PARLIAMENTARY DEBATE
Topical Questions - 7 January 2025 (Commons/Commons Chamber)

We have been busy announcing investment in hospices, an uplift in funding for general practice, action through disabled facilities grants and a new independent commission on adult social care, and yesterday the Prime Minister announced the elective care reform plan. As I have said, however, the NHS is experiencing a period of significant winter challenge. The number of beds occupied by people with flu has been much higher than the number last year, and is continuing to rise. An average of just over 4,200 beds were occupied by flu patients at the end of December, surpassing the peak of about 2,500 reported last year. We monitor the situation closely, working hand in hand with NHS England and care leaders, and I continue to chair weekly meetings with senior leaders in social care, NHS England and the UK Health Security Agency.

We are determined to improve children and young people’s experience of both mental and physical health services, and we are determined to do more to ensure that mental health and paediatric waits are put under the spotlight and given the same attention as the overall elective backlog. I am sure we will have more to say about that when we publish the 10-year plan.

The shadow Secretary of State is right to say that we need staff in place to do the job. The additional funding announced by the Chancellor in the Budget is central to the delivery of this plan—I note that he opposes that funding, which is deeply regrettable—but we need to improve productivity as well. That is why the plan sets out steps to free up patient appointments that are unnecessary or of low clinical value, but, crucially, staff time in productivity gains is also important, so as well as making the most of the additional investment, we are making the most of delivering value for taxpayers’ money—

The £100 million capital investment we set out before Christmas is the biggest boost to hospice funding in a generation, and it comes on top of the £26 million that we announced for the children and young people’s hospice grant. The right hon. Gentleman cannot welcome the investment and keep opposing the means of raising it. Would he cut services or raise other taxes? He has got to answer.

Yes, I or the Minister of State for Health would be delighted to meet the hon. Member. She is right to describe the scale of challenge in urgent and emergency care. Of course, there are other challenges in east Kent, particularly in maternity services, which I am acutely aware of too, and I would be delighted to work with her to help solve some of those challenges in her community.

I was in Cumbria recently, and I was struck by the fact that the care home I visited in Carlisle is delivering great intermediate care for the NHS at half the price of a hospital bed—a really good example of how social care often delivers better value and better care. However, the hon. Gentleman is right about the recruitment challenges. We are determined to work with local training providers and the local university to make sure that we recruit social care workers, grow our own in Cumbria and keep them in Cumbria.

The Conservatives cannot, on the one hand, welcome the investment and, on the other hand, condemn the means of raising it. Would they cut NHS and care services, or would they raise other taxes? They have to answer.

I would be delighted to meet my hon. Friend. She was literally the first person to lobby me immediately after the general election, about her hospital, having already lobbied me before. I am delighted that, thanks to her efforts, we have been able to deliver for her community; indeed, thanks to your efforts, Mr Speaker, we have done so for yours too. I would be delighted to meet her.

I welcome the former Prime Minister’s question, and he is right to commend the research. We are actively looking at it. Given that he is here and that we are currently taking through the Tobacco and Vapes Bill, I thank him for his leadership on that issue.

The hon. Member is right to raise cases where there are multiple comorbidities or complex conditions requiring a range of care services. That is why we need to design services around the patient, not expect patients to contort themselves around the services. Our approach to neighbourhood health services should make a real difference in that regard, but we have to go further and faster on health and care integration, and we absolutely will.

I am delighted to have my hon. Friend and his experience in the House, standing up for his community and giving us his advice and wisdom as we develop our 10-year plan. We are already walking the talk on the shift to community, not least through the big uplift in funding for general practice announced before Christmas. Many people assume our elective reform plan is just about hospital waiting lists, but a big part of it is about delivering the left shift by asking and funding general practice to do more to manage patients in the community.