Ashley Dalton MP: speeches

Speeches

• 10 Jul 2025 · Children’s Health · Hansard source

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  I congratulate my hon. Friend the Member for Stroud (Dr Opher) on securing this debate. He is a tireless advocate for children across the country. I also pay tribute to his campaigning on social prescribing before he came to this place, because it is now a key part of our 10-year plan for health. This issue is dear to my heart. One of the reasons I stood for Parliament is that nearly a quarter of the kids in Skelmersdale, the biggest town in my constituency, live in poverty. As many colleagues have pointed out, the state of children’s health is a national scandal. As my hon. Friend the Member for Stroud said, and as was referred to by the shadow Minister, this is a complex issue that straddles a variety of areas. It is about active travel—and I am delighted that the Minister responsible for active travel, my hon. Friend the Member for Wakefield and Rothwell (Simon Lightwood), is on the Front Bench with me today—as well as air pollution and access to green spaces. My hon. Friend the Member for Warrington South (Sarah Hall) highlighted links between children’s health, education and poverty. The hon. Member for Mid Dunbartonshire (Susan Murray) made a contribution, and her expertise in diet and nutrition was really insightful. My hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh) spoke about children with life-limiting illnesses and end-of-life care and palliative care for children. My hon. Friend the Member for Lowestoft (Jess Asato) talked about junk food advertising and dentistry. My hon. Friend the Member for Bournemouth East (Tom Hayes) talked about family hubs and Best Start, which we have launched this week, children’s health and social care infrastructure and the third sector. I was really pleased that my hon. Friend the Member for Ilford South (Jas Athwal) raised the issue of fast food outlets and junk food advertising, which I will cover in my response. My hon. Friend the Member for Mansfield (Steve Yemm) talked about children, young people and cancer, and mentioned the Teenage Cancer Trust, which I met recently along with my hon. Friend, and I was delighted to do so. My hon. Friend the Member for Stafford (Leigh Ingham) spoke about how important play and sport are. We are working across Departments in our mission-led Government to deliver the healthiest generation ever. I can confirm that the NHS works with the Starlight charity to support the provision of play facilities within hospitals. Over 2 million children are not active, and we need to change that. The Department of Health and Social Care, the Department for Education and the Department for Culture, Media and Sport are committed to investing in school sport and have confirmed funding for next year’s primary PE and sport premium. We are working across Government to develop new school sports partnerships, and a national network model was announced by the Prime Minister in June. Lord Darzi’s review set out in black and white how badly the previous Government let our children down. Tooth decay is the most common reason why children aged five to nine are admitted to hospital. Referrals for mental health services for children and young people have tripled since 2016, and waiting lists for health services have grown faster for children than for adults. That must change, and it will change. This Government are committed to raising the healthiest generation of children ever, and work to deliver this ambition has already begun. One of the biggest things we can do to improve a child’s life chances is safeguard their mental health. That is why by the end of this Parliament we will put a mental health support team in every school in England to break the vicious cycle of poor mental health, low attendance and bad behaviour. My right hon. Friend the Education Secretary is rolling out free breakfast clubs so that kids start school with hungry minds not hungry bellies. To combat tooth decay, we have invested £11 million in supervised tooth brushing for three to five-year-olds in our most deprived communities. We are going further than ever before to tackle long waiting times for children through our elective reform plan. We have already delivered more than 4 million appointments, which is double what we promised in our manifesto. On children’s social care and neglect, which the shadow Minister talked about, we are committed to rebalancing the system towards earlier intervention. That is why the spending review committed to reforming children’s social care, including through a new £555 million transformation fund. I thank my hon. Friend the Member for Mitcham and Morden for raising the important matter of funding for children’s hospices, and I agree with her about their crucial role. As she said, we have committed £26 million for children’s hospices this year, alongside £100 million