Oral Answers to Questions Debate
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Wes Streeting
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Laura Kyrke-Smith (Aylesbury) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
I am pleased to report that both access to general practice and patient satisfaction with general practice have improved since Labour came to office. Over 75% of patients find it easy to contact their practice —an improvement of 14 percentage points since the general election. Not only have we recruited an extra 2,500 GPs; crucially, more patients are receiving continuity of care, backed by an additional £1.1 billion. Lots done, lots to do, and certainly a long way to go, but general practice is on the road to recovery.
Alex Baker
I am proud to see this Government’s improvements to GP services making a real difference locally, with over 2,000 more GPs hired and new investment already reaching practices like Jenner House surgery in Farnborough. However, many of my older and more vulnerable constituents tell me they are still struggling to get through on GP phone lines, especially as more practices move online. What steps is the Secretary of State taking to ensure that phone lines remain accessible for those who rely on them, so that everyone benefits from our NHS health plan? [Interruption.]
Wes Streeting
Well, Mr Speaker, you couldn’t script this! We have a doctor in the House—my hon. Friend the Member for Bury St Edmunds and Stowmarket (Peter Prinsley)—whose phone was alive as this very issue was raised by my hon. Friend, such is the commitment of doctors in our NHS to be available to patients wherever and whenever they are needed.
This Labour Government were elected on a pledge to end the 8 am scramble, and that is exactly what we are doing. We know that not everyone wants to contact their practice online. That is why practices must offer patients the option to telephone or visit in person in addition to online access. I thank GPs up and down the country for the work they are doing and the progress we are making in improving online access, access generally and patient satisfaction—lots done, lots to do.
Laura Kyrke-Smith
The number of qualified GPs in Buckinghamshire has risen by 8% in the last year thanks to this Government’s determination to recruit and retain more GPs. It is a great start, but I still hear from too many people in Aylesbury who cannot get through to their GP surgery or cannot get a quick enough appointment when they do. My constituent Jane, whose husband had suffered a stroke, was advised that he needed a GP appointment the next day, but it took a month to get one. I know my right hon. Friend is determined to keep improving access to primary care for people in Aylesbury and across the country, so can he set out his next steps?
Wes Streeting
I certainly can, and I am sorry that my hon. Friend’s constituent was let down. Everyone who needs a same-day appointment should be able to book one, and that is what we are working towards. As she says, we are recruiting more GPs. We are also investing £102 million to create additional space for appointments, including in 21 GP practices in my hon. Friend’s local integrated care board system. Nowhere is the state of the NHS, and the crumbling legacy we inherited, more evident than in the NHS estate, and that is why I am proud that in her Budget, the Chancellor will be setting out plans to roll out a new generation of neighbourhood health centres to deal with the crumbling NHS we inherited and to build an NHS that is fit for the future.
Dr Kieran Mullan (Bexhill and Battle) (Con)
There are a number of exciting opportunities for extended GP premises in my constituency—in places like Martins Oak in Battle, Little Common and Old Town, and Oldwood in Robertsbridge. One major challenge is the rates that the NHS district valuer is willing to offer for construction sites; they have just not kept up with the inflation we have seen across all sectors of construction. I did have a meeting with the Minister for Care and it was helpful to start those discussions, but we have not made the progress that we need to. Can we have a further meeting, and will the Secretary of State outline what he will do to ensure that district valuers are offering rates that can allow construction to go ahead?
Wes Streeting
I thank the hon. Gentleman for raising some of the practical challenges that stand in our way to improving and expanding the primary care estate. We are looking into the issues that he raises. We want to ensure that we can modernise the estate as effectively and quickly as possible. When there is progress to report, I have no doubt that the Minister for Care will be in touch.
Lisa Smart (Hazel Grove) (LD)
Over the summer, my team and I conducted a health survey across my constituency, and 40% of those living in the most deprived and most urban parts of my patch—Heaviley, Little Moor and Great Moor—were struggling to access GPs. What more can the Secretary of State do to ensure that urban and deprived communities get their fair share of GP access?
