Speeches by Fenton-Glynn.

“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?”

“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…”

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

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

“I hope that you can come in on this, Samantha. In the broader way that there have been things that have not worked there and you have had to change the way that you approach it, how is that going to work for the three shifts? If we do not get clinicians on board with the three shifts, they ain’t happening. The Secretar…”

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

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

“I am going to need “front end of the pathway using technology” translated into English.”

“Fewer people are going through to those appointments than might have been.”

“From a Health and Social Care Committee perspective, this is my concern. Sir Jim has been tasked with managing the change to NHS England. We have been tasked with the three shifts and the key part of this change has been missed on a previous strategy. I am very keen that, if we are going to have these shifts and have t…”

“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?”

“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?”

“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?”

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

“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…”

“The word that makes me anxious in what you just said is “should”—you did not say how we “will” do these things.”

“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…”

“I am going to talk about the integration of mental health services, which is key to making this work. The LGA and ADASS submission says that “the Community Mental Health framework has identified what is needed—locally based, co-located services that are accessible to all at a point in their journey that is right for th…”