Yvette Cooper

My hon. Friend is exactly right to raise this vital issue. So many of us will have families and constituents who are affected by dementia. We are committed to introducing a dementia tsar as part of our response to Louise Casey’s commission, and we will be looking at data issues and evidence as part of that. As this legislation completes its passage through this House, I thank my predecessor Health Secretaries for the work that they have done in bringing down waiting lists, improving treatment and getting more appointments than ever before. There are thousands more doctors, nurses, midwives and mental health workers in place than ever before, and we thank our national health service staff across the country. They also recognised that we inherited a system that was still badly held back by the failed 2012 Lansley reforms, including the huge administrative issue and unaccountable bureaucracy, with lots of duplication, poor communication and no proper accountability. This legislation is about strengthening democratic accountability and the focus on patient care. To be clear, I pay tribute to the work done by many people across NHS England—including in particular the recent work of the current chief executive, Jim Mackey, to substantially improve patient care and to reduce that duplication—but the systems and structures have been holding people back. That is why we have brought this reform forward, part of which will not just end the wasteful duplication, but ensure that our NHS system is better able to deliver. I will update the House and the NHS shortly on the future operating arrangements. Let me say now that that means returning to some of the arrangements that applied before 2012, when we had strong national NHS leadership, but with much greater partnership and accountability and far less duplication than we have today. I have been frank with both the Department and NHS England that the focus needs to be on patients. We are making some further reforms in response to the discussions in this House. I have made a commitment that we will bring forward amendments in the House of Lords to establish England’s first statutory maternity commissioner, implementing the Amos review’s recommendation, but also directly reflecting the work and determination of my hon. Friend the Member for Sherwood Forest (Michelle Welsh), the Government’s national maternity adviser. I thank her for the work that she has done. We have also amended the Bill to ensure that local government is represented on ICBs. That was raised by the Select Committee. I am also clear that we need to ensure that patients’ voices are properly embedded in decision making. Members have all debated the importance of the single patient record to improve care. It is great to be back at this Dispatch Box as a Health Minister, 24 years since I last spoke at the Dispatch Box as a Health Minister. I am surprised by how little has changed in many ways, but one thing that has not changed, but which is so immensely important to all of us, is the dedication of NHS staff and the people who work right across the country to support patients and communities. This Bill is about helping them to ensure they can do their jobs in the most effective way. I commend this Bill to the House.