Wes Streeting MP: speeches 2025

Speeches

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I can give my hon. Friend the assurance that the royal college fees that I outlined in my statement will be covered by us. That will be a material saving in resident doctors’ pockets. Exam fees will also be backdated, recognising that many doctors will have already done those exams and paid the fees. I hope that that gives my hon. Friend and resident doctors in her constituency the confidence that this is a good deal and one that we can move forward on and campaign on together.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I completely agree with my hon. Friend. The BMA has put the offer to its members in neutral terms, but the fact is that it is now going to run a hasty survey over the next few days in order to give us what will still be less than 48 hours’ notice of whether or not these strikes will go ahead. If it took up the mandate extension, it could run a referendum properly and give its members more time to consider and discuss the offer in the workplace and with their families and reps. I do not see how more participation in the conversation and in the ballot could possibly be a bad thing. As I have made clear to resident doctors, there are no downsides for the BMA in this. In fact, the only person who risks having a downside is me if, even after accepting the mandate extension, the deal is rejected and the doctors go out on strike again in January. This is not even a win-win scenario; this is a potential win-lose scenario, so I do not know why the BMA would not take it up. This is a great offer for doctors. I know there will still be more to do, whether that is the implementation of the 10-point plan that Jim Mackey has come up with, my offer to work with the BMA trust by trust and employer by employer to see progress, or any of the other things we can do together. If we work together, we can get more done together. If we are working as partners rather than adversaries, we will all enjoy it a lot more and we will make more progress, and that is the opportunity that is available.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  My hon. Friend is absolutely right. I do wish the BMA would take yes for an answer sometimes; I would like it even more if the BMA gave yes as an answer to me once a while, but that has not happened in a little while. He is right to talk about the need for workforce planning. The workforce plan, which is in production, is all about making sure we have the right people in the right place at the right time. He mentioned mental health specifically. Our manifesto committed to 8,500 extra mental health workers over the course of this Parliament, and I am happy to report that we have already delivered well over 6,500. There is lots done, but more to do.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I will say to the right hon. Gentleman that we are doing everything we can to mitigate against harm during the proposed strike dates, but I cannot in all honesty and integrity assure him that no patient will come to harm next week should the strikes go ahead, because the situation is so dire. I really urge the BMA to reflect on that overnight and into tomorrow and to ask themselves—perhaps their members will also ask this of their reps—whether it is really necessary to strike next week, given the offer of an extension to mandate. To the right hon. Gentleman’s final point, when I was the president of the National Union of Students, I was once asked by a Labour member of a Select Committee that I was appearing before whether I was speaking for my members or for my activists. There is sometimes a difference between the two. I know that lots of people have campaigned hard for pay restoration and that many people are involved in the Doctors Vote campaign in pursuit of that aim. I think there are many doctors, however, who recognise that there has been real progress on pay and that what we are putting forward now is meaningful progress on jobs, too. I say to all members of the BMA: do not let the perfect be the enemy of good, especially when the stakes are so high.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I am grateful to the hon. Gentleman for his support. He is right to raise concerns about the impact on urgent emergency care. We will do our best to keep the show on the road, but I cannot make guarantees in the way that I would want to about the quality or timeliness of care. I place on record my thanks to my counterpart in Northern Ireland, Mike Nesbitt, as well as to my counterparts in Wales and Scotland, for the constructive approach that they have taken in making this possible.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I am grateful to my hon. Friend and I hope that point is not lost on the BMA. On the Labour Benches, we are the party of labour. We were created by the trade union movement to represent the interests of working people. That has been our calling for more than a century, since this party was founded. We have shown through our actions, not just our words, that this is a party in government who are committed to defending and extending the rights of working people, to improving pay and conditions, to clamping down on exploitation, and to making sure that this is a Government with and for the people. The BMA has a willing partner with this Government. I sometimes feel like the Government have changed, the policies have changed and the approach has changed, but the BMA’s tactics towards us have stayed the same. I understand their cynicism about politics and their grievances with the situation they are working in, but I ask them also to recognise the progress we have made when we work together. There is an opportunity confronting them now to make further progress and I urge them to seize it.