Commons Sense

House of Commons · General Debate

NHS Performance: Darzi Investigation

07 October 2024 · 40 other contributors

Opened by Wes Streeting Lab Ilford North

NHS

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Wes Streeting raised concerns about nhs performance: darzi investigation in the House of Commons. Other MPs contributed to the debate.

Key points

  • The NHS faces four main issues: under-investment, the 2012 reorganisation by Andrew Lansley, failure to reform Labour-era reforms, and the impact of the coronavirus.
  • NHS staff struggle with outdated technology, increased service demand, and long-term effects of Tory mismanagement.
  • No specific asks of the government or commitments made are recorded.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Opened the debate

Wes Streeting Lab Ilford North

The national health service is broken due to four main issues: under-investment, Andrew Lansley's disastrous reorganisation in 2012, failure to reform previous Labour Government reforms that delivered shortest waiting times and highest patient satisfaction, and the impact of coronavirus. NHS staff are struggling with outdated technology, increased demand for services, and long-term effects of Tory mismanagement.

Other contributors (40)
  • Wes Streeting Lab Ilford North

    The national health service is broken due to under-investment, a disastrous reorganisation in 2012 by Andrew Lansley, failure to reform previous Labour Government reforms, and the impact of coronavirus. NHS staff are struggling with outdated technology, increased demand for services, and long-term effects of Tory mismanagement.

  • Member Unknown Constituency Not Explicitly Named

    Acknowledges the challenges in Loughborough regarding access to general practice, noting that fewer GPs are providing more appointments. The Member supports growing primary care and increasing the proportion of NHS’s budget for it.

  • Member Unknown Constituency Not Explicitly Named

    Considers the take-up rate of vaccines to not be where it should be but welcomes the effort put in by the current government. The Member emphasises that challenges with access to general practice are widespread.

  • Member Unknown Constituency Not Explicitly Named

    Raises concerns about hospital upgrades promised but never delivered, advocating for a credible and funded plan from the new Labour Government.

  • Member Unknown Constituency Not Explicitly Named

    Urges NHS staff to stay or return due to current working conditions. Promises to follow Lord Darzi’s recommendations in the workforce plan, doubling medical school places and increasing nursing training places.

  • Munira Wilson Lib Dem Twickenham

    Calls for children to be prioritised in the 10-year NHS plan, highlighting that too many have been let down by previous Tory policies. Lord Darzi’s report is damning about child health services.

  • Jeevun Sandher Lab Loughborough

    Requests investment in primary care to ensure constituents get the GPs they need, referencing a specific case where resources are insufficient and a move into new premises is necessary.

  • Alison Griffiths Con Bognor Regis and Littlehampton

    Questions whether meningitis vaccination take-up rate is adequate given the increase in cases over the past year.

  • Jessica Brown-Fuller Lib Dem Chichester

    Highlights a case of GP federation collapse causing redundancies and patient care disruption, stressing the importance of continuity for public confidence in primary care services.

  • Jim Shannon DUP Strangford

    Enquires about research and development encouragement within the NHS to address various health issues such as diabetes, heart disease, cancer, Alzheimer’s, dementia, and rare diseases.

  • Victoria Atkins Con Louth and Horncastle

    Corrects the Secretary of State for inaccuracies regarding past Government actions and current state of NHS funding.

  • Amanda Martin Lab Portsmouth North

    Acknowledges the hard work of GPs in Portsmouth North despite poor investment under previous government, referencing a collaborative initiative with King’s College London for training and patient care improvement.

  • Robin Swann UUP South Antrim

    Argues that investment is needed to move from analogue to digital healthcare systems and back into community care. Emphasises the need for detailed planning beyond existing budget allocations.

  • Chris Curtis Lab Milton Keynes North

    Urges an apology from Conservatives for leaving NHS in poor condition, citing long waiting times at Milton Keynes hospital due to Tory mismanagement. Asks the Secretary of State to ensure a proper workforce plan.

  • Shockat Adam Ind Leicester South

    Asked for an intervention from the Secretary of State regarding NHS reform.

  • Layla Moran Lib Dem Oxford West and Abingdon

    Requested that the Secretary of State look into reports on prevention and digital transformation published by the previous Select Committee, particularly focusing on embedding health in every Department as per Lord Darzi’s report.

