Helen Maguire MP: speeches

Speeches

• 30 Jun 2026 · High Street Regeneration and Unlawful Storefronts · Hansard source

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  I have many residents who are really concerned about the high number of illegal vape and barber shops. Epsom and Ewell police force is taking action: it has targeted shops selling illicit vapes, with four busts so far, which is fantastic. Does my hon. Friend agree that we need to do more to support local community policing and give local authorities more powers?

• 29 Jun 2026 · NHS Breast Screening · Hansard source

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  It is a pleasure to serve under your chairship, Mr Vickers. I thank the hon. Member for North Ayrshire and Arran (Irene Campbell) for leading this important petition debate on NHS breast screening. It is hard to follow the passionate speech by the hon. Member for Mid Cheshire (Andrew Cooper), but this is important, because there are about 60,000 new cases of breast cancer in the UK each year. Breast cancer represents 15% of all new cancer cases and 30% of all new female cancer cases. It is the most common type of cancer among women: a woman is diagnosed with breast cancer every nine minutes and there are approximately 11,200 deaths due to breast cancer each year in the UK. The human costs behind those statistics cannot be overstated. In the short span of today’s debate, 10 women will be diagnosed with breast cancer and two will tragically lose their lives to the disease. Over recent decades, we have made huge strides in the diagnosis and treatment of breast cancer. It is remarkable that approximately 76% of women now survive for 10 years or more following their diagnosis. But as with any cancer, diagnosing breast cancer early remains vital and saves lives. Breast screening remains the most effective way to detect cancer at an early stage, which is also when treatment is most likely to succeed. More than 95% of people diagnosed at stage 1 will survive for at least five years, compared with about 25% diagnosed at stage 4. The Marmot review estimated that the current screening programme prevents about 1,300 deaths a year. In 2024-25, about 2.75 million women aged 50 to 71 were invited to be screened—a 10% increase on the previous year—and 2.15 million of them took the offer up. Nearly 20,000 women had breast cancer detected through that screening, but as those figures highlight, around 600,000 women did not take up the essential offer of breast cancer screening. Recent screening data reveals an alarming trend of women not attending their first screening appointment. The impact of not taking up the screening offer only compounds the issue. Women who do not attend their first breast cancer screening appointment are much less likely to take up subsequent screening invitations. In 2024-25, only 20.9% of women in England who had never previously taken up screening invitations attended, compared with the 89.1% uptake among women who had been screened in the last five years. Since the creation of the modern NHS breast screening programme, uptake for first-time screening invitations has never reached 70%. Had the screening uptake level reached the NHS achievable standard target of 80% in 2024-25, over a quarter of a million more women would have undergone routine screening, and that would have resulted in an estimated additional 2,228 cases of breast cancer being found. The scale of the missed opportunity to catch more cancer early is unacceptable, and women and their loved ones are paying the tragic price. I urge anyone who is eligible to take up the offer of breast cancer screening. The Liberal Democrats are clear that so much more must be done to ensure that every eligible woman attends screening when invited, particularly in England, where uptake is lagging behind the devolved nations and pre-pandemic levels. There are many reasons why women do not attend their breast cancer screening appointments, including misconceptions about the screening process and breast cancer, the fear of receiving a diagnosis, and cultural beliefs and attitudes. Others may not be able to attend due to everyday challenges such as limited transport, clashing work schedules or the burden of caring responsibilities. Health inequalities also affect screening uptake. Women from ethnic minority communities, those living in disadvantaged areas and women with disabilities often face additional barriers that reduce their access to breast screening services. What actions are the Labour Government taking to improve screening uptake nationally, particularly among