The Tories “squandered a golden inheritance” on the NHS, the health secretary has said – as he laid out three “fundamental shifts” to fix it.
Wes Streeting told Sky News Tony Blair’sLabour government left the health service with the lowest waiting times and highest patient satisfaction “in the history of the NHS”.
“What’s criminal is that in the last 14 years, the Conservatives took that golden inheritance and squandered it. And they don’t bear any responsibility,” he said.
Mr Streeting was speaking after an independent report he commissioned found the NHS is in a “critical condition”, with record waiting lists and too much of its budget spent in hospitals.
Off the back of the investigation, Prime Minister Sir Keir Starmer will give a speech today in which he will warn the health service must “reform or die” and set out a 10-year plan to fix it.
Giving a flavour of what that could look like, Mr Streeting said the NHS needed three “fundamental” changes.
That includes a “shift from hospital to community”, so people are diagnosed earlier and faster; greater investment in technology to create a “digital NHS”; and dealing with sickness in society.
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He said: “That’s why today’s report was so important, because, ironically, although it’s looking back on how we got here and diagnosing the illness, it’s actually helping us to look forward and be honest about how we got here.”
Image: The PM will give a speech on NHS reform later today. Pic: PA
The study, carried out by peer and surgeon Lord Darzi, argues the NHS is facing rising demand for care as people live longer in ill health, coupled with low productivity in hospitals and poor staff morale.
It criticises political decision-making under the Conservatives and the coalition government, including the impact of austerity, a “starvation of investment” and the reorganisation of the NHS under the 2012 Health and Social Care Act,which Lord Darzi called “a calamity without international precedent”.
This meant the COVID pandemic came “when resilience was at an all time low”, he said.
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Mr Streeting likened the findings to the Conservatives “not just failing to fix the roof while the sun was shining, but effectively pouring petrol on the house, turning the gas on”.
“And then the pandemic lit the match,” he added.
Asked how a report of such magnitude can be compiled in nine weeks, Mr Streeting said Lord Darzi spoke to frontline staff, leaders and thinktanks and was also given “unfettered access” to NHS and Department of Health data.
In other morning interviews, he warned the NHS would “go bust” if it was not reformed, but ruled out raising money through a salt or sugar tax.
Shadow health secretary Victoria Atkins told Sky News she had “never shied away” from the NHS’s problems during her time in office, when asked if she was embarrassed about the state her party left it in.
She accused Labour of “trying to get headlines” by trailing out the report, calling instead for a “proper conversation about what we do with the NHS”.
Image: Shadow health secretary Victoria Atkins hit back over Labour’s report
Lord Darzi, a former Labour health minister turned independent peer, ultimately argued the NHS can be fixed, saying his findings do not question “the principles of a health service that is taxpayer-funded, free at the point of use”.
Later this morning, the prime minster will set out his plans for the “the biggest reimagining of our NHS since its birth”.
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A company linked to Tory peer Baroness Michelle Mone breached a government contract of nearly £122m to supply surgical gowns during the COVID-19 pandemic, the High Court has ruled.
The £121.9m sum, the price of the gowns, must now be repaid by the company, PPE Medpro.
The Department of Health and Social Care (DHSC) brought the case, saying it provided 25 million “faulty”, non-sterile gowns.
On Wednesday, the High Court said the gowns did not comply with the requirement of having a validated process to demonstrate sterility, and it was not possible for the DHSC to have sold them and recoup the loss.
The company, a consortium led by Baroness Mone’s husband, businessman Doug Barrowman, was awarded the government contract after she recommended it to ministers.
As well as wanting to recover the costs of the deal, the government wanted to recoup the costs of transporting and storing the items, which it said amounted to an additional £8.6m, though the High Court denied the latter request, saying the loss was not proved at trial.
PPE Medpro’s counterclaim that the DHSC should have advised it on how to comply with the contract also failed.
Denied wrongdoing
Both Baroness Mone and Mr Barrowman denied wrongdoing, and neither gave evidence at the trial in June.
She had initially denied involvement in the company or the process through which it was handed the government contract.
However, it was later revealed that Baroness Mone was the “source of referral” for the firm getting a place on the so-called “VIP lane” for offers of personal protective equipment for the NHS.
In response to the ruling, Baroness Mone said it was “shocking but all too predictable”.
Mr Barrowman said it was “a travesty of justice” and the judge gave the DHSC “an establishment win despite the mountain of evidence in court against such a judgment”.
“Her judgment bears little resemblance to what actually took place during the month-long trial, where PPE Medpro convincingly demonstrated that its gowns were sterile,” he said.
