Commons Sense

House of Commons · General Debate

Department of Health and Social Care 2025-03-05

05 March 2025 · 32 other contributors

Opened by Geoffrey Clifton-Brown Con North Cotswolds

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

At a glance

Geoffrey Clifton-Brown raised concerns about department of health and social care 2025-03-05 in the House of Commons. A government minister responded. Other MPs also contributed.

Key points

  • Sir Geoffrey introduced the debate on the supplementary estimate for the Department of Health and Social Care, raising concerns about NHS productivity and funding allocation.
  • The Minister defended the Government's health and social care spending, noting an increase of over 22.5 billion in day-to-day health spending and over 3 billion in capital budget.
  • The Minister explained the 1 billion decrease in capital spending as part of investment in technology and new hospital programmes, with some shifts from capital to revenue due to funding nature.

How the debate unfolded

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

Opened the debate

Geoffrey Clifton-Brown Con North Cotswolds

As Chair of the Public Accounts Committee, Sir Geoffrey introduced the debate on the supplementary estimate. He emphasised the need for scrutiny to ensure taxpayers' money is used effectively and highlighted the drop in NHS productivity since the pandemic by approximately 23%. He also discussed the funding allocated for day-to-day spending which increased by £10.9 billion but noted a decrease in capital spending, expressing concern over long-term investment in hospitals.

Other contributors (32)
  • Layla Moran LD Oxford West and Abingdon

    Echoed Sir Geoffrey's thanks to Amanda Pritchard for her service at NHS England and welcomed the appointment of Dr Penny Dash as the new chair. She stressed the importance of this moment in the future of the national health service.

  • Leigh Ingham Lab Stafford

    Pointed out that staff were still using paper to make notes on patients at her local hospital, highlighting inefficiencies due to the lack of effective digital systems. She agreed with Sir Geoffrey's view that investment in moving from analogue to digital was long overdue.

  • Chris Vince Lab/Co-op Harlow

    Acknowledged that productivity has worsened since the pandemic and suggested focusing on the mental health of NHS staff as a way to support their productivity. He emphasised the importance of addressing mental health issues within the NHS.

  • Andrew George LD St Ives

    Emphasises the need for integration between different parts of the NHS and social care systems to address delayed discharges. Suggests that more patients cannot be discharged due to primary healthcare conditions, highlighting the necessity for a more integrated approach.

  • Clive Betts Lab Sheffield South East

    Critiques complacency in NHS finances and lack of financial incentives for hospitals. Proposes moving towards community services to prevent hospital admissions. Advocates for better distribution of funding between primary care and hospitals, suggesting a diagnostic centre in Sheffield as an example of service improvement.

  • Name Unavailable Party Unspecified Sheffield

    Emphasises the inequality in healthcare provision and highlights a disparity of up to 10 years in life expectancy across Sheffield. Criticises current NHS initiatives, such as GP vaccination payment structures that favour wealthier areas over deprived communities.

  • John Glen Con Salisbury

    Pays tribute to the Member for North Cotswolds and discusses challenges faced by the NHS including productivity issues, integration of systems, public health, and social care. Acknowledges increased funding but stresses the need for enduring solutions beyond financial injections. Highlights difficulties in resource allocation between ICBs, GPs, and local authorities.

  • Danny Beales Lab Uxbridge and South Ruislip

    Argues that the NHS requires fundamental reform alongside investment, expressing concern about pressures on the system despite increased funding. Requests protection of capital budgets to facilitate necessary changes in infrastructure and service delivery. Advocates for integrated health and social care financial flows, improvement in primary care provision including GPs, pharmacies, optometrists, and dentists.

  • Gregory Stafford Con Farnham and Bordon

    Discusses the challenges of healthcare provision in his constituency, noting issues with fair access to services, particularly in growing areas like Bordon. Emphasises the need for NHS productivity reforms and better allocation of funding towards frontline care improvements rather than being absorbed by administrative costs.

  • Jen Craft Lab Thurrock

    Craft discusses the challenges faced by her constituents in accessing NHS services, noting health inequalities driven by factors such as housing, unemployment, and education. She supports the £22.6 billion funding commitment for revenue spending but argues that funding alone is insufficient to change how the NHS operates. Craft highlights the need to extend community diagnostic centre hours and reduce GP shortages.

  • Layla Moran LD Oxford West and Abingdon

    Moran emphasises the importance of following the money allocated for health and social care, expressing concern about potential wastage. She provides an example of a constituent facing a 16-year wait for autism assessment, highlighting the need for long-term thinking and technology to improve healthcare efficiency.

  • Steff Aquarone LD North Norfolk

    Notes closure of a reablement centre in his constituency, agrees with the need to reopen such facilities if budgets are properly integrated. Supports bridging gap between hospital and community care.

