Helen Maguire MP: speeches

Speeches

• 17 Jun 2025 · NHS Buildings: Maintenance Backlogs · Hansard source

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  1. What recent progress his Department has made on tackling the backlog of repairs in hospitals.

• 17 Jun 2025 · NHS Buildings: Maintenance Backlogs · Hansard source

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  While I welcome the recent announcement of £12 million of extra funding for Epsom and St Helier university hospitals NHS trust, it is quite frankly a drop in the ocean in comparison with the scale of need, because the current backlog at the trust costs £150 million. Patients and staff deserve safe and modern facilities, not patchwork repairs. I therefore ask the Secretary of State to meet with me and visit Epsom and St Helier hospitals to see at first hand the scale of the challenge and how we can accelerate progress.

• 3 Jun 2025 · Dementia Care · Hansard source

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  People with degenerative conditions stay under consultant care, but after 18 months my constituent with Alzheimer’s was discharged with no monitoring and no access to specialist nurses unless referred by a very lengthy GP process. He told me that he feels abandoned. Does the hon. Lady agree that dementia must be treated as seriously as other long-term conditions, and that everyone with dementia should have access to a specialist nurse and an annual health and care review?

• 23 Apr 2025 · Hospitals · Hansard source

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  The crisis in our NHS and the scandal of crumbling hospitals are a daily reality for my constituents and all communities served by the Epsom and St Helier university hospitals NHS trust. We have allowed our healthcare infrastructure to decay to a point where it hinders the delivery of care. These are not minor cosmetic issues; many of our hospital buildings predate the NHS and are riddled with damp, mould and leaking roofs. Yet we expect our dedicated doctors, nurses and support staff to deliver world-class treatment under those appalling conditions. The consequences run far deeper than peeling paint: patient safety is jeopardised, staff morale is crushed, and the basic functioning of our hospitals is compromised. Staff are stretched to their limits, struggling to provide the care that our communities deserve in facilities that are simply not fit for purpose. They deal with the consequences of decades of under-investment, where patching up failing infrastructure has become the norm—a short-sighted and ultimately more costly approach. The impact of the ageing estate on elective recovery has meant that since April 2024, more than 600 operations have had to be cancelled. The lifts break down and cannot be fixed simply because they do not make the parts any more. Over the past five years, over £60 million has been spent on improving the Epsom and St Helier estate just to keep it operational. At St Helier, 46% of repairs are identified as high risk. The human cost of this crumbling infrastructure is evident. Patients are forced to endure unacceptable waiting times, often in undignified conditions. A&E waiting times at the Epsom and St Helier trust are among the worst in London, with over a third of patients waiting more than 12 hours for a bed.

• 23 Apr 2025 · Hospitals · Hansard source

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  I am sorry to hear that story. It is just one among a catalogue of incidents that we hear of on a regular basis. This past winter, more than 2,000 patients waited over half a day just to be seen. The delays not only cause distress and anxiety but can have serious and long-term consequences for patient outcomes. The Epsom and St Helier university hospitals NHS trust has worked diligently, developing detailed plans for a new specialist emergency care hospital alongside the modernisation of Epsom and St Helier hospitals. This state-of-the-art facility would be a beacon of hope, improving outcomes for our sickest patients and consolidating acute services in a way that strengthens staffing and keeps care local. But that promise has been left to wither. The Health Secretary’s latest announcement pushes the start of construction of the new specialist emergency care hospital to 2032 at the earliest, adding to decades of false promises that have let my constituents down time and again. That is why, this Friday, I will be abseiling 125 feet down St Helier hospital to raise funds for the Epsom and St Helier Hospitals charity and shine a spotlight on the urgent need for investment in our hospitals. The funds raised will provide extra support to our hospitals, over and above what the NHS can currently deliver. Charity can only fill so many gaps; it cannot substitute for the Government action that our hospitals desperately require. The Government should reverse the delay to the new hospital programme and urgently deliver the new hospitals that patients have long been promised. They must prioritise the construction of the specialist emergency care hospital and fund the long-overdue repairs at St Helier. My constituents deserve nothing less than modern, safe and high-quality healthcare.

