Pat McFadden MP: speeches

Speeches

• 5 Jun 2025 · Civil Service Reform · Hansard source

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  My hon. Friend will know that waiting lists have fallen by around 200,000 since the election. We set an aim of 2 million extra appointments in the first year; we have not had 2 million extra appointments but 3 million, and the first year is not yet over. We are working closely with the Department of Health and Social Care on that. We know it is just the start: it is a good start, but we have a long way to go to get the health service back to the levels that we want to see.

• 24 Apr 2025 · Public Service Reform · Hansard source

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  This Government believe in the power of good public services to provide security and opportunity, but we are clear that the way in which the state works has to change. That is why we are reforming the planning system to get more houses built, why we have introduced free breakfast clubs to give children the best start to their day, why we have launched the AI action plan to drive the adoption of new tech in public services, and why a combination of investment and reform has helped us to cut NHS waiting lists for months in a row.

• 24 Apr 2025 · Public Service Reform · Hansard source

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  My hon. Friend is absolutely right. There is huge potential to increase NHS productivity through the adoption of new technology and AI. As I have said, the combination of investment and reform has helped us meet our election pledge to deliver 2 million extra NHS appointments in England in the first year seven months early, but we want to go further. We want to adopt the technology to which my hon. Friend has referred to get maximum productivity and better outcomes for patients.

• 24 Apr 2025 · Public Service Reform · Hansard source

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  The Health Secretary has talked about three big shifts that are part of the 10-year NHS plan. One of those shifts is from hospital to the community, which will require more services to be available locally. We have agreed a new GP contract, which will see a large boost to general practitioner funding, alongside reforms to improve digital access. If we are going to make this shift, it is important that services are available in the local community.

• 24 Apr 2025 · Civil Service Reform · Hansard source

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  Let me thank the thousands of diligent and hard-working civil servants who are dedicated to making people’s lives better. We want to get the best for civil servants and out of civil servants, so we are reforming the structure and the focus so that it is better placed to fulfil that purpose. That includes a number of important steps in recent weeks: robust performance management; better use of digital tools; faster recruitment; cuts to some wasteful spending; and a review of the arms-length body landscape, including the changes announced on NHS England, to return both power and responsibility to elected representatives.

• 6 Mar 2025 · Plan for Change · Hansard source

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  My hon. Friend is absolutely right; the additional resources for the NHS were only made possible by the Budget proposed by my right hon. Friend the Chancellor back in October. My hon. Friend is also right to say that as more money goes into the NHS, there is a duty to ensure that that is matched by reform. The 10-year health plan will set out how we will deliver an NHS by creating a reformed and modern health service to ensure that the extra investment results in faster and more convenient treatment for patients, because that is what we all want to see.

• 6 Mar 2025 · Plan for Change · Hansard source

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  I am pleased to report to the House that we are making progress in delivering our plan for change. After years of rising NHS waiting lists under the Conservatives, those waiting lists are now falling and last month we announced that we had met our first step pledge to deliver 2 million additional NHS appointments seven months early. In addition to that, the first 750 breakfast clubs will open in April to help children get the best start to their learning day, and our new criminal justice legislation is being introduced to protect the public from crime and antisocial behaviour, including the introduction of respect orders targeted at known troublemakers in our local communities.

• 6 Mar 2025 · Topical Questions · Hansard source

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  Since the last Cabinet Office questions, new procurement rules have come into force, which will help to deliver growth, drive value for money and, crucially, give small businesses greater access to the nearly £400 billion of Government procurement. They also include stronger new powers to exclude and debar suppliers on national security and performance grounds. We are also seeking out and reducing wasteful spending, including by using artificial intelligence to go through departmental spending line by line, because it is important that taxpayer funds are used for good public service outcomes. We are seeing the initial fruits of that in the first reduction in NHS waiting lists for years.

• 6 Mar 2025 · Topical Questions · Hansard source

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  As I have said a few times this morning, reform is important, particularly when the taxpayer is being asked to put in extra investment. That is true in schools as well as in the NHS, because we want to ensure that teachers can do what they want to do, which is teach children in the classroom. That is also why the best start in life is one of the targets in the Government’s plan for change, which was published in December.

• 6 Mar 2025 · National Resilience · Hansard source

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  My hon. Friend is absolutely right to point not just to specific resilience measures but the most fundamental thing for national resilience: the underlying strength of the country and its services. Nowhere is that more true that in the national health service. We are investing in the national health service and are already seeing the early results of that, with the first fall in NHS waiting lists for years. It is a good start; it is not enough, and we want to build on that progress to treat patients more quickly and, indeed, build our resilience in the process.

