David Chadwick MP: speeches

Speeches

• 7 Sept 2026 · Health Bill · Hansard source

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  I rise to speak in favour of new clauses 133 and 134, which stand in my name. The new clauses would require the Secretary of State to work with Welsh Ministers to update the England and Wales cross-border healthcare statement of values and principles, and to bring forward proposals to place those principles on a formal legal footing. For many people living along the border, cross-border healthcare is simply a fact of life. In Powys, at least 40% of people depend on hospitals across the border in England. Yet the framework governing how our two healthcare systems work together is based on a voluntary statement of values and principles dating back to 2018. We do not need to look far to see why the current arrangements need reform. Since last July, Powys teaching health board has been asking English hospitals treating Powys residents to treat them more slowly than patients from England as part of cost-cutting measures, despite the fact that they had always previously been treated as equals. The impact of that decision has been devastating. Many patients have had their waiting times increased to up to two years—forced to wait longer in pain, all while their conditions deteriorate. It is not just me and the Liberal Democrats who have been sounding the alarm; providers on the English side of the border have resisted the arrangements because of concerns about the impact on patients. However, there seems to be little will to resolve the issue from either the Welsh Government or the health boards responsible. Meanwhile, patients are falling through the cracks. My constituents should not have to navigate the administrative boundaries between the NHS in England and NHS Wales simply to get the arrangements and treatment they need. Eight years after the statement of values and principles was introduced, the limitations of relying on a voluntary statement with no formal legal footing are clear. New clause 134 would require the Secretary of State to work with Welsh Ministers to update that statement, reflecting the problems that cross-border patients face today. Crucially, it would also require the Government to bring forward proposals within two years to place those principles on a statutory footing. The border should never be a barrier to receiving healthcare. It is time to update and strengthen these principles and give cross-border patients the statutory protections they deserve, because I fear that cross-border healthcare will continue to deteriorate over the next couple of years. Over the summer recess, I held a series of public meetings in response to plans by Powys teaching health board to cut the number of community beds, which will just mean that more people end up stuck in community beds on the English side of the border.

• 2 Sept 2026 · Strengthening the Union · Hansard source

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  I welcome the new Secretary of State to his place. Many of my constituents are reliant on cross-border healthcare, particularly in Hereford hospital. Indeed, many of them will end up stuck in Hereford hospital because we do not have enough community hospital beds in Powys. Powys teaching health board acknowledges that it needs 400 beds, but we only have 148, and it is considering cutting that number further. Can he please outline what are his priorities for fixing cross-border healthcare issues?

• 15 Jul 2026 · Engagements · Hansard source

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  Q3. Two weeks ago, the news leaked that Powys teaching health board is considering taking the beds out of all but two community hospitals in Powys. Some 2,500 people have already signed my petition against those cuts. Does the Prime Minister agree that taking beds out of community hospitals is not a solution for the crisis in social care? Why did he not prioritise fixing social care when he had the opportunity?