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I wholeheartedly agree with my hon. Friend. I was about to say that it is always a disappointment when Reform and Green Members do not appear in the Chamber, but I would not want to be accused of misleading the House. I am sure they had a better offer, and there is a Christmas party up the road. In all seriousness, my hon. Friend is absolutely right. The tragedy of the past couple of rounds of industrial action is that each round costs about a quarter of a billion pounds. Each round, despite the best efforts of NHS leaders and frontline staff, does cause disruption, and we all lose when that happens. One of the things that is really hard for staff is that they are also confronted in a very real way with the impact of the state of the NHS on their patients. They are not in it for themselves, but because they believe in public service and want to improve the health of our nation. We are so much better able to achieve our shared goals if we work together, and we can grasp that opportunity if doctors vote for this deal, we draw a line under this dispute, and we try to reset the relationship between me and this Government on one hand, and the BMA’s leadership on the other.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  My hon. Friend is absolutely right. It also costs us roughly a quarter of a million pounds each time the BMA does this, and we cannot afford to keep paying that. It may say, “Well, then just do a deal with us and you will not have to fork out,” but then why would the rest of the NHS workforce, or the entire public sector or the entire economy, not go on strike? That is not constructive, and it is not going to get the NHS or Britain out of the enormous hole it was left in by the Conservatives. We are making real progress together, and I thank resident doctors for that. We will make more if we work together.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  My hon. Friend is absolutely right. To be honest, the thing that causes me most anxiety is that, although I know that the NHS is on the road to recovery, we are surrounded by an enormous amount of jeopardy. We need, as much as we possibly can, to make sure that we are not inflicting avoidable damage or setbacks on our progress, and it feels like that is what this round of strike action represents. My hon. Friend is right to praise NHS leaders and managers. I know how emotionally invested they are in seeing their patients and their staff through this Christmas, and I urge resident doctors and the BMA to take up not only the deal but the opportunity to at least put off strike action to January.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  My hon. Friend has so much expertise on health and on employment rights and trade union law, and he is right. That is why this Government have chosen a different approach. We want to work with all our trade unions, we want to work with the BMA, and we can still do so if we hit the reset button and each of us commits to building a more constructive relationship.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I thank the Liberal Democrat spokesperson for his support, as well as for the constructive challenge. He is absolutely right to describe the challenge that we inherited, and we are seeking to deal with it. We have taken a number of steps along the way. For example, we promised to recruit an additional 1,000 GPs to the frontline in our first year. We expanded the additional roles reimbursement scheme in order to do that, and we were actually able to recruit an extra 2,500. The international medical graduate dimension of the deal means that the extra speciality training places go even further. Although I would never pretend that the steps we have taken in our first 18 months in office have solved everything all at once—there is no shortage of things to solve—I say to those BMA members considering how to cast their vote that we have delivered a 28.9% pay rise, have taken action on international medical graduates through urgent legislation, and have expanded speciality training places. This is real progress. It is meaningful change in people’s pockets and to their lives, working conditions, career progression and prospects. The BMA should please not let the perfect be the enemy of the good. We have a lot of fires to put out on a lot of fronts as a Government, and that does take time. We are committed—and I am personally committed—to working constructively with the BMA on things like workforce planning to address those issues, if it is willing to work with us. That is all I ask. It is all I ask from any part of the NHS workforce. It should work with us constructively, understand our constraints, work through the challenges with us, and we will all get to a better place and create a rising tide in the NHS that lifts all ships.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I thank the hon. Gentleman for the first bit. As for the rest of it, let me just say that the NHS workforce plan we inherited came in the 14th year of the Conservative Government. It was so absurd—it was so absurd—that on its trajectories for the increase in staffing numbers, within this century, 100% of the public would have to work for the NHS to sustain that level of workforce growth. And that is against the backdrop of AI, machine learning, genomics and the revolution in life sciences and medical technology that will change the NHS workforce and change the face of medicine. We are working with the royal colleges, think-tanks and trade unions to make sure that in the new year our workforce plan is more credible. The hon. Gentleman is right to say that we are taking a bit longer with the workforce plan than I had originally intended. We are doing that because I was asked to do so by the partners that we will need, to ensure that the modelling and assumptions underpinning the workforce plan are good. I am always prepared to take a little bit more time to get it right, than to rush something out. That is the spirit in which I have engaged in workforce planning.