• 1 Apr 2025 · Royal British Legion · Hansard source

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  Absolutely. I totally agree with my hon. Friend, and his point could be considered in the resettlement schemes for people leaving the armed forces. The RBL is involved in a number of campaigns to improve the lives of all members and veterans of the armed forces, but it needs our help here in Westminster. We can start by backing the RBL’s “Credit Their Service” campaign to stop military compensation being treated as income in the means-testing of welfare benefits, which causes veterans and their families to lose out on thousands of pounds a year. Compensation awarded by the Government for service-related injuries should not be treated differently from civil compensation awarded by the courts. The current practice violates the armed forces covenant, and it is time for change. Another pressing issue is the impact of welfare reforms on disabled veterans. With one in five working-age veterans living with a disability, the proposed welfare changes risk making it harder for them to claim essential support. And narrower eligibility criteria for personal independence payment and changes to universal credit could negatively affect veterans with service-related conditions. Additionally, delaying access to incapacity benefit until the age of 22 could disproportionately harm young veterans, particularly early service leavers and those who are medically discharged. Upon leaving the armed forces, many veterans struggle with complex mental health issues. It is unacceptable that those who served our country and are left suffering with depression, anxiety or PTSD receive inadequate support. The new Government must do more to assist these brave men and women by providing regular mental health check-ups and ensuring timely access to professional help. The Liberal Democrats are committed to improving the recording of veterans’ physical and mental health outcomes, including waiting times for treatment. We must also continue to combat the stigma surrounding mental health, so that veterans feel able to seek the support they need. For over a century, the RBL has supported serving and former service personnel and their families. However, despite these efforts, more than half of veterans have faced mental health challenges and 60% hesitate to seek support due to stigma. Organisations such as the RBL play a vital role in reducing such stigma by fostering connections between veterans of different generations who have shared experiences. The failure to provide a fair deal for the armed forces is not just morally wrong; it also affects recruitment and retention, leaving our country less secure. At a time when our national security is increasingly under threat, we must remember the sacrifices made in military service. I am proud of the Royal British Legion’s contributions, both in Epsom and Ewell and across the country. We must stand with the RBL as it continues to support those who have sacrificed so much for us, and I hope that all Members here today will join me in signing up to become a member of the Royal British Legion.

• 19 Mar 2025 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I have a similar situation in my constituency with Strada Care, which is under immense strain, having already closed four care homes over the past seven years due to chronic underfunding. Thousands of care providers are on the brink of collapse, and many more may follow if these Lords amendments are disagreed to. With social care services already struggling, more vulnerable individuals will be forced into hospitals and be bed blocking. Does my hon. Friend agree that increasing costs for social care providers will have a devastating knock-on effect for the NHS?

• 25 Feb 2025 · Maternity Services · Hansard source

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  Will the Minister give way?

• 25 Feb 2025 · Maternity Services · Hansard source

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  It is a pleasure to serve with you in the Chair, Sir Christopher. I congratulate my hon. Friend the Member for Chichester (Jess Brown-Fuller) on securing this hugely important debate. Today I will highlight both the excellence and the challenges of maternity services in my constituency of Epsom and Ewell. Last year, the dedicated staff of Epsom and St Helier university hospitals delivered more than 3,400 babies. Their commitment to patient care is outstanding, with care being ranked No. 1 in London for patient experience. Both units have also achieved UNICEF UK baby friendly hospital initiative gold accreditation, reflecting their exceptional support for new mothers’ feeding choices. Those outcomes are testament to the experience, compassion and hard work of the staff, despite the conditions they work under. Our maternity services are held back by infrastructure that is simply not fit for purpose. Some of the hospital buildings at Epsom and St Helier are older than the NHS itself. Those conditions make it harder to provide the high standards of care that mothers and babies deserve. At St Helier hospital, the maternity unit’s lift regularly breaks down, making it increasingly difficult to safely transfer maternity patients to intensive care or the main theatres. Both Epsom and St Helier hospitals lack waiting areas and suitable space to maintain privacy, making it harder to implement a nationally mandated triage system and to provide private spaces, which are vital for bereaved families. Every year, the trust spends millions just on patching up these crumbling facilities, which is not sustainable. The cost of maintaining outdated buildings and equipment diverts critical resources away from the frontline. Furthermore, staff are stretched thin by running duplicate services across two sites, which affects patient outcomes. The promised new hospital in Sutton was meant to solve those problems by bringing together emergency care, maternity services and in-patient paediatrics in a modern, specialist facility. However, the Government have pushed construction back to at least 2032, leaving our community in limbo. Meanwhile, Epsom general hospital alone needs £44 million-worth of repairs, with 46% classed as high risk, meaning that failure to address them could lead to serious injury or major service disruption. If the UK is to be the safest place in the world to have a baby, we must do better. Beyond the building, staffing remains a critical issue. A local midwife recently shared with me the reality of working in our maternity services. She described how the staffing problems in maternity continue to be dire. There simply are not enough midwives rostered each day to cover the work, which makes it unsafe for women and their babies, and creates an unsustainable working environment for those left behind. Midwives are working longer hours, starting early or leaving late, taking on more than they should just to ensure women are seen. This leads to burnout, and many midwives ultimately leave the profession as they feel that the stress and huge responsibilities are not matched by adequate support or fair pay. As a woman, the midwife told me how deeply saddened she is that this is the service being offered to women in this country. The care a woman receives during childbirth has lifelong implications—not just for her, but for her children and for society as a whole. She worries that women’s choices, particularly around home births, are becoming increasingly sidelined. Women’s autonomy over their own bodies is becoming less relevant, and she fears what that means for the future of maternity care for our daughters and granddaughters. Her worries reflect those of so many across the country. I have three children, all of whom were born successfully in London. I wanted a home birth for all of them. Sadly, we were only successful in having one home birth due to complications, but I am grateful that I had the choice. I thank Brierly midwives for that, but not every woman today has that choice. The people of Epsom and Ewell, Leatherhead and Ashtead—and around the UK—deserve outstanding maternity care, unhampered by crumbling infrastructure, chronic understaffing and a lack of investment. As a first step, I urge the Government to release the full impact assessment of the delays to the new hospital programme and reconsider the decision. We cannot afford to let maternity services deteriorate any further. The safety of women, babies and midwives depends on it.

