Oral Answers to Questions

Wes Streeting Excerpts

Tuesday 13th January 2026 Commons Chamber

[Ian Lavery (Blyth and Ashington) (Lab)]

1. What steps his Department is taking to reduce levels of burnout of NHS staff.

[The Secretary of State for Health and Social Care (Wes Streeting)]

May I associate Labour Members with your condolences, Mr Speaker?

I am hugely grateful to NHS staff for the shift that they have put in through what remains a challenging winter. It is because of them that waiting lists are going down and ambulance handover times are 14 minutes quicker this winter than last winter, and during periods of industrial action this winter, NHS providers kept approximately 95% of elective activity running. We have got to ensure that we invest not just in our service but in our staff, and we are working actively with health unions to achieve that goal.

[Ian Lavery]

Will the Minister join me in thanking the fantastic employees of Northumbria NHS foundation trust for their continued dedication and commitment, from the top surgeon to the ancillary workers? We know that the NHS is held together by their efforts, but that comes at a severe personal cost to many individuals. A recent YouGov poll showed that 73% of our heroes—the heroes of the NHS—reported suffering from burnout: that is severe exhaustion. Will the Minister tell the House what measures he is taking to ensure that those who put their own wellbeing on the line to protect the health of the nation receive the support and care that they so richly deserve?

[Wes Streeting]

I am hugely grateful to my hon. Friend for his question and he is rightly proud of his local trust. It is absolutely right that we cannot expect the NHS to rely simply on the goodwill of staff going above and beyond the call of duty to meet the needs of patients. That is why the Government are committed to publishing a new workforce plan, to create the workforce that is ready to deliver the transformed service set out in our 10-year health plan. We are already working with health unions, both on issues around pay, as people would expect, and the conditions that people are working in, recognising, as my hon. Friend rightly does, that this is not just about doctors, important though they are, but about the entire NHS workforce that is delivering the improvements with this Government that the country is crying out for so desperately.

[Rebecca Paul (Reigate) (Con)]

One of the things that contributes to staff burnout is caring for patients in corridors. I recently visited St Helier hospital and saw that for myself, and it was very concerning and distressing. We are also seeing that at East Surrey hospital in Redhill, in my constituency. Will the Secretary of State confirm when we can expect to see the issue resolved for good?

[Wes Streeting]

The hon. Member is right to describe the appalling state of corridor care in this country. In fact, under the previous Government, not only was this allowed to emerge as an NHS issue, but it was normalised, with benign nomenclature such as “temporary escalation spaces” used to endorse that normalisation, which should never have been considered normal or acceptable. We will set out our plans shortly to publish data, so that the Government can be held to account as well as the system. I am clear that I want corridor care gone over the course of this Parliament, and I am confident that when we publish all the data for this winter, it will be better than last winter. However, I want to be honest with the House and the country: even on the best days of this winter, patients are still being treated in corridors and in conditions that I do not believe are acceptable and that we should never allow to be normalised. That is why we are committed to year-on-year improvement.

[Lloyd Hatton (South Dorset) (Lab)]

2. What steps his Department is taking to move clinics and routine appointments into community hospitals.

[The Secretary of State for Health and Social Care (Wes Streeting)]

Rural and coastal constituencies, like South Dorset, are at the heart of our shift in the 10-year plan from hospitals to communities. Not only does everyone deserve care closer to where they live and work, but people in rural and coastal areas often see the sharp end of health inequalities. After 15 years of damage, this Government are determined to change the current postcode lottery of where people live determining the care they receive. As announced in the Budget, we are committed to delivering 250 neighbourhood health centres across every part of England. There are also now 100 community diagnostic centres across the country, offering out-of-hours services, 12 hours a day, seven days a week. Lots has been done but there is lots more to do.

