National Insurance Contributions: Healthcare
Lindsay Hoyle Excerpts(1 year, 3 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Alison Bennett (Mid Sussex) (LD)
The increase in employer national insurance contributions will erode the very investment in the NHS that the Budget sought to prioritise. Katie, a GP from Lindfield in Mid Sussex, wrote to me saying that the NICs increases
“serve to directly undermine access and patient care.”
The Government have promised to recruit more GPs, but hiking national insurance puts that pledge in jeopardy. Surgeries are set to see eye-watering increases in staff costs, equivalent to 26,786 appointments in West Sussex alone. GPs will have no choice but to cut services and staff numbers, and patients will pay the price.
Does the Minister agree that stronger primary care, with faster appointments and fewer people having to go to hospital, is better for both the NHS and patients? If so, will she protect services and press the Chancellor to end this GP penalty?
Karin Smyth
I respect my hon. Friend’s expertise in this area. She is right, and we understand that the pressures are real, which is why we have committed to supporting the NHS and the social care system with the additional funding that my right hon. Friend the Secretary of State for Health and Social Care secured as part of the Budget settlement.
We are also working closely with the NHS, in a new relationship, to understand its needs. That is a dynamic conversation, because we want to understand what is happening in local systems as we continue to invest in them.
Sir Edward Leigh (Gainsborough) (Con)
We all know that a lot of the debate on assisted dying revolves around the lack of hospice places to help people pass in the best way possible. Similarly, much of the debate on the NHS is about the lack of care home spaces. Leaving aside the cross-party name-calling, may I beg the Minister to consider exempting hospices and care homes from this national insurance increase?
Mr Speaker
Order! The shadow Minister has been granted an urgent question. He asks the questions; he does not answer them from the Front Bench.
Karl Turner
Does the Minister agree that it is also disappointing that the Opposition ignore the fact that they completely disregarded and ignored social care when they were in office?
Karin Smyth
Well, I do agree with my hon. Friend. As I have said, when I became a Member of Parliament in 2015, I remember very clearly the absolute shock that I felt when the Conservatives immediately announced that they were not going to meet the commitment that they had made to implement the Care Act 2014 at that time, and we are still playing catch-up on that issue.
Oral Answers to Questions
Lindsay Hoyle Excerpts(1 year, 4 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Stephen Kinnock
That is an extremely important question. I recognise that dementia is a huge issue that impacts on the entire country and, indeed, many Members on both sides of the House. We are absolutely committed to the research that is fundamental to addressing the problem, and our fair pay agreement is about not just pay but training and terms and conditions. We will be ramping up dementia training for our adult social care workforce.
Sir John Whittingdale (Maldon) (Con)
The Labour manifesto spoke of the need for a consensus on social care, and the Secretary of State has said that he wants to reach out across the political divide—although the message does not seem quite to have reached the Minister yet. During Health and Social Care questions in July, the Minister said that there would be announcements in the near future, but since then we have heard nothing. We are ready to talk; when will the Government be ready?
Wes Streeting
I am grateful to my hon. Friend for raising that question. When in opposition, I was delighted to spend time with a whole group of GPs from across Sheffield who showed us what primary care reform could look like. We are committed to increasing primary care as a proportion of the NHS’s budget, which will be important, and also to building exactly the kind of neighbourhood health service she describes, with more care closer to people’s homes. General practice has a key role to play in that.
Layla Moran (Oxford West and Abingdon) (LD)
What we measure is often what we end up improving, and one of the great assets of Lord Darzi’s report is the technical annex with its 330 analyses. It is incredibly useful; it is a baseline. Will the Secretary of State make sure that it is updated yearly?
Wes Streeting
That is a great constructive challenge. I am absolutely committed to transparency and to keeping that dataset updated in the way that the hon. Lady requests. We are not going to get everything right and sometimes we are not going to make progress as fast as we would like, but where that is the case we are never going to duck it or pretend that things are better than they are. The reason that we will succeed where the previous Government failed is that we are willing to face up to the challenges in the NHS rather than pretend that they do not exist.