  • Victoria Atkins Con Louth and Horncastle

    Criticised the Labour Government for not delivering on its promises to improve NHS services. Highlighted issues such as missed appointments, lack of winter preparedness, and ongoing disputes with nurses and midwives. Emphasised that the NHS is working efficiently despite challenges.

  • Peter Prinsley Lab Bury St Edmunds and Stowmarket

    Defended Labour's track record in improving healthcare services, criticising the opposition for ignoring previous failures and mismanaging current issues.

  • Wes Streeting Lab Ilford North

    Asked the shadow Secretary of State about the £22 billion black hole and questioned her lack of apology for it.

  • Siobhain McDonagh Lab Mitcham and Morden

    Inquired about progress in the treatment and diagnosis of glioblastoma brain tumours, which are the biggest killer of people under 40.

  • Rachael Maskell Lab Co-op York Central

    No extracted contribution text available for this contributor yet.

  • Debbie Abrahams Lab Oldham East and Saddleworth

    Expressed concern over low staff morale, particularly due to the Health and Social Care Act 2012. Criticised austerity measures that reduced funding for healthcare and local government. Emphasised cross-departmental impacts on health and called for an annual report on the state of health and NHS. Suggested a prospective assessment of budget impacts on poverty and inequality, strategy to address health equity issues in the NHS, and 'Improving working lives' initiative for staff.

  • Anna Dixon Lab Shipley

    Agreed with the need for prioritising prevention alongside treatment in the NHS plan. Highlighted regional disparities in healthy life expectancy and emphasised the importance of tackling inequalities through both social improvements and healthcare measures.

  • Helen Morgan Lib Dem North Shropshire

    The Liberal Democrats, echoing the voices of their constituents, argue that fixing the health and care crisis must be the Government's top priority. They highlight issues such as long waiting times for GP appointments and treatments, hospital maintenance backlogs, and a lack of sufficient investment in primary care and mental health services. The speaker calls for urgent action on these fronts and warns against cutting NHS spending further. She also emphasises the need to address social care inadequacies which are exacerbating the pressure on hospitals.

  • Danny Chambers Lib Dem Winchester

    Chambers, as a newly appointed Liberal Democrat spokesperson on mental health, underscores that mental health constitutes around 20% of the NHS's burden but only receives about 10% of its funding. He calls for increased funding and cross-departmental approaches to address non-medical factors contributing to poor mental health in communities.

  • Richard Holden Con Basildon and Billericay

    Holden supports the idea of a cross-party group looking into social care issues, including discharges from mental health units as well as older people's social care. He highlights that delays in discharging patients from mental health units are an important issue needing attention.

  • Ben Goldsborough Lab South Norfolk

    I am proud to represent South Norfolk, a constituency rich in unique villages, cutting-edge research institutions like the Quadram Institute and Lotus Cars, and vibrant local businesses such as Huggers in Long Stratton and Spurgeons in Brooke. My values are shaped by my parents’ principles of honesty, hard work, respect for others, and support for families of children with special educational needs (SEND) and justice system reforms.

  • Valerie Vaz Lab Walsall and Bloxwich

    Vaz praised Lord Darzi's report as a benchmark for future improvements. She raised concerns about integrated care boards' accountability, trust chief executives’ pay based on revenue turnover rather than performance, collaboration versus integration, the flow of patients with local authorities, prevention strategies, public health movement to local authorities, and disparities by ethnicity in mortality rates.

  • Monica Harding Lib Dem Esher and Walton

    Harding highlighted her constituency's historical significance and environmental importance. She addressed sewage issues affecting rivers and sports activities. She discussed mental health and special educational needs support, emphasising the need to put mental healthcare on an equal footing with physical health care, citing long waiting times for services.

  • Terry Jermy Lab South West Norfolk

    Delivered his maiden speech, highlighting the beauty and challenges of South West Norfolk. He mentioned that one third of all children in the constituency live in poverty, with significant health inequalities and adult social care crises. He emphasised the personal impact of NHS on him due to his father's stroke and subsequent care needs, expressing a strong desire for improvement in the healthcare system.

