A three-and-a-half-hour journey takes six hours; a straight journey ends up with two changes and a diversion; a train is cancelled at short notice. This has become the experience of a west coast rail passenger. If Avanti does not get its act together, will the Government cancel its franchise?

I join the Prime Minister: our prayers go out to those who capsized in the freezing waters of the channel last night. It is a reminder that the criminal gangs running those routes put the lives of the desperate at risk, and profit from their misery. They must be broken up and brought to justice. Tomorrow will be the first ever nationwide nurses' strike. All the Prime Minister has to do to stop that is to open the door and discuss pay with them. If he did, the whole country would breathe a sigh of relief. Why won't he?

Nurses going on strike is a badge of shame for this Government. Instead of showing leadership, the Prime Minister is playing games with people's health, and there is a human cost: Alex from Chester has been waiting for a gallbladder operation for nearly six months. He is in so much pain that he has been off school since then. His operation has already been cancelled twice. His mum, who I spoke to this morning, is worried sick. When she heard that the strikes could be called off, she was massively relieved; she is desperate for the Prime Minister to resolve this. All he needs to do is simply meet the nurses. Alex's mum is listening to this. She does not want to hear the Prime Minister blaming everybody else; she does not want his usual ducking of the question. She is tuned in now because she wants him to explain: what is he going to do to resolve the nursing strike?

In 12 hours' time, there is a nurses strike. All the Prime Minister needs to do is meet the nurses. His inaction speaks volumes. As ever with this Prime Minister, it is Tory politics first, patients second. We have never seen a nurses strike like this before. They have been forced into it, because the Government have broken the health system. Ask anyone in the NHS, and they will tell you that they do not have enough staff—133,000 vacancies—and there is an obvious solution: scrap the non-dom status and use the money to bring through the next generation of doctors and nurses. That is what Labour would do. Why has he not got the guts to do it?

As usual, the Prime Minister tries to blame everyone else. His Department commissioned a report into the NHS that reported on Monday. It said: “We have…had 10 years of managed decline.” It was not covid; responsibility is sitting right there. The reason that he cannot choose nurses over non-doms is because he is too weak to stand up to the tax avoiders. For 12 years, Conservative Governments have not trained enough doctors and nurses, so we have the absurd situation of the NHS spending billions on agency workers to fill the gap. Why should the country have to put up with money that should be spent treating patients being wasted plugging gaps instead?

There the Prime Minister goes again, pretending everything is fine. Try telling that to those on waiting lists or those who cannot afford to pay for a next day GP appointment. After 12 years of Tory failure, winter has arrived for our public services, and we have a Prime Minister who has curled up in a ball and gone into hibernation. If he cannot act on behalf of patients or nurses, or everyone who wants these strikes called off, then surely the whole country is entitled to ask: what is the point of him and what is the point of the Government he is supposed to be leading?

The questioner criticises the government's programme regarding NHS staff pay and asks for lectures from the Prime Minister about that issue.

As the A3 narrows through Guildford, it is sadly the most polluted road in the strategic road network. Does my right hon. Friend agree that it is time to think big and tunnel the A3 under Guildford?

The Health Secretary appears completely unwilling to negotiate with unions on pay. May I ask the Prime Minister when he will follow the Scottish Government's lead?

People in Scotland are genuinely terrified due to high energy bills. Is it not the case that Scotland has the energy; we just need the power?

Will my right hon. Friend urgently speak to the Secretary of State for Transport and encourage him to use his powers to reverse this decision?

Can the Prime Minister give a cast-iron guarantee that the dreadful cancer backlog will not get any worse? Secondly, when will the Government meet their own cancer target?

With the closure of the last bank in Cheadle, my constituents have no access to cash and banking facilities, impacting businesses and the high street. Will the government support local calls for post office banking hubs?

Sharon's family endured a year with her 11-year-old daughter suffering from severe anorexia, forced into a hospital far away. Will the Prime Minister commit to improving NHS mental health provision for young people so no family endures such trauma?

Nicola's dad Bryn continues his campaign for police officers who die on duty to be awarded the Elizabeth medal posthumously. Does my right hon. Friend agree it's time to commemorate these brave individuals by awarding them this medal?

People are suffering due to poor policies by the UK Tory Government. The economy has crashed, millions fear winter cold, and divisions are stoked over striking workers instead of negotiating fair deals. Why does this Prime Minister only rely on questionable PPE suppliers in the House of Lords, bankers, and former PMs getting taxpayer-funded handouts for partying through covid?