disenfranchised women? What steps are the Government actively taking to support pop-up screening initiatives in community settings, and what is being done to ensure that those vital health services are meeting people where they are and at times that work for them? What steps is the Minister taking to ensure that women are able to receive the best screening test for their individual health needs? That might include, for example, providing women with an increased risk of breast cancer with an ultrasound if they are unable to have an MRI or they have dense breasts. That is particularly relevant to younger women with an increased risk, for whom an ultrasound will provide greater accuracy in screening their dense breast tissue. Mammograms can struggle to identify cancer in dense breasts, as cancers and dense tissue present in exactly the same way on imaging. The Liberal Democrats are also very concerned that so much NHS equipment, including diagnostic and scanning equipment, is out of date and decrepit. A quarter of England’s 280 radiotherapy machines are now operating beyond their 10-year lifespan, with a further 26 due to exceed the recommended lifespan by 2027. England has fewer radiotherapy machines than comparable European countries. Radiotherapy UK’s research reveals that England has just 4.8 linear accelerator machines per million population, well behind France at 8.5 and Italy at 6.9. Radiotherapy lacks clear accountability. While responsibility for commissioning it sits with integrated care boards, freedom of information requests found that around 70% of ICBs do not have a named person responsible for radiotherapy. Access to radiotherapy is well below international expectations. Around 52% to 53% of cancer patients are estimated to need radiotherapy, but only around 35% receive it in England. In some areas, the figure is as low as 22%. Radiotherapy also has the longest waiting times. Only around four in 10 patients—and, in some areas of the country, as few as two in 10— receive radiotherapy on time. Whether it is radiotherapy deserts or the mammogram machine glitch that left 7,000 women in parts of Essex without a screening service for almost two months, breast cancer patients are routinely being let down by faulty and inaccessible equipment. That is unacceptable and we must take action now. To address that, the Liberal Democrats are campaigning for a 10-year capital investment programme, under which all patients, including women with breast cancer, would benefit from easier access to newer, quicker and more accurate machines. Alongside screening, speed and quality of treatment are central to increasing breast cancer survival rates. The Liberal Democrats would introduce a guarantee that 100% of patients would be able to start treatment within 62 days of urgent referral. We would also replace the ageing radiotherapy machines and increase their numbers to guarantee that no one must travel ridiculous distances to receive the treatment that they desperately need. Currently, 3.4 million people in England live further away from a radiotherapy centre than the NHS target of 45 minutes. Taking those steps now is vital. We need to prepare our local cancer services for the future, as demand is increasing. Cancer cases are expected to rise by about 30% by 2040, and the new national screening programme is likely to identify more patients who need curative radiotherapy treatment. Without urgent action, the existing pressures on radiotherapy services will only worsen. We would also recruit more cancer nurses so that every patient had a dedicated specialist supporting them throughout their treatment, and halve the time for new treatments to reach patients by expanding the capacity of the Medicines and Healthcare products Regulatory Agency. The future looks bright, with early pilots and trials using AI to analyse mammograms showing promising signs of potential improvement in both the speed and the accuracy of screening, but we must support our life sciences sector much more to champion vital research and innovation. The Liberal Democrats would pass a cancer survival research Act requiring the Government to co-ordinate and ensure funding for research into the cancers with the lowest survival rates. I want to reflect on the 10 women who were diagnosed with breast cancer and the two who will have tragically lost their lives to the disease in the short span of today’s debate. For them and the thousands of people—mostly women, but also men—living with breast cancer and their loved ones, I urge the Minister to carefully consider the important points and perspectives raised in the debate.

