Politics
Starmer and Streeting invite ‘entire nation’ to contribute to consultation on reforming NHS – UK politics live | Politics
Starmer and Streeting invite ‘entire nation’ to contribute to consultation on reforming NHS
Good morning. When the Labour government came into power, Wes Streeting, the health secretary, declared on his first day in office “the policy of this department is that the NHS is broken”. The government is going to published a 10-year health plan to fix it, and it is due to be published next spring.
Streeting has said the plan will involve three main elements: moving from analogue to digital; more focus on primary care, not hospital care; and more focus on prevention. Keir Starmer explained them in a speech on the NHS in September.
But today the government asking people who work in the NHS and use it – the “entire nation”, as the Department of Health and Social Care puts it in its news release – to contribute to a consultation how health service should change. The DHSC explains:
Members of the public, as well as NHS staff and experts will be invited to share their experiences views and ideas for fixing the NHS via the online platform, change.nhs.uk, which will be live until the start of next year, and available via the NHS App.
The public engagement exercise will help shape the government’s 10 Year Health Plan which will be published in spring 2025 and will be underlined by three big shifts in healthcare – hospital to community, analogue to digital, and sickness to prevention …
Bold ambitions for the NHS can only be achieved by listening to the expertise and knowledge of its 1.54 million strong workforce. Their understanding of what’s holding them back from performing at their best will help us bring down waiting times and provide the world class care the public deserve.
The government has already taken immediate action to address challenges in the health service and deliver an NHS fit for the future. Whether that’s agreeing a deal with resident doctors within weeks, securing a funding increase for GP practices to manage rising pressures or hiring an extra 1,000 GPs into the NHS by the end of this year, there are both short- and long-term reforms working hand in hand.
Streeting has posted a link to the online consultation page on social media.
Governments launch consultations for various reasons. Clearly, when ministers are making big changes to large, important institutions, it makes sense to find out first what the public think, and occasionally these exercise throw up ideas overlooked by the thinktank, policy-making world. But that is not the only, or even the main, function of these initiatives like this. Ensuring people feel consulted can be just as important as finding out what they think.
More importantly, this is also about pitch-rolling – persuading people that an issue matters, and that change is needed. The public don’t need to be told that the NHS needs rescuing; it is regularly at or near the top of problems that people say matter to them most, according to polling. But we are less than two weeks away from a budget that is set to raise the tax burden by a record amount in cash terms (not necessarily as a proportion of GDP) and it is very, very important for the government to convince people that this is happening for reason (like fixing the broken NHS) and not just out of profligacy. Gordon Brown was the master of this; when he put up national insurance to raise money for the NHS, it turned out to be one of the most popular tax rises ever. Today’s NHS consultation is probably more about budget framing than about a scramble for ideas to pad out next year’s 10-year plan.
Here is the agenda for the day.
Morning: Keir Starmer and Wes Streeting, the health secretary, are visiting a health centre in London to launch their public consultation on the NHS’s future.
11.30am: Downing Street holds a lobby briefing.
2.20pm: Yvette Cooper, the home secretary, takes questions in the Commons.
After 3.30pm: Angela Rayner, the deputy prime minister and housing secretary, opens the Commons debate on the second reading of the employment rights bill.
If you want to contact me, please post a message below the line (BTL) or message me on social media. I can’t read all the messages BTL, but if you put “Andrew” in a message aimed at me, I am more likely to see it because I search for posts containing that word.
If you want to flag something up urgently, it is best to use social media. I’m still using X and I’ll see something addressed to @AndrewSparrow very quickly. I’m also trying Bluesky (@andrewsparrowgdn) and Threads (@andrewsparrowtheguardian).
I find it very helpful when readers point out mistakes, even minor typos (no error is too small to correct). And I find your questions very interesting too. I can’t promise to reply to them all, but I will try to reply to as many as I can, either BTL or sometimes in the blog.
Key events
Here are social media posts from two journalists about the plan for digital “patient passports” in the NHS.