“This judgment is a whitewash of the facts and shows that justice was being seen to be done, where the outcome was always certain for the DHSC and the government. This case was simply too big for the government to lose.”
Ahead of the ruling on Tuesday, PPE Medpro said it intended to appoint an administrator.
The news has been welcomed by Chancellor Rachel Reeves and COVID-19 Bereaved Families for Justice UK.
“We want our money back. We are getting our money back. And it will go where it belongs – in our schools, NHS and communities,” Ms Reeves said.
“Profiting and corruption during the pandemic cost lives,” the families group said. “Those responsible must be held to account.”
All GP surgeries in England are required to offer online appointment bookings from today.
Practices must keep their websites and app services available from at least 8am to 6.30pm, Monday through Friday, for non-urgent appointments, medication queries and admin requests.
Many surgeries are already offering online bookings and consultations, but services are typically less effective in working-class areas.
The Department of Health and Social Care says there is a lack of consistency, as some surgeries that offer online services are choosing to switch the function off during busier periods.
The British Medical Association (BMA) has argued safeguards have not been put in place, nor have extra staff been brought in to manage what it anticipates will be a “barrage of online requests.”
The BMA has said GPs are considering a range of actions after voting to enter a dispute with the government over the plan.
Health Secretary Wes Streeting has urged the BMA to embrace the plan, saying the union’s resistance is “a real disservice to so many GPs” who have already introduced the service.
Image: Health Secretary Wes Streeting says booking a GP appointment should be as easy as booking a takeaway. Pic: PA
‘As easy as booking a takeaway’
The minister said the government will help practices that need assistance to implement the plan, “but we’ve got to modernise”.
Mr Streeting told the Labour Party conference: “Many GPs already offer this service because they’ve changed with the times.
“Why shouldn’t be booking a GP appointment be as easy as booking a delivery, a taxi, or a takeaway? And our policy comes alongside a billion pounds of extra funding for general practice and 2,000 extra GPs.
“Yet the BMA threatens to oppose it in 2025. Well, I’ll give you this warning; if we give in to the forces of conservatism, they will turn the NHS into a museum of 20th century healthcare.”
Sir Keir Starmer has revealed plans to establish a nationwide “online hospital” by 2027, enabling patients to receive treatment and care from home.
The government said the initiative could provide up to 8.5 million additional NHS appointments within its first three years.
Available via the NHS app, it will allow patients to schedule in-person procedures at local hospitals, surgical hubs or diagnostic centres, reducing delays.
Sir Keir Starmer has said he does not believe Nigel Farage or Reform voters are racist – and also refused to label Donald Trump’s claim that London wants “Sharia law” as such.
Asked if it was racist, considering Sir Sadiq is a Muslim, Sir Keir said: “I have been really clear that the idea that in London we’re introducing Sharia law is rubbish.”
Sir Keir also insisted he does not think Mr Farage or Reform supporters are racist, after targeting the party in his Labour conference speech and claiming its leader “hates Britain”.
Asked if he thinks Mr Farage is a racist, he said: “No, nor do I think Reform voters are racist.
“They’re concerned about things like our borders, they’re frustrated about the pace of change.
“So I’m not for a moment suggesting that they are racist.”
He said he was “talking about a particular policy”, which would see Reform axe the right of migrants to apply for indefinite leave to remain, ban anyone who is not a UK citizen from claiming benefits, and force those applying for UK citizenship to renounce other citizenship.
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3:19
How did the PM perform at conference?
Reform ‘taking country down road of toxic division’
Sir Keir also refused to say whether he thinks Mr Farage is dangerous, saying: “I think the fight at the next election is going to define us as a country for years to come.
“I think it’s a dangerous moment for the country.”
He said he would not “get into labelling the man”.
“I’m talking about the ideas and what he stands for and what I stand for,” he added.
“I think that taking our country down the road of toxic division where you don’t want to fix problems because if they’re fixed, you lose your reason to exist, I think that is dangerous for our country.”
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0:57
Starmer’s ‘anti-Reform party’ gamble
Farage: Starmer unfit to be PM
Mr Farage reacted to Sir Keir’s speech by accusing him of being “unfit to be the prime minister of our country”.
“I used to think the prime minister was a decent man, somebody that I could talk to and chat to,” he said.
“We might disagree on our worldview, but I thought he was a profoundly decent human being. I am completely shocked at his behaviour.
“I hope when he wakes up tomorrow morning he feels ashamed of what he has done. This is a desperate last throw of the dice for the prime minister who’s in deep trouble, a prime minister who can’t even command the support of half of his own party.
“But I’m sorry to say, I now believe he is unfit to be the prime minister of our country.”