Wes Streeting MP: speeches

Speeches

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I thought for a moment there that the hon. Gentleman, having called for the plan, was going to write it. I can reassure him that he has covered all the right areas; I am delighted that he is as enthusiastic as we and the whole cancer community are about the plan. We deliberately did not go into specific conditions in the 10-year plan for health, because otherwise it would have turned into a Christmas tree, with every condition group trying to attach its bauble to it, but it is really important that this 10-year plan creates the rising tide that lifts all ships—including, as he notes, not just common conditions, but the rare ones too.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I thank my hon. Friend for that question. On whether people feel cautious optimism or quiet scepticism based on the experience that he describes, I have heard the same thing so many times. “I love AI, genomics and machine learning—yep, great. But can you just give me the basic technology that works?” Well, I can confirm that in 2026-27 we will make sure that we create a single log-on for staff. I am not holding my breath for that to be the front-page splash tomorrow, but that one thing, as well as saving loads of staff time, will give them confidence that genuine change is coming.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I strongly agree with my predecessor on that. It is important that the CQC’s reports and judgments can be understood by the public and the people responsible for carrying out the improvements that it recommends. Via the NHS app, we will have much more transparency for patients about the range of providers, the quality of services and the views of other patients. That will give patients the freedom to choose, in a more data-driven way, where and when they are treated. There is also the importance of data-driven face-to-face inspections by experts. We can also have early warning systems that would alert people who hold his office and mine that something is going seriously wrong, so that we can intervene before more lives are lost unnecessarily.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I thank the hon. Member for the outstanding way she has represented her constituents since she arrived in this House—not only on this issue, but on many others. I reassure her that we will work with families in a spirit of co-production to ensure that we identify what has gone wrong, so that families receive truth and accountability for failures and the reassurance of knowing that improvements will be made so that other families do not have to suffer in the way that they have. Things have gone so badly wrong, but I am confident that, with the approach we are setting out, we will be able to make rapid improvements, and I will keep the House regularly informed.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I thank the shadow Secretary of State for his constructive approach to what does need to be a successful plan for the next decade, to get our NHS back on its feet, to make it fit for the future and to make sure we improve the health of the nation. Aside from the lines that he was no doubt given to trot out at the beginning—he almost said them with conviction—we know that we can count on him to be rather more serious and sensible than the display we saw from the Opposition yesterday. I turn to the shadow Secretary of State’s points. He was right to say that investment needs to go alongside reform. That is why the spending review only a matter of weeks ago set out the Chancellor’s commitment to the NHS and NHS reform. The Government are providing a £29 billion real-terms increase—a £53 billion cash increase—in annual NHS day-to-day spending by 2028-29. That funding will support the first steps towards delivering the reforms, the service improvements and the new technology set out in the plan. But investment alone is not enough. One of the reasons we are paying more and more for worse and poorer outcomes is that we have the wrong care in the wrong place at the wrong time. Contrary to what we read in some newspaper columns—on the radio this morning I heard the hon. Member for Clacton once again attacking the NHS’s equitable principles and funding model—the problem is not the model of funding; it is the model of care. That is why the shift to neighbourhood health is essential for delivering better outcomes for patients and better value for taxpayers. The technology coming down the track, and indeed the technology we already have, will drive the big productivity gains in the system that have eluded us. In recent years, the previous Government invested in more staff, but they put all those staff in hospitals to work in an undercapitalised NHS. If there are more inputs but not the enablers to deliver the service, we do not see the responding improvements in output and impact. That drives poorer productivity, poorer value for money and poor outcomes for patients, and that is the approach that we are changing. If, for example, we roll out, as we will, ambient AI to all GPs, and we make sure that in their interactions with patients we liberate them from being glued to the screen, filling out the forms and drafting the letters, because that is all done automatically before the GP spends a few moments checking over to make sure it is right—if we can just save 90 seconds in every GP appointment—we will save the equivalent time of 2,000 more GPs. That is how we get more bang for the buck, that is how we drive productivity improvements and that is how we deliver better care and better value. That is why the previous Government’s workforce plan was not right. It assumed that the NHS just needed growth at the same rates and in the same way as always. In fact, so implausible were the assumptions in that plan that if we had continued with the rate of growth that they had set out, by the end of the century 100% of our entire country would be working in the NHS. I know we love