Helen Maguire MP: speeches 2025

Speeches

• 16 Dec 2025 · Quarries: Planning Policy · Hansard source

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  I congratulate the hon. Member on securing this debate. That is an everyday reality for my constituents in Epsom and Ewell: we have a chalk pit and residents are faced with dust, noise and traffic. Three agencies are involved: the Environment Agency, Surrey county council and Epsom and Ewell borough council. They all have different and sometimes overlapping responsibilities, so residents find it difficult to raise issues, and some just fall through the cracks. Does the hon. Member agree that the current system for regulating pits and quarries is too complex for residents to navigate and get their issues resolved?

• 8 Dec 2025 · Child Poverty Strategy · Hansard source

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  I welcome the Government’s roll-out of free school breakfasts in every primary school. However, I recently visited a local school that is part of the early adopter scheme. Staff there shared their concerns that the funding is not enough to provide a full breakfast for each child. In some cases, children go without anything. I want to ensure that every child receives a free, fresh and nutritious breakfast, so will the Secretary of State confirm that schools are receiving enough money to ensure that children are getting a proper breakfast, and not just a snack or nothing at all?

• 4 Dec 2025 · War in Ukraine · Hansard source

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  I do, wholeheartedly, and thank the hon. Member for intervening on that important point. In 2020, a delayed report into Russian interference in the UK led the then Foreign Secretary to tell the House that it is almost certain that Russian actors sought to interfere in the 2019 general election through the online amplification of illicitly acquired and leaked Government documents. This trend of Russian interference is only increasing. Yesterday, I read a report from GLOBSEC on how Russia is using criminality as a tool of hybrid warfare in Europe. If Members have not already read it, I urge them to do so. The brazen and dangerous act of the Yantar ship endangered the lives of RAF pilots and showed the lengths to which Putin will go to ascertain his military power and undermine Britain’s defence. Tomorrow is too late; this Government must act further today. They must stand up to Putin’s belligerence, seize the £30 billion in frozen Russian assets across the UK, and funnel those into Ukraine’s defence. I have the highest hopes for a peace deal, but am concerned about Trump’s deal. The President treats this deal as if it is a business transaction; he is throwing out the international diplomacy rule book and ignoring history. Trump’s plan would displace thousands, rip territory from Ukraine and weaken Ukraine’s military capability. With Putin rejecting the latest peace proposal, the stakes are higher than ever before. There can be no deal that impinges on Ukrainian sovereignty. Russia is the aggressor here. Russia lined up its troops at the border and launched an illegal invasion. There was no provocation by Ukraine. The UK must lead on the robust defence of Ukraine in considering any peace plan that now comes forward. A peace plan for Ukraine cannot weaken its defence capabilities, cede territory to Russia or refuse Ukraine NATO membership. Putin has already said that he is ready for war with Europe, and as we speak, Russia is provoking our maritime ships, attacking our cyber-security and destroying undersea cables. Ukraine has already experienced what happens when it is weakened and is forced to give up its nuclear weapons. Let us ensure that that does not happen again. It may be 1,379 days since Russia invaded Ukraine, but that is also 1,379 days of solidarity. We stand shoulder to shoulder with Ukraine. Slava Ukraini!

