It should not be so difficult for women to get a diagnosis for a condition that every single one of us goes through. That is why this Government took a landmark step forward by including menopause in the NHS health checks for the first time ever. It is assessed that this will benefit around 5… million women. We are going further next year, when menopause will be one of the first conditions treated through our revolutionary new digital hospital, NHS Online.
Hansard · 24 Feb 2026 · parliament.uk
RC
Ruth Cadbury
What steps he is taking to improve the diagnosis of menopause for women in London.
RC
Ruth Cadbury
Women in my constituency experiencing symptoms of perimenopause and menopause tell me of very varied experiences of going to their GP—some excellent, and some, frankly, alarmingly poor. I have been particularly concerned to hear about the experiences of south Asian women with perimenopausal and menopausal symptoms. Wha…
FM
Freddie Van Mierlo
Hormone replacement therapy is a godsend for many women experiencing menopause, but there is a dire shortage of HRT implants. These are unlicensed medicines, but they are absolutely essential for treatment, particularly for women for whom other treatments do not work. There are women in my constituency who are sufferin…
KS
Karin Smyth
My hon. Friend makes an excellent point that many of us will, unfortunately, recognise. We need to address variability in training, through the NHS health checks and training that is being rolled out by both the General Medical Council and the royal colleges. We need to go further. There are some great examples, both i…
KS
Karin Smyth
The hon. Gentleman makes an important point about supply and availability across the country, which is something we monitor regularly to ensure that if there is a shortage of a medicine in an area, there are alternatives available. We will continue to keep that under review, to ensure that women have the services and t…
Ambulance Response Times24 Feb 2026
KS
Karin Smyth
We now have ambulances arriving faster, but we know there is much more to do. We have taken action to reduce handover delays by introducing release-to-rescue 45-minute handovers, supporting ambulances back on to the road to respond to patients faster. We have invested in an extra 500 ambulances. I am pleased to announce that as… a result of this Government’s investment and modernisation, West Midlands ambulances are reaching patients with conditions such as suspected heart attacks and strokes almost seven minutes faster this winter than last winter.
Hansard · 24 Feb 2026 · parliament.uk
SB
Sureena Brackenridge
What steps his Department is taking to improve ambulance response times.
SB
Sureena Brackenridge
I thank the Minister for her update. I welcome the progress made on ambulance response times and handovers. I recently visited Willenhall ambulance hub to thank the incredible staff and to hear about winter pressures, local handover delays and the strain of late finishes on their family life and childcare. What action …
HM
Helen Maguire
In November, I joined a local ambulance crew and saw at first hand the great work they do for our community, but services are under huge strain. Will the Minister designate ambulance stations as critical infrastructure to protect them from closure and set up an emergency fund to support them?
KS
Karin Smyth
I commend my hon. Friend for visiting her ambulance service, as many hon. Members do, to understand the pressures they are working under. It is a useful visit to understand those wider issues, as she says. She raised an important point about handover delays impacting staff as well as patients. Reducing these delays wil…
KS
Karin Smyth
I commend the hon. Member for going out with her crews. One of the reasons we have been so successful this year in improving the services is by looking at things such as where ambulances are located and how they operationalise their services. We will continue to work with NHS England on the best model for local constit…
NHS: Private Finance Initiatives24 Feb 2026
KS
Karin Smyth
The health PFI programme between 1992 and 2015 delivered 126 new acute facilities for the NHS, and over £12 billion of investment in the estate. NHS PFI contracts are held by individual trusts, and the National Infrastructure and Service Transformation Authority publishes annual data on them, including the costs of all those PFI projects. The… last PFI contract was signed in 2015. We are not bringing back PFI; we are bringing forward a new public-private partnership model that will draw on lessons learned from the past, to ensure that we deliver the commitments of our 10-year plan.
Hansard · 24 Feb 2026 · parliament.uk
IB
Ian Byrne
What assessment his Department has made of the potential impact of private finance initiatives on the NHS.
IB
Ian Byrne
Alder Hey children’s hospital NHS foundation trust in my constituency faces significant financial pressure due to its private finance initiative deal. That is because over 50% of its total PFI payment is going towards interest charges, with Alder Hey still owing £380 million by 2045 for the PFI investment of £189 milli…
KS
Karin Smyth
My hon. Friend highlights an important example, where something is clearly not going well. The Department is working with the team at Alder Hey to help rectify some of those problems. That is why we will not be using that PFI model in future. We have learned those lessons and we will take forward a new PPP model for ou…
Topical Questions24 Feb 2026
KS
Karin Smyth
My hon. Friend highlights an important point about the need to have further roll-outs of CDCs, particularly for communities such as hers. We are expanding those and expanding the time available for them. We are also expanding access through the front door through the NHS app and digital. Our new online hospital service will improve… the sorts of issues that she mentions so that we bring services closer to her patients and do not expect them to have to travel.
Hansard · 24 Feb 2026 · parliament.uk
HC
Harriet Cross
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Today we are publishing a new GP contract. Backed by new funding, it will recruit more GPs and cut waiting times for appointments. The changes and modernisation will diagnose thousands more cases of lung cancer, protect children by boosting vaccination rates, and provide more people with weight-loss jabs on the NHS. Th…
HC
Harriet Cross
Inverurie medical practice in my constituency saw its national insurance bill rise by £75,000 thanks to this Government. That has put huge pressure on the practice, which was already operating with one GP for 3,000 patients, which is three times higher than the British Medical Association recommends. When did the Secre…
WS
Wes Streeting
I see the Chancellor most weeks. That is why record investment is going into our NHS, which is improving patient satisfaction with access to general practice, cutting waiting lists, and improving ambulance response times—all to fix the mess that the Conservatives left behind. And people should be in no doubt: given the…
AB
Alex Ballinger
I welcome the changes set out in the gambling White Paper about the responsibilities of the Department in relation to the treatment and prevention of gambling harms. As part of the new responsibilities, will the Secretary of State commit to undertake a review of the impact of gambling advertising, marketing and sponsor…
KS
Karin Smyth
I understand the issues that the hon. Gentleman and many other Members, such as my hon. Friend the Member for Great Grimsby and Cleethorpes (Melanie Onn) , have raised in Grimsby and the Lincolnshire area. It is important that the clinical mapping for their new services is supported by clinicians and local people, and …
KS
Karin Smyth
My hon. Friend makes a really important point about how important DEXA scans are for osteoporosis, particularly for women. We have already expanded DEXA scans across the country this year; we have also allocated more capital funding for such capital investment, and we will announce the allocations in due course.
KS
Karin Smyth
I am happy to discuss that issue with my hon. Friend. We are determined to have co-located UTCs; I know that that is a matter for the local commissioner, but I am happy to talk about it further.
Health Inequalities: Women28 Jan 2026
KS
Karin Smyth
We are committed through our 10-year health plan to prioritising women’s health as we build an NHS that is fit for the future. That includes renewing the women’s health strategy, investing in research that addresses health inequalities and continuing to build on vital progress in women’s health.
Hansard · 28 Jan 2026 · parliament.uk
MW
Max Wilkinson
What steps she is taking with the Secretary of State for Health and Social Care to help tackle health inequalities affecting women.
CM
Calum Miller
What steps she is taking with the Secretary of State for Health and Social Care to help tackle health inequalities affecting women.
MW
Max Wilkinson
I am grateful to the Health Minister for coming to the House today. She is aware of the case of Cheltenham general hospital and the Aveta birth centre, which four years ago under the previous Government was closed temporarily to labour and births. There is a national rapid review, which Gloucestershire is subject to, a…
CM
Calum Miller
My constituent Debra was advised over 20 years ago to take sodium valproate during her pregnancy. Alongside thousands of other women, that advice has had severe consequences for her family. Both her sons have faced significant challenges through their lives and remain highly dependent on their parents, as a direct resu…
AO
Abena Oppong-Asare
I support Valerie Amos’s report on maternity services. I am very keen to hear how the Government are ensuring that black voices, particularly black women’s voices, are key during this investigation, so that their voices are heard and their experiences taken into consideration.
KS
Karin Smyth
The hon. Member and I discussed this issue before he brought a debate on it to Westminster Hall, and I know that he has campaigned hard on it for local women. He raises an excellent point: we must ensure that what is happening on the ground with regard to maternity and the changes that people are proposing line up adeq…
KS
Karin Smyth
It was the cases of many women like Debra, which have often been raised in this House, that led to that report, and we understand that people are facing serious and long-lasting conditions. I am happy to arrange for a Minister to get back to the hon. Member on that specific case and update him on the review.
KS
Karin Smyth
I thank my hon. Friend for the work that she has done, alongside many others, on behalf of black and Asian women in particular to make sure that that work is included in Baroness Amos’s report. That is central to the work that she will do. We know that there are high risks. There are engagement groups as part of that w…
KS
Karin Smyth
My hon. Friend raises the great work going on in that local system. The work to renew the women’s health strategy is partly about finding those good examples. We rightly talk about how the experiences of women are often poor examples of healthcare—we know that—but we also want good examples of where local systems are l…
KS
Karin Smyth
The hon. Lady raises a shocking example. I think I have said this at the Dispatch Box before, but it is one of the most shocking experiences, on coming in as a new Minister, to see the scale and depth of sexual harassment of staff and other women. We have worked hard with staff groups to make sure that that is given pr…
KS
Karin Smyth
As we have discussed in this House and with the many people who have led the campaign on this issue, of course we are clear about the impact on those women. The Government will continue to review the recommendations of that report and will report back in due course.
Long-term Health Conditions: Women28 Jan 2026
KS
Karin Smyth
Through the big shifts in our 10-year health plan, we will ensure that more tests and care are delivered in the community, improving working between services, using greater use of technology to support women who are managing long-term conditions and, crucially, learning from the work led by the pioneering women’s health hubs.
Hansard · 28 Jan 2026 · parliament.uk
JS
Jim Shannon
What steps she is taking with Cabinet colleagues to help support women who are disproportionately affected by long-term health conditions.
JS
Jim Shannon
I thank the Minister very much for that answer. Arthritis and other musculoskeletal conditions are the single biggest cause of pain and disability in the UK and one of the most common reasons for workplace absences. This affects women and girls in particular: 60% of those with arthritis in the UK are women, which accou…
KS
Karin Smyth
The hon. Gentleman is absolutely right to say that osteoporosis disproportionately affects women and plays a crucial part in absence from the workforce. Baroness Merron, who leads on this work, and I met Charlie Mayfield when he was looking at how to get more women back into the workforce, and we will ensure that women…
Medical Training (Prioritisation) Bill27 Jan 2026
KS
Karin Smyth
It is a pleasure to close on behalf of the Government. I welcome the support of the Opposition spokespeople and the Chair of the Health and Social Care Committee, the hon. Member for Oxford West and Abingdon (Layla Moran) . I put on record my thanks to them for meeting me in advance of the… Bill and for airing their concerns. From the many contributions this afternoon, there is clearly a broad base of sympathy and support right across the House for the measures in the Bill to support our NHS staff, who have been at the sharp end of every ill-conceived policy of the past 14 years—not least since the previous Government lifted the visa restrictions in 2020, as outlined by my hon. Friend the Member for Bournemouth West (Jessica Toale) . The last Government’s failure to do any proper workforce planning has also led to patients struggling to find a GP appointment while GPs struggle to get a job, bottlenecks for resident doctors and an over-reliance on overseas workers and a refusal to foster our own home-grown talent. Although I welcome the support, I find it slightly ironic that some of the Opposition speeches were around the need for clear and consistent routes and for clarity. That is exactly what we intend to provide to fix the mess. We will bring forward wider issues in the workforce plan, which, as the boss said earlier, will be in the spring. That is as a result of the concerns around training from the Royal Colleges and other stakeholders and making sure that we do that properly. We will bring that forward in due course.
Hansard · 27 Jan 2026 · parliament.uk
WS
Wes Streeting
I beg to move, That the Bill be now read a Second time. I begin by thanking the Leader of the House, the Chief Whip, their counterparts in the other place, colleagues in my Department and in the NHS, the Bill team and parliamentary counsel, who have moved mountains to prepare this Bill in double-quick time. I once agai…
KM
Kieran Mullan
The Secretary of State is essentially talking about postgraduate training. I wonder what thought he has given to new clause 2 in the name of my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer) . I have spoken to students who worked really hard all the way through medical school to get the best exam resul…
WS
Wes Streeting
I certainly do have sympathy with that argument. We have begun to move the system in the right direction in terms of giving applicants greater preference in placements, but it is not lost on me that the system of rotations, placements and jobs means doctors are moved around the country and families are uprooted. The fr…
WS
Wes Streeting
I will give way to the hon. Member for Henley and Thame (Freddie van Mierlo) and then to my hon. Friend the Member for Hitchin (Alistair Strathern) .
FM
Freddie Van Mierlo
A constituent of mine is studying medicine at Queen Mary University of London but at a campus in Malta. Students at the Malta campus complete the same General Medical Council-approved curriculum, assessments and licensed exams as London-based students, and graduates hold a UK primary qualification. He was given a forma…
KS
Karin Smyth
I am going to make some progress. Time is of the essence, I am afraid, but we can pick up more in Committee. When I was a manager in the NHS, I worked alongside many overseas doctors, and I want to make it clear from this Dispatch Box this afternoon that they are, of course, welcome here. The NHS is and always will be …
Clause 1 - UK Foundation Programme27 Jan 2026
KS
Karin Smyth
In the interests of time, I will address the amendments at the end of proceedings, when I have heard from them—I think we have the gist of most of those issues. I restate our firm commitment to the Bill and all clauses. Let me turn to clause 4 and clarify how we are defining “UK… medical graduate” and “the priority group” for the purposes of the Bill. “UK medical graduate” in this context excludes those who have spent all or the majority of their time training for their medical qualification outside the British isles. This means that if a person has obtained a primary UK qualification but has studied mainly overseas, they will not be eligible for prioritisation as a UK medical graduate unless they fall into another group that is to be prioritised under the Bill. While internationally educated graduates from overseas remain an important part of the workforce and can continue to be recruited under the Bill, we are committed to growing home-grown talent, who are more likely to work in the NHS for longer, and to be better equipped to deliver healthcare tailored to the UK’s population. Clause 8 sets out the territorial extent of the Bill and deals with commencement. The Bill extends to England, Wales, Scotland and Northern Ireland, and we have worked closely with the devolved Governments to ensure that it meets all needs and provides consistency. We are grateful to them for their support in bringing these measures forward so quickly. The Bill will engage the legislative consent motion process, and the devolved Governments have committed to commence this process in their Parliaments. To ensure that the systems, planning and operational capacity required for successful implementation are in place, the Bill will be commenced “on such day or days as the Secretary of State may by regulations appoint.” As the Secretary of State outlined on Second Reading, this is an important fail-safe to ensure that we are not in a position in which a law is enacted that we cannot implement ef
Hansard · 27 Jan 2026 · parliament.uk
JC
Judith Cummins
With this it will be convenient to consider: Amendment 6, in clause 2, page 1, line 16, at end insert— “(e) persons within subsection (3),”. This is a paving amendment for amendment 7. Amendment 7, page 2, line 6, at end insert— “(3) A person is within this subsection if they— (a) were actively employed as a doctor in …
DJ
Dr Caroline Johnson
I will speak to the amendments tabled by the Opposition. First, amendment 9 would require that from 2027, priority is given to British citizens on UK foundation programmes, and that they are prioritised for interviews and places on specialty training programmes. Clause 4 defines a UK medical graduate as a “a person who…
JC
Judith Cummins
I call the Liberal Democrat spokesperson.
HM
Helen Morgan
The amendments in my name raise concerns about the Bill’s impact on fairness, transparency and the smooth functioning of the NHS, notwithstanding the Liberal Democrats’ overall support for the Bill. Clause 7(1) would allow Ministers to change who is eligible for prioritisation through the negative procedure, meaning th…
HM
Helen Maguire
Last year, research by the Royal College of Radiologists found that 76% of English cancer centres had patient safety concerns due to workforce shortages. While we welcome the Government’s recent commitment to ending the postcode lottery of cancer care, does my hon. Friend agree that the Government need to publish an as…
KS
Karin Smyth
I am grateful to Members for their contributions to the wider debate at this hour and for their considered amendments. I will respond briefly to their points and the amendments that have been tabled. Amendment 6 and 7 would widen the scope of who is prioritised for specialty training starting in 2026 by prioritising ap…
KS
Karin Smyth
I am coming to the hon. Gentleman’s point. We will keep the current system under review—I think the Secretary of State was clear about that—but we think that any change is best made through established guidance rather than through legislation. Many Members raised the issue of our relationship with Malta and Queen Mary,…
NHS Urgent Care: Staffordshire26 Jan 2026
KS
Karin Smyth
It is a pleasure to respond to this debate, and I am grateful to my hon. Friend the Member for Cannock Chase (Josh Newbury) for securing it and raising in a constructive way the important matter of urgent care in Staffordshire. It is always good to have more proud NHS non-clinical bureaucrats in this place… to pursue these issues. This Government are clear that the patient should expect, as my hon. Friend says, high standards of care. We recognise that that has not always been the case in recent years, with too many people waiting too long to access the help they need, but we are determined to change that. We are taking serious, sustained action to restore timely access to high-quality urgent care across the country. Our urgent and emergency care plan for 2025-26 sets out that clear path to strengthening urgent care outside hospitals, so that patients can access timely, appropriate support without needing to attend A&E unless clinically necessary. We are increasing the number of patients treated closer to home by scaling up our urgent community response teams providing rapid two-hour care, expanding virtual wards to provide hospital-level treatment at home and growing multidisciplinary neighbourhood teams that intervene early and prevent avoidable deterioration. We will support patients to book into the most appropriate urgent care service for them, whether via 111 or the NHS app, and we are using data from shared patient care records and digital tools to support better triage, to join up services and to anticipate pressures before they arise. That is backed by £2 billion of investment in NHS digital infrastructure. We are also investing £250 million to strengthen same-day emergency care and urgent treatment centre provision, helping systems across the country to avoid unnecessary admissions and supporting the same-day diagnosis, treatment and discharge of patients. Turning specifically to my hon. Friend’s constituency, I know the work that he has done with his local
Hansard · 26 Jan 2026 · parliament.uk
JN
Josh Newbury
I am grateful for the opportunity to lead this debate on NHS urgent care in my brilliant county of Staffordshire, and particularly on what that means for my constituents in the towns and villages of Cannock Chase. I start by paying immense tribute to the dedicated staff who work in our NHS and in social care. From dist…
JS
John Slinger
I note what my hon. Friend says about his integrated care board. I have very positive meetings with my ICB, but a similar situation is affecting the town of Rugby, which I represent. The urgent treatment centre is nurse-led, and we very much want there to be a doctor-led treatment centre. A review is under way, but my …
JS
John Slinger
That my hon. Friend talks about.
JN
Josh Newbury
I saw a post from my hon. Friend on Facebook earlier today about this very matter. I know that he is fighting very hard on that on behalf of his constituents. I hope that my integrated care board listens to the concerns of my constituents, and I hope that that is reflected in Coventry and Warwickshire and that he can g…
GS
Gareth Snell
Royal Stoke hospital is in my constituency, and one of the things its staff tell me is that if it were not for the Haywood walk-in unit up in Stoke-on-Trent, Leek Moorland hospital or Stafford MIU, the A&E would simply fall over. Naturally, people in Staffordshire gravitate to the A&E when they want help, and the fact …
KS
Karin Smyth
When I became a Minister, my hon. Friend was one of the first through the door to share some of the issues in Stoke. In my meeting today, in which I had my map in front of me to point out some of the journey times, his comments were in my mind. As I said, it is really important that we take local people with us as we m…
Puberty Suppressants13 Jan 2026
KS
Karin Smyth
The PATHWAYS trial has undergone a thorough independent review and has received all the regulatory and ethical approvals. The sponsors of the study, King’s College London and South London and Maudsley NHS foundation trust, are working to ensure that it is conducted in compliance with the relevant regulations.
Hansard · 13 Jan 2026 · parliament.uk
RD
Rosie Duffield
What discussions he has had with King’s College London on the compliance of the PATHWAYS puberty blocker trial with the Medicines for Human Use (Clinical Trials) Regulations 2004.
RD
Rosie Duffield
The United States Department of Health and Human Services’ peer-reviewed report found that harms from paediatric medical transition are significant, long term and too often ignored and inadequately tracked, as testified by Keira Bell, who is here in Parliament today. What is the Government’s rationale behind medicalisi…
NW
Nadia Whittome
I remind the House that puberty blockers are still prescribed to young people who are not trans; I do not see some of my colleagues who are so exercised when puberty blockers are given to young trans people expressing the same concerns for their cisgender peers. Even Dr Cass herself acknowledged that puberty blockers a…
GS
Gregory Stafford
Part of the trial is to ask the child participants the Avon longitudinal study of parents and carers romantic relationships questionnaire. Is the Minister as concerned as I am that children under the age of 13 will be asked sexually explicit questions?
JH
Jonathan Hinder
The Government were right to bring in the indefinite ban on puberty blockers due to concerns over the past 15 years about the gender services treatment that was being given. Over that time, 2,000 children who were questioning their gender identity have been given puberty blockers, so could the Minister explain why we a…
KS
Karin Smyth
As the hon. Lady knows, the Government are acting on the recommendations of the excellent report from Hilary Cass, which I think she would agree is world-leading evidence, and moving the model away from medical intervention towards a more holistic approach to care. The Government will continue to be guided by that evid…
KS
Karin Smyth
We need to be very careful about our language, in line with Dr Cass’s report. We are talking about children who are presenting with gender dysphoria and in gender distress. The Government support moving away from the medical intervention model towards a holistic approach to care based on the evidence, and that has cros…
KS
Karin Smyth
I think all Members across the House are concerned about the distress with which young people are coming forward for all of these services, and the need to support them and their families. Again, it is important that all parts of this trial follow clear ethical and clinical guidelines.
KS
Karin Smyth
I thank my hon. Friend for his question and his constructive work in this area on behalf of young people. I think there is a further question on this topic on the Order Paper. The Government are looking at how we can best use the data linkage study from that previous work. As I think hon. Members understand, that data …
KS
Karin Smyth
We absolutely stand by that work, and we are working with NHS England to make sure it is mandated to do exactly that.
NHS 10-year Workforce Plan13 Jan 2026
KS
Karin Smyth
The Government will publish the 10-year workforce plan in the spring. This plan will ensure that the NHS has the right people in the right places with the right skills for patients when they need them, and we are engaging extensively with partners to ensure that this plan delivers for staff and patients.
Hansard · 13 Jan 2026 · parliament.uk
AB
Aphra Brandreth
When he plans to publish the NHS 10-year workforce plan.
AB
Aphra Brandreth
I have been contacted by concerned doctors in Chester South and Eddisbury who, after five or six years at medical school and a further two years of foundation training, are now struggling to secure specialty posts and are being forced to consider leaving the NHS altogether. While I will reserve judgment on the medical …
JC
Jennifer Craft
Unfortunately, my constituency is not unique in seeing long waits for diagnosis of neurodiversity. From 18 to 24 months is the expected waiting time in Thurrock, and some have to wait much longer. Given that, for a child, a wait of 18 to 24 months can sometimes be their whole lifespan or half their lifespan, will the u…
JR
Joe Robertson
A study by the Health Foundation has found that the cost to the NHS of staff sickness and staff turnover is of the order of £12 billion a year. Will the Government’s new workforce plan cover the issue of excessive cost through the entirely avoidable turnover of staff?
JF
Josh Fenton-Glynn
When the Secretary of State was in front of the Health and Social Care Committee, he recognised that we will not solve the workforce problems in the NHS without solving the workforce problems in social care as well. There are 150,000 unfilled posts in social care—three times greater than in the wider economy. What are …
KS
Karin Smyth
I thank the hon. Member for her almost support for the Bill that we will present later to address much of this problem. Again, we are clearing up the mess we were left by her party, which, by changing the rules in delivering a workforce plan in 2023, essentially ramped up the supply of staff by extrapolating existing t…
KS
Karin Smyth
The services my hon. Friend outlines cover a number of different areas in different locations, and I think it is very important that the workforce plan we are bringing forward reflects a different model of care. We have seen more services going into secondary care and particularly hospitals, at the expense of community…
KS
Karin Smyth
Yes, because those issues are a result of the shocking staff morale as a result of the policies of the hon. Gentleman’s Government. As highlighted by Lord Darzi, staff morale, and issues around staff sickness and the huge increase in agency spending on their watch, are all signs of a system that is not functioning for …
KS
Karin Smyth
My hon. Friend and the Secretary of State are right to address the fact that we need to look across the whole span, and at people moving between those workforces. As he will know, the fair pay agreement, with the £500 million increase to support it, is part of our work to ensure those issues are addressed across the pi…
Topical Questions13 Jan 2026
KS
Karin Smyth
I know that this is of great concern to my hon. Friend and his constituents. It is a matter for the commissioning officer at his local ICB. I recommend that he keeps talking with them about the best provision for his constituents.
Hansard · 13 Jan 2026 · parliament.uk
TC
Tom Collins
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Today, we are bringing forward the Medical Training (Prioritisation) Bill. It implements our commitment in the 10-year plan for health to prioritise UK medical graduates and doctors with significant NHS experience for medical training posts. Taxpayers spend £4 billion training medics every year. It is time we protect t…
TC
Tom Collins
Patients in Worcester are struggling to access urgent care. Far too many are falling through gaps in our system, with devastating consequences and huge amounts of double work, and patients feel that they have to travel too far for treatment. Will the Secretary of State meet me to discuss the results of my deep dive int…
WS
Wes Streeting
My hon. Friend is right; we have to shift care out of hospitals and closer to people’s homes to make sure that we do not end up with the situation he describes. I know that he is doing a lot of work on that in his community, and I am very happy to meet him to hear about his findings and what we can learn and apply both…
LH
Lindsay Hoyle
I call the shadow Secretary of State.
KS
Karin Smyth
I thank my hon. Friend for her constructive approach to this difficult issue. She is right to challenge; we must have open and transparent debate. To be very clear—and to refer to my previous answer—the Secretary of State will use that power. We will have a retrospective data linkage study to identify the associations …
Cancer Services: North-west London25 Nov 2025
KS
Karin Smyth
Thanks to our investment and modernisation of the NHS, the Government are putting cancer services on the road to recovery by opening up community diagnostic centres on evenings and weekends, building new surgical hubs and investing in new radiotherapy machines. We are diagnosing cancer faster and treating it sooner. This year, an extra 193,000 patients… received a timely diagnosis or the all-clear compared with the previous year.[Official Report, 4 December 2025 ; Vol. 776, c. 12WC.] (Correction) I am pleased to report that cancer services in north-west London rank among the best performing in England, and we are committed to further improvement.
Hansard · 25 Nov 2025 · parliament.uk
GT
Gareth Thomas
What steps he is taking to improve cancer services in north-west London.
GT
Gareth Thomas
Northwick Park hospital is the acute hospital serving my constituents. It benefits from having excellent cancer clinicians. They are determined to go ever further to improve the speed of diagnosis and the quality of support for those diagnosed with cancer, and are developing plans for a cancer centre for the hospital. …
GM
Gagan Mohindra
Mount Vernon hospital is a cancer specialist hospital in north-west London. Following the recent closure of the Mount Vernon urgent care centre and the delay to the new Watford general hospital until at least 2032, both of which I have previously raised in the Chamber, uncertainty regarding the future of Hemel Hempstea…
LH
Lindsay Hoyle
Presumably at this particular hospital.
KS
Karin Smyth
As my kids would say, that is a bit boomer, but I take the point. My hon. Friend is a tireless campaigner for Northwick Park and his constituents, and he has long campaigned for the improvement of cancer services. Any reconfiguration or change to services needs to be clinically led by local decision makers, following e…
KS
Karin Smyth
This question is about services across north-west London. We are working with all integrated care boards to ensure that they work with local Members of Parliament about service configuration. It is a matter for them to determine. I have spoken to the hon. Gentleman previously. We are determined to ensure that we have t…
Doncaster Royal Infirmary25 Nov 2025
KS
Karin Smyth
We inherited a crumbling NHS estate. Many hospitals, including Doncaster Royal infirmary, are in a state of disrepair, thanks to the shocking record of the last 14 years. When I visited Doncaster Royal, I saw at first hand the outstanding care staff are providing despite significant infrastructure challenges. That is why the Government have supported… Doncaster and Bassetlaw trust with £19.8 million in national funding to redevelop the critical care unit, and another £3.2 million from the estate safety fund for fire safety work. We have also provided nine years of certainty for maintenance budgets, allowing trusts to plan strategically and deliver further improvements.
Hansard · 25 Nov 2025 · parliament.uk
SJ
Sally Jameson
What steps he is taking to help reduce the repair backlog at Doncaster Royal infirmary.
SJ
Sally Jameson
As the Minister outlined, Doncaster was badly let down under the previous Administration, when after much fanfare and promise we were left off the new hospital programme. Since then, the trust has been working on revised capital projects to keep it going in the interim period, including a much-needed rebuild of the eas…
KS
Karin Smyth
My hon. Friend has been the most tireless campaigner on this issue since coming to the House in July 2024, so of course I will continue to work with her to support her local hospital. The previous Government neglected the NHS: those buildings were left to crumble and their new hospital programme was neither affordable …
New Hospital Programme25 Nov 2025
KS
Karin Smyth
In January we published an honest, realistic and deliverable plan that puts the programme on a sustainable footing, ensuring that taxpayers get the maximum value for money. We are committed to delivering all the schemes and are moving at pace, with funding in place for design work, construction and business case development. Outside the new… hospital programme, we are investing £30 billion in day-to-day maintenance repairs of the NHS estate across this spending review period.
Hansard · 25 Nov 2025 · parliament.uk
NH
Neil Hudson
What assessment he has made of the potential impact of the time taken to deliver the new hospital programme on maintenance costs across the NHS estate.
CJ
Clive Jones
What progress his Department has made on the implementation of the new hospital programme.
NH
Neil Hudson
As my constituency neighbour, the Health Secretary will know that both his constituents and mine rely heavily on the Princess Alexandra hospital in Harlow and Whipps Cross in Leytonstone. Before the election, he promised the rebuild of the Princess Alexandra hospital and he supported the Whipps Won’t Wait campaign, yet…
LH
Lindsay Hoyle
Order. Dr Mullan, I want you to set a better example—I expect better from you.
CJ
Clive Jones
Frimley Park hospital is in wave 1 of the new hospital programme, with construction expected to start in 2028-29. Many of my constituents use the hospital, and they are rightly concerned about possible delays to its build, especially with the issue of reinforced autoclaved aerated concrete. Patients and staff cannot be…
KS
Karin Smyth
Again, what the hon. Gentleman says is really quite astonishing: like everybody else, he knows that no money was allocated by his Government to the new hospital programme beyond last March. The Conservatives know that and they need to start being honest with their constituents—[Interruption.]
KS
Karin Smyth
I think that the Conservatives’ constituents know exactly what their promises were built on: sand. That is why there are very few Conservative Members in the House and a lot of Members on the Labour Benches. We took hold of the programme and put it on a sustainable and credible footing, and we will deliver it.
KS
Karin Smyth
The hon. Gentleman is an assiduous campaigner on behalf of Royal Berkshire hospital and now of Frimley Park hospital. I met with Members of Parliament last week who are involved in the RAAC schemes, which are progressing to plan. We are absolutely on target with progressing that plan, and we look forward to the proposa…
KS
Karin Smyth
I congratulate my hon. Friend on getting a lot of estates questions into that one point. The point is that local people value the local facilities that they have known for a very long time. That is why we are committed to reversing the decline in capital investment under the last Government—Lord Darzi outlined the shoc…
KS
Karin Smyth
My hon. Friend makes an excellent point about working across Government with GB Energy to support local health systems in reducing health costs. That is an important part of our efficiency drive. He is a strong advocate for a local facility at Maghull, and we are absolutely committed to working with the ICB so that it …
KS
Karin Smyth
I am sure this is leading somewhere else but, broadly, yes, I think I do.
KS
Karin Smyth
Yes, I can give the hon. Gentleman that guarantee. The last Government could have learned the lessons of some of the PFI schemes that were very costly and did not run. Why did they not learn those lessons? Why did they not take action to reverse some of the decline? Why did they not take control of the system and do so…
Cancer Care25 Nov 2025
KS
Karin Smyth
We are committed to transforming cancer care, having already invested £70 million in new radiotherapy machines to help patients to be treated more quickly. We are investing £26 million in the NHS, opening community diagnostic centres in the evening and at weekends to catch cancer early, and our national cancer plan will have patients at… its heart—from referral to diagnosis, treatment and ongoing care.
Hansard · 25 Nov 2025 · parliament.uk
CR
Connor Rand
What steps his Department is taking to improve cancer care.
CR
Connor Rand
My constituent Mike lost his wife to cancer, but as well as battling the physical symptoms, she faced devastating mental health effects, becoming deeply depressed after her terminal diagnosis. Despite that, she never received appropriate mental health support, and this significant issue for cancer patients should be ad…
CD
Caroline Dinenage
A constituent of mine recently had successful high-intensity focused ultrasound treatment for prostate cancer, which was at Charing Cross hospital because it is not even offered to men at Portsmouth hospitals, despite being a less invasive treatment with fewer long-term health implications. As if to underline that ineq…
KS
Karin Smyth
Of course, I am sorry to hear about the loss of my hon. Friend’s constituent’s wife, and our thoughts are with him and his family. My hon. Friend raises an excellent point, and we are supporting people with cancer who are experiencing poor mental health care by expanding access to psychological therapies through NHS ta…
KS
Karin Smyth
I thank the hon. Lady for that question and for her work on this issue. She makes a really important point about consistency of care. We understand that services are different in different parts of the country—sometimes the needs are different—but we want to ensure that, where there is good practice and proven evidence…
Uckfield Community Hospital Surgical Unit25 Nov 2025
KS
Karin Smyth
Duly noted, Madam Deputy Speaker. It is a pleasure to respond to the hon. Member for East Grinstead and Uckfield (Mims Davies) . I begin by recognising the genuine concern of the residents of East Grinstead and Uckfield, which she has articulated so well, about the future of that local surgery unit. Such local facilities… are really important to all our constituents, and it is right that we, as Members of Parliament, advocate on their behalf. She has ensured that her constituents’ voices have been heard both in Parliament and through her engagement with the NHS Sussex board and the integrated care board. We understand that it is difficult to keep pursuing such changes, but as we are all told in the House, we are used to being persistent. Reducing waiting lists is a central part of the Government’s health mission. I reassure the hon. Lady and other colleagues that we are committed to putting patients first, ensuring timely treatment and bringing care closer to where people live. That is why in December 2024 we published our plan for change, setting out our commitment to return by March 2029 to the NHS constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment. We are seeing improvements, with more than 5 million additional appointments—more than double our election pledge—and working with the NHS we have cut waiting lists by over 230,000 since we came to office and delivered 135,000 more cancer diagnoses. In August, we confirmed that 100 community diagnostic centres across the country are offering out-of-hours services 12 hours a day, seven days a week, meaning that patients can access vital tests, scans and checks around their busy lives. There are also new surgical hubs, as we have heard, to help tackle the backlog. Currently, the waiting list stands at 7.3 million patient pathways, with 6.2 million people waiting. That is what we need to change with our elective reform plan—our 10-year health plan is built on
Hansard · 25 Nov 2025 · parliament.uk
NG
Nusrat Ghani
I call my constituency neighbour, Mims Davies.
MD
Mims Davies
I start by thanking, through you, Madam Deputy Speaker, Mr Speaker for granting me this Adjournment debate. I know that it is unusual to allocate Adjournment debates to members of the shadow Cabinet, so I am grateful. I am delighted to be raising this important matter on behalf of my constituents. I appreciate it, and …
JS
Jim Shannon
I commend the hon. Lady for bringing forward this debate. I spoke to her beforehand, and I share her concerns. We have similar concerns in my constituency, where the minor injuries unit closed. The unit was crucial for constituents, and its closure meant that they had to travel further—for almost an hour—to get to the …
MD
Mims Davies
It is a pleasure to receive an intervention from the hon. Gentleman in an Adjournment debate, and I completely agree. That is exactly what tonight’s debate is about, and I thank him for adding to it. Without a dedicated Uckfield hospital manager to pull it all together, the site has become fragmented—that is the feedba…
NG
Nusrat Ghani
The hon. Member for East Grinstead and Uckfield (Mims Davies) is a strong campaigner on behalf of Uckfield community hospital and its services, which my constituents in Sussex Weald will have used and would want to use, so I too look forward to hearing the Minister’s response.
New Hospital Programme21 Oct 2025
KS
Karin Smyth
The Conservative Government’s promise of 40 new hospitals by 2030 was a fantasy—there was no funding beyond last March. In January, we published a realistic plan that put the programme on a credible and sustainable footing. We are committed to delivering all the schemes in the programme and are moving at pace with funding in… place for design work, construction activity and business case development.
Hansard · 21 Oct 2025 · parliament.uk
SD
Steve Darling
What progress his Department has made on the implementation of the new hospital programme.