• 25 Feb 2025 · Maternity Services · Hansard source

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  I will be very brief. La Retraite sixth form in London has a T-level qualification in health with midwifery, linked up with Guy’s and St Thomas’, and it is proving successful. Will the Minister consider working with the Secretary of State for Education to look at rolling that out throughout the country? It is proving really successful in getting new midwives into the system.

• 15 Jan 2025 · Women’s Changed State Pension Age: Compensation · Hansard source

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  It is pleasure to serve under your chairmanship, Dr Murrison. I congratulate the right hon. Member for South Holland and The Deepings (Sir John Hayes) on securing this important debate. In Epsom and Ewell alone, 5,420 women have been affected by the changes to the state pension age, and their voices echo the sense of betrayal felt nationwide. These women have been wronged, not just by the failure to properly notify them of significant changes to their pensions, but now by this Government’s refusal to act on the clear recommendations of the Parliamentary and Health Service Ombudsman. The ombudsman concluded that there was maladministration by the Department for Work and Pensions dating back to 2005. It found that delays in communication meant too many women did not understand how the changes would affect them. Despite that, this Government have refused to pay any compensation. A constituent of mine captured the heartbreak that so many feel. She wrote: “I am absolutely devastated and I feel betrayed. For years, senior Labour representatives and even the Prime Minister himself pledged to deliver fair compensation to those impacted. They have now made a political choice to break that promise and to ignore the findings of an independent watchdog…The Government failed to properly inform women of the changes, and many were plunged into poverty as a result.” Many women were blindsided by the changes, left unable to prepare for the financial shock that followed and plunged into hardship through no fault of their own. I am proud that the Liberal Democrats have long called for justice for these women. We remain steadfast in our belief that the Government have a moral duty to act in line with the ombudsman’s recommendations. The decision to deny compensation sets a dangerous precedent, undermines the role of independent watchdogs and erodes public trust in governance. The Government’s refusal to act on the issue is heartless and short-sighted. These women are asking for fairness, for recognition of the injustice they have suffered and for the means to rebuild their lives. I urge the Government to reconsider their position, listen to the ombudsman and do right by these women. It is time we ended this injustice.

