Caroline Johnson MP: speeches 2025

Speeches

• 28 Oct 2025 · World Stroke Day · Hansard source

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  It is a pleasure to serve under your chairmanship, Ms Vaz. I congratulate the hon. Member for Twickenham (Munira Wilson) on securing this important debate. Strokes are life-threatening medical emergencies that affect more than 100,000 people in the UK every year, taking over 38,000 lives and leaving many survivors with life-changing disabilities. A study in The Lancet H ealthy L ongevity estimated their annual cost to be £8 billion, comprising public spending on care and lost economic productivity. The number of cases is rising—in England, stroke admissions increased by 28% from 2005 to 2024—and, as the Stroke Association has said, demographic reality makes it all the more urgent for the Government to take action today to improve stroke care and reduce modifiable risk factors. As we have heard, when stroke care is delayed, the typical victim loses 1.9 million neurones for each minute they are untreated. Of course, delay is measured not just in brain cells, but in lost independence, lost potential and, all too often, lost lives. The Government cannot just acknowledge the challenge; they must act. The previous Government designated stroke as a national priority area in the 2019 NHS long-term plan, with several commitments to improve prevention, treatment and care. We set out to increase the proportion of people receiving clot-removing thrombectomy to end their stroke, improve post-hospital stroke rehab models for patients, and enhance the Sentinel Stroke National Audit Programme. That important work was led by a network of 20 integrated stroke delivery networks, which were established in 2021, with a national service model setting out best practice. The previous Government also invested more than £57 million in mechanical thrombectomy, and by the end of 2023, 24 centres were open and delivering mechanical thrombectomy across England. Do the Government have a delivery plan to create more of those centres, or do they think there are enough? Prior to the general election, the previous Government began work on a major conditions strategy to improve the prevention, diagnosis and treatment of six major conditions, including stroke, but rather than see it through, this Labour Government chose to take an axe to progress, pausing the scheme in August 2024 and, a year later, announcing a service framework for cardiovascular diseases in the 10-year plan. Have the Government incorporated the strategy’s findings in the 10-year plan? The plan mentions stroke just twice, and only in the context of smoking and obesity. I am pleased that the Government have shown an interest in reducing modifiable risk factors. Prevention is always better than cure. Those categorised as obese face an elevated risk of stroke—64% higher than those of healthy weight—and one in five children leaves primary school obese. We spoke about obesity in this morning’s debate, but I did not get answers to most of my questions. I appreciate that the Minister is covering for someone this afternoon, but will he undertake to get answers not just to the questions asked in this debate, but to those asked in this morning’s? I am encouraged to see Ministers showing an interest in furthering the previous Government’s work to tackle smoking, a habit to which one in four strokes is directly attributable, but it seems to be taking quite a long time. Just yesterday, health leaders warned that more than 120,000 young people have started smoking since the Tobacco and Vapes Bill was introduced. Will the Minister assure us that the Government will prioritise the Bill and pass it without delay? High blood pressure remains the single biggest risk factor for strokes, and it is generally asymptomatic, which is why it is so important that tests are carried out in locations that are convenient for people. Last year, community pharmacies in England delivered more than 140,000 blood pressure checks and diagnosed nearly 11,000 cases of hypertension. As the Government complete the latest round of pharmacy negotiations, will the Minister commit to expanding that service further, so that pharmacies can detect more cases and prevent more strokes? The Government’s delay to the NHS workforce plan is particularly concerning. We need enough doctors to train to perform thrombectomy and care for patients, and enough physios, occupational therapists, nurses, speech therapists and so on to support rehabilitation. After the Government cancelled the major conditions strategy last summer, their 10-year plan promised a service framework, as I said. Given that they have now delayed the workforce plan, the cancer plan, the neonatal and maternity plan and the HIV plan, will the Minister assure the House that they will not also delay the service framework for cardiovascular disease? We need action and not just words, so will the Minister explain what the Government have done materially to improve early stroke diagnosis since they came to office? Stroke care is not only about medical interventions. For many survivors, recovery starts when they return home and have to re-learn to walk, speak and carry out daily tasks, so access to physiotherapy, occupational therapy, speech and language therapy and other support is vital. How do the Government plan to improve that provision, and what are they doing to provide psychological support to the families of stroke victims and victims themselves, especially in cases where there is a change of personality or emotional disturbance? Prevention is better than cure. Work on smoking, obesity and high blood pressure are important. In the event of a stroke, every minute counts. Every minute the Government spend perfecting plans instead of putting things into action is a minute of suffering that could have been spared.