[Lloyd Hatton]

I have been campaigning to restore the rheumatology clinic at Swanage community hospital and the chemotherapy clinic at Wareham community hospital. Both of those clinics were closed despite good health outcomes and high levels of patient satisfaction, and local NHS bosses agreed that they were successful clinics before they were mothballed. With all that in mind, does the Secretary of State agree that we must deliver key services and clinics closer to where patients actually live? Will he take the opportunity to encourage local NHS bosses in Dorset to restore our much-needed chemotherapy and rheumatology clinics?

[Wes Streeting]

I can well understand why my hon. Friend is particularly concerned about the impact of changes on cancer patients. I know that his integrated care board has heard his representations, and it will have heard them again today; I am sure it will be happy to meet with him, as will my hon. Friend the Minister of State for Health. It is important that people have the services that they need on their doorstep. That is one of the reasons why we are devolving so much power, responsibility and decision making closer to communities so that services can be designed around the differing needs of communities in different parts of the country.

[Alan Mak (Havant) (Con)]

Vital services such as X-rays and scans have been removed from the Oak Park community clinic in my constituency without any prior warning or consultation from the ICB. Will the Secretary of State meet with me to discuss how we can restore those services locally so that my constituents do not have to travel to Portsmouth?

[Wes Streeting]

The hon. Gentleman should absolutely make representations to his local ICB if he has concerns about service reconfigurations. We are investing more in the NHS, but I recognise that there are none the less big challenges for ICBs to face. I am sure that the ICB would be happy to meet him to hear his concerns.

[Rosie Duffield (Canterbury) (Ind)]

3. What discussions he has had with King’s College London on the compliance of the PATHWAYS puberty blocker trial with the Medicines for Human Use (Clinical Trials) Regulations 2004.

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[Laura Kyrke-Smith (Aylesbury) (Lab)]

9. What steps his Department is taking to improve maternity and neonatal care.

[The Secretary of State for Health and Social Care (Wes Streeting)]

As the House knows, I am deeply concerned by the state of maternity care in the NHS that we inherited. While the majority of births go well, I know from the courage of families who have spoken up and the concern of staff that devastating impacts are arising from failures in care. That is why I asked Baroness Amos to chair an independent investigation into maternity and neonatal services to drive urgent action, but that has not stopped us from taking action in the meantime. We have invested more than £131 million to improve neonatal care facilities, brought in a new maternity care bundle, implemented a programme to reduce the two leading causes of avoidable brain injury during labour, and increased maternal mental health services. There is so much more to do, however, to guarantee safety now and into the future, and also to ensure truth, justice and accountability for past failures.

[Paul Waugh]

The new maternal care bundle, to which the Secretary of State refers, is rightly aimed at reversing the recent worrying rise in maternal death and ill health. In particular, the increase in obstetric haemorrhage concerns so many midwives and doctors and the families affected. Given that the Government want to help women to make informed choices about how they give birth safely, can the NHS do more to highlight the well documented risks of severe bleeding and placenta accreta caused by caesarean sections?

[Wes Streeting]

Everyone accessing maternity care should be offered a personalised care and support plan, informed by a personalised risk assessment. That is so women have more control over their own care based on what matters to them and their individual needs and preferences, as well as to ensure that every woman understands the risk factors that might arise in her case. A caesarean section is generally a very safe procedure, but like any type of surgery, it carries a risk of complications. All women should have the confidence of knowing that the doctors and midwives dealing with them are robustly trained to deal with severe complications, including haemorrhage. That is why the maternity care bundle, as well as other measures, will lead to greater safety, more information and, crucially, the personalisation of care and patient choice for the mother.

[Laura Kyrke-Smith]

I welcome the new maternal care bundle and its ambition to drive consistently high standards of care for every pregnant and new mum. It is great that maternal mental health is one of the five elements prioritised; I am grateful to the Secretary of State for his focus on that. The challenge now is to drive forward its implementation. Can he say more about how he intends to do that, and in particular how he will ensure that NHS staff are trained and confident enough to better screen and support women who are struggling with their mental health?