SD
Steve Darling
The Conservatives still have not apologised for the appalling state that they left our NHS in. Torbay hospital is the third oldest hospital in the United Kingdom. It has a tower block wreathed in scaffolding to stop bits of it falling off rather than it being under repair, and it has sewage leaks throughout. Sadly, it …
KS
Karin Smyth
The hon. Member makes an excellent point; it was echoed by Lord Darzi in his report about the state of our hospitals, and I know many hon. Members have similar problems. I have visited many such hospitals and would be happy to discuss the matter with him further. I remind him that, of course, the Torbay and South Devon…
NHS Reorganisation21 Oct 2025
KS
Karin Smyth
We are putting the final nail in the coffin of the hon. Member’s party’s disastrous Lansley 2012 reorganisation—so bad that it made me become an MP. We are abolishing the world’s biggest quango, NHS England, along with 200 other bodies. The question is: why did the Conservatives not do that when they had the chance?
Hansard · 21 Oct 2025 · parliament.uk
RS
Rebecca Smith
What recent progress he has made on reorganising the NHS.
RS
Rebecca Smith
Yesterday I met Lila, a sixth-form student at Coombe Dean school, who raised the issue of long waiting lists for mental health services for children and young people across Devon. What action has been taken as a result of the Government’s policy of reorganising the NHS to reduce the unacceptable delays in mental health…
RM
Rachael Maskell
Likewise, in York, children and adolescent mental health services are just not working for children, who are left on waiting lists often with no management or treatment. In order really to achieve reorganisation in our NHS, would our Government look at local authorities commissioning mental health services, to deliver …
DJ
Dr Caroline Johnson
I am concerned that the disruption caused by an uncosted, unplanned simultaneous reorganisation of NHS England and the ICBs is affecting patient care. Before the summer, the Joint Committee on Vaccination and Immunisation recommended that the RSV vaccine should be given to those over 80 and those in adult care homes. I…
DJ
Dr Caroline Johnson
I thank the hon. Lady for her answer, but I would like her to check and perhaps update the guidance for GPs and the websites that continue to say that it is only available to 80-year-olds who turned 80 after 1 September 2024 , which is not all people over the age of 80. Reorganisation is affecting delivery elsewhere, t…
KS
Karin Smyth
All of us as constituency MPs are fully aware of the state of mental health services, particularly for young people, which is why my hon. Friend the Minister for Care is working at pace on our manifesto commitments to support young people, particularly through schools. We also understand the difficulties that her ICB i…
KS
Karin Smyth
Again, I echo comments on the state of mental health services, as the hon. Member has done. As it says in our manifesto, we are committed to those 8,500 extra mental health support workers in local areas such as hers. It is important that commissioners work closely with their local authorities on mental health services…
KS
Karin Smyth
As my right hon. Friend has just said, we have delivered on that commitment. The hon. Member talks about the reorganisation being a distraction. If her party had focused taxpayers’ money on patient services rather than ballooning bureaucracy, with costs increasing both among providers and through ICBs, we would not hav…
KS
Karin Smyth
On the hon. Lady’s first point, this Government, unlike the previous Government, do believe in experts, and we follow the clinical advice that we are given. On her second point, as she is so keen on reading our manifesto commitments, the commitment was to do that by 2030. It is currently 2025. Our reforms to ICBs and p…
Public-private Partnerships21 Oct 2025
KS
Karin Smyth
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.
Hansard · 21 Oct 2025 · parliament.uk
IL
Ian Lavery
What steps he is taking to ensure that frontline NHS services are supported following the potential introduction of new public-private partnership contracts.
IL
Ian Lavery
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. …
PH
Pippa Heylings
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 GP…
KS
Karin Smyth
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.
KS
Karin Smyth
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.
Health Service Spending21 Oct 2025
KS
Karin Smyth
As well as the record investment that we put into the NHS, we are ensuring that we get a better bang for the taxpayer’s buck. Under the Conservatives, for example, the NHS was paying £3 billion to recruitment firms for agency shifts. We have cut agency spending by a third and are abolishing it altogether,… with the savings reinvested in staff pay and treatment for patients. That is just one example of how our reform agenda is good for patients and for taxpayers.
Hansard · 21 Oct 2025 · parliament.uk
RB
Richard Burgon
What steps his Department is taking to tackle wasteful spending in the health service.
RB
Richard Burgon
Private finance initiative deals did huge damage to NHS budgets. Despite receiving just £13 billion in assets, NHS trusts were saddled with more than £80 billion in PFI debts—most of that is still being paid back. We have even seen some hospitals spending more on PFI debts than on medicines. If they really want to cut …
TF
Tim Farron
Does the Minister agree that it is completely wasteful to make cancer patients who need to go for chemotherapy in Carlisle on a Wednesday but who live in, say, Kirkby Stephen to have to travel to Carlisle on the day or on the day before to get their bloods taken? Why is that? Because the local hospital will no longer f…
KS
Karin Smyth
As I answered in response to my hon. Friend the Member for Blyth and Ashington (Ian Lavery) , we will absolutely ensure that we learn the lessons of the last Government’s failure.
KS
Karin Smyth
As he often does, the hon. Gentleman highlights in his own very rural constituency some of the fundamental problems at the heart of our NHS. That is why we are reforming it, ensuring that we move hospital services from hospitals into the community and developing neighbourhood health services. We are also looking at the…
Topical Questions21 Oct 2025
KS
Karin Smyth
We know that there have been issues with the urgent emergency care response. We are absolutely committed to supporting ambulance trusts to continually improve the patient experience. The urgent emergency care plan for 2025-26 is backed by nearly £450 million of funding. I am happy to discuss that further with my hon. Friend.
Hansard · 21 Oct 2025 · parliament.uk
GJ
Gurinder Josan
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Since I last answered questions in this House, the Government have announced: half a billion pounds for a fair pay agreement for care workers; NHS Online, the first ever online-only hospital trust; and £80 million for children’s hospices. We have announced an independent inquiry into maternity services in Leeds, introd…
GJ
Gurinder Josan
We promised 2 million more appointments, and we have delivered 5 million, along with 2,000 extra GPs, 6,500 more mental health workers, 7,000 more doctors, and 13,000 more nurses and midwives. The cancer diagnosis standard has been met, GP satisfaction is up and waiting lists are down. The brand-new Midland Metropolita…
WS
Wes Streeting
Why stop there? We have 15,000 more home adaptations for disabled people through the disabled facilities grant and 135,000 more suspected cancer patients receiving a diagnosis on time. We have more than 200,000 cases off the waiting list, £500 million for the first ever fair pay agreement for care workers and the bigge…
LH
Lindsay Hoyle
I call the shadow Secretary of State.
KS
Karin Smyth
My hon. Friend does an excellent job in her constituency. I meet her regularly to discuss issues in her constituency, and I am very happy to discuss the provision of urgent care centres with her.
Urgent Care Centres: Hillingdon10 Sep 2025
KS
Karin Smyth
I am grateful to the hon. Member for Ruislip, Northwood and Pinner (David Simmonds) for securing this debate. He mentioned that his wife works in the system, so I pay tribute to her for her service in the local trust. As the hon. Gentleman alluded to, I am a Hillingdon girl; it is where I… was brought up. My brother was born in Hillingdon hospital, some 59 years ago. It was a great pleasure to be there recently with my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) . Some years ago, I predicted that we might have a Labour MP there, so after being around the area for a long time, I am personally very pleased to see that. The hon. Member for Ruislip, Northwood and Pinner tempted me to move into the wider areas of what are rightly a to-ing and fro-ing on some of the bigger pressures in that part of north-west London and into Hertfordshire. I will not go into that, but it is absolutely right that hon. Members use this platform to share their campaigning on behalf of their constituents. Service changes such as these are always hard and they are rarely popular. I have been the Member of Parliament for Bristol South for more than a decade, and before that I was an NHS manager, so I have seen many service changes and reconfigurations over the years. Like the hon. Gentleman, I was also a non-executive director in a past life. All the changes that I have seen were done through good consultation, with strong clinical leadership and a good clinical case, and involved patients and the public. I strongly believe that patients, public and staff are often ahead of the wider system and sometimes of politicians in knowing the balance of the money, the funding, the good value for taxpayers’ money, clinical outcomes and safety. If they are managed well, those conversations and the sorts of debates we are having tonight can often yield better results than maintaining the status quo or decisions made behind closed doors. I am familiar with such debates, as like many
Hansard · 10 Sep 2025 · parliament.uk
DS
David Simmonds
This Adjournment debate is on the future of the minor injuries unit at Mount Vernon hospital. I am particularly grateful to the Minister, who, despite representing a Bristol constituency, has a great deal of knowledge of my area having grown up in it, and to the Secretary of State for a number of conversations that hav…
JS
Jim Shannon
I commend the hon. Gentleman, to whom I spoke beforehand. The support for what he is proposing goes much further afield. We recently lost a minor injuries unit in a small town to a centralised urgent care A&E unit. Like him, I urge caution. I am informed that the merging of A&E and urgent care has affected waiting time…
DS
David Simmonds
I am grateful to the hon. Member. What he described is similar to the concerns outlined by my hon. Friends the Members for Beaconsfield (Joy Morrissey) and for South West Hertfordshire (Mr Mohindra) and others across the wider area, as well as by many people who have been in touch with me directly. We know that minor i…
DB
Danny Beales
My constituency neighbour perfectly describes the very difficult situation in Hillingdon inherited by the trust leadership and this Government, such as the hotels opened under the Conservatives putting pressure on the local system. I am pleased that the Government have committed to close hotels across the country and d…
DS
David Simmonds
I am grateful that my constituency neighbour is here. Had he the same degree of history in Hillingdon as myself and the right hon. Member for Hayes and Harlington, I am sure he would recall that the hotels were set up and opened as part of a dispersal programme started under the Labour Government in the mid-2000s and l…
KS
Karin Smyth
I will comment on that later. I understand that there is a meeting on Friday, to which I will allude. In preparing for the debate, I met representatives of the trust, and I am grateful to those in the local NHS for their time in giving some further background. The trust is clear that it would be more efficient for urge…
KS
Karin Smyth
I agree with my hon. Friend that that is the direction of travel that we want to see in all of our constituencies across the country. The long-promised rebuild of Hillingdon hospital will be delivered by this Government as part of wave 1 of the new hospital programme. The money is guaranteed and construction will start…
KS
Karin Smyth
I understand what the right hon. Gentleman says. I have seen some of those promises made and not delivered over many years. It is important that Members of Parliament are involved and that there is a wide conversation with the ICB and the trust around those changes and the development that they make towards delivering …
KS
Karin Smyth
I am going to pursue this point, if I may. Debates about service changes and reconfigurations have gone on since the birth of our NHS. I understand that they are really important for local people, and I understand the level of discussion about this issue and—as the hon. Gentleman has outlined—the wider impact on areas …
10-Year Health Plan: Perinatal Mental Health22 Jul 2025
KS
Karin Smyth
The 10-year health plan sets out ambitious plans to boost mental health support across the country, including for women during the perinatal period. During the year to April 2025, a record 64,805 women accessed maternal mental health services or specialist community perinatal mental health services, such as those at the Whiteleaf centre in Aylesbury. The… Department for Education is also investing £500 million to roll out Best Start family hubs to all local authorities in England, which will also support new mums.
Hansard · 22 Jul 2025 · parliament.uk
LK
Laura Kyrke-Smith
What assessment he has made of the potential impact of the 10-year health plan for England on perinatal mental health.
LK
Laura Kyrke-Smith
I am really grateful to the Minister for her answer and for her focus on this. I would like to ask about midwives, who do incredible work supporting parents and babies, including identifying and supporting women who are facing mental health challenges. We desperately need more of them, yet the Royal College of Midwives…
AE
Alex Easton
In assessing the impact of the 10-year plan on perinatal health for England, can the Minister assure us that the lessons learned will be shared across the rest of the United Kingdom, to enhance care quality and reduce regional disparities, especially in Northern Ireland?
LH
Lindsay Hoyle
I call the Liberal Democrat spokesperson.
JB
Jessica Brown-Fuller
Over the weekend, The Guardian reported that the number of women dying in the perinatal period had risen sharply since 2015. Families that have been failed, and health professionals feel that whether it is perinatal depression or unsafe births, lessons are not being learned and the same errors are repeated in review af…
KS
Karin Smyth
I recognise my hon. Friend’s great work in this place to support women on this issue. We recognise that newly qualified midwives are experiencing challenges in gaining that first role. That is partly due to the record number of midwives in post and to better retention rates. NHS England is working with employers, unive…
KS
Karin Smyth
The hon. Gentleman makes an excellent point about the important need to share the learning across the United Kingdom, and I will make sure that we do indeed make efforts to do that.
KS
Karin Smyth
The hon. Lady has raised a really important issue. She highlights the work that the Secretary of State is putting in place to address these issues and finally bring all that together to produce a plan that will assure people, and we are working at pace to ensure that those recommendations are implemented.
Electronic Patient Record Systems22 Jul 2025
KS
Karin Smyth
My hon. Friend will know that trusts have responsibility for securing—using the approved procurement framework—an appropriate electronic patient record system that delivers all the core capabilities set out in the digital capabilities framework. Since 2022, £1.9 billion has been invested in digital transformation, including in the roll-out of EPRs to NHS trusts that do not… have one and in support to optimise existing ones.
Hansard · 22 Jul 2025 · parliament.uk
GS
Gareth Snell
What steps his Department is taking to improve electronic patient record systems in the NHS.
GS
Gareth Snell
The Minister will be aware that my hon. Friend the Member for Stafford (Leigh Ingham) and I have been working on a replacement system for the University Hospitals of North Midlands NHS Trust in north Staffordshire, which would improve public and patient experience, and productivity, at those hospitals. Will the Ministe…
MM
Mike Martin
Blocked beds cost Pembury hospital £18,000 every night, yet discharge teams have to manually phone care homes to place people there. My constituent Debbie has created a dashboard—it is basically like Skyscanner—to accelerate discharges by matching discharged patients to care beds. It has already received seed funding o…
JM
Julie Minns
My constituent Lee Armstrong contacted 111 when he was suffering from an Addisonian crisis. Lee and his partner provided full details about his condition to 111, and when his condition worsened, they called 999, but what neither Lee nor his partner knew was that the electronic record details given to 111 would not be a…
EM
Edward Morello
Many GPs say that their buildings are not fit for purpose and lack digital infrastructure. Without fully integrated electronic patient records and better systems, including the electronic prescription service across all hospitals and community trusts, we risk wasting time and money while increasing pressure on frontlin…
KS
Karin Smyth
I commend my hon. Friend, and our hon. Friend the Member for Stafford (Leigh Ingham) , for their diligent work with their trust and local system. Progress is being made on that EPR, which will have huge benefits. I will ensure that he has a clear outline of progress to the final planned operating of the go-live date fo…
KS
Karin Smyth
The hon. Gentleman highlights the serious problem of staff operating in an analogue age in the NHS, which we keenly highlighted in the 10-year plan. We want to move the system into a more digital age. We would be very happy to hear more about the scheme that he outlines and the great work that staff are doing to get ov…
KS
Karin Smyth
My hon. Friend outlines a horrific case in her constituency, where she has been a fantastic campaigner since last year. Information sharing between 111 and 999 already exists in many places. We want standards in place to ensure that that happens safely across the country. That is a key part of what we are trying to do …
KS
Karin Smyth
The hon. Member highlights the importance of getting this right not only from hospital to discharge but, crucially, in primary care, where 90% of patient contacts happen across the system. That is why a central plank of our 10-year plan has been moving the entire system from the analogue to the digital age. We have all…
NHS Hospitals: Parking22 Jul 2025
KS
Karin Smyth
The Department has published guidance that trusts are expected to follow to manage the provision of car-parking spaces for patients, hospital users and staff. Responsibility for hospital car parks lies with each individual trust, and provision must be managed alongside the existing policy, providing free parking for those in the greatest need.
Hansard · 22 Jul 2025 · parliament.uk
JB
Josh Babarinde
What steps his Department is taking to improve car parking provision at NHS hospitals.
JB
Josh Babarinde
Parking at Eastbourne district general hospital, where I was born, is woefully inadequate. The car park is often full, so patients have to park way away up the Rodmill hill, and car park services are crumbling. More than that, lower-banded NHS staff now face a near doubling of car parking charges to cover the cost. Giv…
RT
Rachel Taylor
University hospital Coventry and Warwickshire suffers from really poor car parking facilities. I have had to take both my parents there over recent years to use its specialist cardiology services. The poor quality of those car parking facilities causes additional stress for patients visiting those services, which they …
KS
Karin Smyth
As the hon. Gentleman knows, the discussions about any advanced works arising from the new hospital programme are ongoing. I am very happy for the Department to continue to discuss with the trust how future investment can best meet the needs of the future.
KS
Karin Smyth
The provision of car parking remains an issue for trusts. I recognise the stress caused by trying to get patients to hospital, particularly if they have mobility problems. I commend the many hospitals across the country that have really good active travel plans and are working with their local communities to resolve so…
Topical Questions22 Jul 2025
KS
Karin Smyth
The business case for the rebuild of the health centre has been submitted to NHS England for review, and NHS Property Services will in parallel be asked to approve the capital funding. Subject to those approvals, a new health centre will be fully completed in 2027.
Hansard · 22 Jul 2025 · parliament.uk
LA
Lewis Atkinson
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Under this Government, waiting lists have fallen by more than a quarter of a million in our first year, but strike action puts that hard-won progress at risk. If strikes do go ahead, we will do everything we can to minimise the disruption to patients, who will bear the brunt of cancellations. We continue to work with t…
LA
Lewis Atkinson
There were 5,448 drug-related deaths in 2023—the highest figure ever—and an 84% increase from the number that led the previous Government to publish their drugs strategy, which was supposed to save lives. Does the Secretary of State agree that the existing drugs strategy is not fit for purpose, and will he urgently sta…
WS
Wes Streeting
I am extremely grateful to my hon. Friend for his question. The number of drug-related deaths remains far too high, and we are committed to saving lives through access to high-quality treatment. For 2025-26, my Department is providing £310 million in addition to the public health grant to deliver the recommendations fr…
LH
Lindsay Hoyle
I call the shadow Secretary of State.
KS
Karin Smyth
Phlebotomists are paid on an “Agenda for Change” pay scale, which is underpinned by the job evaluation scheme. It is something the Secretary of State and I discussed with the trade union Unison last week; I should declare that I am a member of Unison. It is working closely with the trust in question, but I am happy to …
NHS Pensions: Frontline Patient Care17 Jul 2025
KS
Karin Smyth
As the House knows, the NHS pension scheme is administered by the NHS Business Services Authority, which is facing challenges, as are all public sector pension schemes, as a result of the coalition Government’s public sector pension reforms in 2015, which in 2018 were found to have been discriminatory—known as the McCloud remedy. The work… to remedy that is complex, and much of that I have already detailed in a written ministerial statement on 31 March and a subsequent urgent question. It is complex, technical work, and as the NHSBSA began to produce individual statements, it became clear that its initial estimate of the time needed for each one was too low. My written statement of 1 July updated the House that the NHSBSA did not meet its deadline to deliver statements to certain classes of member by that date and set out the actions that I was taking. Let me be clear that this Government remain absolutely committed to providing affected members with their statements at the earliest opportunity, and that is what we are doing. The authority is developing a revised plan, and I will hold it to account against the new deadlines. I met the chief executive of the authority and was very clear about my disappointment in the progress, my expectation for the authority to remedy the situation for members, and the need to have a more robust assessment of the delivery plan. I also ensured that the independent chair of the NHS pension board is ready to set up an independent review of the delivery plans. I met her yesterday and was clear that I expect a thorough review of the process and a realistic assessment of delivery, and to hear her initial assessment. She will give her full report after the summer recess. I will set new deadlines, including for members who are expecting statements this month. I will update the House as soon as possible, of course, both on the progress with the assessment and on the revised deadlines. Let me be clear that members will not face further financi
Hansard · 17 Jul 2025 · parliament.uk
LE
Luke Evans
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on NHS pensions and the impact of administrative delays on frontline patient care.
LE
Luke Evans
I declare an interest, for myself and on behalf of the shadow Front-Bench team, as we all have NHS pensions. In April, Mr Speaker granted us an urgent question because the Government have no real plan for NHS pension statements. Today we return because the Government have now admitted in writing that a new plan is fail…
JS
John Slinger
Given that the summer recess is imminent, will the Minister use this opportunity to update the House on the number of additional appointments and, more importantly, the number by which the NHS waiting lists have fallen under this Government? Does she agree that it would be very nice if the Conservative party addressed …
NG
Nusrat Ghani
I call the Liberal Democrat spokesperson.
JB
Jessica Brown-Fuller
I thank the Minister for coming to the House to answer this urgent question. These administrative delays are deeply worrying. They make financial planning for those affected very difficult and, more importantly, stop doctors taking on additional work for the NHS as they could face large and unknown tax penalties. That …
KS
Karin Smyth
As I outlined in my initial response and further to the written ministerial statement, we have asked for an independent review of the process and will report back as soon as possible with a realistic deadline for that. With regard to the strikes, we will continue to be open to discussing the avoidance of those strikes,…
KS
Karin Smyth
I thank my hon. Friend, who is a superb advocate for his constituents. I met him again yesterday as he advocated for services in his constituency—that is the focus of Labour Members. He is absolutely right; as I said in my statement, this is part of the overall mess that we inherited from the Conservatives. As I said i…
KS
Karin Smyth
I thank the hon. Lady for those questions. She highlights a number of important issues regarding the complexity for the NHS Business Services Authority of dealing with this. There is a large number of high earners in this scheme. With regard to tax liabilities, that makes the system complex, as does the movement of doc…
KS
Karin Smyth
I thank the hon. Lady for that really constructive suggestion. In my discussions with the NHSBSA, the reviewer and officials at the Department, I have raised similar issues. I am a member of the NHS pension scheme and the parliamentary pension scheme. I tell my young people that this is a really valuable asset, and I e…
KS
Karin Smyth
I congratulate the hon. Gentleman on, yet again, shoehorning in a reference to his local hospital, for which he does a great job. People are determined to work in and support the national health service. We take remedying confidence in pensions seriously. I will not give further deadlines before we hear from the assess…
KS
Karin Smyth
We are working very closely to ensure that resident doctors do not go on strike. We are very clear that we cannot negotiate on pay this year, but we will work with everybody to improve conditions. Some of those conditions are shocking, and we want to work constructively with them to avoid disruptive strike action.
KS
Karin Smyth
The hon. Gentleman highlights yet another mess that we inherited due to his party’s lack of proper engagement with the workforce over the last decade to resolve the disincentives to making the system work more effectively. Making the system work more efficiently and more effectively is a key part of our 10-year plan an…
KS
Karin Smyth
I am totally focused on remedying this situation and learning from the mistakes. If further action is required, I will happily update the House at that point. My absolute focus at the moment is on getting everybody in that organisation and the independent review focused on sorting out the pension situation for those wh…
KS
Karin Smyth
The hon. Gentleman tempts me to stray further from the urgent question, but he raises an important point, further to the one raised by the hon. Member for West Worcestershire (Dame Harriett Baldwin) , who is a trustee of the parliamentary contributory pension fund. The NHS pension scheme is an extremely important part …
Department of Health and Social Care24 Jun 2025
KS
Karin Smyth
I thank the interim Chair of the Health and Social Care Committee, my hon. Friend the Member for Birmingham Erdington (Paulette Hamilton) , for securing this debate, and all colleagues for taking part. I have been asked to condense my comments, so I hope that I can address her questions, but if I do not… cover them, we will of course make sure that she has a written response. We are honest about the challenges facing the health service, and we are serious about solving them. That is why we published the independent review led by Lord Darzi, which provided a full and frank assessment of the state in which the nation’s health service was left by the Conservatives after 14 years of government, aided in the first five years by Liberal Democrat colleagues. That investigation highlighted the critical challenges facing the NHS, and we have heard about more of them today. They include a significant increase in people living with multiple long-term conditions, and growing demands for mental health services, particularly among children and young people. That is why we are taking the steps that we are taking. The investment we are already making in 2025-26, the outcome of the recent spending review and the forthcoming 10-year health plan will address these root causes by delivering our plan for change commitments, investing in preventive health care and modernising NHS infrastructure, so that we radically reform the NHS. We will deliver three shifts to ensure that the health service can tackle the problems of today—caused by the Conservatives—and of tomorrow. They are: shifting care from hospitals to community; shifting from analogue to digital; and shifting from sickness to prevention. My hon. Friend the Member for Birmingham Erdington said that there were highly optimistic assumptions in the planning process, and that robust, detailed plans and efficiency savings were needed if we are to deliver on those assumptions. I agree. I am optimistic about our ability to deliver, but
Hansard · 24 Jun 2025 · parliament.uk
RG
Roger Gale
The debate will be opened by a member of the Health and Social Care Committee, Paulette Hamilton.
PH
Paulette Hamilton
I am delighted to open this debate on the Department of Health and Social Care’s main estimate. My remarks will focus on the recent spending review, which includes some welcome funding increases and sets out some ambitious reform objectives. However, it also raises questions about deliverability, particularly of object…
DB
Danny Beales
I thank my hon. Friend for giving way, as well as for her excellent chairing of the Health Select Committee at the moment and for opening today’s debate. Does she agree that this Government’s record investment in our health service will be vital to turning around the health service after 14 years of under-investment an…
PH
Paulette Hamilton
Hear, hear. My hon. Friend makes some valuable points, and I agree with every one of them. Underpinning the settlement I have described, however, is the Government’s pledge to generate £17 billion in efficiency savings over three years, with a staggering £9.1 billion expected in the final year of this Parliament. Criti…
AG
Andrew George
I thank my fellow member of the Select Committee and stand-in Chair for giving way, and I congratulate her on how she is introducing the issues today. Does she agree that the length of time set for the Casey review to report does not give us a sense of confidence that the Government have injected sufficient urgency to …
Incontinence19 Jun 2025
KS
Karin Smyth
It is a pleasure to see you in the Chair, Mr Deputy Speaker; you have done an excellent job of making sure that all Back Benchers get to contribute to this afternoon’s important debate. I will have to cut some of my comments, but hopefully I will get to address everybody’s points. We are having… this debate during World Continence Week, and I congratulate my hon. Friend the Member for Dudley (Sonia Kumar) on securing it. There could not be a more appropriate time to raise awareness of this issue. Millions of men, women, young people and children are living with bowel and bladder problems. Incontinence is an issue that robs people of their dignity, as we heard from my hon. Friends the Members for Chelsea and Fulham (Ben Coleman) and for Harlow (Chris Vince), and too many suffer in silence. As my hon. Friend the Member for Dudley rightly says, this subject is taboo, and I congratulate her on securing her first debate in the Chamber. It is great to have her expertise in this area. All continence problems can be debilitating and life-changing. They affect a wide range of care groups, and can be a particular concern for older people. In recent years, public discussion and awareness has opened up. The advertising of products has become slightly more commonplace, helping people to normalise these issues, with which so many people live from day to day. However, we are still a very long way from being a society that supports people with incontinence to live without stigma. As these issues affect people of all ages, we need to recognise that different approaches are required. We heard an excellent contribution from the hon. Member for Dumfries and Galloway (John Cooper) , who raised that point, as did the hon. Member for Farnham and Bordon (Gregory Stafford) . The hon. Member for Strangford (Jim Shannon) talked about children, and my hon. Friend the Member for Nuneaton (Jodie Gosling) talked passionately about people with learning disabilities. There is no one-size-fits-all ap
Hansard · 19 Jun 2025 · parliament.uk
SK
Sonia Kumar
I beg to move, That this House has considered the matter of incontinence. I thank the Backbench Business Committee and its Chair, the hon. Member for Harrow East (Bob Blackman) , who helped secure this debate. I am delighted that we are debating this vital but often ignored issue during World Continence Week. The defin…
IC
Irene Campbell
Many years ago, when I worked in the NHS, the board tried to save money by changing the incontinence products that people used. The products were not quite the same, which caused a lot of distress for the people who used them, as well as a lot of inconvenience for the health professionals working with patients, particu…
SK
Sonia Kumar
I agree that products need to be readily available, and that is one of my recommendations. Secondly, beyond awareness is prevention. We need real understanding, and I want bladder and bowel health to form part of the school syllabus, enmeshed into the curriculum. That is a recommendation from surgeon Dr Robinson from t…
JC
John Cooper
Incontinence is no respecter of person, and no respecter of sex, and it is male incontinence that I rise to speak about. The wry old joke is that men do not know they have a prostate until their other half reads about it in the Daily Mail. Campaigning newspapers, such as the Daily Mail, and charity groups like Prostate…
BC
Ben Coleman
A big thank you to my hon. Friend the Member for Dudley (Sonia Kumar) for securing this extremely important debate. I was fascinated and not a little shocked to hear that this is the first full debate in the Chamber on this subject, and it is absolutely tremendous that we are talking about it, because we need to. As ev…
Medicine Supply Chain: Community Pharmacies17 Jun 2025
KS
Karin Smyth
Increasing the resilience of the UK medical supply chain is a key priority. I regularly meet the team to routinely take action to mitigate supply issues, including requesting additional stock, identifying alternative global sources and issuing management advice. Although the Department has no plans to conduct a specific review, we constantly work to identify and… take forward further actions to reduce the impact of medicine shortages, including targeted winter monitoring.
Hansard · 17 Jun 2025 · parliament.uk
SA
Sadik Al-Hassan
If he will undertake a review of the potential impact of medicine supply chain shortages on community pharmacies.
SA
Sadik Al-Hassan
Having worked in community pharmacies for nearly 20 years, I have witnessed at first hand the pain that medicine shortages can cause North Somerset patients and their loved ones. Will the Minister meet me, along with my hon. Friend the Member for Exeter (Steve Race) and other members of the all-party parliamentary grou…
RH
Richard Holden
Supply chain problems are just one of the many issues that are having an impact on community pharmacies. My local pharmacy in Noak Bridge is one of them, but it is also being hammered with national insurance increases, and the combination of these issues means that its long-term viability is at stake. Will the review t…
LH
Lindsay Hoyle
I call the Liberal Democrat spokesperson.
HM
Helen Morgan
Across the country, community pharmacies struggle not only with supply chain problems but with dispensing some of the critical medicines for our constituents at a loss. I was concerned to read that higher prices for United States pharmaceuticals are on the table for the next stage of trade negotiations with Donald Trum…
KS
Karin Smyth
I congratulate my hon. Friend and constituency neighbour on his dedicated career in community pharmacy, and thank him for the expertise that he brings to the work of the all-party parliamentary group to help Members understand the impact of this issue on patients and pharmacies. I am planning to hold a parliamentary ev…
KS
Karin Smyth
The long-term viability of pharmacies and, indeed, the whole NHS was under threat from the right hon. Gentleman and his party, but thanks to this Government, it is being made fit for the future. This is a serious issue for all our constituents, and we want to make the system work better. The right hon. Gentleman will s…
KS
Karin Smyth
The hon. Lady has asked an important question about the pharmaceutical industry, which is key to the country’s growth mission and to supporting all our constituents and the entire country. As we know, my right hon. Friend the Prime Minister is currently attending the G7 summit. We have good relationships with America, …
Under-18s Sunbed Ban17 Jun 2025
KS
Karin Smyth
The Sunbeds (Regulation) Act 2010 banned the use of commercial sunbeds for under-18s, requiring businesses to prevent under-age use. The Department has commissioned the Committee on Medical Aspects of Radiation in the Environment to review the Act, including the effectiveness of the under-18 ban.
Hansard · 17 Jun 2025 · parliament.uk
OB
Olivia Blake
Whether his Department has made an assessment of the effectiveness of the ban on the use of sunbeds by under-18s.
OB
Olivia Blake
According to Cancer Research UK, 86% of melanoma skin cancer cases are preventable. My constituent Charlotte, who has stage 4 melanoma, is leading a campaign alongside Melanoma Focus to get better enforcement for the ban on sunbeds for under-18s and to stop the use of harmful melanotan II products such as tanning nasal…
CT
Cameron Thomas
Until his recent death, my constituent Luke Webster had lived with alternating hemiplegia of childhood. His life was short and he spent much of it being moved between different care facilities, to the frustration of his family. At one such facility, Luke was abused. Will the Minister meet me and Luke’s mother to discus…
LH
Lindsay Hoyle
Order. I do not think this is relevant to sun tanning. Let us move on.
KS
Karin Smyth
As someone who was diagnosed myself with an earlier stage melanoma, I really commend the work of my hon. Friend’s constituent. I never used sunbeds and I spent holidays in my youth in Ireland, so I never saw much sun either—sorry to the Irish tourism board. As my hon. Friend says, it is an overwhelmingly preventable ca…
Biopsy Waiting Times17 Jun 2025
KS
Karin Smyth
More patients are now getting world-leading testing technology in the NHS as part of our mission to revolutionise cancer care in this country. The Government are spending £600 million a year in capital on diagnostics, including for the first time funding for the automation of histopathology laboratories to improve productivity. We are also funding pathology… networks to reach digital maturity by 2026, which will reduce unnecessary waits and repeated tests.
Hansard · 17 Jun 2025 · parliament.uk
MM
Mike Martin
What steps he is taking to reduce waiting times for biopsy results.
MM
Mike Martin
My constituent Julian noticed that he had a mole on his chest that was growing and bleeding. Members of his family had died from skin cancer, so he was very concerned and went to his GP. He was referred to the Kent integrated dermatology service and was told that the results would come back in four weeks. They came bac…
KS
Karin Smyth
The hon. Member raises an awful case on behalf of his constituent. Of course, our targeting of waiting lists includes diagnostics. What happened in that case should not happen anywhere, and I will ensure that he gets a response as soon as possible.
Cancer Diagnoses17 Jun 2025
KS
Karin Smyth
Reducing waiting times for cancer diagnosis remains a key priority. Under this Government, an extra 99,000 patients have had cancer diagnosed or ruled out. This has been supported by investment, including in Cancer 360—a digital innovation that brings patient data into one central platform—and in NHS England’s cancer innovation open call to fast-track cutting-edge interventions… into practice. Our forthcoming national cancer plan will set out how we will speed up cancer diagnosis even further.
Hansard · 17 Jun 2025 · parliament.uk
BA
Bayo Alaba
What steps his Department is taking to reduce the time taken for cancer diagnoses.
PH
Paulette Hamilton
What steps his Department is taking to reduce the time taken for cancer diagnoses.
BA
Bayo Alaba
Our Labour Government have recently invested in a new state-of-the-art linear accelerator machine in Southend hospital. The machine is the first of its type in the country and will drastically improve cancer treatments. Please can the Minister outline how record levels of investment, such as in the LINAC machine and as…
PH
Paulette Hamilton
Early diagnosis of less survivable cancers is vital if survival rates are to improve. What assessment has the Department made of the report by the all-party parliamentary group on less survivable cancers that looks at earlier detection and faster diagnosis, and what steps are the Department taking to deliver on this?
AB
Alison Bennett
Part of a successful cancer journey is swift cancer treatment as well as swift diagnosis. My constituent Catherine was diagnosed last year with stage 3 breast cancer. She had a mastectomy and went through chemotherapy. She was then meant to begin a course of radiotherapy in December, but as of May that still had not be…
KS
Karin Smyth
I am delighted that my hon. Friend’s constituents will benefit from the £70 million investment. These machines are game changing and will reduce the number of visits for his constituents. They are also more reliable, which gives more capacity to the system. That is better for staff, as there will be less appointment ca…
KS
Karin Smyth
My hon. Friend is right to highlight that issue. I commend her great work not just on the APPG but on leading the Health and Social Care Committee on behalf of its Chair, the hon. Member for Oxford West and Abingdon (Layla Moran) . She is right to highlight that it is a priority for the Government to diagnose cancers e…
KS
Karin Smyth
Many hon. Members across the House rightly highlight the actual experience of people throughout the entire pathway. We have heard about the investment we are making in machines and in staff to ensure, on exactly this point, that people get not just that faster diagnosis—that is so important, particularly if cancer is r…
KS
Karin Smyth
The work that the hon. Member is doing locally with that group is essential. I will ensure that we have a good response for him, whether it is meeting me or a colleague.
Topical Questions17 Jun 2025
KS
Karin Smyth
I thank my hon. Friend for that important question. The Government are carefully considering the work of the patient safety commissioner and her report, which sets out the options for redress. This is a complex issue involving input from different Government Departments. We will provide a further update on the commissioner’s report soon.
