keep the expert addressed so we can keep the expert in the system. this addressed so we can keep the expert in the system-— in the system. this covers the nhs, but i assume _ in the system. this covers the nhs, but i assume the _ in the system. this covers the nhs, but i assume the social— in the system. this covers the nhs, but i assume the social care - in the system. this covers the nhs, but i assume the social care also . in the system. this covers the nhs, but i assume the social care also at| but i assume the social care also at some point has to come into the picture. rates of pacing are lower in social care. social care has to compete with lots of other industries for workers which makes it much more unattractive and harder to retain. social care has more vacancies and it is of course essential for helping that the nhs work because lots of us will need social care, particularly because we are an ageing population.— particularly because we are an ageing population. having a plan is one thing but— ageing population. having a plan is one thing but being _ ageing population. having a plan is one thing but being able _ ageing population. having a plan is one thing but being able to - ageing population. having a plan is| one thing but being able to combine all parts of the nhs to make it work is difficult? i all parts of the nhs to make it work is difficult? ~ , is difficult? i think it is difficult. _ is difficult? i think it is difficult. it _ is difficult? i think it is difficult. it will- is difficult? i think it is difficult. it will be - is difficult? i think it is - difficult. it will be interesting to see what the minister has to say on how that will happen. and also how it is operationalised in the nhs. it

is quite interesting, quite often these policies line on the nhs and then struggled to be implemented and it will be interesting to see how that works. it will be interesting to see how that worke— it will be interesting to see how that worka— it will be interesting to see how. that werrs-_ i it will be interesting to see how - that works._ i am that works. are you optimistic? i am more optimistic _ that works. are you optimistic? i am more optimistic having _ that works. are you optimistic? i am more optimistic having seen - that works. are you optimistic? i am more optimistic having seen it. - that works. are you optimistic? i am more optimistic having seen it. i - that works. are you optimistic? i am more optimistic having seen it. i am| more optimistic having seen it. i am optimistic that there is perhaps a more modern approach. lets optimistic that there is perhaps a more modern approach. lets listen to the prime minister. _ more modern approach. lets listen to the prime minister. years, _ more modern approach. lets listen to the prime minister. years, the - more modern approach. lets listen to the prime minister. years, the nhs. the prime minister. years, the nhs has existed — the prime minister. years, the nhs has existed to _ the prime minister. years, the nhs has existed to give _ the prime minister. years, the nhs has existed to give every _ the prime minister. years, the nhs has existed to give every single - has existed to give every single person and our country a security. it comes from knowing that if you are sick, you will be cared for. rich or poor, young or old, in work or out, the nhs is there for you. whenever and wherever you need it. i believe in the nhs because it is fundamental to my family. my dad was a gp. my mum was a pharmacist. i saw from an early age the difference they made it to the community where they made it to the community where they lived and worked. and the

difference made by the hundreds of thousands of others who sacrificed so much for so many in the service of that higher purpose of protecting our nation's health. but while that purpose has never changed, what has changed are the challenges facing the nhs. our society is growing older, the burden of illness is changing and all of this will put pressure on already overstretched workforce. a couple of weeks ago, i joined doctors and nurses on the late shift at watford general hospital. i saw courageous, hard—working men and women, doing extraordinary things in difficult circumstances. they told me the same message we heard time and time again. from leaders in the health care sector and the public. we need more doctors and nurses to ease the pressures and we need reform. to free them up to do theirjobs properly. and their right.

governments from all parties have done the challenge for decades. it isjust not right done the challenge for decades. it is just not right that we do not train enough people at home to properly starve our national health service. overcoming this won't be quick or easy. it is only possible because of the difficult decisions we are taking elsewhere to cut the debt. and by privatising the nhs, there will be other things that we can't afford. but the nhs is too important so we are taking the tough calls and doing things differently to protect the long—term future of the nhs and this country. already, we have made progress with more investment in the nhs than any government before including up to £14 billion extra for health and social care over the next two years. we have not only hit our manifesto targets to recruit 26,000 more primary care staff, we have done so one year early. and we are very close to meeting our promise to

recruit 50,000 more nurses. and we are cutting the waiting lists. with rates of over two years, virtually eliminated in england and the number of patients waiting over 18 months readies by over 90%. but even without the covid backlogs and even without the covid backlogs and even with the record number of doctors and nurses we have today, unless we act now for the long term, the challenges we face will only get worse. so today, we are announcing the most ambitious transformation in the most ambitious transformation in the way that we staff the nhs in its history. the long—term workforce plan. theirs is a 15 year plan to deliver the biggest ever expansion in the number of doctors and nurses that we train. and a plan to reform the nhs so we deliver better care in a changing world. and a plan that is not only eases the pressure is today but protects this russia's national

institution for the long term. this is the nhs plan and the government is the nhs plan and the government is proud to back it. with over £2.4 billion of additional investment, you can trust this government where the nhs. the plan rests on three —— three principles, train, retain and reform. training, we will double the number of medical training places by 2031, focusing on areas where there are too few doctors today. we will train over 24,000 more nurses and midwives a year. and increase the number of gp training places by 50%. in time, this will allow us to reduce our spending on temporary agency staff by £10 billion and cut the need for international

recruitment. today, the proportion recruited from overseas is around one in four. with our plan, it will fall tojust one in one in four. with our plan, it will fall to just one in ten. second, doctors in other clinicians can spend a lifetime gaining valuable experience and we want to hang on those skills for as long as we can so we will retain more of our dedicated workforce, keeping up to 130,000 more staff in the nhs over the next 15 years. we already offer best in class pensions and we have just dramatically cut the tax on pension savings, a move that has been called transformative. now we are going to modernise pension scheme so staff can partially retire or return to work much more easily if they wish to. and we are going to improve conditions right now for those who gave so much during the pandemic. to do that, we are improving culture, leadership and well—being, giving staff more