• 23 Jan 2025 · Plan for Change · Hansard source

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  Since we launched the plan for change last month, we have published the elective reform plan to get NHS waiting lists down and the AI opportunities plan so that the UK is a great home for AI investment and the Government make the most of this technology. The aim of the plan for change is to increase living standards, cut NHS waiting lists, boost energy security, give children the best start in life, make our streets safer, and build the houses that the country needs for the future. Just today, we have announced measures to stop repeated judicial review attempts from holding up major investment projects that are in the national interest.

• 23 Jan 2025 · Plan for Change · Hansard source

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  I thank my hon. Friend and parliamentary neighbour for his question. I know his constituents well in Wolverhampton and he is right that a higher standard of living, lower NHS waiting lists, more housing and children getting a better start in life will be good for his constituents in Wolverhampton and good for constituents right around the country.

• 23 Jan 2025 · Public Services Reform · Hansard source

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  At the heart of what we want to do is improving living standards, outcomes and opportunities for all. One of the consequences of the long waiting times and waiting lists in the NHS in recent years is that it has been tougher on those who simply cannot afford to pay. It is therefore in the interests of good health and equal access to put in the investment that was announced by the Chancellor in the Budget, which is being taken forward in the plans announced by my right hon. Friend the Secretary of State for Health and Social Care.

• 23 Jan 2025 · Topical Questions · Hansard source

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  My right hon. Friend the Secretary of State for Health and Social Care met with colleagues on this issue. We believe the vaccine programme had great benefits for the UK, but there is a compensation scheme in place for cases where that was not the case.

• 23 Jan 2025 · Topical Questions · Hansard source

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  My hon. Friend is absolutely right to draw attention to the increased funding for the devolved Government in Scotland as a result of the Budget. We are also putting more money into the NHS in England. He is right to say that when we ask the taxpayer to pay more, that should come with reform. My right hon. Friend the Secretary of State for Health and Social Care has been clear about that, and I hope it applies elsewhere too.

• 16 Jan 2025 · Covid-19 Inquiry · Hansard source

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  I thank the hon. Gentleman for his service to the public during the pandemic, and anybody who worked or volunteered in the NHS or in other ways for what they did. Of course, MPs and the Government must have access to the best information they can, but I remind him of something else I said in my opening statement. In the end, the accountability for policy and resource allocation decisions lies with the Government of the day. I do not say that in a partisan way. It is important to establish it as an understanding of how we deal with these things in future.

• 16 Jan 2025 · Covid-19 Inquiry · Hansard source

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  The hon. Gentleman is right about the need for robust research. I do not analyse the research projects one by one, but I thank him for his service, and underline what I have said a few times today: the best insurance that we can have in responding to another crisis like the one that we went through some years ago is the underlying strength of the country and the NHS. That is why we have made the decisions to put resources into the NHS to help to turn it around and make it stronger in the future than it is today.

• 16 Jan 2025 · Covid-19 Inquiry · Hansard source

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  The most fundamental thing, apart from specific recommendations or specific changes, is the underlying strength of the country and its services. That is true nowhere more than in the national health service. That is why the Budget, which has been attacked a lot, put in the resources to begin to turn the health service around. We can have the forums, the structures and the processes, but the underlying strength of the country is the most important thing. The hon. Lady asked about the exercise this autumn. I very much hope it will not be the last; the inquiry recommended that they happen on a regular basis. It will be the first for many years and we want to make sure we learn as much from it as possible. In terms of funding for local resilience forums, they play an important role and we were able to put some increased resources into local government in the next financial year. That area, like others, will have to be considered in the round in the spending review that will be published later this year.

