Health Secretary Wes Streeting has admitted NHS reform will not happen straight away.
The government launched a public consultation on Monday, asking members of the public, NHS staff, and experts to share their experiences and ideas to “help fix our NHS”.
But Mr Streeting admitted that reforms will not take place until that process has been completed – 10 months on from Labour’s election win in June.
He also said NHS funding agreed with Chancellor Rachel Reeves – to be announced in the upcoming budget – would not be available until next April.
Mr Streeting told Sky News: “Investment in the budget, that comes in the new fiscal year in April, so that’s spring.”
Labour’s election manifesto promised the party would “transform the NHS”, starting with cutting waiting times by adding 40,000 more appointments every week.
Labour politicians said reforms it wanted to make were fully costed, giving voters the impression they could make changes straight away.
Mr Streeting said the improvements they want to make in the NHS, such as cutting waiting times, are “big changes” so will take time.
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Locals share their view on how to improve the NHS
In Wolverhampton city centre Michael Ryan, 66, is waiting to see his GP to get a wound re-dressed.
“I just had a hernia operation,” he says, before revealing he had to wait eight years for the surgery to go ahead.
“Fair enough, two of those were during Covid,” he says. But his experience has left him certain the NHS needs “more money invested in it”.
This is a city where almost a third of working-age people don’t work. Many, like Robert Griffiths, are signed off sick. The 36-year-old has epilepsy and it’s affecting his mental health.
“It’s very frustrating but you can understand why it’s frustrating because they don’t have the staff,” he says.
He thinks the government needs to pay NHS workers more and reintroduce bursaries to encourage more people to train up.
But Sylvia Crutchley, 78, believes it needs to do more than that.
“I think the system needs a complete overhaul,” she says.
She points to a wound on her leg from a fall she had last week. She had to wait nine hours in A&E before being seen.
In a pharmacy we found people queuing for COVID jabs. The trainee pharmacist administering them told us the number of people coming in complaining they couldn’t get an appointment with their GP is “just ridiculous”.
And there was no shortage of views from people collecting prescriptions on what the NHS needs to improve.
Roger Flavell, 77, believes “more staff and more money” are essential.
But he thinks there will eventually be a “two tier system where people who can pay will pay”.
“I think it would make the NHS better,” he said.
He said they will have a “reform mindset that says we’re not just going to throw money at the problem, we’re going to reform ways of working”.
“I suppose you could say, well, you should just come in and impose your view of change,” the health secretary said.
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1:13
NHS reform: ‘Be careful what you wish for’
“I’d just say to people, be careful what you wish for.
“The last time a new health secretary came in after a general election where their party won power, that was Andrew Lansley.
“The Conservatives after 2010, who came down with a massive top-down reorganisation that nobody voted for, nobody wanted, cost billions and set the NHS up to fail.”
Mr Streeting added he did not want to just pour money “into a black hole”.
He said: “It’s up to us to restore financial discipline in the NHS, better quality of care in the NHS, and to make sure that not just the extra money that’s going in is well spent, but to make sure that the money that’s already going in is being put in the right place at the right time to deliver the right care for the patient at the right time.”
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2:45
‘Difficult choices’ in Reeves’ budget
The health secretary confirmed to Sky News on Sunday that his department had agreed to its funding with the chancellor ahead of the 30 October budget.
The Department for Health and Social Care has one of the biggest departmental budgets alongside the Department for Work and Pensions
In 2022, the UK spent 11.3% of GDP on health – £182bn – just above the average for comparable countries. The figure rises each year, with 2024/25 expected to see £192bn spent on the NHS, according to the King’s Fund.
Other ministers had been locked in negotiations with the chancellor over cuts she wants to make to their departments as she seeks £40bn of tax rises and spending cuts.
Several ministers had written letters to Sir Keir Starmer to express concern over the scale of cuts being demanded.