Wes Streeting
I am sure that the hon. Member’s constituents will have noticed what an assiduous and active Member of Parliament she has been in actively soliciting their views. I hope that they and she will find it reassuring to know that we are taking action to deal with the very inequalities that she mentions. The Royal College of General Practitioners found that in the poorest parts of the country, there are an extra 300 patients per GP. It cannot be right that the poorest parts of the country receive the poorest service too. That is why we are reforming the Carr-Hill formula so that deprivation is the driver of funding and prioritisation. That will help us to improve services for everyone and to tackle the gross health inequalities that blight our society.
Liz Twist (Blaydon and Consett) (Lab)
Elaine Stewart (Ayr, Carrick and Cumnock) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
In England, for the first time in 15 years, waiting lists are falling. Through record investment and modernisation, we have cut backlogs by more than 230,000, and we smashed our target for additional appointments in our first year, delivering more than 5 million. There is a long way to go, but the NHS in England is on the road to recovery. Unfortunately, in Scotland the SNP cannot seem to get the car started.
Elaine Stewart
While the NHS is on the road to recovery in England thanks to the investment of this Labour Government, there are 61,000 patients in NHS Ayrshire and Arran on a waiting list for treatment, almost 11,000 of them for over one year. Does the Minister agree that after record levels of funding for Scotland in the last Budget, people in my constituency should be asking the First Minister and his Government, “Where’s the money gone, John?”
Wes Streeting
My hon. Friend is absolutely right. More patients are waiting a year for treatment in Ayrshire and Arran than in the entire south-west of England—that is shocking. Thanks to the investment the Chancellor has made, Scotland is receiving an extra £1.5 billion this year and £3.4 billion next year—the biggest funding increase since devolution. Labour is cutting waiting lists in England. Labour is cutting waiting lists in Wales. Why is the SNP failing where Labour is succeeding?
Joe Robertson (Isle of Wight East) (Con)
The Secretary of State has failed to end industrial action like he said he would. How is that helping to reduce waiting lists?
Wes Streeting
Industrial action sets back our progress on waiting lists, but frankly, the Conservatives presided over an absolute mess—not just over the course of 14 years, when waiting lists rose every single year during the Conservatives’ time in power, but in their catastrophic mishandling of industrial relations. We came in, and we settled with the British Medical Association—[Interruption.]
Mr Speaker
Order. Mr Fox, you were the last voice I heard. I want to hear what the Secretary of State has to say. If you do not want to, you can go and get a cup of tea.
Wes Streeting
We came in, and we settled with the resident doctors with a 28.9% pay rise. It should be clear to them from the questions that Opposition Members have asked and the extent to which they have opposed a pay rise for not just resident doctors but NHS staff more generally that there is not a more pro-NHS, pro-doctor Health Secretary or Government waiting in the wings. It is either the Conservative party, which lumbered the NHS in this crisis in the first place, or the Reform party, which does not believe in the NHS at all.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I would first like to say I am sorry that the Minister for Public Health and Prevention is unwell and convey to her the best wishes of the Opposition.
I would like the Secretary of State to consider a patient who has waited a year for a procedure and then, after three waiting list validation calls, finally sees the consultant to check that the procedure is still necessary. If the consultant agrees that it is, do the Government figures show that patient as waiting for a year or a much shorter period?
Wes Streeting
A clock stop would be in place from the moment the patient saw the consultant. The reason we have had to do waiting list validation is that, in addition to driving waiting lists up, the Conservative party presided over a total shambles where patients were often waiting in duplicate slots on the waiting list, removed from waiting lists unnecessarily or waiting far too long. That is the mess we inherited from the Conservative party.
Wes Streeting
It is no use shadow Ministers heckling from the sidelines. When they had the chance, they drove waiting lists up, and they drove the NHS into the abyss.
Dr Johnson
The Secretary of State does not seem entirely sure, so perhaps he can write to us with an answer—
Dr Johnson
As someone who is on the waiting list myself, I do hope that the Secretary of State is correct. Waiting lists for procedures and operations requiring day care or overnight admission are both rising and higher than they were a year ago. Orthopaedic surgery waiting lists are up, yet this Government scrapped our major conditions strategy and say that they have no plans for a musculoskeletal conditions framework. Gynaecology surgery waiting lists are up, yet the Government scrapped and are now reviewing the women’s health strategy. Waits for procedures and operations in ophthalmology, general surgery, neurology and gastroenterology are going up too. When is the Secretary of State going to get a grip of the surgical waiting lists?
