Topical Questions

Our NHS is broken. This Government have been honest about the problems we face because we are serious about fixing them, and we have not wasted a moment. We have appointed Lord Darzi to carry out an independent investigation of the state of our NHS, we are resetting the relationship with junior doctors with negotiations starting today, and we are laying the foundations for the delivery of 40,000 more appointments a week to cut waiting lists. The Gracious Speech kick-started a decade of national renewal, with modernisation of the Mental Health Act as well as the smoking reform, which will ensure that this generation of young people is the first smoke-free generation, and will be the first step towards ensuring that that generation is the healthiest in history.

During their free NHS 40-plus health checks, women are assessed for conditions that may affect them as they grow older, but menopause is not included. To include it would be cost-neutral and would not only help millions of women to recognise the symptoms, but prevent needless GP appointments when those symptoms start to develop. Along with Menopause Mandate, I have been campaigning tirelessly on this issue. Will the Secretary of State please look into it as a matter of urgency?

I am delighted to see my hon. Friend back in the House. She campaigns relentlessly on this vital issue, and it would be very risky for me to do anything other than agree to meet her, because I share her view that progress needs to be made on it.

I call the shadow Secretary of State.

May I welcome the Secretary of State and his ministerial team to their places, and wish them well in their endeavours? With your indulgence, Mr Speaker, I should also place on the record my thanks to my superb team of former Ministers, to those in the private office and to officials in the Department for their hard work and support, as well as thanking the doctors, nurses and social care and health professionals with whom I have had the pleasure of working. Now, to business. In opposition, the Secretary of State described the 35% pay rise demand by the junior doctors committee as “reasonable’. What he did not tell the public was that this single trade union demand would cost an additional £3 billion, let alone the impact on other public sector workers. Will he ask the Chancellor to raise taxes, or will she ask him to cut patient services to pay for it?

May I welcome the shadow Secretary of State to her new position? She has behaved in her typically graceful and decent way. I enjoyed working with her on that basis, and will continue to do so. Although, I must confess that when I heard about the “abominable” behaviour of the shadow Health Secretary, I thought, “What on earth have I done now?” Then I remembered that our roles have swapped, and that it was not me they were referring to. What I said was that the doctors were making a reasonable case that their pay had not kept in line with inflation, but we were clear before the election that 35% was not a figure we could afford. We are negotiating with junior doctors in good faith to agree on a settlement that we can deliver and that the country can afford.

I am afraid I do not like it when Secretaries of State do not answer questions, and I am sorry to say that the right hon. Gentleman gave another non-answer, as has been the case for those on the Government Front Bench. I have a question that I hope he will be able to answer. The final act of the Conservative Government was to protect children and young people by banning private clinics from selling puberty blockers to young people questioning their gender. Will the right hon. Gentleman confirm that he will resist the voices of opposition on the Benches behind him and implement in full all of Dr Cass’s recommendations, including exercising “extreme caution”, as she said, in the use of cross-sex hormones in young people? They and their parents deserve certainty from this Government.

Obviously, there is a judicial review of the former Secretary of State’s decision, which I am defending. The matter is sub judice, so I will steer clear of it. To go back to first principles, we are wholeheartedly committed to the full implementation of the Cass review, which will deliver material improvements in the wellbeing, safety and dignity of trans people of all ages. I think that is important. I want to reassure LGBT+ communities across the country, particularly the trans community, that this Government seek a very different relationship with them. I look at the rising hate crime statistics and trans people’s struggles to access healthcare, and I look at their desire to live freely, equally and with dignity. That is what we will work with them to deliver.

Order. I understand that today is a new start with Question Time, but we have to be short and speedy. That is the whole idea of oral questions, because otherwise Members are not going to get in.

My hon. Friend makes an excellent point about the stress that people face when waiting, and we have talked about the disaster of the past 14 years. People with potentially deteriorating conditions are waiting, and we absolutely need to address this issue as part of our work to reduce waiting lists.

I am proud that the Deputy Prime Minister will be delivering the commitment to build 1.5 million new homes. It is absolutely vital that the infrastructure needed is delivered alongside those new homes, and we and other colleagues across Government will be working very closely with the Deputy Prime Minister to make sure that the social infrastructure is also provided.

I welcome my hon. Friend to the House. He makes an incredibly important point about this very stressful time, particularly for women, in his area. We will listen to women and deliver evidence-based improvements to make maternity and neonatal services safer and more equitable for women and their babies, and we have committed to delivering the long-term workforce plan.