[Wes Streeting]

My hon. Friend is absolutely right to raise that issue, and I commend her for the work she is doing in this area. There is a real risk of post-natal depression. Certainly where there have been complications in birth or, worse still, injury or the most unimaginable experience of loss, we need to make sure that women and their partners and the wider families are supported from day one. That does not just mean training and support for staff and making sure that they are doing emotional wellbeing screening; it also means thinking more thoughtfully about estates. One thing that has really struck me is the experience of women who have suffered loss during labour who are asked, during the care that follows, to go back to the very maternity units where their unimaginable pain was first endured. Those are difficult issues to challenge, and it will require investment, but those are the sorts of areas we are getting into as we think more thoughtfully about how to ensure that we take care of not just the physical health of the mother and baby, but the mental health and wellbeing of mother and the wider family.

[Mr Speaker]

I call the Chair of the Health and Social Care Committee.

[Layla Moran (Oxford West and Abingdon) (LD)]

An Oxford midwife recently told me that sewage regularly rises through the floor and drips down through the ceiling on to a hospital maternity ward. This has become so common that it is now standard procedure for midwives to move the clinic whenever it happens so that patients are none the wiser. Obviously if the hospital had the money to fix the problem it would have already done so, but equally obviously, the staff should be looking after mothers and babies, not shovelling sewage. Can the Secretary of State confirm that when the Amos review has done its work, there will be a flexible pot of money so that specific issues such as this in specific hospitals can be dealt with to improve patient safety and staff retention?

[Wes Streeting]

Without pre-empting Baroness Amos’s work, let me say that the hon. Lady is absolutely right. We need to give staff the tools that will enable them to do the job to the best of their ability, and they need the right facilities and environment in which they can work and patients can be cared for. It is completely unacceptable that on top of the other challenges that staff and families face at such an important time—the unique moment of bringing new life into the world—they are having to do so against the backdrop of crumbling estates that the hon. Lady has described. We are putting the largest ever capital investment into the NHS, but she has made a powerful point about the need for capital investment in this area, which was impressed on me at Queen’s hospital in Romford during one of my recent visits, and I will be looking at the issue very closely.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

I recently visited the Dorset breastfeeding network at the Purbeck community centre, and it was fascinating to hear about the work that the team there are doing, but they told me that since covid, standard NHS antenatal classes have stopped and have never returned. As a result, women are not getting the information that they need in order to make informed choices, which is leading to various decisions about how they give birth and whether they breastfeed their babies. We know that the Pride in Place and Best Start in Life centres are going ahead, but they will not cover most of my area because they are covering only the deprived areas. How will we ensure that there is a universal offer for antenatal care for everyone?

[Wes Streeting]

I will make certain that my Department and the NHS look into what has happened to provision in the hon. Lady’s area, and I will write to her about it. She is quite right about the need to ensure that parents are given high-quality information from the time of conception so that they can make informed decisions about everything from whether to breastfeed through to the steps that they can take in those formative first 1,001 days to secure the best possible outcomes. I welcome the appointment of Will Quince to lead the 1,001 Critical Days Foundation; although in the past we have crossed swords in the House, I know how committed he is to that agenda.

[Mr Speaker]

I call the shadow Minister.

[Wes Streeting]

Let me just point out that in the 18 months for which I have had the privilege of holding this post, we have invested more than £131 million in 122 infrastructure projects across 49 NHS trusts to improve the safety of neonatal care facilities. We have implemented a new programme to reduce the two leading causes of avoidable brain injury during labour. We have piloted Martha’s rule in maternity and neonatal units in 14 trusts across six regions to give patients and families the right to request a second opinion. We have launched a package of initiatives and interventions to reduce the number of still births, brain injuries, neonatal deaths and pre-term births. We have held a culture and leadership programme. We have created targeted tools and schemes to promote midwife retention. We have increased the provision of maternal mental health services to help women. We have had to do all that—not wasting a single day in 18 months. Imagine how embarrassed we would be if we had wasted 13 whole years!

