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NHS Long-term Workforce Plan
03 July 2023
Lead MP
Steve Barclay
Debate Type
Ministerial Statement
Tags
NHSTaxationEmployment
Other Contributors: 25
At a Glance
Steve Barclay raised concerns about nhs long-term workforce plan in the House of Commons. A government minister responded. Other MPs also contributed.
How the Debate Unfolded
MPs spoke in turn to share their views and ask questions. Here's what each person said:
Government Statement
The Government note the comments that you have made from the Chair, Mr Speaker. [Statement omitted for brevity]
Question
The MP's question or point. Include their concern, local impact, or criticism. 2-4 sentences.
Minister reply
The minister's response to THIS specific MP. Include commitments, rebuttals, details. 2-4 sentences.
Liz Kendall
Lab
Leicester West
Question
The MP criticises the Government for adopting Labour's workforce proposals too late and questions the minister on the current state of NHS, including staff shortages, waiting lists, GP access issues, and ambulance delays. She also asks about funding the plan and plans to address industrial action.
Minister reply
The Health Secretary responds by stating that Labour’s proposals lack detail on reforming the NHS, do not cover the same scope or timeframe as his plan, and ignore certain key areas like GP trainees, pharmacists, and primary care. He highlights the Government's progress in delivering their manifesto commitments and claims that Labour’s proposed measures to fund its plans would not be effective.
Question
The MP commends the training piece of the plan and questions how integrated care systems (ICSs) will play a role in staff retention and the creation of a 'one workforce' as mentioned in section 5.
Minister reply
The Secretary of State emphasises that ICSs are crucial for place-based commissioning, integrating workforces between NHS and social care. He mentions their roles in apprenticeship and vocational training, offering more flexibility to staff based on different career stages.
Rachael Maskell
Lab Co-op
York Central
Question
The MP notes the significant dental shortage and asks about an increase in dental training places next year.
Minister reply
The Health Secretary responds by stating that there is already a fifth more work than last year due to recent flexibilities, including changes to units of dental activity pricing. He acknowledges a 6.5% increase since 2010 and says the Government wants to go further within its £3 billion budget.
Maggie Throup
Lab/Co-op
Erewash
Question
I welcome the workforce plan and applaud NHS England’s ambition. However, for the plan to be successful, it is vital that we promote career options that often go unseen. I therefore urge my right hon. Friend to work with the Education Secretary and NHS England to ensure that young people are better informed about the myriad opportunities in the allied health professions and as healthcare scientists before choosing GCSE, A-level or university options.
Minister reply
My hon. Friend raises a brilliant point. I do not know if Members know, but there are 350 different types of role in the NHS. It is really important that we get the right information to children whose parents are perhaps not informed about those opportunities. This is about offering opportunities to people throughout their careers to progress and to take on more advanced roles.
Valerie Vaz
Lab
Walsall and Bloxwich
Question
I associate myself with the remarks the Secretary of State made about Bob Kerslake. He was a true public servant, and his death is our loss.
What is the point of a workforce plan if the Secretary of State is not actually talking to the workforce? When will he talk to the junior doctors and the consultants? Can I also ask whether the work on the workforce plan will start forthwith or sometime in the future?
Minister reply
The fact that we are talking to the workforce is shown by the fact that we have reached agreement with the largest workforce group in the NHS.
James Morris
Con
Halesowen and Rowley Regis
Question
I welcome this long-term plan, particularly its recognition that the skillsets required in the NHS over the next 10 or 15 years, with the requirement for multidisciplinary working and generalised clinical skills, are going to change. Does my right hon. Friend agree that two things are needed for implementation? One is to improve the sense of culture in the NHS, which could lead to better retention. The second element is to ensure that digital innovation, particularly the use of artificial intelligence to improve clinical skills and other skills, is rolled out more generally in the NHS.
Minister reply
My hon. Friend is exactly right. There is a requirement for more generalist skills in the NHS, not least given that one in four adults now has two or more health conditions. We need flexibility to respond to changes not just in technology, but in service design, which will evolve as well.
Paul Blomfield
Lab
Sheffield Central
Question
I thank the Secretary of State for his comments about Bob Kerslake, whose spell in public service included his time as chief executive of Sheffield City Council. He continued to have many roles in the city, where he will be much missed.