• 16 Jan 2025 · Covid-19 Inquiry · Hansard source

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  I would like to make a statement on the Government’s response to module 1 of the covid inquiry. In July last year, Baroness Hallett published her report from the first module of the inquiry. It concluded that the UK was not as prepared as it should have been for the pandemic and that more could and should have been done. In my statement to the House immediately following the publication of her report, I committed to responding in full within six months. Before I turn to the Government’s response, I want to place on record once again my thanks to Baroness Hallett and her team for the work they have done so far in the inquiry. I also pay tribute to the families and friends who lost loved ones during the pandemic, some of whom are with us in the Gallery. Earlier this week I visited the national covid memorial wall just across the river from here. I am grateful to the friends of the wall who have so lovingly cared for it and maintained it over the past few years. As I said in my statement in July, the Government’s first responsibility is to keep the public safe. That is why since we were elected, we have taken steps to strengthen the UK’s resilience. I announced a review of national resilience. Work on that review is proceeding, and I will update the House on its conclusion in the spring. The Prime Minister has established a single Cabinet Committee for resilience, which I chair, which meets to ensure clear and rigorous ministerial oversight. We have adopted the 2023 biological security strategy to protect the UK and our interests from significant biological risks. In April, the new UK Resilience Academy will be launched. It will train over 4,000 people in resilience and emergency roles every year and help them plan for and manage a range of crises, including pandemics. I should also acknowledge, as I did in my first statement back in July, that in some areas these improvements build on work carried out by the previous Administration. The improvements that we have made to our resilience have been put to the test over the last six months. Those include the Prime Minister chairing a number of emergency Cobra meetings to address the violent disorder that occurred over the summer and working across our four nations to anticipate and contain clade 1 mpox cases in the UK. Since July, we have also sent two emergency alerts to provide advice to the public in life-threatening situations. During Storm Darragh, because of a very rare red—danger to life—warning, an alert was sent to over three million people in affected regions. More recently, we issued a very localised warning over flooding danger. The Government will carry out a full national test of the emergency alert system later this year. That will ensure that the system is functioning correctly, should it need to be deployed in an emergency. The covid module 1 inquiry found that years of under-investment meant that pandemic planning was not a sufficient priority, that our health services were already suffering and beyond capacity, and that there were high levels of illness and health inequalities. All of that meant that the state was ill-prepared to manage a crisis on this scale. Therefore, apart from the specific recommendations, delivering on the Government’s missions—particularly in this context, building a national health service fit for the future—will contribute in important ways to the UK’s resilience. Pandemic planning and resilience are about not just specific resilience measures but ensuring the underlying fundamentals of our country are strong. I thank the devolved Governments for their co-operation in preparing our response today. We will continue to work together for the safety of the communities we serve. I turn to specifics. There are three new commitments that I wish to highlight. First, the inquiry recommended that the UK Government and devolved Governments should together hold a regular UK-wide pandemic response exercise. We agree and will be undertaking a full national pandemic response exercise later this year. It will be the first of its kind in nearly a decade. It will test the UK’s capabilities, plans, protocols and procedures in the event of another major pandemic. It will be led by senior Ministers, involve thousands of participants and run across all regions and nations of the UK. Alongside the Health Secretary, I have written to all Cabinet Ministers to ask for their commitment to full participation. The exercise will take place in the autumn over a number of days. The Government will communicate the findings and lessons of the exercise as recommended by the covid-19 inquiry. Secondly, the inquiry found that the pandemic had a disproportionate impact on vulnerable groups and continues to affect many people in those communities. A new national vulnerability map created by the Cabinet Office with the Office for National Statistics will geographically map population numbers of those who may be vulnerable in a crisis. It will do that by sharing data including age, disability, ethnicity, and whether someone is receiving care. The map will improve the Government’s understanding of the scale and location of disproportionately impacted populations ahead of and during crises and enable targeted local support when required. Thirdly, as the inquiry reminds us, the risks we face are changing more quickly than ever before, and we live in an increasingly volatile world. It therefore recommended a better approach to risk assessment across the board, which we accept. Today, I am publishing an updated national risk register: the public-facing version of the national security risk assessment, which provides businesses and the voluntary and community sectors with the latest information about the risks they face to support their planning, preparation and response. We will ensure that it continues to be updated regularly. A significant proportion of the risks will be subject to reassessment over the next few months, and we will publish a further updated risk register as needed once the process is complete. I want to mention two further recommendations where the Government accept the underlying objectives and propose to take them forward in specific ways. First, the inquiry recommended Cabinet Office leadership for whole-system civil emergencies in the UK. We agree with that, as for whole-system emergencies such as a pandemic, the centre of Government needs to play a lead role. But for lower-scale emergencies, we believe that the lead Department model still has value. It remains important for Departments with the day-to-day responsibility for an issue to lead the work to identify serious risks and ensure that the right planning, response and recovery arrangements are in place. Therefore, in some circumstances we will retain the lead Government Department model, because, in those cases, responsibility and oversight should sit with the body with the best understanding, relationships and mechanisms for delivery to identify and address risks. There will be an enhanced role for the Cabinet Office to improve preparedness and resilience for larger-scale catastrophic risks. Secondly, on the question of independent input into whole-system civil emergency preparedness and resilience, we agree with the need for independent strategic advice and challenge, including the use of so-called red teams. We are establishing eight expert advisory groups to combat group-think in our understanding of risks. Alongside that, through the crisis management excellence programme we will increase training in red teaming. We want to work with the local resilience forums that exist around the country who provide critical knowledge and expertise. The Government are also committed to introducing a duty of candour on public authorities as a catalyst for a changed culture in the public sector to improve transparency and accountability. We also welcome and will draw on the expertise of multidisciplinary pandemic science institutes that provide world-leading academic and scientific expertise such as the excellent Pandemic Institute in Liverpool, which I was pleased to visit yesterday. In the end, the Government must remain responsible and accountable for the policy and resource allocation decisions they take, but we believe that the external input of those bodies can add value to that decision making. The impact of the covid-19 pandemic was unprecedented in modern memory. It caused the loss of far too many lives. My thoughts, and the thoughts of the whole Government, continue to be with all those who lost loved ones during the pandemic. Many of them feel not just grief but anger that, as Baroness Hallett’s report sadly confirmed, the country was not as prepared as it should have been. My Department will monitor the implementation of the commitments made in response to the covid-19 inquiry. In all this, we must remember that the next crisis may not be the same as the last. There is a need for flexibility in our planning and learning, and we will build that into what we do. The Government also remain committed to engaging fully with the inquiry, and await Baroness Hallett’s findings and recommendations in subsequent module reports as she continues her important work. I commend this statement to the House.