Wes Streeting
I honestly cannot believe the brass neck of Conservative Members; their time in government led to the longest waiting times and lowest patient satisfaction in the history of the national health service. The best news I can offer the shadow Minister, and others like her who are on a waiting list, is that we have a Labour Government who are reducing waiting lists for the first time in more than 15 years.
Sally Jameson (Doncaster Central) (Lab/Co-op)
Josh Newbury (Cannock Chase) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
May I first commend my hon. Friend not just on leading the recent International Men’s Day debate, but on his courage in speaking so openly about his own experience of sexual assault and the need to tackle the stigma surrounding it? [Hon. Members: “Hear, hear.”] For too long, men’s health has been overlooked, with a reluctance to accept that men suffer specific inequalities and hardships as men and boys. We know that men are less likely to come forward for healthcare. From partnering with the Premier League to rolling out health support in the workplace, we are meeting men and boys where they are and supporting them to live longer, healthier lives.
Josh Newbury
The publication of the first ever men’s health strategy for England was a historic step forward, including the drive to improve care for men with prostate cancer, the most common form of cancer in men under 50. I place on record my admiration for the right hon. Lord Cameron for speaking publicly about his diagnosis and successful treatment. The commitment to expanding home-based testing and remote monitoring is welcome, but can the Secretary of State tell the House what the Department will do to increase awareness and access to testing among the men most at risk, including those under 50?
Wes Streeting
I join my hon. Friend in commending Lord Cameron on his openness. Raising awareness, as we know, encourages men to come forward and leads to more diagnosis. He has done a great public service in talking about his own experience. We are improving care for men diagnosed with prostate cancer and undergoing active monitoring or treatment. We will be introducing support for individuals who are on prostate cancer active monitoring pathways to enable them to order and complete prostate-specific antigen blood tests at home from 2027. As for screening and the case being made for targeted screening, I await the recommendations of the National Screening Committee. We will study those carefully. We know that this is contested within the sector, so it is important that we have an evidence-based discussion, thrash out the arguments and reach the right way forward.
Mr Gregory Campbell (East Londonderry) (DUP)
I welcome the Secretary of State’s indication that he is awaiting the outcome of that report on screening for prostate cancer. If that report recommends what many of us hope it will recommend, will he act quickly to develop the report’s recommendations, whatever they are?
Wes Streeting
We are expecting the draft recommendations, and then a three-month consultation period will follow, but I want to act quickly on the evidence and what the recommendations contain, not least because we know that as well as it being a prevalent form of cancer, some groups—particularly black men, men with a family history of prostate cancer and men with BRCA gene mutations—are at higher risk. Black men are twice as likely to die with prostate cancer than white men. There is therefore an imperative to act. Whatever the recommendation, we need to do much better on diagnosis and treatment of this terrible condition.
Ben Goldsborough (South Norfolk) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
Women’s health is a priority for me, for my Department and for the Government. Since I last answered questions in the House we have extended the NHS health check to include the menopause for the first time, following the brilliant campaigning of Menopause Mandate and others. We have also made the morning-after pill free in pharmacies. The Prime Minister is co-ordinating work across Government to tackle violence against women and girls, and in the health and care services we will play our part in protecting and supporting victims. I have also asked the Government’s women’s health ambassador to renew the women’s health strategy that was introduced by the last Government, so we can ensure that it is driving the right progress in the future.
Josh Dean
When my constituent Rachel attended numerous A&E departments with severe abdominal pain, swelling, fever and nausea, her fears of a ruptured ovarian cyst were repeatedly dismissed. In her day-to-day life Rachel is a professional advising on antimicrobial resistance around the world, but as a patient she felt that her concerns were being ignored and that she was being pushed aside. She is determined to use her experience to challenge the unacceptable medical misogyny that she and other women across the UK still face too often. What action are the Government taking to ensure that women are not left to endure painful reproductive health conditions, and will the Secretary of State agree to meet Rachel to hear her story at first hand?