From John Burn-Murdoch, the Financial Times’ chief data reporter
Everyone saying “no we can’t let the NHS use a proper joined up digital patient database, it’s all part of a plot to privatise British healthcare and sell your data” should be forced to read the dozens (hundreds?) of case studies like these
From Jim Waterson, the former Guardian journalist who now writes the London Centric newsletter on Substack
I hate doing personal posts but: When my mum was dying last year, NHS data sharing failures and prioritising GDPR over pain relief repeatedly left her in agony. In desperation I began to build a Google Doc of her records linked to a QR code for doctors to scan. System’s broken.
Acting Alba party leader says no decision yet taken over whether Sturgeon will be invited to Salmond’s memorial service
Severin Carrell
Claims that Nicola Sturgeon has been banned from attending Alex Salmond’s memorial service have been rejected as “premature” by Kenny MacAskill, the acting leader of Alba, the former first minister’s nationalist party.
The Sunday Mail reported at the weekend an Alba source saying there was “not a chance in hell” that Sturgeon would be invited, given the pair’s incendiary split over the allegations of sexual misconduct against Salmond.
Sturgeon and Salmond have not spoken since the allegations emerged following a Scottish government inquiry in 2018. Salmond had repeatedly accused her aides of orchestrating a smear campaign against him – claims Sturgeon has consistently dismissed.
In a statement rejecting the Sunday Mail’s claims, MacAskill said:
Now is the time for Alex’s family to be given the privacy and time to grieve the loss of a beloved husband, brother and uncle.
An announcement will be made in the coming days about arrangements for a private funeral to be attended by his family and close friends.
There will be time in the coming weeks to celebrate his life and commemorate his achievements in a memorial service, the family have yet to make any arrangements for that. All other speculation is premature.
Salmond’s family are expecting to hold a private funeral for the former first minister in his home village of Strichen, Aberdeenshire, next week, where he will also be buried. No date has yet been fixed for a memorial service, though some allies have suggested St Andrew’s Day on 30 November.
It remains unclear whether Sturgeon would expect to be invited. Salmond told a BBC Scotland documentary which aired last month: “It’s a big regret that Nicola and I are no longer on speaking terms and I seriously doubt if it’s going to improve.”
Health minister plays down privacy fears about digital ‘patient passports’, saying it’ll be like ‘online banking’
Stephen Kinnock, the care minister, was giving interviews this morning on behalf of the government. He was promoting the consultation on the future of the NHS, but many of the questions he took were about the government’s plans for a digital “patient passport”, ensuring people’s medical records are all available in one place, through the NHS app. Pippa Crerar and Denis Campbell explain that here.
Kinnock sought to play down concerns that people’s data would be at risk. But, in an interview with Mishal Husain on the Today programme, he was could not give her firm assurances on this point.
When Husain asked if people’s patient records would be available to all 1.5 million NHS employees under the government’s plans, Kinnock said the protocols would be set out in the forthcoming data bill. He went on:
We’re absolutely committed to protecting data, and we need the cyber security in place. Of course, one of the problems is the NHS uses Excel XP which is not conducive to the most modern cyber security techniques. We’ve got to modernize the tech.
Husain said protecting data from cyber attacks was a diferent matter, and she again asked if all NHS employees would be able to access someone’s medical records. Kinnock replied:
What we’re proposing is no different to online banking apps. So this is definitely more NatWest than it is Star Trek. This is a system that is going to be based on common sense, on enabling a single patient record.
In the end, if we don’t modernise the NHS, make it more efficient and productive, you can have the best data protection rules in the world, but you not going to have a health and care system that actually works.
Husain tried twice more to get a clear answer about the restrictions on NHS staff accessing individuals’ records. Kinnock did not say in detail how the system would work, but he said ultimately it was a matter of balance.
You’ve got to have a system that works and that enables the hugely important interface between GPS, hospitals and patients, and to create that single patient record.
That has to be balanced against water tight data protection, and that is the balance that we’re going to strike.
But if you constantly just say, we can’t do this because of data protection concerns, you’re just going to have the status quo going on and on and on, and you’re going to have a system that doesn’t work.
Michael Gove says personal attacks on ex-wife Sarah Vine ‘hurt so much’
Michael Gove has said that the most hurtful part of his political career was the attacks on his former wife, Sarah Vine, Peter Walker reports.