flexibility in control and investing in their professional element. finally, we need reform. it is not enoughjust finally, we need reform. it is not enough just to have finally, we need reform. it is not enoughjust to have more doctors finally, we need reform. it is not enough just to have more doctors and nurses. we need to change the way they work so that they can deliver better care for patients. and this is partly about seizing the opportunities of new technologies like ai opportunities of new technologies like al or opportunities of new technologies like ai orjust look at virtual awards, which produced to recover at home, providing a better service at lower costs. we are also going to expand new roles like nasa associates and position associate so that most qualified staff can focus on patients with complex needs. we are going to drive the biggest ever expansion of apprenticeships in the nhs so that one fifth of all clinical training will be offered through degree apprenticeships, helping to bring style into the nhs from a much wider range of backgrounds. we will give staff in

the nhs more opportunities to progress, such as becoming a nurse or doctor, as well as making sure that the work force of the future has the advance knowledge they need to care for our ageing population. taken together, these changes will raise nhs productivity so patients get more and better care for the same money. training, retention and reform. that is our plan to build the health care workforce of the future and secure the nhs for the long term. next week marks the 75th anniversary of the nhs. for every minute of every day of every one of those 75 years, the nhs has been kept going by the millions of people that have worked for it. to them, on the half of grateful the nation, i want to say thank you. i feel a powerful sense of response ability to make sure that their legacy and

yours and to make sure that the nhs is there for our children and grandchildrenjust as it is there for our children and grandchildren just as it was there for us and that is what today's plan is all about. more doctors, more nurses, better care for all today and long into the future. thank you. i will hand over to amanda. it’s a i will hand over to amanda. it's a real pleasure _ i will hand over to amanda. it's a real pleasure to _ i will hand over to amanda. it's a real pleasure to be _ i will hand over to amanda. it's a real pleasure to be with - i will hand over to amanda. it's a real pleasure to be with you - i will hand over to amanda. it's a real pleasure to be with you here at the launch — real pleasure to be with you here at the launch of the first ever nhs long—term workforce plan. as the prime _ long—term workforce plan. as the prime minister hasjust said, the health_ prime minister hasjust said, the health service reaches a major milestone next week. the 75th anniversary of our founding. the publication— anniversary of our founding. the publication of this ambition and bound — publication of this ambition and bound -- — publication of this ambition and bound —— bold plan sales and even more _ bound —— bold plan sales and even more significant moment than that anniversary. it is the first time since — anniversary. it is the first time since 1948— anniversary. it is the first time since 1948 that we have been asked

by the _ since 1948 that we have been asked by the government to produce a long—term assessment of our staffing needs— long—term assessment of our staffing needs and _ long—term assessment of our staffing needs and a _ long—term assessment of our staffing needs and a plan to deliver them. i would _ needs and a plan to deliver them. i would like — needs and a plan to deliver them. i would like to fire the prime minister— would like to fire the prime minister and chancellor —— thanked the prime — minister and chancellor —— thanked the prime minister for kick—starting the prime minister for kick—starting the plan _ the prime minister for kick—starting the plan which will fully fund needed _ the plan which will fully fund needed over the next five years. this is— needed over the next five years. this is a — needed over the next five years. this is a once in a generation opportunity to improve patient care by putting — opportunity to improve patient care by putting staffing on a sustainable footing _ by putting staffing on a sustainable footing i_ by putting staffing on a sustainable footing. i would like tojust by putting staffing on a sustainable footing. i would like to just take this moment to thank all of my colleagues across the nhs and beyond who have _ colleagues across the nhs and beyond who have worked so hard with us to produce _ who have worked so hard with us to produce it — who have worked so hard with us to produce it. your input has been invaluable _ produce it. your input has been invaluable. the nhs can do nothing. without— invaluable. the nhs can do nothing. without it _ invaluable. the nhs can do nothing. without it staff, the last four years — without it staff, the last four years in _ without it staff, the last four years in particular have shown the brilliance — years in particular have shown the brilliance of our staff, caring for over— brilliance of our staff, caring for over i _ brilliance of our staff, caring for over1 million people with covid in

hospitals, — over1 million people with covid in hospitals, delivering the biggest vaccination programme in our history. — vaccination programme in our history, dealing with the busiest winter— history, dealing with the busiest winter on — history, dealing with the busiest winter on record as well as making progress _ winter on record as well as making progress on — winter on record as well as making progress on backlogs and cancer diagnosis — progress on backlogs and cancer diagnosis. however, we already have 112,000 _ diagnosis. however, we already have 112,000 vacancies and as we know, our population is going to grow, it is going _ our population is going to grow, it is going to — our population is going to grow, it is going to age and as new treatments and therapies come on, the demand on the nhs and our workforce — the demand on the nhs and our workforce is only going to increase. since _ workforce is only going to increase. since the _ workforce is only going to increase. since the foundation of the nhs, we have relied — since the foundation of the nhs, we have relied on the skills and dedication of staff who came here from _ dedication of staff who came here from the — dedication of staff who came here from the four corners of the globe to care _ from the four corners of the globe to care for— from the four corners of the globe to care for patients and there will always— to care for patients and there will always be — to care for patients and there will always be a place for them in the nhs _ always be a place for them in the nhs but— always be a place for them in the nhs. but demand for health care workers — nhs. but demand for health care workers is — nhs. but demand for health care workers is increasing and will continue _ workers is increasing and will continue increasing across the world — continue increasing across the world so _ continue increasing across the world. so doing nothing is not an option _ world. so doing nothing is not an option as — world. so doing nothing is not an option. as the prime minister says, we are _ option. as the prime minister says, we are not— option. as the prime minister says, we are not going to do nothing. we are instead —