Dr Ben Spencer (Runnymede and Weybridge) (Con)
The Prime Minister has repeatedly stressed the importance of preventing people from taking up smoking, as one of his priorities to improve the nation’s health, reduce waiting lists and lessen demand on the NHS, and we agree. The Government like to talk about the record of their first 100 days in office but, according to data from Action on Smoking and Health, 280 children under the age of 16 take up smoking in England each day. That is 28,000 children in England during the Secretary of State’s first 100 days. Why has he not yet reintroduced our Tobacco and Vapes Bill? How many children need to take up smoking before he makes this a priority?
Wes Streeting
Perhaps the shadow Minister would like to give us the figures for the entire 14 years that his party was in government. By the way, just to set the record straight, not only did I propose the measures in that Bill during an interview with The Times earlier last year, but if it was such a priority for the Opposition, why did they leave the Bill unfinished? Why had it only had its Second Reading? And why did we go into the general election with that Bill unpassed? I will tell him why: because his party was divided on the issue, and the then Prime Minister was too weak to stand up to his own right-wingers who are now calling the shots in his party. The smoking Bill will be back, it will be stronger and, unlike the previous Government, we will deliver it.
Helen Morgan (North Shropshire) (LD)
My constituent Mel Lycett has terminal cancer. After repeated visits to her GP, she was referred to a two-week urgent pathway in May. She was not diagnosed until the end of July, and she still has not started treatment. Every single target for her diagnosis and treatment was missed. That is not uncommon in Shropshire, and it is not uncommon in the rest of the country. Can the Secretary of State reassure me of what he is doing to deal with this terrible legacy left behind by the Conservative Government? How will he ensure that cancer patients are treated in a timely manner?
Seamus Logan (Aberdeenshire North and Moray East) (SNP)
I appreciate that the Secretary of State is unlikely to comment on the Chancellor’s forthcoming statement, but he and his Front-Bench colleagues have already mentioned funding issues a number of times this morning, so will he confirm that it is the policy of his Government to take steps to increase the UK’s health spending to the average of other countries in north-west Europe? That would lead to an increase of around £17 billion for the national health service and would help address some of the issues referred to by the hon. Member for Paisley and Renfrewshire South (Johanna Baxter).
Mr Speaker
Order. Questions ought to be linked to the subject being dealt with, which is access to primary care. I am sure that the hon. Gentleman meant to ask, “Will there also be funding to improve access to primary care?”, which I am sure the Minister can answer.
Andrew Gwynne
This Labour Government were elected to tackle health inequalities, fix our NHS and ensure that more people live longer, healthier lives. That will require a concerted Government effort, which is why we have the health mission board in place. My right hon. Friend the Secretary of State is making the case for investment and reform at every opportunity, but let us be clear: every single Labour Government have left the country with a better NHS than they inherited, and this Labour Government will fix our NHS once more.
Wes Streeting
My hon. Friend is absolutely right. This is about not just the necessary hospital projects, but the growth that will come through construction, getting these projects up and running and, of course, the role that the NHS plays as an economic anchor institution in communities, as some of these projects will necessarily unlock new housing sites and a local transport infrastructure. We are mindful of all of that. The most important thing is that we come forward with a timetable that is credible and a programme that is funded, and that is exactly what we will do.
Michelle Scrogham (Barrow and Furness) (Lab)
Wes Streeting
I am sorry for my hon. Friend’s constituents, and so many others who are dealing with the consequences of the Conservatives’ failure on dentistry. I would be delighted to meet him to discuss the challenges in his area.
Victoria Atkins (Louth and Horncastle) (Con)
I congratulate all nominees and winners in the NHS parliamentary awards yesterday. Their success was richly deserved, and the awards were a very good example of the House coming together to celebrate those who work so hard in our health service and social care services.
