Oral Answers to Questions

Karin Smyth Excerpts

Tuesday 14th April 2026 Commons Chamber

[David Davis (Goole and Pocklington) (Con)]

3. What steps he is taking to improve the effectiveness of NHS management.

[The Minister for Secondary Care (Karin Smyth)]

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.

[David Davis]

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?

[Karin Smyth]

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?

[Karin Smyth]

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)]

4. What assessment he has made of the potential impact of changes to the mental health investment standard on access to mental health services.

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[Kirith Entwistle (Bolton North East) (Lab)]

T3. Short waiting lists for cataract surgery are a success story, thanks in part to the partnership between the NHS and providers such as SpaMedica, headquartered in my constituency. However, ICB indicative activity plans could see waiting lists increase from weeks to over four months. How will cataract patients be protected while we maintain those all-important short waiting lists?

[The Minister for Secondary Care (Karin Smyth)]

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)]

T4. Last week, the Secretary of State announced £10 million for the Royal Berkshire hospital to fund a new site, which is very welcome news. After years of Conservative neglect, £400 million is needed to maintain the existing Royal Berks until rebuilding starts in 2039. What is the Minister doing to support the hospital and its excellent staff to help fix its many maintenance issues?

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[Patrick Hurley (Southport) (Lab)]

T10. What more can the Government do to ensure that social enterprises delivering NHS services get the same support as internal NHS trusts, and play a bigger role in NHS reform?

[Karin Smyth]

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)]

T6. The British Dental Association has highlighted that current budgets allow just 39% of adults to access NHS treatment within a two-year period. Is that really the height of the Government’s ambition, and if not, what access percentage are the Government aiming for?

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[Gareth Davies (Grantham and Bourne) (Con)]

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?

[Karin Smyth]

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?