Esther McVey MP: speeches

Speeches

• 11 Feb 2026 · Police Grant Report · Hansard source

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  I apologise for the fact that I cannot stay until the end of this debate, because I have a debate in Westminster Hall, but I need to ask the Minister a question. She talks about outcomes. Is she as shocked as I am that the Labour Cheshire police and crime commissioner has already spent £200,000 on two listening exercises, and is expected to spend another £400,000 on more listening exercises? The precept is going up by 6.7%, but the police force will have to make redundancies. Does she not agree that the money should go not on vanity projects, but on frontline policing?

• 11 Feb 2026 · Police Grant Report · Hansard source

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  No, I don’t.

• 11 Feb 2026 · Police Grant Report · Hansard source

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  Following on from the Minister’s point, I noticed today that the same Labour police and crime commissioner has put up an advert for a senior public relations officer on £45,000 to £55,000, and there are other vanity projects. Surely that money should be spent on PCSOs and police on the ground, not on the PCC himself.

• 11 Feb 2026 · Police Grant Report · Hansard source

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  Will my right hon. Friend give way before concluding?

• 11 Feb 2026 · Police Grant Report · Hansard source

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  Will the Minister give way?

• 11 Feb 2026 · Police Grant Report · Hansard source

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  At a time of great pressure on police budgets, my Cheshire police force is having to make redundancies. Was my right hon. Friend as concerned as I was that the Minister felt that our Labour police and crime commissioner could spend hundreds of thousands of pounds on vanity projects? She accepted it, rather than condemning it, and that money should go to frontline policing.

• 11 Feb 2026 · Police Grant Report · Hansard source

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  I thank the Minister for giving way; it is most generous of her. My chief constable has raised a point about Labour’s new Sentencing Act 2026, where criminals will not be sentenced for less than 12 months. My chief constable says that their force will now be man-marking criminals on the street, which will cost them approximately £1.6 million a year. Can the Minister explain how she plans to address that issue in costs and man hours?

• 11 Feb 2026 · Police Grant Report · Hansard source

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  indicated dissent.

• 11 Feb 2026 · Rural GPs: Funding · Hansard source

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  I beg to move, That this House has considered GP funding in rural areas. I am pleased to have the opportunity to talk about this important topic. Statistics show that, as of 2024, 17% of England’s population, equating to 9.6 million people, live in rural areas. For these communities, accessing healthcare can be challenging. The challenges are well known: rural GP practices serve elderly and often isolated populations, and are tasked with delivering complex care in large and often sparse geographical areas. The demands have long been accounted for in our funding formula for GPs, the Carr-Hill formula. The model was introduced in 2004 and was designed to ensure that GP funding reflected variations in workload and local population characteristics, including a measure of rurality.

• 11 Feb 2026 · Rural GPs: Funding · Hansard source

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  It is always good to have my hon. Friend—and I do call him my hon. Friend—intervene on me. He makes very good points. It is also important that a local GP chooses, and can see what their local constituents require and what is best for their health outcomes. The move to a new model based on deprivation rather than workload is, at best, an act of ignorance that fails to acknowledge the significant challenges of running GP practices in rural areas; at worst, it represents yet another example of Labour’s assault on rural life. Measuring pressures on GPs solely through the lens of deprivation would ignore the complex, distinct demands faced by rural practices. Rural communities have older populations. In 2019, the House of Lords Rural Economy Select Committee found that the average age in rural areas was almost six years higher than in urban areas, and a quarter of the rural population were over the age of 65.

• 11 Feb 2026 · Rural GPs: Funding · Hansard source

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  The hon. Member raises another good question, and we can ask the Minister to look into that. The logical conclusion of not having GPs from rural areas take part in this review is that the Government do not want to listen to them. They are intent on rewriting the formula without acknowledging the realities of delivering rural healthcare. A broadbrush measure such as deprivation cannot take into consideration the very close link between the ability to deliver healthcare and the rural or urban settings in which GPs exist. It comes as little surprise. Whether selling off our family farms or introducing a devolution agenda that pits rural against urban areas, time and again the Labour Government have shown that they are not willing to listen to rural areas, but are quick to sell out rural Britain at the first chance. As is typical, Labour’s response to pressure is to level down some areas, which serves only to create additional pressures elsewhere, rather than acting to fix them. The pressure faced by rural healthcare will not disappear soon. The NHS long-term workforce plan, published under the previous Government in 2023, recognised that the increased demand from an ageing population is not uniform in the UK. It estimated that “In 2037, a third of people aged over 85 will be living in rural communities” compared with just a quarter now. The Government must act to address that trend. I have been campaigning for a new medical centre in Knutsford, as was acknowledged before, where doctors desperately need more space and modernised facilities to meet patients’ needs. The current surgeries in Knutsford do not do that; they are all Victorian buildings and are not suitable. I have been pressing for that for a long time. I have met with the Minister—I thank her for that—and I would be grateful for an update on the progress of the practice in Knutsford. GP practices deliver community care and their ability to deliver is reliant on the environment in which they serve the patients. We must have a funding formula that acknowledges the challenges of delivering healthcare in rural areas. I would be grateful if the Minister could answer the following questions. Who is being consulted in the review, and will it include those with first-hand experience of delivering healthcare in rural settings, like my GPs in Tatton? What assurances can be provided that rurality will remain a factor in a new funding formula? Given the specific challenges they face, will the Department commit to publishing an assessment of the impact on rural communities ahead of any change to the funding formula?