we are not going to do nothing. we are instead going to do the boldest set of— are instead going to do the boldest set of changes for workforce ever in the history— set of changes for workforce ever in the history of the nhs. we will increase — the history of the nhs. we will increase the number of home—grown doctors. _ increase the number of home—grown doctors, nurses and other staff as part of— doctors, nurses and other staff as part of the — doctors, nurses and other staff as part of the biggest workforce expansion in our history and we will draw— expansion in our history and we will draw on _ expansion in our history and we will draw on the — expansion in our history and we will draw on the widest possible pool of talent _ draw on the widest possible pool of talent by— draw on the widest possible pool of talent by expanding new routes into the profession so more people can -et the profession so more people can get into— the profession so more people can get into nursing or a medical degree without— get into nursing or a medical degree without going to university full time — without going to university full time. but recruitment is only part of the _ time. but recruitment is only part of the answer, we will also retain more _ of the answer, we will also retain more of— of the answer, we will also retain more of the — of the answer, we will also retain more of the staff that we have and reform _ more of the staff that we have and reform the — more of the staff that we have and reform the way that they train and work— reform the way that they train and work so _ reform the way that they train and work so that we are making the most of everyone's education, skills and experience — of everyone's education, skills and experience. better opportunities for career— experience. better opportunities for career development, improving flexible — career development, improving flexible working options alongside government reforms to the pension scheme _ government reforms to the pension scheme should mean that around 130,000 — scheme should mean that around 130,000 more staff stay working in the nhs _ 130,000 more staff stay working in the nhs longer. changes in technology and new treatments will change _ technology and new treatments will change the way we work in future as well as— change the way we work in future as well as the — change the way we work in future as well as the numbers and the roles

that are _ well as the numbers and the roles that are needed in the future. so from _ that are needed in the future. so from care — that are needed in the future. so from care closer to her with medicine _ from care closer to her with medicine available on the high street— medicine available on the high street and more through to those colleagues _ street and more through to those colleagues working in virtual awards and beyond, this plan is notjust good _ and beyond, this plan is notjust good news — and beyond, this plan is notjust good news for nhs staff. it is good news _ good news for nhs staff. it is good news for _ good news for nhs staff. it is good news for patients. this plan will be regularly— news for patients. this plan will be regularly updated to make sure we stay on _ regularly updated to make sure we stay on track to deliver the workforce we need, to deliver the best possible care now and into the future _ best possible care now and into the future. working in the nhs is not always— future. working in the nhs is not always easy. the last four years in particular— always easy. the last four years in particular have shown that, but it does _ particular have shown that, but it does offer — particular have shown that, but it does offer a huge variety of careers, _ does offer a huge variety of careers, with more than 350 different— careers, with more than 350 different roles that the nhs. i would — different roles that the nhs. i would like to close by adding anyone thinking _ would like to close by adding anyone thinking about making a change in their career or school university think— their career or school university think about what to do next, to consider— think about what to do next, to consider an opportunity for a career

in the _ consider an opportunity for a career in the nhs — consider an opportunity for a career in the nhs. we consider an opportunity for a career in the nhs-— consider an opportunity for a career in the nhs. ~ ., ., ., ., ., in the nhs. we are now going to hear from the nhs- _ in the nhs. we are now going to hear from the nhs. this _ in the nhs. we are now going to hear from the nhs. this is _ in the nhs. we are now going to hear from the nhs. this is a _ in the nhs. we are now going to hear from the nhs. this is a very - from the nhs. this is a very important — from the nhs. this is a very important day. _ from the nhs. this is a very important day. for - from the nhs. this is a very important day. for all - from the nhs. this is a very important day. for all who l from the nhs. this is a very - important day. for all who work in the nhs _ important day. for all who work in the nhs and for the patients that we all carefut _ the nhs and for the patients that we all careful. it takes a team to care for a _ all careful. it takes a team to care for a patient to notjust doctors like me — for a patient to notjust doctors like me but doctors —— nurses, physios. — like me but doctors —— nurses, physios, porters, cleaners, the list goes— physios, porters, cleaners, the list goes on~ _ physios, porters, cleaners, the list goes on. during the workforce will help to _ goes on. during the workforce will help to ensure that that team had the cute _ help to ensure that that team had the cute time they need to get the standard _ the cute time they need to get the standard of care that they want to provide _ standard of care that they want to provide and that they have been trained — provide and that they have been trained to— provide and that they have been trained to provide and that they had been trained together. we also have the opportunity to recruit, train and work— the opportunity to recruit, train and work differently in a way that is both— and work differently in a way that is both rewarding the staff and also more _ is both rewarding the staff and also more productive for patients and for the country — more productive for patients and for the country. like the prime minister. _ the country. like the prime minister, like amanda, i really believe — minister, like amanda, i really believe that this is a landmark day for the _ believe that this is a landmark day for the nhs, just ahead of our 75th anniversary—