of capital funding. Future funding will be announced in due course. My hon. Friend the Member for Stroud mentioned that it is crucial to involve young people in our conversations and policy development. I spoke recently at a Children’s Hospital Alliance event and a Children’s Commissioner roundtable, where I listened directly to the views and voices of children and young people to make sure that they fed into the 10-year health plan. Our neighbourhood health offer builds on that feedback, and we have re-established the children and young people’s cancer taskforce and insisted that children and young people are around that table. Last week we published our 10-year plan for health, which sets out how we will fix our broken NHS and make it fit for today’s children and for future generations. We on the Government Benches will not rest until every working person receives the same kind of healthcare that the wealthy expect. The three shifts that underpin our plan are the building blocks to ensure that children get the best start in life. The first is from treatment to prevention. We know that a baby’s first 1,001 days, from conception to the age of two, set the foundations for later years, so we are establishing Best Start family hubs, building on the legacy of Sure Start, which was a lifeline for working families under the last Labour Government. Earlier this week we published the “Giving every child the best start in life” strategy, and we will provide funding to every local authority in England for Best Start family hubs, because no parent should have to face the challenges of parenthood alone. We are also taking firm action on obesity, which many Members raised today, and which affects nearly one in five children leaving primary school. Our action includes restricting junk food advertising, banning the sale of high-caffeine energy drinks, updating school food standards, strengthening the soft drinks industry levy, introducing healthy food sales reporting and, ultimately, using that reporting to set new sales targets. The Government have regulations in place to set nutritional, compositional and labelling standards for commercial baby food, and we continue to challenge the industry to take further action, providing advice and guidance for parents. Enforcement of nutrition legislation is the responsibility of local authorities. Good nutrition in the early years is vital. We recognise that there are opportunities to support parents and make the healthier choice easier by encouraging businesses to improve baby foods. I will set out our plans on that soon. We are also determined to fix the special educational needs and disability system and restore the trust of parents by ensuring that schools have the tools to better identify and support children before issues escalate to crisis point. This autumn, the Government will bring forward a schools White Paper, which will detail our approach to SEND reform, ensuring joined-up support for children and young people. On the shift from analogue to digital, going beyond the paper red book, the “My Children” function on the NHS app will become the digital companion for parents to access their child’s health information throughout their childhood. Over time, parents will be able to record their children’s habits and developmental milestones, and use artificial intelligence to access help and advice when needed. On the third shift, from hospital to community, we will roll out neighbourhood health centres in every community, building care closer to where children live, learn and play. That includes multidisciplinary teams made up of GPs, nurses, health visitors, paediatricians, mental health, social workers and the third sector, providing joined-up preventive care and supporting children with complex and chronic needs. Before I wrap up, I want to say a few words on inequalities. Building a fair Britain is central to our 10-year plan. As the Secretary of State for Health and Social Care said in Blackpool last month, we will review how health need is reflected in funding for general practice, with a sharp focus on money following need. Child poverty is a stain on our country. We are determined to fix this, which is why we are rolling out free school meals to all children in households on universal credit. From April 2026, we will be increasing the value of Healthy Start payments by 10%. I am also a member of the child poverty taskforce, and the strategy on this will be published later this year. I again thank my hon. Friend the Member for Stroud for raising this vital topic and all other colleagues for speaking today. When he launched our manifesto, my right hon. Friend the Prime Minister promised to restore “The bond that reaches through the generations and says—this country will be better for your children.” That is what we are doing with our 10-year plan. I look forward to working with my hon. Friend and all other colleagues to get this done.