• 13 Jan 2025 · Hospice and Palliative Care · Hansard source

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  I start by thanking the compassionate, dedicated and caring hospice staff and volunteers who, year round, support patients and their families through some of the most difficult moments of their life. I welcome this debate, which highlights the need for greater, more consistent Government support for the work of delivering that vital care. Most pressingly, we must ensure that fiscal policies do not negatively impact our hospices, because hospices are pillars of our healthcare system. They support over 300,000 people annually and provide not just outstanding clinical care, but emotional and psychological support. I have seen at first hand the many ways in which hospices work to bring some sense of comfort and normality at a very distressing time, from providing group activities and special events to creating quiet spaces for reflection. Hospices are not just care providers; they are vital partners in the healthcare system, reducing pressure on NHS services by offering specialist in-patient care and community-based services. Hospices prevent unnecessary A&E visits and facilitate timely hospital discharges. When hospices are forced to cut services, the burden on the NHS only grows. That makes long-term support for hospices not just compassionate but practical. A constituent recently contacted me to tell me about her husband’s experience. Unfortunately, there was no room for her husband at my constituency’s local hospice, the Princess Alice hospice. My constituent strongly believes that her husband’s end of life experience would have been more peaceful and less painful had he been admitted there. Instead, he was left at home, in extreme pain for hours. The community nurses did eventually come to administer pain relief, shortly after which he passed away, but my constituent has expressed that the whole experience was deeply traumatic for her and her children, and urged me to call for more funding, so that other families can be spared such distress. Despite the crucial role of hospices, the hospice sector is at breaking point. As a fundraiser, I work closely with hospices, and I know just how precarious their financial situation is. Many people do not realise how little of hospice care is funded by the Government. On average, the Government fund only one third; for the remaining funding, hospices are reliant on charitable donations. This imbalance leaves hospices vulnerable to financial crises as, thanks to rising costs and inconsistent donations, they fail to bridge the gap. This funding model does not work. One in five UK hospices has had to cut services in the last year, or was planning to, due to insufficient funding, and this trend will continue unless action is taken. Although I welcome the Government’s £126 million package for hospices, we must see it for what it is—a stopgap, not a long-term solution. We need a plan to put hospices on a sustainable, fair and consistent financial footing. A long-term reform of hospice funding is needed as part of the NHS’s 10-year plan. Hospices such as Shooting Star and Princess Alice embody the values of compassion and community. They provide comfort where there is pain, hope where there is despair and dignity where there is loss. It is our responsibility to ensure that they continue this vital work.

• 8 Jan 2025 · Playgrounds · Hansard source

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  It is a pleasure to serve under your chairmanship, Mrs Lewell-Buck. I congratulate the hon. Member for Bournemouth East (Tom Hayes) on securing this important debate. This issue matters personally to me as a mother of three children—two boys and a girl. I have watched each of them grow through unstructured play. Indeed, we chose to live near a park because I recognise the importance of parks and outdoor play. I want to ensure that every child across the country, and future generations of children, have the same opportunities to play as my children have had. As the former chair of a charity that ran the local recreation ground, I know the importance of spaces like playgrounds as hubs for the community. As policymakers, we often focus on the physical education of our children, but playgrounds are about so much more than exercise. They are where children learn to navigate risk, build relationships and develop the resilience that will serve them for life. However, according to the 2024 green space index, 2.3 million children in Britain under the age of nine, which is nearly one third, live more than a 10-minute walk from their nearest playground. That is a stark indicator of a growing play crisis in our country. Playgrounds are vital spaces where children explore their world and themselves. Through play, they develop social skills, creativity and cognitive abilities. They learn to assess and embrace risk, make decisions and form friendships. Playgrounds are incubators for resilience, teaching children the skills to thrive in a challenging world. As a former scout leader who led teams on hikes up mountains, I have seen how giving children the chance to push themselves through outdoor physical challenges really builds their self-esteem. They climb up a mountain and are scared at the top, but then they realise how successful they have been in their achievement and how brilliant the experience has been. Playgrounds offer the chance for young people to challenge themselves—to climb higher, to swing faster and to jump that little bit further. Despite the clear benefits of playgrounds for our youth, local authority budgets for playgrounds have declined drastically, with a 14% fall in annual park funding in England between 2009 and 2020. Nearly 800 playgrounds have been lost since 2013 and some councils now warn that they may need to remove or repurpose play areas simply to save money. It is shocking that, compared with the 1970s, children now spend 50% less time in unstructured outdoor play, and the 2020 British children’s play survey revealed that children aged five to 11 spend just over three hours a day playing, mostly at home or in the garden rather than in nature and community spaces. During this period of playground decline, social media and smartphones have become increasingly pervasive, replacing active play, exploration and in-person socialising with passive scrolling, socialising through their phones and being less physically active. I was a physical trainer for over 15 years and I am passionate about encouraging everyone to be more active. As a parent, I volunteered at my local primary school to support it in setting up its running club, and I saw at first hand the positive impact that physical activity has on young people. They were excited to be outside and loved focusing their energy on something other than the stress of homework. When they returned to class, they then felt calm and able to focus, which is also a benefit for teachers. The public health implications of the decline in safe public spaces to play are profound. Over half of children fail to meet the recommended daily activity levels and 37% of 10 and 11-year-olds in England are now overweight or obese. The mental health impact is equally concerning, with nearly one in five children having a probable mental health condition. The reduction in access to unstructured outdoor play, alongside the rise in children’s access to the digital world, has reshaped childhood, leading to isolation and inactivity. Every child has the right to play—to feel energised and free—yet the opportunities for that freedom are shrinking. Without urgent action, generations of children will grow up deprived of the spaces that are so essential for their development and wellbeing. I urge this Government to prioritise access to play spaces in planning and funding decisions. Decades of under-investment and poor planning must be reversed. Play is not just a part of childhood; it is the foundation for healthy, happy and resilient adults.