After this Government’s 13 years in charge, morale in the NHS is clearly at rock bottom, with the value of pay falling, pressures increasing and a record number of staff—almost 170,000—leaving the NHS last year. The CEO of NHS Providers said that that must be reversed, but all the Secretary of State talks about is a little bit of working flexibility. Does he recognise that he has to address the crisis in morale to stem the tide of people leaving the NHS?
Minister reply
It is simply not correct to say that this is simply about flexibility—for example, look at the very significant changes made on pension tax. That was the No.1 demand of the British Medical Association consultants committee, and the Government agreed to it.
Damian Green
Con
Ashford
Question
I congratulate my right hon. Friend on this welcome announcement. I was happy to join his celebration of the 75th anniversary in the most practical way by visiting the new children’s emergency department at the William Harvey Hospital in my constituency. It is opening for patients this week and will be extremely welcome. He will be aware that some of the problems of the NHS can be solved only if we solve problems in the social care system as well. I urge him to follow up this extremely useful and welcome workforce plan for NHS workers with a similar idea for the social care system, because unless we fix one, we will not fix the other.
Minister reply
My right hon. Friend makes a valid point about the integration between health and social care, which was a flagship part of the reforms in 2022. On social care more widely, we must also be cognisant of the differences. The NHS and social care employ roughly similar numbers at around 1.5 million people, but one is one employer and the other is 15,000 employers.
Daisy Cooper
LD
St Albans
Question
After promises of new hospitals that have not got off the ground and 6,000 more GPs that never came to pass, it is fair to say that the British public will judge the Government on their actions not their words. Let me press the Secretary of State further on social care. He will remember that at the start of this year, people were dying in the back of ambulances and in hospital corridors, in part because people could not be discharged from hospitals into social care. If the Government believe, as I do, that we cannot fix the NHS if we do not fix social care, will he also bring forward a workforce plan for our social care sector?
Minister reply
That repeats the previous question, so I will not repeat the answer. It is slightly ironic to call for a plan for a new hospital programme and for a long-term workforce plan, and then criticise us when we deliver on both of those, as we have done with more than £20 billion of investment in the new hospitals programme.
Philip Hollobone
Con
Kettering
Question
I welcome the NHS long-term workforce plan and in particular its emphasis on training, retention and reform. At the moment, about a quarter of NHS staff are recruited from abroad. Can the Secretary of State confirm to the House and my constituents that this plan enables the development of a strong pool of homegrown talent, so that we can reduce foreign recruitment more towards 10%, which would be a lot more sustainable for the long-term future of the NHS?
Minister reply
My hon. Friend is absolutely right. As we boost our domestic workforce training, there will be scope to reduce the number recruited internationally. From 1948 onwards, international recruitment has always played an important role in the NHS, and we are hugely grateful for the service offered by those recruited internationally, but we also recognise that as demography changes in other countries, there will be increasing competition for healthcare workers around the world.
Clive Efford
Lab
Eltham and Chislehurst
Question
I add my condolences to the family of Bob Kerslake. I would congratulate the Secretary of State on this announcement if it did not come 13 years into a Conservative Government. The NHS went from 2.4 million people on waiting lists pre-COVID to 7.4 million now, and there are 154,000 fewer staff than needed today.
Minister reply
Since 2010, the NHS workforce has seen a 25% increase with over 250,000 more people working in it compared to 2010. We have also delivered our manifesto commitment for 44,000 additional nurses and 29,000 roles in primary care.
Edward Leigh
Con
Gainsborough
Question
The proportion of GDP taken by the NHS has increased from 3.4% to 8.2%. Will the Secretary of State launch a study on fundamental reform of the whole nature and funding of our health system?
Minister reply
We are investing in research, screening, and detecting diseases early which improves patient outcomes and is fiscally more sustainable.
Stella Creasy
Lab Co-op
Walthamstow
Question
Figures from the Royal College of General Practitioners show that 53% of GPs cannot work in a flexible way. What will he do to get doctors with families back into the NHS?
Minister reply
The plan addresses flexibility and includes expansion of pension abatement rules, linking up to the NHS people plan for greater flexibility.
Richard Fuller
Con
North Bedfordshire
Question
How effective is the management of those human resources in the NHS? Will my right hon. Friend ensure that the NHS looks at important matters such as improving the quality of management systems and accounting control systems?