• 4 Dec 2025 · War in Ukraine · Hansard source

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  I congratulate the hon. Member for Harwich and North Essex (Sir Bernard Jenkin) on securing this debate and setting out so many key points in his opening speech. It has been 1,379 days since Russia launched its full-scale invasion in Ukraine—1,379 days of Ukrainians fleeing for their lives, 1,379 days of Ukrainians forced from their homes, and 1,379 days of Ukrainians fighting for their country and for Europe. As we stand in this House and debate today, the devastating war continues. The UN Human Rights Monitoring Mission in Ukraine has reported that the total civilian casualties from January 2025 to October 2025 are 27% higher than during the same period last year. The number of casualties for the first 10 months of 2025 has already exceeded the total for all of 2024. Since the full-scale invasion began in 2022, there have been over 53,000 civilian casualties and 14,500 deaths. Alongside civilians, the number of military casualties stands at around 400,000 for Ukraine and over 1 million for Russia. It has been a complete loss of human life. I begin with those horrific statistics not to overwhelm Members with numbers but to confront us with the brutal reality that they represent. Each figure we cite serves a purpose. They help us to understand the scale of the suffering in Ukraine and the enormity of what is at stake. We must never let statistics blind us to the truth behind them, which is that these are people just like us—parents trying to protect their children, the elderly refusing to abandon the homes that they built, and young people who only ever asked for the chance to live in people. Lives full of hope and routine have been interrupted and devastated by a barbaric war that they did not choose, yet they fight. As we consider these numbers, let us remember the Ukrainians whose stories we cannot fully capture and let that guide the seriousness of our debate. Russia’s invasion of Ukraine is not only an assault on a sovereign nation, but an assault on democracy itself and a flagrant violation of international law. Yet despite this brutal aggression, I know that Ukraine remains unyielding in its fight for freedom. When I visited Ukraine in October, I witnessed the resilience of a nation at war. I was told that, just hours after bombs tear through towns and cities, shattered buildings are boarded up, not simply to hide the destruction, but so that children, families and ordinary citizens can wake the next morning and try as best they can to live their lives, striving for normality in the shadow of war. Every day, the world is witness to military vehicles rolling through towns and cities, missiles striking innocent civilians and drones patrolling the skies with the intent to kill both military and civilian personnel. This is a war without morality, driven not by principle but by a hunger for territory and the attempted annihilation of Ukrainian identity. Amid the rubble, the grief and the dust lies another, silent and enduring threat. When I was in Ukraine, I saw at first hand the immense challenge of explosive ordnance contamination. Ukraine is now the most heavily contaminated country on earth, with 139,000 sq km polluted by unexploded ordnance. This is a nation that once fed much of Europe. Before 2022, 71% of Ukraine’s land was agricultural, more than half of it arable, the highest proportion of any European country, but today farmers cannot work their land. Their fields, once the breadbasket of Europe, have become battlefields. In one extreme case, I learned of a farmer going out to farm his land in the tractor while his son was on the lookout at the side, shooting down drones to protect him. Farmers are so desperate to reclaim their livelihoods that they try to clear the land themselves, with horrific consequences. Children, tragically unaware, pick up pieces of unexploded ordnance, believing them to be toys. Save the Children’s recent blast injury report cites the figure of more than 3,000 children having been killed or injured by explosive weapons in Ukraine since 2022, while the number of children maimed surged by 70% in just one year, from 339 in 2023 to 577 in 2024. There can be no greater tragedy and no greater moral failing than a war in which the innocent and the vulnerable, our children, become its casualties. The cost of explosive ordnance is not only human. A joint report by Ukraine’s Ministry of Economy and the Tony Blair Institute for Global Change estimates that landmine contamination is costing Ukraine an estimated $11.2 billion annually, the equivalent of 5.6% of its pre-war GDP. What further exacerbates the issue is Russia’s errant use of anti-personnel mines. Human Rights Watch has reported that Russian