• 28 Oct 2025 · Obesity and Fatty Liver Disease · Hansard source

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  I do not think it is sticking up for the food industry to suggest that people have agency over what they eat. I will give an example. I saw a very small patient—about five years old—who was very obese. I asked the mum what sort of things the child was being fed, and the answer was, “Well, Doctor, he eats lots of crisps all the time.” But there is a simple point there: where was he getting those crisps from? He was getting the crisps from the cupboard without asking, but the crisps did not get in the cupboard because the five-year-old put them there. It is a question of making sure that what is available is healthy and what is being fed to children is healthy. I have seen even in the last few weeks patients who have low vitamin D levels, critically low vitamin B12 levels and critically low iron levels as a result of the diet that they are getting. It is not just a case of, “It’s all the Government’s fault. The state must make sure that everyone eats healthily.” People have a responsibility of their own as well. This is about working together. There are wider policy impacts as well. The hon. Member for Chelsea and Fulham (Ben Coleman) talked about food pricing and food security. This Government want to cover Lincolnshire—the breadbasket of the UK, where a third of the country’s fruit and vegetables are produced—in glass solar panels. That is what his Government want to do, so there is a wider policy framework about food affordability. Food inflation is going up hugely under this Government, so they need to look in the mirror and see what they are doing to reduce food prices for people. We need to work together: it is a combination of what the Government can do and what the individual can do.

• 28 Oct 2025 · Obesity and Fatty Liver Disease · Hansard source

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  It is a pleasure to serve under your chairmanship this morning, Mr Efford. I congratulate the hon. Member for Worthing West (Dr Cooper) on securing this important debate, and I thank the British Liver Trust and others who provided information and reading material in advance of today’s debate. Fatty liver disease, as has been said, is often asymptomatic in its early stages. Even when symptoms do occur, they can initially be non-specific symptoms such as tiredness and feeling generally unwell. Initially, the fat deposits in the liver; in the next stage the fat causes inflammation, which causes metabolic dysfunction-associated steatohepatitis. It can then progress to fibrosis and then cirrhosis. As mentioned earlier, liver deaths have increased substantially in the last 50 years, but early detection can help to prevent them. What is the Minister doing to ensure that liver function tests and fibroscans are more available? Does she regret having to delay her workforce plan? Will that have an impact on the treatment of liver disease? As many have said, fatty liver disease is caused by obesity. Two thirds of adults are now overweight or obese, but obesity starts in childhood. As an NHS consultant paediatrician, I have in my time seen a 12-year-old weighing 120 kg and a nine-year-old weighing over 90 kg—around three times the weight of an average nine-year-old. That has a serious cost in terms of life expectancy, taking three to 10 years off a person’s life. It also has an economic cost to the state of about £11.4 billion on the NHS, estimated at £75 billion per year when taking into account the wider economic factors. We all know someone who has struggled with their weight and who has had huge success recently, including Members of this House who have talked about it in other debates, using Ozempic, Wegovy or Mounjaro. That is great, but do we want a future where a substantial proportion of the population are dependent on medication to maintain their weight?

• 28 Oct 2025 · Obesity and Fatty Liver Disease · Hansard source

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  I certainly think it is wise to ensure that people get off to a good start in infancy and that unhealthy products are not advertised as healthy if they are not, although the definition of healthy is somewhat elusive and difficult to pin down. It is also important that we do not routinely feed little babies under one high-sugar foods, although I do not want to see them fed artificial sweeteners, either. It is about making things less sweet, so the reformulation will need to be done carefully. That is my personal view. Going back to the medications, we know they can be very helpful for some and can improve their health. They may be able to help with fatty liver disease as well, although they are not licensed yet. Can the Minister update us on when the Government expect applications to be approved and whether the NHS is ready to deliver for all eligible patients? We have heard about the prevalence and burden of the condition across the country and the number of people affected. What is she doing to ensure that the NHS is ready so that, when