• 22 Jun 2026 · Armed Forces Bill · Hansard source

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  I seek a quick clarification on something that has already been mentioned by the hon. Member for Truro and Falmouth (Jayne Kirkham) and was raised in Committee. Will the Minister confirm at the Dispatch Box, because this has been raised with me by the Surrey Military Support Group, that the term “local authority” refers to borough councils, unitary single foundation authorities and foundation strategic authorities?

• 16 Jun 2026 · Community Hospitals · Hansard source

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  I want to expand on that point because, as we have heard from Members, there are many elderly people in rural communities who may or may not have access to digital services. Will the Minister provide some assurances to me and my hon. Friends that elderly people will not be excluded because they cannot access services digitally?

• 16 Jun 2026 · Community Hospitals · Hansard source

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  It is a pleasure to serve under your chairship, Sir Jeremy. I thank my hon. Friend the Member for South Cotswolds (Dr Savage) for securing this important debate on community hospitals. Community hospitals have been a core part of our healthcare system for more than 150 years. They are rooted in a strong tradition of providing care and a range of clinical services to support their local populations. There are over 500 community hospitals throughout the UK, and they vary considerably in the services they deliver as their fundamental focus is to adapt to ensure that they serve the needs of their local area. Community hospitals serve as multidisciplinary sites for immediate care across both health and social care, bridging the gap between primary and secondary care services. This adaptation and integration of services in particular makes community hospitals so valuable in bringing vital health services into the community and truly serving the specific needs of the community they represent, whether they have a significant older population or are situated in an area of high deprivation. The value of community hospitals cannot be overstated, as we have heard today. They are ideally placed to support effective prevention and the management of long-term conditions. They have the ability to be flexible, change and adapt with their population. By reimagining what we can do with community hospitals, based around the needs of an ageing population and rising complexity, we can make a significant difference to patients. I have seen the benefits of community hospitals at first hand in my constituency of Epsom and Ewell. Leatherhead community hospital, which is highly valued by the local community, demonstrates the importance of maintaining strong accessibility, continuity of care and patient flows across community health infrastructure. Leatherhead community hospital provides more than 33 specific consultation and out-patient services, including a stoma clinic, physiotherapy rehab, and speech and language therapy, for the diverse population it serves. We must support community hospitals to ensure they can continue to provide such services. Community hospitals also play a core role in reducing the pressures on larger acute hospitals. Their role will only continue to grow in importance as demand on NHS services continues to rise. Community hospitals support earlier discharge and step-down care to patients who are medically fit to leave acute hospitals, but still need further support to regain their independence prior to being fully discharged. The Health Foundation estimates that, in England, about 125,000 people enter intermediate care services each month. The cost of providing this care continues to rise, increasing the pressure on these underfunded services. The average local authority spend on a single episode of care in 2022-23 was 27% higher in real terms than in 2019-20. Community hospitals provide intermediate care beds, so they free up hospital beds, reducing the high demand on A&E departments. That intermediate support is particularly important in rural and coastal areas where, as we have heard today, access to acute hospitals is often limited. In 2021, the chief medical officer’s annual report on health in coastal communities provided official recognition of the range of healthcare needs across different rural communities. Those living furthest from healthcare services in rural and coastal areas are most at risk of experiencing inequalities, particularly when there are poor and unaffordable transport connections—not to mention the patients who, due to old age or disability, are unable to drive long distances to access essential healthcare. It takes twice as long for people in rural areas to reach their nearest GP by public transport as it takes people in urban areas; it also takes about a third longer for those who drive, according to the Rural Services Network. Those findings were affirmed by Lord Darzi’s report on the NHS, which found that across much of rural England—including nearly the whole south-west as well as much of the east of the country—there are fewer than 46 dentists per 100,000 people. A Liberal Democrat freedom of information request found that waiting times for life-threatening calls are 45% longer in rural areas than in urban areas. Community hospitals, like rural GPs, pharmacies and other healthcare services, have frequently been an afterthought. That situation is unacceptable: we must take action to change it, particularly given that the Government say they want to move services into the community. Access to vital community healthcare cannot be dictated by an unjust postcode lottery. Community hospitals receive less funding and less attention than larger acute hospitals, resulting in workforce shortages and rundown estates. There has also been an escalating process of service reductions at many community hospitals. Often, these changes are introduced under the guise of being trials, but they almost always become permanent. Pragmatic changes to services because of shifting demand are sometimes necessary, but too often changes are made without proper consultation or a proper explanation to the communities affected. The Liberal Democrats are clear that we wholeheartedly support the ambition to shift more care into the community, but we must get community hospitals to a place where they can complement and play a vital role alongside neighbourhood health centres. Rural communities know all too well the pressure that the healthcare system in their areas is under, and the important role that community hospitals play. Consequently, we have been calling for a rescue plan for rural health services, in which rural community hospitals would be an essential pillar. As part of the plan, we have called for a strategic small surgeries fund to sustain services in rural and remote areas, as well as a strategy to close the gap in access to primary healthcare between urban and rural areas. We are also calling for an emergency fund to reverse closures of community ambulance stations and to cancel planned closures of services where they are needed, which would particularly benefit rural communities. We would put an end to the postcode lottery of care provision, which disproportionately impacts rural communities, through a national care agency. We need a new national drive for first responders in rural communities. We need to protect air ambulances, integrating them into the emergency care system, and to ensure that they receive adequate NHS funding in addition to charitable donations. Will the Minister heed these calls and take the necessary steps to ensure that community hospitals that serve rural communities receive the support they deserve? The bottom line is that community hospitals are a service to us all. They are vital in the provision of care closer to home; they bring multidisciplinary services closer to the community; they bridge the gap between hospitals and GPs; they relieve strain on hospital beds and A&E departments; they support faster discharge and rehabilitation, and so help patients to regain their independence; and they improve healthcare access for elderly and vulnerable patients by reducing travel burdens for both themselves and their families. I urge the Minister to reflect on the important calls that I, my hon. Friends and others across the House have made in this debate, to ensure that we are all doing all we can to better support community hospitals.