for the nhs, just ahead of our 75th anniversary and it is a landmark day for all— anniversary and it is a landmark day for all who— anniversary and it is a landmark day for all who are employed within the nhs and _ for all who are employed within the nhs and of course most of all, for those _ nhs and of course most of all, for those who— nhs and of course most of all, for those who be careful. | nhs and of course most of all, for those who be careful.— those who be careful. i will take some questions _ those who be careful. i will take some questions from _ those who be careful. i will take some questions from the - those who be careful. i will take | some questions from the media. those who be careful. i will take - some questions from the media. work on this [an some questions from the media. work on this plan was _ some questions from the media. work on this plan was at _ some questions from the media. work on this plan was at least _ some questions from the media. work on this plan was at least under way early— on this plan was at least under way early last— on this plan was at least under way early last year~ _ on this plan was at least under way early last year. why— on this plan was at least under way early last year. why has _ on this plan was at least under way early last year. why has it - on this plan was at least under way early last year. why has it taken i on this plan was at least under way| early last year. why has it taken —— why has— early last year. why has it taken —— why has it — early last year. why has it taken —— why has it taken _ early last year. why has it taken —— why has it taken so _ early last year. why has it taken —— why has it taken so long _ early last year. why has it taken —— why has it taken so long and - early last year. why has it taken —— why has it taken so long and lord l why has it taken so long and lord goldsmith — why has it taken so long and lord goldsmith has _ why has it taken so long and lord goldsmith has resigned _ why has it taken so long and lord goldsmith has resigned this - why has it taken so long and lord - goldsmith has resigned this morning, criticising _ goldsmith has resigned this morning, criticising you — goldsmith has resigned this morning, criticising you over— goldsmith has resigned this morning, criticising you over the _ criticising you over the environment. - criticising you over the environment. what. criticising you over the environment. what isi criticising you over the - environment. what is your criticising you over the _ environment. what is your reaction, do you _ environment. what is your reaction, do you ask— environment. what is your reaction, do you ask him _ environment. what is your reaction, do you ask him to— environment. what is your reaction, do you ask him to apologise - environment. what is your reaction, do you ask him to apologise over. environment. what is your reaction, | do you ask him to apologise over his comment— do you ask him to apologise over his comment on— do you ask him to apologise over his comment on the _ do you ask him to apologise over his comment on the privileges - do you ask him to apologise over his . comment on the privileges committee? quickly, _ comment on the privileges committee? quickly, on _ comment on the privileges committee? quickly, on lord — comment on the privileges committee? quickly, on lord goldsmith. _ comment on the privileges committee? quickly, on lord goldsmith. he - comment on the privileges committee? quickly, on lord goldsmith. he was- quickly, on lord goldsmith. he was asked to apologise for his comments because i felt like those were incompatible with his position as a minister. he has chosen to take a different course, i accept that, i

am proud of the record of this government and of zac in government, making sure we tackle climate change. we will continue to do so as you will see. on your question about the plan, you have heard how amanda and steve and numerous other health care bodies have described it today, landmark, historic, momentous, important, the first summit is happening 75 years. so it was important that we got it right because this is a very important day. this sets the nhs up for decades to come so taking the time to get it right is absolutely the correct course of action. as you will see from the plan today, it is very comprehensive. there are three strands to it. it is notjust about training more staff, that is important but the two other strands are also important. how do we retain our fantastic are also important. how do we retain ourfantastic nhs are also important. how do we retain

our fantastic nhs workers? we know we need to do a betterjob of that and we have a clear initiative and proposals but also reform. i know that everyone wants to know the government is backing the nhs funding, record sums have been put in by me, the chancellor and steve, the health secretary but we also want to make sure that money is well spent and the nhs is modernised so it is fit for the future to deliver the care that we all need and do so in a way that is keeping up with how health care is changing. train, retain and reform. this is a important moment. it was that the nhs up for important moment. it was that the nhs upforyears, important moment. it was that the nhs up for years, decades into the future so you can see from the reception, it is a plan that we warmly welcomed and will make a enormous difference to the country. amanda, do you want to touch on the retention and things that we have been working on?—

retention and things that we have been working on? retention goes sliuhtl been working on? retention goes sliahtl to been working on? retention goes slightly to your — been working on? retention goes slightly to your question - been working on? retention goes slightly to your question about. been working on? retention goes| slightly to your question about the time that— slightly to your question about the time that it is going to take to recruit, — time that it is going to take to recruit, train some of the staff that— recruit, train some of the staff that we — recruit, train some of the staff that we are describing but i think the retention actions are for today, they offer— the retention actions are for today, they offer now. two really big things— they offer now. two really big things is— they offer now. two really big things is that we know flexibility reatly— things is that we know flexibility really matters to our style so partly, — really matters to our style so partly, that is going to address through— partly, that is going to address through some of the pension reforms but we _ through some of the pension reforms but we have — through some of the pension reforms but we have also announced initiatives to enable doctors to work _ initiatives to enable doctors to work more flexibly for the nhs because — work more flexibly for the nhs because we'd rather have some of the time so _ because we'd rather have some of the time so a _ because we'd rather have some of the time so a range of things that will support— time so a range of things that will support people, particularly of with flexibility— support people, particularly of with flexibility but also career progression. part of his plan is about— progression. part of his plan is about more of those sorts of roles that we _ about more of those sorts of roles that we know can bring people into the nhs, _ that we know can bring people into the nhs, we have talked about already— the nhs, we have talked about already but also opportunities for those _ already but also opportunities for those people to progress through, whether— those people to progress through, whether that is now as associates become _ whether that is now as associates become qualified nurses becoming

