Victoria Atkins

Thank you, Mr Speaker. We on the Conservative Benches never pretended that everything was fixed. We have not pretended that we have a monopoly on wisdom or that there are easy answers to the difficult challenges we face. For the NHS to thrive in its next 75 years, it needs to reform, modernise and improve productivity. That is why the Conservative Government, working with NHS England, announced the NHS productivity plan at the spring Budget to transform how the NHS works through better IT systems for frontline staff, the expansion of services on the NHS app, which is used by three out of four adults in England, and the use of new technology, including voice-activated artificial intelligence. Together, that would see productivity grow by 2% a year by the end of the decade and unlock £35 billion-worth of savings, yet the plan is not mentioned in the 163-page report. Why is such an important and forward-looking reform missing from the report, and can the right hon. Gentleman confirm that he is choosing to cancel it—yes or no? New medicines and trials are an essential part of the productivity challenge. There is only one mention of the National Institute for Health and Care Excellence in the 163-page report. Do the Government have a strategy for life sciences and the provision of rare medicines, including cancer and dementia drugs? Why have they paused the childhood cancer taskforce? The need for reform was also why we implemented the first ever long-term workforce plan with NHS England to train even more doctors, nurses, midwives and other healthcare staff for the future. The plan was described by the NHS CEO Amanda Pritchard as “one of the most seminal moments in our 75-year history”, yet it is not mentioned in today’s report. Again, why is such an important and forward-looking reform missing from the report? Is the right hon. Gentleman going to cancel the new places and forms of training, including apprenticeships, that were to be provided through that plan? The need to modernise is why, in 2019, we announced the largest programme of hospital building in modern history: 40 new hospitals across England by 2030 [Interruption.] I would be careful if I were some Back-Bench MPs. Today, seven new hospitals have opened, the Midland Metropolitan university hospital will open at the end of the year—I imagine the Secretary of State will enjoy going to its launch—and a further 18 are in construction. We are not even halfway through the decade. Since January 2023, it has been Labour’s plan to pause, review, delay and, presumably, possibly cancel those new hospitals. That was when it published its health mission; it is on page 6 for those who have not read it. In other words, it was always Labour’s plan to delay and possibly cancel the new hospitals, and it has nothing to do with the Chancellor’s questionable accounting since the general election. When that was pointed out in the general election campaign, Labour candidates ran around promising voters that their new hospital or community diagnostic centre was safe with them—in Torbay, Chelsea and Fulham, Basingstoke, Watford, Bracknell, Truro, Corby and Kettering to name a few. Will the right hon. Gentleman confirm that Labour will delay those hospitals?