• 8 Jul 2025 · Alcohol and Cancer · Hansard source

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  It is an honour to serve under your chairship, Mr Stuart, as ever. I thank my hon. Friend the Member for Lancaster and Wyre (Cat Smith) for securing this important debate during Alcohol Awareness Week. The Government recognise that for too long there has been an unwillingness to lead on issues such as alcohol harm. It is unacceptable that alcohol-specific deaths are at the highest rates on record, having increased dramatically during the pandemic. As my hon. Friend stated, alcohol is a type 1 carcinogen, meaning there is strong evidence that drinking alcohol can cause several types of cancer, as well as contributing to more than 200 other health conditions, including liver disease, high blood pressure, stroke and heart disease. That places an incredible and preventable pressure on our NHS: in England alone, of more than 1 million hospital admissions last year, 103,000 were due to alcohol-related cancers. Today, we have heard from many colleagues about the variety of issues that alcohol can cause. The hon. Member for East Londonderry (Mr Campbell) talked about the cost to Government and to society, which I will address later; the hon. Member for Strangford (Jim Shannon) discussed information and the importance of education; my hon. Friend the Member for Easington (Grahame Morris) mentioned the real impacts on communities and families in the north-east; my hon. Friend the Member for Coatbridge and Bellshill (Frank McNally) talked about how important early intervention is; and my hon. Friend the Member for Blackpool North and Fleetwood (Lorraine Beavers) raised the links to poverty and under-investment. As for the impacts, alcohol kills. Last year, in England, more than 22,600 deaths were alcohol related, with more than 8,000 entirely due to alcohol—an all-time high, with rates still increasing by 4% each year. The rate of alcohol-related deaths is 1.7 times higher in the most deprived local authorities, meaning that alcohol is a major contributor to the levels of health inequality in this country. Alcohol also kills young—in 2015, in England, an estimated 167,000 years of working life were lost due to alcohol-related deaths. That amounts to about 16% of all working years lost. The hon. Member for East Londonderry asked about the cost to Government and society. Alcohol harms us massively. The estimated annual cost of alcohol-related harms in England is £27 billion, driven by the impact of alcohol-related illnesses and injuries on NHS services and alcohol’s high contribution to levels of economic inactivity, crime and disorder. Each year, £13 billion is raised in tax revenue from alcohol. The guideline on alcohol consumption produced by the four nations’ chief medical officers advises that drinking any level of alcohol increases the risk of a range of cancers, including mouth, bowel, stomach, liver and breast cancers, and that the risk of harm increases with the frequency and quantity of alcohol consumed. In 2020, alcohol was estimated to have caused about 17,000 new cases of cancer in the UK. One study estimated that between 2015 and 2035 there would be 135,000 cancer deaths due to alcohol in England. In terms of cancer risk, drinking a bottle of wine is the equivalent of smoking five cigarettes for a man, and 10 cigarettes for a woman. We also cannot overlook the impact that being exposed to multiple risk factors has in increasing the risk of developing certain conditions. For instance, the risk of developing head and neck cancer is 3.8 times higher among those who drink and smoke than those who partake in only one of those behaviours. That is why a holistic approach is needed to our health, with people supported to address all risk factors for poor health together. We are continuing to invest in local alcohol treatment services to make sure that people have access to the treatment they need. While those services are primarily focused on supporting people to become free from alcohol dependence, they are also an important setting for providing health information for people with alcohol dependence, identifying alcohol-related health conditions and ensuring that people can access specialist assessment and care. In the 12 months to February 2025, nearly 140,000 people were treated for their alcohol needs—9,000 more than in the previous year. In the coming months, the Department of Health and Social Care will publish the first ever UK guidelines on alcohol treatment. The guidelines will include recommendations on healthcare assessments for alcohol-related conditions and will strengthen pathways between specialist alcohol and drug treatment services and the wider healthcare system. The incidence of liver cancer has increased by 50% over the past decade and is expected to rise further. A large percentage of liver cancer is caused by alcohol-related liver disease, which in its early stages has no outward symptoms. If we can find liver disease by screening at-risk populations, there is an opportunity to halt its progress and monitor for the development of cancer. To identify people at high risk of liver cancer due to liver cirrhosis or advanced fibrosis, the NHS in England has been piloting community liver health checks in 20 areas, and liver primary care case-finding pilots across 12 primary care networks. Those pilot sites have screened nearly 125,000 people, and over 9,000 of them have been enrolled in liver cancer surveillance. As the Secretary of State has made clear since we came into power, one of the three big shifts that we want to see in the NHS is a shift from treatment to prevention. The complex challenge of cancer prevention will not be solved by a single solution.