advanced _ become qualified nurses becoming advanced practitioners or a range of other— advanced practitioners or a range of other ways — advanced practitioners or a range of other ways. what steve would say on this, when _ other ways. what steve would say on this, when you are working in the nhs and — this, when you are working in the nhs and you turn up on a shift and its people — nhs and you turn up on a shift and its people we not filling nearly are working _ its people we not filling nearly are working with, that makes it really hard for _ working with, that makes it really hard for people to fill that they can do— hard for people to fill that they can do their best work and the gutter— can do their best work and the gutter patients knowing that over time, _ gutter patients knowing that over time, we — gutter patients knowing that over time, we will get to a place where we have _ time, we will get to a place where we have sustainable workforce. before — we have sustainable workforce. before we move on, we also wanted to engage and listen to people. this wasn't a plan that amanda and steve just concocted in the office and then sat down with steve and me and then sat down with steve and me and the chancellor to put together, what we have been doing with the time as talking to something like 60 odd organisations and experts in the

health care field. we wanted to make sure that we heard from everyone involved in the nhs and that we got all of their ideas on board, we discuss with them what they were looking for, what by the things that would make the most difference and make sure we do this together because ultimately, i can santa announced this. amanda and steve are here with me, as we are discussing everyone this week, it is a plan that will need to be delivered by everyone working and delivering on the nhs and it was important that they were part of the journey and that the plan was as much theirs as it was ours. that the plan was as much theirs as it was ours-— it was ours. part of the reason it is takin: it was ours. part of the reason it is taking time — it was ours. part of the reason it is taking time is _ it was ours. part of the reason it is taking time is because - it was ours. part of the reason it is taking time is because we - it was ours. part of the reason it. is taking time is because we wanted to engage _ is taking time is because we wanted to engage with people the workforce. the medical colleges have been working — the medical colleges have been working closely with us and professional bodies in the nhs, what

struck— professional bodies in the nhs, what struck me _ professional bodies in the nhs, what struck me at the roundtable that was held here _ struck me at the roundtable that was held here earlier this week was that the possibility by all of those representatives by those key bodies he were _ representatives by those key bodies he were in— representatives by those key bodies he were in the room. they were up challenge — he were in the room. they were up challenge. they recognise that this was a _ challenge. they recognise that this was a challenging planned, both in terms _ was a challenging planned, both in terms of— was a challenging planned, both in terms of numbers and in terms of the reform _ terms of numbers and in terms of the reform that _ terms of numbers and in terms of the reform that needs to happen. they were _ reform that needs to happen. they were up— reform that needs to happen. they were up for— reform that needs to happen. they were up for it, i have been talking to university leaders, the regulator for medical— to university leaders, the regulator for medical workforce on the ambition— for medical workforce on the ambition to shorten the curriculum for medical— ambition to shorten the curriculum for medical students, to introduce apprenticeships, to widen the access for people _ apprenticeships, to widen the access for people coming into medical schools — for people coming into medical schools. they are ready up for it. yes, _ schools. they are ready up for it. yes. it _ schools. they are ready up for it. yes. it is— schools. they are ready up for it. yes, it is going to be challenging. 0ver— yes, it is going to be challenging. over the — yes, it is going to be challenging. over the five year period where the 2.4 over the five year period where the 24 billion — over the five year period where the 2.4 billion is targeted, that is around — 2.4 billion is targeted, that is around the timescale it will take to build _ around the timescale it will take to build new— around the timescale it will take to build new medical schools, to put the additional places in the system but it— the additional places in the system but it is— the additional places in the system but it is a _ the additional places in the system but it is a challenge but people are absolutely up for it and it is