these drugs are licensed, it has the capacity, workforce and money to provide them? We have seen that drug prices can change quite dramatically. In August, Eli Lilly announced a huge price increase for Mounjaro. What plans does the Minister have to guard against that? Will she update the House on negotiations on the voluntary scheme for branded medicines pricing and access? We understand she is reviewing the National Institute for Health and Care Excellence quality threshold; when does she plan to reach a conclusion? We have seen investment in this country’s life sciences sector by companies such as Merck and AstraZeneca being withdrawn from the United Kingdom or paused due to the environment created by the Government. We need urgent action to support that sector. Will the Minister update the House on discussions she has had with industry and the Treasury on that? Medications are part of the issue, but there are also surgical implications. Many people who have lost large quantities of weight require surgery for excess skin, which can cause further medical problems. What is the Minister doing to ensure there is an assessment of demand for post-weight loss surgery? Are surgeons and capacity available to deliver it where medically indicated? As many have said, prevention is better than cure. We know that fewer than one in three people eat five portions of fruit and veg a day, and that that is falling. We also know that starting early is important and have talked about children and infants. What is the Minister doing to ensure that school food is healthy and good for children? What work is she doing with the Department for Education on food choices and preparation, particularly advice on food that can be made in advance or quickly? We know that many young people will become adults in households where there are two working parents, where one of the largest challenges is not just the money needed to buy food, but the time required after returning from work to prepare and deliver it to children before they do their homework and go to bed. We have talked about reformulation. The soft drinks industry levy has reduced sugar per 100 ml by 47.4%, but I am concerned that is leading to an increase in artificial sweeteners rather than a reduction in the sweetness of the product, ultimately meaning that people are still hooked on the sweetness. What does the Minister think of that? Some hon. Members talked about the advertising ban on less healthy food. Will the Minister tell us why that has been delayed until next year? Why have the Government added the brand exemption? Do they think the addition of the brand exemption will make it harder for new market entrants, compared with well established brands? If I whistled the short tune for one food brand—I will not—it would be immediately recognised, without further introduction. That would be more difficult for advertising new entrants to the market. The 10-year plan talks about mandatory healthy food sales reporting. Will the Minister update us on what she defines as healthy? There are also mandatory targets on healthiness of sales. What does that mean and when will it be implemented? We understand there is a planned update to the nutrient profile. Some are concerned that the free sugars that that includes mean that items such as date paste will fall under unhealthy sugars. Will the Minister provide information on that? Has she made an assessment of the Conservative Government’s step of informing people by adding calories to menus? What effect has that had on consumption and food portion sizes in the restaurant sector? Exercise is also important. We know that physical exercise strengthens joints, increases weight loss and helps in the reduction of diabetes, depression and dementia. The previous Government gave £1 billion to support the sports and leisure industry during the pandemic so that it could continue, and had a school sports action plan, guaranteeing at least two hours of PE and supporting after-school clubs. The current Government have pledged £400 million for new sports facilities, but delivery of that money seems to be at a standstill. Will the Minister update us on that? Many grassroots sports facilities need that money. Will she also update the House on what the Government are doing to improve girls’ attendance in sports? We know that teenage girls in particular are not taking the advised amount of exercise. In summary, we need an NHS pathway to detect liver disease in the early stages so that it can be treated; an NHS that is ready to deliver the new treatments that are becoming available; and action to tackle obesity to prevent liver disease in the first place. There has been an emphasis throughout the debate on what the Government can do to prevent obesity and on state culpability in that regard. It is important that people recognise that they have agency and do not need to wait for the Government to do something about this. People do not need to wait for the soft drinks industry levy or for changes to regulations. They have the agency to help themselves; they can do that.