The national inquiry into grooming gangs will leave “no hiding place” for those involved in the scandal, the home secretary has warned.
Shabana Mahmood’s vow comes amid accusations the inquiry is “descending into chaos” – with Home Office minister Jess Phillips being accused of a “lie” for disputing allegations that the inquiry is being diluted.
Three survivors have resigned from its liaison panel in recent days over concerns about how the process is being handled, while a frontrunner to chair the inquiry has also pulled out.
Image: Home Office minister Jess Phillips. Pic: PA
While Ms Mahmood acknowledged there are frustrations about the pace of progress towards launching the inquiry – which had been announced back in June – she said its scope “will not change”.
In an article for The Times, she vowed the probe “will never be watered down on my watch” – and said it will focus on how “some of the most vulnerable people in this country” were abused “at the hands of predatory monsters”.
“In time, we came to know this as the ‘grooming gangs’ scandal, though I have never thought the name matched the scale of the evil. We must call them what they were: evil child rapists,” Ms Mahmood wrote.
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3:18
Grooming gangs victim speaks out
Fiona Goddard resigned from the liaison panel after citing a “toxic, fearful environment” and “condescending and controlling language” used towards survivors.
Ellie Reynolds also quit – saying the “final turning point” was the “push to widen the remit of the national inquiry in ways that downplay the racial and religious motivations behind our abuse”.
A third known as Elizabeth – which is not her real name – followed yesterday afternoon.
Ms Mahmood said “the door will always remain open to them” if they decide to return to the liaison panel.
“But even if they do not, I owe it to them – and the country – to answer some of the concerns that they have raised,” she added.
The home secretary also insisted the inquiry will be “robust and rigorous” – with the power to compel witnesses, and examine the ethnicity and religion of the offenders.
‘Fearful environment’
Some of their fears centred around the perceived prospect of the inquiry being diluted by broadening its scope beyond group-based sexual abuse, and pushes for it to have a regional focus rather than it being truly national.
Ms Phillips, the Home Office minister, said this was “untrue”.
As well as alleging a ‘toxic, fearful environment’ within the liaison panel, Ms Goddard‘s resignation letter, which Sky News published extracts from on Monday, expressed deep reservations about the shortlisted chairs for the inquiry.
Her resignation came after Sky News revealed the two leading candidates were former police chief Jim Gamble and social worker Annie Hudson, who were due to meet the survivors panel on Tuesday, before Ms Hudson withdrew from the running.
Some survivors expressed concern that the two candidates’ backgrounds in policing and social work might lead to conflicts of interest.
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Caerphilly is famous for three Cs: coal, cheese and its mighty castle. It’s also the birthplace of the legendary comedian Tommy Cooper.
And after Thursday’s Senedd by-election, in what was once a Labour stronghold as impregnable as the castle, it’s Plaid Cymru or Reform UK that will have the last laugh.
It may not be a Westminster by-election, but this clash will have an impact on UK politics way beyond the Welsh valleys if Nigel Farage’s party triumphs.
Image: iStock file pic
A Reform UK victory would strengthen claims that Mr Farage and his insurgents are poised to inflict massive damage on Labour and the Conservatives in elections next year and beyond.
Victory in the valleys would intensify fears among the other parties that Reform UK’s boasts about winning the next general election are not the fantasy that its opponents claim.
On a campaign visit to Caerphilly, Mr Farage – inevitably – posed for photographs in front of a 9ft tall bronze statue of Tommy Cooper, who died in 1984.
But the by-election is no laughing matter for Labour, which has seen its support in this by-election crumble like Caerphilly cheese.
More on Nigel Farage
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Image: Mr Farage announcing Llyr Powell as the Reform candidate earlier this year
Labour has held the Westminster seat of Caerphilly since 1918 and the Senedd seat since devolution in 1999. Ron Davies, said to be the architect of Welsh devolution, was MP from 1983 to 2001.