the NHS and we love the people who work in it, but I do not think that everyone in our country can or should be working in the national health service. To reassure the right hon. Gentleman, we will, this autumn, set out a new workforce plan that aligns with this 10-year plan. The shadow Secretary of State asked about neighbourhood health centres. We aim to go for 250 to 300 new neighbourhood health centres by the end of this plan and 40 to 50 over the course of this Parliament. They will be NHS providers and we will have a combination of new builds and the refurbishment and rejuvenation of underutilised existing estate, both in the NHS and in the public sector. Therefore, the cost of each neighbourhood health centre will vary, from the low millions to around £20 million, depending on whether it is an upgrade, a refurb and expansion or a new build. Given the undercapitalisation of the NHS that we inherited, even the record investment from public sources that the Chancellor has provided will not be enough to deal with the capital backlog. That is why, as set out in the Government’s infrastructure plan, with care and caution, and keeping in mind the mistakes that were made by the private finance initiative, we are looking at alternative private sources of investment to make sure that we can go further and faster on capital improvement, particularly in the neighbourhood health service. The right hon. Gentleman asked me to commit again to fracture liaison services. Those services have a demonstrable impact on keeping people well and providing both better outcomes for patients and better value for taxpayers. That is why we want to see them rolled out across the country. On maternity, I welcome his support for the investigation. NHS England is in the third year of the three-year plan put in place by the previous Government and we have sought to support that progress and not to interfere. Yet as we have seen, even with the most recent CQC report into the trust in Nottingham, we have so much more to do and an entire change in approach and culture is needed, let alone a change in practice and behaviour. I am committed to working with all parliamentary party groups across this House and to making sure that the expertise and insight that we have right across these Benches, on both sides of the Chamber, help us to drive maternity improvements. He asked about us rolling HSSIB into the CQC. Let me provide him with this reassurance. HSSIB has been a really effective body, but we cannot justify the duplication of back-office functions and the inefficiency that comes with that. However, the CQC, when we came into office, was in such a dire state that we had to replace the leadership and we have in place an improvement plan. The House therefore has my assurance that we will not roll HSSIB into the Care Quality Commission until we are assured that the CQC is back to the standards that we expect for it to perform its core duties today, let alone the work it will do with HSSIB housed within the CQC. On ICBs, I will not measure success through the number of bodies in the NHS; I think that has led us to where we are. However, I am committed to making sure that as we devolve more power, more responsibility and more resource closer to the frontline, to system leaders and to provider leaders, we also make sure that we have in place democratic accountability, so that Members of Parliament, local councils and metro mayors can influence and shape healthcare where they live. The right hon. Gentleman also asked about social care. We are not waiting for Casey. The spending review gave an additional £4 billion to social care. We are delivering the biggest expansion of carer’s allowance since the 1970s and a significant increase in the disabled facilities grant. The Deputy Prime Minister and I will also shortly set out how we will deliver the first every fair pay agreements for the care workforce, building real social care progression. On neighbourhood health, social care has to be part of it. In the context of this plan, social care features because it has a role to play on admission avoidance and speeding up delayed discharges. However, we know that social care is important in its own right and that is why it is important that it has its own commission. Finally, the shadow Secretary of State asked about whether people will see and feel these improvements. We know on the Government Benches that we will be judged by results and by whether people can feel the change that we are delivering. All I would say to people watching our proceedings today is this: in our first year, we promised 2 million more appointments to cut waiting lists—we doubled that; we promised to deliver 1,000 more GPs—we have almost doubled that; and we promised that people would see the NHS moving in the right direction—waiting lists are at the lowest point for two years. We know that there is more to do, but I hope that the progress people have seen under this Labour Government reassures them that, when it comes to our national health service, if anything, we under-promise and over-deliver. We know that people will see and feel the change. I say respectfully, given the shadow Secretary of State’s constructive tone, that that will be the difference between a Labour Government and a Conservative one.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I am so grateful to my hon. Friend for his support; as he implies, he brings so much expertise to this place. As we embark in this brave new world of devolution of power, resources and control, we keep a close eye on outcomes. I am counting on local communities, Members of Parliament, mayors, councils and local authorities also to ensure that we have democratic accountability and oversight to ensure the resources we provide are spent to the best effect and have a real impact. I pay tribute to the policy geeks of the world in health and social care for their contribution to this 10-year plan. Health geeks of the world, unite! You have nothing to lose but your chains!