Wes Streeting
I thank my hon. Friend for describing Rachel’s experience. We have introduced Jess’s rule and we are rolling out Martha’s rule, so that, whether in primary or acute care, patients’ voices will be heard and they will be given the power to ensure that health professionals are listening and responding appropriately. However, my hon. Friend is right to acknowledge that much of this arises from medical misogyny. It is not just a case of changing rules and regulations; it is a case of changing culture and practice, so that women are not just seen but heard and listened to. That is a fundamental problem that we determined to address—and of course I should be delighted to meet Rachel to hear about her experience at first hand.
Layla Moran (Oxford West and Abingdon) (LD)
Diethylstilbestrol, or DES, was prescribed to women until the 1980s to treat miscarriage. Those who took it were themselves at greater risk of breast cancer, and their daughters have a higher risk of rare cervical cancers. It is estimated that a whopping 300,000 women have been affected. Two weeks ago the Secretary of State made an apology to victims, but they rightly want more than “sorry”, and they have pointed out that the current screening regime is insufficient. Will the Secretary of State meet me, and campaigners and victims, in order to understand how this was allowed to happen, who will be held accountable, and how those women can go about securing compensation for this egregious scandal?
Wes Streeting
I thank the Chair of the Select Committee for raising that extremely serious issue. I am glad that she has drawn it to the House’s attention. I have apologised, on behalf of the state, for the failure that occurred and for the harm that has arisen as a result. My hon. Friend the Member for Bournemouth West (Jessica Toale) has been campaigning diligently, and the DES Justice UK campaigners have done a magnificent job in raising public awareness. I am always delighted to meet the Chair of the Select Committee because I know which side my bread is buttered on, but I should be particularly delighted to meet her to discuss this specific issue.
Helen Morgan (North Shropshire) (LD)
The impact of health inequalities on women’s health are starkest when it comes to maternity care, with many NHS trusts requiring improvement. Black and Asian women, and those from the most deprived communities, are far more likely to suffer the worst outcomes or even lose their babies. The Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives have vocally opposed the removal of the ringfence from the service delivery fund, saying that funding provided to drive change following the Ockenden review has disappeared at the stroke of a pen. Will the Secretary of State commit himself to reinstating that ringfence, and to ensuring that all the immediate and essential actions arising from that review of the failings at Shrewsbury and Telford hospital NHS trust are taken as soon as possible?
Wes Streeting
I thank the Liberal Democrat spokesperson for her question. She is right to raise the inequalities at the heart of poor maternity care, as well as failures in services overall. We are taking a number of actions, but on the issue of funding specifically—I think this will become a recurrent theme across a range of issues during this Parliament—the approach that we are taking as a Government is to try to devolve more power, responsibility and resources to the frontline. As we do so, we are removing national ringfences.
I appreciate what the hon. Lady says about the risk. It is important that we, and no doubt Parliament, scrutinise the situation to make sure that outcomes across the board improve and that the focus that this House wants to bring to issues like maternity safety is delivered in practice, but I think we are right to drive at the issue of devolution. Decisions are better taken within communities, close to communities and at a local-system level, but she is right to be vigilant about this issue, and we on this side of the House are absolutely open to challenge. If systems are not acting in the way that we want and it is having an adverse impact, we will reconsider.
Cat Smith (Lancaster and Wyre) (Lab)
Alison Griffiths (Bognor Regis and Littlehampton) (Con)
The Secretary of State for Health and Social Care (Wes Streeting)
Trade unions, representing the majority of NHS staff, are engaged in constructive dialogue with the Government, particularly around reform of Agenda for Change. All NHS staff have received above-inflation pay rises. No other staff in the public sector have received a pay rise as high as that of resident doctors. We offered extra jobs, prioritisation for UK graduates and help with out-of-pocket expenses. Against that backdrop, it is simply appalling that British Medical Association leaders led their members out on strike, even though a majority of resident doctors supported the Government’s offer.