Hansard · 17 Jun 2025 · parliament.uk
CD
Charlie Dewhirst
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Waiting lists are at their lowest level for two years, we have taken almost a quarter of a million patients off waiting lists and for the first time in 17 years waiting lists were cut in April. There is a long way to go, but this Government are finally putting the NHS on the road to recovery. Through our plan for chang…
CD
Charlie Dewhirst
It is nearly four years since Professor Sir Chris Whitty published his striking report on health in coastal communities. Covid inevitably delayed implementation, so will the Secretary of State look again at that report, deliver on the chief medical officer’s recommendations and ensure that my constituents in Bridlingto…
WS
Wes Streeting
The hon. Gentleman is right to commend Sir Chris Whitty’s report. We have taken that into consideration, as well as the wider consultation we did in preparation for our 10-year plan for health, which will commit to tackling the gross health inequalities that affect our country, particularly in rural and coastal communi…
CB
Christopher Bloore
Will the Secretary of State join me in welcoming the recent NHS waiting list figures that show that the Worcestershire acute hospitals NHS trust has seen a fall of over 6,000 since this Government came into office? Does he agree that progress like this shows that, in partnership with our hard-working NHS staff, we can …
KS
Karin Smyth
Such contraceptives are an emerging technology that will be subject to clinical and other relevant assessment before being considered for use in England. The Government remain committed to ensuring that women can access their preferred method in a timely manner. A range of contraception is available free of charge from…
KS
Karin Smyth
In the light of the broader pressures and changes in the NHS, we have been considering the ambitions on fertility services and fairness for all couples. The National Institute for Health and Care Excellence is reviewing its fertility guidelines, which will be the clinical standard for the future. I know that my hon. Fr…
KS
Karin Smyth
My hon. Friend raises an important question. We are committed to improving women’s experience of gynaecological procedures, including hysteroscopies. Women should be provided with information prior to their procedure so that they can make an informed decision about the procedure and pain relief options, including local…
Prostate Cancer Treatment17 Jun 2025
KS
Karin Smyth
I thank my hon. Friend the Member for Ealing Central and Acton (Dr Huq) for securing the debate, and I thank the other Members who have spoken. As my hon. Friend has said, more than 50,000 men are diagnosed with prostate cancer every year, and one in eight will be diagnosed with it during their… lifetime. I commend her for raising an issue that I know is very personal to her, as she has articulated so well. I am sure that her late father is watching her carefully. She was also right to support her constituent Peter by raising this issue, which affects so many men, and to highlight the number of black and minority ethnic men presenting with the disease. That is something on which we have all campaigned very strongly. Timely and equitable diagnosis and access to innovative medicines for the treatment of prostate cancer are of the utmost importance. To support faster diagnosis, NHS England has redesigned pathways to maximise capacity. We are also aware of very early-stage trials of the use of artificial intelligence in prostate cancer detection, and we look forward to a formal report on those trials, so that the evidence can be considered carefully.
Hansard · 17 Jun 2025 · parliament.uk
RH
Rupa Huq
Joe Biden’s recent diagnosis has to some extent put prostate cancer in the spotlight of late, but it is not just him—there is Stephen Fry, Jools Holland and Robert De Niro. More than 50,000 men in the UK and 1.4 million men worldwide are diagnosed with prostate cancer yearly, which is projected to double by 2040. With …
CJ
Clive Jones
Will the hon. Member reiterate a question that I have for the Minister? Specifically, given that abiraterone is already approved for use in Scotland and Wales, what action is the Minister taking to ensure that men in England are not disadvantaged in accessing lifesaving cancer treatments?
RH
Rupa Huq
The hon. Member reads my mind about the postcode lottery, which I will come to in my list of questions. I know that my hon. Friend the Minister is very sympathetic and on the right side. Abiraterone is now a global drug. Half a million men around the world have had transformed outcomes, improved quality of life and ext…
RH
Rupa Huq
Yes, I will. What an honour to give way to the hon. Member for Strangford (Jim Shannon) !
JS
Jim Shannon
I thank the hon. Lady for bringing forward this debate; she is absolutely right to do so, and I congratulate her on that. She may not be aware that abiraterone is not routinely available in Northern Ireland for men with high-risk hormone-sensitive metastatic prostate cancer, unlike in Scotland and Wales. It is primaril…
KS
Karin Smyth
We talk regularly with our colleagues in Northern Ireland, and I am always happy to do so. As the hon. Lady knows, this matter is devolved, so it is a matter for Northern Ireland, and we respect the devolution settlement. Our elective reform plan, published in January 2025, builds on the investments already made with a…
Spending Review: Health and Social Care12 Jun 2025
KS
Karin Smyth
With permission, I would like to make a statement on the outcome of the spending review for the Department of Health and Social Care. This Government were elected on a manifesto to fix our broken NHS and make it fit for the future. Our job is twofold: first, to get the NHS back on its… feet and treating patients on time again; and secondly, to reform the service for the long-term so that it is fit for the future. That is why, in her autumn Budget, my right hon. Friend the Chancellor took the necessary decisions to give health and social care a record uplift in day-to-day spending at the conclusion of the first phase of the spending review. The Department for Health and Social Care received a cash injection of £26 billion covering day-to-day spending and capital investment in 2025-26, compared with the 2023-24 out-turn. All Opposition parties have rejected that investment and those changes to repair the damage done to our NHS and move it forward. They have rejected two above-inflation pay increases for our NHS staff, the recruitment of 1,700 more GPs and the agreement of a GP contract for the first time since the pandemic, the biggest investment for hospices in a generation, the biggest expansion of carer’s allowance since the 1970s, a boost for older and disabled people through the disabled facilities grant, and the biggest real-terms increase to the public health grant in nearly a decade. We have also given pharmacies the biggest funding uplift in years, ensured that women across the country can access the morning after pill free of charge, frozen prescription charges for the first time in three years, enabled an extra 3.5 million appointments for operations, consultations, diagnostic tests and treatments—reaching and surpassing our manifesto pledge seven months early. I can update the House on waiting lists, which, as of this morning, have fallen by over 30,000 compared with last month, amid a reduction of 232,000 since this Government took office. I could go on, b
Hansard · 12 Jun 2025 · parliament.uk
CN
Caroline Nokes
I call the shadow Secretary of State.
EA
Edward Argar
Yesterday, yet again, we saw the Chancellor do what the Labour party always does: default to high spending, more borrowing and higher taxes, leaving the public finances vulnerable. The Minister has spoken of additional funding for the NHS. To use the same comparison as the NHS England chief executive, the NHS budget wi…
AM
Alex McIntyre
I welcome my hon. Friend’s statement about the record funding going into our NHS. We are already seeing the benefit in my constituency, with millions of pounds going into investment in our hospital; that is so desperately needed to get waiting lists down. People were left behind by the Conservative party, and I note th…
CN
Caroline Nokes
I call the Liberal Democrat spokesperson.
DC
Danny Chambers
To reiterate: after years of Conservative mismanagement, the NHS is in crisis, with patients left waiting hours for ambulances, women giving birth in unsafe maternity units, and children turning up at A&E with rotting teeth because an NHS dentist cannot be found. That is the Conservative legacy, and they must never be …
KS
Karin Smyth
I am entirely unclear, after that run-through of a number of different issues, whether the Conservatives welcome the extra investment in the NHS or oppose it. We know they oppose the means of funding it, but after that, I have no idea. At some point, they have to make up their mind whether they support that extra inves…
KS
Karin Smyth
As my hon. Friend said, this is a health area that I know well, and he has been the most amazing campaigner for Gloucester and the health service there since he became the Member of Parliament. He is absolutely right: dentistry is a key worry. It is one of the key areas that the Conservative party neglected for 14 year…
KS
Karin Smyth
I thank the hon. Gentleman for welcoming, on behalf of his party, the commitment that the Chancellor has made and the extra funding that she has identified, but I think his party still opposes the way in which we have raised the funding to do just that. It is good to have your cake and eat it, but we are clear that the…
KS
Karin Smyth
I thank my hon. Friend for her question and for the work she does to support NHS dentistry as part of the all-party group. As I have said, this issue is of huge importance to our constituents, and the shocking state in which the Conservatives left dentistry is there for all to see—particularly the shocking state of chi…
KS
Karin Smyth
I was expecting the right hon. Gentleman to talk about the funding model, and I am disappointed that he did not; it is something that he has talked about for many years. I do not know the details of the Australian model, but will ensure that he gets a proper answer. I am always happy, as is my right hon. Friend the Sec…
KS
Karin Smyth
My hon. Friend is right to highlight end of life care. We know it has been neglected. I worked on it during my time in the health service, over 15 years ago, and I feel very passionately about it. It is important that we support people. We must have a system that allows people to have those conversations, and that ensu…
KS
Karin Smyth
I thank my hon. Friend for the great work that he is doing to support progress on work at the RAAC hospitals in his constituency. He makes the excellent point that such issues exist not only in hospitals. As our settlement makes clear, we understand the strain in primary care, as well as in mental health services and c…
KS
Karin Smyth
The hon. Lady is right to highlight the shocking state that dentistry was left in by the last Government. They could have reformed that contract at any time over the past 14 years. We were ready to do that in 2010, but things worked out differently; we left office, and the Liberal Democrats and the Conservatives betwee…
KS
Karin Smyth
I am very happy to thank Dr Cameron and the whole team. As ever, with his vast experience of the health service, my hon. Friend makes an excellent point. We are reliant on clinical and managerial staff to make the system better. I know, and he knows, how low morale has been; Lord Darzi made that point very clear, and w…
KS
Karin Smyth
The hon. Gentleman is absolutely right that this is unacceptable. I was pleased to meet him and his local NHS leaders this week. They made, as hon. Members always do, an excellent case. Clearly, the situation was left badly under his Government. I hope that he will welcome the extra measures in this settlement. I know …
KS
Karin Smyth
I thank my hon. Friend for the excellent role she plays as a clinician. Her expertise is really welcome; we want to hear from a wide variety of experts in this House—that is very valuable. She understands from her professional background, as well as from her constituency, how important it is to look at the entire pathw…
KS
Karin Smyth
I agree that this issue absolutely needs to be resolved. There was agreement previously, under the coalition, and it is so disappointing that it was so unceremoniously dumped when I came to this place in 2015; that was one of the first things that the subsequent Tory Government did. It was a great disappointment to man…
KS
Karin Smyth
I thank my hon. Friend for welcoming the Government’s investment in the health service. She has been such a strong campaigner for Shotley Bridge, and it has been a pleasure to work with her; I know she has continued to advocate strongly on behalf of her local population. The hospital is needed, but as she knows, in her…
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Karin Smyth
The economics of the Green party are even more fantastical than the economics of the Conservatives and Reform; we all dread to think what things might be like under that party. We see that in the local council in my city of Bristol, and it is an absolute disaster. If the council could just get on with building council …
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Karin Smyth
I thank my hon. Friend for his support for the Chancellor’s statement and our commitment to the NHS. I know he has been working so hard on this issue on behalf of RAAC hospitals and Frimley Park hospital since he became a Member of Parliament last year, and we are four-square behind that work getting on. It is at the b…
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Karin Smyth
I have already given a history lesson about some of those 14 years. When the Conservatives and the Liberal Democrats were in the coalition together, we had a commitment, a promise and a cross-party agreement; the Conservatives then got into government by themselves and broke it, so we are where we are. We want to inves…
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Karin Smyth
My hon. Friend makes an excellent point about bringing down waiting lists for his constituents, and we are so pleased to see that that is continuing, as we were able to announce this morning. He also makes an excellent point about social care providers, which do an amazing job for many of us who have close family membe…
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Karin Smyth
We are committed to ensuring that those RAAC hospitals are sorted and fit for purpose, and I was able to visit Airedale myself recently. We are asking people on the ground to do a really difficult job, keeping hospitals going and serving patients while remedying the problem of RAAC. I do not have in front of me the exa…
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Karin Smyth
My hon. Friend is right to raise the issue of ambulances. We ensured that they were a key part of our urgent and emergency care plan, which was issued the week before last, I think—I cannot remember the exact date. We recognise how crucial that issue is, and how much more can be done by ambulances by the roadside. I wa…
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Karin Smyth
The hon. Gentleman says that we have been here before, and we really have. I was on a primary care trust board under the last Labour Government, so I saw at first hand what good government, working with local systems, can deliver: the best patient satisfaction in the NHS’s history, the lowest waiting lists, and the bes…
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Karin Smyth
My hon. Friend has been such a strong and powerful campaigner for women’s health since becoming an MP last year, and she is absolutely right to do that. I am pleased that we have been able to make some progress on conditions such as endometriosis. Many campaigns have been fought by many women in this House—including yo…
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Karin Smyth
I have a slight “get out of jail free” card, because I think that letter might be with one of my colleagues, not with me. Obviously, though, I look forward to the summary. The hon. Gentleman makes a really important point about cancer. I would have to check, but I do not think I mentioned lots of disease-specific areas…
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Karin Smyth
I always shudder a little when I am invited to do any running, jogging, boxing or whatever else people get up to—we all have our own things we like doing. Although my hon. Friend’s fabulous city is a great place to be, I will not be able to join in this weekend, but I wish good luck to everybody taking part. We all liv…
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Karin Smyth
I thank the hon. Gentleman for his question. His invitation has been a long-running one, and sometimes his diary has been busier than mine, but I think we finally have a date to go to North Devon, which I am looking forward to. It is a challenged system—we had a good debate yesterday in Westminster Hall about many of t…
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Karin Smyth
My hon. Friend has been such a strong advocate for Watford since he came into this Chamber, and in particular for ensuring that that hospital is in the new hospital programme. I look forward to visiting his constituency soon, because I know we lost some time. My hon. Friend is absolutely right. I do not know if he know…
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Karin Smyth
The hon. Gentleman makes an excellent point on primary care, which sees 90% of contacts with the NHS and is where most people experience the NHS. That is why it is very much in our sights to support that work. As part of our 10-year plan, we will bring forward the neighbourhood health service to make sure that people c…
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Karin Smyth
My hon. Friend makes an excellent point on mental health, which is of great concern to all Members. He is right that elective care and mental health are measured in different ways, but we are committed to supporting mental health services with 8,500 extra staff. We are making sure in particular that young people in sch…
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Karin Smyth
The hon. Gentleman is an experienced parliamentarian, and he understands how the funding settlement for the Department of Health and Social Care is allocated through the Barnett formula to Northern Ireland.
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Karin Smyth
I thank my hon. Friend for welcoming the extra support for GP and primary care. I am sure he understands from our urgent and emergency care plan that we have a number of arrangements for making sure that people are seen urgently in local community settings. It is for local ICBs to decide on the best way, within that ur…
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Karin Smyth
My hon. Friend is absolutely right that his constituents and constituents across this country will not forgive the Conservatives for the state in which they left the NHS. That is clear from Lord Darzi’s diagnosis. We have still had no comment from the Conservatives on whether they acknowledge that. We are determined to…
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Karin Smyth
I like how my hon. Friend says “gently”, because honestly no day goes past without him talking about this issue or, indeed, his new hospital. He is right, and he is a fantastic campaigner for the people of Harlow. He has made his point again, and I cannot make any further comment today, but he will be hearing from the …
Covid: Fifth Anniversary12 Jun 2025
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Karin Smyth
I am short of time, but the Under-Secretary of State for Culture, Media and Sport, my hon. Friend the Member for Barnsley South (Stephanie Peacock) , who leads on this issue, has hotfooted it from Committee and will take up any issues that I do not address. I thank my hon. Friend the Member for… West Ham and Beckton (James Asser) for securing what has been a moving and popular debate. As he says, we have to remember the people and communities behind the numbers. My thoughts, and those of everyone, are with the families and communities who lost loved ones because of the pandemic. We have heard the magnitude of that grief expressed today, as well as the pain of families who were unable to be with their loved ones in the normal rituals of grief and bereavement. My hon. Friend the Member for Middlesbrough South and East Cleveland (Luke Myer) spoke about the loss of his grandfather. The hon. Member for Honiton and Sidmouth (Richard Foord) talked about the loss of Adam, and we understand the battle to get compensation payments. My hon. Friend the Member for Ribble Valley (Maya Ellis) talked about women’s experiences of pregnancy and birth. I pay tribute to my hon. Friend the Member for Paisley and Renfrewshire South (Johanna Baxter) for the work that she is doing on the APPG, and I will make sure that she gets a response to her letter. It has been heartening to hear of the many ways that communities have commemorated the losses and sacrifices experienced during the pandemic. The Government will bring forward a programme of covid-19 commemorative activity, and we will set out full details in response to the recommendations of the UK Commission on Covid Commemoration. I thank Baroness Morgan of Cotes and all the commission members for their consideration in recommending how to mark this period, and for their ongoing engagement with the Department for Culture, Media and Sport, which will lead on the commemorative activity. DCMS is working with a range of partners, including m
Hansard · 12 Jun 2025 · parliament.uk
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James Asser
I bet to move, That this House has considered the fifth anniversary of the covid-19 pandemic. I start by thanking the hon. Member for Harrow East (Bob Blackman) and the Backbench Business Committee for granting my request for this debate. I also thank all hon. Members who supported my application. I approached the Comm…
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Nusrat Ghani
Order. Colleagues can see how many Members wish to contribute. There will be a speaking limit of three minutes.
WC
Wendy Chamberlain
I thank the hon. Member for West Ham and Beckton (James Asser) for securing the debate, and for the eloquent and passionate way in which he spoke. I agree that it has been hard preparing for this debate, because in many ways I think we have still to come to terms with what happened. For me, it was particularly strange …
MR
Martin Rhodes
I commend my hon. Friend the Member for West Ham and Beckton (James Asser) for securing this debate. The covid-19 pandemic had a global reach, yet the impact was not felt equally. On a local level, the pandemic had a disproportionate impact on some of the most vulnerable in society. The elderly, those with pre-existing…
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Richard Foord
I pay tribute to the hon. Member for West Ham and Beckton (James Asser) for securing the debate, which takes place five years after covid-19 swept across the country. It is right that we take a moment to reflect not only on what we have lost, but the duty we have to those who continue to carry the burden of the pandemi…
Duchenne Muscular Dystrophy12 Jun 2025
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Karin Smyth
It is a real pleasure to respond to this moving debate. I know that many people with Duchenne muscular dystrophy and their families will have wanted to tune in to hear what was said this afternoon. I thank Members who have contributed in different ways to the debate. In particular, I thank my hon. Friend… the Member for Stockton North (Chris McDonald) , who secured this debate and advocated so powerfully for these families. He really brought to life the experiences of Benjamin, Jack and Eli, and I commend him for doing so. I first acknowledge the profound impact that this debilitating disease has on those living with it, and their families, and the urgent need for new and effective treatments. As has been said, my right hon. Friend the Secretary of State for Health and Social Care heard at first hand from people affected by this condition earlier this year, when he attended an event hosted by Duchenne UK. He met many young patients and listened to what they said about the challenges that they face. As we all know, meeting families and individuals from our constituencies leaves a long-lasting effect on us, and it is important that we continue to meet them. Timely and equitable access to innovative medicines for the treatment of DMD and other rare diseases mentioned today is of the utmost importance. The National Institute for Health and Care Excellence is the independent body responsible for assessing whether new licensed medicines can be recommended for routine use in the NHS, based on a thorough assessment of their clinical effectiveness and cost-effectiveness. Through this process, many thousands of patients, including those with rare diseases, have been able to benefit from effective new treatments at prices that represent value to the NHS. NICE has been able to recommend two medicines for the treatment of DMD: ataluren, recommended in 2023, and vamorolone, which was recommended in January this year and is now available on the NHS to around 1,700 eligible patients
Hansard · 12 Jun 2025 · parliament.uk
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Chris McDonald
I thank the Minister for what I think is her triple shift at the Dispatch Box today. A few months ago, I met three really great young lads—Benjamin, Eli and Jack. We had a great conversation, and they had me laughing and joking along with them for a very long time. I slightly disappointed Eli when I first opened my mou…
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Graeme Downie
Like my hon. Friend, I have a constituent, Jamie Tierney, who, sadly, suffers with Duchenne muscular dystrophy. Recently, he has been able to begin treatment, as have other patients in Scotland, but it took a lot of work and in some cases intervention by lawyers to get that. Jamie’s family tell me that “Time is muscle”…
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Chris McDonald
Yes, I do agree with that very timely intervention. In fact, the slogan of Duchenne UK is “Time is muscle”, and it is absolutely right that every day and every week makes a difference to these boys.
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Jim Shannon
I congratulate the hon. Gentleman on bringing forward this debate. He and I spoke about it the other day. I have some constituents who have had a brave few years with Duchenne muscular dystrophy. The problem is that the opportunity of this drug has never been there for them, but it needs to be. Up until now in Northern…
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Chris McDonald
I thank the hon. Member for that intervention. I am very pleased that he has intervened and I think the comment about a postcode lottery is exactly right. I noted, when I looked at the figures, that currently the Belfast health and social care trust is not offering the drug to lads in Northern Ireland, because it is cl…
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Karin Smyth
I thank my hon. Friend for that constructive suggestion. We need to wait to see how the NICE recommendation goes in July. With this disease and so many others, it is important to share learning and information, and trusts should be encouraged and supported in doing so. We will work with him on that constructive recomme…
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Karin Smyth
I will not; I want to finish in the time available, and I think Members want to hear the full response. Outside of company-led EAPs, there are established routes for patients to get access to new, innovative medicines prior to them being licensed. The early access to medicines scheme, or EAMS, helps give people in the …
Breast Cancer Screening: Bassetlaw9 Jun 2025
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Karin Smyth
I thank my hon. Friend the Member for Bassetlaw (Jo White) for bringing forward this debate on a really important topic that is close to my heart and, I know, the hearts of so many other hon. Members. It is really important to ensure that as many women as possible take up the offer of… screening. They should not feel embarrassed to seek help if they feel something untoward when checking their breasts. My hon. Friend has spoken really eloquently, and has been supported by other colleagues. As she has done on other occasions, she has highlighted her family’s experience of losing a loved one due to the fear of seeking medical advice, and she is right to raise the issue of the downturn in women choosing to be screened in her constituency and, sadly, across the country. Survival rates for breast cancer can be good. If breast cancer is found early, at stage one, the five-year survival rate can be as high as 98.2%, but the five-year survival rate plummets to 26.6% when breast cancer is not found until stage four. The earlier breast cancer is caught, the earlier it can be treated, and the more likely it is that the patient will recover. Everyone is encouraged to check their breasts for lumps. There have been some excellent public health campaigns over the years from various charities explaining what to look for, be it a lump, a discharge or a dimpling of the skin on the breast. If a change is found, it is essential that no time is wasted before contacting a GP. That is why screening is an essential tool in our arsenal when trying to prevent this disease. A mammogram can identify breast cancer before it is large enough to be felt. The NHS national breast cancer screening programme invites all women aged 50 to 71 to attend a screening appointment once every three years. Mammograms can be uncomfortable, as those of us who have had them know, and many women have anxiety about having to get undressed in front of strangers, but that short discomfort could save a life. It is import
Hansard · 9 Jun 2025 · parliament.uk
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Jo White
The first known descriptions of breast cancer date back to beyond 3,000 BC. Hippocrates described the progressive stages of breast cancer in 400 BC, when he outlined his theory for its cause. Although breast cancer mortality rates have been decreasing since the 1970s, approximately 11,400 women and 85 men die of breast…
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Emily Darlington
Medical testing of the BRCA1 gene is effective, but polygenic risk factors mean that if someone has a combination of genes, they might be more at risk of breast cancer. Does my hon. Friend think we should be rolling out polygenic risk testing so that, with a better understanding of their genes, women know how often the…
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Jo White
My hon. Friend makes a valuable point, and I hope that the Minister has taken heed of it.
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Dawn Butler
I was diagnosed and went through the journey of early-stage breast cancer during the covid pandemic. Does my hon. Friend agree that it is important that the system understands that breast cancer can present in younger women, not just in older women?
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Jo White
I thank my hon. Friend for that point. I have sympathy for her experiences and hope that she is now fully recovered. Yes, we must be conscious that women of all ages could have breast cancer, and awareness must be raised so that women continue to check their breasts for it. What I do know is this: breast cancer screeni…
Yeovil Hospital: Maternity Unit3 Jun 2025
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Karin Smyth
I thank the hon. Member for Yeovil (Adam Dance) for securing this important debate about the temporary closure of maternity services at Yeovil district hospital. I know, having given birth to three myself, that choosing where to give birth and the planning of that journey, as has been outlined, is incredibly important for women. We… are determined that all women are given choice over their care and are listened to and supported with compassion. The hon. Member is an advocate for the Yeovil community, and I welcome his representations, ensuring that his constituents’ voices are heard. That is an important role for Members of Parliament. I will start by acknowledging the concerns that hon. Members have raised on their constituents’ behalf, both in their letter and in this debate, and I hope I can update them on the relevant issues as they stand. In preparing for this debate, I have met the trust and Somerset ICB, and I am grateful for their time and briefing on these issues. As hon. Members know, the trust cannot safely staff the paediatric service as well as the special care baby unit. This means that it has taken the difficult decision to close the special care baby unit, which also means that it cannot safely provide maternity services—I think that point was acknowledged by the hon. Member for Yeovil. The hon. Member is concerned about the process followed by Somerset NHS foundation trust in coming to this decision, particularly about it not having consulted the local council, MPs or other stakeholders. He also identified concerns about the information going to staff. In some situations, such as this one, NHS providers may need to make a temporary service change due to a risk to the safety or welfare of patients or staff. Legislation allows them to do so without consulting the scrutiny committee beforehand, provided that that service change is needed for safety or welfare reasons. I understand that the trust briefed Somerset county council’s health overview and scru
Hansard · 3 Jun 2025 · parliament.uk
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Adam Dance
I start by thanking the fantastic staff at Yeovil district hospital’s maternity unit and paediatric staff across the country for their hard work. I also thank the Minister for Secondary Care for coming to the Chamber this evening to respond to the issues raised, which are important for Yeovil and South Somerset. In Jan…
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Rachel Gilmour
I am sure that my hon. Friend knows about the problems that we have had at Tiverton district hospital. I was lucky enough to have had my three sons at the old Tiverton hospital. I am sure that people not being able to go to Yeovil hospital to give birth will push down—literally—into Tiverton hospital, but I remind my h…
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Adam Dance
I agree with my hon. Friend and I will come to that point later in my remarks. In letters and at meetings, I have directly asked senior leaders at the trust for reassurance that the service will reopen after six months, but they have been unable to give it. My No. 1 priority is my constituents’ health and safety. I app…
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Ashley Fox
I am grateful to the hon. Member for securing this important debate. Many women in my constituency choose to give birth in Musgrove Park hospital, and with the closure at Yeovil—where, as he said, 1,200 babies are born each year—there is a grave concern about whether Taunton will have the capacity to cope. In fact, mot…
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Adam Dance
I agree with the hon. Gentleman, and I will come on to that point now. In September last year, reports described Musgrove Park’s maternity unit as “traumatic, super-hot and overcrowded”. Measures such as extra beds are being put in place. Expecting that overstretched service safely to take on extra cases from Yeovil is…
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Karin Smyth
I am not aware of the operational details of how the decision was communicated, but I am happy to come back to that. As I have said, when decisions are made for reasons of safety—which is of primary importance—sometimes staff will not be able to be consulted in the usual way. Of course, some staff will not be working a…
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Karin Smyth
I am of course aware of that, because I lead on the new hospital programme. The Government are committed to a clear timetable for the programme, which includes Musgrove Park. In our Budget last autumn, we announced decisions—which the hon. Lady and her colleagues did not support—involving capital plans and ensuring tha…
Access to NHS Dentistry22 May 2025
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Karin Smyth
I thank the hon. Member for Sleaford and North Hykeham (Dr Johnson) ; I could not have asked for a better set-up. I pay great tribute to my hon. Friend the Member for Great Grimsby and Cleethorpes (Melanie Onn) . This is an issue she has pursued for some time, and I am grateful for… her securing this important debate. I know many more Members would have liked to speak. I will not take any interventions in the short time I have to respond because I want to address some of the questions raised. This issue continues to be a matter of great concern to Members and all our constituents. Poor oral health can have a devastating effect on individuals, as we have heard, impacting their mental and physical health alike and, indeed, their opportunities for work, as my hon. Friend the Member for Leigh and Atherton (Jo Platt) made clear. Yet it is a largely preventable issue through good oral health hygiene and regular visits to a dentist. We inherited a broken NHS dental system, and our ambition is to rescue and restore NHS dentistry so that we deliver more NHS dental care to those who need it. Fourteen years of neglect, cuts and incompetence by the previous Government have left NHS dentistry in a state of decay. That is simply unacceptable and needs to change, which it will. As of March 2024, more than 36,000 dentists are registered with the General Dental Council in England, and yet less than 11,000 full-time equivalent dentists were working within the NHS. Lord Darzi said in his report: “There are enough dentists in England, just not enough dentists willing to do enough NHS work”. That is why this Government are prepared to take strong action. Since coming into office, we have made good progress on our plan for change. We have already taken action to address the immediate needs of patients in pain and requiring urgent dental care through our manifesto commitment to deliver an additional 700,000 urgent dental appointments per year. Integrated care boards started to deliver thos
Hansard · 22 May 2025 · parliament.uk
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Melanie Onn
I beg to move, That this House has considered access to NHS dentistry. I thank the Backbench Business Committee for granting time for this debate and the colleagues who supported that application. I am pleased that many Members want to speak and am aware of the limitations on time, so I will keep my remarks brief. Duri…
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Nusrat Ghani
Order. Because so many Members wish to contribute and we have to conclude by 5 pm, we will have a time limit of three minutes starting from now. I call Sir Julian Lewis, who I think can manage that—I think you can do it.
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Julian Lewis
Thank you, Madam Deputy Speaker, for that no-pressure introduction. I congratulate the hon. Member for Great Grimsby and Cleethorpes (Melanie Onn) on her speech and I agree with every part of it. I was hoping to quote from individual cases raised by constituents and from the local Women’s Institute, but all that will h…
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Irene Campbell
When the NHS was introduced, it made the biggest positive changes ever to the health of the general population. The original “How to use your NHS” booklet from 1948 stated: “It will provide you with all medical, dental and nursing care. Everyone—rich or poor, man, woman or child—can use it or any part of it.” On the to…
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Nusrat Ghani
I call Ben Maguire. [Interruption.] I call Dr Andrew Murrison.
NHS and Care Volunteer Responders Service19 May 2025
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Karin Smyth
I thank the hon. Member for giving me the opportunity to speak about this topic and highlight the important role that volunteering plays in our health and social care system. The NHS has always benefited from the generous contribution made by volunteers, who play a vital role in supporting our patients, staff and services. We… are grateful to the thousands of volunteers who donate their time to support the NHS in a wide variety of roles, from helping patients to leave hospital faster and settle in at home, to supporting emergency cardiac incidents and providing companionship to patients during end-of-life care. The national NHS and care volunteer responders programme was first established as part of the covid response, and then adapted to respond to other organisational pressures. However, a model that worked well in that national crisis is no longer the most cost effective way of facilitating the important contribution of our much valued volunteers, so NHS England has recently taken the decision to close the current programme. Instead, a new central recruitment portal for NHS volunteers will be fully launched this year, providing opportunities for the current pool of volunteer responders to continue to play their part. Volunteers will have had that information emailed to them recently. NHS England will also work with NHS providers that draw on the support of the volunteer responders programme to ensure that they are helped in developing other volunteering interventions that meet their service needs. The roles of 50,000 additional volunteers who are recruited and supported by NHS trusts directly will be unaffected by the closure of this programme. That is in addition to many more thousands of volunteers who support the NHS either directly or indirectly via other local and national voluntary sector organisations. Successive volunteering programmes in the NHS are primarily run locally by individual trusts and integrated care systems identifying the best opportunities f
Hansard · 19 May 2025 · parliament.uk
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Dr Caroline Johnson
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement regarding the volunteer and care service.
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Dr Caroline Johnson
Thank you, Mr Speaker, for granting this urgent question. At the start of the covid pandemic, NHS volunteer responders were set up to support vulnerable people. Following its success, the previous Government expanded the scheme into adult social care, forming a joint NHS and care volunteers programme. That service has …
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Paulette Hamilton
Does the Minister agree with me that as we rebuild our NHS, volunteers at NHS trusts will not be used to plug gaps in service and staff will be allowed to focus on clinical matters?
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Lindsay Hoyle
I call the spokesperson for the Liberal Democrats.
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Helen Morgan
I was a volunteer vaccination steward during the pandemic, and the Liberal Democrats are hugely grateful to the thousands of volunteers who have made a difference to the lives of patients and vulnerable people in their communities since the pandemic ended. Their compassion and commitment have been inspiring. We are con…
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Karin Smyth
The hon. Lady is right to highlight the tremendous effort that went into establishing the programme very quickly at a time of great crisis, and to thank the hundreds of thousands of volunteers across the country who took part and stepped up. It was a huge effort to get the scheme running and we were all very grateful f…
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Karin Smyth
I am happy to give my hon. Friend an absolute assurance. Volunteers support and complement the existing workforce; they do not replace it. Including volunteers signals a recognition of the important role they play in supporting staff, services and patients. Many hon. Members are volunteers and we have all seen how thos…
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Karin Smyth
I thank the hon. Lady for her work volunteering and supporting the scheme during covid. The announcement is about NHS England. The organisation will continue to work with the NHS and voluntary organisations to ensure that where people are volunteering, that will continue, and that volunteers continue to be recruited, a…
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Karin Smyth
This is a good opportunity, which I very much welcome, to highlight again how important volunteering is to the NHS and the care system. It will remain an important part of our plans going forward that. People may have had an email and thought that something is stopping and that there is not more to do, but they should …
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Karin Smyth
I agree with the hon. Lady about the roles that people play, particularly by having conversations and connecting with people who feel disconnected. To be very clear, this decision is about particular arrangements: it does not mean that things are stopping across our country or with local health systems ensuring that vo…
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Karin Smyth
I thank my hon. Friend for her work, expertise and knowledge. She is absolutely right—she almost pre-empted my answer—that embedding knowledge where it is needed in the frontline in our communities is exactly what we need to look to do, and we need to recognise where we can use volunteers well. We have micro-volunteeri…
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Karin Smyth
I am afraid that I have to disagree with the hon. Gentleman—it is not muddled. The analysis undertaken by NHS England indicates that the current system is not providing good value for money, and we are making sure that we produce something better for the future. This Government will continue to act in the best interest…
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Karin Smyth
Well, we could—[Interruption.] Sorry, the hon. Member for Farnham and Bordon (Gregory Stafford) is chuntering from a sedentary position. I partly agree with my hon. Friend. Yes, the Conservatives did run down the NHS and we inherited a broken system, but volunteering has always been a really important part of the NHS a…
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Karin Smyth
The hon. Lady makes an important point: it is important to make sure that people do not suffer from changes and that the impact is minimised. As I said, the programme was not delivering effective value for money, and we think the future system will. We encourage more people to come forward, to increase the sustainabili…
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Karin Smyth
My hon. Friend is absolutely right. We want to make sure that people in her constituency and all our constituencies who have volunteered or who want to—those who perhaps could not at the time, but want to in the future—can do so. Those who are already on the system and have received an email can register via that porta…
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Karin Smyth
The hon. Gentleman makes an excellent point on behalf of his community, as well as rural communities more widely, about the role of volunteer drivers. We need volunteer drivers across a range of areas—in fact, my husband is out volunteering as I speak, driving for another charity. We need more of these people. There ar…
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Karin Smyth
I thank my hon. Friend for that contribution and her service in that role. She is absolutely right to highlight not just the people who come forward, but the people who run that local infrastructure. As I said in my opening remarks, much of this work is done at a local level. The learning we must take from what the nat…
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Karin Smyth
The hon. Member is absolutely right. We should be clear that the NHS and the care system need people. He is right about many hospitals being a maze and the importance of that friendly face to greet someone when they go into hospital. They are knowledgeable and know that most people go into hospital not for a good reaso…
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Karin Smyth
We are learning so much about each other this afternoon, are we not? I am pleased to hear that that is how my hon. Friend started her journey, and I am so impressed that she is continuing to do that. I was out with the ambulance service last week talking to staff, who highly praised those community first responders. Th…
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Karin Smyth
I thank my hon. Friend for what he has said, and I thank the Butterfly Volunteers. Supporting people at that really important end of life stage is hard and critical work, and I commend them for it. The local link is also critical: we need to ensure that people can be directed from the national system to local systems, …
Maternity Improvement Strategy6 May 2025
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Karin Smyth
We expect all women to be shown the utmost care and respect when receiving maternity and neonatal care. This year’s planning guidance requires integrated care boards and providers to deliver the key actions in this final year of NHS England’s three-year delivery plan. It is clear from listening to the harrowing stories of bereaved and… harmed families, however, that we must do more. The Secretary of State is urgently considering the significant action needed to ensure that all women and babies receive the care they deserve.
Hansard · 6 May 2025 · parliament.uk
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Jack Rankin
What assessment he has made of the potential merits of implementing a national maternity improvement strategy.
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Jack Rankin
Last year’s birth trauma inquiry report exposed that maternity services in this country are woefully underfunded, and now the Health Secretary intends to cut the budget for maternity improvement from £95 million to just £2 million, equating to less than £4 per child born in this country each year. What kind of change i…
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Jennifer Craft
As colleagues will be aware, there is a consistent failure in maternity units to listen to women and put their experiences—and quite often their pain during childbirth—at the heart of driving improvements. What assurances can the Minister give us that women’s experiences and voices will be at the heart of any maternity…
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Lindsay Hoyle
I call the shadow Secretary of State.