In the past five weeks, I have asked the Secretary of State 29 questions at this Dispatch Box, yet he has managed to answer only one. For the rest, he has tried to bluster his way out of his policy decisions, as we have seen this morning. Let us try again. When will be the first week in which we see delivery of his promised 40,000 more appointments?
Victoria Atkins
After 14 years of opposition—two and a half of which the Secretary of State spent on the Front Bench and travelling around the world, funded by other Governments, to look at their healthcare systems—and more than 100 days in government, the right hon. Gentleman does not even know the start date of his own flagship policy. He is no Action Man; he is Anchorman.
Let us deal with Labour’s cruel decision to slash winter fuel payments, which will add pressure not only to patients, but to the NHS. The NHS’s deputy chief operating officer—
Mr Speaker
Order. I have got a lot of people to get in. Members on both Front Benches must be quicker.
Victoria Atkins
After Labour’s cruel decision to slash winter fuel payments, which will add pressure to the NHS, its deputy chief operating officer warned that this winter our health service will not have the extra capacity or funding that it needs, which the Conservatives had previously provided. Why has the Secretary of State—
Mr Speaker
Order. I gave the right hon. Lady a hint to come to an end and not to carry on fully. It is unfair to Back Benchers, who I am trying to represent. I want a short answer.
Wes Streeting
The shadow Secretary of State questions the budget for this winter, but it was set by her Government. Is that finally an admission of failure on her part? Something else that we will have this winter, which we did not have last winter or the previous winter is no—
Lola McEvoy (Darlington) (Lab)
The Minister for Care (Stephen Kinnock)
By cutting mental health waiting lists and intervening earlier, we can get this country back to health and back to work. There are 2.9 million people who are economically inactive, a large proportion owing to mental health issues. Many people can be helped back into work through talking therapies. We will put a mental health professional in every school and roll out 8,500 specialists. I would be happy to meet my hon. Friend to discuss the matter further.
NHS: Independent Investigation
Lindsay Hoyle Excerpts(1 year, 5 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Mims Davies (East Grinstead and Uckfield) (Con)
On a point of order, Mr Speaker.
Mr Speaker
How long has the hon. Member been here? Points of order come at the end—you cannot intervene in the middle of these proceedings.
I call the shadow Secretary of State.
Victoria Atkins (Louth and Horncastle) (Con)
Thank you, Mr Speaker. I thank the Secretary of State for advance notice of his statement.
The NHS belongs to us all, and we all care about it, so let us stop the political posturing and talk constructively about its future. We all know that our healthcare system faces significant pressures, as do all health systems around the world. We are living longer, and with multiple and complex conditions. We have wider societal pressures, such as the impact of social media on the development of some young minds, as well as the cost pressures of miracle drugs developed by our world-class life sciences sector for their treatment benefits, and the shock of the pandemic has had catastrophic impacts on the NHS and its productivity.
I believe there is much to be proud of in the NHS. Its dedicated staff look after 1.6 million people a day— 25% more people than in 2010. It has more doctors, more nurses and more investment that at any point in its history. It is delivering tens of millions more out-patient appointments, diagnostic tests and procedures for patients than in 2010, and we delivered the fastest roll-out of vaccinations for covid in the world, freeing our society more quickly than other countries. We have more healthcare in the community, with the opening of 160 community diagnostic centres—the largest central cash investment in MRI and CT scanning capacity in the history of the NHS—and 15 new surgical hubs; and the launch of Pharmacy First, helping to free up 10 million GP appointments for those living with more complex conditions. [Interruption.] I say to the Secretary of State that I paid him the courtesy of listening to him in silence, so I hope he will do the same for me.
Victoria Atkins
The right hon. Gentleman was chuntering from a sedentary position. We on the—[Interruption.]
Mr Speaker
Order. I want to hear the right hon. Lady, and Members’ constituents want to know what is being said. Please, let us give the same courtesies that I expected for the Secretary of State.
Victoria Atkins
Thank you, Mr Speaker.