I am pleased to report to the House that, thanks to NHS leaders and frontline staff, including the resident doctors who turned up, the NHS met its ambitious goal and 95% of planned elective activity went ahead, meaning that 850,000 patients got the procedures and operations they needed, despite the BMA’s reckless action. None the less, the time and money that this has cost us is detrimental, and I hope the BMA will come back to the table constructively.
Alison Griffiths
After warnings from the NHS Confederation and NHS Providers, my constituents are still rightly concerned that services may yet be cut, appointments lost and operations delayed as a direct result of the BMA’s industrial action. These strikes did not need to happen. What will the Secretary of State do to reassure patients in Bognor Regis and Littlehampton that their safety and wellbeing is a priority for this Government, who have no timetable and no plan, and who have made no progress towards ending these damaging rolling strikes?
Wes Streeting
I must say that a bout of collective amnesia has swept the Opposition Benches, because the Conservatives seem to have forgotten the absolute calamity of bad industrial relations over which they presided. The difference between Members on this side of the House and the Conservatives is that we have never closed the door to talks; we have always been willing to engage with resident doctors in good faith. Unlike under that party, resident doctors have received a 28.9% pay rise from this Labour Government. It is a reminder to resident doctors across the land that the grass is not greener on the other side, and that they should work with a Labour Government who want to work with them.
Gregory Stafford (Farnham and Bordon) (Con)
Sarah Olney (Richmond Park) (LD)
The Secretary of State for Health and Social Care (Wes Streeting)
Obesity robs children of the best possible start in life, hits the poorest hardest, sets them up for a lifetime of health problems and costs the NHS billions, so I can announce to the House that we are expanding the soft drinks industry levy to include bottles and cartons of milkshakes, flavoured milk and milk substitute drinks. [Interruption.] We are also reducing the threshold to 4.5 grams of sugar per 100 ml. This Government will not look away as children get unhealthier and our political opponents urge us to leave them behind.
Mr Speaker
The only thing I will say is that at least we are hearing it first in this House and not on Sky.
Sarah Olney
I congratulate the Secretary of State and the Department of Health and Social Care on the launch last week of the men’s health strategy. My constituent Philip Pirie, who sadly lost his son to suicide, has been calling on the Government to launch a public health campaign to reduce the stigma of suicide. Nearly 75% of those who lose their lives to suicide have not been in contact with mental health services, and that is why we need to reach out. Will the Secretary of State meet me and my constituent to discuss such a campaign?
Wes Streeting
I am sure that my hon. Friend the Minister for Care would be delighted to meet. The men’s health strategy sets out precisely the challenge in those terms. Through the partnerships that we have already announced, such as with the Premier League, as well as the people who have been knocking on our doors to get involved in such a campaign, I am absolutely confident that together, collectively across the House and across the country, we can tackle this terrible stigma.
Stuart Andrew (Daventry) (Con)
Thank you, Mr Speaker. Can I ask the Secretary of State why he has not sorted out the strikes and disputes?
Wes Streeting
I wish the shadow Health Secretary a very happy birthday—21 again! It is good to see him here.
We continue to hold the door open to the British Medical Association. If it wants to engage constructively, we are ready and willing. What we will not do is be held to ransom. What we cannot afford to do is pay more than we already have. What we are able and willing to do is go further to improve their career progression and job prospects, and to work with them to rebuild the NHS, which the Conservative party broke.
Stuart Andrew
But, Mr Speaker:
“The power to stop these strikes is in the Government’s hands.”—[Official Report, 6 February 2023; Vol. 727, c. 660.]
“They need to sit down and negotiate to end the strikes, but Ministers are too busy briefing against each other.” Those are not my words, but the Secretary of State’s words when he was standing here on the Opposition side. He said it was so simple. The Secretary of State is embroiled in a leadership battle that is taking over the need to focus on averting walkouts, and the Employment Rights Bill reduces voting thresholds on strikes and scrapping minimum service levels. Does the Secretary of State accept that things are only going to get worse as a result of the Bill? And in his words, does he agree that patients have suffered enough?