forces have used more than a dozen types of anti-personnel mines since the full-scale invasion of Ukraine began. In Ukraine, I was shown the POM-3. This device is barbaric. Once delivered and deployed, the mine operates on the seismic principle, which means that once it detects a human footstep, it will detonate. These mines cannot tell the difference between a soldier and a civilian, and Russia does not intend them to. Innocent civilians are at risk from mines that they cannot even see. The Ottawa treaty, which Russia is not party to, prohibits the use, production, stockpiling and transfer of these weapons, and requires action to be taken to prevent and address their long-term effects. In recent months, five European states have formally withdrawn from the convention entirely, and in July Ukraine communicated its intention to introduce a suspension. Countries including Austria, Belgium, Norway and Switzerland have formally objected to the suspension, while others are still considering such steps. It risks seriously undermining the convention’s object and purpose, as well as broader international humanitarian law instruments, by suggesting that states can opt out of humanitarian obligations during war. I stand unequivocally with Ukraine, and I recognise that there are no easy decisions when states confront the terrible reality of war, but I remain deeply concerned that any step away from international conventions risks further harm to civilians. As the Mines Advisory Group has warned: “International Humanitarian Law…including the Ottawa Convention, is designed precisely for times like these.” International law is not a luxury for peace; it is the foundation of humanity amid conflict. The UK must lead in its commitment to international law and uphold the standards that the world will depend on in future conflicts. Alongside sustaining the international pressure, we must look to our own responsibilities. With global mine action programme funding due to end in 2026, the Government should commit to allocating a proportion of the UK’s de-mining assistance through the Ministry of Defence budget and should recognise eligible mine action activity as contributing towards relevant defence spending targets. Given the ever-dwindling humanitarian funds in the FCDO, utilising the MOD budget would safeguard continuity beyond 2026 and maintain the operational tempo necessary to confront the largest explosive ordnance contamination that Europe has faced since the second world war. I hope the Minister will address that later. Surrey Stands with Ukraine is an amazing charity in my constituency. It provides medical aid and supports physical and mental rehabilitation for Ukrainians. It has told me of the urgent need for a register of trusted UK-Ukrainian humanitarian aid organisations, so that people can see instantly that they are credible. The charity has received medical kit from Government organisations and private companies, but if it was on a trusted list, that would empower more businesses to come forward and support its work. So far, it has shipped an incredible 168 vans of aid, £4 million of medical aid, a long-reach-ladder fire engine called Dinah, and 250 generators to communities in Ukraine. Anything that this Government can do to empower businesses to offer support, and encourage individuals to donate, would make a difference to the lives of the thousands of people affected by this war. While we wait with bated breath for a peace plan that delivers for Ukraine, this Government must continue to support Ukrainians. The proposed Ukraine-UK health collaboration would help those providing vital services, such as the Superhumans clinic, which offers free prosthetics and reconstruction to children, civilians and military personnel affected by the conflict. When I was in Ukraine, I met Zakhar Biryukov, a former member of the Ukrainian special forces. Zakhar had been warning civilians to stay away from mined areas when his helicopter came under fire. He lost both his legs and an arm, and suffered severe facial injuries. Zakhar now dedicates his time to supporting new amputees arriving at the clinic, telling them that everything will be okay. His hope, courage and optimism, his refusal to be broken, and his will to never give in to the Russians is something that I will never forget. He left a deep impression on all of us who met him. A health partnership would also deliver experience, knowledge and relationships. It would greatly support UK conflict preparedness and NHS resilience to related shocks and mass casualty incidents. Russia is becoming increasingly aggressive across Europe and even more bold in its quest for knowledge. The former leader of Reform Wales was recently jailed for accepting bribes to help pro-Russian politicians in Ukraine.