[Mr Jonathan Brash (Hartlepool) (Lab)]

7. What steps he is taking to improve access to tissue freezing for brain cancer patients in Hartlepool.

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[Chris Vince (Harlow) (Lab/Co-op)]

12. What steps he is taking to help reduce waiting times at A&E departments.

[The Secretary of State for Health and Social Care (Wes Streeting)]

Regardless of the challenges this winter presents, this is a Government who are facing into them. We have vaccinated over 17 million people this winter, which is 350,000 more than this time last year and 60,000 more NHS staff. We are not out of the woods yet by any stretch, but I can give an example of how our investment in modernisation is paying off: new year’s day was the busiest day in NHS history for 999 calls, but despite that, ambulances arrived to heart attack and stroke patients 15 minutes faster compared to this time last year. Backed by £450 million, our urgent emergency care plan will expand same-day and urgent care services. We are delivering new same-day emergency care and urgent treatment centres, more mental health crisis assessments and 500 new ambulances. Lots done, but so much more to do.

[Mr Speaker]

And a 24-hour centre at Chorley as well, Minister!

[Chris Vince]

Will the Secretary of State to join me in thanking the extraordinary efforts of the staff at Princess Alexandra hospital in Harlow for their work over the winter period? A few years ago, we saw the shocking statistic that people were waiting in A&E at Princess Alexandra hospital for 13 hours. Can the Secretary of State outline the changes that this Government are making to bring down waiting times, improve GP satisfaction levels and decrease ambulance waiting times, and explain how this Labour Government are ensuring that the NHS is fit for the future?

[Wes Streeting]

I absolutely join my hon. Friend in thanking NHS staff in Harlow and across the country for their incredible efforts during the toughest winter weeks. I particularly thank all those staff who have supported their colleagues and worked throughout Christmas and new year, sacrificing time with their families to care for ours. Of course, Mr Speaker, I particularly thank the staff at Chorley and South Ribble hospital who facilitated our visit. Your representations from the Chair for longer A&E access have not been lost on me, or indeed the record.

[Mr Speaker]

I look forward to the keys being handed in.

[Helen Maguire (Epsom and Ewell) (LD)]

Last night, Surrey Heartlands ICB and two hospital trusts in Surrey declared a critical incident, which means that some hospitals cannot guarantee that patients will be treated safely and operations could be cancelled to make urgent care a priority. Will the Secretary of State confirm what action the Government are taking to support those trusts and what funding will be made available to ensure that such incidents do not recur?

[Wes Streeting]

A number of critical incidents have been running across the country this week. To be clear, a critical incident does not mean that there is unsafe care or that we are unable to provide care. A critical incident means that there is a challenge, and the system mobilises in response to help meet that challenge so that people do receive safe care. As I have said, we are investing more in our urgent and emergency care services and we are seeing the impact of that through year-on-year improvements to date. We are not out of winter yet; we still have lots of hard yards ahead. I am confident that when we emerge from winter, we will be able to tell a story of year-on-year improvement. However, while the NHS is on the road to recovery, I would not want anyone watching—not least the hon. Member’s constituents—to think that the Government believe that what we have seen this winter is acceptable every day, in every case everywhere. Until that is the case, we will continue to strive for further improvement day by day, week by week, month by month, and year on year.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

Working my shifts in A&E over Christmas and the new year, like many colleagues up and down the country I experienced what has become the undignified norm of corridor care. I welcome the Secretary of State’s commitment to ending it. The all-party parliamentary group on emergency care, which I chair, working closely with the Royal College of Emergency Medicine, is keen that the Government adopt our recommendations on ending corridor care. The Secretary of State previously agreed to meet us. Will he today reaffirm his commitment to meet us to end this scourge in our A&Es?

