valley) (Green)
We are working closely with the BDA on long-term contract reform. It has to be about getting the balance right, so that dentists are incentivised to do NHS dentistry and we maximise access. A public consultation on fundamental contract reform is coming before the summer, and I am sure the hon. Member will want to take part in it.
Brian Leishman (Alloa and Grangemouth) (Lab)
Increasing the uptake of bowel cancer screening improves rates of early diagnosis and saves lives, but about a third of people eligible for a FIT test—a faecal immunochemical test—do not complete one. That figure rises in the most deprived areas of Scotland, where up to half of people are not completing the test. What collaborative work are the Government undertaking to improve participation rates and reduce such health inequalities across the United Kingdom?
The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
My hon. Friend may know that in Scotland there is no NHS app. In England, where there is one, we can facilitate bowel cancer screening through the app, increase uptake, and save more lives. In Scotland, all the SNP has managed to provide in 20 years is, possibly, some dermatology services in Lanarkshire. When we came into power—
I know the Minister for Secondary Care has met the right hon. Gentleman. I know that the ICB will have been disappointed. There will be further ways to do this, and it should keep trying.
Lauren Edwards (Rochester and Strood) (Lab)
The James Williams healthy living centre recently opened in Chatham town centre in my constituency. It means that more of my constituents can receive care closer to home, rather than travelling to the other end of Medway to visit the hospital. May I invite the Secretary of State to attend its official opening in the summer, so he can see at first hand the fantastic new facilities?
I would be delighted to. Let us arrange a date.
Katie Lam (Weald of Kent) (Con)
The Medical Training (Prioritisation) Act 2026 is making a difference. It has reduced competition from four to one to less than two to one, a fact that the British Medical Association might wish to acknowledge. We are absolutely up for looking at that issue as part of the workforce plan. I suspect that we will have to do that without the BMA, rather than with it, since it will be out on strike while we are getting on with governing.
At 2 pm today, many Members of this House will be attending the funeral of our dear friend Phil Woolas, the Member for Oldham East and Saddleworth from 1997 to 2010, who passed away from a glioblastoma brain tumour on 14 March. I am sure that everybody would wish to send their condolences to his widow Tracey, sons Josh and Jed, and his mother and brother, but does the Secretary of State agree with me that condolences are no longer enough, given that there has been no improvement in treatment for the condition in 40 years?
Absolutely. I join my hon. Friend in paying tribute to Phil Woolas, who was an outstanding Member of this House and is dearly missed. I know the whole House will join her in sending condolences to Tracey, Josh and Jed, and their thoughts will be with them today. I am pleased to report that the National Institute for Health and Care Research brain tumour research consortium, backed by over £25 million-worth of investment, aims to unlock new treatments and transform outcomes. Earlier this year, we announced £3 million, with Cancer Research UK, for the brain tumour centre of excellence, including the glioma centre of excellence. Only recently, I was at Edinburgh University looking at progress there. It feels like we could be close to major breakthroughs, but she is absolutely right to hold NIHR and NHS England’s feet to the fire on this issue, and I will continue to join her in that.
Alison Bennett (Mid Sussex) (LD)
Cerys was just 22 when she took her life while an in-patient at Park House in Greater Manchester. The coroner described the unit as “a shambles”. Cerys’s was just one of a number of deaths at the unit. There is a national pattern of mental health trusts failing to learn and act when tragedy occurs. Although reports on preventing future deaths are issued, there is no mechanism to ensure that their recommendations are acted on. How can accountability be strengthened?
Dr Ahmed
Anyone receiving mental health treatment, in particular acute mental health treatment, deserves dignity and high-quality care. Where care falls short, this Government’s approach is that sunlight is the best disinfectant. That is why we are absolutely committed to learning, and to taking action to protect patients and improve in-patient mental health care up and down the country. I am deeply distressed to hear about this case and about other cases, including at St Andrew’s. NHS England and the Care Quality Commission are acting to keep patients safe. I am happy to take forward any further discussions with the hon. Lady, as necessary.
Lloyd Hatton (South Dorset) (Lab)
Patients in Chickerell often struggle to access GP services in their area, and instead must travel long distances. Some years ago, it was confirmed that a new surgery should be built in Chickerell. However, significant delays mean that we are still waiting for that surgery. Will the Minister work with me and the NHS locally to finally deliver a new GP surgery in Chickerell?