• 6 Jan 2025 · NHS Backlog · Hansard source

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  I absolutely agree that it is partly a failure of the previous Conservative Government that the hospitals have not been built. It is vital that the Epsom and St Helier hospitals trust is put at the top of the list as a priority for a new hospital. A new hospital will improve outcomes by consolidating critical services under one roof, easing the strain on staff who are currently stretched across two sites. Moreover, it will enable the Epsom and St Helier hospitals to focus on elective care, diagnostics and out-patient services, which will help them to tackle the backlog more efficiently. Crucially, the new hospital will expand the overall number of beds. Centralising major acute services will address estate challenges, strengthen staffing levels and improve patient outcomes, which will reduce the intolerable waiting times experienced at Epsom and St Helier hospitals. I turn to the distressing delay in attention deficit hyperactivity disorder assessments. In September 2024, the Darzi report highlighted the stark reality that demand for ADHD assessments has grown so significantly that it risks overwhelming available resources. Nationally, it could take an average of eight years to clear the backlog at the current rate. My constituent Sophie has been facing the brunt of this backlog. She has been waiting since June 2020 for an adult ADHD assessment, and she will wait quite a bit longer, as Surrey and Borders partnership NHS foundation trust has informed me that it is addressing referrals from as far back as March 2019. The root cause is a mismatch between demand and funding. The service was commissioned to support 400 assessments annually, but it receives 400 referrals every two months. Sophie, like many others, has been advised to seek private assessment, an option that is financially out of reach, as she has been unemployed due to her symptoms. This inefficient system should be reconsidered to help reduce the enormous backlog. The situation is wholly unacceptable.

• 6 Jan 2025 · NHS Backlog · Hansard source

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  I thank my hon. Friend the Member for North Shropshire (Helen Morgan) for securing this debate. The backlog in the NHS is a national crisis, and it is acutely felt in my constituency. Patients, families and staff are bearing the brunt of an overstretched and under-resourced healthcare system. This morning I was delighted to see the Prime Minister and the Health Secretary at Epsom hospital in my constituency—part of the Epsom and St Helier trust—to announce this Government’s plans to tackle the backlog of tests, checks and treatments. I welcome many aspects of today’s announcement. Direct access to checks will cut unnecessary waiting times and, if implemented well, will result in better patient outcomes as health issues are found earlier. The location of this announcement at a hospital connected to St Helier hospital was particularly potent. Over the Christmas period, St Helier hospital, which has been at the heart of healthcare in the community for generations, made the news again. Its sinking floors and leaky ceilings illustrate the failings of our NHS. The facility is failing. Some of the buildings are older than the NHS itself and are plagued by damp, mould and structural issues that impede patient care. The hard-working staff at St Helier hospital are doing their best in impossible circumstances, but the reality is that the current infrastructure hampers their ability to provide the level of service and the quality of care that my constituents deserve. Epsom hospital, too, is struggling to cope with demand. Over the winter recess I heard harrowing stories from constituents who faced unacceptable A&E waiting times. One mother brought her child to Epsom hospital with a suspected broken wrist and endured a seven-hour wait for an X-ray, finally leaving in the early hours of the morning. While there, she encountered another mother with a nine-month-old baby who had a bump on its head. They left after six hours without being seen because they simply could not wait any longer. One constituent’s 86-year-old mother was told by the 111 service to go to A&E at Epsom hospital after an injury, only to be informed that there would be a 10-hour wait, meaning she would have to stay up until 2 am after a potentially serious injury. These are not isolated incidents, but rather the lived reality for many families. These delays stem from a combination of rising demand, staff shortages and an ageing infrastructure that cannot keep pace. While I welcome the fact that elective care capacity will increase, hopefully reducing the waiting times for care for many patients, this must also come with a focus on improving emergency care. Ring-fencing elective beds while people waiting for emergency care are dying in corridors or leaving without being checked is nonsensical. We must increase the number of staffed hospital beds to end degrading corridor care. Further, there must be a qualified clinician in every waiting room to ensure that any deteriorating conditions are picked up on. Locally, it is vital that the Epsom and St Helier hospitals are at the front of the queue for necessary repairs and that the new specialist emergency care hospital in Sutton is at the top of the priority list for this new hospital programme.