Wes Streeting
I was very clear in opposition about the Government’s responsibility to sit down and negotiate, and that is exactly what I have been doing. It takes two to tango. As for the other trivial nonsense the right hon. Gentleman mentions, I have been very clear that I am a faithful. Of course, if he were a gameshow, he would be “Pointless”.
Katrina Murray (Cumbernauld and Kirkintilloch) (Lab)
Helen Morgan (North Shropshire) (LD)
Every MP will be aware of the huge value that unpaid carers add to the NHS, taking the pressure off paid carers while often under intolerable pressure themselves. We were therefore really pleased to hear the news this morning that thousands of unpaid carers will have their cases reviewed, after they had been left with huge debts as a result of a failure of Government over a long period of time. However, it has been reported that debts will continue to accrue and overpayments will continue to be pursued for as long as a year from now. Given his responsibility to unpaid carers, will the Secretary of State raise the issue with colleagues, urging them to suspend repayments until the recommendations are enforced, and ensure that those people propping up the care system are treated fairly from today, not from in a year’s time?
Wes Streeting
I am grateful to the hon. Member for that question, as this is a terrible situation and one of the many messes that this Government are now working to clean up. I will certainly ensure that the issue she raises is taken up with my right hon. Friend the Work and Pensions Secretary.
Tristan Osborne (Chatham and Aylesford) (Lab)
Wes Streeting
I am happy to report to the hon. Gentleman that we are well on the way towards delivering the 8,500 more mental health staff we promised in our manifesto, with over 6,500 already there. Digital tools can play a role, and I am pleased to report that, given the evolution of our online tools via the NHS app, ensuring that we have high-quality and clinically verified apps will be part of our approach, so that people have access to high-quality digital tools, not ones they have googled on the internet.
Kenneth Stevenson (Airdrie and Shotts) (Lab)
Wes Streeting
Yes, Mr Speaker. [Interruption.] Opposition Members do not like to hear it, but we are bringing waiting lists down for the first time in 15 years, patient satisfaction with general practice is rising, and we are delivering the investment, modernisation and change the country voted for.
Pippa Heylings (South Cambridgeshire) (LD)
Sarah Smith (Hyndburn) (Lab)
About 38% of children in my constituency are sadly growing up in poverty. This Government are committed to ensuring the best start in life for all children, so in addition to the increase in mental health support teams in schools, does the NHS workforce plan currently address the vital need for trained specialist community public health nurses in schools?
Wes Streeting
My hon. Friend is absolutely right about the need to improve the quality of the paediatric workforce. We are considering that as we revise the workforce plan. I am proud that already, with just one decision that we took in the first year of this Labour Government to expand free school meals, we are lifting 100,000 more children out of the poverty they were left in by the Opposition.
Seamus Logan (Aberdeenshire North and Moray East) (SNP)
In 2024-25, the NHS trust in the Secretary of State’s constituency collected £2.4 million from patient and visitor parking and a further £1 million from staff parking. Given that those costs fall hardest on the poor and the most seriously ill, will the Secretary of State consider abolishing this inequitable burden on the sick, their relatives and those who care for them?
Wes Streeting
If I were the hon. Gentleman, I would be more worried about the situation close to home and the SNP’s abysmal record of failure: while waiting lists are falling in Labour-led England and Labour-led Wales, in SNP-led Scotland they are rising, despite the biggest funding settlement since devolution began. It is a record that should make him and his party blush.
Stuart Andrew
On a point of order, Mr Speaker. I know that you have been incensed by the unprecedented briefings we have seen by the Government in the run-up to the Budget. It beggars belief that, despite your clear statements on this issue, they have done it again today by announcing that the Chancellor will announce £300 million for NHS tech in her Budget tomorrow—not through a briefing to journalists but with an article on the gov.uk website. This happened just today, after a Minister stood at the Dispatch Box yesterday and said:
“I can assure the hon. Member, given the respect that the Government pay to this House and to their obligations in it, that if there is an important policy announcement to be made, it will be made to this House.”—[Official Report, 24 November 2025; Vol. 776, c. 32.]
Given that that was clearly not the case in this instance, despite your statements, can you advise us as to what we as Members of this House can do?