Starmer and Streeting invite ‘entire nation’ to contribute to consultation on reforming NHS
Good morning. When the Labour government came into power, Wes Streeting, the health secretary, declared on his first day in office “the policy of this department is that the NHS is broken”. The government is going to published a 10-year health plan to fix it, and it is due to be published next spring.
Streeting has said the plan will involve three main elements: moving from analogue to digital; more focus on primary care, not hospital care; and more focus on prevention. Keir Starmer explained them in a speech on the NHS in September.
But today the government asking people who work in the NHS and use it – the “entire nation”, as the Department of Health and Social Care puts it in its news release – to contribute to a consultation how health service should change. The DHSC explains:
Members of the public, as well as NHS staff and experts will be invited to share their experiences views and ideas for fixing the NHS via the online platform, change.nhs.uk, which will be live until the start of next year, and available via the NHS App.
The public engagement exercise will help shape the government’s 10 Year Health Plan which will be published in spring 2025 and will be underlined by three big shifts in healthcare – hospital to community, analogue to digital, and sickness to prevention …
Bold ambitions for the NHS can only be achieved by listening to the expertise and knowledge of its 1.54 million strong workforce. Their understanding of what’s holding them back from performing at their best will help us bring down waiting times and provide the world class care the public deserve.
The government has already taken immediate action to address challenges in the health service and deliver an NHS fit for the future. Whether that’s agreeing a deal with resident doctors within weeks, securing a funding increase for GP practices to manage rising pressures or hiring an extra 1,000 GPs into the NHS by the end of this year, there are both short- and long-term reforms working hand in hand.
Streeting has posted a link to the online consultation page on social media.
Governments launch consultations for various reasons. Clearly, when ministers are making big changes to large, important institutions, it makes sense to find out first what the public think, and occasionally these exercise throw up ideas overlooked by the thinktank, policy-making world. But that is not the only, or even the main, function of these initiatives like this. Ensuring people feel consulted can be just as important as finding out what they think.
More importantly, this is also about pitch-rolling – persuading people that an issue matters, and that change is needed. The public don’t need to be told that the NHS needs rescuing; it is regularly at or near the top of problems that people say matter to them most, according to polling. But we are less than two weeks away from a budget that is set to raise the tax burden by a record amount in cash terms (not necessarily as a proportion of GDP) and it is very, very important for the government to convince people that this is happening for reason (like fixing the broken NHS) and not just out of profligacy. Gordon Brown was the master of this; when he put up national insurance to raise money for the NHS, it turned out to be one of the most popular tax rises ever. Today’s NHS consultation is probably more about budget framing than about a scramble for ideas to pad out next year’s 10-year plan.
Here is the agenda for the day.
Morning: Keir Starmer and Wes Streeting, the health secretary, are visiting a health centre in London to launch their public consultation on the NHS’s future.
11.30am: Downing Street holds a lobby briefing.
2.20pm: Yvette Cooper, the home secretary, takes questions in the Commons.
After 3.30pm: Angela Rayner, the deputy prime minister and housing secretary, opens the Commons debate on the second reading of the employment rights bill.
If you want to contact me, please post a message below the line (BTL) or message me on social media. I can’t read all the messages BTL, but if you put “Andrew” in a message aimed at me, I am more likely to see it because I search for posts containing that word.
If you want to flag something up urgently, it is best to use social media. I’m still using X and I’ll see something addressed to @AndrewSparrow very quickly. I’m also trying Bluesky (@andrewsparrowgdn) and Threads (@andrewsparrowtheguardian).
I find it very helpful when readers point out mistakes, even minor typos (no error is too small to correct). And I find your questions very interesting too. I can’t promise to reply to them all, but I will try to reply to as many as I can, either BTL or sometimes in the blog.
Politics
Angela Rayner given security council seat after Starmer U-turn
Angela Rayner has been made a full member of the UK’s national security council (NSC), following a U-turn by Sir Keir Starmer.
The deputy prime minister’s name did not appear on a list of ministers attending the committee published by the government last week.
But the document has now been re-published to include her as a member, confirming a move first reported by the Guardian.
The newspaper reported the new No 10 chief of staff, Morgan McSweeney, had pushed for the change in a bid to shore up her position.
Downing Street said she had previously attended NSC meetings, claiming the change merely “formalises” an expectation she would do so regularly.