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  First, I thank the shadow Health Secretary for the constructive terms on which he has agreed to work with the Government. That should give resident doctors across the country who receive their survey the confidence of knowing that, should they vote for this deal, emergency legislation will be introduced in the new year. We will be able to work at pace, because with the majority that the Labour party has in this House, and with cross-party support in the other place, we can make sure that we expedite the legislation and achieve our goal of making the changes for international medical graduates that we have always intended to make, and that we committed to well in advance of today. By expediting those changes, there will be a direct impact on people applying for speciality places now and those who, even in recent weeks, have experienced the disappointment of not receiving the training place they had hoped for. We can keep that hope alive. We can improve the number of specialty places available if resident doctors vote for this deal, so I urge them to do so. The shadow Health Secretary asked why we had not dealt with this before. I am tempted once again to revert to my usual analogy of the arsonist heckling the fire brigade, but given the constructive terms on which he has offered to work with us on this, I will pull my punches a little. I will say, however, that putting together the 1,000 extra places now, and bringing together the legislation urgently, requires significant operational detail. He is right: we have to ensure that we have enough trainers. Jim Mackey and his team have literally been working trust by trust to ensure that we can give the shadow Health Secretary, the House and resident doctors an assurance that we can facilitate those extra places. When it comes to the legislation, the shadow Health Secretary will know, and people will appreciate, that this is fiendishly complicated. I have had to secure agreement from business managers, as we have a packed legislative programme. We have had to make sure that the Bill would be legally watertight and consistent with both domestic law and our international treaty obligations, and I have needed support from my counterparts in Wales, Scotland and Northern Ireland. I must thank them sincerely for the spirit in which, regardless of party, they have worked with this Government; we can give resident doctors that assurance. As for what will happen if the strike goes ahead, let me say first that the shadow Health Secretary was right to say that frontline staff and NHS leaders did a superb job of managing previous rounds of strike action. In fact, during the last round we did indeed maintain 95% of planned care, and I believe—we will see when the waiting list figures are published in January—that the impact on waiting list progress will therefore not have been as severe as it might have been. However, I must be upfront with the shadow Health Secretary and the House and point out that there is a very different degree of risk this time. While we are aiming to maintain 95% of elective activity, I cannot guarantee that. I cannot give that assurance in all good conscience, given the level of pressure that we are under. I offered to extend the mandate, so that the BMA could reschedule the same amount of strike action for January, if its members reject this offer, and I do not understand why the BMA would not do that. I find it inexplicable. As a Labour MP, I have spent a lot of time in rooms with trade unions and negotiating, and I honestly cannot think of a single other trade union in this country that would behave in this way. I am shocked by it. I am shocked because of the risk that it poses to patients and the pressure that it places on other NHS staff, and shocked because it threatens the recovery of the NHS that we all care about. I would say this to resident doctors who are following these exchanges: listen to what the Conservative party has said about trade union laws, and about their rejection of the deal that we struck within weeks of coming into office. There is not a more pro-NHS, pro-doctor Government waiting in the wings. There is a Labour Government who are committed to the NHS, and committed to the NHS workforce, who have gone further than any other Government before on pay, on terms and conditions, and on the pace at which we are improving them. These were never grounds for strike action before, and they are certainly not grounds for strike action now. I appeal to resident doctors, over the BMA, to do the right thing, to vote for this deal, and to work with a Government who want to work with them.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  With permission, Madam Speaker Deputy, I shall make a statement on industrial action by resident doctors. I thank you, Mr Speaker, business managers and the official Opposition for facilitating this evening’s statement. As we head into winter, our hospitals are running hot and the pressures on the NHS are enormous. Flu season has come earlier, with a sharp rise in cases and the peak still to come, and this year’s strain is more likely to affect older people more severely. Already, the number of patients in hospital in England with flu is the highest on record at this point in the year. It is 50% higher than this time last year and 10 times higher than in 2023. Some 95% of hospital beds are occupied, growing numbers of staff are off sick and we are already seeing the pressure in our A&E departments. It is against that backdrop that the British Medical Association is threatening to douse the NHS in petrol, light a match and march its members out on strike. This represents a different magnitude of risk to previous industrial action. The BMA resident doctors committee is in dispute on two issues: pay and jobs. On pay, resident doctors