• 16 Jun 2026 · Cyber Security and Resilience (Network and Information Systems) Bill · Hansard source

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  In my view, this Bill does not explicitly reference misinformation or disinformation threats. I have just met with the Council for Countering Online Disinformation, and in that meeting I learned that X’s algorithm amplified misinformation and disinformation online about the riots that took place in Epsom. Does the hon. Member agree that it is really important that we add strong safeguards against misinformation and disinformation into the Bill?

• 10 Jun 2026 · Railways Bill · Hansard source

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  Post covid, the number of trains from Epsom and Ewell was halved. My new clause 37 would ensure that there is community consultation on the frequency of train services. Does my hon. Friend agree that the sensible thing to do would be to consult the community?

• 20 Apr 2026 · Maternity Commissioner · Hansard source

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  I have a constituent who had a history of rapid births. She wanted the safety net and support of a home birth team alongside the community team, as recommended, but she was unable to have both teams involved. Does my hon. Friend agree that it is difficult to have confidence in a safe birth if the right medical support simply is not there?

• 16 Mar 2026 · GP Contract · Hansard source

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  I welcome the fact that the Government have adopted our policy of seeing clinically urgent patients on the same day, but patient safety has been put at risk by increasing workloads, according to members of the Royal College of General Practitioners. One in five patients has been forced to wait at least two weeks for an appointment. Although the Government’s funding of 1,600 new GPs is welcome, it is insufficient to deliver the required shift to community care. The Health Foundation says that an additional 6,500 GPs will be needed by 2031, and the Liberal Democrats would provide 8,000. What is the Minister doing to address the shortfall? Residents in Epsom and Ewell, who already struggle to get a GP appointment, are concerned that increased housing will make it even harder. What is the Minister doing to ensure that there is funding for GP buildings, as well as GPs? I welcome the Government’s focus on the obesity crisis, but it does not fix the root cause. Aside from the junk food ban, what steps are the Government taking to encourage children and young people to create active and healthy habits for life from an early age?

• 11 Mar 2026 · Disability Equipment Provision · Hansard source

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  I thank the hon. Member for Aberdeenshire North and Moray East (Seamus Logan) for securing this debate. I also thank you for your chairmanship today, Mr Betts. There are fantastic organisations in Epsom and Ewell that support my disabled constituents, including Mid Surrey Mencap, which I met last year. Its work is profound, but without the right equipment, organisations can only do so much. A lack of equipment often leaves people reliant on family members to manually help them with essential tasks, including going to the toilet and washing. From grab rails to shower seats, equipment can mean the difference between dependence and independence. The report on this issue from the APPG for access to disability equipment revealed that staff shortages, supply chain delays and inconsistent local authority processes cause widespread delays to equipment provision. It is clear that we need structural change, and the NHS reform Bill provides an opportunity to deliver a co-ordinated, national approach on disability equipment. Will the Minister commit to using that legislation to deliver this? It is widely recognised that access to wheelchairs varies significantly across the country, and demand is skyrocketing. In September 2025, the charity Whizz Kidz was forced to close its wheelchair waiting list for the first time in its 35-year history because of high demand. Moreover, the average wait time between being discharged from hospital after life-altering injuries and being assessed for a wheelchair is 10 months. Although the Liberal Democrats welcome NHS England’s wheelchair quality framework, I am concerned that with ICBs facing cuts and reorganisation, a framework may not have the impact necessary to deliver change. What makes matters worse is that equipment wastage in the NHS is huge, and we only need to go to the local tip to see it. In July, I wrote to the Minister for Secondary Care following concerns from a constituent about NHS equipment wastage. In her response, she highlighted the Design for Life road map, which includes a framework for decontamination infrastructure across NHS trusts to enable the safe sterilisation and reuse of medical equipment. I find it shocking that disabled people are waiting months or even years for equipment, while other patients are forced to throw away useful equipment that could be reused once they have recovered. Will the Minister confirm how much equipment has been diverted from waste since the road map was published over a year ago? The debate has reinforced a simple but vital truth: everyone deserves to live independently and with dignity. After the Conservatives left social care in disarray, the Liberal Democrats are committed to ensuring that people with disabilities have access to suitable housing, meaningful employment and the opportunity to enjoy the activities that make life fulfilling. I ask the Minister to make the simple commitment that specialised services and disabled equipment will no longer be treated as an afterthought but as an essential part of enabling people to live full and independent lives, and to work if they can do so, and that more equipment is reused.