• 27 Oct 2025 · North Sea Oil and Gas Industry · Hansard source

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  This Government like to tell people that growth is their first priority, but growth requires abundant and cheap energy. Does the Minister recognise that the only things they are growing by cutting the oil and gas industry are domestic prices, business prices and the number of job losses in the industry?

• 27 Oct 2025 · Prisoner Release Checks · Hansard source

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  How many of those released in error under this Labour Government are still at large?

• 23 Oct 2025 · Business of the House · Hansard source

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  Applications for battery storage sites are springing up all over the country, including in my constituency, and my constituents are certainly very concerned about them. This month the UK Health Security Agency wrote to my local district council raising concerns about one such application, discussing fire risks, toxic gases, the potential for particulate matter causing cancers, and damage that could occur to the aquifer, water supplies and the environment, among many other concerns. May we have a debate in Government time to discuss the risk of these sites, as I do not think they have been considered in sufficient detail?

• 23 Oct 2025 · NHS Workforce Levels: Impact on Cancer Patients · Hansard source

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  It is a pleasure to serve under your chairmanship this afternoon, Mrs Hobhouse. I congratulate the hon. Member for Wokingham (Clive Jones) on securing this debate. Across the United Kingdom, an estimated 3.5 million people are living with cancer. We all know a friend, family member or co-worker who has battled the disease, and, sadly, we also all know of somebody whose life was cut short by it. Our country faces an ageing population, which will mean more cancer cases in the years to come; the longer we live, the greater the risk. Troublingly, cancer rates are also rising among those in their 20s, 30s and 40s, so getting cancer care right today will mean the difference between lives saved and lives lost tomorrow. We know that the NHS cannot deliver timely, effective cancer care without the workforce trained to provide it. We owe it to patients fighting cancer today—and the 50% of us who will face cancer tomorrow—to fix the situation. NHS staff are carrying out more cancer checks than ever before: more than 3 million a year in 2024, compared with less than half that a decade ago. In the last five years, we have also benefited from an increase in the number of clinical and medical oncologists in the NHS as well as of clinical radiology staff. Sadly, however, demand for services is fast outpacing the supply of staff, putting teams under immense pressure. Last year, more than 74,000 people in England were not treated on time for cancer, increasing their risk from the disease. Formal training for medical staff begins at university. The previous Government increased the number of places at medical school, and increased the number of medical schools by building five new ones. This Government have said that they will increase the number of medical school places. Could the Minister confirm the places that they will fund for next September, bearing in mind that the application date has now passed? The next step, postgraduate training, faces challenges too. The previous Government, as I said, increased medical school places. They also removed the resident labour market test because of the shortage of doctors. The Secretary of State appeared to understand back in Easter the effect that that was going to start to have, as the newly trained doctors came through their postgraduate training. Over the last two years, the number of international medical graduates applying for training posts has also increased dramatically. The application ratio for postgraduate training posts has gone up substantially and there is a risk that some junior doctors will not get a job. There is also a risk that international medical graduates who get more of the places will return to their country of origin after they have completed training, so we will have unemployed British trainees and doctors who return after training, leaving us with a shortage of consultants in a few years’ time. That issue has been highlighted by the British Medical Association, of which I am a member. Sadly, it has announced that doctors will go on strike from 14 to 19 November this year, partly as a result of pay and partly as a result of job shortages. The Secretary of State was vociferous in his criticisms of the previous Government when doctors went on strike. What will he and the Minister do to get the doctors back to work? Cancer treatment requires surgery, oncology, haematology, radiology, pathology and geneticists—every specialty across the NHS, including, sadly, paediatrics and sometimes even neonatologists. There are also challenges across the nursing sector. We saw nurses this year coming out of nursing college with qualifications, but without the posts to go to. There is also a need for other allied health professionals—pharmacists, radiologists, laboratory staff, mammographers and research assistants. Will the workforce plan reflect this? When will it be published? Will it make projections about the population with cancer and will the Government publish those, too? The Government committed to more MRIs and CT scanners. How many new ones have they got in place? How well are they progressing with their targets? We have heard about the importance of research today. Scientists are a key part of our cancer workforce. We heard yesterday in the Chamber about the challenges that the life sciences sector is facing. The £1 billion investment from Merck for King’s Cross has been shelved. The more than £200 million investment from AstraZeneca in Speke, near Liverpool, has also been shelved, and other investments are paused or mothballed. The industry is talking about poor Government engagement, employment regulations, increased employment taxes such as national insurance, and how they are increasing the voluntary scheme for branded medicines pricing and access payment rate. What are the Government going to do to ensure that we have research in this country? Research is a real success. We have the best scientists in the world. We have cutting-edge treatment, trial drugs and novel approaches. Those are all more accessible earlier if they are done in the UK. They also provide good jobs for the British workforce. What work is the Minister doing with the Department for Science, Innovation and Technology team? What representation is she making to the Treasury to ensure that supporting research is part of the Government’s actions as well as messaging? Will the supporting research be part of the cancer plan? What support is the Minister giving to rare cancers, particularly those that are particularly lethal such as pancreatic cancer? What about brain tumours, where survival has shown little or no improvement? What focus will the cancer plan have on those? I sat on the Rare Cancers Bill Committee. The rare diseases framework points out that one in 17 of us will get a rare disease during our lifetime. The current framework initiated by the last Government runs out in around three months’ time. Do the Government plan to replace it? If so, what with and when? Sadly, as I said earlier, children and teenagers—young people—also get cancer, and they have particular needs as they go through puberty and young adulthood. The workforce therefore has to have particular strengths because of the work involved. I commend the work of the Teenage Cancer Trust and the work that my hon. Friend the Member for Gosport (Dame Caroline Dinenage) is doing. Can the Minister confirm that young people’s and children’s cancer will form an important part of the cancer plan? Computer scientists will also be key to the cancer workforce. We have heard about the importance of AI. Computers can already identify skin cancer from benign lesions in many cases. The Health and Social Care Select Committee, which I was part of in the last Parliament, visited Stanford in California. We saw how AI was being used to look at mammograms and how, rather than using two doctors, they used one doctor and an AI computer. That was better than either two computers or two clinicians. What is the Minister doing to ensure that, from early education in schools, we are teaching the right skills to develop the right workforce for the AI of the future? We are getting better at treating cancer, so thankfully there is life after cancer, but post-cancer care is important too. Some people live with things such as lymphoedema, amputations and stomas as a result of their cancer treatment. What focus does the Minister expect there to be in the workforce plan and cancer plan on those issues? Palliative care is important for those who cannot be treated successfully and whose cancer cannot be cured, but hospices are in crisis across the country. The Government have given extra money for capital, and some for children, which is of course welcome, but hospices across the country are facing huge costs, particularly from the national insurance measures in the last Budget, and neither fund will cover that for adult hospices. Right across the country, we hear about adult hospices that are closing beds. What will the Minister do about that in her plan? How does she expect us to decide on the assisted suicide Bill when palliative care is facing such difficulty? What about the mental health workforce? It is important that people are supported through their cancer journey. We had the 10-year health plan, with which came the promise of a workforce plan and a national cancer plan, but across the country the British people are waiting. They watch the Labour Government crafting glossy catalogues of intent but failing to deliver for our NHS. The time for planning and prevarication is over. I look forward to the Minister’s response.

• 23 Oct 2025 · NHS Workforce Levels: Impact on Cancer Patients · Hansard source

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  Will the hon. Gentleman give way?