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I can absolutely give my hon. Friend that assurance. The great opportunity for technology is that we can design in accessibility; I had a great meeting here with some of my constituents who suffer from hearing loss. We have a great opportunity for the NHS to once again be the great social leveller, providing quality care to everyone, whatever their background, and personalised care that meets their needs. We need to have better digital connectivity and AI-enabled hospitals. My hon. Friend’s constituents will know how hard she bangs the drum here for investment in her local hospital, and that is very much on my mind.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I welcome the hon. Member’s constructive approach. Of course, we are happy to receive representations on HSSIB. I would just like to outline the problem we are trying to solve, which is that the patient safety landscape is increasingly cluttered. We have far too many bodies trying to do the same thing, cutting across each other, and for frontline staff and leaders on the receiving end of those many and often competing instructions, it can actually make things less safe rather than more safe. I really value the expertise in the Health Services Safety Investigations Body. We do not want to see that expertise lost, nor do we want to move it into the CQC prematurely, before the CQC is ready to receive it. I hope that that reassures him, but we are happy to have that conversation.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  We are so lucky to have my hon. Friend’s scientific expertise on our Benches, and we are also lucky that, despite being elected, she is doing research on behalf of the country in her spare time—goodness knows where she finds it. We welcome her public service. We need to see investment in new medicines and technology as an investment rather than a cost. That is how we deliver better care, better value for taxpayers and better outcomes, and it is how we close health inequalities. This is the most exciting revolution taking place in the world, and it is happening right here in England. We have got to make sure that the NHS benefits from it.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I can absolutely give my hon. Friend that reassurance. It is about time that we design care around the patient, rather than ask the patient to do the running around on behalf of the NHS. That will be a big shift in practice and culture. Of course, as my hon. Friend says, it is only thanks to the decisions taken by the Chancellor that we are able to match the reform and ambition of this plan with the investment we need. That is why I was delighted to be joined not just by the Prime Minister, but by my right hon. Friend the Chancellor this morning in Stratford to kick off the 10-year plan—not least because she is the one who pays the bills, and we are very grateful to her for it.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I am grateful to my hon. Friend for her question: I can tell that she has already read a lot of the plan, not least because she had such a heavy role in shaping it, bringing her expertise to bear as we were deliberating. I also thank her constituents in Shipley, who took part in the engagement and consultation that she did locally; I hope they feel that their fingerprints are on this plan. She talks about the “My Carer” feature of the NHS app, which will make an enormous difference. I hope that the people who tend to be heavier users of health services feel that they have more power, choice, agency and control. That has to be true not just for people with physical disabilities, but people with learning disabilities. We have to ensure that the NHS is genuinely there for everyone, and that everyone has agency, voice, personalisation, power and control—that is what this plan will deliver.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I am grateful to my hon. Friend for his question; he is such a strong voice for the people of Gloucester. We are already delivering improvements in general practice, with 1,900 more GPs employed on the frontline, £900 million more for general practice, and the first contract agreed with GPs for quite some years. We are working in genuine partnership with GPs, who will be at the centre of the neighbourhood health service and of neighbourhood health centres. I am determined to ensure that we do things with our friends in general practice, not to them. Where things are working, I have no interest in going in like a bull in a china shop and imposing top-down change unnecessarily; we learned that lesson from Lord Lansley. I am confident that we have a plan that GPs will relish and embrace, and that they will feel reassured that the future of general practice is bright. After years of campaigning for a Government to rebuild general practice, they finally have a Government who are on their side.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I remember that visit to Barnard Castle—unlike visits by some people from Westminster, I was not there to get my eyes tested and my visit was perfectly within the rules. My hon. Friend is right to emphasise the importance of neighbourhood health, which is in the plan, and of reducing the cost of agency spend in the NHS. I want staff to feel that they are part a team and for there to be more flexible working, so that people do not feel that they have to resort to agency work to receive flexibility. I am proud that within our first year we have saved a billion pounds in agency expenditure, getting better outcomes for patients and better value for taxpayers.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  My hon. Friend is absolutely right. I have been delighted to spend time with her in her constituency to make sure that this Government understand the needs of every part of the country and different types of community. We need to ensure that, when we think about health services, the pitch we have in our mind’s eye is meeting the needs not just of big cities or large towns, but of rural and coastal communities that have been left behind for too long. I hope that my hon. Friend’s constituents will really feel the benefit of the innovation that is at the heart of this 10-year plan, and of the focus on community services and neighbourhood health. From what they have seen so far, they can trust that if we do not deliver for them, my hon. Friend will be the first to tell us.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  Neighbourhood health cannot just be about large towns and cities. It has to meet the needs of every community, and the approach we are taking, with care closer to home or, indeed, in the home will benefit everyone, but it will disproportionately benefit people such as those in my hon. Friend’s constituency. That is the benefit of having a great Labour MP like her and a Labour Government delivering results.