• 10 Mar 2026 · Local Government Reorganisation: South-east · Hansard source

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  My hon. Friend is eloquently explaining the serious financial situations that many potential unitary councils will be in. They will be saddled with such financial burdens that it will be difficult for them to deliver the services that local residents need. A three-year financial forecast for East Surrey has identified a potential £35 million deficit. The Whitehall funding settlement does not currently reflect the real cost pressures that such councils will experience. Does my hon. Friend agree that Labour needs to fix a broken funding system and not leave residents paying the price?

• 3 Mar 2026 · Community Cohesion · Hansard source

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  On Sunday, I celebrated iftar at the local Epsom Islamic Centre. We enjoyed lots of wonderful food and a real community spirit. Unfortunately, last October the centre was the target of vandalism and abuse, which included words and devils spray-painted on the building. That hatred does not represent the majority of people in Epsom and Ewell, but we cannot ignore the fact that there are those in our country who seek to divide us. Does the hon. Member agree that we must support our communities in standing firm against hatred and violence in all its forms?

• 24 Feb 2026 · Local Transport: Planning Developments · Hansard source

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  Epsom and Ewell has the highest accommodation costs in England. That pressure is being addressed by building new housing, but the challenge is that in one development in my constituency, residents had to wait nearly a decade after moving into their new homes to get a bus route and new school, with additional pressure on train services. Although housing and some development is essential, does the hon. Member agree it should reflect community needs and the capacity of local transport services?

• 24 Feb 2026 · Ambulance Response Times · Hansard source

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  In November, I joined a local ambulance crew and saw at first hand the great work they do for our community, but services are under huge strain. Will the Minister designate ambulance stations as critical infrastructure to protect them from closure and set up an emergency fund to support them?

• 2 Feb 2026 · Indefinite Leave to Remain · Hansard source

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  One of my constituents is incredibly distressed: they are a dependant of a local business owner and they contacted me about the European Community association agreement route. They are concerned that the proposed earned settlement skilled worker metrics cannot be applied to ECAA entrepreneurs, who must demonstrate a genuine business rather than meet salary thresholds. Does the hon. Member agree that any changes to indefinite leave to remain must properly consider those on the ECAA route, and any other specific routes?

• 28 Jan 2026 · Firearms Licence Holders: Mandatory Medical Markers · Hansard source