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Edward Argar
I fear that many will have found the Minister’s answer to my hon. Friend the Member for Windsor (Jack Rankin) disappointing. He highlighted that the previous Government committed to the headline recommendation of the cross-party birth trauma inquiry led by the hon. Member for Canterbury (Rosie Duffield) and the former …
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Karin Smyth
The hon. Gentleman is not correct: maternity funding is not ringfenced at the same level—I think that is what he is referring to. It has, however, absolutely been committed to as far as ICB allocations are concerned. Local leaders will decide how best to allocate that money. We will continue to work with Donna Ockenden…
KS
Karin Smyth
My hon. Friend is absolutely right to highlight that point, which has been found in all the reviews that have been undertaken. It is completely unacceptable. That is why the Secretary of State has continued to meet families and hear their experiences to ensure that we learn from them, continue to support the implementa…
KS
Karin Smyth
To be clear for the shadow Secretary of State, the Secretary of State is continuing to look at all those recommendations and consider how best to respond.
KS
Karin Smyth
I know the Liberal Democrat spokesperson follows this issue very closely in her own local community. As she knows, we are committed to ensuring that the recommendations of the reviews are fully implemented as part of that three-year plan, but I gently say to her that the Liberal Democrat party has consistently opposed …
English Devolution: Integrated Care Boards6 May 2025
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Karin Smyth
Our mission-driven approach to this issue means that we are working with all Departments to deliver an NHS fit for the future. We expect integrated care boards to work closely with their mayors to maximise public health and contribute to the Government’s health and growth missions.
Hansard · 6 May 2025 · parliament.uk
BS
Blake Stephenson
Whether he has had discussions with the Secretary of State for Housing, Communities and Local Government on the interaction between mayors and integrated care boards, in the context of the English devolution White Paper.
BS
Blake Stephenson
Funding and delivery of a GP surgery for Wixams in my constituency continues to fall between the cracks of developers, local councils and the local ICB. Does the Minister agree that to break those deadlocks and build the infrastructure that our communities require, new mayors should have the power to direct ICBs, makin…
AM
Alice Macdonald
Norfolk and Waveney integrated care board is consulting once again on closing Norwich’s walk-in centre. It asked the same question two years ago and the city and Norfolk said, “No, we want to save our walk-in centre.” Does the Minister agree on the importance of walk-in centres, and in the context of devolution, how wi…
KS
Karin Smyth
The hon. Member tempts me slightly on local accountability, on which he has been a strong campaigner. As he knows from meeting me, I agree that it is important that such local bodies respond properly so that where there are expansions of housing, which we want to see, they are supported by local infrastructure. I am ha…
KS
Karin Smyth
My hon. Friend is right to campaign on behalf of her constituents to make sure that more services are delivered in communities. We want to see services brought out of hospital and into local communities. It is up to the ICB to decide how those are commissioned, but we will certainly make sure that, as part of our commi…
Perinatal Mental Health6 May 2025
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Karin Smyth
I commend my hon. Friend for her work on such an important topic; I know it is very personal to her. Specialist perinatal and maternity mental health services are available across England, providing vital support to parents before, during and after pregnancy, including increased access to evidence-based psychological therapies. We are training thousands more midwives… to better support women throughout pregnancy, with mother and baby units and community services providing postnatal support.
Hansard · 6 May 2025 · parliament.uk
LK
Laura Kyrke-Smith
What steps he is taking to improve perinatal mental health provision.
LK
Laura Kyrke-Smith
Tomorrow is World Maternal Mental Health Day, recognising the particular challenges that some mums face from pregnancy to birth, and after birth. I commend the Secretary of State and his team for their rapid work to get the NHS delivering better for patients again. As they develop the 10-year plan for the NHS, what mea…
FM
Freddie Van Mierlo
I thank the hon. Member for Aylesbury (Laura Kyrke-Smith) for her question and the Minister for her answer. I am delighted to be forming the all-party parliamentary group for fatherhood. Will the Minister outline the steps that she will take to improve perinatal mental health for fathers?
KS
Karin Smyth
I absolutely join my hon. Friend in recognising the importance of supporting women’s health throughout pregnancy and into parenthood on Maternal Mental Health Day. We are committed to improving the support available, and it will form an important part of our 10-year plan. We are investing £126 million in family hubs an…
KS
Karin Smyth
I congratulate the hon. Member on taking forward that work. The Minister responsible will be happy to continue to work with him in any way possible to support that work on this important aspect of parenthood.
Staffordshire and Stoke-on-Trent Integrated Care Board: Waiting Times6 May 2025
KS
Karin Smyth
Driving down waiting times is one of this Government’s top priorities, and my colleagues at NHS England continue to keep in regular contact with ICBs on improving waiting times and delivering the ambitions set out in our elective reform plan. Since July, we have cut waiting lists by more than 219,000 across England, and by… 6,000 for University Hospitals of North Midlands, and have delivered 3 million more appointments.
Hansard · 6 May 2025 · parliament.uk
GS
Gareth Snell
What discussions he has had with Staffordshire and Stoke-on-Trent integrated care board on patient waiting times.
GS
Gareth Snell
I thank the Minister for her answer, and recognise the Herculean effort the Department is making to reduce waiting times, particularly in Stoke-on-Trent, but one cancer patient who is having treatment at the Royal Stoke hospital in my constituency has shared her story with me. From the initial operation, it took six we…
KS
Karin Smyth
I am sorry for the experience that my hon. Friend’s constituent has had, and he highlights a really important aspect of the patient journey through the system. I want him and the House to be assured that we are looking at the entire patient journey, both into hospital and between hospitals. We are determined to improve…
Topical Questions6 May 2025
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Karin Smyth
My hon. Friend is absolutely right that this is exactly the sort of thing that is being rolled out across the country, and that we are committed to delivering care closer to where his residents live.
Hansard · 6 May 2025 · parliament.uk
YY
Yuan Yang
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
GPs are at the front door to our NHS. Today, I can announce that we are supporting more than 1,000 surgeries across the country to modernise their buildings, backed by more than £102 million—the biggest public investment in GP facilities for five years. Following years of neglect, this vital funding will create additio…
YY
Yuan Yang
I very much welcome today’s announcement on refurbishing 1,000 GP surgeries across the country, because I have made it my priority to meet with as many GPs as possible in my constituency. Our local GPs have told me that our health centres need more physical space in order to accommodate growing local needs and facilita…
WS
Wes Streeting
I would be delighted to do so. Since we came into government, we have made this announcement today, put £889 million into general practice and agreed a contract with GPs, including reform for patient access and services. We are fixing the front door to the NHS, but of course that will take time. We recruited 1,500 more…
DJ
Dr Caroline Johnson
Taking medicines on time is important, especially for those with conditions such as diabetes and epilepsy. Dr Acheson, an A&E consultant who has time-critical medicines for his own Parkinson’s disease, understands that well. He has been running a quality improvement programme to ensure that time-critical medicines are …
KS
Karin Smyth
I am absolutely willing to give the hon. Member that commitment, and I know he worked on this programme in his previous role in Northern Ireland. It is delivering results, and we want to see results. We want to take the best to the rest of the NHS, and we absolutely want to work together across the United Kingdom to ma…
KS
Karin Smyth
I am pleased to congratulate the pharmacies that are on the frontline on their hard work, and also to congratulate all those in the Department and elsewhere who ensure that our supply chain is as resilient as possible. I know that this issue concerns many Members and many of our constituents, and we hope to arrange a p…
Hospitals23 Apr 2025
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Karin Smyth
It really is a pleasure to close this debate on behalf of the Government. I think there have been 33 contributions from hon. Members from across the House. Nowhere is it more apparent that the NHS is broken than in our crumbling hospitals. Over 14 years, the NHS was starved of capital and the capital… budget was repeatedly raided to plug the holes in day-to-day spending. Lord Darzi’s investigation into the NHS in England made it clear that we have crumbling buildings and IT, mental health patients sharing showers in Victorian-era cells infested with vermin, and parts of the NHS operating in decrepit portacabins. Some 20% of the primary care estate predates the founding of the health service in 1948. I thank the Liberal Democrats for bringing forward this debate. We broadly agree on the disgrace that the backlog of repairs, the decades-long cannibalisation of capital budgets and the unfunded fantasy of the new hospital programme had become. Where we disagree is on the cause and the solution. As we have heard today, the Liberal Democrats are completely silent on the part they played as members of the coalition Government. They were active and enthusiastic partners in the decision to impose austerity, and our NHS was starved of funding on their watch. The practice of raiding capital budgets to keep things afloat started in 2014, on their watch. The disastrous top-down NHS reorganisation, which wasted billions of pounds and contributed to record-high waiting lists, happened on their watch. As for the solution, the Liberal Democrats are silent on how they would pay for and accelerate the new hospital programme. They are playing the same cynical game that we saw from the Conservative party: they are dangling the prospect of a new hospital while being unable to explain where the funding would come from or how the construction industry could deliver it within the timeframe. It is indeed opportunism, as my hon. Friend the Member for Gateshead Central and Whickham (Mark Fergus
Hansard · 23 Apr 2025 · parliament.uk
LH
Lindsay Hoyle
I inform the House that I have selected the amendment in the name of the Prime Minister.
HM
Helen Morgan
I beg to move, That this House regrets the appalling state of repair of NHS hospitals across the country; notes that the NHS maintenance backlog rose to £13.8 billion in 2023-24; further notes the sustained pattern of cannibalising NHS capital budgets to keep day-to-day services running; condemns the previous Governmen…
AS
Andrew Slaughter
I was with the hon. Lady almost up until that point. I congratulate her on opening the debate. It is absolutely true that the new hospital programme did not deliver new hospitals and was unfunded under the Tories. However, it is being funded now under Labour. Money is being invested in my local hospitals, in the Imperi…
HM
Helen Morgan
The hon. Member will be aware that there were not 40 new hospitals—they were not all hospitals and there were not 40 of them. The issue here is that the start dates for work on many hospitals that need urgent rebuilding have been pushed back into the 2030s, long beyond the life of this Parliament. The people who are se…
MF
Mark Ferguson
I wonder if the hon. Member can explain to me how spending £22 billion extra on the national health service this year can in any way be described as procrastination.
KS
Karin Smyth
On a point of order, Madam Deputy Speaker, could you advise me whether it is in order that the hon. Member for Sleaford and North Hykeham (Dr Johnson) , who opened the debate for the Conservatives, was not in her place for the close of the debate? I think that is discourteous to the House, and I would like your advice …
NHS Pensions1 Apr 2025
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Karin Smyth
I thank the hon. Member for Hinckley and Bosworth (Dr Evans) for asking this question, which gives me the opportunity to provide further information following the written parliamentary statement that I issued yesterday to update the House on the delivery of remediable service statements to affected members. I have extended the deadlines for the NHS… Business Services Authority to issue statements to ensure that members have enough time to make informed decisions. Once members have received statements, they will be able to use a tool provided by His Majesty’s Revenue and Customs to retrospectively adjust their annual allowance between 2015-16 and 2022-23. Separately, the original deadline to issue the 137,000 remediable pension savings statements was 6 October . The NHS Business Services Authority issued statements to 57,000 members by this deadline, of which 23,000 were found to contain incorrect information; these have since been recalculated and reissued. The NHS Business Services Authority is working to issue outstanding statements as quickly as possible. A revised delivery timetable has been developed and shared with trade unions and employer representatives. By the end of March, 106,000 statements had been issued. Statements for 11,000 members will be produced once further information has been received from their employers. The remaining 20,000 statements require additional manual input from the NHS Business Services Authority before they can be produced, and will be issued in July. There have been delays on all sides, which we have been aware of since last July. In fact, the Department had escalated issues of design with the previous Government, as I am sure the hon. Gentleman understands. We know that this matter is really important and that there are high numbers of high earners in the NHS, which is why we have taken the decision to be open and transparent about the timeline that we can now commit to, having worked tirelessly to reduce the delays. Although th
Hansard · 1 Apr 2025 · parliament.uk
LE
Luke Evans
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on NHS pensions in the light of the statutory deadline for both remediable service statements and remediable pension savings statements being missed.
LE
Luke Evans
What is going on with NHS pensions administration under this Government? I declare an interest as someone with an NHS pension. Today, the Government have missed the statutory deadline for issuing remediable service statements to doctors, and they are now pushing the deadlines back to December 2026. In mid-March, the Go…
CV
Christopher Vince
I thank the Minister for coming to the House and giving her response. We all know the issues she is talking about when she mentions the state of the NHS that we inherited, and I echo that with the issues I hear about from patients and staff at Princess Alexandra hospital in Harlow. On pensions, can she outline what the…
NG
Nusrat Ghani
I call the Liberal Democrat spokesperson.
HM
Helen Morgan
The delays will be deeply worrying and will make financial planning very difficult for those affected, all of whom are people who have dedicated their working lives to supporting the NHS and tirelessly saving lives. NHS workers and their families are being left in the dark by Government delays and may as a result miss …
KS
Karin Smyth
As I outlined in my response and in the written ministerial statement, we have taken action. We were made aware of some of these problems when we came into office in July, and we have pushed the NHS Business Services Authority to move faster than it would have done under the hon. Gentleman’s Government, so that action …
KS
Karin Smyth
It is important that people have confidence in the pension system. That is why we took action in July on coming into office to understand the depth of the problems that occurred under the previous Government. This is a complicated issue, which is why we want to be clear with people that there will be no financial detri…
KS
Karin Smyth
I thank the hon. Lady for her question. I do not have to hand the exact number of people working on this, but I will make sure that I respond to her on that point in writing. We are ensuring that individuals do not face detriment as a result of these delays. The NHS cost claim back compensation scheme provides resource…
KS
Karin Smyth
My hon. Friend is absolutely right that we are on the road to recovery—and that, of course, is what the Opposition cannot stand. This is a complicated issue, as they well know. As I said, we inherited this complication in July, when we were made well aware of it. The Conservatives could have done more about it while th…
KS
Karin Smyth
The Chair of the Health and Social Care Committee makes a good point, as she so often does, about what went on previously. This is an issue from the McCloud judgment that runs across many Departments. It was a problem under previous Governments, starting with the coalition Government. I know that the Public Accounts Co…
KS
Karin Smyth
My hon. Friend makes absolutely the right point. As I have said, Lord Darzi has helpfully outlined the breadth of the mess that we inherited back in July, and it makes for stark reading. We have still not had an apology from the Conservative party, so I am happy to take an intervention now if anybody decides to provide…
KS
Karin Smyth
I understand that point. Obviously, it is a source of much discussion. The change came about during the pandemic to encourage people to return to work, and it is a complex issue. We want to continue to use the skills of doctors at all stages of their careers, and we shall continue to work with them, the British Medical…
KS
Karin Smyth
My hon. Friend makes an excellent point on our commitment to staff to be clear on their terms and conditions, and our commitment to honouring that reward. That is why we acted promptly when we came into office. We have issued statements and provided answers to parliamentary questions to make sure that people are clear …
KS
Karin Smyth
As I said in response to the right hon. Member for South West Wiltshire (Dr Murrison) , we understand that, and we will continue to work with all staff in the NHS to make sure that we deliver on our commitment to reduce waiting lists, which were left at a shocking level by the previous Government.
KS
Karin Smyth
I am sorry to hear about the emotional and financial distress of the hon. Lady’s constituent. If there is a gap, I am happy to go back to the NHSBSA on her behalf and make sure that I update the House.
KS
Karin Smyth
As I said in my statement, we have confidence in the business authority to undertake the actions that I have outlined.
KS
Karin Smyth
One of our major priorities is ensuring that the entire NHS workforce are doing the work that they are trained and committed to do, so that they can get down those waiting lists and deliver an NHS that is fit for the future. The staff, as Lord Darzi has outlined, have felt very severely the detriment caused by the prev…
Women’s Health Services25 Mar 2025
KS
Karin Smyth
The Government are committed to improving women’s health outcomes. We have already taken urgent action to tackle the gynaecology list through the elective reform plan, and we recently announced an £11 million trial using AI tools to detect breast cancer cases earlier. The 10-year health plan will set out how we will tackle the factors… that lead to poor health outcomes and the improvements we expect to see.
Hansard · 25 Mar 2025 · parliament.uk
PH
Paulette Hamilton
What assessment he has made of the adequacy of the provision of health services for women.
PH
Paulette Hamilton
What assessment has the Minister made of the adequacy of research into and the provision of fibroid treatment for women, taking into consideration that fibroids are three times more likely to appear in black women than in white women?
JC
James Cleverly
Early diagnosis and treatment of breast cancer can make a huge difference to the women involved, and, of course, to the prognosis and the cost to the state of health provision. I welcome the reference in the cancer plan to early diagnosis, but what specifically will the Government do to encourage greater awareness of t…
NW
Nadia Whittome
I want to put on the record my thanks to the Health Secretary for coming to Nottingham last week and meeting some of the families who have been harmed by extremely serious failings in maternity services at Nottingham University Hospitals NHS trust, and for his sincere commitment to them. It was clear just how moved he …
JB
Jessica Brown-Fuller
Following on from the question asked by the hon. Member for Nottingham East (Nadia Whittome) , I held a debate in Westminster Hall a few weeks ago on maternity services and spoke to families across the country who have experienced failures in the system that ultimately left them without their babies to take home. It wa…
KS
Karin Smyth
The Government welcome the work my hon. Friend has undertaken and the work of the Caribbean and African Health Network in highlighting health inequalities for black women. She highlights shocking and unacceptable statistics. The National Institute for Health and Care Research has funded a significant amount of research…
KS
Karin Smyth
I thank the right hon. Gentleman for that question and for the work he has supported on behalf of his wife to raise awareness. Screening access and uptake are shockingly low across the country right now, and looking at that is a key part of what we need to do to ensure that women come forward for the screening test. Th…
KS
Karin Smyth
I know that my hon. Friend and other Members representing that area have supported the trust and particularly the families who have been affected. As she highlights, my right hon. Friend the Health Secretary visited last week and was deeply moved by those stories, and has committed to visiting again. The Government are…
KS
Karin Smyth
The hon. Lady is right to highlight the impact of the failures in maternity services on women and their families across the country. As she highlights, my right hon. Friend the Health Secretary takes this matter personally and is looking at it. We will continue to work closely with Donna Ockenden on those recommendatio…
Nursing Career Progression: Inequalities25 Mar 2025
KS
Karin Smyth
I know that this subject is very close to my hon. Friend’s heart, after many years of NHS service. Ensuring great careers for NHS staff, including nurses, has been a key theme of our engagement with staff to shape the 10-year plan. I will shortly set out further measures to improve progression for nurses and… their colleagues in other key NHS professions.
Hansard · 25 Mar 2025 · parliament.uk
KM
Kevin McKenna
What steps his Department is taking to help tackle inequalities in nursing career progression.
KM
Kevin McKenna
I thank the Minister for her answer. Nurses across the profession are increasingly taking on complex roles and responsibilities, yet many do not have access to higher pay bands that reflect these changes, and there is too much variation around the country. As well as looking at this, will the Minister ask the Departmen…
AB
Alison Bennett
My constituent Ben has spent two decades working as a nurse. He tells me that his paramedic and midwife colleagues received automatic pay band increases post qualification while he and his nursing peers did not. Ben and his hard-working nursing colleagues have missed out on tens of thousands of pounds compared to colle…
KS
Karin Smyth
My hon. Friend is right that NHS staff, including nurses, should be paid appropriately for the work they are asked to do and will be asked to do in future. We are working with the NHS Staff Council to ensure that the national job evaluation scheme is implemented fairly and consistently across nursing and all profession…
KS
Karin Smyth
I am absolutely clear that we need to make sure that the job evaluation scheme looks at staff across the piece and that people are rewarded appropriately for the work they are asked to do. We will do that as part of our discussions with the NHS Staff Council, and we will be working consistently with staff as part of th…
Topical Questions25 Mar 2025
KS
Karin Smyth
We recently had a helpful debate in Westminster Hall on this topic. We are doing more research on this issue to ensure that the evidence base is there. I am happy to discuss the matter further with the hon. Member.
Hansard · 25 Mar 2025 · parliament.uk
AM
Anneliese Midgley
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Since I reported to the House on the Government’s plans to abolish NHS England, hammering the final nail into the coffin of Lord Lansley’s disastrous 2012 reorganisation, the reforms have been welcomed almost universally across Parliament—with the exception of Lord Lansley. I am pleased to report that the new chief exe…
AM
Anneliese Midgley
My constituent June is 74 years old and has stage 4 cancer. She had to queue—not phone, but queue—at her GP surgery at 8 am, only not to be given an appointment. What is the Secretary of State doing to stop such dreadful situations?
WS
Wes Streeting
I am very sorry to hear of June’s experience. It illustrates why our determination to end the 8 am scramble for appointments is so necessary, starting with a new requirement for practices to make online appointment requests available through core hours, as well as the big uplift we have invested into general practice. …
LH
Lindsay Hoyle
I call the shadow Secretary of State.
KS
Karin Smyth
Those statistics are shocking. Campaigns here and elsewhere have helped to raise awareness of endometriosis. The update to National Institute for Health and Care Excellence guidelines will help, as will more appointments, and our commitment to the 18-week target. Training for GPs is now part of the core curriculum, and…
KS
Karin Smyth
These local services are so important for local women, as my hon. Friend has experienced. It is really important that reconfigurations are discussed with local Members of Parliament, representing their constituents. This is obviously a matter for the local ICB, but I am happy to discuss it further with her.
Hinchingbrooke Hospital11 Feb 2025
KS
Karin Smyth
As I am sure the hon. Member knows, Hinchingbrooke hospital is in wave 1 of the new hospital programme, and his constituents can now look forward to a new hospital under this Labour Government. The hospital has received over £44 million to deliver RAAC mitigation safety works, and my right hon. Friend the Secretary of… State has commissioned a site-by-site survey of RAAC hospitals, which will ensure that individual development plans address the highest-risk elements as soon as possible.
Hansard · 11 Feb 2025 · parliament.uk
BO
Ben Obese-Jecty
If he will take steps to repair Hinchingbrooke hospital before buildings containing reinforced autoclaved aerated concrete reach the end of their lifespan in 2030.
BO
Ben Obese-Jecty
Last July, Deborah Lee, the senior responsible officer for the Hinchingbrooke hospital redevelopment programme, stated that the deadline for the new hospital was 2030. In a written answer to me last year, the Minister confirmed that, even after the mitigation measures of failsafe steelwork, the lifespan of the remainin…
JF
Josh Fenton-Glynn
Given that the Tory predecessor of the hon. Member for Huntingdon (Ben Obese-Jecty) failed to mention RAAC once, and mentioned Hinchingbrooke hospital only five times in 23 years, does the Minister agree that people in Huntingdon and across the country need a Labour Government committed to rebuilding the NHS, not a Tor…
KS
Karin Smyth
The hon. Gentleman has outlined the shocking state of some hospitals. I confirm again that we want a site-by-site report of those hospitals for exactly that purpose: to ensure that they are safe and to understand any critical issues before the schemes go forward. We expect that report in the summer.
KS
Karin Smyth
I commend my hon. Friend on his research into the previous Government, and for the hard work that he is doing on behalf of his constituents. We are committed to the rebuild of Hinchingbrooke and have put the new hospital programme on a sustainable footing, which is something that his constituents can look forward to.
Antenatal Care: Vasa Praevia Screening11 Feb 2025
KS
Karin Smyth
I thank my hon. Friend for his ongoing work in raising awareness in maternity services. We are committed to improving maternity care for women and babies. Evidence does not currently support screening for vasa praevia in the UK, but we have asked the Royal College of Obstetricians and Gynaecologists to review the guidance around this… issue.
Hansard · 11 Feb 2025 · parliament.uk
CN
Connor Naismith
Whether he has had discussions with NHS England on including vasa praevia screening as part of antenatal care.
CN
Connor Naismith
My constituent Cate Maddison suffered with severe vasa praevia in childbirth. This condition causes severe bleeding and can often result in the death of infants in childbirth and complications for the mother. However, the risks are significantly reduced when identified during pregnancy. Thankfully, Cate’s child survive…
JS
Jim Shannon
There is clearly a need to consider vasa praevia as part of antenatal care. The hon. Member for Crewe and Nantwich (Connor Naismith) set the scene very well and the Minister responded in a good fashion. This issue, which the hon. Member was right to highlight, is also an issue in Northern Ireland. Will the Minister sha…
KS
Karin Smyth
I am incredibly sorry to hear about Cate’s experience. We want to ensure that women receive safe, personalised and compassionate maternity care and that women with the condition are supported. That is why we have asked the college to look at the guidance. I will of course be happy to meet my hon. Friend and his constit…
KS
Karin Smyth
I thank the hon. Member for that point. As he knows, I am always keen to ensure we share good practice across the United Kingdom so that his constituents, like mine, can benefit. We will work through the usual processes to ensure that happens.
Stepping Hill Hospital11 Feb 2025
KS
Karin Smyth
I thank the hon. Lady, along with my hon. Friend the Member for Stockport (Navendu Mishra) , for her continued support for Stepping Hill hospital. I know that she is working hard on this issue. We are backing the NHS with over £4 billion of funding for integrated care boards for capital priorities, with a… dedicated £750 million estate safety fund next year to address the poorest quality hospitals. I am pleased that the replacement of Stepping Hill’s outpatient facility is already under way, backed by £11.5 million this year. I look forward to visiting as soon as my diary allows.
Hansard · 11 Feb 2025 · parliament.uk
LS
Lisa Smart
If he will provide funding for the repair of Stepping Hill hospital in Stockport.
LS
Lisa Smart
I am grateful to the Minister for her response and our ongoing correspondence on this issue. I very much look forward to meeting her on site at Stepping Hill so that she can see for herself the reported £134 million repairs backlog at the site. The most recent board papers mentioned a £19.9 million significant risk bac…
KS
Karin Smyth
The hon. Lady outlines for her constituents what many across the House will recognise: the state that the last Government left the capital estate in. The autumn Budget committed over £13 billion into next year, with £4 billion for ICBs to start prioritising some of this work. We have allocated £1 billion for critical b…
Nursing: Career Progression Inequalities11 Feb 2025
KS
Karin Smyth
I know that this issue is close to my hon. Friend’s heart, after his years of service as a nurse in the health service. We have to ensure that the NHS is an attractive place for nurses to work, and that they can progress. We hear directly from staff through our 10-year plan, and work… closely with the Royal College of Nursing, Unison and other trade unions through our social partnership forum.
Hansard · 11 Feb 2025 · parliament.uk
SJ
Sojan Joseph
What steps he is taking to help tackle career progression inequalities in nursing.
SJ
Sojan Joseph
I must disclose that I worked as a mental health nurse in the NHS for the past 22 years, and that in my career, I progressed from nurse to head of nursing. Recruitment and retention of nursing staff across the health and social care sector is key to delivering an NHS that is fit for the future, but the most recent NHS …
RD
Rosie Duffield
Does the Minister believe that the NHS should expect biologically female nursing staff to get changed in front of biologically male colleagues who identify as female?
KS
Karin Smyth
My hon. Friend is absolutely right that the issue is key, and that the results are worrying. I know how proud my friends and family members were to become nurses, and what a great career nursing offered them. We have to deliver on the promise of a good career, and build on that pride in being a nurse. We absolutely rec…
Topical Questions11 Feb 2025
KS
Karin Smyth
I holidayed in my hon. Friend’s constituency this summer—it is a very beautiful part of the world—so I understand some of the rural challenges. It is a matter for local integrated care boards how they organise ambulance services. There are many problems that we want to resolve, and I would of course be very happy… to meet him.
Hansard · 11 Feb 2025 · parliament.uk
BL
Brian Leishman
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Yesterday, we kicked off National HIV Testing Week. Getting tested for HIV is quick, free and confidential. I pay tribute to the leadership of my right hon. and learned Friend the Prime Minister, who became the first leader in the history of the G7 to take an HIV test. As a former member of the independent HIV Commissi…
BL
Brian Leishman
Fourteen years of austerity have created a new stratum of society: the in-work poor. Recent talk of ruthless cuts to social security is beyond alarming. Does the Secretary of State agree that having a welfare system that covers the cost of essentials, as proposed by the Trussell Trust and the Joseph Rowntree Foundation…
WS
Wes Streeting
I am a product of the welfare state, and I remember the benefit system putting food in the fridge and money in the electric meter. I also know from lived experience that people who are trapped in the benefits system want to escape. The best way out of poverty is not through social security, important though that is, bu…
LH
Lindsay Hoyle
Just a reminder that we are on topicals, folks.
KS
Karin Smyth
I entirely appreciate the frustration and distress caused by medical supply shortages. We are working intensively with industry to resolve the HRT supply issues, and the problems with the supply of Estradot are expected to be resolved by the end of the month. Meanwhile, we have issued a serious shortage protocol to all…
KS
Karin Smyth
We are absolutely committed to urgent treatment centres, which play a vital role in supporting patients, especially during periods of high demand. I understand that this is temporary, and that the centre is running a pilot. I know that my hon. Friend will work closely with his local integrated care board to ensure that…
KS
Karin Smyth
My hon. Friend has been a strong campaigner on this issue on behalf of her constituents, and I congratulate her on that work. We are confident that the randomised trial will go forward, and we have invested over £8.5 million in it. I am very happy to meet her, and I urge people to come forward and support the trial. Th…
Women’s Health Strategy30 Jan 2025
KS
Karin Smyth
I thank the hon. Lady for giving me the opportunity to set out our commitment to the women’s health strategy and everything that this Government are doing to fix our broken NHS, clean up the mess that the Conservatives left after 14 years and get women treated on time again. When we came into office… we inherited record waiting lists. The gynaecology waiting list stood at just under 600,000 women. Let that sink in—600,000 women in pain, waiting to be cared for. Almost half the women on gynaecology waiting lists are waiting more than 18 weeks. That is why the Prime Minister kicked off 2025 with our elective reform plan, setting out how we will cut the longest waiting lists from 18 months to 18 weeks. Our new agreement with the independent sector will mean that, where there is spare capacity in the private sector, women will be treated faster for gynaecology care, paid for by the state. The Government are also committed to rooting out the appalling inequalities in maternity care. We are supporting failing trusts to make rapid improvements, training thousands more midwives for the first time, and we will set an explicit target to close the black and Asian maternal mortality gap. We are piloting a training programme to help avoid brain injury for babies in childbirth and, if successful, we will crack on with rolling it out nationally this year. In October, we extended the baby loss certificate service to help mums and dads who have suffered the heartbreak of pregnancy loss. Let me also address the issue of women’s health hubs. There was a target in last year’s planning guidance to roll out pilot women’s health hubs across the country by last December. Today, there are at least 80 hubs, and at least nine out of every10 integrated care systems have an open women’s health hub. Let me correct some fake news. We are not closing these hubs; we are not cutting them. The target to roll them out was in last year’s planning guidance. It was achieved in 93% of integrated care syste
Hansard · 30 Jan 2025 · parliament.uk
MD
Mims Davies
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on the women’s health strategy.
MD
Mims Davies
For too long, a woman’s experience of the health service has been one of being pushed from pillar to post. Crucially, women’s voices have been ignored and responses to their pain, suffering, poor sex lives and traumatic births have been too slow. Overall, women have a sense of being forgotten. Some 2.4 million more wom…
CN
Caroline Nokes
Order. The shadow Minister will know that there is a time limit, which she has exceeded. I have been very generous. I call the Minister.
CN
Caroline Nokes
I call the Chair of the Women and Equalities Committee.
SO
Sarah Owen
The Committee report on women’s reproductive health, started under our fantastic predecessors, laid out how medical misogyny has left far too many women suffering. Women have been left undiagnosed for debilitating conditions such as endometriosis for an average of eight years—not for treatment, for diagnosis. Black wom…
KS
Karin Smyth
I addressed most of those points in my outline statement. I think the shadow Minister wrote her comments when the Opposition thought that we were cancelling things, only to find out that we are not cancelling things. I have made clear our commitment to the women’s health strategy and how we seek to instruct the system …
KS
Karin Smyth
I thank the Committee Chair for her question. I think she was congratulating the previous Committee and Chair rather than those who are now in opposition. I was very pleased to witness some of that work when we were in opposition, and she is absolutely right about it. The work of many women Members when in opposition, …
KS
Karin Smyth
The hon. Gentleman is right to highlight those long waits. That is why we particularly highlighted gynaecology for attention in the elective reform plan. It is shocking that the last Government left 600,000 women on these lists, and moving back to making sure people wait no longer than 18 weeks will predominantly be he…
KS
Karin Smyth
I absolutely will give my hon. Friend that assurance. The situation will change partly because there are more people like her and more women in this place. We have more women across all parties raising this issue and more women in senior positions in the National Institute for Health and Care Research. Crucially, we ha…
KS
Karin Smyth
I completely agree with the right hon. Member. Donna Ockenden’s work is hugely valuable, and a lot of faith and trust has been placed in it, particularly by families. I do not know specific dates, but the Secretary of State and my noble Friend Baroness Merron, who leads on this work, have been discussing the matter wit…
KS
Karin Smyth
My hon. Friend is right to highlight some tragic incidents, and I know she will be working hard on behalf of her constituents. We are absolutely committed to the women’s health strategy. Clearly, that will be taken forward as part of the 10-year plan, and it is an important part of that. I met my noble Friend Baroness …
KS
Karin Smyth
I am not entirely clear what the hon. Member is referring to. I have been clear that we are committed to the women’s health strategy, and we will take it forward as part of the 10-year plan. Most of the—[Interruption.] If it was about the women’s health hubs, they are mainly there but in different forms and with differ…
KS
Karin Smyth
My hon. Friend makes an excellent point about both the work of the Chair of the Select Committee, my hon. Friend the Member for Luton North (Sarah Owen) , and the importance of primary and community care recognising, listening to and supporting women through women’s health, as well as making sure that our knowledge and…
KS
Karin Smyth
I will try to be brief, but this is hard to explain—[Interruption.] No, this is to answer the right hon. Gentleman. Targets in the NHS have not been met since 2015, which was under his Government’s watch but, actually, this target has been met—there are only three places in the country that do not have a hub—so there i…
KS
Karin Smyth
My hon. Friend makes an excellent point about maternity services, which are inconsistent and not good enough around the country. It is a source of great alarm for many people. Maternity absolutely remains a high priority within the overall women’s health strategy.
KS
Karin Smyth
The hon. Lady makes the point about using targets. This is something that is a high priority, but it is not happening. That is absolutely why I mentioned it in my opening comments—to ensure that that happens.
KS
Karin Smyth
My hon. Friend makes a very powerful case and talks of an experience that he and his wife went through forty years ago, which highlights that it can sometimes take an unacceptably long time to get what is known as good practice through the system and to have that consistency for women and their families across the over…
KS
Karin Smyth
The hon. Gentleman can tell his women constituents what I hope everyone across the House will be able to tell their constituents: this Government inherited 600,000 women on those waiting lists, and we are committed—as said in our elective reform plan, which highlighted gynaecology in particular—to getting those waiting…
KS
Karin Smyth
I have made that commitment several times from this Dispatch Box. We think the women’s health hubs are working across the country—I do not know exactly how the hon. Gentleman’s hub is working at the moment. Only three areas do not have a women’s health hub, and we expect them to get on with that and have one. We will e…
KS
Karin Smyth
The chief executive is right that the previous Government did not have women’s health at the heart of their strategy, and that is why we do.
KS
Karin Smyth
I thank the right hon. Gentleman for the work he does in this area. He does an excellent job and makes an excellent point. I do not know the detailed answer to that question—it is not directly my area—but I am very happy to make sure that we write to him.
KS
Karin Smyth
As I hope the hon. Gentleman knows, I think the health needs of women in Northern Ireland and the waiting lists there are particularly problematic, so finding out anything our Department can to do support or share learning across the United Kingdom is a personal commitment of mine. I will absolutely make sure that we d…
KS
Karin Smyth
Further to that point of order, Madam Deputy Speaker. I absolutely, unequivocally apologise.