  • Neil Duncan-Jordan Lab Poole

    Acknowledges £25 billion funding for health and social care but notes funding challenges in social care; calls for a national debate on a new national care service providing free domiciliary and residential care. Criticises the false division between health and social care.

  • Joe Robertson Con Isle of Wight East

    Acknowledges £10 billion funding but notes it covers essential costs leaving a shortfall, stresses importance of productivity gains through technology use. Advocates for dementia diagnosis target reintroduction and proper funding distribution from hospitals to communities.

  • Josh Fenton-Glynn Lab Calder Valley

    Argued for the need to invest in community and social care, not just hospitals. Highlighted issues like GP retention crises and delayed discharges due to a lack of social care funding.

  • Seamus Logan SNP Aberdeenshire North and Moray East

    Discussed the impact of increased NHS expenditure on Scotland, highlighting financial pressures faced by GPs, hospices, charities, and local councils. Called for a flat exemption from additional employer national insurance contributions to help these organisations.

  • Nesil Caliskan Lab Barking

    Emphasised the importance of financial sustainability in NHS, critiquing the short-term budgeting approach that relies on reallocating capital budgets to cover revenue shortfalls. Noted the issue of NHS overspending during winter pressures.

  • Anna Dixon Lab Shipley

    Agrees with the hon. Member's point about raising capital budgets and highlights that a new Labour Government would properly fund plans for new hospitals in constituencies like Shipley where there are RAAC-infested buildings.

  • Gregory Stafford Lab Lincoln

    Agrees with the hon. Member's point about reform but emphasises that without shifts from healthcare to social care by the Government, ICBs will not follow suit. Also highlights the need for reform and productivity improvement.

  • Sarah Bool Con South Northamptonshire

    Concerned about the lack of plans to spend £22.6 billion on NHS reforms, efficiency, and supporting priority areas such as dentistry or hospice care. The increase in employer national insurance will cost surgeries £40,000-£50,000 which may lead to redundancies.

  • Ben Coleman Lab Chelsea and Fulham

    Supports the hon. Member's advocacy for prevention measures like earlier testing in children with type 1 diabetes and access to continuous glucose monitors and insulin pumps, highlighting the need for community care funding.

  • Agrees that solving GP contracts is a first step towards retaining NHS doctors in the UK. No contribution on specific prevention measures but supports the hon. Member's position.

  • Alex McIntyre Lab Gloucester

    Fights for the NHS, highlighting challenges such as maintenance backlogs and recruitment issues seen at Gloucestershire Royal hospital and Tuffley surgery. With Labour’s investment, waiting lists are decreasing and more midwives and dentists are available.

  • Helen Morgan LD North Shropshire

    Expressed concern over the crisis in NHS and care sectors, highlighted issues with funding cuts, procurement delays, pharmacy closures, and mental health waiting lists. Urged for faster action on community services and dentistry.

  • Nesil Caliskan Lab Wolverhampton East

    Asked Helen Morgan about the procurement processes of ICBs, agreeing that it affects their ability to progress projects.

  • Caroline Johnson Con Sleaford and North Hykeham

    Questioned Labour's lack of concrete plans for NHS reform, highlighted doubts about whether extra funding would cover inflation and pay rises. Asked the Minister to provide specifics on productivity improvements.

  • Alex McIntyre Lab Lincoln

    Asked the shadow minister for a concrete plan on how much extra funding they would provide to the NHS and how it would be financed, criticising the lack of a Labour plan despite their criticism of the government.

  • Sarah Wollaston Con Torington

    Criticised the government's pay deal for NHS staff, stating that they have given in on money without asking for productivity improvements. Highlighted warnings from healthcare providers such as RCGP and hospices about potential closures due to NICs rises.

  • Paul Maynard LD Blackpool

    Asked the Minister about reducing sickness levels among NHS staff to improve productivity, noting variations across trusts and professions.

  • Josh Fenton-Glynn Con Hemel Hempstead

    Questioned whether better pay would reduce sickness absences in ambulance services.

  • Ben Coleman Con Wakefield

    Acknowledged the Minister's response regarding Charing Cross hospital in his constituency being re-included in the new hospital programme. He expressed disappointment with the previous government's lack of funding for such projects.

  • Asked about interim reports from the independent commission on adult social care led by Louise Casey, seeking assurance that a first-phase report will inform the spending review before the final 2028 report.

Government Response

Defended the Government's health and social care spending, highlighting an increase of over £22.5 billion in day-to-day health spending and over £3 billion more in capital budget over this year and next. Emphasised the importance of making the right choices to ensure NHS recovery. Explained the £1 billion decrease in capital spending as part of investment in technology and new hospital programmes, with some shifts from capital to revenue due to funding nature. Confirmed no recent shifting has occurred since the autumn Budget. Announced a ban on such shifting going forward. Addressed social care reform through the independent commission led by Louise Casey.

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