• 4 Dec 2025 · War in Ukraine · Hansard source

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  Is the hon. Member aware that the Russian state is so deprived of military equipment currently that it is taking tanks out of museums to try to get them on to the battlefield?

• 4 Dec 2025 · War in Ukraine · Hansard source

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  Will the hon. Member give way?

• 3 Dec 2025 · Pension Schemes Bill · Hansard source

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  I have a similar constituency case with a similar example of discretionary increases. Those were 80% of RPI, but in 2023 that was reduced to half. That has left my constituent, among others, unable to afford their bills and their home. Although I am pleased to see the pre-1997 pension indexation in the Budget for PPF and FAS members, I remain concerned for constituents such as mine. Does my hon. Friend agree that there needs to be a plan for those impacted by a sudden decrease in inflation payments?

• 26 Nov 2025 · Budget Resolutions · Hansard source

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  I have listened carefully to the Chancellor, and while the Budget contains many claims, it offers little reassurance to my constituents, who will continue to feel the impact of decisions announced today. Epsom and Ewell is home to fantastic hospitality businesses, from independent cafés such as Charlie & Ginger to charming local pubs such as the Penny Black in Leatherhead. Only last week, I had the pleasure of pulling pints at the Jolly Coopers, a fantastic community venue in Epsom. Hospitality businesses are still reeling from the increase in employer national insurance contributions announced in the previous Budget—a rise that has placed real strain on already tight margins. The Liberal Democrats want to see an emergency VAT cut of 5% for hospitality, accommodation and attraction businesses until April 2027, funded by a new windfall tax on big banks that would raise £30 billion. A transformative measure like that would have driven footfall, eased pressure on prices and given our high streets the breathing space they desperately need. Instead, bankers are celebrating today, as there was not a single new tax on bank profits despite those profits having doubled in the past five years. Middle-income earners in my constituency are being squeezed from every direction, with mounting household costs, spiralling food prices and eye-watering rail fares just to get to work, and now this Government are piling on yet another burden with the freeze on income tax thresholds. Let us call it what it is: a stealth tax that drags more people into paying more when their wages are only just catching up. If that was not enough, the Government’s cut to the pension salary sacrifice scheme shows no regard for the longer-term consequences on people’s future pensions. It is fundamentally wrong to disincentivise pension saving, especially when so many have already been forced to cut back during the cost of living crisis. How do this Government expect working people to save responsibly for retirement when they are effectively being taxed for planning ahead? It is hard to see how this measure will not affect ordinary people. Then there is the question of household energy bills, which the Government can and should be doing more to bring down. The UK continues to pay some of the highest electricity and gas prices in Europe. It is welcome that this Government have partly implemented the Liberal Democrat proposal of removing the renewables obligation levy from bills, but we would like to see the Government go further and break for good the link between gas and electricity prices. All this comes as the Chancellor herself has acknowledged the economic impact of Brexit on our public finances. Instead of squeezing families and savers even further, could the Government not finally commit to growing the economy by repairing the damage of the previous Conservative Government’s botched Brexit deal, starting with negotiating a new UK-EU customs union? That is the responsible way forward, not continuing to squeeze those who are already struggling to make ends meet. St Helier hospital is literally crumbling. Large windows are held together by masking tape and corridor floors are sinking into the ground. This is simply unacceptable, and has been going on for years. NHS staff are left to treat patients in abysmal conditions. Today, the Government did not say anything about the delayed new hospitals programme promised to patients or pledge new investment so that we can go further and faster on tackling the patient backlog. What does that say to staff and patients who are already crying out for help? Frontline NHS services urgently need support, and taking certain appointments and treatments out of hospitals could help to reduce waiting times and staff pressures. That is why a national eye health strategy is a necessity; not only would it take the heat off one of the busiest out-patient departments in NHS hospitals by identifying opportunities for eyecare in the community, but it would deliver a true partnership between qualified optometrists and ophthalmologists while setting out a clear, long-term plan for eyecare. Community health services are always welcome, and so I look forward to the roll-out of the 250 new neighbourhood health centres announced today, but we cannot ignore the fact that GP wait times are through the roof. For those health centres to work, we urgently need proper investment to ensure that everyone can see a GP within seven days and that staff feel supported. The Government cannot pick and choose which parts of healthcare they invest in when the people the Chancellor wants to get back into work need to be fit and healthy to do so. I am disappointed in the lack of support for hospitality businesses and that the Chancellor is punishing working people trying to save for retirement, and I am disappointed that our hospitals have been left in disarray.

• 26 Nov 2025 · Driving Test Availability: South-east · Hansard source

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  As the mum of three teenagers, I know at first hand the challenges of getting a driving test—it took us a year to get one for my son. Constituents have shared their concerns with me. One person said that they logged in at 6 am on Monday morning, and they were 24,000th in the queue. I welcome the Government’s crackdown on bots and third party bookings—that is good to hear—but will the Minister clarify what plans he has to help constituents between now and the implementation in spring 2026?