First established under former prime minister David Cameron, the NSC brings together senior ministers and defence and intelligence chiefs for meetings on security issues. Its members are appointed by the prime minister.
It membership has fluctuated over the years and varies by issue discussed, but has typically included previous deputy prime ministers as standing members.
The only exception was Therese Coffey, who held the post during the 49-day premiership of Liz Truss.
Ms Truss who effectively put an end to the NSC by merging its functions with two other foreign policy committees, before it was later reinstated by Rishi Sunak.
Topics discussed at the NSC include foreign policy, defence, economic security, and resilience to security threats.
Its membership was slimmed down in July 2021under Boris Johnson, in a bid to keep discussions “focused and strategic”.
Alongside Ms Rayner, the committee is will be attended by Chancellor Rachel Reeves, Cabinet Office minister Pat McFadden, Home Secretary Yvette Cooper, Foreign Secretary David Lammy, Defence Secretary John Healey and the Attorney General Lord Hermer, and will be chaired by Sir Keir.
Mr Rayner, who is also the housing secretary, also holds seats on cabinet sub-committees discussing constitutional matters, home and economic affairs, and changes to employment law.
Politics
Fears children at risk due to out-of-town taxi licences
Taxi drivers are buying licences in Wolverhampton to get round tough rules aimed at protecting children, a Labour MP claims.
One-in-five private hire vehicles in England, such as Ubers and minicabs, have obtained licences from Wolverhampton City Council, where they are cheaper and less stringent than in other parts of the country.
Drivers do not have to get licences from their own local authority, under a law introduced in 2015.
Rotherham MP Sarah Champion says this allows drivers in her constituency to bypass tough safeguarding rules introduced after a 2014 child sex abuse scandal.
“The frustration is that in Rotherham we have probably the best regulation in the country and we’re trying to get that adopted nationally,” she told the BBC.
“We needed it because a lot of children who were being exploited were being raped in taxis or being transported from one children’s home to the abuse location through a taxi.
“The problem is those regulations are only set by the licensing authority so unless we get national minimum standards then drivers can go to a different local authority with different regulations and still drive in Rotherham.”
Only 1,781 of the 48,447 drivers currently licensed by Wolverhampton live in the city, with the rest operating as far afield as Newcastle, Somerset, Cardiff and Skegness.
The cost of a one year private hire licence in Rotherham is £210 and applicants must sit a child and vulnerable adults safeguarding test with a 100% pass rate. They also have to fit CCTV cameras to their vehicles, which can cost upwards of £350.
In Wolverhampton, by contrast, a one year licence costs £49.
Wolverhampton City Council insists it takes safeguarding seriously – and applicants receive training in at as part of a one-day course they have to take.
But Rotherham driver Lee Ward, a Unite the Union representative for South Yorkshire, said out-of-town licences were making taxi drivers “very frustrated”.
“Unfortunately a lot of taxi drivers around here were tarred by the same brush as those who were criminals,” he told BBC News.
“These are innocent drivers who were all of a sudden hit by so many extra regulations, training, CCTV.
“They’ve all gone through that – with open arms and a glad heart – just to sit next to a taxi who has a license in another authority 100 miles away, with officers who never come to Rotherham or Sheffield to check their drivers.
“It just makes a mockery of what they are trying to do.”
Wolverhampton City Council has generated millions from issuing licences to taxi drivers around the country but says the money has been ploughed back into reducing fees.
A City of Wolverhampton Council spokeswoman said: “The council would refute any suggestion of prioritising earning money over passenger safety.”
In a recent report, the council said: “As the number of licensees increase, the likelihood of a serious issue taking place.
“There has been serious child sex exploitation scandals revealed in Rotherham and Telford, which involved taxi drivers.
“Licensed vehicles provide a ‘camouflage’ which allows vehicles to traffic vulnerable people, as well as the offer of free trips for grooming. It is the service’s goal to minimise risks by all legal means.”
Earlier this year, Louise Haigh – who is now transport secretary but at the time was in opposition – raised the issue of child safeguarding in a debate on taxi licensing, saying she had worked alongside victims and survivors of child sexual abuse in Rotherham.
She said: “Following the scandal, Rotherham council set very high standards for its taxi drivers, including installing CCTV in cabs and requiring national vocational qualification level 3 on child safeguarding.”