  • Neil Shastri-Hurst Con Solihull West and Shirley

    Congratulated previous speakers and shared a personal story about his mother’s critical condition and her successful treatment by NHS. He stressed the importance of constructive criticism to improve the health service, advocating for a shift towards more preventive and community-based care models instead of the current hospital-centric approach. Shastri-Hurst also highlighted the issue of over-centralisation in decision making, suggesting that local decision makers should be trusted more.

  • Siobhain McDonagh Lab Mitcham and Morden

    Members from across the House will have their own experience of the NHS, but after caring for my late sister Margaret, who was diagnosed with a glioblastoma brain tumour in 2021, I can say with regret that the NHS failed her. The report has told us that the UK has higher cancer death rates than our European neighbours and ranks 25th for five-year survival rates for patients with glioblastomas.

  • Gregory Stafford Con Farnham and Bordon

    I have worked in healthcare for most of my career, and I think we need an honest discussion with the public about how we fund, provide and deliver healthcare in England. Despite significant investment from the previous Government, we must be honest with the public not only about the true state of the health service but also about the difficult choices that lie ahead. We must rethink how we deliver healthcare closer to home and more efficiently, encourage patient choice, drive competition and improve service delivery while asking patients to take greater responsibility for managing their health.

  • Alex McIntyre Lab Gloucester

    I first wish to pay tribute to my predecessor, Richard Graham. It is the most incredible privilege to stand here on behalf of Gloucester residents and to make my maiden speech in this debate because my local NHS hospital, Gloucestershire Royal, has played an important part in my family’s life and I have spent much of my professional career representing NHS trusts up and down the country, hearing at first hand some of the challenges they face. Seeing a GP, going to the dentist for a check-up or arriving at A&E in an ambulance and going straight through the doors—those might seem like basic requirements of a functioning health service, but for my constituents they have become a luxury.

  • Susan Murray Lib Dem Mid Dunbartonshire

    Ms Susan Murray made a maiden speech acknowledging her new constituency of Mid Dunbartonshire, emphasising the importance of community and local government funding. She shared personal experiences with healthcare challenges, highlighting the role of NHS staff and community support. She also stressed the need for better democracy through fair representation, encouraging higher voter engagement and equal voting rights across constituencies.

  • Luke Murphy Lab Basingstoke

    Mr. Luke Murphy, the newly elected Labour MP for Basingstoke, expressed his honour and commitment to representing his constituents and supporting the NHS under a new Labour Government. He acknowledged his predecessor's work in promoting women's rights and equalities and celebrated the first time that Basingstoke has voted for a Labour MP. Mr. Murphy highlighted the rich history of his constituency, including its transformation into a thriving new town since the 1960s, and emphasised his dedication to supporting local businesses and charities. He also shared personal experiences with his father's healthcare needs, underlining the importance of delivering high-quality care for people with multiple long-term conditions.

  • Adrian Ramsay Green Waveney Valley

    Mr. Adrian Ramsay emphasised the need to put wellbeing at the heart of NHS support and criticised the Chancellor's argument about fiscal rules, arguing that it is similar to previous austerity measures. He welcomed Lord Darzi’s diagnosis but called for bold action and investment in prevention rather than short-term plans involving private sector involvement.

  • Peter Prinsley Lab Bury St Edmunds and Stowmarket

    Mr. Peter Prinsley highlighted the need to support medical research within the NHS, drawing attention to past achievements such as vaccination, antisepsis, and penicillin. He also mentioned recent successes like the Oxford vaccine trials for ovarian cancer, urging his government to pledge to do their utmost in supporting vital NHS medical research.

  • Caroline Johnson Con Sleaford and North Hykeham

    Congratulates several Members on their maiden speeches. Questions the purpose of commissioning Lord Darzi's report, querying if a plan already exists or is still to be written by engaging with patients and staff.

  • Karin Smyth Lab Bristol South

    Expresses gratitude for Lord Darzi’s review. Criticises the previous Labour Government's record, highlighting failures in productivity, patient satisfaction, and modernisation. Emphasises personal motivation to improve NHS after witnessing negative impacts of Lansley reforms. Congratulates new Members on their contributions.

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