I know that the local town and county council have been working in partnership with Dorset ICB over many years to support GP partnerships in the Chickerell area in developing a business case for NHS capital or revenue funding. I would be delighted to meet my hon. Friend, and to continue to make plans for applying pressure to ensure that this is delivered.
Twenty-two people a day are diagnosed with lobular breast cancer, including my colleague Councillor Fiona Corps in North East Fife, but many more are living with it, because researchers and clinicians know so little about it. In advance of vigils next week, can we ensure funding for the Moon Shot Project, to give these women hope?
We strongly support the aims of the Moon Shot Project; the challenge has been getting the proposal to a suitable standard for funding. The moment we overcome that obstacle, the money will be there.
The infected blood inquiry recommended action to protect the safety of haemophilia care, but there is mounting concern among clinicians and patients alike that recommendation 9 is not being implemented. Will the Minister meet me and members of the all-party parliamentary group on haemophilia and contaminated blood to discuss these real concerns?
Dr Ahmed
I am grateful to my hon. Friend for making these points about haemophilia care. We are committed to implementing all recommendations of the review, and good progress has been made, including on non-plasma-derived treatments and the revision of the national service provision. NHS England and the Department of Health and Social Care will continue to provide updates on the Government response. I am happy to meet my hon. Friend to discuss this.
It is welcome news that NHS England has reduced the faecal immunochemical test threshold from 120 micrograms to 80 micrograms, bringing England into line with Scotland and Wales. We now need investment in endoscopy and other related treatments to ensure that people suffering from bowel cancer are spotted early and given the ultimate chance of survival. Could Ministers look at further investment here to increase survival rates?
Yes; as part of our national cancer plan, we absolutely want to see survival rates improve in the way the hon. Gentleman describes. I welcome the new Minister working on this—the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson)—to her place, and thank my hon. Friend the Member for West Lancashire (Ashley Dalton) for all her leadership in this area, too.
Daniel Francis (Bexleyheath and Crayford) (Lab)
My constituent Harley Harris is 15. He has spondylocarpotarsal synostosis syndrome, which has caused his spine to curve 120° and damaged his lungs, leaving him with significantly reduced lung function and in continual pain. Harley needs lifesaving surgery, but his family have been unable to get a referral to have it performed in the UK. Will the Minister commit to urgently reviewing Harley’s case to ascertain what support can be provided to him and his family?
I am very sorry to hear about Harley’s condition, and my thoughts are with him and his family. I am sure my hon. Friend understands that neither the Department nor NHS England can comment on the clinical appropriateness of suggested treatments for an individual. I understand that Harley and his family have already been in touch with the Department, and would suggest that my hon. Friend continues to raise this case with NHS England. We are committed to improving the lives of those living with rare diseases, including Harley’s condition of SCTS.
In 2022, Grantham saw the opening of one of the country’s first community diagnostic centres; since then, more than 100,000 tests have been completed for the local population. Now, I want the same for the town of Bourne. Will the Minister meet me, so that I can make the case for a new community diagnostic centre in Bourne?
I was happy to announce the further expansion of CDCs this morning. We will continue to work to roll out these centres across the country. I am happy to discuss with the hon. Gentleman the proposals from his local ICB, if he wants to provide a bit more detail on that, as these centres are critical to getting down our waiting lists.
Ben Coleman (Chelsea and Fulham) (Lab)
Will the Secretary of State join me in welcoming the success of sickle cell bypass units in north-west London and across the country in reducing pressure on emergency departments, while improving care for sickle cell patients, who have historically been overlooked? Does my right hon. Friend recognise that the future of these units is threatened, and will he meet me to discuss the need for ongoing central funding, so that these vital and efficient services are not lost?
I congratulate the units on their work. I appreciate concerns about sickle cell services, which we must maintain. I am aware of some of the other challenges we have had to address in London, where we have got to a good place. It is so important that we work together—that Labour’s investment and modernisation works alongside NHS leaders and those promoting public health—and work with great Labour councils, like my hon. Friend’s.
Dr Ahmed
I commend the community groups in the hon. Gentleman’s constituency. He will know that there are record amounts of funding going into mental health provision under this Government. We are committed to ensuring that that funding is disseminated into the community, by moving more services from hospitals into the community.