He was Welsh secretary under Tony Blair from 1997 until he quit over what he called a “moment of madness” in 1998 when he was mugged at knifepoint on London’s Clapham Common.
For the front-runner Reform UK, not even the conviction of its former leader in Wales, Nathan Gill, for taking pro-Russian bribes seems to have halted the march of Mr Farage’s party towards the brink of a stunning victory.
Mr Gill, who led Reform UK in Wales in 2021, admitted taking bribes to make statements in favour of Vladimir Putin’s Russia while he was a member of the European Parliament.
Questioned during a visit to Caerphilly, Mr Farage said: “Any political party can find in their midst all sorts of terrible people. Gill is particularly shocking because I knew him as a devout Christian, very clean-living, honest person. So I’m deeply shocked.”
Despite this bribery scandal, the latest opinion poll in the constituency suggested a narrow Reform UK victory, with Mr Farage’s party on 42%, Plaid Cymru on 38% and Labour languishing on a dismal 12%.
But with Labour, the Conservatives, Liberal Democrats and Green Party out of contention in a two-horse race, Reform UK’s candidate Llŷr Powell could be vulnerable to tactical voting for Plaid Cymru’s Lindsay Whittle.
Image: Ron Davies, the ‘architect of Welsh devolution’, was MP for Caerphilly. File pic: Reuters
Turnout could be crucial. A low turnout is likely to help Plaid Cymru win. A high turnout could mean Reform’s opinion poll leads, both nationally and locally, are reliable and could hand victory to Mr Farage.
But Plaid has come second in every Senedd election in Caerphilly and Mr Whittle can’t be faulted for perseverance and dogged determination. Until now, he’s had a miserable record as a candidate, both for Westminster and the Senedd.
Aged 72, he has stood in Caerphilly in every general election since 1983, no fewer than 10 times, and in every Welsh Assembly election since it was formed in 1999 – seven times.
Dubbed “Mr Caerphilly” by his party, he was council leader and assembly member for South Wales East between 2011 and 2016.
Interviewed by Sky News back in 2003, the year of Tony Blair’s Iraq war, he said: “People are obviously very unhappy with the health service. They’re unhappy with the way the Labour Party are drifting to the right.
“They’re unhappy with the treatment of the ex-miners and their compensation claims. They’re unhappy with the treatment of the firemen. They’re unhappy that we’ve just gone to war.”
Image: The by-election could indicate how Labour will fare in future elections. Pic: Reuters
Reform UK’s Mr Powell, on the other hand, is just 30 and is relatively inexperienced as a candidate. He was a Tory candidate in local elections in Cardiff in 2022.
But he was also active in Mr Farage’s UKIP and Brexit Party and worked for the now disgraced Gill as a constituency caseworker while Gill was an MEP. He now says Mr Gill’s actions were “abhorrent” and “a betrayal”.
For Labour, despite its long dominance in Caerphilly, this campaign couldn’t have gone any worse. As well as battling against the unpopularity of both Sir Keir Starmer and the Welsh government, the council’s Labour leader, Sean Morgan, defected to Plaid Cymru during the campaign.
So, like many two-horse races, this political dash to the finishing line could be neck and neck.
Image: Pic: PA
Of Caerphilly’s three Cs, coal is long gone. The last mine, Penallta collier, closed in 1991, though there’s a proud history of coal mining.
Back in 1913, tragedy struck when the Universal Colliery in Senghenydd was the site of the UK’s worst mining accident, when 439 miners and a rescuer were killed in an explosion.
But Caerphilly could be about to make history once more, with either a massive stride forward on the road to Downing Street for Mr Farage or Labour surrendering power to the Welsh nationalists in Cardiff after more than a quarter of a century.
And, as Caerphilly’s most famous son would have said, the by-election result on Thursday night will be a pointer to politics in Wales and the whole of the UK… just like that!
The full list of candidates standing at the Caerphilly by-election