Health and Social Care – in the House of Commons at on 21 October 2025.
Ian Lavery
Labour, Blyth and Ashington
What steps he is taking to ensure that frontline NHS services are supported following the potential introduction of new public-private partnership contracts.
Karin Smyth
Minister of State (Department of Health and Social Care)
Let me be clear: this Government will always protect the NHS and have the service free at the point of use for everyone. This Government are determined to shift health out of hospitals and into the community, as set out in the 10-year plan, and neighbourhood health services will be fundamental to delivering this shift, so it is right that we look at a range of options to provide the best care for people across the country. Let me reassure hon. Members that all proposals are subject to robust, value-for-money assessments to ensure taxpayers get the best possible return on investments in our health services.
Ian Lavery
Labour, Blyth and Ashington
May I begin by congratulating the Secretary of State on his actions in trying to repair our cherished NHS following 14 years of Tory destruction? We must learn from past mistakes. The private finance initiative was a huge, expensive mistake—an absolute disaster—with £80 billion repaid for an investment of £13 billion. Will the Minister reassure the House that the lessons of PFI have been well learned, and that they are well and truly in the past and in the dustbin?
Karin Smyth
Minister of State (Department of Health and Social Care)
I thank my hon. Friend for his words of encouragement and congratulation. I assure him that lessons have been learned; we will ensure value for taxpayers’ money in all future proposals.
Pippa Heylings
Liberal Democrat Spokesperson (Energy Security and Net Zero)
I meet regularly with GPs in my Constituency, and they have highlighted that they do not yet have clarity or certainty about the role and resources that they will have in the roll-out of services from hospitals to communities and neighbourhood health services. Will the Minister meet me to provide that clarity to our GPs and assure them that they will be at the table during that roll-out?
Karin Smyth
Minister of State (Department of Health and Social Care)
It is absolutely the role of the hon. Lady’s local integrated care board to ensure that it involves all partners, particularly primary care, in the exciting roll-out of neighbourhood health services, which I think they welcome. I am happy to discuss that further with her.
Secretary of State was originally the title given to the two officials who conducted the Royal Correspondence under Elizabeth I. Now it is the title held by some of the more important Government Ministers, for example the Secretary of State for Foreign Affairs.
The political party system in the English-speaking world evolved in the 17th century, during the fight over the ascension of James the Second to the Throne. James was a Catholic and a Stuart. Those who argued for Parliamentary supremacy were called Whigs, after a Scottish word whiggamore, meaning "horse-driver," applied to Protestant rebels. It was meant as an insult.
They were opposed by Tories, from the Irish word toraidhe (literally, "pursuer," but commonly applied to highwaymen and cow thieves). It was used — obviously derisively — to refer to those who supported the Crown.
By the mid 1700s, the words Tory and Whig were commonly used to describe two political groupings. Tories supported the Church of England, the Crown, and the country gentry, while Whigs supported the rights of religious dissent and the rising industrial bourgeoisie. In the 19th century, Whigs became Liberals; Tories became Conservatives.
Ministers make up the Government and almost all are members of the House of Lords or the House of Commons. There are three main types of Minister. Departmental Ministers are in charge of Government Departments. The Government is divided into different Departments which have responsibilities for different areas. For example the Treasury is in charge of Government spending. Departmental Ministers in the Cabinet are generally called 'Secretary of State' but some have special titles such as Chancellor of the Exchequer. Ministers of State and Junior Ministers assist the ministers in charge of the department. They normally have responsibility for a particular area within the department and are sometimes given a title that reflects this - for example Minister of Transport.
In a general election, each Constituency chooses an MP to represent them. MPs have a responsibility to represnt the views of the Constituency in the House of Commons. There are 650 Constituencies, and thus 650 MPs. A citizen of a Constituency is known as a Constituent