• 6 Jan 2025 · NHS Backlog · Hansard source

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  I absolutely agree that prevention is key. If we do not deal with issues immediately, they will just take longer to deal with and be more costly in the long term. The people of Epsom and Ewell simply deserve better. They deserve a healthcare system that works for them, not against them. I urge the Government to act swiftly to address these issues, and to deliver the investment and reforms that our NHS so desperately needs.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  Yes, I am aware of that and I agree that it is a good way forward. Another business in my constituency, the Family Building Society, is also facing substantial repercussions. Last Friday I met its chief executive officer, Mark Bogard, who shared that this national insurance increase will cost him approximately £300,000 every year. He said: “Even as a mutual building society, with no shareholders to generate returns for, we cannot simply swallow that cost. So, going forward, we will inevitably now employ five or six fewer people.” Madam Chair, these are real-world examples of the damaging ripple effects of the Bill. It will hit not just businesses, but employees, with fewer jobs, lower wages and missed opportunities. This Government claim that they want to kickstart economic growth, but how can firms grow when they are forced to cut jobs instead of investing in their business. How can the economy thrive when ambition is replaced with survival? This Bill does not kickstart economic growth; it slams on the brakes. Across the board, this Bill threatens sectors vital to our economy and to society. Social care providers, GPs and hospices, already at breaking point, will now face further financial strain. Most of these organisations do not qualify for the employment allowance, meaning that they are exposed to these increases. The Liberal Democrats have called on the Government to exempt these essential providers from the tax rise, but those calls have been ignored. This decision will worsen the crises in our NHS and social care system, pushing more providers to the brink of bankruptcy. Six in 10 care homes in the UK are operated by companies vulnerable to even mild economic shocks. How then can the Government justify imposing additional financial burdens on a sector already struggling to stay afloat? Let us be clear: the Government’s own analysis admits that nearly four times as many employers will lose out under this Bill as will benefit. For many employers, this will translate into an average annual tax increase of over £26,000. This is not just a jobs tax, but a growth tax, a productivity tax and, ultimately, an attack on people’s living standards. This is a deeply inefficient way to raise funds, especially when fairer alternatives exist. The Liberal Democrats have proposed several measures that would raise revenue without harming jobs and growth. These include reversing Conservative tax cuts for big banks, increasing the digital services tax and introducing a fairer form of capital gains tax to ensure that ultra-wealthy people pay their fair share. These measures would protect small businesses, support families and safeguard essential services, while still addressing the country’s fiscal challenges. The people of Epsom and Ewell deserve better. They deserve a Government who support, not stifle, innovation, enterprise and community spirit. They deserve a Government who listen to small businesses, healthcare providers and families who are already struggling under the weight of rising costs and stagnant wages. This Bill is not the solution to our economic challenges; it is a blunt instrument that will do more harm than good, jeopardising jobs, living standards and essential services. I urge the Government to reconsider this unfair and counterproductive measure and to work with us to develop a fairer, more sustainable approach to taxation that prioritises people and communities.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I am greatly concerned about the consequences of this Bill. There are consequences for businesses, for employees and for essential primary care providers in my constituency and across the country. The Bill represents an unfair jobs tax that risks harming the livelihoods of countless individuals and the viability of small businesses at a time when they are already grappling with a multitude of challenges. I wish to begin by highlighting the impact that this legislation will have on community pharmacies, which are at the frontline of healthcare in our local areas. The owner of Horton Pharmacy and Travel Clinic in Epsom has expressed grave concerns about the financial burden that this increase in employer national insurance contributions will impose. He told me: “We are estimating that it’s going to cost an extra £12,000 a year. It’s very distressing and making it harder to keep our doors open and help reduce the burden on other parts of the NHS.” Community pharmacies such as Horton Pharmacy play a critical role in alleviating pressure on our overstretched NHS by providing accessible healthcare and advice, yet the Bill threatens their financial viability, which in turn risks leaving constituents without the local care they rely on, thus increasing the burden on the NHS.