We on the Conservative Benches never pretended that everything was fixed. We have not pretended that we have a monopoly on wisdom or that there are easy answers to the difficult challenges we face. For the NHS to thrive in its next 75 years, it needs to reform, modernise and improve productivity. That is why the Conservative Government, working with NHS England, announced the NHS productivity plan at the spring Budget to transform how the NHS works through better IT systems for frontline staff, the expansion of services on the NHS app, which is used by three out of four adults in England, and the use of new technology, including voice-activated artificial intelligence. Together, that would see productivity grow by 2% a year by the end of the decade and unlock £35 billion-worth of savings, yet the plan is not mentioned in the 163-page report. Why is such an important and forward-looking reform missing from the report, and can the right hon. Gentleman confirm that he is choosing to cancel it—yes or no?
New medicines and trials are an essential part of the productivity challenge. There is only one mention of the National Institute for Health and Care Excellence in the 163-page report. Do the Government have a strategy for life sciences and the provision of rare medicines, including cancer and dementia drugs? Why have they paused the childhood cancer taskforce?
The need for reform was also why we implemented the first ever long-term workforce plan with NHS England to train even more doctors, nurses, midwives and other healthcare staff for the future. The plan was described by the NHS CEO Amanda Pritchard as
“one of the most seminal moments in our 75-year history”,
yet it is not mentioned in today’s report. Again, why is such an important and forward-looking reform missing from the report? Is the right hon. Gentleman going to cancel the new places and forms of training, including apprenticeships, that were to be provided through that plan?
The need to modernise is why, in 2019, we announced the largest programme of hospital building in modern history: 40 new hospitals across England by 2030 [Interruption.] I would be careful if I were some Back-Bench MPs. Today, seven new hospitals have opened, the Midland Metropolitan university hospital will open at the end of the year—I imagine the Secretary of State will enjoy going to its launch—and a further 18 are in construction. We are not even halfway through the decade.
Since January 2023, it has been Labour’s plan to pause, review, delay and, presumably, possibly cancel those new hospitals. That was when it published its health mission; it is on page 6 for those who have not read it. In other words, it was always Labour’s plan to delay and possibly cancel the new hospitals, and it has nothing to do with the Chancellor’s questionable accounting since the general election.
When that was pointed out in the general election campaign, Labour candidates ran around promising voters that their new hospital or community diagnostic centre was safe with them—in Torbay, Chelsea and Fulham, Basingstoke, Watford, Bracknell, Truro, Corby and Kettering to name a few. Will the right hon. Gentleman confirm that Labour will delay those hospitals?
Mr Speaker
Order. It is difficult, but the time limit is supposed to be five minutes, and it has now been six minutes 22 seconds, so we are well over. Can you now conclude on that sentence?
Victoria Atkins
Thank you, Mr Speaker.
There is one part of Great Britain where, on almost every measure, the NHS performs the worst: Labour-run Wales. The right hon. Gentleman has compared—
Mr Speaker
Order. I am sorry; I meant that you were to conclude now, not to continue with the rest of the speech. I call the Secretary of State.
Wes Streeting
The first word that the shadow Secretary of State for Health and Social Care should have said was “sorry”. She says that she never pretended everything was fixed, and that is true, but it is about time that she admitted that it was her party that broke the NHS in the first place.
In fact, it has been a feature of debate in the House since the general election that the Opposition have taken absolutely no responsibility for the mess they left our country in, including a £22 billion black hole and the new hospitals programme that the right hon. Lady referred to, in which the timetables were a work of fiction and the money ran out in March. She knew that when she went to the country to claim that the programme was fully funded. She talks about the decisions made by NICE; that was a new Labour reform and modernisation—one that thankfully survived the last 14 years.
The right hon. Lady has endorsed the right hon. Member for Newark (Robert Jenrick) in the Conservative party leadership election. I wonder what she makes of his admission that the Conservatives failed to make the tough reforms that the NHS needed because they were afraid of what Labour might say. Is that not the most derisory excuse for 14 years of neglect?