• 19 Nov 2025 · Myalgic Encephalomyelitis · Hansard source

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  I absolutely agree with my hon. Friend. Although I welcome the Government’s final delivery plan for ME and chronic fatigue syndrome, and I recognise the contribution of the ME community in shaping it, I remain deeply concerned that the plan falls short of delivering the meaningful change that is urgently needed by people living with those conditions. I therefore reaffirm the calls rightly made by my hon. Friend the Member for Wells and Mendip Hills. In particular, the plan fails to set out dedicated funding to encourage early career researchers to specialise in ME research, or strategies to keep established researchers in the field. Those things are vital to develop new pathways that enable people to better cope with their diagnosis and, most importantly, improve their quality of life. Funding is also needed to step up education and training to improve understanding of the condition across the public sector and to pilot new approaches that strengthen the quality of care. Recent figures estimate that over 400,000 people in the UK have ME, and around 50% of the 1.9 million people in the UK with long covid are thought to have symptoms that are similar to ME. Those figures make it clear that there is a desperate need for research to develop better treatment options and training for doctors, carers and wider healthcare workers. We cannot ignore the fact that making those changes is a big task. Under the previous Conservative Government, cuts only made supporting people harder—from slashing health services to letting wait times pile up and overseeing a horrifying breakdown of community services—so it is no wonder that more people are suffering without support. That is why I urge this Government to make sure that the final delivery plan delivers real change for people living with ME and invests properly in research to change the course of diagnosis and treatment for good. For my constituent and for people living with ME across the country, we must take serious action to ensure that their experience with the healthcare system is rooted in dignity and care.

• 19 Nov 2025 · Myalgic Encephalomyelitis · Hansard source

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  My constituent’s experience builds into the bigger picture of a healthcare system that is simply not set up to support those with the most complex and devastating conditions. People with ME who rightly rely on health professionals for advice, support and solutions cannot be abandoned just because their diagnosis does not fit into a one-size-fits-all treatment plan.

• 19 Nov 2025 · Myalgic Encephalomyelitis · Hansard source

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  It is a pleasure to serve under your chairship, Mr Mundell. I thank my hon. Friend the Member for Wells and Mendip Hills (Tessa Munt) for securing this vital debate on such an important issue as myalgic encephalomyelitis. This chronic condition completely changes people’s lives, as we have heard today. My constituent, who loved her job as a nurse, was diagnosed with ME in 2019. She has been left unable to work, relies on a mobility scooter to get around and is often confined to her bed for days on end. Since her official diagnosis, she has experienced constant muscle pain all over and severe headaches that frequently prevent her from sleeping. Despite her battle with myriad health challenges, one GP asked her, “What do you expect me to do about it?” Reading that stopped me in my tracks but—even worse—that reaction is not isolated. I contacted the local NHS trust on behalf of my constituent, and its locally commissioned NHS chronic fatigue services, which include ME, have been suspended as they cannot cope with the number of referrals.

• 19 Nov 2025 · Myalgic Encephalomyelitis · Hansard source

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  I absolutely agree.

• 18 Nov 2025 · Warm Home Discount: Fuel Poverty · Hansard source

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  The previous Conservative Government’s failure to invest in renewable energy and insulate our homes led directly to the energy crisis. We know that cold homes drive excessive winter deaths, increase costs to the NHS and deepen social inequality. As we all experience a drop in temperature this week, I think in particular of vulnerable households. Will the Minister urgently bring forward a social energy tariff to reduce energy bills?

• 18 Nov 2025 · Points of Order · Hansard source

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  On a point of order, Madam Deputy Speaker. During my remarks last week I said that Queen Elizabeth’s Foundation for Disabled People had entered administration, but the process has not yet begun. I also noted the loss of 48 NHS beds, although those beds belong to the charity and are occupied by patients referred to it by the NHS. I apologise for any confusion, and take this opportunity once again to share my disappointment that Queen Elizabeth’s Foundation for Disabled People will be closing after 90 years of delivering its vital service. —[ Official Report , 13 November 2025; Vol. 775, c. 317.]

• 13 Nov 2025 · Business of the House · Hansard source

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  Queen Elizabeth’s Foundation for Disabled People, a charity based in my constituency with nationwide partners, has been active for over 90 years. It has gone into administration and is now on day three of a 28-day wind down, causing severe disruption to the 20,000 disabled people a year it supports. One family member told me that she has not slept properly since hearing that the charity will close. The organisation has treated 132 NHS patients in the past year, and there will be an overall loss of 48 NHS beds. [ Official Report , 18 November 2025; Vol. 775, c. 652.] (Correction) The NHS has agreed to buy the building, but it will not be using it immediately. Another offer from a separate charity would allow it to keep operating, but its hands are tied by the Pension Protection Fund. Does the Leader of the House agree that the Government must urgently set out plans to save this essential service for disabled people, rescue 250 jobs and meet urgently in the next week to discuss the situation?