[Wes Streeting]

My hon. Friend can be absolutely assured of that. I thank her for her powerful advocacy in this place, as well as for putting her words into action on the NHS frontline. She does not need to do that—she could do the bare minimum to keep her licence going—but she always goes above and beyond to take care of patients and constituents, literally rolling up her sleeves and putting on her scrubs to do that. She has made a number of thoughtful recommendations in her report, and I look forward to engaging with her and the all-party group on that.

[Seamus Logan (Aberdeenshire North and Moray East) (SNP)]

I genuinely welcome the fact that the Secretary of State is able to praise the efforts of NHS staff this Christmas and new year, but there is good news in Scotland, too: waiting lists have fallen for the longest waiters for the sixth month in a row and threatened industrial action by resident doctors has been called off. However, there is anxiety not just in Scotland but across these islands about the new UK-US medicines deal and its impact on the NHS. Will the Secretary of State change his habit this new year with a new year’s resolution and answer my question? Where is the money coming from for the UK-US drugs deal?

[Helen Morgan (North Shropshire) (LD)]

I always am, Mr Speaker; thank you very much. Recently, I have heard from Candice, who was interrupted while changing her stoma bag behind a curtain on the emergency ward; Lynne, who waited 17 hours for an ambulance after breaking several ribs; and Sandra, who has bladder cancer and spent 31 hours on a plastic chair in the “fit to sit” area. They all want to share their stories so others do not have to suffer like they did, in pain for hours and hours. Will the Secretary of State commit to ending the waits and back the Liberal Democrat call, welcomed by the Royal College of Emergency Medicine this morning, for a guarantee that no patient will have to wait for more than 12 hours in A&E?

[Wes Streeting]

We are striving towards meeting those standards, which were met so successfully under the last Labour Government. This Labour Government are having to pull out every stop to repair the enormous damage done by our predecessors. The Liberal Democrat spokesperson is right: safety, of course, is paramount, but so is dignity. When she describes those patients’ stories in those terms, it underscores the fact that behind the two words “corridor care” are countless stories of indignity and treatment in conditions that neither we, nor they as patients, nor staff want to see those people treated in. We are determined to put an end to it.

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[Tom Collins (Worcester) (Lab)]

T1. If he will make a statement on his departmental responsibilities.

[The Secretary of State for Health and Social Care (Wes Streeting)]

Today, we are bringing forward the Medical Training (Prioritisation) Bill. It implements our commitment in the 10-year plan for health to prioritise UK medical graduates and doctors with significant NHS experience for medical training posts. Taxpayers spend £4 billion training medics every year. It is time we protect that investment, ensure that we have a sustainable workforce and give home-grown talent a path to become the next generation of NHS doctors. On that note, Mr Speaker, I also wish to update the House that constructive talks with the British Medical Association’s resident doctors committee are ongoing. Let us see if, collectively, we can do better in 2026 than we did in 2025.

[Tom Collins]

Patients in Worcester are struggling to access urgent care. Far too many are falling through gaps in our system, with devastating consequences and huge amounts of double work, and patients feel that they have to travel too far for treatment. Will the Secretary of State meet me to discuss the results of my deep dive into the failures in Worcestershire’s NHS?

[Wes Streeting]

My hon. Friend is right; we have to shift care out of hospitals and closer to people’s homes to make sure that we do not end up with the situation he describes. I know that he is doing a lot of work on that in his community, and I am very happy to meet him to hear about his findings and what we can learn and apply both locally for him and his community and elsewhere.

[Mr Speaker]

I call the shadow Secretary of State.

[Stuart Andrew (Daventry) (Con)]

With one in five hospice beds no longer available because of increased costs such as national insurance contributions, it is hardly surprising that doctors are raising concerns about the increase in the number of end-of-life patients in our hospitals. It is therefore concerning to hear that the palliative care modern service framework will not now be available until the autumn. Given that the situation is increasingly urgent, will the Secretary of State commit to accelerating that timescale?

