Speeches by Fenton-Glynn.

“Sorry, that was an unfair one to drop on you just there.”

“You have learned lessons and you are now trying to work differently.”

“Where can you point to as a good example?”

“Going back to the clinician buy-in, is the barrier the royal colleges? Is it the BMA? Is it some mixture of all of those groups?”

“You are telling me lots of things that you think are going right, which is good and I look forward to seeing the results. I am not hearing where the blockage is. It is three years on now and we have not really seen much of a change. You have said industrial action. Beyond that, is it royal colleges not wanting to chang…”

“I am going to come to the shift in the model in a little bit. I want to think a bit about resources though, because 80% of programmes are out-patient. Should that have been more of a focus of where we put resources into reducing elective recovery times, do you think, Sir Jim?”

“Out-patients represent 80% of the elective waiting lists, so the key to solving elective waiting lists is solving out-patients. You had a 25% target of reduction. After 13 months, you had reduced the use by 0.1% and then, more or less, you stopped measuring it in the same way. When you miss something such as that, it i…”

“It sounds to me like you want to convince them that it was their idea.”

“Is it patient behaviour or physician behaviour that needs to change?”

“So we have some physician change and some patient change. It is a 10-year plan. You just said that the current model has lasted for about 200 years. We also have a document here that shows that we have not been terribly effective at changing physician behaviour. What gives you confidence that it is deliverable?”

“It does not seem to be moving quickly enough.”

“You are telling me that you recognise that we need to change, which is what you just told me in your last answer. We have tried change here, but it has not really worked. What makes you confident that it will change?”

“It feels like you are not measuring the target any more, though. Is that because you have got the target wrong?”

“If it is untapped, why did we focus the £1.5 billion bid at the start of the year on surgical hubs rather than more money on out-patients?”

“Is the essential problem that the senior clinicians who you need to get on board and who make a lot of the decisions are, in fact, senior?”

“I am going to stop you there for a second, because what you say about people not needing to come in and changing patient behaviour is really interesting. There was a target of 25% of out-patient follow-up appointments being remote. Not only have you missed that target, but you have gone down from 22% of people having r…”

“It feels like we can make a change when we spend a load of money on a diagnostic centre or a new surgical hub, because it is a new building for people to work in, but, when it comes to getting clinicians on board and getting buy-in, it is more tricky.”

“It is an honour to serve under your chairmanship, Sir Desmond. I thank the hon. Member for Bromsgrove (Bradley Thomas) for securing an important debate. Cosmetic surgery can be affirming and often makes people’s lives better. Although I have some concerns about some of the beauty standards that it reinforces, as has al…”

“We were talking about mental health waiting lists. Gareth just referred to it as a very well working service. There are places in this country where the only way you can get access to talking therapies is if you are sectioned—my colleague from Congleton raised that. Do you think that the mental health service is curren…”

“In 2018, the Department for Health and Social Care said that two in three deaths of people with SMIs from physical illnesses could be prevented. Are we going to do an exercise to try and get that number again? That was 2018, the last period we have numbers for. At what point do you expect that number to reduce?”