• 11 Feb 2026 · Rural GPs: Funding · Hansard source

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  I agree with the hon. Member. I will come on to my surgeries that are indeed in Victorian buildings—spread across four—and need to be brought together and modernised. That is in Knutsford in my constituency. I know that there will be many other places like that across the country. The hon. Member raises a valid and pertinent point. We know that GP services in rural communities are spread across a large geographical area, and many elderly residents in Tatton live alone. Although such independence is cherished, travelling long distances to access healthcare is more difficult. Public transport is often limited or non-existent. Community transport schemes exist in Tatton, but they cannot always accommodate short-notice or urgent medical needs. Often, elderly residents do not drive, so they are left reliant on costly taxis or GP staff taking the time to travel to a patient’s home. That places additional pressures on already stretched services. In Lostock Gralam, despite a population of about 2,800 people, there is no GP practice. That forces patients to make a lengthy journey to Northwich, and without a direct bus service many are left to rely on taxis to make their appointment. For those communities, recruiting and retaining staff becomes more difficult and more expensive. The Rural Services Network reports that 59% of hard-to-recruit GP speciality training posts are located in rural areas. There is less access to specialists and consultants, which makes their services more expensive. Community services and provision are sparser in rural areas, too. Pharmacies, which help to relieve pressure on GPs in urban areas, are not as common in rural areas. When I secured this debate, I was contacted by the Dispensing Doctors’ Association, which provides an essential role in dispensing medicines to patients who live more than 1.6 kilometres from a pharmacy. It delivers to about 10 million patients across England, but is facing increasing challenges due to its reliance on manual delivery. In addition, while urban pharmacies move ahead with digital efficiency, rural pharmacies often struggle to keep pace because broadband coverage is often unreliable, rendering remote consultations near impossible and service delivery more difficult. The benefits of digitisation in healthcare are well understood across this House, but they rely entirely on having the right infrastructure in place. Without connectivity, rural practices are simply unable to access or benefit from Government investment in that area. There are lots of people from rural areas here, and we know how unreliable our broadband infrastructure is. In 2022, the all-party parliamentary group on rural health and care published an inquiry into healthcare in rural areas. It concluded: “Rurality and its infrastructure must be redefined to allow a better understanding of how it impinges on health outcomes”. No progress has been made on achieving that. Removing the rurality measure of GPs’ funding entirely would be a step backwards in understanding how settings impact GPs’ ability to provide healthcare. There is little transparency about who exactly will be consulted in the funding model review. In a written answer to a parliamentary question, the Government confirmed that the review “will draw on a range of evidence and advice from experts,” such as the Advisory Committee on Resource Allocation and the British Medical Association general practitioners committee, but there is little information beyond that. There are GPs in Tatton who are keen to contribute but, as of yet, have not been able to.

• 11 Feb 2026 · Rural GPs: Funding · Hansard source

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  I will indeed, although I am keeping an eye on the time.

• 11 Feb 2026 · Rural GPs: Funding · Hansard source

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  The hon. Lady raises a very relevant point, and I agree wholeheartedly. People in lots of areas in my constituency cannot get to a GP and are bereft of a GP surgery. Until now, we have had a measure of rurality, but this Government have instructed the National Institute for Health and Care Research to review the funding model and examine how working-class areas could benefit under a new model based on deprivation rather than workload.

• 11 Feb 2026 · Rural GPs: Funding · Hansard source

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  The hon. Member raises a very good point indeed. I congratulate his constituents. The pressure that I know the farming community is under and the impact that the family farm tax has had on the mental health of the rural community and farmers has been significant. Life expectancy is longer in rural areas, placing greater demands on GP practices. Statistics published by the Department for Environment, Food and Rural Affairs suggest that people born in mainly rural areas in 2018 to 2020 were expected to live two and a half years longer than people born in urban areas. Older populations place greater demands on GP surgeries, presenting with complex healthcare needs and higher levels of chronic illness and frailty. The Rural Services Network analysis shows that GP-registered patients over the age of 75 account for 11% of rural GP patients, compared with just 7.5% in urban settings.