[Wes Streeting]

We are moving at pace on the modern service framework, but we have recognised those financial pressures, whether through the continuation of the children’s hospice grant over multiple years so that hospices can plan or through the capital investment we have put into hospices, providing the biggest funding uplift for hospices in a generation. I recognise that there is more to do, and I enjoy a close working relationship with the hospice movement to look at what more we as a Government can do to support the vital work that it does.

[Stuart Andrew]

Capital funding is welcome, but we cannot pay doctors and nurses with bricks and mortar. Hospice UK has said that without additional support, there will be

“more unnecessary hospital admissions, more unneeded A&E attendances and more patients not getting the care”

they need, so I push the Secretary of State again to accelerate the timescale. Their lordships are considering the assisted dying Bill and they need to see the palliative care MSF before making such an important decision. We must also make sure that we relieve hospices of this Government’s NIC hikes.

[Wes Streeting]

I understand the point the shadow Health Secretary makes about capital funding, but I would also say that, through that capital funding, lots of hospices are able to free up their own resources, which would previously have been committed to rebuilding works, to spend on services. I recognise that there is more to do, and we are working closely with the hospice movement. I hope that the right hon. Gentleman is reassured to learn that we will be reporting on the modern service framework initially in spring, so that we can then take on board feedback and reiterate. Then we will get to the autumn, but people will not have to wait until then to hear the direction of travel.

[Ben Goldsborough (South Norfolk) (Lab)]

T3. My South Norfolk constituents welcome the Government’s commitment to 250 new neighbourhood health centres. For rural areas such as mine, where healthcare can be miles away, this is a real turning point. Long Stratton is a growing town, yet it is distant from Norfolk’s main health hubs. Will the Secretary of State meet me to discuss how delivering a neighbourhood health centre for Long Stratton will dramatically improve health outcomes in South Norfolk?

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[Helen Morgan (North Shropshire) (LD)]

The social care crisis is piling pressure on hospitals, with beds taken up by patients who are fit enough to be discharged. It is also piling pressure on local councils such as Shropshire, where 80% of the budget goes to social care, yet the Government are shifting funding from counties to cities and dragging their heels on the social care crisis. Will the Secretary of State take action by reinstating the cross-party talks on social care as a priority, because we need to fix social care if we are going to fix councils, care and the NHS?

[Wes Streeting]

Cross-party working on social care has never been un-instated. I know there is much more to do, but we have been in government for 18 months and we have put in £4 billion of investment, legislated for the first ever fair pay agreements with £500 million committed to that, made significant additional investment in the disabled facilities grant and, in building the workforce plan for the future, we have commissioned Baroness Casey to do her work. She will be reporting soon and we look forward to taking that work forward.

[Mr Speaker]

Ahem! I am getting a bad throat because of the Secretary of State.

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[Sojan Joseph (Ashford) (Lab)]

T5. I thank the Secretary of State for his letter following the concerns I expressed about corridor care at the William Harvey hospital during Health and Social Care oral questions in October. He noted the decisive steps taken to reduce the pressure, including employing more doctors, freeing up beds and accelerating hospital discharges. However, after 14 years of under-investment, corridor care has become normalised in parts of the NHS. What steps are the Government taking to ensure that they meet their commitment and we see an end to corridor care at the William Harvey hospital?

[Wes Streeting]

I am grateful to my hon. Friend for his advocacy on this matter. I know that it has been taken seriously by NHS leaders nationally as well as locally, and they listen carefully to what he says on behalf of his constituents. I have reported to the House this morning on all the action we are taking to drive improvement. We are seeing improvement, but there is so much more to do. We are determined to consign corridor care to the history books, and not just in Ashford but right across the country.

[Adam Dance (Yeovil) (LD)]

Access to mental health services in rural communities is a challenge when services are stretched and underfunded. What steps is the Secretary of State taking to improve access to mental health services in Yeovil?

[Wes Streeting]

The Government increased investment in mental health by an extra £688 million in 2025, with all systems forecast to deliver the mental health investment standard. As our medium-term plan makes clear, we need a new approach to mental health to drive down waits and improve the quality of care, but our expectation is that integrated care boards will be required to protect mental health spending in real terms, rising in line with inflation year on year, ensuring that we meet the needs of constituents in all parts of the country.