• 11 Nov 2025 · Remembrance Day: Armed Forces · Hansard source

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  Today we remember the courage, sacrifice and unwavering duty of those who have served and continue to serve in our armed forces. As a veteran myself, it is an honour to represent Epsom and Ewell, a constituency with a rich connection to the military, where over 8,000 soldiers trained during the first world war. Our local Royal Engineers, the 135 Geographic Squadron, have been in our community for over 75 years. Our local veterans hub sadly recently lost the last of its world war two veterans, but it continues to support more than 30 men and women. The hub brings veterans together, and I thank all the volunteers for their tireless work. I was at the local reserve centre at the weekend, and veterans told me stories of their service. Frank Angus will be 100 next March. A lieutenant in the Royal Engineers, he was sent to Norfolk to clear mines from the beaches. He recounted the time he set alight a pile of mines, only to find out when trying to make a hasty getaway that his jeep would not start. At the event, Army chefs cooked up a wonderful curry, despite using a field kitchen. The kitchen in the reserve centre has been out of use for years, and the boiler broke 14 months ago and is still awaiting repair. There is also no overnight accommodation, and yet the squadron frequently stay overnight. Considering that the recent strategic defence review aims to grow the reservists by 20%, I was surprised by the lack of basic maintenance. Will the Minister meet me to discuss that? Reflecting on the armed forces today, I would like to raise the case of Gunner Jaysley Beck, who was found dead in her barracks after a warrant officer pinned her down and tried to kiss her. Female personnel have reported being ignored following incidents of sexual abuse. Can the Government provide assurances that steps have been taken to improve the treatment of females in the armed forces? We also remember the sacrifices of the LGBT+ veterans who served their country yet were treated appallingly, and I ask the Government to ensure that all LGBT+ veterans receive support in applying for the Government’s financial recognition scheme. The “lab rats”, or nuclear test veterans, have suffered for too long, with health issues lasting for generations. Will the Government meet the nuclear test victim campaigners by Christmas? Last month I was in Ukraine and saw at first hand the Shahed drones and cluster munitions that Russia is using indiscriminately against the Ukrainians. We met amputees at the Superhumans Centre, including 28-year-old British sailor Eddy Scott.

• 11 Nov 2025 · Remembrance Day: Armed Forces · Hansard source

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  Yes, I agree that injured personnel require support. While casevacing casualties from the frontline, Eddy’s vehicle was hit by a rocket-propelled grenade and he lost his left arm and leg. The UK and Ukraine are working to establish a strategic health alliance, but that initiative needs £1.2 million and Government support would be instrumental, so will the Minister update the House on the Government’s position? Civilians never ask to be part of war, yet they bear its greatest costs. I urge all nations to uphold international humanitarian law and to remain steadfast signatories to the Ottawa convention on anti-personnel mines and the convention on cluster munitions. Later this month, the international community will meet at the international conference on explosive weapons in populated areas to strengthen protection for civilians from explosive weapons. No UK Minister is currently due to attend. I urge the UK to play a leading role in implementing these treaties. Finally, in this House we bear a profound responsibility, including determining whether our armed forces are sent into conflict, so let us today think about why we send our armed forces to war and remember those we have lost, those who are injured and those left behind. We will remember them.

• 11 Nov 2025 · Points of Order · Hansard source

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  On a point of order, Madam Deputy Speaker. I have previously inadvertently stated that the Government had pledged £1.2 million towards the strategic health alliance and UK-Ukraine trauma recovery. [ Official Report , 15 October 2025; Vol. 773, c. 404.] In fact, that sum has not yet been pledged; it is the amount that is sought, and it would make a real difference, if it were provided. I apologise for any confusion caused. While I have your permission, Madam Deputy Speaker, may I take this opportunity to urge the Government once again to consider making that commitment?

• 3 Nov 2025 · Topical Questions · Hansard source

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  People’s experiences of medical discharge from the armed forces vary significantly, and too often it fails those who need the support most. What steps is the Minister taking to improve the discharge process, including improving consistency across units?

