I am delighted to announce that we are investing in 36 new and better community diagnostic centres in shopping centres and high streets across England. This is what a Labour Government deliver: the biggest expansion in diagnostics in a generation, shorter waits for tests, checks and scans, and an NHS on the road to recovery. It is a record that the Tories could not touch, the Scottish National party cannot match, Plaid Cymru cannot sustain, and Reform would destroy. On 7 May, people can only trust Labour with the NHS.
A constituent of mine, Emma, has been left with significant injuries following poor maternity care during childbirth. For more than 20 years she has been fighting for, but has been denied, corrective treatment on the NHS because it has been deemed cosmetic, despite the clear impact on her mental health and relationships. What steps can the Secretary of State take to ensure that women in such circumstances have access to the treatment that they need?
I am grateful to my hon. Friend for raising that case. It is shocking but sadly not surprising, because the injuries sustained by women during childbirth are often completely ignored as well as going unaddressed. We have to learn from the case raised by my hon. Friend to ensure that constituents such as his are not fighting for the care that they deserve, and we will act on those lessons.
The latest industrial action by the British Medical Association has now ended, yet many will be appalled by reports of individuals boasting online that
“the ability to have 10 days off will make turnout quite high.”
Does the Secretary of State agree that this behaviour is indefensible and represents a slap in the face to patients whose treatments have been cancelled, as well as to the NHS staff who have been left to pick up the pieces?
Yes. It reflects very poorly on the BMA and the cavalier way in which it has inflicted disruption and a £300 million bill on the country in straitened times. It was also unnecessary. Although the resident doctors committee chose to reject a generous offer, that did not mean that it needed to rush out and announce six days of strike action the very same day. With the BMA, strike action is a first resort, not a last resort. It needs to change its tune, because the country cannot afford to fund its reckless behaviour.
This is a rare occasion, as I agree with the Secretary of State. The increasingly militant stance adopted by the BMA is plainly out of step with some resident doctors, who continue to report for duty. The Government’s handling of this dispute has been marked by inconsistency. First, they attempted to buy their way out of trouble, then they withdrew the training places that this House voted for. Instead of persisting with a failed strategy, is it not time for the Government to heed our calls and bring forward legislation to ban doctors from striking?
The Government’s approach has been consistent. We recognise that resident doctors suffered years of pay erosion and worsening conditions under the Conservatives. We came in and sought to address that substantially with a 28.9% pay rise and an offer on the table that would have gone further on pay, gone further on training places and cancelled exam fees, which is the best deal that anyone will have got in the entire public sector. Resident doctors have rejected that approach, but the shadow Secretary of State reminds the BMA that however much it might disagree with this Labour Government, the alternatives are far worse. It is far better to work with us than against us, but we will not cave.
T2. The much-loved Pembridge hospice in north Kensington has been closed to in-patients for several years, meaning that an area with acute health inequality has very limited palliative care options, despite a promise from the new West London integrated care board to provide enhanced care beds in all its boroughs. Will the Minister join me in urging the ICB to set up a meaningful engagement process with residents to secure these urgent care beds as soon as possible, potentially at Pembridge, and to bring proper palliative and end-of-life options back to our community?
I thank my hon. Friend for his question; he is a strong voice for palliative care and for Pembridge hospice in his constituency. Palliative care is vital in our communities, and I completely agree that ICBs, like West London, should engage with their local communities to ensure that they can meet their palliative care needs.
Wherever I go in North Shropshire, constituents tell me that access to a GP only gets worse when new homes are built, and they are right. Across the country, there are billions of pounds in unspent community infrastructure levies for new surgeries, and the average number of families that a GP serves has gone up by 917 since 2015. Will the Minister support Liberal Democrat calls for CIL to be used to support the early running costs of new GP practices, or to expand existing ones, as soon as people move into new housing, so that GP access really does come first when housing developments happen?
There is absolutely an issue with developers not delivering what they say they are going to deliver either through section 106 or through CIL. We are working closely with the Ministry of Housing, Communities and Local Government to address this issue. I would be more than happy to hear more about the hon. Lady’s specific proposal. We want to work pragmatically and constructively to resolve this issue.
T3. Short waiting lists for cataract surgery are a success story, thanks in part to the partnership between the NHS and providers such as SpaMedica, headquartered in my constituency. However, ICB indicative activity plans could see waiting lists increase from weeks to over four months. How will cataract patients be protected while we maintain those all-important short waiting lists?
Ophthalmology waiting lists have fallen since we have taken office. Average waiting times have reduced, and 18-week performance has improved. ICBs have the flexibility to commission services across specialties within a fixed financial envelope, and may use contract levers to manage that activity. That is good management of public money to achieve the outcomes we want to see.
T4. Last week, the Secretary of State announced £10 million for the Royal Berkshire hospital to fund a new site, which is very welcome news. After years of Conservative neglect, £400 million is needed to maintain the existing Royal Berks until rebuilding starts in 2039. What is the Minister doing to support the hospital and its excellent staff to help fix its many maintenance issues?
I am delighted that, as well as announcing the £10 million needed to purchase the new site for the Royal Berkshire, we are investing in the existing estate; that is what local residents deserve. I was delighted to make that announcement last week with our brilliant Labour Reading council team. It once again underlines that Labour councils work much better with a Labour Government, and people should remember that on 7 May.
T8. Can I first take this opportunity to wish a very happy Vaisakhi to the Sikhs around the world who are celebrating it? Vaisakhi is a cultural celebration, but it is also the time of the Amrit Sanchar, the baptism ceremony. Residents in my Smethwick constituency are benefiting from the investment in and changes to the NHS introduced by this Labour Government; the benefits include shorter waiting times and shorter ambulance waiting times. Can the Secretary of State tell us what progress has been made in implementing the Government’s 10-year plan for the NHS?