[Julia Buckley (Shrewsbury) (Lab)]

T6. Will the Secretary of State join me in thanking staff at the Royal Shrewsbury hospital for their commitment and patience over the past two years as we have seen our trust move from being the worst hospital in the country to the most improved? Thanks in no small part to the investment through the hospitals transformation programme, we have just opened two new wards. He could thank staff in person when he joins me on a visit, if he would be so kind.

[Wes Streeting]

I am sure that I will be able to swing by on my rounds. It is so important, especially against the backdrop of the crisis that the NHS has been through over many years, that as well as celebrating the best performance, we celebrate when there is real improvement. My hon. Friend knows as well as I do that there is of course more to do, but it is to the credit of leaders and staff that there has been improvement—lots done, and a lot more to do.

[Jess Brown-Fuller (Chichester) (LD)]

Last summer, Sussex ICB cut its IVF provision from three cycles to one due to budget pressures. There is currently a postcode lottery for IVF, and going through fertility treatment can be harrowing for those families. Given that additional cycles improve success rates, will the Secretary of State commit to a nationally consistent standard for IVF?

[Wes Streeting]

This is an issue that the Government are looking at. As with all treatments, we should be following National Institute for Health and Care Excellence guidelines, but I recognise that in this area there is a degree of regional variation in provision in a way that, frankly, I find difficult to justify. We are looking at this and, as we make decisions, we will of course report on progress to the House.

[Mr Jonathan Brash (Hartlepool) (Lab)]

T8. Currently, not a single NHS dentist in Hartlepool is taking on new patients, and many of my constituents are desperate. We have made real progress on urgent care, including a new urgent dental access centre, but it is not enough. What more will be done to fix NHS dentistry in Hartlepool and across the country?

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[Shockat Adam (Leicester South) (Ind)]

Failed private finance initiative schemes from the noughties in three Leicester hospitals resulted in the NHS being sued for almost £30 million, despite no work being carried out. Leicester hospitals are still without any new buildings. I ask the Minister that expensive, inefficient financial packages—£60 billion of private money costing £306 billion of taxpayers’ money—not be utilised for future projects.

[Wes Streeting]

This Government are putting record levels of capital investment into the NHS to correct more than 14 years of Conservative failure. We are using public investment. We are certainly learning the lessons of the past in relation to PFI. We are able to do that only because people voted Labour and elected a Labour Government. I look forward to working with the city’s Labour MPs to deliver the improvements in services that it deserves.

[Rachael Maskell (York Central) (Lab/Co-op)]

To date, Baroness Casey’s review of adult social care has been pretty impenetrable, but in York we want to engage and innovate. Will my hon. Friend provide Parliament with a briefing on the progress, scope and scheduling of the review? The clock is ticking and the crisis is growing.

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[Lisa Smart (Hazel Grove) (LD)]

My local mental health trust is commissioned to deliver just 100 autism assessments and 88 ADHD assessments per year. The team is led by Clare, a constituent from Marple. There are approximately 1,600 people on the waiting list for ADHD alone—that is a 12-year waiting list. That is driving constituents to seek private diagnoses, but their GPs then refuse to sign up to a shared care arrangement, as the numbers just do not add up. What plans do the Government have to review the shared care protocols so that they work for patients and GPs?

[Wes Streeting]

I am grateful to the hon. Member for her question. Although of course we are considering prevalence and what is driving the apparent increase in conditions such as autism and ADHD, we are really driving at ensuring that we meet everyone’s needs. I do not want for this country a future in which those who can afford it pay to go private and those who cannot are left behind. Nor do I want to see a situation in which people who have a diagnosis do not receive the care they need. We are looking at those issues with urgency.