Doncaster Royal Infirmary30 Jan 2025
KS
Karin Smyth
I congratulate my hon. Friend the Member for Doncaster Central (Sally Jameson) on securing a debate on this really important issue for her constituents. Since her election, she has been a committed champion for Doncaster Royal Infirmary, and I thank her for her tireless efforts. She is absolutely right that the promises made by the… previous Government were hollow and built on sand. Even for the hospitals that made it into the new hospital programme, the money simply was not there. They let down the people of Doncaster. On Monday, I had the privilege of visiting Doncaster Royal Infirmary, along with my hon. Friend and our hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher) , and witnessed the outstanding care that staff are providing despite significant infrastructure challenges. I entirely agree with my hon. Friend’s comments about the situation, and about the pressure that the staff find themselves under. Staff and patients deserve better than a hospital prone to floods, fires and equipment failures, some of which I saw for myself on Monday. Doncaster Royal Infirmary now has a backlog-of-maintenance bill of approximately £114 million, and the constant need for critical repairs leaves scarce resources for developing and enhancing facilities. That is the reality facing Doncaster Royal Infirmary and hospitals nationwide after years of under-investment by the previous Government. Reversing the trend and repairing and rebuilding our hospital estate is a vital part of our ambition to create an NHS fit for the future. That is why the Chancellor announced that health capital spending is set to increase to £13.6 billion in 2025-26, representing record levels of capital investment in healthcare. I am pleased that works to address some of the most pressing issues at Doncaster Royal Infirmary are under way, with £19.8 million confirmed for the refurbishment and relocation of the critical care unit. That will deliver a safer and more accessible envir
Hansard · 30 Jan 2025 · parliament.uk
SJ
Sally Jameson
I am grateful for the opportunity to make the case in this Chamber for the repair and refurbishment of Doncaster Royal Infirmary. This is not the first time I have raised this issue in this place, such is its importance to my constituents. Doncaster Royal Infirmary is at the heart of our community in Doncaster. For man…
LP
Lee Pitcher
As my hon. Friend will know, in April 2021 a leak occurred at the women’s hospital at Doncaster Royal Infirmary. The water then flooded the area and went into the electrical systems, and a fire broke out. Some 60 patients were impacted and had to be evacuated, including premature babies. Thanks to the efforts of the am…
SJ
Sally Jameson
My hon. Friend is absolutely right, and that incident showcased how desperate the situation is. It is a testament to the staff and the team at the trust that no one was hurt, and that the repair work that needed to be done happened immediately. Other areas where a backlog remains include the operating theatres. Accordi…
SJ
Sally Jameson
Across the hospital, there remains infrastructure that dates back to the 1930s. Imagine all the advancements we have made in science, innovation, technology and medicine since then, yet Doncaster patients are treated in a building that has not been updated in line with any of that. Most worryingly, a recent report conc…
A&E Services: Solihull Borough27 Jan 2025
KS
Karin Smyth
I congratulate the hon. Member for Meriden and Solihull East (Saqib Bhatti) on securing the debate, and congratulate other Members who have taken part in it. Let me start by thanking the NHS staff at Solihull Hospital for their remarkable efforts, stamina and care in the most challenging circumstances. That point was well made by… the hon. Gentleman, and I know he feels passionately that he owes his own life and the lives of many others to their care. The hon. Gentleman said that he did not want to make political points and that politics was about choices, but we did inherit an NHS that was in the worst state in its history. I hope he agrees with Lord Darzi’s diagnosis; we have still not heard from his colleagues whether they agree with it. The condition of the capital estate, as well as NHS services, has shocked the country, notwithstanding the result of the election, but we are working at full scale to making that situation better. The hon. Gentleman is right that politics is about choices, and I think that the wrong choices were made in the past 14 years. It is right to point to the increasing demand for emergency departments in Solihull and elsewhere over the past decade, part of which can be explained by the appalling neglect of GP and primary care services to manage demand, and the failure of all parties—to which the hon. Gentleman alluded—to build consensus on a long-term solution for social care and support the flow of people through those hospitals. As the hon. Gentleman knows, Solihull Borough is within the University Hospitals Birmingham NHS Foundation Trust. In December, 58.2% of people were seen within four hours. Let me set out some of the wider context. We need to remember that we have had one of the busiest flu seasons for a number of years, and although the number of cases is coming down, the number of Norovirus cases is still 80% higher than it was in the same period last year. We want to end the treatment of people in corridors, which has become no
Hansard · 27 Jan 2025 · parliament.uk
SB
Saqib Bhatti
I stand today to make the case for accident and emergency services in Solihull borough. Ever since I was first elected in 2019, through covid to now in 2025, I have campaigned for better health resources in my constituency and across Solihull borough. Like many across the country, I am grateful for the national health …
LT
Laurence Turner
I congratulate the hon. Member on securing this debate. I draw attention to my entry in the Register of Member’s Financial Interests, given my background in the GMB trade union, which represents ambulance workers in the West Midlands ambulance service. Does he agree that during the difficult winter period, ambulance st…
SB
Saqib Bhatti
The hon. Member makes an important point. Every winter we see the strain on our health services. Our professionals in hospitals and ambulance services always make an important contribution. His second question is really for the Government. I will talk a little more about the future vision for my constituents and his.
JS
Jim Shannon
I commend the hon. Member on securing this debate, and I share his concerns. In my constituency and the neighbouring one, units in North Down and Ards were closed and moved to Dundonald, putting pressure on that hospital. At the A&E at Dundonald—perhaps Solihull is the same—patients have to wait 14 hours to be seen for…
SB
Saqib Bhatti
I cannot disagree with the hon. Gentleman. He makes a really valid point. Of course, it is about not just the travel time, but the time that is spent there. As I will come on to say, there is discussion about the A&E at Heartlands hospital, which has similar issues.
Medicines and Healthcare Products Regulatory Agency16 Jan 2025
KS
Karin Smyth
I congratulate the right hon. Member for Tatton (Esther McVey) on securing this debate and thank her and all those who have spoken for their contributions. We have heard some powerful stories of failure as well as some useful experiences. I have to thank my hon. Friend the Member for Stroud (Dr Opher) , the… hon. Member for Dewsbury and Batley (Iqbal Mohamed) and the shadow Minister for sharing their expertise. I have heard many of these stories before in my 10 years in this place. Sadly, I have also had a constituent who shared her experiences with me, for which I am grateful. Frankly, those experiences shocked me and my staff. I congratulate my hon. Friends the Members for Camborne and Redruth (Perran Moon), for Washington and Gateshead South (Mrs Hodgson), for Poole (Neil Duncan-Jordan), for Bolton South and Walkden (Yasmin Qureshi) and many others who have brought their experiences to this place, shining a light on the issues. It is right for us to debate this matter. Six months into the job and I am still learning, Madam Deputy Speaker, so I am grateful for being able to take part in this debate. I can assure my hon. Friend the Member for Blackley and Middleton South (Graham Stringer) that I cannot answer everything, and I am glad that he recognised that. The right hon. Member for Tatton has focused my mind, for which I am very grateful. If I do not do justice to the points that have been raised, I will write to Members about specific things. I am meeting representatives from the MHRA and will be very clear about our expectations. It is absolutely the role of Parliament to be the ultimate monitor of its work. The MHRA plays a vital role in fulfilling the Government’s health mission: balancing its responsibilities to maintain product safety and championing innovation. I will, if I may, be clear about the role of an enabler. It is about enabling innovative products to reach patients without compromising patient safety and without unnecessary delay. It is thanks to
Hansard · 16 Jan 2025 · parliament.uk
EM
Esther McVey
I beg to move, That this House notes that the Medicines and Healthcare products Regulatory Agency (MHRA) continues to need substantial reform, as recognised by the Independent Medicines and Medical Devices Safety Review (IMMDS), with patient safety concerns persisting and exacerbating since the review’s publication in …
CC
Christopher Chope
My right hon. Friend hits on an important point. What action did the MHRA take to apologise for or explain its failure to give adequate and timely warnings to potential patients?
EM
Esther McVey
I do not believe that the MHRA has taken such action. We are probably still waiting for it. Hopefully, that will come out. People are also either not getting compensation quickly enough or not receiving compensation that is commensurate with the illness and damage caused to them. It is worth noting what happened when T…
CC
Christopher Chope
On that point, does my right hon. Friend accept that one of the consequences of the lack of transparency has been a public distrust of vaccines, which is spreading rapidly? As a consequence, for example, there is less take-up of MMR vaccines than there should be and used to be, and that is because of a lack of trust in…
EM
Esther McVey
My hon. Friend makes a good point. If people lose trust in vaccines, the pharmaceutical industry and the regulatory agency, that is precisely what happens. We know that these vaccines are essential to many people, so we do not want that happen. We want to ensure that new vaccines and medicines coming into use are thoro…
Endometriosis: Women in the Workplace15 Jan 2025
KS
Karin Smyth
I congratulate my hon. Friend the Member for Sheffield Brightside and Hillsborough (Gill Furniss) on securing this important debate on the impact of endometriosis on women in the workplace. In opposition I supported the work of the APPG. I echo the praise for the campaigning work of Endometriosis UK and the support that you, Madam… Deputy Speaker, and others in the Chamber have given to the APPG. I also remember the work of our friend David Amess. I echo the recognition of the recent report by the Women and Equalities Committee on reproductive health conditions. My Department is working across Government on our response, which will be published in due course. I welcome the progress made on raising awareness—we are moving very fast on this—and on providing better support for women’s health conditions, including endometriosis. Nevertheless, this Government recognise that women with endometriosis have been failed for far too long, and we acknowledge the impact that it has on women’s lives, relationships and participation in education and the workforce. There is still much more work to be done. We are committed to improving support for any women and girls whose periods or women’s conditions disrupt their normal life, work or education. In addition to receiving support in the workplace, all women should have access to healthcare support to help diagnose and manage this condition. We are making progress to ensure that those with endometriosis receive a timely diagnosis and effective treatment.
Hansard · 15 Jan 2025 · parliament.uk
GF
Gill Furniss
I am grateful for this opportunity to raise the plight of women with endometriosis and the everyday struggles they face in the workplace. Endometriosis was first identified in 1860, but progress in improving the lives of women suffering from it has moved at a glacial pace since then. As the Women and Equalities Committ…
JS
Jim Shannon
I commend the hon. Lady for raising this massive issue. I have in my office a girl who joined as a 16-year-old and has been with me for almost 12 years. She got married on new year’s day. At the age of 28, she had menopause to try to help her endometriosis. As a caring employer, I obviously made sure that she had all t…
GF
Gill Furniss
I thank the hon. Member for that point. The issue has been known about for a long time. The women’s health strategy, published in 2022, painted a picture of what workplaces should be like over the next 10 years, arguing that women should “feel able to speak openly about their health and to be confident that they will b…
AS
Alec Shelbrooke
It is fortuitous that you are in the Chair tonight, Madam Deputy Speaker, given all the work you did on these issues in the last Parliament as Chair of the Women and Equalities Committee. I think that the hon. Lady attended my Westminster Hall last year, and I am grateful to her for securing this Adjournment debate. As…
GF
Gill Furniss
I thank the right hon. Member for that intervention, and I absolutely agree. I pay tribute to you, Madam Deputy Speaker, and to the right hon. Member for the efforts he has put in over many years. Stigma and a lack of awareness by employers means that reproductive health conditions can have a significant effect on wome…
KS
Karin Smyth
I thank the right hon. Gentleman for that point, which I will talk about later. On the Employment Rights Bill, our plan to make work pay sets out a significant and ambitious agenda to ensure that workplace rights are fit for a modern economy, empowering working people and contributing to economic growth. On 10 October …
Mental Health Services: Children7 Jan 2025
KS
Karin Smyth
The delivery of mental health services for children in Scotland is the responsibility of the Scottish Government. I hope that they will make the best use of the boost from the recent Budget to invest in mental health services. In England, we will support children and young people earlier by providing access to a specialist… mental health professional in every school and rolling out Young Futures hubs in every community. We will also cut waiting times by recruiting 8,500 more workers across children and adult mental health services.
Hansard · 7 Jan 2025 · parliament.uk
GD
Graeme Downie
What steps he is taking to improve mental health services for children.
GD
Graeme Downie
The long-term impact of the covid-19 pandemic on young people is often forgotten, with isolation leading to missed opportunities, lost life experiences and still unknown impacts on mental health. Child and adolescent mental health services referrals in Fife and across Scotland have skyrocketed, and despite a record Bud…
DH
Damian Hinds
Is the mental health support in schools that the Minister just mentioned the same as or different from the plan for mental health support teams in schools that was already being rolled out by the previous Government?
KS
Karin Smyth
My hon. Friend makes an excellent point on behalf of young people. It is disappointing that the Scottish Government do not seem to be allocating the funding as they could. He raises a powerful case, and I know that he will work hard with the Government in Edinburgh to make the situation better for his constituents.
KS
Karin Smyth
Our plan is to have universal coverage in every school. That was not achieved by the previous Government, and we hope to ensure that it happens.
Care Quality Commission7 Jan 2025
KS
Karin Smyth
In response to the report by Dr Penny Dash, we have made it clear that the CQC is not fit for purpose and requires significant reform. We have increased our oversight of the CQC to ensure implementation of the recommendations in Dr Dash’s review, and we will continue to monitor the CQC’s progress through this… period of improvement. We are also supporting the swift and efficient recruitment of CQC leadership roles, including the new chief executive Julian Hartley, who started in December.
Hansard · 7 Jan 2025 · parliament.uk
JF
Josh Fenton-Glynn
Whether he has made an assessment of the effectiveness of improvements made to the Care Quality Commission.
JF
Josh Fenton-Glynn
It is inarguable that the CQC needs improvement. Many who run care services in local authorities have little confidence in its performance. Does my hon. Friend agree that we could go some way to improving how it is viewed by looking at the use of single-word assessments, which create undue stress for social services le…
GC
Gregory Campbell
Is the Minister indicating today that there will be a new start in the Care Quality Commission, and that things will change for both staff and the recipients of care?
KS
Karin Smyth
My hon. Friend is right that confidence is the key word in the huge agenda that the CQC has to deliver. Dr Dash and Professor Mike Richards highlighted serious failings that need to be re-addressed. As one of our predecessors said, priorities are our language. Currently, a review of one or two-word ratings is not a pri…
KS
Karin Smyth
The hon. Gentleman makes an excellent point, particularly with regard to staff, who need support to continue their important work. A new start with new leadership is what they need, as well as implementation of the recommendations.
Maternity Leave7 Jan 2025
KS
Karin Smyth
I thank my new Dame Friend for her question. The Department does not collect data on the number of people who have specifically received enhanced maternity leave entitlements. Access to an enhanced maternity leave benefit forms part of the total reward package for Agenda for Change staff, which we believe is critical for retaining our… much-valued and needed NHS workforce.
Hansard · 7 Jan 2025 · parliament.uk
ET
Emily Thornberry
How many and what proportion of NHS employees have received enhanced maternity leave entitlements under Agenda for Change contracts.
ET
Emily Thornberry
Thank you very much, Mr Speaker. Doctors throughout the NHS, no matter who employs them, have blanket maternity agreements, but nurses do not. When I visited the River Place health centre, I found that nurses employed by Whittington Health were working alongside nurses employed by the GP practice who got completely dif…
KS
Karin Smyth
My right hon. Friend highlights a problem throughout the system, not just in her area. Self-employed contractors to NHS GP surgeries are not bound by national terms and conditions; they can develop their terms and conditions as they see fit. They have the flexibility to set terms and conditions to aid recruitment and r…
Topical Questions7 Jan 2025
KS
Karin Smyth
My hon. Friend is right to highlight the particular problems in his constituency. Decisions on the configuration of call centres are a matter for local trusts in consultation with staff and representatives, and I encourage him to continue to engage with the trust in the interests of his constituents.
Hansard · 7 Jan 2025 · parliament.uk
CM
Calum Miller
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
We have been busy announcing investment in hospices, an uplift in funding for general practice, action through disabled facilities grants and a new independent commission on adult social care, and yesterday the Prime Minister announced the elective care reform plan. As I have said, however, the NHS is experiencing a pe…
CM
Calum Miller
I am sure the Secretary of State will share my shock and anger about the number of young people in my constituency who are waiting more than four years for a first assessment by child and adult mental health services. Can he confirm that yesterday’s commitment by the Prime Minister that patients would not wait more tha…
WS
Wes Streeting
We are determined to improve children and young people’s experience of both mental and physical health services, and we are determined to do more to ensure that mental health and paediatric waits are put under the spotlight and given the same attention as the overall elective backlog. I am sure we will have more to say…
AJ
Adam Jogee
I pay tribute to my constituents Sheila and Joe Ward, who have long campaigned for vaccine-injured people and bereaved families following the death of their husband and father. The vaccine damage payment scheme has received 16,824 claims. When can people who are still mourning the loss of loved ones expect to receive t…
NHS Backlog6 Jan 2025
KS
Karin Smyth
I wish you, Madam Deputy Speaker, and all hon. Members a happy new year. I thank the hon. Member for North Shropshire (Helen Morgan) for securing this debate. I am delighted to be able to respond. It has been a passionate and well-informed debate, and I am genuinely grateful for the opportunity to build on… what the Secretary of State said in his oral statement today, because we have a great deal to say about our plans to build more capacity and give patients more power over their care. Colleagues across the House have set out how 14 years of failure have damaged their constituents, letting down the people we represent and breaking the NHS. That was starkly illustrated by my hon. Friend the Member for Bury St Edmunds and Stowmarket (Peter Prinsley) , who should have been doing something else this morning but was not. That is a loss to his patients. It was also highlighted by the hon. Members for Epsom and Ewell (Helen Maguire) and for Wokingham (Clive Jones). The Lib Dem spokesperson, the hon. Member for Chichester (Jess Brown-Fuller) , outlined how it impacts on her own father as well as her constituents. Years of neglect, lack of funding and unresolved industrial action meant that this Government inherited an appalling backlog of people waiting for treatment—the 7.5 million-strong waiting list. I gently remind the hon. Member for Farnham and Bordon (Gregory Stafford) and the Opposition spokesperson, the hon. Member for Sleaford and North Hykeham (Dr Johnson) , that that waiting list stood at 4 million people before the start of the pandemic. The Darzi investigation described how these waits were becoming the new normal, with patients waiting far too long for treatment. As a result, public satisfaction with one of our most beloved institutions is at an all-time low. That was eloquently put by my hon. Friend the Member for Carlisle (Ms Minns) , who highlighted the figures from 2010 and now, as they affect her constituents. On average, 58% of people do not receive tre
Hansard · 6 Jan 2025 · parliament.uk
HM
Helen Morgan
I beg to move, That this House has considered backlogs in the NHS. Happy new year to you, Madam Deputy Speaker. I thank the Backbench Business Committee for granting the debate. I applied for it because many Members were interested in having the chance to discuss the problems and consult constructively on the potential…
SD
Steve Darling
In my constituency, our hospital faces almost 700 sewage leaks, which has an impact on its ability to provide services. That is another pressure. Does my hon. Friend agree that the sooner the Government advise on what investment they will make to enhance services for our hospitals across the UK, the better?
HM
Helen Morgan
I had not put the crumbling estate into my speech, but my hon. Friend makes a very valid point, because people cannot work efficiently when they are dealing with terrible hygiene and safety issues around them every single day.
JS
Jim Shannon
I commend the hon. Lady on bringing forward this debate, and on being so consistent and assiduous on this issue. I understand that she will come on to the Lib Dem manifesto, which a lot of us in this Chamber, whether Lib Dem or not, can agree with. In Northern Ireland we have the health and social care board, which has…
HM
Helen Morgan
The hon. Gentleman always makes an excellent contribution to our debates. He is right that we should look at best practice in Northern Ireland and the devolved nations, as well as in England, to get the right solutions for the problems that we face. I hope colleagues will forgive me as will not take any more interventi…
KS
Karin Smyth
I would like to, but I am afraid I need to adhere to the time limit. In closing, on Second Reading of the National Health Service Act 1946, Nye Bevan warned us against following abstract principles that work on paper but not in the real world. This Government are interested only in what works, and we know we must do th…
Hospice Funding19 Dec 2024
KS
Karin Smyth
I am grateful to the hon. Member for Sleaford and North Hykeham (Dr Johnson) for asking that important question. This Government want a society where every person receives high-quality, compassionate care from diagnosis through to the end of life. We will shift care out of hospitals into the community to ensure that patients and their… families receive personalised care in the most appropriate settings. Palliative end of life care services, including hospices, will have a big role to play in that shift. Most hospices are charitable, independent organisations that receive some statutory funding for providing NHS services. The amount of funding that each charitable hospice receives varies both within and between integrated care board areas. On children and young people’s hospice funding, the Minister for Care met representatives from NHS England and Together for Short Lives and one of the chairs of the all-party parliamentary group for children who need palliative care to discuss children’s palliative and end of life care, and that funding stream was discussed at length at that meeting. This Government recognise the range of cost pressures that the hospice sector has been facing over a number of years, so today I am delighted to announce the biggest investment in hospices and end of life care in a generation. We are supporting the hospice sector with a £100 million boost for adult and children’s hospices, to ensure that those hospices have the best physical environment for care, and with £26 million in revenue to support children and young people’s hospices. The funding will support hospices and deliver much needed funding for improvements, including refurbishment, overhaul of IT systems and improved security for patients and visitors. It will help hospices in this year and next year in providing the best end of life care for patients and their families in a supportive and dignified physical environment. Hospices for children and young people will receive that further
Hansard · 19 Dec 2024 · parliament.uk
DJ
Dr Caroline Johnson
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on hospice funding.
LH
Lindsay Hoyle
Order. I think you might find that I granted the urgent question, but don’t worry, Minister. I call the shadow Minister.
DJ
Dr Caroline Johnson
After the confusion of yesterday, I welcome the fact that further details on hospice funding have been announced, albeit by our dragging them out of the Government on the very last day of Parliament before the recess. On 30 October , the Chancellor decided to break her election promise by increasing employers national …
CE
Clive Efford
This is a very welcome announcement and I am sure the hospices are breathing a sigh of relief after the level of funding they endured for 14 years under the Tories. If we are to move palliative care out of hospitals and into care situations or people’s homes, the money needs to be passported to the hospice sector for i…
LH
Lindsay Hoyle
I call the Liberal Democrat spokesperson.
KS
Karin Smyth
To govern is, indeed, to choose. The Conservative party chose neither this sector nor any other health sector and it refused to govern. Within five months, we have not only increased the funding to the health sector to stabilise it but made today’s announcement. Beneath all that, there might have been a welcome for the…
KS
Karin Smyth
My hon. Friend makes an important point about the need for more people to be treated at home. That is absolutely the direction of travel that we want to see. This money will help, for example, with technology to support more people to be treated at home. ICBs are responsible for commissioning and allocating funding, so…
KS
Karin Smyth
I thank the hon. Lady for her questions and for welcoming the announcement. She will know that, in the past 14 years, the sector has been neglected, like the rest of the NHS and social care system. As we have repeatedly said, to govern is to choose. We have improved the settlement for the sector this year. Today’s welc…
KS
Karin Smyth
That is possibly one of the cheekiest questions I have ever heard asked here, and I am obviously going to have to say yes. Frankly, rather him than me, but good luck to my hon. Friend on doing that. I know that many hon. Members raise money for their local constituencies and that the marathon is an important part of th…
KS
Karin Smyth
It is good to hear the hon. Gentleman supporting his local hospice with his neighbour, my hon. Friend the Member for Colchester (Pam Cox) . We will announce allocations for the whole sector and the NHS in the usual way in the new year.
KS
Karin Smyth
Yes, stability and understanding longer-term planning is important for this sector as well as for many others. Certainly, we want to make sure that we work with the sector and the wider NHS, so that we deliver our longer-term 10-year plan, but get to that process in the next few years.
KS
Karin Smyth
All hon. Members support their local hospices, which I know is important, but I have to remind the House of the parlous state of the sector that we inherited after 14 years of the previous Government. If Conservative Members, many of whom were part of that Government, had wanted to rectify the way in which hospice fund…
KS
Karin Smyth
I am delighted to support my hon. Friend in the work that she has been doing with St Michael’s and Demelza hospices. She is absolutely right to highlight that, and I hope that she will be able to meet the staff in the new year and discuss how they can best use some of this funding.
KS
Karin Smyth
I have to say that dancing is more my style than marathon running, so I wish the hon. Lady luck with that. At least she did not ask me for any money. I refer her to my earlier answer: this is additional money to support the hospice sector. It is a £100 million boost for adult and children’s hospices to ensure that they…
KS
Karin Smyth
As my hon. Friend highlights, this is a devolved issue for the Scottish Government. We hope that they match our ambition, as she rightly puts it. I wish her well with her local hospice, and I hope that the Scottish Government take note of what we are doing here in England.
KS
Karin Smyth
The hon. Gentleman was a Government Minister, so he had plenty of opportunities to change the system, had he wanted to do so at the time.
KS
Karin Smyth
I thank my hon. Friend for making that point, and wish the volunteers well in their weekend activities. She is right to highlight not only staff but the hundreds of thousands of volunteers across the country who work to support the hospice sector and others with end of life care. That support is so important for people…
KS
Karin Smyth
What beggars belief is that person after person—man after man—on the Opposition Benches still feels able to get up and defend their record in government. Not once have we heard that they agree with Lord Darzi’s diagnosis, or that they welcome the extra investment that the Chancellor found by choosing to support the hea…
KS
Karin Smyth
I welcome my hon. Friend’s comments, and I am very pleased to thank Compton Care hospice for all its work. He is right to highlight that the care is 365 days a year, around the clock.
KS
Karin Smyth
The hon. Lady makes an excellent point about the stability of the workforce across the piece, from diagnosis to the end of life. We absolutely need to consider support for all parts of that through the 10-year plan. I encourage hon. Members and others to ensure that they keep making those points. We are getting excelle…
KS
Karin Smyth
I thank my hon. Friend for his contribution and, indeed, for his singing. Those events bring joy to people at a particularly difficult point in their life, and they are very welcome.
KS
Karin Smyth
I thank the hon. Gentleman for welcoming the announcement. As I said, we will be working with the sector in the new year and then we will make allocations accordingly.
KS
Karin Smyth
My hon. Friend makes an excellent point —one that was raised earlier. It is vital that ICBs work with all providers to understand the needs and how they are best met. I know he will be diligent, as he already has been, in pursuing what is happening with the funding with his local ICB. We will work with Hospice UK to en…
KS
Karin Smyth
I admire the hon. Gentleman for keeping on the same wicket. In the Budget, this Government made the greatest allocation to the health sector. What the Scottish Government do with their consequentials and how they manage that is entirely a matter for them, and if they are not doing a good job, the public need to vote fo…
KS
Karin Smyth
My hon. Friend is absolutely right to highlight that need. As I said earlier, end of life care and its stability as part of the wider system, which is a commissioning role for ICBs, was not addressed by the last Government over 14 years. As part of our 10-year plan, that will be important to do.
KS
Karin Smyth
I have scribbled my own note—the right hon. Gentleman says that he “agrees”— but the issue is that his Government did nothing over 14 years to support or make a change. That is why the announcement we are making is so important. I reiterate my earlier point, which I will repeat every time I am at the Dispatch Box: the …
KS
Karin Smyth
That is absolutely what we want to do, and today’s announcement is a step towards it. As my hon. Friend highlights, hospices are very special places, but most people want to die at home with their loved ones, in the place they know well, and many parts of the sector will be able to use this money to help more people to…
KS
Karin Smyth
The commissioning of those services is the responsibility of the ICBs, and we expect them to do that. They are responsible from diagnosis to end of life. In the past few months, I have met many hon. Members from across political parties to discuss issues in their ICBs. I know that he will, like others, be assiduous in …
KS
Karin Smyth
I am happy to support my hon. Friend, who makes an excellent point, in his work with local providers. He congratulates me, but the work has been done mainly by the Minister for Care, my hon. Friend the Member for Aberafan Maesteg (Stephen Kinnock) , and by the Secretary of State, who have personally taken on this issue…
KS
Karin Smyth
The hon. Gentleman asks the same question again. Through the Budget, this Government have allocated more money to the health service than the previous Government—a record announcement—and we have announced money again this morning. To govern is to choose. The last Government neither governed well nor chose to support t…
KS
Karin Smyth
As Lord Darzi’s report announced, the entire sector has been under pressure and struggling since the disastrous Lansley reforms—they were part of the coalition Government—through to when we took over in July. We will fix the NHS and rebuild it to make it more sustainable and fit for the future. That includes everything…
KS
Karin Smyth
I have not been dragged—I am very happy to be here. The reality is that the health sector in its entirety, from diagnosis to end of life care, will be better off this year than it was last year or the year before under the hon. Gentleman’s Government.
KS
Karin Smyth
As the hon. Gentleman knows, this Government have allocated an extra £12 billion in this year for the health and care sector. The full allocation to cover the entire area of health and social care will be announced in the new year.
KS
Karin Smyth
The hon. Member makes an excellent point about carers and their support. We made announcements about that in the Budget, and we will make more general announcements about allocations in the new year.
Winter Preparedness18 Dec 2024
KS
Karin Smyth
With permission, Madam Deputy Speaker, I would like to make a statement on winter preparedness. Before I begin, I want to say a very special thank you to all the staff who will be keeping our NHS going over the Christmas holidays and into the new year. When I was a manager in the NHS,… I worked on winter planning, so, if I may, I will say an additional thank you to all the people who are often unseen: the managers and admin staff who also keep the system going. I know how hard it is for people to work in the system with the challenges that winter can bring through increased demand and higher rates of infection. There are things that we cannot predict. Storms Bert and Darragh have added pressure, and we might have a cold snap. I know that many people like a winter cold snap of snow and ice, but it is not something that the NHS ever wants to see. The NHS has excellent people who have done this before and, unlike last year, thanks to the new Government, many of them will not be on strike. While we cannot control the weather, we can plan, prepare and pull together, so today I want to update colleagues with the current picture before moving on to the things that we are doing. NHS England and the UK Health Security Agency will publish the latest statistics tomorrow morning as usual, but we do know that levels of seasonal illness are high. The most recent figures show that last week there was a 350% increase in flu cases compared with the same week last year, but that is comparable to levels we saw two years ago. Norovirus cases are high, but covid rates are low, and although rates of RSV—respiratory syncytial virus—have been high, we expect them to start coming down over the next few weeks. I want to make it clear that the current rates for both bed occupancy and ambulance delays are unacceptably high. I will shortly come to measures about how we are dealing with that capacity. I will not rehearse the Darzi investigation and his findings, except on one thing. I remind the
Hansard · 18 Dec 2024 · parliament.uk
NG
Nusrat Ghani
I call the shadow Secretary of State.
EA
Edward Argar
I am grateful to the Minister for early sight of her statement—as I have said before, it is typically courteous of her. I echo the gratitude that she expressed to those in our NHS, and also those in the social care workforce who will be working hard throughout the festive period. As she alluded to, the NHS is already f…
RM
Rachael Maskell
Despite York’s new emergency department, a consultant has described to me the situation in emergency medicine, where patients are waiting for days to be discharged and 50 patients are waiting to be placed on wards. We know we have inherited a broken NHS. Will the Minister say what she is doing first to enable primary c…
NG
Nusrat Ghani
I call the Liberal Democrat spokesperson.
HM
Helen Morgan
I express my thanks and those of my Lib Dem colleagues to everyone working over the Christmas period to keep people healthy and safe. Preparedness for winter is absolutely critical for our health and care system, and a quick look at what happened last year shows us why. Ambulances across England collectively spent a to…
KS
Karin Smyth
I will do my best to address that range of questions. First, as even a stopped clock is right once—[Interruption.] Yes, twice. On that basis, I agree with the right hon. Gentleman. On correspondence and answers to parliamentary questions, again, the situation we inherited is not satisfactory. I apologise to all Members…
KS
Karin Smyth
My hon. Friend’s comments reinforce how much pressure, we understand, is front facing. A&E is demonstrative of the overall pressure in the system, not just at discharge but, as she rightly says, in primary care. We took action in the summer to improve primary care, increasing the number of GPs available in the system. …
KS
Karin Smyth
I think I have addressed the Government’s plans on social care. The hon. Lady makes an excellent point on ambulance delays, which we know to be a problem, and particularly so in the west midlands. That is one of the things I have asked the system to look at particularly, so that the Government and hon. Members can bett…
KS
Karin Smyth
My hon. Friend has already been a fantastic advocate for her local NHS services. Like the hon. Member for North Shropshire (Helen Morgan) , my hon. Friend is absolutely right to highlight the acute pressures all year round. We did not always have winter crises under the last Labour Government. It was tough; I worked du…
KS
Karin Smyth
I thank the Chair of the Select Committee for her point. She is right that I did not mention pharmacies, which was an omission on my part. We are running an advertising campaign, “Think Pharmacy First”, to ensure people use pharmacies. She is absolutely right that they stand ready. I will visit mine over the next few d…
KS
Karin Smyth
My hon. Friend is absolutely right to highlight those shocking levels of bed occupancy. As I said earlier, running consistently at that high level of occupancy is something we should never have got used to. That discharge rate is demoralising for staff, very bad for patients and a sign of the pressure in the system. We…
KS
Karin Smyth
I thank the right hon. Lady for her question. We have discussed this issue a number of times in this place. We absolutely understand the impact of cold and heat on the system and on people. It is something we need to address more generally. She will be aware that discussions on this issue are continuing with the DWP. I…
KS
Karin Smyth
Again, my hon. Friend is already representing the people of his constituency so well by getting to the heart of what is happening on the ground, learning it for himself and bringing such examples to the House. He is absolutely right that there are such examples across the country, working differently in different syste…
KS
Karin Smyth
The hon. Gentleman tempts me to make commitments from the Dispatch Box, which I am not going to do. He makes a very serious point. The sea is an issue for many hon. Members—beautiful though it is, it has an impact on the ability of the system to manage different areas. Looking at different solutions for populations suc…
KS
Karin Smyth
My hon. Friend makes an excellent point. We need to get back to normal and we need to recognise that there are different things happening to the system at different times of the year, much of which is predictable. We need to ensure that the system is strong enough to be able to cope with those differences.
KS
Karin Smyth
I join the hon. Gentleman in thanking everyone who works in the system. As I said, the NHS is getting £12 billion more this year from this Government than it had from the previous Government in the spring Budget. We are now focused on ensuring that money is used properly.
KS
Karin Smyth
My hon. Friend is absolutely right. We want to make sure that taxpayers’ money is used efficiently and effectively in the right places for the right treatment at the right time. That is why we are looking at our long-term plan. That is why we want to stabilise the system, so we do not have to keep coming back here year…
KS
Karin Smyth
As I think the hon. Gentleman knows, I cannot talk about individual cases from the Dispatch Box, but we will be making announcements on that subject very shortly.
KS
Karin Smyth
We have made it absolutely clear, as did the NHS in its letter today, that patient safety is the watchword this winter. We have targets in relation to monitoring the performance of the system, but we absolutely want to ensure that patients are kept safe as we go through the next few months.
KS
Karin Smyth
I think the hon. Gentleman knows that I cannot do that from the Dispatch Box, but my officials will have heard his request and what he has said about that specific case, and I will ensure that he receives an answer.
KS
Karin Smyth
I do not wish to test your patience, Madam Deputy Speaker, but good falls practice has not been prioritised over the past decade, and the failure to prioritise it and continue the work that I know was being done many years ago is yet another testament to the failure of the Conservative party. My hon. Friend is right to…
KS
Karin Smyth
The hon. Gentleman is wholly wrong to say that winter crises happen under every Government in every year. They happened, and became a fact of the NHS, under his party’s Government. The key difference this year, which the Conservatives will still not address, is the fact that doctors are not on strike. Doctors are worki…
KS
Karin Smyth
I commend my hon. Friend for, as a new MP, getting to grips in detail with what is happening in her local system and challenging that system, while also giving us those examples of good practice so that we can all learn from them. As she says, many parts of the NHS across the country want to learn from them, and we wan…
KS
Karin Smyth
We recognise all the costs to GPs, as contractors, and to many other parts of the system, as we have said many times in the House. We also recognise the improvements that we have made to the system by improving the number of GPs and funding the NHS by more than the last Government did. We will continue to look at that …
KS
Karin Smyth
My hon. Friend is absolutely right. Many tragedies happen over the Christmas period—my own father died on 23 December . Those staff members go above and beyond to help people at difficult times, but also at times of great joy—babies do not wait for Father Christmas, do they?—and my hon. Friend is right to commend midwi…
KS
Karin Smyth
As I said in my statement, we have begun plans to stabilise the workforce and the employment Bill is going through the House, so I do not agree with the hon. Lady on that point. We know that it will take a long time, and we will of course be working with colleagues to ensure that we do develop that national care servic…
KS
Karin Smyth
I am very pleased to reiterate that safety is the watchword for winter, as it is all year round, and to stress that that is why NHS England wrote about it today. I commend my hon. Friend for meeting her constituents locally, and I urge all Members to do the same. We are getting some fantastic ideas from staff and from …
KS
Karin Smyth
I refer back to what I said in my statement about how we are supporting the system. We absolutely understand the importance of primary care, and of using 111 to make sure that people are directed towards getting the right care in the right place. We know that the system is under pressure, and we will continue to do all…
KS
Karin Smyth
I am working very closely with the UK Health Security Agency to make sure that, week on week, we are aware of the movement of different diseases and viruses through the system, and we will continue to publicise the campaign to get people vaccinated. Anything that hon. Members can do to support that campaign, and to mak…
KS
Karin Smyth
As I said earlier, different systems have different issues. Funding has been allocated in advance to the NHS so that it understands which systems require funding, and that has now been baked in for this year. I cannot address the hon. Gentleman’s points directly from the Dispatch Box, but I am very happy for officials …
KS
Karin Smyth
Hopefully, we will make announcements on the Royal Berkshire hospital and others as soon as possible in the new year, as I know that this issue is of great concern to all hon. Members. We know that the system will be under pressure, and we thank everyone working in it. We want to make sure that everyone keeps well, and…
NHS Hospital Equipment19 Nov 2024
KS
Karin Smyth
The Darzi review made it absolutely clear that the NHS has been starved of capital. It is 15 years behind the private sector in its use of technology and we have fewer scanners per person than in comparable countries. That is why at the Budget the Chancellor announced an investment of £1.5 billion for capital… funding, which will include investment for new artificial intelligence-enabled scanners, which will help tackle that backlog.