• 11 Feb 2026 · Rural GPs: Funding · Hansard source

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  I thank my hon. Friend and constituency neighbour for raising that point. She is absolutely right that the number of new homes that are going to be built in rural areas, putting more pressure on GP surgeries, is significant. Without new GP practices, I am not sure where our residents will go when they need a doctor and need to see somebody about their health.

• 9 Feb 2026 · Standards in Public Life · Hansard source

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  Given the importance of standards in public life, why is it that the adviser who suggested that Peter Mandelson be made ambassador to the United States had to resign, but the person who actually appointed Peter Mandelson—the Prime Minister —is still in post?

• 4 Feb 2026 · Lord Mandelson · Hansard source

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  I am going to raise a very sensitive issue. My hon. Friend raised a point about vulnerable women being abused, about powerful men taking advantage, and about a friend who was appointed when he was known to be a friend of a convicted paedophile. We also have a Labour Government who ran away from investigating grooming gangs—again, vulnerable women being taken advantage of by powerful men. The Labour Government have said they stand up for women, women’s rights and vulnerable women. They have shown now that they do not, at any level—whether at the highest level or in respect of white working-class girls. Labour, I am afraid, has a lot of questions to answer about protecting women.

• 4 Feb 2026 · Lord Mandelson · Hansard source

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  When we talk about the appointment of Mandelson, what we are really talking about is the judgment of the Prime Minister. Mandelson is now a key part of the Starmer Government —appointments, what goes on, the key people—which brings into question every judgment made by this Prime Minister, from Chagos and China to the Northern Ireland Troubles Bill. I would say that today is the crumbling of Starmer. His judgment is poor, and it is ruining this country and the Labour party.

• 2 Feb 2026 · High Speed Rail (Crewe - Manchester) Bill · Hansard source

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  According to the Secretary of State’s announcement, the money being put forward was, I think, £1.1 billion out of a £45 billion cost, which was to be delivered in decades to come, when the Secretary of State and her Government will no longer be around—hence, it is a charade to keep the mayors of the north happy at the local elections.

• 2 Feb 2026 · High Speed Rail (Crewe - Manchester) Bill · Hansard source

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  I rise to object to the High Speed Rail (Crewe - Manchester) Bill carry-over and Select Committee motions. Why is there any need to carry over the Bill? To paraphrase Monty Python, this project is no more: it has ceased to be, it has expired and gone to meet its maker. It is a stiff, bereft of life, so why won’t everyone accept this project is dead, finito, finished? By continuing with this charade, the Government are giving false hope to those who want it to happen, just like they did with the WASPI—Women Against State Pension Inequality Campaign—women, and are causing needless anxiety to those in my constituency who do not want it to happen. Rather than faffing about with carry-over motions—acting more “Carry On”, than carry over—why do the Government not just announce this project is dead and buried, and put it out of its misery once and for all? The Government need to dispose of the properties they have bought and are holding on to, and take them out of safeguarding. It seems the Government are only proceeding with this carry-over motion to try to appease the windbag of the north, Andy Burnham. If they think this futile gesture will ensure he plays nicely and supports the Prime Minister, they are sadly deluded. This is another example of the Government making the wrong decision for the wrong reasons. They should have learned by now that such a tactic will always backfire. My constituents were extremely grateful to the former Prime Minister, the right hon. Member for Richmond and Northallerton (Rishi Sunak) for cancelling this white elephant project. This Government would do well to follow his lead.

• 2 Feb 2026 · China and Japan · Hansard source

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  Does the Prime Minister accept that in his rush to hoover up economic crumbs from President Xi because of his appalling handling of our economy, he is having to increase strategic dependence on Beijing? The public see the risks the Prime Minister is taking with UK security; does he?

• 2 Feb 2026 · US Department of Justice Release of Files · Hansard source

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  Do the Government believe that Lord Mandelson should be stripped of his peerage, yes or no? If they do believe that, they should bring forward primary legislation to do just that. I am afraid the Minister’s excuse of a queue does not wash. Will they bring forward legislation for the disgraced Lord Mandelson, their friend? If they do not, and he keeps his title despite Andrew Mountbatten-Windsor being stripped of his, what rank hypocrisy that would be. How much further can this Government stain their tarnished reputation?

• 28 Jan 2026 · Ivanhoe Line: Restoration · Hansard source

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  I will call Amanda Hack to move the motion and I will then call the Minister to respond. I remind other Members that they may make a speech only with the prior permission of both the Member in charge of the debate and the Minister. There will not be an opportunity for the Member in charge to wind up, as is the convention with a 30-minute debate.

• 28 Jan 2026 · Defence Industry: Environmental, Social and Governance Requirements · Hansard source

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  I remind Members to bob if they wish to be called. We will go to the Front-Bench speakers at about 3.30 pm. I am aware we are expecting a vote, which might come as early as 3.30 pm; I will obviously suspend the sitting when that happens.