Minister reply
The plan is iterative, focusing on data and variation across the NHS to improve performance and decision-making.
Tan Dhesi
Lab
Slough
Question
We know a Government are out of ideas when they copy the Opposition’s plan. The majority of those policies will not be implemented until after the general election. Will he take responsibility for shortages and admit that had the Government acted more than a decade ago, the NHS would have staff it needs now?
Minister reply
The hon. Gentleman has not read the plan which is developed by NHS England with contributions from 60 different organisations across the NHS.
Question
We have a superb new accident and emergency in Scunthorpe, and we are pressing ahead with plans for a large, state-of-the-art community diagnostic centre. Would the Secretary of State consider a tie-in so that newly qualified dentists spend a minimum percentage of their time delivering NHS care?
Minister reply
The plan looks at tie-ins for dentistry to ensure around two thirds of dentists go on to do NHS work.
Battersea
Question
Despite the Conservatives adopting Labour's workforce plan, it lacks details on eye health. The NHS is currently short of more than 150,000 staff and has a crisis in ophthalmology with 80% of eye units not having enough consultants to meet demand. Will the Secretary of State say how many years it will take for the NHS to have sufficient ophthalmologists? Why won't he support my Bill for a national eye health strategy?
Minister reply
Significant investment is going into eye services now, such as the £3 million new eye centre at King's Lynn hospital which doubles patient care capacity.
Martin Vickers
Con
Brigg and Immingham
Question
Following condolences for Lord Kerslake, could dentists and GPs be directed to areas of greatest need like northern Lincolnshire?
Minister reply
The Under-Secretary is looking at how to deliver more services within the existing contract and what incentives can be put in place to ensure that parts of the country finding it hardest to recruit dentists are best able to do so.
Jim Shannon
DUP
Strangford
Question
The Royal College of Nursing faces cuts resulting in fewer nursing student places in Northern Ireland. Will Barnett consequentials apply to the £2.4 billion funding for NHS workforce plan? What discussions have you had with Northern Ireland's Department of Health and the Assembly?
Minister reply
Barnett consequentials will apply to the £2.4 billion funding over five years. In respect of new roles, regulatory changes apply on a UK-wide basis.
Question
With 50% increase in annual training places for GPs and £20 billion hospital programme, how will the Secretary of State ensure that there is guaranteed capital budget for new doctors as they join primary care teams?
Minister reply
My hon. Friend raises a valid point about section 106 applications for securing funding for GP practices through planning processes.
Grahame Morris
Lab
Easington
Question
With pressures and crises facing the NHS, the workforce plan should not be seen as complacent. The lack of cancer treatment capacity is concerning; only 27% of patients get radiotherapy or concurrent treatments compared to international standards of 55-60%. What are you doing about increasing the size of specialised radiotherapy workforce?
Minister reply
Within the framework of numbers, the impact of AI and service design will evolve over time. We have rolled out community diagnostic centres and are looking at innovations such as Moderna's bespoke vaccines for hard-to-treat cancers.
Question
A constituent raised concerns about staffing crisis in specialist paediatric dentistry. According to government statistics, 29.3% of five-year-olds have enamel and/or dentinal decay; the figure is as high as 38.7% in the north-west. The plan aims for 24% expansion by 2028-29 and 40% by 2031-32, but there’s no specific mention of specialist paediatric dentistry.
Minister reply
We are boosting overall staffing with more doctors and nurses this year. The plan is iterative and further work will go into which specialties are developed.
Helen Morgan
Lib Dem
North Shropshire
Question
Recruitment and retention issues in rural areas are particularly bad, such as North Shropshire where there are some of the worst ambulance waiting times, cancer treatment rates and diabetic care rates. What will be done to help rural areas?
Minister reply
The hon. Lady’s point speaks to stroke services and elderly population increases in many coastal and rural communities which has created significant pressure. We have five new medical schools and are looking at areas where recruitment is often hard.
Shadow Comment
Liz Kendall
Shadow Comment
I thank the Health Secretary for advance sight of his statement. I say “statement”, but what I really mean is “admission”—an admission that, after 13 long years, the Conservatives have run out of road, run out of ideas, and turned to Labour to clear up the mess that they have made. Make no mistake: at its heart, this is Labour’s workforce plan... [Response omitted for brevity]
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