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.
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?
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.
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?
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.
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.
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.
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?
We are committed to delivering 250 centres by 2035, with a progressive roll-out over this Parliament. Early sites are focused on areas of greatest need, with consideration of factors including deprivation and access. Integrated care systems are in the process of planning the best holistic local configuration of a neighbourhood service. I would be very happy to meet my hon. Friend to discuss the potential for a neighbourhood health centre for Long Stratton.
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?
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.
T4. Following my recent meeting with Bury’s child and adolescent mental health services, can I ask the Secretary of State whether he has considered the merits of separating neurodiversity services from core CAMHS mental health provision? Will he meet me and Bury’s health leaders to discuss this approach, given the rising number of referrals in the system, the long waiting times, the workforce pressures and the growing risk of overmedicalisation?
My hon. Friend is right that NHS mental health, ADHD and autism services have never fully met the needs of the population in a tailored, personalised or timely way. The independent review into prevalence and support for mental health conditions, autism and ADHD will explore the current challenges facing clinical services. My hon. Friend the Minister for mental health is currently overseas on departmental business, but I am sure that he would be delighted to meet my hon. Friend on his return.
T2. Over Christmas, I was contacted by constituents in North Devon who have been without NHS dental care for nearly 20 years—one with a tooth held together with superglue. When will the Government reform the dental contract and properly tackle recruitment and retention, especially in rural areas, so that we stop the haemorrhaging of dentists from the NHS in the longer term?
We are in negotiation with the British Dental Association about the long-term contract reform that is so clearly needed, but I also draw the hon. Member’s attention to the announcement I made in December about a range of interim reforms, particularly on urgent work, where we are significantly increasing the fee rate for urgent dental activity. That will kick in from April and will make a real difference in access to urgent care.