entirely— absolutely up for it and it is entirely doable.— absolutely up for it and it is entirely doable. there is lots of new money _ entirely doable. there is lots of new money and _ entirely doable. there is lots of new money and here _ entirely doable. there is lots of new money and here for - entirely doable. there is lots of| new money and here for training entirely doable. there is lots of - new money and here for training but not new— new money and here for training but not new money— new money and here for training but not new money for— new money and here for training but not new money for pay. _ new money and here for training but not new money for pay. we - new money and here for training but not new money for pay. we have - new money and here for training but| not new money for pay. we have had former— not new money for pay. we have had former nhs— not new money for pay. we have had former nhs workers _ not new money for pay. we have had former nhs workers tell _ not new money for pay. we have had former nhs workers tell us - not new money for pay. we have had former nhs workers tell us that - not new money for pay. we have had former nhs workers tell us that one i former nhs workers tell us that one of the _ former nhs workers tell us that one of the reasons — former nhs workers tell us that one of the reasons i— former nhs workers tell us that one of the reasons i left— former nhs workers tell us that one of the reasons i left was _ former nhs workers tell us that one of the reasons i left was below- of the reasons i left was below inflation — of the reasons i left was below inflation pay— of the reasons i left was below inflation pay rises, _ of the reasons i left was below inflation pay rises, do - of the reasons i left was below inflation pay rises, do you - of the reasons i left was below. inflation pay rises, do you accept that pay— inflation pay rises, do you accept that pay hits _ inflation pay rises, do you accept that pay hits morale _ inflation pay rises, do you accept that pay hits morale in _ inflation pay rises, do you accept that pay hits morale in the - inflation pay rises, do you accept that pay hits morale in the nhs? inflation pay rises, do you accept - that pay hits morale in the nhs? and this is— that pay hits morale in the nhs? and this is in— that pay hits morale in the nhs? and this is in the — that pay hits morale in the nhs? and this is in the long—term, _ that pay hits morale in the nhs? and this is in the long—term, what - that pay hits morale in the nhs? and this is in the long—term, what wouldl this is in the long—term, what would made _ this is in the long—term, what would made of— this is in the long—term, what would made of who— this is in the long—term, what would made of who are on _ this is in the long—term, what would made of who are on the _ this is in the long—term, what would made of who are on the waiting - this is in the long—term, what would made of who are on the waiting listl made of who are on the waiting list now? _ made of who are on the waiting list now? and — made of who are on the waiting list now? and to— made of who are on the waiting list now? and to amanda _ made of who are on the waiting list now? and to amanda and - made of who are on the waiting list now? and to amanda and steve, . made of who are on the waiting list i now? and to amanda and steve, can i ask you _ now? and to amanda and steve, can i ask you for— now? and to amanda and steve, can i ask you for the — now? and to amanda and steve, can i ask you for the short _ now? and to amanda and steve, can i ask you for the short term _ now? and to amanda and steve, can i ask you for the short term problems l ask you for the short term problems you are _ ask you for the short term problems you are facing? _ ask you for the short term problems you are facing? how— ask you for the short term problems you are facing? how worried - ask you for the short term problems you are facing? how worried are - ask you for the short term problemsj you are facing? how worried are you a batch _ you are facing? how worried are you a batch strikes — you are facing? how worried are you a batch strikes next _ you are facing? how worried are you a batch strikes next month- you are facing? how worried are you a batch strikes next month and - you are facing? how worried are you a batch strikes next month and you i a batch strikes next month and you want _ a batch strikes next month and you want to _ a batch strikes next month and you want to see — a batch strikes next month and you want to see more _ a batch strikes next month and you want to see more for— a batch strikes next month and you want to see more for the _ a batch strikes next month and you . want to see more for the government to stop _ want to see more for the government to stop them? — want to see more for the government to stop them?— want to see more for the government to stop them? everyone would like to be aid to stop them? everyone would like to be paid more, — to stop them? everyone would like to be paid more, but— to stop them? everyone would like to be paid more, but i _ to stop them? everyone would like to be paid more, but i think— to stop them? everyone would like to be paid more, but i think everyone i be paid more, but i think everyone recognises the economic context that we are in an hourjob in government is to unbalance all of those things and to make sure that we were brought people fairly and well for the incredible work they are doing,

particularly our nhs workers but also make sure they are doing things that are good for them and for our country in the long term and that means bringing down inflation because it won't help anybody if we just take the easy course and ultimately make the situation worse and last longer. many believe that the nhs staff council, which represents half a dozen unions, actually voted to accept the government's play —— pay offer because they did recognise it was fair. i am very grateful for them for doing that because i know fundamentally what they care about is to work hard to do liver health care. one off bonuses of up to £2000 will hit people's pay packets in the next month, it is important that we balance all of his considerations and we will continue to do so but

also the reason we can do this today is because we in government, prioritise. we prioritise things that are important. and no government can do absolutely everything, particularly not with the economic circumstances we face now but this is something that the chancellor and i have known that we wanted to do for a long time. we have always known he wanted to do this and we make sure that in all our thinking, this and we make sure that in all ourthinking, in all ourfinancial our thinking, in all our financial planning ourthinking, in all ourfinancial planning that will fund this and that this is the right thing to do. to do the difficult thing that no other government has done before and thatis other government has done before and that is what we have done today and that is what we have done today and that involves looking at the round and prioritising and that is what we have done. amanda has really taught about retention and there are many reasons to go into how we can improve pretentious in the nhs. but

—— retention in the nhs. i was talking to people in cambridgeshire at the nhs, what is valuable is the training and support they get after they start work, we have introduced a £1000 training budget for nurses, midwives, once they are qualified, they get access to a training budget to continue supporting them in their career so there are other ways we support people alongside pay. of course, it is challenging when people take industrial action. we have already had over half a million patients care to have disrupted as a result of industrial action, i don't want to see that. i want as everyone recognise economic context we are in. i am very gratefulfor recognise economic context we are in. i am very grateful for the councilfor in. i am very grateful for the council for accepting the government's pay deal and working with us to deliver great quality care. i

with us to deliver great quality care. ~' , with us to deliver great quality care. ~ , ., , care. i think it is worth “ust takin: care. i think it is worth “ust taking a i care. i think it is worth “ust taking a moment i care. i think it is worth “ust taking a moment to h care. i think it is worth just - taking a moment to acknowledge care. i think it is worth just _ taking a moment to acknowledge that pressure _ taking a moment to acknowledge that pressure that our colleagues on the nhs are _ pressure that our colleagues on the nhs are under. enormous demands, both from _ nhs are under. enormous demands, both from covid backlogs as well as everyday _ both from covid backlogs as well as everyday pressures so that is why it is so _ everyday pressures so that is why it is so important that we do have a long-term — is so important that we do have a long—term plan that gives a blueprint to get to a place where we will have _ blueprint to get to a place where we will have a _ blueprint to get to a place where we will have a more sustainable starting _ will have a more sustainable starting position within nhs because we know— starting position within nhs because we know how much that matters to staff now _ we know how much that matters to staff now is — we know how much that matters to staff now is out is how much it matters — staff now is out is how much it matters to _ staff now is out is how much it matters to be able to provide the care that — matters to be able to provide the care that we need to provide the patient — care that we need to provide the patient in — care that we need to provide the patient in the future as well. short term, _ patient in the future as well. short term, we — patient in the future as well. short term, we have talked a lot about the retention _ term, we have talked a lot about the retention aspect of the plan already _ retention aspect of the plan already. we are very conscious that it is very _ already. we are very conscious that it is very important, it is not my 'ob it is very important, it is not my job to _ it is very important, it is not my job to deal— it is very important, it is not my job to deal with issues of power, that is— job to deal with issues of power, that is between the government and unions _ that is between the government and unions but _ that is between the government and unions but it is myjob to make sure that we _ unions but it is myjob to make sure

