Contribution
I am grateful to the Secretary of State for his typical courtesy and advance sight of his statement. I also note that he is among the most assiduous of Ministers in volunteering himself to this House to be questioned on issues of importance. I am, however, afraid it comes as no surprise that we are here today discussing likely industrial action on this Government’s watch. Last year, we warned the Government that caving in to union demands for above-inflation pay rises without any conditions or strings attached would set a dangerous precedent. It would send a message that the Government were weak, and we warned that the unions would simply come back for more. Unfortunately, events in recent days have shown that we were right.
The public will be understandably concerned about what this industrial action will mean for them and the provision of local NHS services. For patients with an appointment scheduled or even on a waiting list, that concern will be particularly acute. Let me be clear: this BMA strike action—as the Secretary of State has said, it is supported by less than 50% of those eligible to vote—is irresponsible, wrong and unnecessary. On that, I agree with the Secretary of State.
Will the Secretary of State enlarge on the additional steps that he is taking to seek to resolve the industrial dispute and prevent the strike action from going ahead? I heard what he said about his willingness to talk. Does he anticipate further meetings before strikes start on 25 July, and does he anticipate a risk of any other parts of the NHS workforce balloting for strike action?
If this strike action does take place, what steps are being put in place to minimise disruption, what is the plan to protect patients who will need to access NHS services over this period, and can the Secretary of State guarantee that emergency cover will remain and that there will be minimum service levels in place? More broadly, and based on the previous strikes, how many appointments do the Government anticipate are at risk of being cancelled or postponed, and has he assessed what impact the decision by the BMA will have on his aim of reducing waiting lists and meeting his 18-week target?
The previous chief financial officer of NHS England said that nearly all the money allocated to the NHS at the autumn Budget will be eaten up by NHS pay settlements, the national insurance hike and increased inflationary costs, just to maintain services at their existing level. Following the recent spending review and the Chancellor’s announcement of additional funding, how much of that does the Secretary of State anticipate will be spent on staffing costs, including the already agreed pay award and the national insurance increase, and how much of it will actually make it to the frontline in the form of additional care, or to fund the reforms that he set out recently?
What does the Secretary of State anticipate will be the long-lasting impact of strike action on relations between the Government and trade unions in the health space? The 10-year plan was published just last week. As I said at the time, it is sensible and I am supportive of what he has set out in that, but concerns have been raised about its deliverability. The Secretary of State has said previously that he will need to work with the unions to deliver on the plan. Is he still confident that that will be possible? Does he believe that they will agree to the changes that are required, or is there a risk of further strike action over the coming years because doctors have sensed a weakness?
In opposition, the Secretary of State had some very strong and well-articulated views on industrial action. He said strike action was
“playing politics with our NHS”.
On that, I agree with him. He said that
“the Government ought to be pulling out all the stops”—[Official Report, 22 December 2022; Vol. 724, c. 218.]
and that
“the power to stop these strikes is in the Government’s hands.”—[Official Report, 12 December 2022; Vol. 724, c. 732.]
He is the Secretary of State now. Does he agree that the power to stop these strikes is in his hands?
Our message to the Government is clear. The Secretary of State needs to do what he has said he will do: face down union pressure and deliver an affordable settlement that is fair to staff, patients and, crucially, taxpayers. On his watch, resident doctors are set to leave the frontline to go on to the picket line—whether that happens will be down to him. Sadly, Labour’s weakness is fuelling this crisis. If the Government do not get a grip now, a summer of discontent and strikes risks turning into a summer of chaos, and it will be patients who pay the price.