• 22 Oct 2025 · Procurement, Slavery and Human Trafficking Regulations: NHS · Hansard source

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  It is a pleasure to speak in this debate on the draft National Health Service (Procurement, Slavery and Human Trafficking) Regulations 2025. I thank the Under-Secretary of State for Health and Social Care, the hon. Member for Glasgow South West (Dr Ahmed), for bringing forward the regulations and welcome him to his place at the Dispatch Box. This important issue goes to the very heart of the values that underpin our national health service. It is a vast organisation—one of the largest in the world—with supply chains that reach across many sectors and many countries. With that scale comes a responsibility to ensure that the products and services we rely on to care for patients are sourced ethically, and that the health service does not, even inadvertently, contribute to exploitation or modern slavery. As an NHS consultant, I know that the idea that any item used in the care of patients, from surgical gloves to hospital linen, could have been produced through exploitation or forced labour is abhorrent to all of us. These regulations seek to strengthen the NHS’s ability to identify, prevent and address such risks—an ambition that I am sure commands support right across the House. Indeed, this work began under the last Conservative Government. The Health and Care Act 2022 passed new regulations to address the risk of modern slavery in NHS supply chains, and in December 2023 we delivered a review into those risks, supported by NHS England, which examined where the greatest risks lay and how they could be mitigated. Although we welcome the direction of travel, there are, however, some important questions about how the regulations will work in practice and how we will ensure that the regulations deliver what is intended in a fair way. First, what demands do we expect that the regulations will place on the NHS? They apply to all public bodies procuring goods and services for the NHS in England, including NHS England, hospital trusts and integrated care boards. Will each organisation have to make its own separate risk assessment? Has an estimation been made of the time that that is expected to take? How many people are expected to be required for organisations to fulfil the requirement, and what will be the associated cost? Will any mechanisms be put in place to prevent duplication, for example, where suppliers are already reporting under the Modern Slavery Act 2015? Secondly, I turn to implementation and support. Regulations are not enough on their own; they must be embedded in practice. What steps will NHS England take to support procurement teams in applying these rules consistently and effectively and in maintaining the same standards across all the public sector bodies that are covered by these regulations? The regulations require NHS England to issue guidance, which is welcome, but how comprehensive will that guidance be? With NHS England being abolished, who will produce it? Will there be accompanying training and practical support for procurement teams to ensure consistency across the system? What will happen to a supplier if they are found to be non-compliant? Will the consequences be decided by NHS England centrally, or by individual trusts or ICBs? Will there be independent oversight to assess progress? With all the churn in NHS England and ICBs and the cuts to their budgets, how will they have the time and space to do that? Next, I turn to the impact on business. The NHS relies on a wide range of suppliers, many of which are small and medium-sized businesses that bring innovation, flexibility and local expertise. Can the Minister confirm that the new requirements will not place undue burdens on suppliers or deter small businesses from bidding for NHS contracts? We must uphold the highest ethical standards, but we must also avoid creating unnecessary bureaucracy that excludes capable businesses from contributing to patient care. Finally, I turn to the issue of co-ordination across Government. Many NHS goods are sourced internationally from complex and often opaque global supply chains. It is crucial, therefore, that our framework aligns with the broader cross-Government effort to tackle modern slavery, including at the Home Office and the Foreign Office. I would be grateful if the Minister outlined how those links are maintained in practice. The question of co-ordination is not new. During the passage of the Great British Energy Act 2025, an amendment was introduced in the Lords to stop GB Energy from sourcing panels linked to forced labour. The Government’s initial position was that existing laws already addressed that risk, but later down the road, the Government heeded those calls by introducing their own amendment to block GB Energy from using slavery-linked solar. That episode shows how important it is to have clear and joined-up action across Government when addressing the risks of modern slavery. The NHS should be a beacon of integrity as well as excellence. Patients and the public rightly expect that the care provided in our hospitals is not, however indirectly, tainted by the exploitation of others. The regulations are a step forward in ensuring that our health service lives up to that ideal. We welcome the intent and the ambition behind the regulations, but we will continue to push to ensure that they work in practice and without unintended consequences.

• 21 Oct 2025 · Points of Order · Hansard source

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  On a point of order, Mr Speaker. I am concerned that the Health team may have inadvertently misled the House. In July, the Joint Committee on Vaccination and Immunisation noted that respiratory syncytial virus vaccines were so effective that they should be extended to all those over 80 and those in adult care homes. The Secretary of State reassured this House in July that the recommendation had been accepted, and provision would be in place for this winter. When I asked about that today, the Secretary of State said from a sedentary position that he had delivered on that promise, and the Minister for Secondary Care then confirmed that. However, Government and NHS guidelines still show that availability of the vaccine has not been extended. How can I ensure that the record is correct?

• 21 Oct 2025 · NHS Reorganisation · Hansard source

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  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. In July, I asked the Secretary of State to confirm that this vaccine will be available in time for the winter season, and he said, “I can certainly reassure the shadow Minister on this.” —[ Official Report , 22 July 2025; Vol. 771, c. 677.] The winter vaccine programme started three weeks ago. Why has he not delivered on his promise?

• 21 Oct 2025 · NHS Reorganisation · Hansard source

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  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, too. The Secretary of State also promised that the continued roll-out of fracture liaison services would be one of his first priorities. How many new fracture liaison services have opened since the general election?