• 30 Oct 2025 · Property Service Charges · Hansard source

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  I just want to add one more case study to the plethora that have already been provided today. I have a resident who has a one-bed flat who saw their charges rise by thousands of pounds in just a few years. That financial burden also makes it even harder to sell their property. Simply too many rogue developers and estate management companies, as alluded to, are exploiting residents and demanding excessive fees for maintaining shared and public spaces in developments. Will the Minister, as many Members have called for, today commit finally to cracking down on these money-grabbing companies, capping unreasonable service and management charges, and urgently abolish ground rents on existing leases?

• 30 Oct 2025 · Ageing and End-of-life Care · Hansard source

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  I congratulate the hon. Member for Strangford (Jim Shannon) on securing this important debate. It is well known that our population is ageing, with the latest census showing that people aged 65 and over account for 19.1% of the total population in Surrey. That figure is predicted to increase to 25% by 2047. In my constituency of Epsom and Ewell, there are brilliant charities working to support the older population, including Age Concern, which empowers older people to live the most fulfilling lives they can while providing services, including advice, medical transport, social support and befriending. Organisations such as Age Concern are a vital lifeline for many, especially following the Conservatives’ failure to fix social care and invest in preventive measures that support older people to stay in good health. Our older and ageing communities also need to be able to access public services, including GP provision. According to Age UK, the number of full-time equivalent GPs, including trainees, increased by just 2.5% between 2023 and 2024, which is not keeping pace with the population growth of older people aged 75 and over. Many GPs are heading towards retirement, leaving an even bigger gap, so the Government must go further with plans for recruitment. There needs to be a concerted effort to build a strong, resilient GP workforce that prioritises retention and delivers services that stop older people from ending up in hospital due to delays in primary care. Along with GP provision, access to social care services is vital. With an ageing population, we are seeing more and more older and frail carers supporting their spouses, putting a further strain on the carer’s own health. We need to do more to support, protect and empower older people, so will the Minister commit to reversing the Conservatives’ cuts to public health funding and facilitate a social care system that is accessible to older people, encourages preventive care, and tackles key issues such as loneliness and frailty? As our population ages, more people will be living with—and dying with—multiple complex conditions. Marie Curie reports that by 2050, the number of people in need of palliative and end-of-life care will rise to over 745,000 people per year, which is 147,000 more than at present. One local family in Epsom and Ewell have shared their experience of struggling to access hospice care for a loved one with a terminal illness. Despite their efforts, no hospice place was available, and delays in pain relief made their loved one’s final days distressing, something that could have been alleviated by better funding and co-ordination of end-of-life services. Funding cuts and years of neglect under the previous Conservative Government have led to reduced services, which has a direct impact on patients and their families, who deserve dignity and support in their final days. The Liberal Democrats have proposed exempting health and care providers from increases in employer’s national insurance contributions, yet the Government have ignored that proposal and have not provided much-needed support to the social care sector. In a further damning development, a report released just this week by the National Audit Office revealed that nearly two thirds of independent hospices in England reported a deficit in 2023-24. As a result, services have been slashed and hospices have been forced to cut the number of beds available, due to a lack of Government funding. With hospices and care services under strain, people desperately need support, and families often have no place to turn. There have been a number of successful and ongoing pilots by local NHS trusts of dedicated phone lines for palliative and end-of-life care needs. The Thames Valley pilot advice line led to a reduction in ambulance conveyances, a 35% reduction in referrals to out-of-hours primary care, and a fourfold increase in calls closed with no further intervention required. NHS 111 is a brilliant service, but it is not always appropriate. Access to a specialised palliative care expert can alleviate patient anxiety, streamline support and facilitate better care. That is something that I urge the Minister to investigate. Will the Minister commit to ending the postcode lottery of funding for palliative care, create a dedicated hospice workforce plan, expand carer’s allowance, and provide guaranteed respite care before end-of-life care eligibility begins? As we manage the ageing population and navigate end-of-life care, this Government must put patients first and prevent a devastating erosion of public services, tackle dangerous understaffing, and support people to age well in their community.