[Tracy Gilbert (Edinburgh North and Leith) (Lab)]

I and a number of colleagues have concerns about the upcoming PATHWAYS trial. The Secretary of State has powers to use existing medical records for research purposes. Will he therefore consider using those powers to increase the evidence base and prevent the PATHWAYS trial from proceeding?

[Ben Obese-Jecty (Huntingdon) (Con)]

Mr Speaker, I am not ashamed to say that I have had a finger up my bum—not like that! In all seriousness, as a black man in the target age range, and with a family history, I am a keen advocate for prostate cancer screening. One of my constituents has been told by his GP surgery that, as there is no national screening programme for opportunistic testing, they follow national guidance and patients cannot request a screening without GP authorisation. What advice does the Secretary of State have for those of my constituents who are struggling to get screening for prostate cancer? I say a big thank you to the team at Kingston hospital for their swift action in moving my dad from active surveillance to treatment—he raves about them.

[Wes Streeting]

I certainly join the hon. Member in his final message and commend him for his declaration, because the more we can break taboo and stigma around these issues and get people talking more openly about the telltale signs of risk, the better protected we will all be. As he will know, we are looking very carefully at the recommendations around screening. I will be convening a group of experts with the chief medical officer to probe some of the recommendations, and I will keep the House informed.

[Alex McIntyre (Gloucester) (Lab)]

Last Friday, I went on a visit to my fantastic local GP service, Hadwen Health. The team there are already using technology and AI to make sure patients get the right care that they need, but they told me that there is currently no technological solution that allows patients to both be triaged and directed to their hard-working family doctor when booking online. What steps is the Department taking to support the roll-out of technology in GP surgeries like Hadwen Health in Gloucester?

[Andrew Lewin (Welwyn Hatfield) (Lab)]

In NHS Providers data published just before Christmas, we learned that in East and North Hertfordshire NHS trust, the number of people waiting for treatment has fallen more than in any other trust in the country. That is fantastic news for my community. Will my right hon. Friend commend all the staff involved in this success, and does he agree that this is precisely what people voted for when they voted for change in the NHS?

[Wes Streeting]

Of course, I endorse what my hon. Friend said. Waiting lists are falling for the first time in 15 years. Lots done, and so much more to do, but with Labour, the NHS is on the road to recovery.

[Zöe Franklin (Guildford) (LD)]

In Bellfields and Slyfield ward in my constituency, the local GP surgery is squeezed into a unit that is part of a parade of shops, and it is clearly no longer the size needed for the growing community. The team do a great job in spite of the challenges. Will the Minister set out the steps the Department is taking to support community health hubs in areas like this ward, in order to bring GP and wider services together locally and improve facilities and access for my residents?

--- Later in debate ---

[Wes Streeting]

The hon. Member is quite right to hold the Government’s feet to the fire on this issue. We are having cross-Government discussions about this issue and other groups of victims of state failure. We will keep him and the House updated.

[Sonia Kumar (Dudley) (Lab)]

A constituent of mine who attends Dudley Voices for Choice has autism with complex mental health needs and is at risk of self-harm. Despite not being able to use a telephone, they are still required by mental health services to do so, and therefore they cannot be treated. They were told that they are non-compliant, so their support was reduced. What steps is my right hon. Friend taking to ensure that mental health services offer alternative ways to communicate for those who cannot use a telephone? I would like to thank Sarah Offley and the team at Dudley Voices for Choice.

[Blake Stephenson (Mid Bedfordshire) (Con)]

Constituents of mine have been reporting that they have been directed to hospital for regular blood tests, rather than having them at their GP surgery. Will the Secretary of State outline how he will ensure that blood tests are done in a community setting, which surely must be much better value for the taxpayer and much more convenient for patients?

[Wes Streeting]

The hon. Member is absolutely right, and that is why a big part of our modernisation approach is to shift care out of hospital and into the community, making greater use of community diagnostic centres, community pharmacies and GPs. As his question shows, 18 months in, lots done, but a lot more still to do.