have already received a 28.9% pay rise—the highest in the public sector. For a first-year resident doctor, that is the equivalent of a £9,400 pay rise. I have been consistent, honest and up front with resident doctors that we cannot go further on pay this year. There is a gap between what the BMA is demanding and what the country can afford. Nor would further movement on pay be fair to other NHS staff, for whom I am also responsible and many of whom will never in their careers earn as much as the lowest-paid doctor. As I have made clear to the BMA and other trade unions, I am open to discussing multi-year pay deals with any trade union if we stand a chance of bridging the gap between affordability and expectations. On jobs, I have much more sympathy with the BMA’s demands. I have heard the very real fears that resident doctors across the country have about their futures; it is a legitimate grievance that I agree with. My Conservative predecessors created training bottlenecks that threatened to leave huge numbers of resident doctors without a job. In 2019, there were around 12,000 applicants for 9,000 specialty training places. This year, that number has soared to nearly 40,000 applications for 10,000 places. It used to be the case that UK graduates competed among themselves for specialty roles; now, they are competing against the world’s doctors. That is a direct result of the visa and immigration changes made by the previous Conservative Government post-Brexit, and it is compounded by the Conservatives’ decision to increase the number of medical students without also increasing the number of specialty training places. Taxpayers spend £4 billion training medics every year—we then treat them poorly, and some leave to work abroad or in the private sector. It is time that we protect our investment and give bright, hard-working UK medical graduates a path to becoming the next generation of NHS doctors. Our 10-year plan for health set out our commitment to provide that path. It pledged to introduce 1,000 extra specialty training places and prioritisation of medical graduates from the UK and Ireland. Today, in an offer to resident doctors, I can announce that I am able to go further. I want to thank Sir Jim Mackey, the chief executive of the NHS, and his team, who have been going trust by trust to see how many extra places can be funded and are needed. Thanks to their hard work, I am in a position today to be able to offer 4,000 specialty places for resident doctors, starting with an additional 1,000 for those applying this year. In the Department of Health and Social Care, we have been working intensively on UK graduate prioritisation. The barriers have been legal ones, so I have been working intensively with my team to see how quickly we could introduce legislation. Thanks to their efforts, the co-operation of colleagues across Government, and my counterparts in Wales, Scotland and Northern Ireland, I can notify the House tonight that, subject to the agreement of resident doctors, we intend to introduce urgent primary legislation in the form of a Bill to be presented to Parliament in the new year. The legislation will prioritise graduates from UK medical schools over applicants from overseas during the current application round and in all subsequent years. The reforms will also prioritise doctors who have worked in the NHS for a significant period for specialty training. This will not exclude international talent, who will still be able to apply to roles and continue to bring new and vital skills to our NHS, but it will return us to the fair terms on which home-grown medics competed before Brexit. The impact of these changes is that instead of four doctors competing for every training post, it will now be fewer than two doctors for every place. That is a good deal for doctors. Following discussions with the BMA, we are also addressing the specific costs faced by resident doctors that do not apply to other NHS staff. Although I cannot go further on pay this year, I am able to offer today to put money back in resident doctors’ pockets by reimbursing royal college portfolio, membership and exam fees, with the latter backdated to April. The allowance for less-than-full-time resident doctors—many of whom are parents and carers—will be increased by 50% to £1,500, helping to close the gender pay gap. In recent days, I formally made this offer to the BMA resident doctors committee. The BMA will now survey its members in the coming days on whether to accept this offer and end its dispute with the Government. The BMA told us that it will survey its members quickly and give us less than 48 hours’ notice of whether the strikes are going ahead. That presents serious operational challenges for NHS leaders, who need certainty now as to whether they are cancelling patient appointments and cancelling staff annual leave to cover strikes. In my determination to prevent the havoc that strikes would cause this Christmas, I therefore made one more offer to the BMA, which I will now share with the House, the country and frontline doctors. So that the BMA could run a genuine ballot of its members and call off next week’s strikes while that ballot ran, I offered to extend its strike mandate. This would have allowed enough time for the BMA to reschedule next week’s strikes for the end of January, were the offer to resident doctors rejected in a ballot. It would have avoided the chaos that looming strike action threatens at the most dangerous time of year by removing the spectre of strikes next week. I knew that extending the BMA’s strike mandate would leave me open to attack from political opponents; that was a risk I was willing to take to stop the Christmas strikes going ahead. Madam Deputy Speaker, I must report to the House that the BMA’s leadership said no. In the coming days, as the NHS prepares for strike action that may or may not happen, there are patients whose