• 28 Oct 2025 · Support for Disabled Veterans · Hansard source

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  I thank the hon. and gallant Minister for giving way and I congratulate her on her position. I recently met representatives of the charity Combat Stress, which is based in my constituency. I was made aware that PTSD can come up to five, 10 or 15 years after deployment, which I did not know. At the moment, there is no obligation for GPs to be aware of the fact that individuals are veterans, so when a veteran presents to a GP, the GP might not know that they are a veteran. What does the Minister think about the mandatory registration of veterans, so that GPs will be aware that they have previously served and can provide adequate support?

• 28 Oct 2025 · Support for Disabled Veterans · Hansard source

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  It is great that my hon. Friend has secured this debate. Nearly half of UK veterans report being disabled. That figure is far higher than it is for the general population. Many of our disabled veterans receive military compensation, as my hon. Friend said, to support them with an injury or illness caused by service. Does she agree that it is an absolute disgrace that military compensation is included when people are means-tested for certain benefits? That leaves so many veterans and their families disadvantaged.

• 28 Oct 2025 · World Stroke Day · Hansard source

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  It is a pleasure to serve under your chairship, Ms Vaz. I thank my hon. Friend the Member for Twickenham (Munira Wilson) for securing this important and timely debate and for her personal and emotive speech. I send her mum my best wishes. I thank all other Members for their speeches and for their personal stories. Over the summer, a constituent wrote to tell me that, after having a stroke, he was looking for a support group to aid in his recovery. He reached out to the closest group he could find, but they informed him that the council services were drastically cut about 12 years ago under the Conservatives, leaving only volunteer-led groups. The stroke left him with limited mobility, so he is unable to travel the distance from his house to the nearest volunteer-run group and he is therefore unable to access a vital support network. We have heard just how quickly lives can change following a stroke. They leave people to navigate a whole new reality, which has been made even harder by the stripping of local services under the Tories. That is why I urge the Government to invest in prevention, community care and rehabilitation, including by restoring the public health grant to 2015 levels, and to empower local communities to co-design health initiatives that address their specific needs. More must also be done to support social prescribing and community projects that tackle loneliness and improve mental and physical wellbeing—key factors in stroke recovery and prevention that would make a direct difference to people in my constituency and across the country. We know that preventive action and early intervention are key to increasing survival rates and improving outcomes for those affected. The Sentinel Stroke National Audit Programme at King’s College London found that 57% of people believe that they should have two to three symptoms of a stroke before calling 999, despite just one being a sign of a medical emergency. Furthermore, nearly two thirds of respondents said that they would not call 999 as their first course of action if they noticed that someone was suddenly struggling to smile. Although I welcomed the launch of a new NHS stroke awareness campaign last year and this Government’s preventive policies, including regulations on the advertising of less healthy food and drink and the measures in the Tobacco and Vapes Bill, far more needs to be done. The most common risk factors for cardiovascular diseases, including strokes, are environmental and behavioural. They include smoking, diet and weight, physical inactivity, excessive alcohol consumption and air pollution. That is why it is imperative that we get more people moving and encourage healthy eating, including by closing loopholes in the soft drinks levy by extending it to milk and juice drinks that are high in sugar. There is also scope to go further by requiring better labelling of junk food and restricting the advertising of products that are high in fat, salt and sugar. Furthermore, encouraging some form of exercise throughout people’s lives improves not only their physical outcomes but their mental health. To make a real difference, the Government must invest more in public health budgets to enable active travel, supporting local clubs and making cycling and walking routes more accessible. We also cannot ignore the social differences that dictate stroke survival outcomes. People in the most deprived 10% of the population are almost twice as likely as those in the least deprived 10% to die prematurely. No one in this country should be subject to poorer health outcomes just because of where they live or how much money they make. For the 240 people who wake up every day in the UK to the life-changing impact of a stroke, and the 60% of survivors who leave hospital with a disability, we must go further to reduce the environmental and health risk factors of strokes, to educate people on the signs of a stroke and empower them to act immediately, and to provide easy, accessible rehabilitation and support services for survivors and families. We cannot leave more people, such as my constituent, alone to navigate the complexities of post-stroke life. The Government must invest in prevention, community care and rehabilitation, and undo the Conservatives’ devastating cuts to public health funding.