• 3 Dec 2024 · Topical Questions · Hansard source

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  T3. The owner of Horton pharmacy in Epsom has raised concerns about the financial burden that increased employer national insurance contributions will place on community pharmacies. Pharmacies provide frontline care, and without support, their viability and the accessible healthcare that they offer could be at risk. That will add pressure to an already strained national health service. Will the Chancellor reconsider and exempt community pharmacies from the increase?

• 13 Nov 2024 · Topical Questions · Hansard source

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  T3. During a hospital stay, my constituent, a new mother with an exclusively breastfed infant, encountered resistance from staff when trying to keep her child with her. The distress caused left her needing post-traumatic stress disorder therapy. What steps is the Minister taking with Government colleagues to ensure that hospitals support breastfeeding mothers appropriately?

• 5 Nov 2024 · Income Tax (Charge) · Hansard source

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  It is important that we recognise how the previous Conservative Government left the NHS in a weakened state, with soaring GP waiting times, crumbling hospital buildings, and promises of new hospitals that they simply could not deliver. The Liberal Democrats welcome the £22.6 billion of funding for the NHS, and the £3.1 billion of capital funding for the NHS estate. However, far too many people are struggling to get a GP appointment when they need one, which can lead to misdiagnosis or delays, with people often having to go to A&E instead. It is great that the Budget includes dedicated funding to improve GP practices, but more focus is needed on the recruitment and training of GPs, and on ensuring that we retain experienced GPs. It is therefore disappointing that GP surgeries are not exempt from the rise in employer’s national insurance, as that will ultimately reduce the number of staff they can employ, which will affect everyone. We need to prioritise general practice so that more people can be treated in the community, as that is better for individual health and will cost the NHS less. We believe that everyone should have the right to see a GP within seven days. I was also disappointed that there was no specific mention of dentistry in the Budget. Tooth decay is one of the most common reasons for hospital admissions in children aged between six and 10, and more than 100,000 children have been admitted to hospital with rotting teeth since 2018. More funding is needed to guarantee access to an NHS dentist for everyone needing urgent and emergency care. On the new hospital programme, hopefully one of the new hospitals will at some point be built in our constituency, but I was disappointed not to hear more about that. It is good that hospitals with reinforced autoclaved aerated concrete will be addressed urgently, but we desperately need more details on that now. Buildings such as St Helier hospital are simply deteriorating, with issues such as sinking foundations, leaking roofs, and outdated infrastructure. Epsom hospital can no longer cope with current demand, and we urgently need a new specialist emergency care hospital. My constituents simply cannot wait any longer for their promised new hospital, and the country should not be forced to fund inefficient health provision. I look forward to hearing from the Secretary of State in the new year with more information about that. Many constituents who are just above the threshold for pension credit have contacted me about how the lack of the winter fuel payment will affect them. It will particularly affect those in ill health, because they need to turn on the heating earlier and for longer. While pensioners have been asked to apply for pension credit, Dorah-May from Age Concern in my constituency has contacted me. She said that applying for pension credit is a minefield, and that is why people from Age Concern go around all the time to help and support elderly people with that. Charities and small businesses will also be negatively affected by the Budget, and that is disappointing. I will wrap up by urging the Government to look at raising money by reversing the Conservative tax cuts for big banks and by asking social media giants to pay their fair share.

• 28 Oct 2024 · Remembrance and Veterans · Hansard source

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  I agree with my hon. Friend. As my hon. Friend the Member for Westmorland and Lonsdale (Tim Farron) mentioned, we also need to improve mental health support for veterans. More than half of veterans have faced mental health challenges, yet 60% hesitate to seek support due to stigma. To reduce stigma, and encourage more veterans to seek the support that they need, we need regular mental health check-ups for veterans, along with better tracking of both physical and mental health outcomes. Female veterans face additional challenges, including higher unemployment rates and a greater risk of harassment. The Atherton report found that nearly two thirds of female veterans experienced bullying or harassment during service. That is unacceptable, and we must implement recommendations to protect and support women who serve. Finally, our LGBT+ veterans deserve justice. Those dismissed because of their sexuality are being offered compensation of £12,500, which is wholly insufficient and fails to reflect the harm that they endured. The Government must reassess the scheme to ensure these veterans receive fair compensation. We thank all charities who support our armed forces, and we remember those who have fallen, but as we remember the contributions of those who have served, let us honour their sacrifices with action. We need a system that truly supports our service personnel, veterans and their families. That means addressing issues ranging from housing and pay to diversity and equality. Our veterans deserve not just our respect but our commitment to making a real difference in their lives.