operations will be cancelled. There are NHS staff who will have to tell their families that they will not be home for Christmas because they have to cover for their resident doctor colleagues. This was entirely avoidable—no one should be in any doubt that the BMA has chosen to play politics with people’s lives this Christmas, and to continue holding the spectre of strikes over the NHS. I ask resident doctors to bear that in mind when they cast their votes. The power to end these strikes now lies in the hands of doctors. Resident doctors face a choice: to continue the damaging industrial action in which everyone loses, or to choose more jobs, better career progression, more money in their pockets and an end to strikes. The deal that is on offer would mean emergency legislation to put our own home-grown talent first; to increase the number of extra specialty training places from 1,000 to 4,000, with a quarter of those places delivered now; to reduce the competition for training places from around four to one to less than two to one; to put more money in doctors’ pockets by funding royal college exam fees, portfolio fees and membership fees, with exam fees backdated to April; and to increase the less-than-full-time allowance by 50% to £1,500. It is a chance for a fresh start, to end this dispute and look ahead to the future with hope and optimism—a chance to rebuild resident doctors’ working conditions and rebuild our NHS. I urge every resident doctor to vote for this deal, and I commend this statement to the House.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  That is a very thoughtful and appropriate question. Just to reassure the House, the Minister of State for Health and I have been working with Agenda for Change unions, particularly Unison, the Royal College of Nursing and GMB, to ensure that we are dealing with the structural reform of Agenda for Change that they are seeking. We have been exploring how we can deliver fairer pay for other parts of the NHS workforce and an improvement to the conditions and status of the nursing profession specifically, while maintaining fairness for all NHS workers. That is one of the considerations I have had to bear in mind when it comes to what we can offer the BMA and resident doctors. I have been very clear with the resident doctor reps about that privately, and I am happy to restate that publicly. Doctors have not had a bad deal from this Government, frankly, and I have a responsibility to all parts of the NHS workforce, especially those who are lowest paid and who often lie awake at night worrying about their bills.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  Of course, my concern is always patients, first and foremost, but it has been playing on my mind and my conscience that, going into this December, a lot of consultants, nurses, allied health professionals and other NHS staff are more tired than they would otherwise have been because they are putting in those extra shifts and extra effort both to cover the previous round of strikes and then to help the NHS to recover in that long tail that follows in the days and weeks afterwards. I really feel for them at the moment because of the conditions they are working in. I think all of us would breathe a sigh of relief—and also, frankly, express a great deal of gratitude, myself included—if the BMA were to take up the offer of postponing strikes until January. It is not too late. I urge it to think about that overnight and to do the right thing.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I thank my hon. Friend for what he says and for the experience he brings to bear. I hope his urging is heeded by the BMA. I can give him that assurance. I think its operational leaders will face some fiendish choices in the coming days and weeks if strike action goes ahead. They will have my full backing. Myself, the Minister for Health and the Minister for Care are working closely with both the NHS and the social care sector, but this will be extremely challenging, and that is why I urge the BMA to adopt that “one team, one NHS” approach that he urges them to adopt.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I regret to say that if the BMA rejects this offer, we will not proceed with it at this time. I wish that we were not in this transactional lock. I wish we could just move forward together in a spirit of partnership, with a bit of give and take. That is not where we are, and I think I would be crucified by the public if I were to take a different approach. It would be the wrong thing to do and it would incentivise people to strike further, and I cannot tolerate that any longer.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  My hon. Friend is absolutely right about the need to address bottlenecks and to do adequate workforce planning. He draws attention to his son, in the Gallery, who is a resident doctor and no doubt a voter—it is almost tempting to break the rules and start appealing to voters in the Gallery for a yes vote in the survey. I would say one thing to any resident doctors who are watching, and not just the immediate members of my hon. Friend’s family. I do listen carefully to what resident doctors say and how they feel, so I know there will be some who are listening to my hon. Friend and thinking, “It’s all right for you and your generation—you’ve had it easy. We are fed up with these consultants and college presidents telling us what to think and feel.” I hope that they know the extent to which my hon. Friend has fought their corner and spoken up for their concerns—not just on the Floor of the House, but in meetings with Ministers. He keeps us anchored in the sentiment and experiences of all parts of the profession, especially resident doctors. I know that my hon. Friend feels a real commitment to ensuring that resident doctors have a bright future and a bright career. I hope they will heed his advice, just as I do.