I warmly welcome the hon. Member to her place. She is absolutely right to raise the plight of unpaid family carers. They are part of the team, as far as this Government are concerned, so as we set out our 10-year plan for social care as part of our ambition to build the national care service, we will make sure that unpaid family carers are very much at the centre of our thinking, in no small part thanks to her representations.

Of all the issues that keep me awake at night, maternity safety is top of the list. We have already heard about the staffing shortages and the actions we will take to address that, but I also want to reassure people that, as we build our 10-year plan for the NHS, patient voices, including those of recent and expectant mothers, will be part of that process.

During the election campaign the Prime Minister came to Basingstoke on a visit and specifically promised to replace Basingstoke hospital by 2030. Can we rely on that promise?

I would not rely on anything the former Prime Minister said—[Interruption.] Oh, our Prime Minister? I thought the right hon. Gentleman was talking about the former Prime Minister. In that case, I can reassure him that we are absolutely committed to the new hospitals programme. On the budgets and the timescales, as I have said, we will come forward with an honest appraisal of what we have inherited from the last Government and what we will be able to deliver within reasonable timescales.

I thank my hon. Friend for that question and welcome him to his place. This issue is personal for me, and I am sure it is for many others across this House. A number of potential new disease-modifying drugs for Alzheimer’s are in the pipeline, including lecanemab and donanemab. We are committed to ensuring that clinically effective and cost-effective medicines reach patients in a timely and safe way. The National Institute for Health and Care Excellence is appraising lecanemab and donanemab to determine whether they will be made available in the NHS.

Nearly 10 children a month die from brain tumours, and I know that the public health Minister takes this issue seriously. He was familiar with the work of the Brain Tumour Charity’s HeadSmart campaign. Will he agree to meet me and my fierce campaigner constituent Sacha Langton-Gilks, who lost her son to a brain tumour, to discuss how NHS England could be persuaded to do more to inform and educate parents to identify the symptoms, so that collectively we can reduce the number of deaths?

I am grateful to the hon. Gentleman for that question. He knows that I met his constituents when I was a shadow public health Minister, and I can confirm that I am more than happy to meet him and his constituents now that I have dropped the “shadow”.

I am delighted to welcome my hon. Friend to his place. I am personally grateful to the Royal Free hospital for saving my life when I went through kidney cancer. NHS waiting lists stand at 7.6 million, which was still rising as this Government took office. Our 40,000 extra appointments, scans and procedures and our doubling of the number of diagnostic scanners will make a real difference to getting that backlog down to where it should be.

During the general election campaign, the Health Secretary visited King’s Mill hospital in Ashfield, and I am sure that helped me to get re-elected. King’s Mill was built on a private finance initiative deal by the last Labour Government and is going to cost £3 billion for a £300 million hospital. Will the Secretary of State please now assure me and the people of Ashfield that this will never happen again?

Despite my best efforts, the hon. Gentleman is back. I congratulate him through gritted teeth. I was very impressed by what I saw at King’s Mill hospital, and I am proud of the last Labour Government’s record of delivering the shortest waiting times and the highest patient satisfaction in history. As I said during the election campaign, we will build on that success and learn from some of our shortcomings, too.

I welcome my hon. Friend to his place. Better late than never, as they say. I have been to Hillingdon hospital, which has amazing staff and appalling buildings. That is why the people of Hillingdon, and people right across the country, deserve honesty, clarity and certainty about the new hospitals programme. This Government will provide it and stick to it.

Does the Secretary of State agree that handing over powers to the World Health Organisation, undermining the UK’s ability to make its own sovereign decisions, would be unacceptable?

The World Health Organisation is an intergovernmental arrangement. It is of vital importance that, first and foremost, we agree only to things that are in our national interest, but we should not lose sight of the fact that there are lots of things that we need to do together in pursuit of our national interest, from tackling antimicrobial resistance to preventing future pandemic threats. That is exactly what we will do.

I would be delighted to do that. As my hon. Friend knows, we visited Specsavers during the election campaign. There are lots of high street opticians, and they can make a real difference to cutting the backlog. The Conservatives should have gone to Specsavers, and this Government will.

My constituents have struggled to get pre-diagnosis ADHD and autism support for their young daughters. We cannot diagnose children at a very young age, but that does not mean that families do not need help. Can the Minister confirm what engagement he will have with support organisations such as the National Autistic Society to ensure that best practice means that families are not struggling for support?

I welcome the hon. Lady to her place. She raises a vital issue. We have a plan for improving mental health services, including 8,500 more mental health workers. Autism is, of course, a vital part of that, and I will be more than happy to meet her to discuss further how we might be able to take it forward.