that we are — unions but it is myjob to make sure that we are doing everything we can to support _ that we are doing everything we can to support our staff to be able to work, _ to support our staff to be able to work. feel— to support our staff to be able to work, feel well supported, that they had the _ work, feel well supported, that they had the flexibility that works for them _ had the flexibility that works for them and patients and that is why that is— them and patients and that is why that is such a big part of the plan. planning — that is such a big part of the plan. planning for strikes and i am aware that there — planning for strikes and i am aware that there are — planning for strikes and i am aware that there are more _ planning for strikes and i am aware that there are more strikes - planning for strikes and i am aware that there are more strikes for- planning for strikes and i am aware| that there are more strikes for next month _ that there are more strikes for next month we — that there are more strikes for next month we will— that there are more strikes for next month. we will be _ that there are more strikes for next month. we will be doing _ that there are more strikes for next month. we will be doing what- that there are more strikes for next month. we will be doing what we . that there are more strikes for next. month. we will be doing what we have been doing _ month. we will be doing what we have been doing throughout. _ month. we will be doing what we have been doing throughout. our— month. we will be doing what we have been doing throughout. ourjob - month. we will be doing what we have been doing throughout. ourjob is - month. we will be doing what we have been doing throughout. ourjob is to. been doing throughout. ourjob is to prepare _ been doing throughout. ourjob is to prepare for— been doing throughout. ourjob is to prepare for those _ been doing throughout. ourjob is to prepare for those strikes, _ been doing throughout. ourjob is to prepare for those strikes, to- been doing throughout. ourjob is to prepare for those strikes, to ensurel prepare for those strikes, to ensure that we _ prepare for those strikes, to ensure that we keep — prepare for those strikes, to ensure that we keep patients _ prepare for those strikes, to ensure that we keep patients safe, - prepare for those strikes, to ensure that we keep patients safe, that- prepare for those strikes, to ensure that we keep patients safe, that we| that we keep patients safe, that we keep those — that we keep patients safe, that we keep those services _ that we keep patients safe, that we keep those services going - that we keep patients safe, that we keep those services going and - that we keep patients safe, that we keep those services going and of i keep those services going and of course _ keep those services going and of course you — keep those services going and of course you will— keep those services going and of course you will be _ keep those services going and of course you will be focusing - keep those services going and of course you will be focusing on i course you will be focusing on making — course you will be focusing on making sure _ course you will be focusing on making sure a _ course you will be focusing on making sure a managed - course you will be focusing on - making sure a managed services, maternity— making sure a managed services, maternity services, _ making sure a managed services, maternity services, trauma - making sure a managed services, i maternity services, trauma services, are kept— maternity services, trauma services, are kept intact— maternity services, trauma services, are kept intact and— maternity services, trauma services, are kept intact and run— maternity services, trauma services, are kept intact and run as _ maternity services, trauma services, are kept intact and run as normal. i are kept intact and run as normal. we will— are kept intact and run as normal. we will keep— are kept intact and run as normal. we will keep channels _ are kept intact and run as normal. we will keep channels open - are kept intact and run as normal. we will keep channels open with i are kept intact and run as normal. . we will keep channels open with the unions _ we will keep channels open with the unions to— we will keep channels open with the unions to flag — we will keep channels open with the unions to flag to _ we will keep channels open with the unions to flag to them _ we will keep channels open with the unions to flag to them anything - we will keep channels open with the unions to flag to them anything that| unions to flag to them anything that we are _ unions to flag to them anything that we are worried _ unions to flag to them anything that we are worried about _ unions to flag to them anything that we are worried about and _ unions to flag to them anything that we are worried about and we - unions to flag to them anything that we are worried about and we expect them _ we are worried about and we expect them to— we are worried about and we expect them to respond _ we are worried about and we expect them to respond positively- we are worried about and we expect them to respond positively if- we are worried about and we expect them to respond positively if we - we are worried about and we expect them to respond positively if we dol them to respond positively if we do that _ them to respond positively if we do that so _ them to respond positively if we do that so we — them to respond positively if we do that. so we will _ them to respond positively if we do that. so we will be _ them to respond positively if we do that. so we will be doing _ them to respond positively if we do that. so we will be doing that. - them to respond positively if we do that. so we will be doing that. of. that. so we will be doing that. of course, _ that. so we will be doing that. of course, we — that. so we will be doing that. of course, we want _ that. so we will be doing that. of course, we want to _ that. so we will be doing that. of course, we want to support - that. so we will be doing that. of course, we want to support our l course, we want to support our staff, _ course, we want to support our staff, whether— course, we want to support our staff, whether they _ course, we want to support our staff, whether they are - course, we want to support our staff, whether they are strikingj course, we want to support our. staff, whether they are striking or not and _ staff, whether they are striking or