• 10 Dec 2025 · Resident Doctors: Industrial Action · Hansard source

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  I agree entirely with my hon. Friend. She brings considerable frontline experience to this House, having worked in the NHS and dedicated her life to it. I am pretty sure that as well as speaking for her constituents, she speaks for so many other NHS staff. I do not want to see nurse pitted against doctor, or NHS staff pitted against each other. I do not want to see people resenting each other at a time when we should be pulling together to get the NHS back on its feet, and to make sure that it is well down the road to recovery. That is why, even at this late stage, I urge the BMA to think again. There is nothing to stop me extending the strike mandate tomorrow and giving Jim Mackey and NHS leaders the opportunity to stand down planning for strikes next week, even at this late stage. It would be an extraordinary gesture of good will, and it would be a Christmas present for the country. It would benefit doctors, resident or otherwise, and all NHS staff. Most importantly of all, it would benefit patients. I hope that message is heard in good faith by the BMA, even now.

• 2 Dec 2025 · Budget Resolutions · Hansard source

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  I can certainly give my hon. Friend that assurance, and I absolutely endorse what she says about our local hospital, which I know very well. I genuinely thank frontline NHS staff, without whom the performance and improvements we are seeing simply would not be possible. Let me turn to the substance of this debate. There was once a time, not long ago, when this place was bound in consensus on a number of issues addressed by this Budget. We used to be united on the need for a national health service as a publicly funded, public service, free at the point of use. The last Labour Government built a shared conviction that in 21st-century Britain, no child should grow up shackled by the scourge of poverty. We could go back as far as the Government of Benjamin Disraeli and find a Conservative Prime Minister committed to public health in a way that Labour and Conservative Prime Ministers have been in my lifetime. We did not always agree on how to get there, but there was at least agreement on the destination. However, as the opposition parties lurch to the right, consensus after consensus is breaking. [ Interruption. ] Admittedly, the Liberal Democrats have moved further to the left since their days in coalition; that is true. Maybe do not lead with your chins on that one, comrades. Regardless of our friends on the centre left, old battles that were won must now be fought all over again, so it falls to Labour not just to cut waiting lists, improve the health of the nation and lift children out of poverty, but to win the argument, as well as hearts and minds. It falls to Labour to persuade people that we can and must help people lead healthier, longer lives, free from preventable disease; rebuild our national health service as a public service, free at the point of need; and give every child the best possible start in life, free from the scourge of poverty. Labour has won those fights before, and we will win them again.

• 2 Dec 2025 · Budget Resolutions · Hansard source

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  I begin by addressing the British Medical Association’s reckless call for resident doctors to strike in the run-up to Christmas. That is a cynical choice, coming as flu cases surge and we enter the most dangerous time of year for hospitals, and it is completely unjustified. After a 28.9% pay rise, the Government offered to create more jobs and put money back in resident doctors’ pockets. The BMA rejected that out of hand. My door has always been open, I have never walked away from the table and I stand ready to do a deal that puts patients first. We will prepare for this round of strike action. I am extremely proud of the hard work and performance of NHS leaders and frontline staff who did so well to minimise costs and disruption during recent rounds of strike action. In fact, during the most recent round, we were able to maintain planned elective activity to cut waiting lists at 95%. Yet I must be honest with the House and with the country: if this strike goes ahead, this time will be different. Our hospitals are running hot and the pressures are enormous. That is why I urge the BMA not to go ahead. Not only does it put the progress we are making together in the NHS at risk; it threatens to do so in the worst way and at the worst time possible.

