NHS Waiting Times

This Government are delivering on our commitment to cut NHS waiting lists and end the Tory backlog. We have taken immediate action with an additional £1.8 billion to support elective activity this year. That funding will support the delivery of our first step of 40,000 extra elective appointments a week. With investment must come reform, and the elective reform plan, published yesterday and announced by the Prime Minister, sets out how we will cut NHS waits to the 18-week standard, increase productivity, reform the system and improve patients’ choice and control over their healthcare.

Almost one in six Scots is stuck on an NHS waiting list. People are borrowing money and remortgaging their homes to go private, because they cannot bear the pain. With an SNP Government who have abandoned the principles of an NHS free at the point of entry, does my right hon. Friend agree that Scotland’s health service needs a new direction?

I strongly agree with my hon. Friend. As I said during the general election campaign—it was quoted regularly by the SNP—all roads lead to Westminster. Down that road from Westminster is a record increase in funding for the Scottish Government through the Barnett formula. I know the Scottish Government published their own NHS recovery plan just before Christmas, and I look forward to reading it, although I know some have expressed concerns about the lack of detail in the plans to drive down waiting times. The Scottish people can therefore compare and contrast with the ambition of our elective reform plan, which was announced by the Prime Minister yesterday, and then decide at the next Scottish elections who they trust to govern: the SNP with its rotten record, or a Labour Government who will get on and deliver.

The Secretary of State knows that I wrote to him before Christmas about the planned ward closures and degradation of services at Goole and district general hospital. Doing so will take beds, facilities and employees away from the national health service, which will do nothing but undermine his real attempts to reduce waiting lists and all the plans he announced yesterday. Will he look at the trust-level decision systems that lead to such catastrophic decisions that will undermine every aspect of NHS strategy and all that he is trying to do?

I thank the right hon. Gentleman for writing to me before Christmas. I recognise the pressures that have been placed on NHS commissioners in recent years and the pressure that that has put on service configurations. I tend to support the devolution of decision making, with decisions about service reconfigurations taken closer to the communities they serve. I recognise also that commissioners do not always get it right, which is why engagement with Members of Parliament and other democratically elected representatives is important. Ministerial oversight is important, too. We will look seriously at the issues he raises and talk to NHS leaders, and I know he will be doing the same. This Government are determined to give NHS leaders the tools to do the job, so that we can get the right care in the right place at the right time, with a better experience for patients and better value for taxpayers.

I am sure my right hon. Friend will share my delight at the fact that in our growing community of Thanet, the NHS is looking to open the Thanet integrated hub in one of the most deprived parts of Kent. However, Tory-run Kent county council has put in spurious objections to the development. Does he share my concern that such unnecessary objections block access to healthcare and make it harder for the Government and the NHS to cut waiting lists?

I am grateful to my hon. Friend for the work she is doing to improve health and care services for her constituents. The Government are giving health and care providers the tools to do the job. Of course, change will take time, and it is therefore crucial that we all pull together locally and nationally. For the avoidance of doubt, the Government are on the side of the builders, not the blockers.

The NHS Confederation has said that for the Government to be able to drive down waiting lists, “the pause to the delivery of the new hospitals programme must be as short as possible and NHS leaders need clarity about timelines.” With that in mind, will the Secretary of State tell leaders at Eastbourne district general hospital, as well as our community in Eastbourne, precisely when the new hospital programme review will be completed so that we can get cracking with our upgrades?

I thank the hon. Member for that question. I agree with him about the need for clarity as well as consistency. We undertook the review into the new hospital programme because the previous Government’s timetable was a work of fiction and the money was not there. I hope to report to him and to the House shortly on that, with the undertaking that the timetable we publish and the funding provided by the Chancellor in the Budget and at the spending review will mean that we will provide not just clarity but consistency, which is important for NHS leaders, important for patients and important for the construction industry partners we need to work with.

I call the shadow Minister.

Thank you, Mr Deputy Speaker. [Interruption.] I am sorry—that is the last time I will get called. Thank you, Mr Speaker. Yesterday, in relation to the elective backlog, the Secretary of State said: “Where we can treat working people faster, we will, and we make no apology for doing so.”—[Official Report, 6 January 2025; Vol. 759, c. 597.] Labour politicians have struggled to define what they mean by working people, but his words have caused anxiety. Will he reassure those with disabilities that prevent them from working and retired elderly people who have worked all their lives that they will not be pushed to the back of the queue and that treatment will continue to be provided in the NHS on the basis of clinical need?

Of course, clinical need is paramount and must always drive decision making about who to treat when and the order in which people are treated. That is why I find the question posed so deeply disingenuous. [Interruption.] We inherited NHS waiting lists at record levels and waiting times that are frankly shameful. The shadow Minister should be apologising for her party’s record, and she should also apologise for the two-tier healthcare system that sees those who can afford it paying to go private and those who cannot afford it—working-class people—being left behind. That is the two-tier system that the Government are determined to end.

Order. Can we be a bit careful with the language we are using?

The Secretary of State needs to be careful with the words he uses, as you said, Mr Speaker, because his words did cause anxiety among people. It was not a disingenuous question; it was a genuine question to make sure that people are reassured. It will not have escaped the Secretary of State’s notice that it is cold outside. Removal of the winter fuel allowance has reduced elderly people’s ability to follow the advice that he gave last week, which was to turn the heating on. What assessment has he made of the number of additional admissions caused by his removal of the winter fuel allowance? What effect is that having on the Government’s ability to deliver their reduction in elective backlogs?

What the shadow Minister neglects to mention is that the Chancellor has protected the winter fuel allowance for the poorest pensioners, and she has also put in place the warm home discount to assist people with their energy bills throughout the winter. If the shadow Minister does not support the decisions that the Chancellor took at the Budget and ahead of the Budget to raise vital investment for our health and care services, that is fair enough, but then she needs to tell people which NHS services she would cut or which other taxes she would increase.