• 16 Jan 2025 · Covid-19 Inquiry · Hansard source

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  This is something the inquiry intends to look at in the future, but let us state the obvious: parents of young children in a flat with no outside space had a very different experience of the covid pandemic compared with someone with a nice big garden. That is true. I totally understand the public health decisions that were taken, but they did not affect everybody equally. That is something to ponder for the future.

• 16 Jan 2025 · Covid-19 Inquiry · Hansard source

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  My hon. Friend is right. Cracks in our society were exposed; this did not affect all parts of society equally. We have to learn from that and respond to it. The very concept of having a society should mean that in an emergency we pull together and try to overcome it together. The map we are producing will help us somewhat in identifying where those risks are. However, as I said in my statement, the most important thing is the underlying strength of the country and its institutions, and, in this context, specifically that of the national health service itself.

• 5 Dec 2024 · Plan for Change: Milestones for Mission-led Government · Hansard source

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  I can give my hon. Friend that commitment, and I can assure her of the passion that the Secretary of State for Health and Social Care feels for this goal, for turning around the system and for reducing waiting lists and waiting times. He knows how important that is for patients, and for our goal of growing the economy, and that is why the goal is part of the document.

• 5 Dec 2024 · Plan for Change: Milestones for Mission-led Government · Hansard source

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  I am sure that in every part of the country, Governments who run the NHS want to see waiting lists fall. We put that at the heart of the plan for change today because it drives the whole system, and because the levels of satisfaction with the NHS that we inherited were the lowest ever recorded. No Government can be content with that; I can tell the right hon. Gentleman honestly that no Labour Government are content with it. That is why it is an important part of the plan.

• 5 Dec 2024 · Plan for Change: Milestones for Mission-led Government · Hansard source

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  My hon. Friend makes a very good point. As I said in my statement, let us consider what the situation would be if we did not do these things. We would just carry on with the situation that we have, in which, for example, young people work harder and harder and think, “How will I ever get a home of my own?”, and people waiting for NHS treatment are told that they might have to wait for 18 months or two years. That is too long to wait for treatment. That is why we put those things at the heart of the document today. It will make a real difference to people’s lives if we manage to meet the milestones. They are challenging, but doing this can help drive the system and ensure progress towards our goals.

• 5 Dec 2024 · Plan for Change: Milestones for Mission-led Government · Hansard source

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  I absolutely agree with my hon. Friend. When we came into office in 1997, we were also faced with an NHS that was in severe difficulty. Let me be clear with the House: meeting that target is extremely challenging, but we believe that by setting it and driving the system towards it, we can make real progress towards reducing waiting lists. What a contrast in terms of what the public felt. When we left office in 2010, the public satisfaction rates with the NHS were the highest ever recorded. When we came back into office in July, those satisfaction levels were the lowest ever recorded. That is what we are trying to turn around through the plan we have published today.