Building an NHS Fit for the Future

Paula Barker Excerpts

Monday 13th November 2023 Commons Chamber

[Paula Barker (Liverpool, Wavertree) (Lab)]

The most Gracious Speech summed up the agenda, or lack thereof, of a tired Government: one who have run out of steam after inflicting considerable damage to our country over 13 long years and are intent on whipping up hate, manufacturing culture wars and sowing division, instead of a Government concerned with the bread and butter issues that matter to working people the length and breadth of Britain.

The Gracious Speech could have—should have—included significant measures to improve our public services and rescue our public sector from the state of permanent decline that those on the Government Benches have put it in. The NHS is on life support and so, too, are the Tory Government. Waiting lists are now approaching 8 million and NHS staff are forced to use outdated, creaking equipment, making their jobs harder. Meanwhile, those on the Tory Benches preoccupy themselves with minimum service levels and trade union bashing, rather than tackling the root causes of the recruitment and retention crisis gripping our health service. Those on the Tory Benches say that they want minimum service levels on strike days, but what is the Conservative plan to provide minimum levels of service on non-strike days?

As the Prime Minister brings back one of his predecessors to the heart of Government, let us not forget that it is the 13 years of public sector pay policy first initiated by the new unelected Foreign Secretary as Prime Minister that has led us to this point. Only yesterday, the General Medical Council warned the Government that a record number of doctors plan to leave the profession due to burn-out and dissatisfaction. It states that the long-term workforce plan has come too late. Indeed, many would say it represents too little, such is the scale of the problems that are now endemic in the NHS.

There was never a better time in recent history for the Gracious Speech to include the Government’s long-promised mental health Bill. Instead, the reform of the Mental Health Act 1983 has been shelved by the Government. The charity Mind is right when it proclaims that the Government have failed to prioritise mental health as well as broken their promise to thousands of people. Despite the Government promising to deliver 6,000 extra NHS GP appointments, patients are finding it impossible to see a GP because there are simply not enough GPs to meet the demand for care. Some of my constituents are being forced to perform DIY dentistry, because they are facing two-year waits for check-ups and some cannot even access an NHS dentist.

If we look at adult social care, we see that thousands of people are stuck in hospital beds who are medically fit to leave but unable to do so because the care they need in the community simply is not there. I am sure that all Members remember only too well the former Prime Minister—for the avoidance of doubt, let me remind them that this was three Prime Ministers ago—telling us that he would fix the broken social care system within the first 100 days of office. Nowadays, many Ministers do not even reach the heady heights of 100 days in office—just ask the lettuce.

Once again, the Gracious Speech contained nothing for renters, NHS staff or working people. The Government are again reaffirming their intent to turn their back on the most vulnerable in our society. The scars left by the pandemic, the volatility of the labour market and the cost of living crisis weigh heavily on millions upon millions of people in this country—on workers in the public and private sectors, and on those who cannot work.

The Government’s programme of austerity hit the very poorest in their first five years. Electorally, the Government were shielded from their own policies because—as he has now admitted—the then Chancellor, now the Prime Minister, changed the funding formulas to take money from deprived urban areas and give it to other parts of the country such as the leafy shires. However, now the chickens are coming home to roost, and it appears that no one is safe from the Government’s economic dogma, aside from their mates in the 1%—not homeowners, and not those on wages larger than the national average. Indeed, many are carrying the significant economic burden of our times, for themselves and their families.

When we have the highest tax burden since the second world war and the largest squeeze on wages in 200 years, the word “economy” featured just once in the King’s Speech. If anyone was in any doubt about the lack of a long-term plan from this Government, they should be in no doubt now. The Government do not have one. They are out of ideas, out of Ministers, and out of time. Last week’s King’s Speech was one of the last big moments that the Government had to turn the tide and come to the aid of our citizens in their time of need. Instead, they have signalled their intent to fill the vacuum left by a threadbare agenda with politicking, and with division rather than governing. The best thing they can do now for the British people is call a general election, and give Britain its future back.