Hansard · 19 Nov 2024 · parliament.uk
TM
Tessa Munt
What recent assessment he has made of the adequacy of the condition of NHS hospital equipment.
TM
Tessa Munt
Residents in Somerset, and in North Somerset, my part of the world, recognise the £70 million that has been granted for new radiotherapy machines, as announced in the Budget, which will fund up to 30 machines. However, 70 machines will pass their sell-by date—their 10-year recommended life—by the end of this year. Will…
DC
Deirdre Costigan
Does the Minister agree that the NHS cannot continue to rely on outdated and obsolete equipment? It is ridiculous that GPs still use pagers and hospitals communicate with each other using fax machines. After 14 years of decline under the previous Government, will she commit to bringing our NHS into the 21st century?
KS
Karin Smyth
The hon. Lady highlights the important matter of the lifetime of some of the machines, which we are finally addressing after the last 14 years of not addressing issues that include providing support to ensure that the machines work properly. Officials regularly meet Radiotherapy UK and the Department values its input. …
KS
Karin Smyth
My hon. Friend lays bare an important issue. We all know, and critically, staff know, that we are asking them to do the most incredible job with outdated technology. It is bad for staff and it is bad for patients. That is why moving from an analogue to a digital system is crucial. I was fortunate to visit colleagues at…
Topical Questions19 Nov 2024
KS
Karin Smyth
The Department has been working with suppliers of medicines used to treat ADHD to seek commitments from them to address the issues, expedite deliveries and boost supplies. We are working with NHS England to approve the modelling for industry and communications regarding ADHD medicine supply issues. We will continue to engage with industry to address… the remaining issues as quickly as possible.
Hansard · 19 Nov 2024 · parliament.uk
DT
Dan Tomlinson
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
This weekend, we launched the first in-person consultation as part of change.nhs.uk, the biggest national conversation about the future of the NHS we have ever seen. We know that the Leader of the Opposition wants a conversation about whether the NHS is free at the point of use, and I can tell her, from that first conv…
DT
Dan Tomlinson
Earlier this month, I visited Barnet hospital to see the way in which it is changing the emergency care department so that more patients can be seen more quickly, freeing up capacity in accident and emergency. What steps are the Government taking to ensure that trusts such as the Royal Free and others across the countr…
WS
Wes Streeting
I am grateful to my hon. Friend for his question. The Royal Free hospital saved my life when I went through kidney cancer, so it holds a special place in my heart. Thanks to the Chancellor’s decision and the investment she put into the NHS at the Budget, and the reform my Department is delivering, we will deliver the c…
LH
Lindsay Hoyle
I call the shadow Secretary of State.
KS
Karin Smyth
My hon. Friend makes an excellent point on behalf of Rachel and many other women suffering from this disease. We are looking urgently at gynaecological waiting lists. They are far too high, including for endometriosis. I welcome the new National Institute for Health and Care Excellence guidelines. We will be looking at…
KS
Karin Smyth
My hon. Friend highlights a shocking example of inaccessibility in these important services. I will make sure that the Department responds to him and that either me or a ministerial colleague meets him.
National Insurance Contributions: Healthcare14 Nov 2024
KS
Karin Smyth
I am grateful to the hon. Member for asking this important question. It gives me the opportunity to say to GPs, dentists, hospices and every part of the health and care system that will be affected by changes to employer national insurance contributions that this Government understand the pressures they face and take their representations… seriously. The Chancellor took into account the impact of changes to national insurance when she allocated an extra £26 billion to the Department of Health and Social Care. There are well-established processes for agreeing funding allocations across the system, and we are going through those processes now with this issue in mind. This Government inherited a £22 billion black hole in the public finances, broken public services and a stagnant economy. Upon taking office we were told that the deficit the previous Government recklessly ran up in my Department alone would mean delivering 20,000 fewer appointments a week instead of the 40,000 more we promised. The Chancellor and my right hon. Friend the Secretary of State were not prepared to see further decline in our NHS. That is why we put in an extra £1.8 billion to stop the NHS going into reverse this year. We built on that at the Budget, delivering the significant investment that the NHS needs to get back on its feet, backing staff with investment in modern technology, new scanners and new surgical hubs, and rebuilding our crumbling primary and secondary care estate. Alongside that, we delivered a real-terms increase in core local government spending power of around 3.2%, which will help to address the range of pressures facing the adult social care sector, including £600 million in new grant funding for social care. We are now working through exactly how that money will be allocated, as per normal processes. As the Secretary of State set out yesterday, we will ensure that every pound is invested wisely to deliver the Government’s priorities and provide value to taxpayers. The Depa
Hansard · 14 Nov 2024 · parliament.uk
LE
Luke Evans
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on the impact of changes to employer national insurance contributions on primary care providers, hospices and care homes.
LE
Luke Evans
I draw the House’s attention to my declaration of interests. Many in the health sector will have been pleased to hear the announcement of the extra funding for the NHS, only for their joy to be struck down by the realisation that a manifesto promise not to raise national insurance contributions had been broken. That wa…
JF
Josh Fenton-Glynn
Does my hon. Friend join me in welcoming the Opposition’s new interest in social care? Does she further agree that the problems that social care faces owe more to the previous Government’s failure to do anything with Andrew Dilnot’s 2011 report than they do to anything that is happening now with national insurance?
LH
Lindsay Hoyle
I call the Liberal Democrat spokesperson.
AB
Alison Bennett
The increase in employer national insurance contributions will erode the very investment in the NHS that the Budget sought to prioritise. Katie, a GP from Lindfield in Mid Sussex, wrote to me saying that the NICs increases “serve to directly undermine access and patient care.” The Government have promised to recruit mo…
KS
Karin Smyth
Well, really. I am quite dumbfounded by the hon. Gentleman’s response. I respect him for his professional practice, and he knows the state of the NHS that we inherited from the previous Government, as reported in Lord Darzi’s report. He talks about joy, but there was no joy when we inherited the mess they left back in …
KS
Karin Smyth
My hon. Friend makes an excellent point. When I joined this House in 2015, I remember that the first act of the new, non-coalition Conservative Government was to take the legs from underneath that social care commitment by postponing the Care Act 2014. They cynically said at the time that they would bring it forward by…
KS
Karin Smyth
The hon. Lady makes an excellent point about the importance of GPs and primary care to the wider sector. Immediately after taking office this summer, we freed up the system to employ 1,000 extra GPs through the additional roles reimbursement scheme—which the previous Government refused to implement—because we recognise…
KS
Karin Smyth
I respect my hon. Friend’s expertise in this area. She is right, and we understand that the pressures are real, which is why we have committed to supporting the NHS and the social care system with the additional funding that my right hon. Friend the Secretary of State for Health and Social Care secured as part of the B…
KS
Karin Smyth
I understand the right hon. Gentleman’s point. As I have said, we will continue our conversations with all affected providers in the normal way.
KS
Karin Smyth
I respect my hon. Friend’s expertise and service to the national health service. He will understand the need to make the shift into neighbourhood health services. We have been clear that we will ensure the NHS spends all its allocations in the most effective way to enable that shift, as part of our 10-year plan.
KS
Karin Smyth
The right hon. Gentleman was part of the last Government—I am pleased to note that he is talking to his new constituents. The £22 billion black hole and the report from Lord Darzi indicate the fragility of the system we have inherited. We are ensuring that vulnerable groups are supported through the allocations provide…
KS
Karin Smyth
My hon. Friend makes an excellent point. We have still not heard from the Opposition whether they agree with the extra investment that has gone into the sector or with Lord Darzi’s report that diagnosed their legacy, including why they left that legacy and the serious issues we now have to address.
KS
Karin Smyth
I commend the hon. Lady for raising the great work done by hospices. We understand the pressures and the precarious situation that many have been left in after 14 years of the last Government. We are willing and keen to talk to representatives from all types of hospice, and others. We are going through the process of t…
KS
Karin Smyth
My hon. Friend makes an excellent point. As I said in my response to the hon. Member for Hinckley and Bosworth (Dr Evans) , we faced a situation where we were told that we would have to reduce appointments by 20,000 a week. We have taken serious steps, and my right hon. Friend the Secretary of State fought hard for our…
KS
Karin Smyth
We understand the precarious situation that hospices are in—the precarious situation that they found themselves in before we came to power— and we are committed to talking to them and other affected providers. We will be going through the normal process of allocations in the next few months.
KS
Karin Smyth
Those Conservative Members who have held on to their seats—I have been in that situation as well—know that the public, staff and patients understand exactly what state they left the NHS in. That is why they had such a disastrous election result. We are determined to change the NHS and to make it fit for the 21st centur…
KS
Karin Smyth
The SNP has been in charge in Scotland for something like 20 years now—I forget exactly how long, but it seems like a very long time. Again, the Scottish people gave us an excellent result at the general election, and I am delighted to have so many Scottish colleagues here with me now. However, the SNP has the opportun…
KS
Karin Smyth
Well, I do agree with my hon. Friend. As I have said, when I became a Member of Parliament in 2015, I remember very clearly the absolute shock that I felt when the Conservatives immediately announced that they were not going to meet the commitment that they had made to implement the Care Act 2014 at that time, and we a…
KS
Karin Smyth
As I have said, we have made a commitment to general practice and primary care by releasing extra GPs into the system. We recognise the situation in which GPs find themselves. I know this because I worked with GP practices in my previous career. We need those practices to be the foundation of our neighbourhood services…
KS
Karin Smyth
My hon. Friend has led fantastic work in previous Parliaments on the health and social care system, which he understands very well. He makes an excellent point about ensuring that additional funding goes where we want it to, which is towards supporting our constituents, particularly with social care. We have all seen t…
KS
Karin Smyth
The right hon. Gentleman tempts me to go into my previous career working with GPs and their employment and contractual status, but I will not do that now, Mr Speaker, as you would rightly curtail me. GPs have a complicated contractual status that has been long in the process. We understand the precariousness of primary…
KS
Karin Smyth
My hon. Friend is right: getting away from short-term fixes and sticking plasters is exactly what we are attempting to do. That is why we put in the extra security of extra GPs over the summer, committed to extra funding in the Budget, and launched our 10-year plan. I encourage all hon. Members and their constituents t…
KS
Karin Smyth
The right hon. Gentleman says that it is an ill-thought-through Budget. I do not know whether he agrees or disagrees with the extra funding that the Government have committed to the NHS after the disaster of the last 14 years.
KS
Karin Smyth
I am so pleased to see my hon. Friend in her place. As I said to the hon. Member for Aberdeenshire North and Moray East (Seamus Logan) , the SNP has been in charge of Scotland for a very long time. We have certainly missed having a Scottish Labour voice in this place. She makes an excellent point and shines some sunlig…
KS
Karin Smyth
I agree with the right hon. Gentleman that his hospice, and the hospices in many of our constituencies, do great work. We are aware of the precarious situation that they have been in for a number of years, and we want to ensure that they are fully part of end of life care. He will know from his time in the Treasury tha…
KS
Karin Smyth
My hon. Friend brings a great deal of expertise to the House from her work in social care, so she knows and understands the precarious nature of the sector, which we cannot stress enough. I do not know whether the Conservatives have actually read the report by Lord Darzi, but that report and its appendices give a reall…
KS
Karin Smyth
I thank the hon. Gentleman for his comments and for supporting his local hospice. He is an experienced parliamentarian; he knows that this is not simple and that the provider landscape is complicated. As we heard from my hon. Friend the Member for Sheffield South East (Mr Betts) , large private equity companies own man…
KS
Karin Smyth
The hon. Lady tempts me to make specific commitments, which I am not prepared to do, as I am sure she understands. She is right that people are expressing concerns about some of these decisions. That is because they are in such a precarious situation as a result of what we have inherited from the past 14 years. As the …
KS
Karin Smyth
I assure the hon. Gentleman that since we were elected, the Government have already taken action to secure extra investment in the health and social care system, and we are committed to building a thriving health and social care system for the rest of the 21st century.
KS
Karin Smyth
The hon. Gentleman makes an excellent point about pharmacies. We absolutely understand their importance, both in urban constituencies such as mine and in rural areas. I remember from when I became an MP in 2015 the changes that the previous Government made to the pharmacy contract, and I am aware of the precarious situ…
KS
Karin Smyth
I am sure that all those hospices, which do great work, were also in touch with the hon. Lady when she was part of the previous Government. She will know from her time on the Treasury Committee that following the Budget, we go through the planning guidance and have conversations with all core contracted sectors. That i…
KS
Karin Smyth
I understand the concerns of the providers that have come to the hon. Gentleman, and he is right to raise them in this place. As he knows, health and social care is devolved to the Welsh Government, and there has been much benefit already from the Barnett consequentials of the Budget. We will continue to talk to the de…
KS
Karin Smyth
I am not abreast of all the Health Secretary’s tweets and the responses to them, but Caroline makes a point that has been made by many people in the Chamber today, as well as a number of providers. As I said in my opening statement, we understand the precarious situation that those providers have been put in because of…
KS
Karin Smyth
The hon. Gentleman may or may not think that this is political knockabout, but I was very clear in my opening statement that we understand the pressures that the sector is under. We understand the mess that we inherited, and we are fixing it. We are working with social care, GPs, providers and hospices that are affecte…
KS
Karin Smyth
As the hon. Gentleman knows, health and social care is a devolved issue. We will continue to work closely with all the devolved areas, because we think that that is important, unlike the last Labour Government—the last Conservative Government. [Laughter.] I slipped there—I almost got through. We absolutely understand t…
Access to Primary Healthcare16 Oct 2024
KS
Karin Smyth
I beg to move an amendment, to leave out from “Parliament” to the end of the Question and add: “; welcomes the urgency with which the new Government commissioned Lord Darzi to conduct an independent investigation of the NHS in England; recognises that within weeks of taking office the Government invested £82 million to recruit… 1,000 newly qualified GPs; notes the Government commitment to tackle the dental crisis by providing 700,000 urgent dental appointments and recruiting new dentists to the areas that need them; approves the Government’s commitment to expand the role of pharmacies and better utilise the skills of pharmacists and pharmacy technicians; and welcomes the Government’s commitment to further reduce unnecessary bureaucracy as care shifts from hospital to community.” I recognise that many people want to speak, so I will be as brief as possible. I begin by thanking the hon. Member for North Shropshire (Helen Morgan) for starting this debate. I think she spoke for us all when she said that she spent a lot of time looking for her glasses— I recently decided to go for the varifocal option just to avoid that problem. She also spoke for us all when she said that we all know how great it is when primary care is there for us. I am proud to have worked with primary care across the piece in south Bristol for many years. Although the hon. Lady and I are on opposite sides of the Chamber, I think we can agree that the last Government broke primary care at the same time as they were breaking the NHS. Throughout my time in opposition, and in my first three months in government, I simply have not met or spoken to a GP, a pharmacist, a dentist or, indeed, anyone else working in primary care who has said, “Everything is going swimmingly. My patients are happy, and this is exactly what I signed up for.” Lord Darzi’s review tells the same story and sets out an enormous charge sheet, and we still have not heard whether the Conservative party agrees or, indeed, whether it will
Hansard · 16 Oct 2024 · parliament.uk
NG
Nusrat Ghani
I inform the House that I have selected amendment (a), tabled in the name of the Prime Minister. I call Helen Morgan.
HM
Helen Morgan
I beg to move, That this House regrets that the NHS has been plunged into crisis by years of neglect by the previous Government, leaving far too many people waiting weeks to see a GP or unable to find an NHS dentist, and children and adults waiting months or even years to receive the mental health care they need; belie…
AR
Adrian Ramsay
On pharmacies, a new report from Healthwatch England reveals a worrying picture of pharmacy closures and reduced hours hitting older people and rural communities the hardest. NHS Norfolk and Waveney integrated care board, which covers much of my constituency, has reported the highest number of hours lost per pharmacy. …
HM
Helen Morgan
That is an important point. In my constituency, carers who go to pick up prescription medicines are finding that the pharmacists are not there because they are relying on locums. The pharmacy funding problem needs to be addressed as a matter of urgency, and I will say more about that later. Growing the economy is so im…
TF
Tim Farron
My hon. Friend is making a brilliant introductory speech. Is she aware that perhaps only a third of those leaving medical school and seeking to go into general practice are able to find jobs, partly because the additional roles reimbursement scheme—which does exist—cannot be extended to enable some of those would-be GP…
KS
Karin Smyth
I thank the hon. Lady for her assiduous work in opposition. Looking at the capital estate is one of my favourite new responsibilities, and our commitment to a neighbourhood service means that we need to bring services together. We need to look at this across the piece, to make sure that primary care is provided where i…
KS
Karin Smyth
I am tempted, but I know that many of the hon. Lady’s colleagues want to speak, and I am sure she is on the list. Fixing the NHS will take years of discipline and hard work, and we are in this for the long haul. However, we must first clean up the mess we inherited, and that work has begun in earnest. We have found the…
KS
Karin Smyth
Yes, as that will be one from each side of the aisle.
KS
Karin Smyth
I wish the hon. Gentleman well with his own access to a GP at the moment. We are committed to working with the profession on the best way to organise primary care. The critical point is that primary care, however it is organised in neighbourhoods, is there for our constituents when they need it. It is not there now. Th…
KS
Karin Smyth
No, I want to move on. I will take one more intervention from the Government Benches at some point and then it is all fair, but I want to allow time for hon. Members to speak. In our first week, we pledged to increase the proportion of NHS resources going into primary care, and in our first month, the Government made a…
Health Outcomes: East Midlands15 Oct 2024
KS
Karin Smyth
Lord Darzi’s report concluded that the health service is in a critical condition across the country, including in the east midlands, where healthy life expectancy has declined in the past decade. Waiting lists in the region stand at slightly below the national average for 18-week waits, at 57% compared to the national average of 58%.
Hansard · 15 Oct 2024 · parliament.uk
EL
Edward Leigh
What steps his Department plans to take to improve health outcomes in the east midlands.
EL
Edward Leigh
With two thirds of people having to wait more than four hours at Lincoln County hospital’s A&E department and with horror stories from my constituents of people waiting up to 24 hours, does the Minister understand that if we are to save the NHS and give people the timely appointments they need, we must unleash the full…
MW
Matt Western
A really important part of improving health outcomes in the east midlands, and across the country, is the use of diagnostics. The Rosalind Franklin laboratory, which was set up in my constituency, was closed down just a few months ago at a cost of £0.6 billion. Does my hon. Friend agree that one of the most important t…
KS
Karin Smyth
I thank the right hon. Gentleman for helping to underline the shocking inheritance from the previous Government. He is absolutely right. We are committed to cutting waiting times and serving constituents, like mine, by delivering the long-term reform the NHS desperately needs. The Government are committed to the fundin…
KS
Karin Smyth
My hon. Friend is absolutely right. We are committed to improving diagnostics as part of our reform of the health sector. Analysis of waiting lists shows that 20% of people will end up with a hospital admission, most as a day case. To improve waiting times, the focus must be on early prevention, diagnostics and consult…
NHS Urgent and Emergency Care15 Oct 2024
KS
Karin Smyth
The recent independent report by Lord Darzi makes it absolutely clear that urgent and emergency care services are also struggling, with the latest data published last week showing that one in 10 patients spend over 12 hours in A&E. We are committed to returning to service standards that patients rightly expect through our ambitious 10-year… plan to reform the health service.
Hansard · 15 Oct 2024 · parliament.uk
MT
Mike Tapp
What assessment his Department has made of the effectiveness of NHS urgent and emergency care services.
MT
Mike Tapp
In September 2021, Victoria hospital in Deal lost provision for blood testing. After a long campaign by residents, it was agreed that it would return. However, that has stalled in the tendering process. Will the Minister meet me to discuss how we can move this forward?
AG
Andrew George
I wish the Minister well in her efforts to address this issue, because it is extremely serious. There are very often more than 20 ambulances queueing outside Treliske hospital, which has a serious impact on expectations for patients. Will the Minister please look at the potential for urgent treatment centres to take pr…
PB
Paula Barker
Intermediate care for people facing homelessness, which is recommended by the National Institute for Health and Care Excellence, can reduce rough sleeping by around 70%. That is life-changing for people who have been sleeping rough and it plays a significant role in relieving pressure on hospitals. A recent evaluation …
AB
Alison Bennett
I recently met representatives of the Royal College of Emergency Medicine, who told me that the inadequate state of social care was resulting in the deterioration of people’s physical health, leading to more presentations at emergency departments. Does the Minister agree that if social care were properly funded, pressu…
KS
Karin Smyth
I commend my hon. Friend for championing this issue on behalf of his constituents. I understand that he has raised it with the chief executive officer of his local trust. He will appreciate that commissioning decisions are a matter for the local integrated care board, in this case Kent and Medway ICB, but I am, of cour…
KS
Karin Smyth
I thank the hon. Gentleman for his good wishes. It is, indeed, a huge task we have before us. We will maintain ambulance capacity throughout this winter. He makes a valuable point about alternative models to hospital admissions and treatment in the community. That is a matter for the local ICB, as I know he knows. It n…
KS
Karin Smyth
My hon. Friend has highlighted an issue that is often overlooked. Homelessness has risen to shocking levels in the last 14 years. When it was addressed under the last Labour Government, people were moved off the streets, and there was decent care at the front end of the hospital system and support in the community. My …
KS
Karin Smyth
What we see at the front end of the system is a result of the deterioration throughout the system, and the flow of patients from the community, through discharge and, indeed, through social care. Our ambitious 10-year plan will involve examining the entire patient pathway to ensure that care is provided in the communit…
Topical Questions15 Oct 2024
KS
Karin Smyth
As Lord Darzi outlined, capital development in the NHS is shocking, with a backlog of £11 billion in maintenance. I would be happy to meet the hon. Member to discuss his problem.
Hansard · 15 Oct 2024 · parliament.uk
CM
Chris McDonald
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Today, I am publishing the full findings of Dr Penny Dash’s review of the Care Quality Commission. Her interim report made it clear that the CQC was not fit for purpose, with fewer inspections being carried out, urgent follow-ups being neglected and patient safety being put at risk. Today, she makes seven recommendatio…
CM
Chris McDonald
My constituent Mark has been unable to find an NHS dentist for his 19-month-old child, even at the seventh time of trying. My right hon. Friend well understands the crisis he has inherited. Will he meet me to discuss the shortage of dentistry in Stockton North and across Teesside?
WS
Wes Streeting
I am sorry for my hon. Friend’s constituents, and so many others who are dealing with the consequences of the Conservatives’ failure on dentistry. I would be delighted to meet him to discuss the challenges in his area.
LH
Lindsay Hoyle
I call the shadow Secretary of State.
KS
Karin Smyth
My hon. Friend is right to raise the crisis of midwifery services. We have already had debates in Westminster Hall about this, and the issue affects the entire country. It is a priority for this Government, and I am of course happy to meet her to discuss her constituency issue.
Cass Review9 Oct 2024
KS
Karin Smyth
The Cass review is a robust report backed by clinicians and firmly grounded in evidence. The Government and NHS England will be implementing Dr Cass’s recommendations in full, so that children and young people get the safe, holistic care and support they need.
Hansard · 9 Oct 2024 · parliament.uk
RH
Richard Holden
What steps she is taking with Cabinet colleagues to implement the recommendations of the Cass review.
RH
Richard Holden
Dr Cass’s review was an important moment for services for young people in this country. Will the Minister restate the Government’s commitment to ensuring that all the review’s findings, which are based on evidence ahead of ideology, are implemented? Does the Minister also reject calls from various vested interest group…
TA
Tonia Antoniazzi
I thank the Minister for her response and the robust response from this Labour Government to support the Cass review. Will she confirm that she is having robust conversations with devolved Governments about its implementation across the United Kingdom?
JM
Joy Morrissey
I thank the Minister for taking up the recommendations of the Cass review. Children struggling with their gender identity deserve our protection and a holistic, understanding approach via our new NHS centres, rather than irreversible medical and surgical intervention. Will the Minister confirm that the British Medical …
KS
Karin Smyth
As I said in my original answer, the Government are absolutely committed to implementing all of Dr Cass’s evidence-based review in full.
KS
Karin Smyth
The Secretary of State has met the leaders of all the devolved Administrations to discuss our intention to work with them very closely across all issues that come under our sphere, including the Cass recommendations.
KS
Karin Smyth
I cannot reiterate any more strongly than I have that this Government are absolutely committed to implementing the Cass review’s evidence-based recommendations in full.
NHS Performance: Darzi Investigation7 Oct 2024
KS
Karin Smyth
I thank all Members for their contributions to this debate. We should all be grateful to Lord Darzi for his rapid and comprehensive review, although we still do not seem to know at the end of this debate whether the Opposition agree with the diagnosis or not. Essentially, it is evidence of their record, and… they do not like it. This has been a passionate debate with colleagues from all parts of the House addressing how 14 years of failure have damaged their constituencies, let down the people they represent and broken the NHS. Lord Darzi’s report is as breathtaking as it is distressing, whether it is discussing the chaos unleashed by Andrew Lansley’s top-down reorganisation, the plunge in productivity and patient satisfaction, the disproportionate impact of the pandemic compared with countries across the world or the failure to modernise ways of working. It beggars belief how the previous Government allowed that to happen on their watch. Behind every page of that report, we should remember the real-world suffering caused by the neglect. It is a record of missed opportunities and squandered potential. Those things are all the more galling for me, as someone who has worked in the NHS and who still cares passionately about its survival. In fact, the reorganisation was so bad that it led me to stand for Parliament. I would not be here today, were it not for Andrew Lansley. The House can make of that what they will. When I worked for the NHS under the previous Labour Government, I saw at first hand the power of politics to improve the system. I saw a health service delivering the shortest waiting times and highest patient satisfaction in history, and since then I have seen it decline in my constituency and the effect that has had on my constituents. When the system lets them down, they have no other options. They cannot afford to go private, they do not have the assets to sell and their families are in the same boat. Health inequalities and inequality of access led me to
Hansard · 7 Oct 2024 · parliament.uk
WS
Wes Streeting
I beg to move, That this House has considered Lord Darzi’s independent investigation into NHS performance. I am pleased to have the opportunity to open this debate on Lord Darzi’s investigation into the national health service, not just so that we can debate the past and what went so badly wrong, but so that the House …
MW
Munira Wilson
Lord Darzi’s report was utterly damning about the treatment of children in our health system. He said that too many children were being let down, and pointed out that they account for 24% of the population, but only 11% of NHS expenditure, and that over 100,000 children wait for over a year to be assessed for mental he…
WS
Wes Streeting
I strongly agree with the hon. Member. I will talk about the 10-year plan shortly, but I can guarantee that children and paediatric care will be front and centre of that plan. We can do much more to shine a spotlight on paediatric waiting lists, as well as doing much more in practice. She mentioned children and young p…
JS
Jeevun Sandher
Across my constituency, my constituents are struggling to see the GPs they need; indeed, we see that across the whole nation. On Friday, I visited the Park View surgery, where the GPs do not have the necessary resources and cannot move into the premises that they need to be in to treat their patients. Can the Secretary…
WS
Wes Streeting
I am grateful to my hon. Friend for his intervention. Of course it is not just in Loughborough that we have a challenge with access to general practice; it is right across the country. I want to be clear, because GPs come in for a lot of criticism: primary care may be broken, and the front door to the NHS may be broken…
Medicines9 Sep 2024
KS
Karin Smyth
I beg to move, That the draft Human Medicines (Amendments Relating to Naloxone and Transfers of Functions) Regulations 2024, which were laid before this House on 29 July , be approved. I, too, congratulate you on your election, Madam Deputy Speaker; it really is a pleasure to see you in the Chair. The draft statutory… instrument will amend the Human Medicines Regulations 2012 to expand access to naloxone: a lifesaving medication that reverses the effects of an overdose from opioid drugs. In addition, the SI will keep the regulations current by updating references to Public Health England and the Health and Social Care Board, following the dissolution of those bodies. Hon. Members will no doubt know of the devastating impact of illicit drugs. Drugs destroy lives, tear families apart and make our streets less safe. Almost 3,000 people died of drug misuse in England in 2022—the highest number since records began in 1993. Drug misuse deaths have doubled over the past 10 years, and people die from drug misuse at a tragically young age, often in their 40s. Almost half of drug misuse deaths in 2022 involved opiates such as heroin. These deaths are avoidable. Dedicated drug treatment services provide the path to recovery, and my Department is continuing to invest in improvements to local treatment services, which have faced significant cutbacks. We also know that over half the people struggling with opiate addiction are not engaged in treatment at all. That means that significant numbers of an incredibly vulnerable population are at increased risk of accidentally overdosing and dying. People who experience addiction often have multiple complex needs, and we know that there is a strong link between addiction and deprivation. The rate of drug misuse deaths in the most deprived areas of England is almost three times higher than in the least deprived. Nearly a third of people in treatment for drug or alcohol problems reportedly have a disability, around one in six have a housing
Hansard · 9 Sep 2024 · parliament.uk
BS
Ben Spencer
It is not often that one speaks in this place on changes to the law that will have the direct result of saving lives, but once the draft regulations pass, as I hope they will this evening, we expect them to save many peoples’ lives. Today is a very special occasion. I do not say this to disparage people who work in the…
JC
Judith Cummins
I call the Liberal Democrat spokesperson.
BD
Bobby Dean
It is good to a hear consensus building across the House on naloxone because, as we have heard from other Members, it is a lifesaver. Since its roll-out in the UK, that highly effective antidote to opioid intoxication has doubtlessly saved hundreds of lives and prevented many more harmful overdoses, as organisations wo…
JS
Jim Shannon
I thank all those who have made maiden speeches and valuable contributions today. As the Democratic Unionist party’s health spokesperson, it is important that I speak on this issue to provide, as I always do, a Northern Ireland perspective for the Minister, the shadow Minister and all others who have spoken. The experi…
SB
Siân Berry
Alongside hon. Members who have spoken on behalf of other parties, I welcome the changes. Naloxone saves lives: it brings people back from one of the most final and, in many cases, fatal mistakes they can make. This is a really important change to make, but I hope that the regulations will be kept more closely and cont…
KS
Karin Smyth
This evening, I am standing in for my hon. Friend the public health Minister, who could not be here. I might offer to stand in again, such has been the rare outbreak of unanimity across this House. I know from my own experience in the sector that that is often the case with public health measures, as so much work is do…
KS
Karin Smyth
I understand that there are some concerns about that issue, and we will make sure that the hon. Member receives a full answer from my hon. Friend the public health Minister. In short, these changes will widen access to life-saving medicine. I am sure hon. Members will agree that any death from an illicit drug is tragic…
New Health Centre: Maghull23 Jul 2024
KS
Karin Smyth
I congratulate my hon. Friend on his re-election. He will know that capital allocations are a matter for the integrated care boards. We are committed to introducing neighbourhood care centres to bring together vital care services, and I look forward to working with him on Labour’s mission to improve the front door to the local… NHS.
Hansard · 23 Jul 2024 · parliament.uk
BE
Bill Esterson
Whether his Department plans to provide capital funding for a new health centre at Maghull in Sefton Central constituency.
BE
Bill Esterson
I congratulate my right hon. and hon. Friends on their appointments. The predecessors of my right hon. Friend the Health Secretary—there have been quite a few over the past few years—all agreed with me that a health centre in Maghull in my constituency was a priority for the health service, but as my hon. Friend has ju…
KS
Karin Smyth
My hon. Friend is first out of the blocks on this issue, and has shown his commitment to improving primary care for his constituents. I am sure the local ICB has listened very carefully to his question, because we know that the existing primary care estate is under a great deal of pressure. That is why building a neigh…
Urgent and Emergency Care23 Jul 2024
KS
Karin Smyth
I congratulate my hon. Friend on her election, and I also pass on my best wishes to her and her husband, who I know recently suffered a stroke. We hope he makes a speedy recovery. We recognise the great work of NHS staff for them, and indeed for all our constituents every day, but we… do know that the NHS is broken. The latest data confirms the terrible state in which the Conservatives left urgent and emergency care services, with one in four patients waiting longer than four hours in A&E. That is why Professor Lord Darzi will lead an investigation into NHS performance, and the findings will inform our 10-year reform of the NHS.
Hansard · 23 Jul 2024 · parliament.uk
UK
Uma Kumaran
What assessment his Department has made of the effectiveness of NHS urgent and emergency care services.
UK
Uma Kumaran
I thank the Minister for her kind words today, and I also thank my right hon. Friend the Health Secretary for his wishes on the day. Mr Speaker, may I also take this opportunity to thank you and your staff for the care and kindness you showed me? Residents in my constituency of Stratford and Bow are served by Barts hea…
PP
Priti Patel
I welcome the new Front-Bench Members to their new portfolios and responsibilities. Essex has actually seen some improvements in emergency care services over the past 14 years, particularly in our ambulance trust, and that should be commended. One way in which pressure on emergency services can be reduced is by having …
SD
Shaun Davies
For 14 years the community in Telford and I have worked hard to safeguard our A&E, but the last Conservative Government made Telford the largest town without a fully functioning A&E. Will the Health team meet me and other Shropshire MPs to discuss this discredited and disgraceful decision?
AG
Andrew George
A decision by the Conservatives two years ago means that the urgent treatment centre at the West Cornwall hospital in Penzance is now closed at night, and that has put pressure on the only emergency department in Cornwall—a long peninsula—at Treliske, where routinely 20 ambulances are parked outside creating a new meta…
KS
Karin Smyth
My hon. Friend makes an excellent point highlighting the challenges particularly around hospital capacity, something well-known on the Front Bench with my right hon. Friend the Health Secretary representing a nearby area. This type of patient experience is unacceptable, but it sadly became normal under the last Governm…
KS
Karin Smyth
I thank the right hon. Lady because she again makes for us the excellent point about what has happened in the last 14 years under her Government: these situations have been allowed to get so much worse both in Essex and across the country. She should also welcome our mission to rebuild the broken front door to the NHS …
KS
Karin Smyth
I welcome my hon. Friend to his place. He knows what we all know, and what we know the entire country knows because we spent the past six weeks campaigning: it is the same story across the country. That is why we are committed to restoring standards and why we will fix this broken NHS, and of course I am happy to meet …
KS
Karin Smyth
Again, across the country we see the damage done over the last 14 years, and the hon. Gentleman is absolutely right to highlight that the situation in one part of the system knocks on to other parts. That is why we want a 10-year plan to look at this, an immediate look with Lord Darzi, and, critically, to understand wh…
Neonatal Care: Parental Accommodation23 Jul 2024
KS
Karin Smyth
I congratulate my hon. Friend on her re-election and thank her for raising this important issue. It is not right that three out of four parents are not able to stay with their critically ill baby overnight at such an important point in that new relationship. NHS England recently concluded a review of neonatal estates.… It is in the early stages of analysing the findings, which will be used to inform the next steps. We are all determined to support parents to be involved in every aspect of their baby’s care.
Hansard · 23 Jul 2024 · parliament.uk
BR
Bell Ribeiro-Addy
If he will take steps to help increase the number of accommodation units available for parents whose babies have been admitted to neonatal care units.
BR
Bell Ribeiro-Addy
I congratulate my right hon. and hon. Friends on their re-elections and on taking their places. Recent research from the charity Bliss showed that when a baby receives neonatal care, their parents are routinely expected to leave them in hospital overnight for weeks or even months at a time. Its research found that for …
JS
Jim Shannon
I thank the Minister for her answer. This issue is clearly not just about accommodation; it is also about providing physical and emotional help for mothers who have been through traumatic circumstances, emotionally and physically. What will be done along those lines to ensure that mothers and babies have all the help t…
KS
Karin Smyth
My hon. Friend is absolutely right that the separation of babies and their parents at that time is not acceptable, and about the shocking state of the estate, as we have just heard. We will look at the findings of the NHS review very quickly, and I will be happy to get back to her on those specific points.
KS
Karin Smyth
The hon. Gentleman makes a really important point about mental health support in that critical period. We will absolutely make sure that is looked at.
Topical Questions23 Jul 2024
KS
Karin Smyth
My hon. Friend makes an excellent point about the stress that people face when waiting, and we have talked about the disaster of the past 14 years. People with potentially deteriorating conditions are waiting, and we absolutely need to address this issue as part of our work to reduce waiting lists.
Hansard · 23 Jul 2024 · parliament.uk
CH
Carolyn Harris
If he will make a statement on his departmental responsibilities.
WS
Wes Streeting
Our NHS is broken. This Government have been honest about the problems we face because we are serious about fixing them, and we have not wasted a moment. We have appointed Lord Darzi to carry out an independent investigation of the state of our NHS, we are resetting the relationship with junior doctors with negotiation…
CH
Carolyn Harris
During their free NHS 40-plus health checks, women are assessed for conditions that may affect them as they grow older, but menopause is not included. To include it would be cost-neutral and would not only help millions of women to recognise the symptoms, but prevent needless GP appointments when those symptoms start t…
WS
Wes Streeting
I am delighted to see my hon. Friend back in the House. She campaigns relentlessly on this vital issue, and it would be very risky for me to do anything other than agree to meet her, because I share her view that progress needs to be made on it.
LH
Lindsay Hoyle
I call the shadow Secretary of State.