She called on then Conservative government to bring in “robust legislation” and national minimum standards to protect women and girls.
Sarah Champion has written to Haigh asking for new laws to ensure taxis must be licensed “in the local authority area in which they routinely operate”.
A Department for Transport spokesperson said: “Everyone deserves to feel safe when using a taxi or private hire vehicle and we’re aware of concerns around licensing.
“There are safeguarding procedures in place and all drivers must undergo enhanced DBS checks, but we are carefully considering the options available to improve safety and accessibility in the sector.”
MPs are due to debate the issue later on Monday.
Politics
Arlene Foster says conversion therapy vote triggered removal as DUP leader
The majority of the party had voted against the motion, arguing that any legislation to outlaw the practice needed to ensure safeguards for churches.
Speaking to Michael Gove for a new Radio 4 podcast, Baroness Foster explained why she had chosen to abstain on the vote.
“I was aware that one of our members had a daughter who was gay – in an attempt to try and diffuse the situation, I said: ‘Well, we’ll just abstain.’
“It was a non-binding vote. But by saying just abstain, people got very angry about that and that was the trigger then for my removal, which came just a week later.”
Baroness Foster, who has since quit frontline politics altogether, said the party was also unhappy with how things had been handled with the Brexit negotiations while Boris Johnson was prime minister.
She also said some within the DUP were unhappy about Covid regulations, which Baroness Foster had been tasked with jointly leading the response to in the power-sharing executive, and that had “caused difficulties”.
“Because of Covid, a lot of things were happening remotely, I didn’t see a lot of it coming towards me,” the former first minister of Northern Ireland said.
“Certainly not of the magnitude that happened and the way in which it happened, because nobody had actually come to me and said: ‘Oh, by the way I think you should step down and it’s time for you to go’.
“Nobody came to me and said that, but the way they did it was that they obtained signatures on a letter of no confidence and that’s how it came about.”
She said that while some of those involved in the move later apologised, the “damage was done”, describing it as a part of her life which was not particularly pleasant.
Politics
Single patient records at heart of NHS 10-year plan
Single patient records will be at the heart of the government’s new strategy for the NHS in England, ministers say.
Currently, records are held locally by a patient’s GP and any hospitals they visit.
Work is already under way to join up the records and ministers say they will form part of its drive to improve efficiency in the NHS under its 10-year plan.
Campaigners have raised concerns about data protection but ministers say they are “absolutely committed” to protecting confidential medical information.
It comes as the government launches a new “national conversation” to inform the 10-year plan, which is due to be published in the spring.
One of the key themes of the plan will be moving from “analogue to digital” – and the single patient records will be a core part of that.
The government said it would speed up patient care, reduce repeat tests and medical errors.
Last year, a contract was awarded to the firm Palantir to create a database joining up individual records kept by local services.
It will allow patients and those treating them to access the information about their health.
Campaign group MedConfidential has warned having a single record like this will be “open to abuse”.
But Stephen Kinnock defended the move, saying the government was “absolutely committed” to protecting patient data.
He said safeguards providing a “cast iron guarantee” on security would be set out in a new bill that will be put before Parliament to push ahead with the move.
Alongside this, the NHS App will be further developed to allow patients to routinely use it to book appointments and check test results.
The hope is patients will begin to use it in the same way banking apps have revolutionised the way people bank.
The 10-year plan will also focus on moving care out of hospitals and into the community.
The government said local neighbourhood health centres, where patients can access GP, district nursing, physios and testing all under one roof, will form part of this.
But it said it wanted to hear from the public about their own ideas for change as part of the national conversation.
The pubic engagement exercise begins on Monday, with the launch of website change.nhs.uk.
Health Secretary Wes Streeting said: “The NHS is going through the worst crisis in its history but, while the NHS is broken, it’s not beaten. Together we can fix.
“Whether you use the NHS or work in it, you see first hand what’s great but also what isn’t working. We need your ideas to help turn the NHS around.”
Patients Association chief executive Rachel Power said she “warmly welcomes” the initiative.
She said: “For far too long, many patients have felt their voices weren’t fully heard in shaping the health service.
“This national conversation marks a significant step towards genuine patient partnership and puts patients at the heat of the NHS’s evolution.”