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  As soon as my hon. Friend got to his feet, I knew exactly where the question was going. I was delighted to spend time campaigning for him in his constituency, and I know that the focus on neighbourhood health will be particularly welcome to people living in rural communities just like his. I would be delighted to meet with him to discuss his proposal, not least because he will hound me relentlessly if I say anything other than yes.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I am grateful for my hon. Friend’s support. Given his expertise, it means a lot. I am especially grateful to the GPs in his constituency with whom he and I spent time; that experience really had an impact on my thinking about neighbourhood health. On cancer, I am happy to look at the issue he raises with the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for West Lancashire (Ashley Dalton). We want to get this right. Cancer alliances have played a valuable role, and we want to see that approach to joined-up working between research, diagnostics and treatment go from strength to strength, so I will happily pick that up.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I certainly can give my hon. Friend that reassurance. We launched the biggest consultation since the NHS began. We had over 270,000 contributions, 250,000 thousand responses and almost 2 million visits to the change.nhs.uk website, so I can absolutely give people the assurance that staff and patients’ fingerprints are all over the plan. That is why we have such a rich plan, in which people can have confidence.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  The NHS leadership are absolutely determined to work with us to reduce waste, inefficiency and bureaucracy. We have in Sir Jim Mackey an outstanding chief executive of the NHS, and he and his team are working closely with Ministers to make sure we achieve that goal. As for the funding model, I just do not know where the Reform party stands from one day of the week to the next. I heard the leader of the hon. Member’s party on the radio this morning doing the dance of the seven veils. He is normally very good at being a straight-talking politician—that is how he likes to present himself—but I cannot follow what the hon. Member for Clacton (Nigel Farage) thinks about this issue. Does he support a taxpayer-funded universal NHS free at the point of use? [Hon. Members: “No!”] I do not think he does. Does he support the European-style insurance system? I think he probably does—it is the only European thing he has ever supported, by the way. We are in no doubt: the NHS needs reform, but it needs the Reform party like a hole in the head.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I am very grateful to my hon. Friend— I know his constituency well, and he has been a powerful voice for his constituents since he arrived in this place. He is absolutely right that we need good general practice and accessible neighbourhood health services that are available to everyone, especially in areas of high need and health inequalities, as we see in the London borough of Newham. I hope his constituents really feel the impact of this plan as we roll it out during this Parliament and across the next decade.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I am grateful to my hon. Friend for his question—representation duly received. I reassure him that one of the ways we will ease the pressure valve on our hospitals is by doing more neighbourhood health. That helps to drive admission avoidance, speed up delayed discharges, and get much more effective flow of patients through hospitals. That is our commitment. We aim to roll out 40 to 50 neighbourhood health centres over the course of this Parliament, and if we can go faster, we will. I have no doubt that my hon. Friend, as a strong representative for Dartford, will make more representations to us shortly.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  My hon. Friend is right about the importance of dental services, and I hope that his constituents begin to feel the benefit. I also know he is leading the charge on the campaign for Stepping Hill hospital. He regularly raises it with me and other Ministers, and I would be delighted to try to visit his constituency as soon as my diary allows.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  My hon. Friend is absolutely right. We in this place are so lucky to have his expertise and his leadership of the Back-Bench health and social care committee of the parliamentary Labour party. Sunlight is the best disinfectant, and I am concerned that we do not give enough profile to paediatric waits and mental health waits. With more transparency, information and access, we will be able to demonstrate improvements over the course of this Parliament and the next decade.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I am so grateful to my hon. Friend for all the work she does as chair of the all-party parliamentary group, for the personal and professional experience that she brings to this House, and for the wisdom, advice and insight that she has offered to help me make better decisions. I am absolutely determined to work with families, especially those who have suffered such grave injustice at the hands of the NHS. It is a wonderful institution, but sometimes when it fails, it fails spectacularly. The culture of denial and cover-up cannot be allowed to persist, and I will work with my hon. Friend to make sure that we end it. On neighbourhood health, it is so important that we engage with families early, especially where they may be at greater risk of complicated pregnancy or harm, because we know this is an area of grotesque health inequalities. After birth, it is really important that we have strong health visiting, and care in the community and the home that does not just consider the interests of the baby, but asks questions of the mother. How is she feeling? How is she recovering? Is her partner coping? We have to look at the whole family, and I am sure we will get it right. I am determined to get this right, and it will be in no small part thanks to my hon. Friend’s leadership and support.

• 3 Jul 2025 · NHS 10-Year Plan · Hansard source

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  I thank my hon. Friend for his service to our country and our NHS. We are so lucky to have his expertise in the House. I am really proud that this Government will deliver mental health support in every primary and secondary school in the country and neighbourhood mental health services in every community. We will also ensure that people who are in mental health crisis do not end up in busy, noisy, overwhelming A&E departments, but will instead go to new mental health emergency departments, which we aim to roll out across 50% of type 1 A&E departments—either co-located or, if not, certainly nearby. I look forward to working with him on that. My hon. Friend is quite right to emphasise the importance of talking therapies. That is how we not only help people to achieve their best when they are young and in education, but ensure that people are supported to stay in the world of work or to find work. We know there is a demonstrable link between mental health and wellbeing, good work and good outcomes. That is very relevant this week.