• 2 Dec 2025 · Budget Resolutions · Hansard source

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  I am grateful to the shadow Health Secretary for giving way. We should be clear that the deal struck with the United States is the first and only deal with the United States that secures 0% tariffs and mitigations against most-favoured-nation pricing. It will ensure that patients get access to good drugs. For the avoidance of doubt, although some costs are unpredictable because of the complexity of medicine pricing, of course we will not cut NHS budgets to fund the pharma deal.

• 2 Dec 2025 · Budget Resolutions · Hansard source

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  Let me say two things in response. I am almost certain that my hon. Friends will be delighted that he has intervened in defence of their plight at the hands of the Labour Whips, but he knows as well as I do that the Whip was removed from some of my hon. Friends not because of the substance of the issue they were raising but because we never, ever accept people voting against a King’s or Queen’s Speech. [ Interruption. ] That was the issue. He asked me a fair question, and he has got an honest answer. He should take it on the chin. The hon. Member also asked why many people in our country believe that the two-child cap was right. It is because our Conservative predecessors peddled the myth and the lie that people in receipt of welfare are on the take, and are just looking for handouts, rather than help. We Labour Members take a different view; we recognise, as I have set out, that so many people affected by the two-child cap are in work and in poverty. That is one of the many scandals of the damage that more than a decade of Conservative rule did. The Conservatives broke the link between a hard day’s work and a fair day’s pay. In addition to the measures that we are taking on child poverty to remove the two-child limit, we are also increasing the national minimum wage. We are increasing it even higher for young people. We are doing this because this is the party of work, the party that wants to make work pay, and the party that is genuinely committed to waging war on poverty. Just as we must win the argument for lifting children out of poverty, we must win the argument for the founding principles of our NHS. Having left the NHS in the worst crisis in its history, the right now argues that it is unaffordable and should be abandoned. The NHS was broken, but it is not beaten, and Labour is already breathing new life into our health service. Waiting lists are falling for the first time in 15 years. Ambulances are arriving 10 minutes faster in stroke, sepsis and heart attack cases. Patient satisfaction with GPs is up from 60% to 74%, and nearly 200,000 more patients were given a cancer diagnosis or the all-clear on time. With Labour, the NHS is on the road to recovery. That is in no small part because the Chancellor is reversing 14 years of austerity and investing in our NHS. We promised an extra 2 million appointments; we have delivered 5 million. We promised to recruit an extra 1,000 GPs; we have recruited 2,500. We promised to end the 8 am scramble; we have widened the window that patients have to request appointments and have made booking available online. A lot done and a lot more to do. At this Budget, we announced the next steps on the road to recovery: 250 new neighbourhood health centres with the first ones in Birmingham, Barrow, Truro and Southall, and £300 million more to invest in technology to modernise healthcare. Next year, we will receive recommendations from Baroness Casey on laying the foundations to build a national care service. The NHS does not just face an existential political challenge from the Conservatives and Reform UK; it faces a sustainability challenge.

• 2 Dec 2025 · Budget Resolutions · Hansard source

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  That is a good question, and I give the hon. Gentleman the assurance that my Department is working closely with the Secretary of State for Education and colleagues right across Government to make sure that we get that right. We have growing levels of need for provision for children with special educational needs and disabilities. We can all see in our casework, let alone through debates in the House, the unmet need, and its impact on children’s education, health and life chances. We are committed to modernising and reforming the system so that it meets needs and sets children up to not only survive but thrive. That is the ambition of this Government. On Sunday, the Leader of the Opposition said that she would reinstate the two-child benefit limit. At the stroke of a pen, she would plunge half a million children back into destitution, shame and hunger. Gone are the days when David Cameron attempted to ape Gordon Brown on issues of inequality and poverty; in fact, the 2010 Conservative party manifesto included the word “poverty” 20 times and committed to an anti-poverty strategy. The 2024 Conservative manifesto mentioned the word once, in a chapter on foreign affairs. Was that because, after 14 years of Conservative rule, the stain of child poverty had been removed from our nation? No, of course it was not. The Conservatives plunged 900,000 children into poverty, more than a million children relied on food banks last year, and children are being admitted to hospital for malnutrition in 21st-century Britain—but now, this Conservative party does not even pretend to care. On public health, remember it was George Osborne who introduced the sugar tax, and Boris Johnson who introduced legislation to ban certain “buy one, get one free” deals and free refills