My predecessor does not bear responsibility for everything in the Darzi report—this crisis was more than a decade in the making—but I wonder when the right hon. Lady will show some humility on behalf of her party and apologise for the mess that her Government made of our national health service. Otherwise, why should anyone trust what the Conservatives have to say ever again?
This Government were given a mandate for change, and nowhere is that more needed than in our NHS. The report must mark the beginning of the long, hard work of change. It is the platform from which we will launch a decade of reform that will make sure that the NHS can be there for us when we need it—for us, our children and our grandchildren. It must draw a line in the sand, so that we never go back to the pain, fear and misery that the Conservative party inflicted on millions of patients.
Several hon. Members rose—
Mr Speaker
This statement will run for an hour, so please help each other. Let us try Clive Efford as a good example.
Clive Efford (Eltham and Chislehurst) (Lab)
Thank you, Mr Speaker. I will rise to the challenge.
I welcome the Secretary of State’s statement. In 2008, the previous Labour Government commissioned a report from Sir Michael Marmot on the state of society and health, and he found that there was health inequality, particularly in deprived areas. Ten years on, his second report found that health inequality had become even worse against the backdrop of an underfunded NHS. Does that not demonstrate the urgency of the need to invest in those communities under this Government? What can my right hon. Friend do to direct resources into the most deprived communities in order to turn around those health inequalities?
Wes Streeting
My hon. Friend is absolutely right that our country has stark health inequalities. It is not right that people who live in different parts of the country have such different chances of living well. A girl born in Blackpool can expect to live healthily until she is 54, whereas a girl born in Winchester can expect to live healthily until she is 66. That is why, with the Prime Minister’s mission-driven approach, we will not just get our NHS back on its feet and make sure it is fit for the future; we will also reduce the cost and burden of demand on our national health service by attacking the social determinants of ill health.
Daisy Cooper (St Albans) (LD)
Much of the content of Lord Darzi’s report has been known for some years. None the less, today’s report is a scathing summary of the complete devastation that the Conservatives have wrought on our health services and on the health of our communities. We Liberal Democrats have long argued that we need to shift healthcare from hospitals to high streets, and from treatment to prevention, because doing so improves health outcomes and saves taxpayers’ money. It is a win-win.
But the report is long on diagnosis and short on prescription, so may I invite Ministers to read our fully costed manifesto to fix public health and primary care by recruiting 8,000 GPs, ending dental deserts, boosting public health grants by £1 million, implementing our five-year plan to boost cancer survival rates, and putting a mental health expert in every school?
Does the Secretary of State accept that there is an elephant in the room: social care? Will he meet me to discuss the Liberal Democrat plans for social care, starting with free personal care? This bold idea would prevent many people from going into hospital in the first place, as well as enabling them to be discharged from hospital faster. Does he accept that it is a truth universally acknowledged that we cannot fix the NHS if we do not fix social care too?
As for the dire state of our hospitals and primary care estate, well, the Conservatives have left it to fester like a wound. Will the Secretary of State give the green light to hospitals that are ready to rebuild, such as mine in west Hertfordshire? Will Ministers look to reform outdated Treasury rules that are preventing our integrated care boards and hospital trusts from spending and investing their funds in the GP practices and hospitals that we need? This Government say that they want growth. Well, health and wealth are two sides of the same coin, which is something the Conservatives do not understand. If Labour wants economic growth, fixing our health and social care must be its top priority. And it must be a priority without delay.
Oral Answers to Questions
Lindsay Hoyle Excerpts(1 year, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Wes Streeting
I welcome the hon. Member to the House—it is a rare thing to welcome new Conservative Members, and he is welcome. He is absolutely right to touch on the workforce issues in NHS dentistry, and to say that we need to incentivise dentists, on two fronts: we need them to commit to and do more work in the NHS—we are looking at a range of things in that regard—and we need to ensure that we get more dentists to the areas in which they are most needed. We will certainly support incentives to that effect.