• 8 Jul 2025 · Alcohol and Cancer · Hansard source

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  A number of hon. Members have asked about a national alcohol strategy. We are continuing to work across Government to understand what other measures might be needed to reduce the negative impact of excessive alcohol consumption. I meet regularly with Ministers from across Government to discuss how we take that forward. The drug and alcohol area of work is led by the Home Office. There are no plans to introduce such a strategy at this stage, but I expect further information on how we will deal with alcohol prevention and cancer in the national cancer plan, which, as I was just about to state, the Government will publish later this year. This plan will build on the progress of the 10-year health plan, which was published last week, and will continue the work to shift from treatment to prevention, including for alcohol-related cancer risks. We are taking steps now. The 10-year health plan for England includes an important commitment to ensure that health warnings and nutritional information are legally required on alcohol labels. That is a crucial step in supporting people to make healthier choices when it comes to alcohol. There is international support for that approach. The World Health Organisation’s “Global alcohol action plan 2022-2030” recommends that countries should implement labelling requirements to display relevant information to support health protection. Despite the fact that alcohol is a group 1 carcinogen, alcohol labels are currently required to display far less information than those for food, soft drinks, alcohol-free products or tobacco. We know that voluntary regulation does not lead to consistently good practice in alcohol labelling, so we need to ensure that there is a legal requirement to display certain information on alcohol products. We also know that consumers want more information on alcohol labels: a 2021 survey showed that 75% wanted unit information, 61% wanted calorie information, and 53% wanted sugar content to be displayed. Those results are supported by those of the 2023 alcohol toolkit study, which found that public support for health warning labels was 61.5%, and that 78% supported nutritional information labelling. There is widespread awareness among people in the UK that smoking causes cancer. That information is important to supporting behavioural change. But public awareness that alcohol is carcinogenic is far too low. In a 2016 study of 2,100 adults, only 13% named cancer as a health risk from hazardous drinking. Another recent international study found that only 15% were aware that alcohol can cause breast cancer. We will soon share details of our consultation to determine the best ways to get the necessary information to consumers. We welcome the support and input of parliamentarians in taking that important piece of work forward, but let me be absolutely clear: we will consult on how we will implement mandatory labelling, not whether we will do so. This Government are determined to introduce mandatory labelling for alcohol. We have also discussed various other options available for controlling alcohol consumption. My hon. Friends the Members for Paisley and Renfrewshire North (Alison Taylor), for Easington and for Lancaster and Wyre talked about minimum unit pricing. The Government are acutely aware of the cost of living pressures being felt by families and individuals, and the difficult economic conditions facing the country. Although interventions that affect the price of alcohol have been shown to be effective at directly reducing alcohol harms, the Government have chosen not to pursue policies that could exacerbate economic issues at this time, although we will continue to keep those options under consideration. The Department for Culture, Media and Sport is the branch of Government responsible for advertising and marketing. The Advertising Standards Authority is responsible for regulating advertising through codes set by the Committee of Advertising Practice and the Broadcast Committee of Advertising Practice. Those codes are enforced by the ASA, include specific rules about how alcohol can be advertised, and recognise the social imperative of ensuring that alcohol advertising is responsible. We will continue to work across Government to consider what other measures might be needed to reduce the negative impact that excessive alcohol consumption has on health, crime and the economy. The Government are committed to shortening the amount of time spent in ill health, and to preventing premature deaths. The commitment to labelling in the 10-year plan is a crucial first step to support people to make healthier choices about alcohol. It is the beginning, not the end. We will continue to work across Government to consider what other measures might be needed to reduce the negative impact of excessive alcohol consumption. My hon. Friend the Member for Lancaster and Wyre also talked about public health as a licensing objective. Evidence to support its impact is, at the moment, somewhat limited, but we continue to work with the Home Office to consider how best to use licensing powers to support local leaders to address alcohol-related harms. I thank my hon. Friend the Member for Easington for his leadership on this important issue. Officials are considering that report from the APPG on drugs, alcohol and justice. I recently met the Minister for Policing and Crime Prevention, my right hon. Friend the Member for Kingston upon Hull North and Cottingham (Dame Diana Johnson), who leads on alcohol and drugs policy across Government. I will soon meet Lord Timpson to discuss those areas and their impact on prisons. We are working across Government. I would be happy to meet the APPG, as I have previously agreed. Diary pressures are very high at the moment, but I am confident that we will soon find time to do that. We have also talked about preventing under-age drinking, which was raised by my hon. Friend the Member for Coatbridge and Bellshill. There is a commitment in the 10-year plan to make the sale of alcohol-free drinks also illegal to under-18s, ensuring that no-alcohol and low-alcohol products do not become a gateway to standard-strength alcoholic drinks. On alcohol misuse and mental health support, raised by the hon. Member for Winchester (Dr Chambers), we totally agree on the importance of mental health support. The Government are committed to recruiting 8,500 new mental health workers, and have already recruited 6,700. The shadow Minister, the hon. Member for Sleaford and North Hykeham (Dr Johnson), cheerily reminded us that all activities are risky. She talked of improving the understanding of alcohol dependency. She focused broadly on alcohol use, but did not necessarily mention cancer. To avoid digressing from the debate, I commit to writing to her further on the areas she raised more generally on alcohol policy. I thank everyone for their contributions to this important debate. We will continue to work across Government to reduce the negative impact that excessive alcohol consumption has on health—including cancer—crime and the economy.