Politics
Woman admits hurling McDonald’s milkshake over Nigel Farage
A woman who threw a McDonald’s milkshake over Reform UK leader Nigel Farage during the general election campaign has pleaded guilty to assault by beating.
Farage was leaving a pub in Clacton-on-Sea on 4 June having launched his candidacy for the Essex constituency when a drink was hurled in his face.
Victoria Thomas Bowen, 25, of St Osyth Road in Clacton, had previously denied the charge, and will be sentenced at Westminster Magistrates’ Court in December.
Mr Farage, who won the seat in the 4 July vote, was campaigning at the Moon & Starfish pub on the seafront when the attack happened.
Thomas Bowen also admitted criminal damage after causing £17.50 worth of damage to a jacket belonging to Mr Farage’s security officer James Woolfenden.
She changed her pleas to both charges before the start of her scheduled trial.
Deputy senior district judge Tan Ikram adjourned sentencing until 16 December.
The judge said : “This was an unprovoked, targeted attack, now on an elected Member of Parliament.
“I take a serious view of these offences.
“I am seeking a pre-sentence report which will consider all options for sentence.”
In a witness statement read out in court, Farage said “this incident caused me concern as I have only been going about my job” and that he tried to “have as much public engagement as possible”.
“I’m saddened that this has happened at a public campaign,” he added.
During a police interview Thomas Bowen said she saw a post online about Mr Farage’s attendance at the Wetherspoon outlet that day, the court heard.
She told officers she “does not agree with his political views” and decided to act because “she had the opportunity” when she saw him leaving the pub.
Giving details from her police interview, prosecutor Nishma Shah told the court: “She acknowledges that this was an assault and that the liquid would have gone over the jackets of him and others and caused them to get cleaning, but she states that Nigel would be able to afford this.
“She states she did not regret her actions.”
Thomas Bowen told police she did not intend the paper cup to hit Farage.
Politics
Former Tory minister David Gauke to lead prison sentencing review
Prime Minister Sir Keir Starmer will appoint the former Conservative Justice Secretary David Gauke to lead a review of prison sentencing, the BBC has confirmed.
The Labour Party said in its general election manifesto it would establish a review of sentencing “to ensure it is brought up to date”.
The BBC reported earlier this month that Gauke was the frontrunner to lead the review.
His appointment is expected to be announced on Tuesday by Justice Secretary Shabana Mahmood.
Gauke was justice secretary under Theresa May from January 2018 to July 2019.
He then broke with the Conservative Party over Brexit, and stood unsuccessfully as an independent candidate at the 2019 general election. In July he rejoined the Conservative Party.
Gauke has previously suggested that jail terms of less than six months should be scrapped.
The prisons minister, Lord Timpson, has also previously argued that the prison population is too large.
As well as scrapping short sentences, the review is expected to consider toughening up community orders as an alternative to jail.
Community orders can include compelling someone to take part in rehabilitation programmes or carry out unpaid work for the local area such as removing graffiti.
Someone given a community order may also face restrictions on where they live or where they can go.
Several government sources have pointed to advances in technology, such as sobriety tags monitoring alcohol use, that could be used more widely to detain criminals in their homes.
Ministers are also exploring international examples of reducing crime in Texas and Louisiana, where prisoners can reduce their sentences by earning credits for good behaviour.
The review is expected to make its recommendations in the spring.
Since coming to power in July the government has had to grapple with severe overcrowding in prisons in England and Wales.
One of Labour’s first acts after winning the election was to implement an early release scheme, drawn up by the previous government.
Under the scheme, prisoners can be let out if they have completed 40% of their sentence, rather than 50%, as was previously the case.
The government has said offenders jailed for violent offences with sentences of at least four years, sex offenders and domestic abusers were not eligible.
Last month 1,700 prisoners were freed under the scheme and a further 1,100 will be released on Tuesday.
The policy is due to be reviewed in 18 months.
The government has defended the scheme saying it had “inherited prisons in crisis and on the brink of collapse”.
“Had that happened, the courts would have been unable to hold trials and the police to make arrests,” a government spokesperson added.
The Conservatives have said the government “badly managed” the scheme creating “serious public concern” about the process.
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