Saqib Bhatti (Meriden and Solihull East) (Con)
I welcome the right hon. Member and his new team to their places in the Department. The shadow Secretary of State, my right hon. Friend the Member for Louth and Horncastle (Victoria Atkins), prioritised access to care, including NHS dentistry, when she was Secretary of State. The dental recovery plan that she launched announced new dental vans to provide access to care to our most rural communities and coastal communities in England. We had agreed with NHS England that the first vans would be on the road by this autumn, and I know that that timescale was welcomed by colleagues across the House. Will he confirm that dental vans will be on the road by this autumn?
Dr Ben Spencer (Runnymede and Weybridge) (Con)
May I congratulate those on the Government Front Bench on their appointments? I should declare that I am a former NHS consultant psychiatrist, my wife is an NHS doctor and I participated in the Wessely Mental Health Act review. While I no longer have a licence to practise, I may gently correct the Minister in that it is possible to provide a prescription without a diagnosis. [Laughter.]
The Opposition are pleased that the Government intend to build on the work of Conservative Governments, kick-started by the former Member for Maidenhead, to reform the Mental Health Act 1983. We will work constructively with them to make such legislation as effective, fair and compassionate as possible. With that in mind, does the Minister intend to make changes to the code of practice to the Mental Health Act now so that non-statutory changes and protections can be enacted while the Bill works its way through Parliament?
Cat Smith
Lancaster’s royal infirmary is at capacity. It is a Victorian hospital, and I am sure it was cutting-edge back then, but it is now not fit for purpose. Yesterday, the joint investment strategic committee expressed its support for the new build scheme in Lancaster, so it will soon be on the Secretary of State’s desk. Will my right hon. Friend commit to meeting me and other interested local MPs in north Lancashire to ensure that, after 14 years of chaos under the Conservatives, the Labour Government will deliver a new hospital for Lancaster?
Wes Streeting
I was about to say, Mr Speaker, that the good people of Lancaster and Wyre will be delighted to have sent my hon. Friend to Parliament, because she is second only to you in collaring me about a local hospital project—you are the holder of that record. There is a serious point: thanks to her determined efforts to collar me around the parliamentary estate, I know the particular urgency around land. A scheme will be put to me shortly, which I will consider carefully, and I will look at the programme in the round and ensure that I am able to come back to this House and to the country with promises that we can keep and that the country can afford.
Wes Streeting
Hospitals with reinforced autoclaved aerated concrete are at the top of my list of priorities. I am extremely concerned about the dire state of the NHS estate. Once again, I think that is a bit rich from Opposition Members, whose party was in government only weeks ago. They had a Prime Minister local to that hospital, and they did not do anything when they had the chance, but they should not worry—we will clean up their mess.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I congratulate the right hon. Gentleman on his position. I should declare that I have been working in the NHS for 23 years, currently as an NHS consultant paediatrician. I look forward to using that experience in my new role as shadow Minister of State to scrutinise the Government constructively.
Under the new hospital programme, the previous Government had already opened six hospitals to patients, with two more due to open this financial year and 18 under construction. The Government are now putting that at risk by launching a review of that work, delaying those projects, which are vital to patients across the country. Could the right hon. Member please confirm when the review will be completed?
Wes Streeting
First, I welcome the hon. Lady to her new post. I must say I preferred her much more as a Back-Bench rebel than a Front-Bench spokesperson, but I have enormous respect for her years of contribution to the NHS and the experience that she brings to this House. I always take her seriously.
However, on this one, once again I say to the Opposition that they handed over an entirely fictional timetable and an unfunded programme. The hon. Lady might not know because she was not there immediately prior to the election, but the shadow Secretary of State, who is sitting right next to her, knows exactly where the bodies are buried in the Department, where the unexploded bombs are, and exactly the degree to which this timetable and the funding were not as set out by the previous Government.