• 21 Oct 2025 · Rape Gangs: National Statutory Inquiry · Hansard source

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  The victims of these crimes were vulnerable children who were ignored, gaslit and dismissed. Two victims have now resigned because of the process, its failure and their lack of faith in it. Yet, I hear what appears to me to be an aggressive and defensive tone from the Minister.

• 21 Oct 2025 · Rape Gangs: National Statutory Inquiry · Hansard source

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  She should remember that those people are watching. Will she listen to the victims and does she regret that those two individuals have resigned from the process?

• 20 Oct 2025 · Diego Garcia Military Base and British Indian Ocean Territory Bill · Hansard source

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  In this House, there is often talk about millions of pounds for this and billions of pounds for that. It is difficult sometimes to get in one’s mind the scale of the money. Last year, the Chancellor said that she was going to raise national insurance and lower the threshold. We know how much damage that has done to the country, yet it was said at the time that it would raise £25.7 billion. That would not even pay for this deal. That is the amount of money they are going to give away today.

• 16 Oct 2025 · World Menopause Day · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Betts. I congratulate the hon. Member for Neath and Swansea East (Carolyn Harris) for securing this important debate on an issue about which we know she is extremely passionate and has campaigned for a long time. In recent years, our country has made good progress in female empowerment. Today, women occupy 43% of company board roles and 35% of leadership positions at FTSE 350 firms. More women than ever before are partners in law firms, consultants in hospitals, entrepreneurs and executives managing successful businesses in every part of the country. None the less, there is a serious fault line running through that progress. Most women reach the professional apex of their careers in their late 40s to early 50s, after accruing many years of experience. For thousands of women across the country every single year, that moment of career maturity tragically coincides with the onset of the menopause. An abrupt change to the menstrual cycle can happen; sometimes there are sudden floods of menstrual blood, hot flushes at inopportune moments throughout the working day, problems with concentration, low self-esteem, migraines, aches and itches—all things that make it more difficult to fulfil the employer’s expectations, let alone, as we have heard, fully rest in the precious hours of the night. Symptoms can be truly debilitating, running from months to years and fluctuating unpredictably over time. They leave some women with an impossible choice: their health or their career. I have heard from professionals in my constituency who love their job but felt there was no option other than to step back. I have seen it while working as a consultant in the NHS, too; some colleagues, amid the worst of their symptoms, go from thriving to just about surviving. When that becomes commonplace, our economy pays a price. Every year, the UK loses 14 million working days to menopause-related absence. Graver still, we are losing many thousands of women from the workforce every year because of overwhelming symptoms and lack of support. The NHS Confederation tallies up the damage to a staggering £1.5 billion. I am proud that the previous Government recognised the scale of the challenge and took concrete action. In 2022, aware that not enough focus was being given to women-specific issues like the menopause, they published a women’s health strategy for England. That set out 10-year ambitions, including for people to be informed of the menopause at an early age and provided with access to the full range of treatment options, improved understanding among healthcare professionals, and increased research of alternatives to HRT. I am proud that the previous Government made good on those ambitions. They also launched the national menopause pathway programme, providing optimal care pathways to ensure more women get the right care the first time around. Recognising that almost nine in 10 adults were never educated about menopause in school, the previous Government changed the curriculum to add menopause to relationships and sex education for secondary school students. They also reduced the cost of HRT in England by making prescriptions available on an annual basis; 500,000 women saw their costs decrease by up to £200 as a result. That is what real progress looks like, but the current Government have undermined those achievements. Many women I speak to are incandescent at the Government’s callous decision to disregard the women’s health strategy and replace it, seemingly, with nothing. It does not stop there: this Government have also compromised women’s healthcare provision by scaling back targets in NHS guidance and binning the commitment to roll out health hubs across all ICBs. Can the Minister explain what impact these changes are going to have on support for menopausal women? What do the Government plan to replace the women’s health strategy with? I commend the Government for appointing a menopause employment ambassador—having a champion focused solely on the menopause in conversation directly with employers gives the issue exactly the attention it deserves—but women are best served by good execution and delivery, not just good intentions. That is where my concerns with the Government’s strategy lie. The Employment Rights Bill will impose a new duty on firms with more than 250 people to publish menopause action plans. We know the menopause affects women in different ways, so I question the value of uniform plans, which will give some human resources managers cover stories for doing little of actual substance. How will the increased administrative burden translate into better support for menopausal women in the workplace, rather than simply becoming a cost for business? What metrics will the Government use to ensure that women are materially helped by menopause action plans? We know that many businesses with more than 250 employees are just as stretched as those with 25 employees—and no less so due to tax increases by this Government. What are the Government doing to prevent a two-tier system emerging, whereby the quality of workplace support hinges on not need but the size of an employer? There is much the Government can do to help menopausal women that does not necessitate wielding the regulatory sledgehammer—for instance, improving public awareness, as the hon. Member for Neath and Swansea East talked about. Most adults were not taught about the menopause in school. Thousands of women are enduring excruciating symptoms without always recognising what is happening to their bodies, or realising that there is NHS support readily available for their symptoms in the form of HRT. This is a problem that can be solved. The Menopause Charity ran a highly successful national campaign last year under the banner “educate yourself”. This year, as we have already heard, we have witnessed Asda and Tesco, among several other retailers, partnering with GenM to develop menopause aisles in their stores, replete with information to improve awareness and help women easily identify products that are capable of alleviating symptoms. Can the Minister explain what the Government are doing to encourage and amplify such voluntary initiatives by national charities and businesses? The Government can also learn lessons from abroad. Ireland launched a nationwide campaign in 2022, deploying advertising across public displays, newspapers, magazines, radio and social media—a highly effective way to raise the awareness that British menopause advocates have long called for. Can the Minister say whether the Government have considered rolling out a national menopause awareness scheme? I recognise that the Minister and the Government want to help menopausal women, but goodwill must translate into effective delivery. The previous Government made good progress on managing the menopause, which is why women want that progress to be built on, rather than dismantled. I look forward to the Minister’s response. I appreciate that some of these points are not in her brief, but within the scope of the Department of Health and Social Care. If she is not able to answer my questions herself, I would be grateful if she would commit to sending a letter in reply.