of fizzy drinks, yet today their successors dismiss these policies as nanny state. Their party is more apologetic about their record on public health than it is about Liz Truss’s catastrophic mini-Budget. We are seeing the NHS’s founding principles contested for the first time in generations. The Leader of the Opposition says, “we need to have a serious, cross-party national conversation” about charging for healthcare. Well, if she wants one, she’s got it, and it will be a short conversation. The answer from this side is “No, over our dead body.” We will always defend the NHS as a publicly funded public service, free at the point of use, owned by us, and there for all of us. Of course, it is not just the Leader of the Opposition saying these things; the leader of Reform wants to replace the NHS with an insurance-style system. [Hon. Members: “Where are they?”] They are obviously not here to advocate for their policies. They find it increasingly hard to defend them. They want a system that checks your pockets before your pulse, and asks for your credit card before providing your care. Where is the hon. Member for Clacton (Nigel Farage)? He is not normally the shy, retiring type—unless, of course, he is being asked challenging questions, like whether paracetamol is safe, whether he believes in science or whether he racially abused schoolchildren. In fact, it is reported that he told a Jewish contemporary at school that “Hitler was right”. Admittedly, he was at school a lot longer ago than me, but had I grown up in the aftermath of the second world war, I think I would remember if I had supported the losing side. His politics are a disgrace. He cannot stand by his record, and that is why he is not here to defend it, and why he is regularly referred to in his constituency as “Never-here Nigel”. But as we are in a debate on these issues, let me take on the Opposition parties’ arguments, whether they are here or not. The Conservatives say that the route out of poverty is work, not welfare. I do not disagree that those who can work should work, but six in 10 households impacted by the two-child limit have at least one parent in work, and they are still in poverty because of low wages and a high cost of living. The Conservatives say that it is the responsibility of families, not the state, to ensure that children are well fed. I agree that parents have a responsibility to look after their own children, but life is a bit more complicated than that. It is far too easy for others who have never walked in the shoes of parents like mine to pass judgment on people whose lives they will never understand. The Conservatives sneer about “Benefits Street”. They have never been there. They have not got the first clue what life is like for people living on welfare. They say that lifting the two-child limit helps only the feckless and irresponsible, so let me tell them about the mum who came to see me at my advice surgery one Friday afternoon with her three children in tow. She had fled domestic violence and had been rehoused on the other side of London in a bed and breakfast. That remarkable woman was hand-washing her girls’ uniforms, doing a three-hour round trip every day to get her kids to school and holding down three separate jobs. Please do not tell me that women like her are feckless or irresponsible, or on the take. She is facing down hardships and challenges that would break many of us. I will tell Conservative Members who is feckless and irresponsible. It is the people who exploited the covid pandemic, ripped off Britain and lined the pockets of the Conservative party. Conservative Members say that abolishing the two-child limit is not affordable, but the policy is fully funded. It is paid for by cracking down on tax avoidance and evasion, and a tax on online gambling. What they really mean is that they would make different choices. They would put the interests of gambling firms over the wellbeing of children. By labelling it as unaffordable, they betray their view that the prosperity of our country has nothing to do with the talent of its people, but we know that by investing in our people, we are investing in a more prosperous future. Growing up in poverty is not an inconvenience; it is a trap. On average, the poorest children start school already behind, get worse exam results, are less likely to make it to university, earn less, are more likely to develop long-term illness, end up paying less tax, and are more likely to need welfare support and the NHS. Investing in our children is a moral mission; morally, we do not believe it is right to punish children for the circumstances of their birth, or the choices of their parents. This is also a down payment on a better future. It is far better and more cost-effective to invest in children now than pay the price for social failure later. I stand here today as the product of the wise investment of the British taxpayer. It was taxpayers’ contributions that clothed me, housed me, fed me and educated me when I was growing up. As a result, I am now in a position to pay back that debt to society—and to pay it forward to the next generation, too. We should all be proud that this Budget funds the biggest reduction of child poverty of any Budget this century. My right hon. Friend the Chancellor takes that prize from Gordon Brown, who took it from Denis Healey, because lifting children out of poverty is what Labour Governments do. And why is it that every time Labour enters office, there is the moral emergency of child poverty? It is because, since records began, every single Tory Government left child poverty higher than they found it. That is why they must never be allowed back in power.