Mr Speaker, on behalf of the Government and Labour Members, may I associate myself with your remarks? Members from right across this House will share those sentiments. As the Prime Minister made clear at Cabinet this morning, and as the Foreign Secretary is making clear in Kyiv, we will stand with Ukraine, whatever is thrown at it, until it has the freedom and security that it deserves.
This Government are restoring the founding promise of the national health service: to bring quality healthcare to all, regardless of how much they earn or where they live. New funding for GPs is being prioritised for areas where the need is greatest, and we are sending more cancer specialists to rural hospitals. As we modernise the health service, the NHS app and NHS Online will bring world-class healthcare to the most remote corners of our country at the touch of a button—lots done, and lots more to do.
In places like Na h-Eileanan an Iar, going the extra mile to provide care is part of the job, and I pay tribute to the carers in my constituency who travel miles in darkness and bad weather to deliver support for the elderly. In some parts of the Western Isles, and indeed across rural Scotland, there simply is not the working-age population to provide that care, and immigration cannot solve that problem entirely. Does the Minister agree that it is only by increasing wages and paying social care staff properly—something for which Scottish Labour has been calling for some time—that we will increase the number of carers in rural areas, and provide a proper care service?
I wholeheartedly agree with my hon. Friend. This Labour Government are introducing the first ever fair pay agreement for care workers. That is better pay and conditions for care workers, and more people recruited into the profession. It is backed by £500 million, and Scotland will receive extra funding through the Barnett formula. The question for the SNP is: where is the money going, and why is it not going into the pockets of Scottish care workers, as Jackie Baillie has demanded?
On Friday, I visited Young Devon, an early support centre in the heart of rural North Devon, where I met young people who told me heartbreaking stories of how they felt left out and let down by the system. Young Devon was quite literally a lifeline for them. It has an open-door, person-centred approach. I am delighted that its funding has been continued for one more year, but it is only one year, and those who run the centre told me that this makes it incredibly difficult for them to plan. Can the Secretary of State clarify what the longer-term plan is for these early support hubs, how they sit alongside Young Futures hubs, and how he can help organisations like Young Devon thrive into the future?
I join the Chair of the Health and Social Care Committee in paying tribute to Young Devon and the work it is doing. As she will know, I have enormous sympathy for the challenge she raises about medium-term certainty on funding. As was demonstrated on the Floor of the House yesterday by the Education Secretary, my Department and the Department for Education are working closely together to make sure we are better joining up education, health provision and support for young people. There is more to do. I accept the challenge that she sets down around medium-term certainty on funding; that is why we are doing more through, for example, the medium-term planning framework. I accept, in the spirit of this exchange, that there is lots done, but lots more to do.
Last year in Shropshire, which is a fairly typical rural area, 158,000 patients waited more than a month for a GP appointment. That is not surprising, given that, like many other rural areas, we have 50 fewer qualified GPs than we did a decade ago. Meanwhile, already busy GPs are trying to develop integrated neighbourhood teams, but they report that they have not received any dedicated Government funding, and still do not have the model neighbourhood framework. Will the Secretary of State act to ensure that GPs have the resources and guidance that they need to develop those neighbourhood health teams, and ensure that everyone can access an appointment within seven days, or 24 hours if it is urgent, particularly in rural areas, where provision is poor?
We have 2,000 more GPs now than when Labour came into office, but the hon. Lady is right to say that we need to ensure that that provision and increased capacity are reflected throughout the country. Because general practices serving more deprived areas receive 10% less funding per needs-adjusted patient than those in wealthier parts of the country, we are reviewing and reforming the Carr-Hill formula to ensure that we can direct the right funding to the areas in greatest need, recognising that amid our rural communities, there is obviously not just plenty of affluence, but enormous pockets of disadvantage and deprivation. Whoever people are and whatever their background, the support and care that they need must be received in the right place and at the right time.
The national cancer plan, which I launched about two weeks ago, will end the postcode lottery. Wherever people live, they will receive high-quality cancer treatment. We have already invested £70 million in 28 new cutting-edge radiotherapy machines, reducing waiting times and providing 15% more treatments. This allows 27,500 more patients to be treated every year, which means more equal access and better outcomes for cancer patients across England.
Cancer is the canary in the coalmine for the NHS. For far too many cancer patients, under the Tories, the NHS was not there when they needed it. Under Labour, an extra 213,000 patients have been diagnosed, or have received the all-clear on time. Much has been done, but there is much more to do. I pay tribute to the leadership of the Minister for primary care and prevention, my hon. Friend the Member for West Lancashire (Ashley Dalton), and to her national cancer plan. She has poured her heart and soul into that plan, all while living with and being treated for cancer. We are investing an extra £2.3 billion in diagnostic capacity to deliver 9.5 million more tests by the end of this Parliament. Catching cancer earlier, treating it faster and preventing it is how we will save more lives.
I applaud the ambitions in the cancer plan, but my question was about improving access to advanced therapeutic radiotherapy. Almost half the cancer centres in more urban areas in England have experienced a staff recruitment freeze, and the figure rises to 60% in more rural and deprived areas such as mine in east Durham. What steps is the Minister taking to end such recruitment freezes and ensure that cancer patients, irrespective of where they live, have access to the lifesaving care that they require?
I commend my hon. Friend’s continued advocacy for radiotherapy. I have met the hon. Member for Westmorland and Lonsdale (Tim Farron) and the other members of the all-party parliamentary group on radiotherapy to discuss how the Government will improve outcomes for cancer patients. While trusts retain responsibility for recruitment, we are continuing to increase our cancer workforce: between November 2024 and 2025, it grew by more than 4%. In the cancer plan, we have committed to ensuring that we have the staff where and when we need them, and we are rebalancing cancer training places targeted at trusts in rural and coastal areas—such as east Durham—to improve patient outcomes.
I welcome what the Minister has just said, but we start a long way behind. In OECD countries, the average proportion of people with cancer with access to radiotherapy is 53%. In England the proportion is 36%, and in Lancashire and South Cumbria it is the worst in the country, at just 29%. There is no doubt in our communities in South Cumbria that that is because patients must take three-hour round trips every day to obtain treatment in Preston. Will the Minister support our new plans to bring a satellite radiotherapy unit to Kendal, so that people in our communities can experience shorter journeys and longer lives?
The hon. Gentleman and I share part of that integrated care board area. In the cancer plan, we committed to ensuring that coastal and rural areas receive the services that they need. We are investing more in radiotherapy machines, and we are working with ICBs to ensure that they are providing the services that their communities need, and that we are supporting the recruitment of the cancer workforce who will be able to go into those rural areas.
I welcome the focus of the national cancer plan on diagnosing cancer faster. That is needed across all cancers, but particularly for leukaemia. Research by Leukaemia UK has found that one in four patients face an avoidable delay in their diagnosis, and that 37% of patients are diagnosed in an emergency setting. How will the implementation of the plan address delays in leukaemia diagnosis, and what steps will the Department take to reduce the proportion of patients who are diagnosed through an emergency route?