• 13 Oct 2025 · Digital ID · Hansard source

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  This ID card is being touted as an idea to do mandatory work checks. It rather surprises me that the right hon. Lady, who until recently was in charge of the Department for Work and Pensions, is not aware that we already have mandatory checks in order to work. Her statement was contradictory: she said that it will give people more control over their data, but unless you are a multimillionaire who does not need to work, you will need to have an ID card, so it is not really optional at all. She has failed to answer questions from many MPs across the House on how much it will cost. Can she say how much it will cost?

• 13 Oct 2025 · Baby Loss · Hansard source

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  Let me first draw Members’ attention to my entry in the Register of Members’ Financial Interests. I congratulate my right hon. Friend the Member for Godalming and Ash (Sir Jeremy Hunt) and the hon. Members for Rossendale and Darwen (Andy MacNae) and for Sherwood Forest (Michelle Welsh) on securing the debate, and on their eloquent and thoughtful speeches. Behind the statistics that I will put before Members, as others have done today, are the broken families with a gaping hole in their lives and a pain that will never go away. There are so many unanswered questions. What would their first word have been? When would they have taken their first steps? Who would they have grown up to become? For families who have lost a baby, these questions, painfully, tragically, will never be answered. I have been honoured to meet representatives of charities all of which are doing excellent work to support families who have been affected by baby loss, and campaigning for improved maternity services. I pay tribute to those charities—including Bliss, Sands and Tommy’s—and to the royal colleges, and I thank the families in the Maternity Safety Alliance for sharing their very personal and moving stories with me when the shadow Secretary of State and I met them recently. The last Government worked hard to improve maternity services. A decade ago, my right hon. Friend the Member for Godalming and Ash, then Secretary of State for Health and Social Care, announced an ambition to halve the rates of stillbirths, neonatal and maternal deaths in England by 2030, and he made encouraging progress. The stillbirth rate fell by about 20%, as did the neonatal death rate, and the maternal death rate fell by about a third.

