NHS 10-Year Plan

Baroness Morgan of Drefelin Excerpts

Wednesday 9th July 2025 Lords Chamber

[Baroness Blake of Leeds (Lab)]

As someone who has been involved in the plan, I start by saying to the noble Baroness that although it might echo things that have happened in the past, there is an enormous difference now. There is a depth of collaboration, bringing people together and recognising the different cultures in organisations. Of the 200 bodies that are going to be dismantled, Healthwatch is one; it has been very positive and has contributed to the future plan for how this is all going to look. There has been a step change in how we get out and work with people. It is a very ambitious plan, which I am pleased about. I am also very optimistic, because, quite frankly, too many professionals have gone too close to the edge and they realise what is on the other side if we do not all pull together and do something about this.

We are disappointed about the BMA decision to strike. The majority of resident doctors did not vote to strike, and threatening strike action that could harm patients will set back progress. I assure the noble Baroness that no one on these Benches is welcoming the strike. The basic truth is that, thanks to this Government, resident doctors have received a 28.9% pay rise compared to three years ago, and the highest pay award in the entire public sector this year. The Secretary of State met the BMA yesterday. Although he has made it very clear that the Government cannot go further on pay than we already have this year, he has offered to work with resident doctors to resolve issues they might face around working conditions. It will, of course, be down to their managers to work with staff to come up with a plan to deal with the action that is being proposed.

[Baroness Morgan of Drefelin (Lab)]

My Lords, I add my welcome for this 10-year plan. I also welcome my noble friend to her position and send my best wishes to the Minister, the noble Baroness, Lady Merron; I hope she recovers very quickly.

Like the noble Lord, Lord Scriven, I can see some echoes—or important themes—that the 10-year plan picks up. I was particularly interested to think about how the themes in the 10-year plan will dovetail with what I hope will be a new cancer plan that will come out in the autumn. I am particularly interested in how, for example, prompt diagnosis will be promoted. Are we going to think about stratified screening, with faster diagnosis targets, or faster access to clinical trials for patients with cancer, or speeding up access to modern medicine so that we can have those cutting-edge treatments widely available?

All that is set out in the 10-year plan and the investment—particularly the capital investment, which I welcome—leads me to believe that I can feel very optimistic about what is coming down the track in the autumn. I hope the Minister can give me some assurance. After all, one in two of us may go on to develop cancer in our lifetime, and that is an awful lot of the population.

[Baroness Blake of Leeds (Lab)]

I thank my noble friend for her interest. Of course, the 10-year health plan sets out how we will fight cancer on all fronts. She is quite right that the national cancer plan is going to be published later this year, setting out in detail how we will increase survival rates through early diagnosis and access to better-quality treatment, and how we move forward with care in the community to help with lives beyond cancer. There is a great deal of detail behind this; I cannot go into it now, but I am happy to discuss it.