KS
Karin Smyth
I welcome my hon. Friend to the House. He makes an incredibly important point about this very stressful time, particularly for women, in his area. We will listen to women and deliver evidence-based improvements to make maternity and neonatal services safer and more equitable for women and their babies, and we have comm…
Health Services: Rural Areas17 Jul 2024
KS
Karin Smyth
It is a privilege to be the first Minister of this new Labour Government to respond to an Adjournment debate. I am grateful to the hon. Member for Caithness, Sutherland and Easter Ross (Jamie Stone) for raising this important matter and, indeed, for his kind words. I hope we can begin this Parliament as we… mean to go on, by being candid about the formidable challenges that the NHS faces. As my right hon. Friend the Secretary of State said on his first day in the job, the NHS is broken, and it will be the task of this Government to build a new NHS for the future. That means the NHS in our rural and coastal areas no less than the NHS in our towns and cities. I agree with the hon. Member for Strangford (Jim Shannon) on that point. Facing these hard truths does not take away from the heroic efforts of the people working in health and care, who have done their utmost in incredibly difficult circumstances. We all owe them, on behalf of our constituents, a debt of unending gratitude. Instead, we want to focus our attention on what needs to be done, including early action to improve access to primary care, dentistry and dental health services in particular. We await the conclusions of a thorough investigation undertaken by the distinguished surgeon Lord Darzi to properly understand the scale of the problem. The Government will then begin work on an ambitious programme of action—a 10-year plan to put the NHS back on its feet. It is a privilege to be part of a Labour Government who are committed to fixing the NHS and making it fit for the future. As the hon. Member for Caithness, Sutherland and Easter Ross said, the Department’s responsibility stretches only to the NHS in England. Healthcare is devolved in Scotland, Wales and Northern Ireland, and it will continue to be so. I congratulate the hon. Gentleman on being first out of the traps to secure this debate on behalf of his constituents. As a committed advocate for his constituents in one of the most rural parts of Scotlan
Hansard · 17 Jul 2024 · parliament.uk
JS
Jamie Stone
Let me get my specs on properly, Madam Deputy Speaker. They have a wonky leg that sticks out sideways. I must say at the outset that I have heard some excellent maiden speeches today. It is a bit worrying to hear such good maiden speeches, because it makes one feel somewhat mundane in comparison. Let me also welcome th…
JS
Jim Shannon
I want to keep the tradition alive, Madam Deputy Speaker. This is my first intervention during an Adjournment debate in the new Parliament. I commend the hon. Member for Caithness, Sutherland and Easter Ross (Jamie Stone) for raising an issue that is very important to me and to my constituency. I also congratulate him …
JS
Jamie Stone
The hon. Member makes his point with his customary charm. It is no wonder that he is so well liked in this place, because he always speaks for his constituents. I have talked about the delays in vaccinations, which also applies to the lifesaving vaccinations that babies must have. The Scottish Government take a one-siz…
SD
Sarah Dyke
I apologise for coming a bit late to this debate. Primary care is asked to do more in rural areas than in urban settings, piling pressure on GPs, pharmacists and dentists, yet they struggle to recruit staff, as my hon. Friend said. A dental practice in Street, in my constituency, has been without an NHS dentist on its …
JS
Jamie Stone
I absolutely endorse that. I am glad that I said in my opening remarks that my experience in a very remote part of Scotland applies to other parts of the United Kingdom. What we have just heard proves that this is the case. NHS Scotland has halted all new builds and repairs to health centres across the entire country, …
KS
Karin Smyth
I am aware of the issues facing the south-west and, when in Opposition, I spoke in the local media about some of the ambulance challenges. I am not aware of those reports, but if the hon. Gentleman writes to me with the details, I will happily look into the issue and get back to him. We also recognise the additional co…
KS
Karin Smyth
As ever, the hon. Gentleman makes a valid point. I shall certainly ask my colleagues in the Department for Environment, Food and Rural Affairs about that. His point is extremely well made. I know his constituency in Northern Ireland very well. Let me say that we are very committed to working with hon. Members across th…
Trailer and Towing Safety21 Mar 2024
KS
Karin Smyth
It has been a decade since a child was killed in my constituency by a runaway trailer. Freddie was just three years old. A 2-tonne trailer came loose from a nearby car as he walked down the street near his home. The consequences of the unsecured tow hitch were fatal. Shortly after I became an… MP, I met Freddie’s parents, in 2016. Since then I have campaigned to improve towing safety standards. I am grateful tonight to have the chance to focus the mind of the current Minister on this important topic, and I thank him for talking with me. Sadly, not enough has been done over the past three years to ensure that our roads are safe for trailers. Back in 2016, when I first met the family, they had researched previous cases and learned that there were other families like theirs. This was not a one-off, and it could have been prevented if better safety checks had been in place. One example that came to light was the death of a four-year-old boy killed by a trailer that had broken free from a car in the Amber Valley constituency in 2007. The then Minister, the former Member for Poplar and Limehouse, commented at that time: “Introducing MOT-style tests for such trailers is a possibility that we have considered before, and it is a matter that we keep under review. There have been several such accidents in recent months, and I will certainly consider the matter with officials in the Department to see whether we need to move on that”.—[Official Report, 22 January 2008 ; Vol. 470, c. 1354.] The Road Traffic Act 1988 states that it is an offence to drive an unroadworthy vehicle, and we know that there are many trailers on our roads that are dangerous and in need of repair. We need to do so much more to stop further tragedies from happening. Since 2015, I have met many road safety Ministers, and I put on the record my thanks to the hon. Member for Harrogate and Knaresborough (Andrew Jones) , the right hon. Member for Hereford and South Herefordshire (Jesse Norman) and the right hon.
Hansard · 21 Mar 2024 · parliament.uk
LG
Lilian Greenwood
I congratulate my hon. Friend on her dogged pursuit of this issue. I wonder whether, knowing the appalling state of many of our roads in this country—
NE
Nigel Evans
Order. I am afraid we have to go through the technical nicety of the Whip moving the Adjournment again. Motion lapsed ( Standing Order No. 9(3) ). Motion made, and Question proposed, That this House do now adjourn.—(Suzanne Webb.)
LG
Lilian Greenwood
That took me by surprise. I was wondering whether the state of our roads, which many people are aware of, adds to the danger posed by the issues with trailers and driver awareness that she has set out.
GO
Guy Opperman
It is an honour and a privilege to respond to the hon. Lady’s thoughtful, heartfelt and impressive speech on an issue that she clearly cares passionately about. She has done herself great credit not just tonight but throughout the long campaign she has waged. I pay massive tribute to her. There is much criticism in thi…
GO
Guy Opperman
I thank the hon. Lady for her comments. I want to emphasise that this is a constructive process. It is in all our interests to ensure that it has the assurance and understanding of the House, and that the appropriate balance is struck between legislation and any freedoms that may or may not be enjoyed. Let me say a lit…
KS
Karin Smyth
My hon. Friend makes an excellent point. Yes, if the trailer is not towed safely, any damage in the roads—road bumps, potholes and so on—will add to the stress on trailers. That could have more lethal consequences. The Government’s own impact assessment, which was not released until after the statutory instrument had p…
KS
Karin Smyth
I am grateful to the Minister for his diligence and his respect for this issue, and for examining the history behind it. I look forward to working with him further and taking up his offer to follow it through with his officials. I am glad that that is in train, and that a bit more light is being shone on the issue. I t…
Animal Welfare (Import of Dogs, Cats and Ferrets) Bill15 Mar 2024
KS
Karin Smyth
The hon. Lady is making an excellent speech about this really important Bill, which I fully support. It is good to see it coming forward. As she outlined, we are still waiting for a consultation response from the Government, but does she agree that it is deeply disappointing that the Government dropped their Animal Welfare… (Kept Animals) Bill, which would have looked at these issues more carefully? We need greater action from the Government on animal welfare. Even though this Bill will help, we need more.
Hansard · 15 Mar 2024 · parliament.uk
SS
Selaine Saxby
I beg to move, That the Bill be now read a Second time. Pets are a part of our family. They provide support and companionship when we need it most. In time-honoured Friday tradition, I would like to name my own pets, from my childhood cat Perdita through to Phoebe, who I adopted while I lived in the States, my yellow L…
ME
Maria Eagle
Has the hon. Lady ever owned a ferret? If so, what was that ferret’s name?
SS
Selaine Saxby
That is an excellent intervention. I will come to ferrets, but unfortunately I have not had the pleasure of one at home myself. The companionship of pets was highly valued during the covid pandemic, when there was a surge in demand for puppies and kittens, which unfortunately led to even more upsetting cases of pet smu…
NE
Natalie Elphicke
This is such an important Bill, which my hon. Friend is bringing forward with passion and eloquence. Does she agree that the Government must put in funding at the border to deal with the problem and stop the smuggling of puppies, kittens and, indeed, ferrets? It is a worry that the Department for Environment, Food and …
SS
Selaine Saxby
My hon. Friend is a huge advocate for her constituency and the port of Dover. The Environment, Food and Rural Affairs Committee, of which I am a member, is indeed looking at some of those matters. The Bill will deliver a manifesto commitment to crack down on puppy, kitten and ferret smuggling by closing loopholes explo…
KS
Karin Smyth
My hon. Friend is making an excellent speech. Does she agree that although many of us have learnt a great deal about these practices, courtesy of the hon. Member for North Devon (Selaine Saxby) , the wider public are not aware of some of the consequences? Could the Government not do much more to inform the public of th…
Income Tax (Charge)7 Mar 2024
KS
Karin Smyth
When the Minister has time, he might want to read the shadow Chancellor’s speech in Hansard and help his colleagues who will be speaking later. May I take him back to the subject of ordinary people? As a result of last year’s mini-Budget, people who remortgage are now paying £240 more—real money for them—than they… were previously. If he does not accept that there is a £46 billion hole as a result of yesterday’s announcement, will he tell us what he thinks the figure is? Can he assure people who are remortgaging this year that they will not be further impacted by yesterday’s announcement and that there will not be a further scare on those markets?
Hansard · 7 Mar 2024 · parliament.uk
RW
Rosie Winterton
I call the shadow Chancellor of the Exchequer.
RR
Rachel Reeves
The stark reality of yesterday’s Budget is clear: taxes rising, living standards falling, growth stalling, and yet again the Tories making promises that they cannot deliver. They have failed on the economy, they are out of ideas and they are out of time. Let me turn first to the most, and potentially only, remarkable b…
RA
Rushanara Ali
Does my right hon. Friend agree that the Prime Minister’s tax plans will leave households on average £870 worse off under the Conservatives?
RR
Rachel Reeves
My hon. Friend has done the maths and is absolutely right. Taking into account the changes to the tax threshold, the announcements yesterday and in November, and council tax, by the end of the forecast period the average family will be £870 worse off. As the Resolution Foundation highlighted just this morning, the 8 mi…
PG
Peter Grant
I completely agree that deliberately leaving tax thresholds untouched at a time when pay and prices are increasing is a stealth tax. It is a stealth tax when this Chancellor does it, but it was also a stealth tax when Gordon Brown did it.
KS
Karin Smyth
Just to correct an earlier point, when the hon. Member said that the Scottish Government would do more than any Government down here, I helpfully remind him that the last Labour Government lifted hundreds of thousands of children—I think up to 1 million —out of poverty, and we would seek to do that sort of work again. …
KS
Karin Smyth
The hon. Lady makes an excellent point about special needs provision in most authorities across the country, regardless of the politics of a place. The situation is really damaging for young people. Bristol City Council has become part of the Government’s safety valve initiative, along with neighbouring Conservative- r…
KS
Karin Smyth
Families in my constituency have felt the consequences of the Government’s political chaos and economic incompetence. Five Prime Ministers, seven Chancellors and 11 plans for growth have all left them worse off than they were 14 years ago. The Budget will not change that, and, crucially, the Government know it. If the …
KS
Karin Smyth
It is astonishing that on day two of the Budget, the Government still want to tell the country that it has never had it so good. Will the Minister address some of the points made by my hon. Friend the Member for Leicester West (Liz Kendall) ? What does he say to those young people who cannot work because of disability …
KS
Karin Smyth
My point was about the changes that we do not yet really understand in the Budget, and their effect on women in particular. Will there be an equality impact assessment showing how these changes will affect women?
Urgent and Emergency Care5 Mar 2024
KS
Karin Smyth
Despite watering down the targets for ambulance response times and the A&E four-hour wait, the Government still cannot meet them. We have heard from Members across the House this morning how patients are waiting longer. The new targets say that there will be further improvements in 2024-25, and the Minister has said that again this… morning. Can she let us in on what exactly they will be?
Hansard · 5 Mar 2024 · parliament.uk
MR
Mary Robinson
What steps her Department is taking to improve urgent and emergency care.
FD
Flick Drummond
What steps her Department is taking to improve urgent and emergency care.
AL
Andrew Lewer
What steps her Department is taking to improve urgent and emergency care.
HW
Helen Whately
A year ago we set out a plan to improve urgent and emergency care, and the plan is working. Performance this winter has been better, with ambulance waits down by nearly a third, and we are learning the lessons from this year to make further improvements in the year ahead.
MR
Mary Robinson
It is welcome news that the brand-new £30 million A&E campus at Stepping Hill Hospital is nearing completion. However, other buildings on this ageing site are failing and urgently need replacing. Will my hon. Friend ensure that Stepping Hill remains at the heart of hospital facilities in Stockport with rebuilt units, a…
Troubles: Legacy and Reconciliation28 Feb 2024
KS
Karin Smyth
What progress his Department has made on implementing the Northern Ireland Troubles (Legacy and Reconciliation) Act 2023.
Hansard · 28 Feb 2024 · parliament.uk
JS
Jeff Smith
What his Department’s planned timetable is for when the Independent Commission on Reconciliation and Information Recovery will be operational.
CH
Chris Heaton-Harris
I start by welcoming the return of the devolved institutions to Northern Ireland, following the publication of the “Safeguarding the Union” Command Paper earlier this month and the Windsor framework, which was agreed exactly a year ago yesterday. Let me also take this opportunity to mention that the Northern Ireland Hu…
JS
Jeff Smith
In the light of this morning’s High Court ruling, does the Secretary of State still think that after 1 May the citizens of Northern Ireland should be the only people in the UK denied the right to seek justice for crimes committed during the troubles, through civil cases and inquests?
CH
Chris Heaton-Harris
Mr Justice Colton handed down his judgment at 10.15 this morning. It is a very complex case. I am told that the judgment runs to over 200 pages, and I am yet to see it. It will take some time to consider, but we will consider Mr Justice Colton’s findings very carefully. We remain committed to implementing the legacy Ac…
CH
Chris Heaton-Harris
I humbly remind the hon. Lady that the original deadline, before we tabled amendments to the Act, then a Bill, in the House of Lords, was 1 May 2023 , so there has been an extra year. The Government continue to assist the Northern Ireland courts in good faith on legacy matters. There is no question of the Government de…
KS
Karin Smyth
It is deeply concerning that the Government’s own imposed 1 May deadline means that inquests will be unable to conclude as they otherwise would. We have heard reports that there was only one specialist in the Ministry of Defence dealing with these inquiries, and that possibly MOD delays in providing material have cause…
Points of Order28 Feb 2024
KS
Karin Smyth
On a point of order, Mr Deputy Speaker. I have informed the relevant Member of my raising this point of order. On 10 January , the hon. Member for Uxbridge and South Ruislip (Steve Tuckwell) asked the Prime Minister an oral question about Hillingdon Hospital in his constituency. He said that “the new Hillingdon hospital… has full planning permission and full funding and enabling works are well under way.”—[Official Report, 10 January 2024 ; Vol. 743, c. 295.] However, a freedom of information request has revealed that “the total funding for the redevelopment of Hillingdon Hospital is to be confirmed”. I further understand that the start date for the procurement of a contractor and for the construction of the hospital is yet to be confirmed. Given that the hon. Gentleman may have unintentionally misled the House on a matter of great concern to his constituents, I seek your assistance, Mr Deputy Speaker, in asking him to set the record straight on this matter.
Hansard · 28 Feb 2024 · parliament.uk
NE
Nigel Evans
I thank the hon. Lady for her point of order and for giving me forward notice of it. She has clearly made public her views on this matter. While I am not responsible for the content of Members’ questions, I draw the matter to the attention of those on the Treasury Bench so that if a Member has unintentionally misled th…
TP
Toby Perkins
On a point of order, Mr Deputy Speaker. I want to clarify the record because something I said in the House yesterday was not, it turns out, on further investigation, entirely accurate. I have been campaigning for some time on supermarket chains’ charging motorists in Chesterfield several pence more than they were being…
NE
Nigel Evans
I can see motorists speeding towards—well, perhaps not speeding but heading towards the hon. Member’s constituency to fill up. When someone unintentionally misleads the House, that is how to correct the record with speed. I thank the hon. Gentleman for that.
SO
Sarah Olney
On a point of order, Mr Deputy Speaker. Today, reports that Thames Water has been lobbying the Government and Ofwat to let it increase bills and face lower fines come as the company seeks to avoid a potential £18 billion bail-out from the taxpayer. It seems clear that the UK’s largest water company is teetering on the …
NE
Nigel Evans
I thank the hon. Lady for her point of order and for giving me forward notice of it. She has already done a lot of work on this, so she knows the avenues to go through, but she can always seek guidance from the Table Office on how to pursue the matter further. While it is not in the power of the Chair to compel Ministe…
Heart and Circulatory Diseases: Premature Deaths22 Feb 2024
KS
Karin Smyth
I thank the Backbench Business Committee for granting the debate and pay tribute to the hon. Member for Watford (Dean Russell) for securing it. I think we all agree that he made an excellent and heartfelt speech not just about his own experience, but about the effect on his family and his team. He thanked… the British Heart Foundation, and I agree that the resources of such organisations are well received at such times, which can often be very lonely. We wish him and his family the best of health going forward. My right hon. Friend the Member for Alyn and Deeside (Mark Tami) , who is no longer in his place, spoke about his experience as a family member of a young person who has suffered a heart condition, and the SNP spokesperson, the hon. Member for East Dunbartonshire (Amy Callaghan) , highlighted her own experience. Cardio- vascular disease affects not only us, but our families too. As has been said, every week in 2022 an average of 750 people died prematurely of cardiovascular disease, including heart attacks and strokes. Every premature death is of course a tragedy, and our thoughts are with all affected families. NHS England has reported that cardiovascular disease is responsible for one in four premature deaths in the UK. As we have heard, the rate of premature deaths has risen for the past three years consecutively—that is something that we all wish to understand. Many of my constituents, and people across the country, are worried about the state of heart and circulatory disease services. Despite the best efforts of staff, there is a significant backlog in treatment, the number of people on waiting lists for cardiology services is rising, with a huge 189% increase in the past 10 years. According to the Institute for Public Policy Research, waiting times for cardiology treatment have risen even more sharply than for elective waiting lists as a whole. That is deeply concerning, because long waits mean poorer outcomes for patients, often with devastating results
Hansard · 22 Feb 2024 · parliament.uk
DR
Dean Russell
I beg to move, That this House has considered premature deaths from heart and circulatory diseases. I start with something I never thought that I would stand here discussing. As I shared in Prime Minister’s questions a few weeks ago, at 47 I had a heart attack. It happened back in August last year, but I must admit tha…
MT
Mark Tami
The hon. Gentleman mentioned the work of Harefield Hospital. My son has been at Harefield for four months after having a heart transplant just before Christmas; it has been a very traumatic time. I would like to place on record the incredible support and care the hospital provides. I also want to say that we think of h…
DR
Dean Russell
May I send my best wishes to the right hon. Gentleman’s son? From my experience, his son is in absolutely the right place, and I hope he has a swift recovery. I echo the right hon. Gentleman’s comments—the staff at Harefield were exemplary at every stage of the process. Again, I put on record—for my own benefit, rather…
EL
Eleanor Laing
Order. It will be obvious to the House that we have very little time this afternoon, so I hope that Members will limit their remarks to around five minutes.
EL
Eleanor Laing
Would the hon. Gentleman like to find some way to make the House sit longer?
Knife and Sword Ban6 Feb 2024
KS
Karin Smyth
I rise to speak conscious of the tragic deaths of two teenage boys stabbed in my constituency last week, and the very live police inquiry being conducted. My thoughts are with the families and friends of those boys, in particular during this debate. I am conscious that we have had many debates on this subject,… and that there are many Members present whose communities have also been hit by similar tragedies, but lamentably those debates have not stemmed the rise in knife crime, as we saw in my own community last weekend. Over the past few months, regular meetings with the police were already being held in Knowle West, set up by some amazing women in the community. Fortuitously, a meeting was held on the Monday after the events, which I was able to attend, where people came together to express their grief and sorrow. There was a strong message at the meeting. The people there were very clear that they could see that events had been leading to a tragic outcome, and they wanted to know, where have the resources from their communities gone? Where are all the police on their streets? What has happened to their local healthcare and mental health services to support young people? What has happened to their youth services? What has happened to the council funding for services that make those streets and communities fit for living in, such as street cleaning, and make our communities so vibrant? Despite the high-falutin’ statistics thrown around in this place, those people know that their community has lost out. People in Knowle West and the rest of south Bristol, like those across the country, have seen those services disappear because of political decisions made in this place since 2010. I am unashamedly political about that point, because those decisions have consequences in our communities. I pay tribute to Avon and Somerset police for the preventive work they were doing with those communities before these tragic incidents and for the way they have worked since, and to Br
Hansard · 6 Feb 2024 · parliament.uk
LH
Lindsay Hoyle
Before we begin the debate on banning knives and swords from UK streets, I remind hon. Members that, under the terms of the House resolution on sub judice matters, they should not refer to any individual cases that are currently before the courts. I call the shadow Minister. 12.47 pm
AN
Alex Norris
I beg to move, That this House condemns the Government for overseeing a 77 per cent increase in knife crime since 2015; recognises the devastating impact that knife crime has on victims, their families and the wider community; acknowledges that the Government recently announced measures to ban zombie knives and machete…
AC
Alistair Carmichael
I am grateful to the hon. Gentleman for giving way because he is describing a situation that is virtually identical to the one we faced in Scotland 15-plus years ago. The initiative taken by the then Strathclyde police force and the Scottish Government since has been a very different approach to tackling it—that of tre…
AN
Alex Norris
I am grateful to the right hon. Gentleman for his intervention, and that will be part of my case, so I am sure I will be able to meet that test. It feels like most days we wake up to another tragic story of death and families torn apart. The most basic search online tells us it is all over the country—Bristol, Feltham,…
AC
Alex Cunningham
Under the Conservative Government and a Conservative police and crime commissioner, Cleveland has the highest crime rate in the UK, and only this weekend we saw another serious stabbing a mile down the road from me in Norton village. We hear the Government try to talk the talk but the bottom line has to be that they ar…
Rail Infrastructure31 Jan 2024
KS
Karin Smyth
What recent discussions he has had with Cabinet colleagues on the adequacy of rail infrastructure in Wales.
Hansard · 31 Jan 2024 · parliament.uk
FJ
Fay Jones
I have regular discussions with colleagues across Government on rail infrastructure. The UK Government are committed to building a strong rail infrastructure network across Wales, which will improve connectivity and drive economic growth. We have provided over £390 million for Welsh rail in recent years, and we recentl…
FJ
Fay Jones
The hon. Lady’s constituents will be greatly affected by the project that she mentions and by the performance of Great Western Railway, which is not sufficient. The Office of Rail and Road has launched an investigation into poor train punctuality and reliability in Network Rail’s Wales and western region, and we await …
MF
Michael Fabricant
Will my hon. Friend join me in congratulating Network Rail and its subcontractors on completing the repair works on the longest wooden rail bridge in Europe across the Mawddach estuary in Gwynedd?
FJ
Fay Jones
I certainly will join my hon. Friend, and I am delighted that he takes such keen interest in Welsh rail infrastructure and raises it here on such a regular basis. He is right to flag that project, which is an example of this Government’s record investment in rail infrastructure in Wales. I was pleased to visit the proj…
KS
Karin Smyth
The Welsh Affairs Committee highlights the need for greater connectivity between Swansea, Cardiff and Bristol, which would be of huge benefit, particularly for sports and music fans coming to Ashton Gate in my constituency. Why has the Wales Rail Board failed to initiate recommendations and other further improvements?
Nursing Bursaries24 Jan 2024
KS
Karin Smyth
Whether he has had discussions with the Scottish Government on funding for nursing bursaries for those studying in Scotland.
Hansard · 24 Jan 2024 · parliament.uk
JL
John Lamont
Funding policies for those studying in Scotland, including nursing students, is a matter for the Scottish Government. The UK Government support collaboration between our nations to share best practice and provide better healthcare services. We would be open to future discussions with the Scottish Government about this …
JL
John Lamont
Nursing bursaries for those wishing to study in Scotland are a matter for the Scottish Government. Unfortunately, the Scottish Government only provide bursary support for Scottish-domiciled nursing students, and only if they are enrolled in a course that leads to a diploma in Scotland. In contrast, the UK Government en…
KS
Karin Smyth
My constituent has been denied additional funding for her nursing degree because she is domiciled in England but studying in Scotland, whereas those studying in England can access the funding regardless of where they are domiciled. What advice can the Government give me to help my constituent?
Extreme Weather Events: Resilience24 Jan 2024
KS
Karin Smyth
My right hon. Friend the Member for Wolverhampton South East (Mr McFadden) asked why the Government had neglected local resilience forums and, indeed, the Civil Contingencies Act 2004, which they bypassed during covid. May I ask that question again? What lessons have the Government learned from covid and such issues in order to give greater… sustainability to the local resilience forums that need to protect us?
Hansard · 24 Jan 2024 · parliament.uk
PM
Pat McFadden
(Urgent Question): To ask the Secretary of State in the Cabinet Office if he will make a statement on the UK’s resilience to recent extreme weather events, including Storm Isha and Storm Jocelyn.
AB
Alex Burghart
I begin by saying how sorry the Government were to hear that four people—two in this country and two in Ireland—sadly lost their lives due to Storm Isha. I extend my sympathy to their family and friends. At the same time, I praise our emergency and utility workers who worked so hard to help the public in very difficult…
PM
Pat McFadden
I thank the Minister for his response. Recent days have seen the UK battered by two severe storms, first Storm Isha and then Storm Jocelyn—the 10th named storm of this winter. Liz Bentley, chief executive of the Royal Meteorological Society, has said that these storms are “some of the worst in the last 10 years”. Our c…
AB
Alex Burghart
I thank the right hon. Gentleman for his warm words about our emergency services and utility workers. On his specific point about flooding, he will have heard the Department for Environment, Food and Rural Affairs, which is responsible for this area, comment earlier in the week that, “Flooding resilience in England is …
MP
Mark Pritchard
I thank the Minister for his statement and I thank his officials in the Cabinet Office who do so much that is often unseen. On those with a higher public profile, will he join me in thanking the Environment Agency emergency response teams for the west midlands, the Shropshire fire and rescue teams, who have done such a…
NHS: Winter Pressures23 Jan 2024
KS
Karin Smyth
The Secretary of State has said that preparation for winter started last January, but 54% of A&E departments were still rated inadequate or needing improvement in December, exacerbating the winter crisis. What will she do differently this year to ensure that we do not have another winter crisis in 2024-25?
Hansard · 23 Jan 2024 · parliament.uk
SL
Simon Lightwood
What steps her Department is taking to help reduce pressure on NHS services in winter 2023-24.
VA
Victoria Atkins
Our plan includes opening 5,000 more beds, increasing ambulance capacity, expanding innovative services such as virtual wards and bringing forward covid and flu vaccinations for the most vulnerable. Thanks to the hard work of staff, NHS performance this winter has improved on last year, despite the impact of industrial…
SL
Simon Lightwood
I am sure the caveat to that was the word “shortly”. I have had constituents contact me in desperation regarding delays at Pinderfields Hospital in my constituency. They tell me they have waited hours in emergency care this winter for routine blood tests—literally all day in some cases—even while in extremely poor heal…
VA
Victoria Atkins
I am sure that the hon. Gentleman is a fair man, and that, being so, he will point out to his constituents, when they call him with their issues, that ambulance response times for category 2 emergency incidents in his local area have in fact been over 30 minutes faster than last year. However, we accept of course that …
LH
Lindsay Hoyle
I call the Chair of the Health and Social Care Committee.
Tributes to Sir Tony Lloyd23 Jan 2024
KS
Karin Smyth
I met Tony when we became corridor neighbours after his 2017 election, but I knew of his reputation and was somewhat in awe of it. When I worked with him, my Irish-Mancunian Aunt Margaret messaged me to say, “You’re working with our Tony!” She was so proud and told everyone in Middleton about my great… rise. Although 2018 was a difficult time in the Labour party, in our country and in Northern Ireland, Tony assumed the role of shadow Secretary of State with his usual calm, professionalism and guiding political principles. Knowing my interest in Northern Ireland, he brought me into the team. It is still a mystery to me that when I became a shadow Northern Ireland Minister there was no announcement, there were certainly no tweets, and I am not even sure that the Office of the Leader of the House knew that the number of people in that team had risen from two to three. Along with the aforementioned Steve Pound, I became part of a trio. What a time that was—again, perhaps there will be stories later. Tony was not going to allow a bit of procedure, or indeed convention, get in the way of pragmatism and what he thought was needed at the time. He wanted to have a woman in his team—he was a great supporter of women’s equality. It was such a great pleasure to work with him at that time. Wherever we went, whoever we met and whatever difficult discussions we had—and there were many—with all political parties it was exactly the same. We met the political parties, we met those victims of the terrible violence in Northern Ireland, for which people are still struggling to get justice, we met campaigners for a new and different Northern Ireland, we met the Irish Government, and we met Tory Ministers, with whom we had difficult but always respectful conversations. Tony was exactly the same at all those meetings: calm, informed, respectful and, ultimately, very wise. Sadly, there are not always enough people in this place who are interested in the affairs of Northern Ireland, so we oft
Hansard · 23 Jan 2024 · parliament.uk
LH
Lindsay Hoyle
Before we proceed with the business, I would like to take the opportunity to remember our late colleague Sir Tony. I first met Tony almost 30 years ago when I was standing as a candidate in Chorley in the 1997 election. Tony was shadow Foreign Affairs Minister. He came along to Chorley and to Adlington—the village I li…
KS
Keir Starmer
The death of Sir Tony Lloyd last week was a great loss to so many people on the Labour Benches and beyond, but the sadness we feel pales in comparison with the grief that Tony’s family are going through. Our hearts are with them, and I am pleased that some of Tony’s family are in the Gallery today: his wife Judith, his…
RS
Rishi Sunak
Last week, the whole House was deeply saddened by the loss of one of our longest-serving and most respected Members, Sir Tony Lloyd. I offer my sincere condolences and those of the whole Government to his wife, Judith, their children and grandchildren, and all of his friends and family. Tony and I of course came from d…
MF
Marion Fellows
I want to send our sincere condolences to Tony’s family from the SNP Benches. I also want to say a few words personally about Tony. I did not know him very well, but I have one very vivid recollection. One evening, in the covid tent that was set up on the terrace, I went to meet an SNP colleague for a little light refr…
LH
Lindsay Hoyle
I call the Father of the House.
Funded Childcare22 Jan 2024
KS
Karin Smyth
Good-quality childcare is a crucial economic infrastructure issue for parents now and the education of children in the future, which is why we need it, but the system is too complex, and we cannot access it in my constituency. Providers are collapsing. When will the Government think about drawing up a workforce plan to try… to stabilise the system before adding more and more complexity for parents?
Hansard · 22 Jan 2024 · parliament.uk
BP
Bridget Phillipson
(Urgent Question): To ask the Secretary of State for Education if she will make a statement on her Department’s plans to roll out 15 hours of funded childcare to 2-year-olds in working families from April 2024.
DJ
David Johnston
The Government are rolling out the single largest expansion in childcare in English history. By September 2025, we will provide working parents with 30 hours of free childcare a week from when their child is nine months old, all the way until they start school. By 2027-28, this Government expect to spend in excess of £…
LH
Lindsay Hoyle
In which case, it would have been good to have come forward with a statement, rather than me granting an urgent question. So, please bear that in mind before you make a comment.
BP
Bridget Phillipson
Thank you, Mr Speaker, and thank you for granting the urgent question. Crumbling school buildings, botched school budgets and now the hat trick: a childcare pledge in tatters because of Conservative bungling. It is not Ministers, but families across the country paying the price for Tory incompetence. How did we get her…
DJ
David Johnston
I will try to pick out the questions from the bluster. On the £120 million, this is a specific issue that affects September 2024 onwards, where we allocated to local authorities 22 weeks of funding because that is the period from September to March. Some then said that they pay 26 weeks to their providers, so we have t…
Engagements18 Oct 2023
KS
Karin Smyth
In Bristol South, around a third of children live in poverty, most of them in working households. It is about the same as in Tamworth, where the Conservative candidate for tomorrow’s election made foul-mouthed comments about families struggling to make ends meet. This is the Prime Minister’s Conservative party. Will he condemn that candidate’s comments?
Hansard · 18 Oct 2023 · parliament.uk
CL
Chris Law
If he will list his official engagements for Wednesday 18 October.
RS
Rishi Sunak
I know that the whole House will have been shocked by the scenes at Al-Ahli Hospital. As my right hon. Friend the Foreign Secretary has said, we are working independently and with our allies to find out what has happened. I am sure that Members will raise further questions about this during today’s session. This mornin…
CL
Chris Law
May I associate myself, and the whole of my party here, with what has been said about the horrors and the unfolding tragedy of last night’s bombing of the hospital in Gaza? The Rafah border crossing from besieged Gaza into Egypt has been hit by several Israeli airstrikes, causing absolute terror to those who urgently n…
RS
Rishi Sunak
The thoughts of everyone in the House will of course be with the families affected by what is happening in Israel and in Gaza, and I can give the hon. Gentleman that assurance: we are doing everything in our power to ensure the safety of British nationals who are caught up in all this. That includes my calls with leade…
SJ
Sajid Javid
I am proud to live in the most successful multi-racial democracy in the world, but it saddens me, and I think it shames the whole House, that British Jews have been subjected to such vile abuse and hatred in recent days. Antisemitism and all hate crimes fly in the face of British values, and we should not allow events …
RAAC in Hospitals17 Oct 2023
KS
Karin Smyth
Not only are the hospital buildings crumbling after 13 years of neglect, creating huge capacity challenges; it seems that those still standing do not have enough beds. As we heard from The Times this morning, the number of “hospital beds…has fallen by almost 3,000 since ministers promised 5,000 before winter”. It feels pretty much like… winter to me. Is that just another broken promise?
Hansard · 17 Oct 2023 · parliament.uk
IL
Ian Lavery
What steps his Department is taking to remediate hospital buildings with reinforced autoclaved aerated concrete.
SB
Steve Barclay
We are determined to address the safety issues caused by RAAC. We are prioritising the seven worst-affected hospitals and have a fund of just under £700 million covering the four-year programme of replacement.
IL
Ian Lavery
Can the Secretary of State tell the House how many of the hospitals where RAAC is an issue also have issues with asbestos being present? What assessment has his Department made of the impact should asbestos spores be released in a RAAC collapse?
SB
Steve Barclay
The hon. Member raises an interesting point about asbestos, because much of the NHS estate dates from a time when asbestos was widely used. Of course, asbestos is considered safe if it is undisturbed. It is a similar issue with RAAC. On RAAC, we are following the guidance from the Institution of Structural Engineers an…
JG
Jonathan Gullis
The residents of Stoke-on-Trent North, Kidsgrove and Talke would like me to place their thanks on the record to the Secretary of State for having ensured that the Haywood walk-in centre, which has RAAC present, has just received £26.5 million for a new build out-patient building, which will do a lot to improve the care…
Business of the House7 Sep 2023
KS
Karin Smyth
It has been a very stressful week for parents worried about their children returning to schools and whether they are safe. Now I understand that the list produced by the Department is inaccurate and that some schools have been told that they should close yet they are not on the list. I remember the confusion,… chaos and further distress that was also caused when the Building Schools for the Future list went out. This affects all our constituents, so it is not a party issue. It would be helpful if the Leader of the House ensured that the information the Department for Education sends to all our constituents is clear on what is happening with the reinforced autoclaved aerated concrete issue across the country.
Hansard · 7 Sep 2023 · parliament.uk
EL
Eleanor Laing
We come to business questions, and I welcome Lucy Powell to her new post as shadow Leader of the House.
LP
Lucy Powell
Will the Leader of the House give us the business for next week?