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  I absolutely agree, and I will be coming on to that further in my speech. Let me be clear that this debate is in no way about firearm ownership—the Government are consulting on that separately, and that is its own debate. Today’s discussion is about how we can ensure that medical professionals have the information required to best support the individuals they serve. Emma and her daughter Lettie Pattison, who lived in my constituency, were shot and killed by Emma’s husband almost three years ago, before he turned the gun on himself. Before his latest shotgun licence renewal, George Pattison had used an online doctor to receive a “significant amount” of propranolol between 2019 and 2021. However, despite his change in mental health, the online doctor was unaware of his firearms licence, and the medication was not disclosed to his GP, which meant that neither professional was able to intervene. If they had, maybe Emma would still be working at Epsom college and Lettie might have celebrated her 10th birthday this year. Robert Needham killed his partner Kelly Fitzgibbons, and their children Ava, age four, and Lexi, age two, in West Sussex in 2020. In Needham’s case, as a result of changes to gun licence guidelines, a flag was initially inputted and then removed. A statement from Kelly’s family following the inquest into their deaths described the monitoring and sharing of information between police and medical professionals about Needham’s shotgun licence as a “shambles.” Having corresponded with medical organisations, I recognise that balancing the need for patient-doctor confidentiality is paramount. In the first instance, the GP should always ask for the individual’s consent before contacting another authority, such as the police, about how the issues they are facing may impact their ability to safely possess a gun. However, doctors can break confidentiality when it is in the public interest. According to the British Medical Association, public interest is likely to be justified where it is essential to protect other people from risks of serious harm or death. GPs also must already abide by several safeguarding protocols and laws. The Care Act 2014 sets out six key principles of safeguarding, including prevention, noting that it is sometimes possible to act before harm has come to an individual. With those existing guidelines, mandatory markers are not an attempt to reinvent the wheel; they are simply a way of flagging vital information that is key to the patients and public safety. The Royal College of General Practitioners considers it valuable to have those digital markers in place, and notes that software systems should develop, implement and secure the functionality of the markers in patient records. The college recommends that the Government work with the providers of GP systems to resolve this issue. The BMA also supports medical markers. They told me that doctors have a professional responsibility to share information that might impact on the safety of someone holding firearms in the community, and we need effective systems to do so. The Domestic Abuse Commissioner’s office welcomes the digital medical marker and recognises the work of bereaved families who have lobbied tirelessly to ensure that action is taken to prevent future harm and further loss of life. The British Association for Shooting Conservation and the Countryside Alliance, who have a combined membership of over 200,000 people, both support the introduction of mandatory medical markers. June 2010, March 2020, August 2021, February 2023—these dates are etched in the memories of families torn apart by gun violence: each one a failure of the system; each one a life that could have been saved. The Government have a choice: they can listen to the families of victims, to medical professionals, gun owners and the organisations working to end violence, or they can continue to leave the door open to tragedy. The Liberal Democrats believe that mandatory medical markers are a proportionate evidence-based safeguard. They allow concerns to be flagged early if someone’s health changes, rather than waiting years until a licence renewal, and can save lives. So I ask the Minister today: will he finally release the data on how many GPs are using the markers and will he commit today to making them mandatory?

• 28 Jan 2026 · Firearms Licence Holders: Mandatory Medical Markers · Hansard source

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  I am disappointed that the Minister will not be considering making use of the medical marker mandatory. I hope that he will go away and reconsider, particularly because, as many hon. Members have alluded to, there would be no additional cost to doing so. There is a lot of consensus here; making the medical marker mandatory would be common sense and improve public safety. As my hon. Friend the Member for Tiverton and Minehead (Rachel Gilmour) said, it would be a win-win. I thank the hon. Member for North Cotswolds (Sir Geoffrey Clifton-Brown) for his personal insight and his continued campaigning on the issue, and I thank my hon. Friend the Member for Tiverton and Minehead for the valuable points that she raised about the rural community. As my hon. Friend the Member for West Dorset (Edward Morello) said, there is evidence, and the police agree with the proposal, as do the Countryside Alliance, the BMA, police and crime commissioners and firearms certificate holders. I do not want to be here again talking about another incident. I truly hope the Minister will go away and really consider the matter. Question put and agreed to. Resolved, That this House has considered the potential merits of mandatory medical markers for firearm licence holders.

• 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?

• 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.

• 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.

• 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 · 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.

• 15 Sept 2025 · Children with SEND: Assessments and Support · Hansard source

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  Four-year-old Maeve lives in my constituency and has cerebral palsy. She requires constant care, is unable to walk, has limited speech and has multiple ongoing medical conditions that require attention. Despite that, and despite the fact that her parents applied to Surrey county council almost a year ago, the council has refused to even assess her for an EHCP. She started last week, but still does not have an agreed plan in place. Does the hon. Member agree that the Government must improve funding, tackle waiting lists and boost specialist care so that SEND families get the support that they need?

• 8 Sept 2025 · Indefinite Leave to Remain · Hansard source

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  Over the summer, I held a drop-in surgery for the Hong Kong community in Epsom and Ewell—there are over 1,000 of them—and I heard from many residents who were concerned about the proposal to extend the qualifying period from five to 10 years. They told me that this could have a profound impact, including disrupting their financial planning and causing increased stress and uncertainty for those individuals and their families. Does the hon. Member feel that it is imperative that this Government provide urgent clarity and reassurance to those affected?