• 4 Jul 2025 · Services for Adults with Learning Difficulties: Hillingdon · Hansard source

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  I thank my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for securing this debate around services in the community for people with a learning difficulty in Hillingdon, and for championing the rights of people with learning difficulties in his area. I welcome those in the Gallery who are here to demonstrate how important services for people with learning difficulties in Hillingdon are to them. I join my hon. Friend in paying particular tribute to Oliver, Doug, George and Georgia for all their work in this area. I am aware that, as a member of the Health and Social Care Committee, my hon. Friend has a keen interest in health and social care matters. He will therefore be pleased to know that the Government have today published their response to the Health and Social Care Committee report “Adult Social Care Reform: the cost of inaction”. I am sorry to hear that Hillingdon council has decided to close the Rural Activities Garden Centre, but as Members know, decisions on local services are for councils to make since they are best placed to understand and meet the needs of their local populations.

• 4 Jul 2025 · Services for Adults with Learning Difficulties: Hillingdon · Hansard source

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  I will ensure that that issue is raised with the relevant Department. I will say a little more about some of the expectations we place on local authorities to shape their care markets to meet the diverse needs of all local people, as required under the Care Act 2014. This Government recognise the vital importance of co-production and working with people who draw on care and support. To ensure local authorities are meeting these duties, the Care Quality Commission are assessing local adult social care services by publishing a full report and overall performance rating for each local authority. Hillingdon has been rated as “Good” in the CQC’s recent assessment, but the report also includes feedback on areas where the CQC concluded that Hillingdon could improve. It is great to be having this discussion today, on the last day of Co-production Week, an important annual awareness campaign to recognise the benefits of working in equal partnership with people using health and social care provision. Local councils should absolutely involve, engage and consult adults with learning difficulties on their care plans, as well as on wider decisions that affect their care and support, and their lives in general. We are committed to encouraging genuine co-production between social care professionals, local authorities, policymakers and, crucially, people who draw on care and support, to design a system that works better for everyone—one that is fair, inclusive and puts people first. The Government recognise that investment in local services in the community is vital. That is why we have made available over £69 billion for local government this financial year, increasing core spending power by up to 6.8% in cash terms on last year. For Hillingdon, that means a total of £266.3 million in its core spending power for this year, an increase of 6.2% on 2024-25. We strongly encourage councils to apply elements of good market-shaping practice involving providers. My hon. Friend the Member for Uxbridge and South Ruislip talked about how people with learning disabilities should be worked with across the Government, but actually that applies to all Government, because we seek to serve the people and that includes people with learning disabilities. Yesterday, we published our 10-year plan. I am delighted that social care will, for some people, be a key part of the neighbourhood health services we discussed, but the adult social care system is in need of wider reform. We have already begun that journey, including legislating for a fair pay agreement and the independent commission into social care. Over time, the neighbourhood health service and the national care service will work hand-in-hand with each other to help people stay well and live independently. To conclude, I note my hon. Friend’s invitation to visit Hillingdon and I will ensure that that invitation is extended to the relevant Minister. I once again thank him for bringing forward this important debate, and every Member who has contributed. I hope that Hillingdon council takes notice of this debate. Question put and agreed to.