PM
Penny Mordaunt
The business for next week is as follows: Monday 11 September —General debate on Ukraine, followed by a motion relating to appointments to the Electoral Commission. Tuesday 12 September —Tributes to the Clerk of the House, followed by consideration of Lords amendments to the Online Safety Bill, followed by a debate on …
LP
Lucy Powell
I thank the Leader of the House for that update. She has put this job on the world stage, and I look forward to working with her. May I also welcome my deputy, my hon. Friend the Member for Blaenau Gwent (Nick Smith) , fresh from the Public Accounts Committee? I also welcome the new Members to their places, particularl…
PM
Penny Mordaunt
First, I add my voice to the many who have paid tribute to the Lionesses for their incredible achievements. We are all so proud of them, not just for the brilliant football they played, but for their conduct and the solidarity they have shown with the Spanish team. I do wish to commemorate an important anniversary, but…
Fibrodysplasia Ossificans Progressiva7 Sep 2023
KS
Karin Smyth
It is a pleasure to be here this afternoon. I thank the Backbench Business Committee for granting the debate and pay tribute to the right hon. Member for Hemel Hempstead (Sir Mike Penning) , who secured it and who has tirelessly campaigned on this issue with his constituents and the charity FOP Friends, who I… understand have joined us today in the Public Gallery. I pay tribute to the families’ tenacity and bravery in raising the profile of this rare condition, and in continuing to do so. I also thank my hon. Friend the Member for Blaydon (Liz Twist) , the hon. Member for Strangford (Jim Shannon) and the hon. Member for Inverclyde (Ronnie Cowan) for being here this afternoon. One of the great privileges of our role here is learning from the experience—sometimes the very difficult and harrowing experience—of our constituents, and learning from them about subjects that we might not ordinarily have come across. I have certainly learnt a great deal from preparing for the debate, and also this afternoon. I am grateful to the right hon. Member for Hemel Hempstead for helping me to understand the impact of this condition, which he has done so eloquently and powerfully today on their behalf. I know that he worked with my office and other offices to ensure that all of us were well informed. As we have heard, this is an ultra-rare condition, affecting only one person in 1 million, and there is currently no cure. However, we also know that what action can be taken is effective, both in diagnosis—which is crucial—and in care, and that people can some people can enjoy have good general health and reach old age, which I have been told is now over 60. It is my birthday this week, so that is quite close. I do not think it is old age, but they can certainly live for quite some time. Early diagnosis is vital to managing the progression of FOP, and the average age of diagnosis, as I understand it, is around eight years old—as we have heard, the early signs include under-turned big toes
Hansard · 7 Sep 2023 · parliament.uk
RG
Roger Gale
We now come to the debate on funding for the prevention of fibrodysplasia ossificans progressiva, or FOP for short. I call Sir Mike Penning to move the motion.
MP
Mike Penning
I beg to move, That this House has considered funding for the prevention of fibrodysplasia ossificans progressiva. Thank you very much indeed, Mr Deputy Speaker. I am pleased you have pronounced it rather than me; from now on, perhaps we will just use FOP, which is what most people—including the families—call it, but t…
LT
Liz Twist
Can I just say that I concur with the right hon. Gentleman’s comments about research and health research? There is a concern about how it is being handled.
MP
Mike Penning
I thank the hon. Lady for that intervention. Earlier, we had a short statement on Horizon, which was excellent in that the Science Minister was on the Bench, and when I asked the Secretary of State a few questions about FOP, he agreed to meet us in short time. The great news is that we will meet the Science Minister. T…
LT
Liz Twist
I thank the right hon. Member for Hemel Hempstead (Sir Mike Penning) for bringing this debate to the Chamber and for all the work he has been doing to raise these important issues within Parliament. It was good to hear such a fulsome and good description of the condition and how people are affected by FOP. As chair of …
KS
Karin Smyth
I thank the right hon. Gentleman for his clarification about that, which adds to the trauma that people are living with. A genetic test can confirm the diagnosis, and we expect to hear whether the Minister has made any assessment about including the test in the national genomic test directory for rare and inherited dis…
Police Service of Northern Ireland: Security and Data Protection Breach4 Sep 2023
KS
Karin Smyth
I was in Northern Ireland during the week after the breach, and the fact that officers continued to go out and go about their duties is a testament to them and their service. However, it is unacceptable that the job they do remains a secret from many people, and that we somehow think this is… normal in Northern Ireland 25 years after the peace process; it would not be normal in any other part of the United Kingdom, or in Ireland. What is the Secretary of State doing with the co-guarantors of the peace process, the Irish Government, and those in the field more widely to deal with what is now clearly a crisis?
Hansard · 4 Sep 2023 · parliament.uk
LH
Lindsay Hoyle
Before I call the right hon. Member for Lagan Valley (Sir Jeffrey M. Donaldson) to ask the urgent question, I wish to make a short statement about the sub judice resolution. The matter of the data breach is not sub judice, but I have been advised that an individual has been charged with terrorism-related offences follo…
JD
Jeffrey M. Donaldson
(Urgent Question): To ask the Secretary of State for Northern Ireland if he will make a statement on the breach of security and data protection at the Police Service of Northern Ireland.
CH
Chris Heaton-Harris
I thank the right hon. Gentleman for his urgent question. As you know, Mr Speaker, I was keen to do a statement on the Police Service of Northern Ireland’s data breach on 8 August , so I am pleased to have this opportunity. I am also happy to provide an update to the House on this matter. However, since writing this an…
JD
Jeffrey M. Donaldson
Thank you, Mr Speaker, for the opportunity to raise the plight of police officers and staff in Northern Ireland. The industrial-scale breach in data last month was yet another self-inflicted blow to the morale of the police service, as well as to confidence in policing across Northern Ireland. For the rank and file, an…
CH
Chris Heaton-Harris
I thank the right hon. Gentleman again for the urgent question and for the various questions he has posed. Officials in the Cabinet Office have chaired regular operational meetings—initially daily—bringing together the PSNI, Government Departments and our world-class security services to ensure that all their collectiv…
Health and Social Care Workforce13 Jul 2023
KS
Karin Smyth
I thank the Backbench Business Committee for scheduling this debate and the hon. Member for Winchester (Steve Brine) for his opening comments. I also thank the right hon. Member for Wokingham (John Redwood) and the hon. Member for Worcester (Mr Walker) for their speeches. It is good that the Chair of the Education Committee, the… hon. Member for Worcester, has joined up with the Health and Social Care Committee to line up discussions, particularly on apprenticeships. I hope that that progresses because there are a great many problems in the assumptions that the plan makes on apprenticeships. I think that he will highlight that to the Committee. The report and the work done by the Health and Social Care Committee were hugely important in shining a light on the problems facing our health services at a time when the Government were still denying the scale of those problems. I thank all members of the Committee for their dedication in producing the original report. Indeed, they had another good session yesterday. They have rigorously pursued this issue across parties for a number of years. As the hon. Member for Winchester said, since the Government’s response in April, we have had a further response, which I think is helpful for this debate, in the long-term workforce plan. I cast my mind back to Committee stage of the Health and Care Bill and to the many debates held in this place and the Lords. I, among others, including the hon. Member, tried every which way to get the Government to agree to an independent review process. In those heady days, many of us were on the WhatsApp broadcast list of the right hon. Member for South West Surrey (Jeremy Hunt). I find that those messages do not come as frequently now as they did then. Workforce problems were the primary issue facing our health and social care services then and they still are now. My Labour colleagues and I have been warning about that for many years. When we were in government in 2000, we produced a 10-year plan
Hansard · 13 Jul 2023 · parliament.uk
SB
Steve Brine
I beg to move, That this House has considered the Third Report of the Health and Social Care Committee, Workforce: recruitment, training and retention in health and social care, HC 115, published on 25 July 2022 , and the Government response, HC 1289, published on 24 April 2023 . Today’s debate could not come at a more…
SB
Steve Brine
Such a choice. I give way to the hon. Member for Hornsey and Wood Green (Catherine West) .
CW
Catherine West
I thank the hon. Gentleman for securing this debate at such an important moment, when waiting lists are at record levels, if the press are to be believed. Does he agree that we need urgent improvements in the way the workforce from abroad are employed? Some really exploitative practices are going on out there in certai…
SB
Steve Brine
Anybody employed in health and care should be treated properly and with respect, and they should be welcomed to this country with thanks for the work they are doing. If the hon. Lady has specific examples of something—I am guessing she may have from her intervention—I ask her to please speak in the debate and put them …
DC
Daisy Cooper
I thank the hon. Gentleman for securing this debate, and I thank him and the Committee for doing the work on the report. He notes that the issues in social care are regrettably much worse than they have been before. He will know that, on 30 June , nine NHS leaders wrote to the Prime Minister calling for a workforce pla…
Pharmacy Services11 Jul 2023
KS
Karin Smyth
People across the country rely on local, accessible pharmacies, but whether it is high street closures or supply problems leading to the absurd situation where women are phoning or visiting multiple pharmacies for a prescribed dose of hormone replacement therapy and other drugs, the Government are again letting people down. They have repeatedly announced plans… to expand the role of community pharmacies, but have failed to update legislation that could possibly help. They keep collapsing the business in this place, so we have time to sort it. Why will they not do so?
Hansard · 11 Jul 2023 · parliament.uk
CG
Chris Green
What recent progress he has made on increasing the range of services in pharmacies.
NO
Neil O'Brien
We have already been growing the range of NHS services available in pharmacies: we have set up the community pharmacist consultation service, the discharge medicines service, the new medicine service, the blood pressure check service, smoking-cessation services and the contraception service. We are now investing £645 m…
CG
Chris Green
I thank my hon. Friend for his answer, but does he agree that the services offered by pharmacies can be made more efficient? For example, 62 million prescription items are subject to “split and snip” per year. That is where, to get the right number of pills, a pack has to be manually opened up for a couple of pills to …
NO
Neil O'Brien
My hon. Friend is completely correct. That is why at the end of last month we laid a statutory instrument before the House to fix the system, so that pharmacists can spend more time using their skills to provide high-end clinical services and less time snipping blister packs.
JC
John Cryer
Given the national shortage of GPs, does the Minister recognise that there is a potential danger in asking pharmacists to take on the duties of GPs—duties that they are not necessarily qualified to undertake—especially given the already large workload undertaken by pharmacists?
Migration and Economic Development Partnership29 Jun 2023
KS
Karin Smyth
We have learned a few things today: first, that the Home Secretary respects the courts, for which we should be grateful; secondly, that after 13 years the Government have a rigged system; and thirdly, that we are going to continue to pour taxpayers’ money into her failed system. In August, her Bill will stop asylum… decisions and mean that people in detention will not be moved on further. Given the number of people we already have in hotels, how many more detention centres and hotels is she going to need, and at what cost?
Hansard · 29 Jun 2023 · parliament.uk
SB
Suella Braverman
With permission, Mr Speaker, I would like to make a statement about the UK’s migration and economic development partnership with Rwanda. The Government fundamentally believe that it is only by removing the incentive for people to take dangerous and unnecessary journeys that we will stop the boats and end the vicious cy…
LH
Lindsay Hoyle
I call the shadow Home Secretary.
YC
Yvette Cooper
Today’s judgment shows that the Prime Minister and the Home Secretary have no plan to fix the Tories’ small boats chaos. Their only policy, to send everyone to Rwanda, is now completely unravelling. Ministers have admitted that it will cost £169,000 to send each person to Rwanda—on top of the £140 million cheques that …
SB
Suella Braverman
I thank the right hon. Lady for her pre-prepared script as well—very well delivered. I have to say, she seems unusually upbeat today, which I find, frankly, quite odd, given that today’s judgment will be frustrating for the majority of the British people who have repeatedly voted for controlled migration, for all those…
LH
Lindsay Hoyle
Order. This statement is about migration, not the Labour party. This is about what the Government are doing, I do not want to interfere or intervene, but we need to stick to what the statement is meant to be about.
GP Appointments6 Jun 2023
KS
Karin Smyth
From Sittingbourne via Bristol and Oldham, people are fed up with not being able to speak with a GP when they need to. GPs are warning that rising demand and increased costs may lead to workforce cuts or even closures. They are fed up with the bamboozling of numbers—more of which we have heard this… morning—whether on GPs, full-time trainees, locums and now appointments. Whatever the metric, can the Secretary of State or the Minister tell us how many more GPs or GP appointments they think are necessary for people to access the care that they need?
Hansard · 6 Jun 2023 · parliament.uk
GH
Gordon Henderson
What progress his Department has made on increasing the number of available GP appointments.
NO
Neil O'Brien
We are taking action to increase the workforce in general practice. We have managed to hit our target of recruiting 26,000 extra clinicians a year earlier. In fact, we have 29,000 extra clinicians in GP surgeries as well as nearly 2,000 more doctors. Of course, we will go further: as well as increasing the training of …
GH
Gordon Henderson
Although I appreciate the Minister’s response, Sittingbourne and Sheppey still has one of the highest patient to GP ratios in the country. Without more GPs, no initiative to increase appointments will succeed. Our local integrated care board is doing its best to bring more doctors to our area. What help can my hon. Fri…
NO
Neil O'Brien
My hon. Friend is quite right that we absolutely need to go further. That is why, through the primary care recovery plan, we are taking some of the pressure off general practice, investing £645 million in the new Pharmacy First service, which will free up about 10 million GP appointments a year. That is why we are inve…
DA
Debbie Abrahams
Can the Minister clarify when Oldham will receive its share of the 6,000 additional GPs that were promised in the Conservative 2019 general election manifesto? Today we are running with fewer GPs, and that is not helpful to anyone.
Social Rented Housing Provision5 Jun 2023
KS
Karin Smyth
What steps he is taking to increase the provision of social rented housing.
Hansard · 5 Jun 2023 · parliament.uk
RM
Rachel Maclean
The Government are committed to increasing affordable housing of all kinds, which is why we are investing £11.5 billion, through the affordable homes programme, to deliver tens of thousands of homes for rent and sale right across the country.
RM
Rachel Maclean
I would like to gently correct the assertion that the hon. Lady made about watering down housing targets. The Government are committed to building 300,000 houses across the country. We are building them in the right places, with community support. We understand the importance of social rented housing, and that is why w…
KS
Karin Smyth
The availability of social rented and affordable housing is the No. 1 issue that my constituents contact me about. Although Bristol’s Labour council is building more social homes for the future, the Government’s decision to scrap targets means that neighbouring authorities are not rising to the challenge. What analysis…
Net Migration Figures25 May 2023
KS
Karin Smyth
Somewhat unusually, this morning we seem to have learned something new from the Dispatch Box: the Home Office’s inability to process applications, resulting in many people living in hotels across the country—including in Bristol—means that the holding pattern will remain for some time. In fact, that may be a deliberate policy, as the Minister said… that if they were processed, there would be more. That is what he said—he can clarify. How long are people expected to live in hotels in cities across the country? What support is being given to local authorities, as my hon. Friend the Member for Llanelli (Dame Nia Griffith) just asked, and what is the Government’s ultimate plan for these people?
Hansard · 25 May 2023 · parliament.uk
YC
Yvette Cooper
(Urgent Question): To ask the Secretary of State for the Home Department if she will make a statement on net migration figures.
RJ
Robert Jenrick
Net migration to the United Kingdom is far too high. That was already clear from the previous set of official data. The Office for National Statistics has today amended its previous published estimate of net migration for the year ending June 2022 to 606,000. The statistics published today indicate that net migration h…
YC
Yvette Cooper
Today’s extraordinary figures, including the doubling of the number of work visas since the pandemic, show that the Conservatives have no plan and no grip on immigration. They show the chaos in this Government. Work visas are up 119% since before the pandemic. The Conservatives have totally failed to tackle endemic ski…
RJ
Robert Jenrick
The Labour party feigns interest in cutting net migration, but I can assure the right hon. Lady that nobody is buying it. Last week, the chair of the Labour party, the hon. Member for Oxford East (Anneliese Dodds) , said that under Labour net migration would go up in the short term. The leader of the Labour party stood…
LH
Lindsay Hoyle
I call the Father of the House.
Business of the House25 May 2023
KS
Karin Smyth
I recently spoke with my Action Greater Bedminster constituents about the benefits of new housing supply in south Bristol. Our Labour council is building more homes for the future, including a heat network to tackle emissions and costs, and social housing. I welcome the Backbench Business debate that the Leader of the House announced for… 5 June , but people’s biggest concern in relation to building new homes is access to primary care and GP services. Before that debate, can she make sure she talks to her colleagues in the Department of Health and Social Care and the Department for Levelling Up, Housing and Communities to come forward with answers and a plan to make sure we build homes for the future with GP access?
Hansard · 25 May 2023 · parliament.uk
TD
Thangam Debbonaire
Will the Leader of the House give us the forthcoming business?
PM
Penny Mordaunt
Before I give the business of the House, I should like to make a brief statement, Mr Speaker. First, I associate myself with the remarks made in the House this week about the anniversary of the Manchester Arena attack and the murder of Lee Rigby. My thoughts are with all those affected by those tragic events. Yesterday…
PM
Penny Mordaunt
She meant a lot to all of us. The business for the week commencing 5 June will include: Monday 5 June —General debate on the role of local government in reaching net zero, followed by a general debate on delivering new housing supply. The subjects for these debates were determined by the Backbench Business Committee. T…
TD
Thangam Debbonaire
It is a sad moment when we lose one of our colleagues. I know Karen Lumley was loved across this place, and colleagues, including my former hon. Friend Louise Ellman and others, really appreciated the personal support she gave them and her dedicated work on the Transport Committee. We join the Leader of the House in se…
PM
Penny Mordaunt
I thank the hon. Lady for that. I join her in wishing the football team well and in what she says about the great Tina Turner, who was a complete icon. What a woman, what a life and what a legacy she leaves all of us. I am sorry that the hon. Lady did not feel able to welcome the good news that we have had this week. T…
Psilocybin Treatments18 May 2023
KS
Karin Smyth
It is a pleasure to see you in the Chair, Madam Deputy Speaker. I thank my hon. Friend the Member for Warrington North (Charlotte Nichols) and the hon. Members for Reigate (Crispin Blunt) and for Inverclyde (Ronnie Cowan) for their incredibly moving and well-informed speeches, and the Backbench Business Committee for supporting their application. I… recognise the work that they have done for many years on this subject. As we know, in this place many Members take up individual causes that often do not get the numbers and publicity that they might warrant, but we are dogged in continuing to do that. I managed to avoid the comments that the Minister had about whether he was the appropriate person or not. I say simply that I am here on behalf of the Labour party. I am pleased to be here, I serve, it is beyond my paygrade as to who or why someone is here, but I am pleased to be here. Like the hon. Member for West Dunbartonshire (Martin Docherty-Hughes) I too needed to appraise myself of the details of this subject, and that is one advantage of being able to speak from the health team. For more than 50 years we have been investigating these drugs as potential treatments for a number of neurological and psychiatric conditions including, as we have heard, depression. There is now another wave of research into these drugs and the treatment of neuropsychiatric disorders such as treatment-resistant depression, anorexia and PTSD, and we have heard about that strongly today. Our priority is to improve treatment and prevention services and, in particular, to support research. The point has been well made that this subject falls between Departments—Health and the Home Office—as is the case on many subjects. Wherever it falls, it is all of our responsibility, because at the heart of this, as we have heard strongly, is the needs of people—our constituents—for treatment of these conditions. As the motion says, we need evidence-led and data-driven interventions. That is why the last La
Hansard · 18 May 2023 · parliament.uk
NE
Nigel Evans
We are now moving on to the final debate before the Adjournment, on the motion on access to—is it psilocybin? [Hon. Members: “Psilocybin”]—psilocybin treatments. I have learned something today, and I will learn a lot more, I suspect.
CN
Charlotte Nichols
I beg to move, That this House welcomes the development of treatment options in mental health; further notes there have been no new pharmacological treatments for depression, with the exception of Esketamine, in over 30 years; recognises that psilocybin, a naturally occurring compound, has the potential to revolutionis…
EL
Eleanor Laing
I think the whole House will wish to commend the hon. Lady for her courage in bringing this matter before the House and for the way in which she has put her case this afternoon.
CB
Crispin Blunt
I wholly concur with your words, Madam Deputy Speaker, about the speech of the hon. Member for Warrington North (Charlotte Nichols) . I also offer my thanks to those on the Backbench Business Committee for granting this debate. They were plainly moved by the brilliant words crafted by the hon. Lady, which I was privile…
RC
Ronnie Cowan
It is a rare privilege for me to rise in this place and follow two such magnificent speeches from Members across these Benches, and it is a fact that when we find ourselves with cross-party support on something, we tend to be able to back off and just talk sense about things, and stop trying to score political points o…
KS
Karin Smyth
I want to give the time for the Minister to respond.
Public Order Act 202316 May 2023
KS
Karin Smyth
Will the hon. Gentleman give way?
Hansard · 16 May 2023 · parliament.uk
NE
Nigel Evans
Order. The Front Bench there is reserved for His Majesty’s official Opposition. I would be delighted to suspend the House for 10 minutes so I could go and have a cup of tea, but I am sure hon. Members will take their usual positions in order that we can start the second Opposition day motion on behalf of the SNP. 4.52 …
AT
Alison Thewliss
I beg to move, That this House believes that the Public Order Act constitutes a serious infringement on the rights of the people to protest; and makes provision as set out in this Order: (1) On Tuesday 23 May 2023 : (a) Standing Order No. 14(1) (which provides that government business shall have precedence at every sit…
WC
Wendy Chamberlain
I am interested that the SNP has chosen to utilise its Opposition day debate to discuss an Act with limited applicability in Scotland. I accept that Scots travelling to other parts of the UK would be subject to the Act, and police officers in mutual aid activities, but can the SNP Front-Bench spokesperson explain why t…
AT
Alison Thewliss
The hon. Lady makes the most important point: although the Bill’s territorial extent is England and Wales, anybody who comes to this city to protest—it could be any of our constituents, or any of us—falls under the remit of the Act. It does not discriminate by where someone is from. An Australian could end up getting a…
PG
Peter Grant
Is not the most important point that a lot of the things that our constituents in Scotland want to protest about are bad decisions taken in this place by the Government here? Quite rightly, they want to come to this Parliament to protest against the actions of this Parliament. To do so now, they have to put themselves …
KS
Karin Smyth
To be very clear, we are very interested in the hon. Gentleman’s constituency, not just those north of the border.
Public Contracts: Small and Medium-sized Enterprises11 May 2023
KS
Karin Smyth
What steps the Government are taking to support small and medium-sized enterprises bidding for public contracts.
Hansard · 11 May 2023 · parliament.uk
AB
Alex Burghart
This Government are supporting small and medium-sized enterprises in a variety of ways, from transparently publishing contract pipelines to simplifying bidding procedures. The Procurement Bill, which is making its way through Parliament and will be on Report soon, will create a simpler and more transparent procurement …
AB
Alex Burghart
I am glad to hear the hon. Lady refer to that, because the principles behind the Procurement Bill for SMEs were given to us by SMEs. We want transparency, simplicity and fairness. On that third point, we are keen to see people pay their bills promptly, so that SMEs throughout the supply chain can get their money when t…
FE
Florence Eshalomi
The Government may offer warm words on SMEs, but small businesses need those opportunities to thrive. Let us look at the evidence to see whether those warm words are backed up. In Brentwood, SMEs missed out on £3 in every £4 of viable suitable Government contracts in 2022. In Hertsmere, they missed out on 79%. In Horsh…
AB
Alex Burghart
I am very pleased that the hon. Lady has been paying attention in the Committee stage of the Procurement Bill, where she has heard that we have done a great deal of work to overhaul the archaic regime that the EU left us with. It is precisely because of that Bill that small businesses will get contract pipelines, a sin…
LH
Lindsay Hoyle
Bob Blackman is not here—he is struck in traffic—but in order for the other two Members to ask their questions, would the Minister answer as though he was here?
KS
Karin Smyth
I am pleased to hear about the Procurement Bill, because small and medium-sized businesses are fundamental to the economy of Bristol South and for jobs. What steps will the Minister be taking to address gaps in the Procurement Bill to enforce payment deadlines and to make sure that filters down through the supply chain…
Retained EU Law (Revocation and Reform) Bill11 May 2023
KS
Karin Smyth
The Secretary of State seems to say that we have intense excitement about being here today and she is surprised. Our law is the basis of our democracy, and the flippant and ill-prepared way in which this has been brought forward is a disgrace; it is not worthy of our Parliament or, indeed, of our… country. In the Public Administration and Constitutional Affairs Committee, we are currently looking at international treaties. It is clear that our system for reviewing and monitoring international treaties per se is not up to scratch, and I hope that the Secretary of State will engage with that process. [Interruption.] She says that there is no time. She is in control of the time in this place as a member of the Government. It is not for me to speak for those on the Labour Front Bench, but I am sure that if there were discussions about giving the decision more time and perhaps to bringing it back, given the changes that are being made, that would be met favourably by Members on the Labour Benches. What lessons is she learning about the involvement of this place in the scrutiny of these treaties?
Hansard · 11 May 2023 · parliament.uk
LH
Lindsay Hoyle
Before we begin the urgent question, I note that it is highly regrettable that the Government decided not to offer an oral statement on this matter yesterday, given the importance of the announcement. On such matters, full engagement with Parliament and its Committees is essential. Before I call the Chair of the Europe…
BC
Bill Cash
(Urgent Question): To ask the Secretary of State for Business and Trade if she will make a statement on her failure to come to the House before she made the written ministerial statement on the Retained EU Law (Revocation and Reform) Bill and the article today in The Telegraph?
KB
Kemi Badenoch
I am very sorry, Mr Speaker, that the sequencing that we chose was not to your satisfaction. I was—
LH
Lindsay Hoyle
Order. That is totally not acceptable—
KB
Kemi Badenoch
It was not the right procedure.
List of Ministers’ Interests and Ministerial Code24 Apr 2023
KS
Karin Smyth
In our Public Administration and Constitutional Affairs Committee report into the Greensill affair, we suggested: “The Government should outline the range of sanctions and indicative examples of breaches to which they might apply. Without this, the suspicion is that the only determinant of the level of sanction will be political expediency.” In the discussions with… the Deputy Prime Minister last week, was he offered a range of sanctions with regard to the breach of the ministerial code before he resigned?
Hansard · 24 Apr 2023 · parliament.uk
WC
Wendy Chamberlain
(Urgent Question): To ask the Prime Minister if he will make a statement on the register of ministerial interests and the ministerial code.
AB
Alex Burghart
I am pleased to confirm that the latest list of Ministers’ interests was published last week on 19 April by the Prime Minister’s independent adviser on Ministers’ interests, Sir Laurie Magnus. The list has been deposited in the Library of the House and is also available online on gov.uk. I note that the hon. Lady’s que…
WC
Wendy Chamberlain
When he was appointed, the Prime Minister promised that he would govern with integrity. He went inside No. 10 and his first act was to appoint Ministers. Of that cohort, three have now departed in controversy, including two in relation to allegations of bullying. One thing the Prime Minister did not do at that time was…
AB
Alex Burghart
I thank the hon. Lady for her question. She will be aware that Sir Laurie Magnus, who took up his post in December, has said that he will return to the regular cycle of publications. This list is his—he has oversight of it. It would be wrong if the Government were to interfere in that process, and we will obviously con…
PB
Peter Bottomley
The Minister will agree that there is much more openness and transparency now than 13 years ago. Through him, can I put it to the Prime Minister that Sir Laurie Magnus should be asked each year whether he would like to write a public letter to the Prime Minster on how the system is working, and any changes or improveme…
Income Tax (Charge)15 Mar 2023
KS
Karin Smyth
I am on the optimistic side of the spectrum that the Chancellor was talking about today. I would welcome measures on prepayment meters and some support for suicide prevention, but the most sensible thing he said today was about the contribution that those of us in our mid-50s can make to the economy. Overall, however,… it is truly astonishing, knowing how many thousands of pounds worse off people are after 13 years of this Government, that the further low growth we are anticipating will now continue for another two years. This Government completely lack ambition for the country, but they particularly lack ambition for young people. There was nothing in this Budget for young people, particularly on housing help. There was a failure to reform the apprentice levy as promised, and they are still not doing enough for people from disadvantaged backgrounds. The Government have broken their promise to fix social care. The stark reality is that more than 150,000 people have died waiting for state social care, and 57,000 people would have received support and they now will not. The Chancellor has promised far less funding for adult social care than he recommended when he was Chair of the Health and Social Care Committee. I welcome the fact that people who are facing the cost of living crisis will have the fuel duty cut, but the Chancellor has made some clear choices. That £6 billion initiative, plus the additional £1 billion for the pension rise—so £7 billion—would have gone some way towards meeting that social care commitment that he wants to see. What happened to the health and care workforce plan that was so widely trailed? Clearly the Chancellor did not get the thing that he has already committed to past himself in the Treasury—we are expecting it sometime soon. Childcare providers are at risk of collapse, leaving parents not only struggling with the cost of childcare but unable to find childcare in the first place. Extending hours is simply not enough. Childcare provision
Hansard · 15 Mar 2023 · parliament.uk
EL
Eleanor Laing
It is on this motion that the debate will take place today and on succeeding days. The Questions on this motion and on the remaining motions will be put at the end of the Budget debate on Tuesday 21 March . I call the Leader of the Opposition.
KS
Keir Starmer
Thank you, Madam Deputy Speaker. May I say that it is good to see you back in the Chair? For all the hype, this is a Budget for growth that downgrades the growth forecast. The Chancellor’s opening boast was that things are not quite as bad now as they were in October last year after the kamikaze Budget. The more he pre…
EL
Eleanor Laing
Order. People should not be speaking while the Leader of the Opposition is delivering his speech. They should be listening. We will now listen to the Leader of the Opposition.
KS
Keir Starmer
Today’s Budget changes nothing. Again, we see a failure to grip the long-term challenges and no determination to create growth, which unlocks the potential of the many. Working people are being made to pay for Tory choices and Tory mistakes. These are the organising principles of Conservative economics, and we should j…
EL
Eleanor Laing
Order. Okay, that is enough. I now cannot hear the right hon. and learned Gentleman at all—and it is nothing to do with being old. Now, be quiet.
International Women’s Day9 Mar 2023
KS
Karin Smyth
International Women’s Day is a time to celebrate, and there is much to celebrate about being a woman in 2023. I always think at this time of my friends, many now spread across the country and some across the world, who I have spent time with in the past. They are now too busy with… children, grandchildren, older parents and their own jobs to get together, but I know that they are always there for me, I know they are really proud of me being here, and I know that I would never have made it here without them. This weekend, I am looking forward to joining Bristol Women’s Voice for a fantastic programme of events, in particular discussing social care and the role it could play in the Bristol economy if only it was run better. It will be chaired by my friend Diane Bunyan, who was Bristol’s first female Labour leader of the council only about 20 years ago. Many women have been at the forefront of Bristol’s long, radical history. I think of Dorothy Hodgkin, who was chancellor of the University of Bristol, Elizabeth Blackwell, who was the first woman to qualify as a medical doctor, the trade union activist Jessie Stephen and Mary Carpenter and Hannah More, who were involved in social programmes. Lady Apsley was Bristol’s first woman Member of Parliament. She was a Conservative who, after the death of her husband in 1943, won the seat. Three out of four of Bristol’s MPs are women. We allowed one man to take one of the positions, and I pay tribute to my hon. Friends the Members for Bristol West (Thangam Debbonaire) and for Bristol East (Kerry McCarthy), who are supportive colleagues. The reality is that, like the rest of the country, we are nowhere near economic or political parity. Often we hear about the challenges, and I will move between the challenges and the opportunities. We remember that some good historic achievements have been made recently, whether that is the Lionesses’ incredible success last summer, the next generation of young women and girls getting into sport,
Hansard · 9 Mar 2023 · parliament.uk
MM
Maria Miller
I beg to move, That this House has considered International Women’s Day. May I say how great it is to see you in the Chair for this now annual event on the Floor of the House of Commons, Madam Deputy Speaker? I thank the Backbench Business Committee for granting us this time, and also members of the all-party parliamen…
SB
Siobhan Baillie
My right hon. Friend the Member for Basingstoke (Dame Maria Miller) is one of my inspirations in this House, but I think it is really important that we are able to talk openly about how much respect we have for colleagues across the House. I can see a number of women on the Opposition Benches whose work I have followed…
MM
Maria Miller
That is an excellent friend— I mean that is an excellent comment from my hon. Friend, and she is absolutely right. I should at this stage point out that there are a couple of us on the Government Benches who have not slept overnight, so please forgive us, Madam Deputy Speaker, if we stumble over our words. [Interruptio…
HB
Hannah Bardell
I am moved to intervene because the right hon. Lady mentioned Cheryll Gillan. While there might have been many things we disagreed on, there were many things we did agree on. She did incredible work on autism and championing neurodiversity. Also, when I joined the Parliamentary Assembly of the Council of Europe, she wa…
MM
Maria Miller
I thank the hon. Lady for those kind comments. It demonstrates how we work together and have shared interests. Just to refer back to our venture to the United Nations Commission on the Status of Women earlier this week, I chaired a panel of young women, and they were asking about how we work together, and where the pol…
KS
Karin Smyth
I am not ignoring it, and I pay tribute particularly to the right hon. Member for Maidenhead (Mrs May) for the work she led in government, but we need to continue to use legislation to underpin, and it should be good legislation. I am not sure that in this week of all weeks we can be proud of what this Government have …
KS
Karin Smyth
My hon. Friend is making an excellent point. Does she agree that it is astonishing that the Government are not looking at the issue in the way that we have done? They are concerned about growth in the economy and particularly about the loss of women from the workforce, but they are not looking at social care or childca…
Covid Pandemic: Testing of Care Home Residents1 Mar 2023
KS
Karin Smyth
The Government entered the pandemic unprepared, ignoring the lessons from Operation Cygnus, and ran the NHS at 96% capacity. That was part of the problem. We all know that mistakes happen. We all know that it was really difficult. However, today is disappointing, because some humility should have been brought to this place. More than… 17,000 people lost their lives. It is our job as the Opposition to scrutinise decisions. The former Secretary of State has thrown his colleagues under a bus because of his own vanity, but I suggest that Government Ministers need to use this time before the inquiry to ease families’ suffering by coming forward with more detail on actually what did happen.
Hansard · 1 Mar 2023 · parliament.uk
LK
Liz Kendall
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on the testing of care home residents during the covid pandemic.
HW
Helen Whately
The covid-19 pandemic was an unprecedented global health emergency involving a novel coronavirus that we were still learning about day by day, even hour by hour. Even in those early days, the UK Government and colleagues in my Department were clear that testing would be crucial. That is why the former Secretary of Stat…
LK
Liz Kendall
Throughout the covid pandemic, Ministers repeatedly claimed that they had thrown a protective ring around England’s care homes and that they had always followed the evidence and scientific advice, but WhatsApp messages from the former Health Secretary revealed in today’s Daily Telegraph suggest that nothing could be fu…
HW
Helen Whately
It is relatively easy for the hon. Member to come to the House today and make these highly political points. Knowing how she and I worked together in the pandemic, and that she and I talked about all that we were doing to look after people in care homes, I am shocked and disappointed by the tone she has taken today, wh…
OH
Oliver Heald
My hon. Friend will agree that it was Labour that called for a public inquiry, and the Government agreed to it. It is a full public inquiry and we could not have a better judge than Dame Heather Hallett, one of our most experienced and distinguished judges. She will do a very thorough job. Does my hon. Friend agree tha…
NHS Workforce Expansion28 Feb 2023
KS
Karin Smyth
I want to pick up the point about social care, on which, as the Minister knows, I am very keen to see progress. Her Government shelved their social care plans. The former Prime Minister said he had fixed social care, leading the entire country through that dance. He promised people that it was fixed and… that people in their older age or with disabilities could be secure, so it is rather shameful for her to raise that point without then saying—maybe she will go on to do so—when we will actually see any progress on social care. Why have her Government shelved their plans?
Hansard · 28 Feb 2023 · parliament.uk
RG
Roger Gale
We now come to the first Opposition day motion, on the subject of expanding the NHS workforce. I have to inform the House that Mr Speaker has not selected the amendment.
WS
Wes Streeting
I beg to move, That this House condemns the Government’s failure to train enough staff to tackle the worst workforce crisis in the history of the National Health Service with a current shortage of 9,000 hospital doctors and 47,000 nurses; notes reports that the draft NHS England workforce plan calls for a doubling of m…
EL
Edward Leigh
The point I have been trying to make in recent months is that we should try to learn from the experience of Europe, where they have very effective social insurance systems and much more effective outcomes, so when the hon. Gentleman says he has a plan, I think we would all like to know what the plan is. Is it radical r…
WS
Wes Streeting
I am grateful beyond words for that intervention. I will outline Labour’s plans immediately and return to the right hon. Gentleman’s challenge—proposing a social insurance system—a little later in my remarks. The point of this debate is that there is a serious shortage of staff. Labour has a plan to address that shorta…
CW
Catherine West
Does the shadow Secretary of State agree that it is not just about cash; it is also about the huge recruitment issues? For example, the North Middlesex University Hospital has 800 patients a day into accident and emergency, and it is suffering because even if there is the budget, there simply are not the staff to emplo…
KS
Karin Smyth
The hon. Lady talks a great deal about the inputs of the SNP Government in Scotland, but very little about the outcomes there. Does she not agree that, rather than carping about the contrast between how good things are in the rosy land of Scotland that she portrays—which is not a true picture, as we know from what is h…
KS
Karin Smyth
Having spent most of my career in NHS management roles before becoming an MP, I often reflect on my own motivation for choosing two such unpopular careers—ones that, like the England manager job, virtually everyone can do better. One of our colleagues said recently that NHS managers are utterly useless and overpaid, wh…