• 13 Oct 2025 · Baby Loss · Hansard source

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  My hon. Friend is, of course, right. Those certificates have proved to be of great comfort to many. The hon. Member for Washington and Gateshead South (Mrs Hodgson) talked about her work in that regard, and I thank her for it. I am also grateful for the work of my former colleague Tim Loughton. One of the reasons I went into politics is the fact that one can make more of a difference as a politician than as a single doctor alone. The changes made by my right hon. Friend the Member for Godalming and Ash mean that, by quite some margin, he has saved more babies’ lives than I have as a consultant paediatrician. I assure the Secretary of State that it is not flattery when I say that he has more capacity than any NHS doctor when it comes to saving babies’ lives. I am pleased to see him here at almost midnight; I know that he cares, and I know that, like all of us, he wants to stop the tragedies about which we have heard so much today. However, I ask him to consider, every day, whether he is really doing all that he can to maximise the opportunity that he has, and, in the spirit of constructive opposition, I have a few questions for him. He said he came in with a plan, but in fact he took a year to create the 10-year plan, which creates a maternity and neonatal taskforce that is tasked with creating another plan. I sincerely hope that it is a good plan, after all this waiting, but I do worry that it has lost time, so can he confirm when it will be published? Staffing levels have been mentioned in many tragic incidents, and the Secretary of State has promised that he will train thousands of additional midwives. Looking at the figures, an average of 10 fewer students have been accepted on to midwifery degrees in England across his two years in office compared with 2023. Can the Secretary of State confirm when he expects to train the 1,000 additional midwives he promised in his manifesto? The previous Government increased the number of medical school places and built five new medical schools. As those students begin to qualify, the specialist training places need to be expanded and British graduates need to be prioritised. The Secretary of State seemed to understand that at Easter, but what has he done about it? The applicant-to-place ratio has risen dramatically, and now strikes are threatened, which would threaten the care of women and babies across the country. We know that reducing baby loss starts before a baby is conceived and that factors such as teenage pregnancy, smoking, obesity and sub-optimally managed chronic conditions increase the risk of stillbirth. We must systemically improve on factors that increase the risk of baby death. I welcome the fact that the Secretary of State has brought through legislation, introduced by the previous Government, to fortify bread flour with folic acid by the end of 2026. That will prevent 200 cases of neural tube defects a year and improve the health of pregnant women. I am also pleased to see that the Tobacco and Vapes Bill is gradually making its way through Parliament. However, given that the Bill completed its Second Reading in the House of Lords on 23 April and is not due to appear in Committee until 27 October—more than six months later—there just does not seem to be enough urgency in the Government’s actions. Can the Secretary of State tell us what he is doing to improve pre-conception advice and optimise the management of chronic conditions in women to reduce the risk of baby loss? As an NHS doctor, I pay tribute to my colleagues, who welcome almost 600,000 tiny miracles into the world each year. However, as we have heard this evening, care does not always meet the highest standards and too often avoidable deaths occur. Can the Secretary of State assure us that the findings of the ongoing Ockenden review into maternity services will be swiftly acted on? Donna Ockenden’s 2020 review into maternity care at the Shrewsbury and Telford trust found that at least 201 babies and nine mothers could have survived had they had better care. From her report came a £95 million ringfenced fund to improve the care available for expectant mothers, but as we have heard already this evening, the Government have slashed that fund from £95 million to just £2 million, with the rest of the money siphoned off to England’s 42 integrated care boards. The Government have also reduced ICB budgets and are forcing them to restructure. I am worried that this un-ringfencing of the budget, and the distracting reorganisation, will have a negative impact on efforts to improve maternity services. What is the Secretary of State doing to prevent negative consequences? Neonatal care can be lifesaving. One in seven babies in the UK requires neonatal care, but unfortunately their fight for life is not always won, and 1,933 babies died in neonatal care in 2023. With that in mind, will the Secretary of State clarify the extent to which neonatal services will be included in the maternity and neonatal investigation due by the end of the year? How will the quality of neonatal care be assessed? The recent NHS estates review of maternity and neonatal care did not appear to include parental accommodation, yet many parents find that their babies are transferred miles away for specialist care. May I urge the Secretary of State to recognise the value of this accommodation and make sure it is widely available? As many Members have mentioned, black and ethnic minority women are more likely to suffer baby loss or maternal death. Can the Secretary of State update us on what progress he has made on his Government’s manifesto promise to close the maternal mortality gap for black and Asian women? In the decade since the previous Government launched ambitions to improve maternity safety in the UK, the number of stillbirths and neonatal deaths has reduced by almost a quarter, and the number of maternal deaths has reduced by around a third. These are encouraging signs, and they show good progress. We must build on these achievements, but there is so much more work to be done. Today we have heard many stories of loss and of care failures. Only action will turn the page on baby loss. We all wish for improved maternity and neonatal care, but the Secretary of State is the man with the levers to make that happen—the levers to save hundreds of lives. I urge him to use them urgently.

• 11 Sept 2025 · UK Ambassador to the US: Appointment Process · Hansard source

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  The idea that our country should be represented in America or on the world stage by somebody who tried to get a paedophile out of prison early will fill us all with revulsion. Can the Minister be clearer? He has said that the Prime Minister asked the Foreign Secretary to withdraw the ambassador. He said the Prime Minister made the decision, but he also said in his statement that Mandelson resigned. Did he resign or was he sacked?

• 11 Sept 2025 · Life Sciences Investment · Hansard source

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  rose—

• 9 Sept 2025 · Diego Garcia Military Base and British Indian Ocean Territory Bill · Hansard source

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  My right hon. Friend is making a great speech. She says that this is a reckless giving away of British money. Unlike many of the other things we have had to watch Labour do, such as take the winter fuel allowance away from old people and heavily tax charities, hospices and others, this cannot be undone. Once the money is given away to a foreign country, there is nothing that any future Government can do to claim it back easily.

• 9 Sept 2025 · Diego Garcia Military Base and British Indian Ocean Territory Bill · Hansard source

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  Is my right hon. Friend aware of any of our allies who think that the insecure and expensive leasehold deal that we have now is better than the freehold sovereignty and security that we had before?

• 9 Sept 2025 · Diego Garcia Military Base and British Indian Ocean Territory Bill · Hansard source

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  The Minister seems to be arguing about exactly how much it will cost. My constituents just see that he is giving away British territory and paying rent for it, which is completely unacceptable to them. He talks about how it is good for the global south, because they agree with it; good for other countries, because they agree with it; and good for Mauritius, because it is getting extra money. What about the British people that he, as a British Minister, is here to represent? What are they getting for this deal? They are losing territory and it is costing them money.