not and of — staff, whether they are striking or not and of course _ staff, whether they are striking or not and of course all _ staff, whether they are striking or not and of course all of _ staff, whether they are striking or not and of course all of us - staff, whether they are striking or not and of course all of us would i not and of course all of us would like to _ not and of course all of us would like to see — not and of course all of us would like to see these _ not and of course all of us would like to see these disputes - not and of course all of us would . like to see these disputes resolved and as— like to see these disputes resolved and as the — like to see these disputes resolved and as the prime _ like to see these disputes resolved and as the prime minister- like to see these disputes resolved and as the prime minister has- like to see these disputes resolvedl and as the prime minister has said, some _ and as the prime minister has said, some of— and as the prime minister has said, some of these _ and as the prime minister has said, some of these have _ and as the prime minister has said, some of these have been _ and as the prime minister has said, some of these have been resolvedl some of these have been resolved over the _ some of these have been resolved over the year~ _ some of these have been resolved over the year. the _ some of these have been resolved over the year. the bma _ some of these have been resolved over the year. the bma set - some of these have been resolved over the year. the bma set out. some of these have been resolved . over the year. the bma set out what they wanted — over the year. the bma set out what they wanted to — over the year. the bma set out what they wanted to see _ over the year. the bma set out what they wanted to see earlier _ over the year. the bma set out what they wanted to see earlier this - they wanted to see earlier this year. — they wanted to see earlier this year. one _ they wanted to see earlier this year. one of— they wanted to see earlier this year, one of the _ they wanted to see earlier this year, one of the three - they wanted to see earlier this year, one of the three things. they wanted to see earlier this i year, one of the three things was they wanted to see earlier this - year, one of the three things was on pension— year, one of the three things was on pension reform _ year, one of the three things was on pension reform and _ year, one of the three things was on pension reform and of— year, one of the three things was on pension reform and of course - year, one of the three things was on. pension reform and of course pension reform _ pension reform and of course pension reform has— pension reform and of course pension reform has been— pension reform and of course pension reform has been delivered _ pension reform and of course pension reform has been delivered and - pension reform and of course pension reform has been delivered and that. reform has been delivered and that is now— reform has been delivered and that is now off— reform has been delivered and that is now off the — reform has been delivered and that is now off the table _ reform has been delivered and that is now off the table as _ reform has been delivered and that is now off the table as an _ reform has been delivered and that is now off the table as an issue - reform has been delivered and that is now off the table as an issue so. is now off the table as an issue so i have _ is now off the table as an issue so i have to — is now off the table as an issue so i have to remain— is now off the table as an issue so i have to remain optimistic- is now off the table as an issue so i have to remain optimistic that l is now off the table as an issue sol i have to remain optimistic that we can make — i have to remain optimistic that we can make progress _ i have to remain optimistic that we can make progress but _ i have to remain optimistic that we can make progress but what - i have to remain optimistic that we can make progress but what we . i have to remain optimistic that we | can make progress but what we are talking _ can make progress but what we are talking about — can make progress but what we are talking about today— can make progress but what we are talking about today is _ can make progress but what we are talking about today is both - can make progress but what we are talking about today is both in - can make progress but what we are talking about today is both in the l talking about today is both in the short— talking about today is both in the short term — talking about today is both in the short term and _ talking about today is both in the short term and in _ talking about today is both in the short term and in the _ talking about today is both in the short term and in the long - talking about today is both in the short term and in the long term i short term and in the long term putting — short term and in the long term putting in— short term and in the long term putting in case _ short term and in the long term putting in case the _ short term and in the long term putting in case the conditions. short term and in the long term . putting in case the conditions that mean _ putting in case the conditions that mean that— putting in case the conditions that mean thatiob _ putting in case the conditions that mean that job satisfaction - putting in case the conditions that mean that job satisfaction and - mean that job satisfaction and getting — mean that job satisfaction and getting people _ mean that job satisfaction and getting people enjoying - mean that job satisfaction and getting people enjoying workl mean that job satisfaction and i getting people enjoying work and wanting _ getting people enjoying work and wanting to — getting people enjoying work and wanting to come _ getting people enjoying work and wanting to come to _ getting people enjoying work and wanting to come to work- getting people enjoying work and wanting to come to work is - getting people enjoying work and wanting to come to work is there | wanting to come to work is there everyday, — wanting to come to work is there everyday, every _ wanting to come to work is there everyday, every week— wanting to come to work is there everyday, every week in - wanting to come to work is there everyday, every week in the - wanting to come to work is there l everyday, every week in the nhs. wanting to come to work is there - everyday, every week in the nhs. and putting _ everyday, every week in the nhs. and putting more — everyday, every week in the nhs. and putting more resilience _ everyday, every week in the nhs. and putting more resilience because - everyday, every week in the nhs. and putting more resilience because it - putting more resilience because it has been — putting more resilience because it has been very— putting more resilience because it has been very tough _ putting more resilience because it has been very tough time, - has been very tough time, particularly _ has been very tough time, particularly over— has been very tough time, particularly over the - has been very tough time, - particularly over the pandemic. i sit particularly over the pandemic. sit down with amanda and particularly over the pandemic.“ sit down with amanda and steve almost every week and in spite of the industrial action, we are still making progress on cutting waiting lists. down to the ex only effort of

everyone involved, but if you look at waiting lists are virtually eliminated. the one and a half year weight is eliminated. a strong recovery from winter. more community diagnostic centres, more use of virtual awards. all of those things are making a difference right now. and improving people's exponent of the nhs and we are managing to do that in spite of industrial action. we have put record funding in weeks after i became prime minister. we are using that funding for good effect. a huge amount has been welcomed in these _ a huge amount has been welcomed in these plans, but in the short—term you have _ these plans, but in the short—term you have cut— these plans, but in the short—term you have cut waiting list emblazoned across _ you have cut waiting list emblazoned across the _ you have cut waiting list emblazoned across the podiums. you have 7.4

million _ across the podiums. you have 7.4 million people on waiting list,