Daisy Cooper (St Albans) (LD)
I welcome the Secretary of State and his Ministers to their roles, but let me gently warn him that if he intends to run a contest on which Member can harangue him the most on crumbling hospitals, our 72 Liberal Democrat MPs say, “Challenge accepted.”
Under the Conservatives, the new hospital programme ground to a halt. We know the terrible stories of nurses running bucket rotas and all the rest. We have the worst of all worlds at the moment: trusts such as mine in west Hertfordshire are champing at the bit to get going but cannot, and are being held back. Other trusts have capital funds that they want to spend but are not allowed to because of outdated rules, and there are industry concerns that the one, top-down, centralised approach of the Conservatives could decimate competition in that industry, when we need a thriving industry to rebuild our hospitals and primary care. What is the Secretary of State’s response to that approach?
Andrew Gwynne
I welcome the hon. Gentleman back to the House, but I politely say to him that he needs to be a little bit patient. There will be some announcements in the near future on this Government’s plans for social care. He should rest assured that we on the Labour Benches understand the integration agenda. We understand the need to fix both the NHS and social care, and this Labour Government will do that.
Sir John Whittingdale (Maldon) (Con)
I congratulate the Minister and his Front-Bench colleagues on their appointments. I welcome the suggestion that the Government are considering the possibility of a royal commission on social care and intend to address the issue on a cross-party basis, but that will take time. Can the Minister therefore confirm that, as was suggested during the election campaign, the Government will take forward the Dilnot reforms, and in particular that they will introduce a cap on social care costs, as was planned by the previous Government?
Andrew Gwynne
It was, of course, the right hon. Gentleman’s Government who kicked the can down the road on these issues. They allowed the system to spend the transformation money that had been provided precisely for the purpose of the Dilnot reforms on fixing their broken national health service. He should just be a little bit patient, as we will announce our proposals for social care shortly. He should rest assured that, as I have said to him before, this Labour Government are determined to fix both the broken NHS and the broken social care system that we inherited from 14 years of Tory failure.
Daisy Cooper (St Albans) (LD)
The Liberal Democrats spoke about care a great deal during the general election campaign. At the heart of our plans was our pledge to introduce free personal care. Will Ministers please confirm whether they intend to open cross-party talks and, if so, whether free personal care will be on the table as one potential option?
Wes Streeting
I am delighted to see my hon. Friend back in the House. She campaigns relentlessly on this vital issue, and it would be very risky for me to do anything other than agree to meet her, because I share her view that progress needs to be made on it.
Victoria Atkins (Louth and Horncastle) (Con)
May I welcome the Secretary of State and his ministerial team to their places, and wish them well in their endeavours? With your indulgence, Mr Speaker, I should also place on the record my thanks to my superb team of former Ministers, to those in the private office and to officials in the Department for their hard work and support, as well as thanking the doctors, nurses and social care and health professionals with whom I have had the pleasure of working.
Now, to business. In opposition, the Secretary of State described the 35% pay rise demand by the junior doctors committee as “reasonable’. What he did not tell the public was that this single trade union demand would cost an additional £3 billion, let alone the impact on other public sector workers. Will he ask the Chancellor to raise taxes, or will she ask him to cut patient services to pay for it?
Wes Streeting
Obviously, there is a judicial review of the former Secretary of State’s decision, which I am defending. The matter is sub judice, so I will steer clear of it.
To go back to first principles, we are wholeheartedly committed to the full implementation of the Cass review, which will deliver material improvements in the wellbeing, safety and dignity of trans people of all ages. I think that is important. I want to reassure LGBT+ communities across the country, particularly the trans community, that this Government seek a very different relationship with them. I look at the rising hate crime statistics and trans people’s struggles to access healthcare, and I look at their desire to live freely, equally and with dignity. That is what we will work with them to deliver.
Mr Speaker
Order. I understand that today is a new start with Question Time, but we have to be short and speedy. That is the whole idea of oral questions, because otherwise Members are not going to get in.
Satvir Kaur (Southampton Test) (Lab)