• 15 Oct 2024 · Draft Armed Forces Act 2006 (Continuation) Order 2024 · Hansard source

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  I want to express my support for the draft order. Ensuring the security of our country must be the foremost priority of any Government and we must take defence seriously and work with allies to protect all of our freedoms. The Conservative Government’s approach to defence was negligent, leaving our armed forces under-resourced and vulnerable. Reducing troop numbers by 10,000 was reckless and delays in procurement have deprived our armed forces of the tools that they desperately need. Further, service personnel and veterans have been failed with insufficient mental health support, poor housing and inadequate care. Our military personnel deserve better. Although the draft order is straightforward, its significance cannot be overstated. It allows us to honour our armed forces while also questioning what the Government are doing to ensure that they are well prepared and supported, including providing the necessary resources and procurement, ensuring equipment is adequate and free from health risks, offering sufficient accommodation, supporting their mental health and maintaining an adequate personnel level. As a former member of the military police, I understand at first hand the importance of discipline in the military. It is discipline that binds every service member, ensures the chain of command functions and enables operational success. That is why the Armed Forces Act 2006 and its annual extensions through orders such as this one are so critical. The Act empowers commanding officers to maintain order and enforce discipline. We must thank our brave armed forces for their continued work at home and overseas. We support the passage of the draft order and look forward to hearing what advances the Government will make with the strategic defence review.

• 10 Oct 2024 · Mental Health Support · Hansard source

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  It is an absolute pleasure to serve under your chairmanship, Mr Dowd, as I speak for the first time in Westminster Hall. I thank the hon. Member for Ashford (Sojan Joseph) for securing this important and timely debate on World Mental Health Day, and for speaking so well. Mental health can affect any of us at any time, young or old. Unfortunately, too many people simply do not get the support they need and some go on to take their own life. Speaking personally, husbands of two friends of mine, a friend’s brother and a friend have taken their life, destroying families who are left behind figuring out how to cope. Since becoming the MP for Epsom and Ewell, I have been shocked by the lack of mental health support, but also amazed at the ingenuity of local residents to provide it in its absence. I had the pleasure of meeting Charley Moore the other day—a Surrey female firefighter and founder of an all-female support group in Epsom and Ewell called Grow and Glow. She had a mental health crisis last year and found it very difficult to access support. She found many mental health groups for men, but she could not find any specifically for women, so she set one up. I was also proud to meet two mental health charities the other day that were recognised at the BBC Surrey and Sussex Make a Difference Awards last week in my constituency. One was We Power On, which is a men’s mental health “walk and talk” support group set up by Chris Waller after he and his friend reconnected during lockdown and discovered that they were both struggling with their mental health. He won the bravery award. He takes people out at the weekend, walking on the lovely Epsom downs and sharing their experiences. The other charity, Joe’s Buddy Line, was set up by Ivan Lyons, who won the community award and is one of my constituents. Ivan’s son was an award-winning radio producer on Capital Radio. Sadly, in 2020, Joe took his own life. Through Joe’s Buddy Line, Joe’s family advocate for mental health to be treated equally and with the same seriousness as physical health. The charity provides mental health support, advice and resources for schools. It is encouraging schools to put a mental health policy in place in every single school, giving teachers the support that they need to support the young people of today. The charity has highlighted to me that currently it is not a statutory requirement for a school to have a mental health policy. Such a policy would foster a whole-school approach, so today I am calling for a statutory requirement for all schools to have a specific mental health policy. Too many people are simply suffering and too many lives are being lost, yet some of that is preventable. Early intervention and prevention are absolutely key. First, to ensure that our young people get the support they need before they reach crisis point, we need to equip them with the tools they need to build resilience to cope with modern life. We must ensure that no one feels alone in their mental health journey, and we need to normalise conversations about how we are feeling mentally. I am absolutely proud that in my constituency, individuals such as Ivan, Chris and Charley are taking the initiative to champion mental health support for everyone and fill in the gaps that they have identified in the services. Let us not forget—