Spending Review: Health and Social Care

Greg Smith Excerpts

Thursday 12th June 2025 Commons Chamber

[Karin Smyth]

My hon. Friend is right to raise the issue of ambulances. We ensured that they were a key part of our urgent and emergency care plan, which was issued the week before last, I think—I cannot remember the exact date. We recognise how crucial that issue is, and how much more can be done by ambulances by the roadside. I was privileged to go out with the South Western ambulance service recently; it is so impressive to spend time on the frontline with people who are dealing with whatever comes at them. We know that they can do more, including remotely. We are very keen to ensure that ambulances do not spend time outside hospitals; that is why we have introduced a 45-minute turnaround time through the release to rescue scheme, which has worked very successfully in many parts of the country. We are keen to see that scheme rolled out across the country, so that we do not have ambulances queuing outside of hospitals with people, but put them back on the road where they need to be.

[Greg Smith (Mid Buckinghamshire) (Con)]

We have been here before with Governments of all different political persuasions. Ministers come to the Dispatch Box and trumpet what seem like very attractive amounts of money for the NHS, but the reality on the ground is that that money just about covers pay rises and inflationary pressures. On care, Buckinghamshire council and no doubt all councils are worried that the money being offered up may only just cover things such as the fair pay agreement. Can the Minister confirm from the Dispatch Box that with increasing amounts of councils’ budgets rightly being spent on care, they will get funded for things such as the fair pay agreement separately from core social care spend?

[Karin Smyth]

The hon. Gentleman says that we have been here before, and we really have. I was on a primary care trust board under the last Labour Government, so I saw at first hand what good government, working with local systems, can deliver: the best patient satisfaction in the NHS’s history, the lowest waiting lists, and the best access to GP and primary care. We have been here before, and that is what we will do again. From the hon. Gentleman’s questions, I do not understand whether he wants more spending or less. That is what the Conservative party is still not saying; its Members stand up and ask for more, like Liberal Democrat Members, but they will not identify the means of raising that money—in fact, they oppose them.

To respond to the specific question that the hon. Gentleman asked, over the coming weeks, my colleagues from the Ministry of Housing, Communities and Local Government will obviously be outlining in more detail how the spending review will fall out.