Gregory Stafford

I have worked in healthcare for most of my career and, as I said in my maiden speech, I think we need an honest discussion with the public about how we fund, provide and deliver healthcare in England. I worked in the NHS for seven years prior to my election, and I worked every day to improve clinical outcomes and patient care, including in the surgical hubs mentioned by the shadow Secretary of State, my right hon. Friend the Member for Louth and Horncastle (Victoria Atkins). I can assure the House that, although it has significant challenges, the NHS also has significant opportunities, including the opportunity for us to reshape it not only to meet the needs of today but to ensure its survival for future generations. Lord Darzi’s report, like many others, makes it clear that, although it is not broken, the NHS is at a tipping point. His report is wide-ranging, but it could not cover everything. For example, post-natal female care received little attention, but it is essential to ensuring a universal standard of post-birth care for mothers and children. Despite significant investment from the previous Government, we must be honest with the public not only about the true state of the health service, both nationally and locally, but about the difficult choices that lie ahead. First, we need to rethink how we deliver healthcare closer to home and more efficiently. Expanded partnerships with the private sector, whether in diagnostics, elective surgery or mental health services, can relieve some of the burden on NHS facilities. By fostering public-private partnerships, we can enhance capacity and efficiency while ensuring that the NHS remains free at the point of use. Technology and innovation are essential to transforming the NHS. Artificial intelligence, digital records and telemedicine have enormous potential to improve outcomes and reduce costs, but the NHS lags behind in digital transformation—the catastrophe of Labour’s IT system casts a long shadow. Equally, we must have an honest conversation about patient choice and responsibility. The NHS has historically promised to be everything to everyone, but we must ask ourselves if this is realistic. Encouraging patient choice could drive competition and improve service delivery, but we also need to ask patients to take greater responsibility for managing their health, particularly in areas such as preventive care and chronic disease management. Finally, funding is key to this debate. For too long we have relied on promises of increased funding without fully grappling with how we can sustainably finance the NHS. More money is part of the solution, but where should that money come from? I want an NHS that is free at the point of use, but we need to explore social insurance models, encourage private investment or potentially increase taxes. These are tough questions, but they must be answered. We need a radical rethink of NHS bureaucracy. In conclusion, although the NHS is one of the major achievements of our time, now is the time to take action to reform it.