Helen Morgan MP: speeches 2025

Speeches

• 21 Jan 2025 · Economic Growth · Hansard source

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  The Chancellor will know that one of the biggest factors holding back the rural economy is poor public transport. When I visited the jobcentre in Oswestry last year, I was told that one of the biggest impediments to people finding a job is that they cannot get away from where they live because of poor public transport. Can she update me on the discussions that she has had with her colleagues in the Department for Transport over reinstating projects such as the Oswestry to Gobowen railway line and step-free access at Whitchurch railway station?

• 21 Jan 2025 · Economic Growth · Hansard source

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  5. What fiscal steps she is taking to help increase levels of economic growth in rural areas.

• 21 Jan 2025 · Auditory Verbal Therapy · Hansard source

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  It is a pleasure to serve with you in the Chair, Mr Western. I thank the hon. Member for Washington and Gateshead South (Mrs Hodgson) for introducing the debate, as well as Sam, his family and Auditory Verbal UK for campaigning on this important issue. I confess that I am quite new to auditory verbal therapy, and it has been fascinating to research the issue more for the debate and to listen to hon. Members’ contributions. The hon. Member for Washington and Gateshead South made a hugely compelling argument for improving access to auditory verbal therapy, setting out not only the benefits for the children who would be able to improve their ability to listen and speak, but the economic benefit that would derive from what I think we can all agree is a small investment—as an accountant, I can confirm that £2 million is probably a rounding error in most instances. I also thank other Members for their useful speeches today, not least the hon. Member for Bury North (Mr Frith), who highlighted the importance of early intervention, and the hon. Member for Derby South (Baggy Shanker), who highlighted the educational impact that early access to appropriate therapy can have. There are more than 50,000 deaf children in the UK. Around 7,200 of them are under the age of five. Some 90% of deaf children are born to hearing parents, who do not have the experience of dealing with hearing impairment. Although deafness is not a learning disability, deaf children face a significant attainment gap during their time at school, and their educational outcomes are poorer. There is also a higher risk of poor mental health. In addition, deaf people are less likely to have decent employment, and suffer generally from inequality as a result of being hearing impaired. It is important to say up front that all deaf and hearing-impaired people have the right to participate fully and independently in society. Too often at the moment, those rights are not being fully realised. Liberal Democrats believe, as I am sure hon. Members from all parties do, that every deaf child deserves the best possible start in life, the opportunity to flourish and for their families to be supported, so that they can express themselves and communicate with ease, in the way that is most comfortable for them. The hon. Member for Bolton North East (Kirith Entwistle) highlighted that offering a range of therapies is the best way to support families who have a child who is deaf, and that they should be able to exercise choice when deciding which therapy is most suitable for them. Under section 17 of the Children Act 1989, local authorities in England have a duty “to safeguard and promote the welfare of children within their area who are in need” by providing “a range and level of services appropriate to those children’s needs.” A child is defined as being in need if they are disabled, and the Act says that a child is considered disabled if they are deaf. We are therefore in a position where it seems that local authorities must be compelled to provide appropriate support for deaf children and their families. The National Deaf Children’s Society notes that “in some cases, local authorities do provide funding to help” a child “access AVT”. The problem is that the Government have confirmed that audiology services are commissioned locally and that “the responsibility for meeting the needs of non-hearing children lies with…National Health Service commissioners.” That leaves us with the dreaded postcode lottery. It would be helpful if the Government provided guidance to local authorities on the level of support they should be providing, particularly, in the context of this debate, for AVT. Locally in Shropshire, headteachers report an inability to access basic speech and language therapy for hearing children. The strain on local government finances will clearly have a significant impact on what is available to children in each area. Will the Minister confirm whether provision of AVT will be a responsibility of the Department of Health and Social Care or local government? Therapies such as this might sometimes fall into the gap between the two, and it would be useful to understand how it can best be delivered. As I mentioned, I am slightly new to this topic but Liberal Democrats have long campaigned for better support for people who are deaf, and particularly for those who communicate through British Sign Language. We would like BSL to have official, equal status to the UK’s other languages, and would like free access to sign language lessons for parents and guardians of deaf children. We welcome all the developments in improving outcomes for deaf children, including technology such as cued speech visual systems, for which there is a major centre in the constituency of my hon. Friend the Member for South Devon (Caroline Voaden). I echo the call of the hon. Member for Washington and Gateshead South for a pilot scheme—that seems a sensible way forward. The existing research on AVT is promising but the evidence base is still narrow and a pilot scheme seems the best way to broaden that evidence base and convince those who have not yet been convinced by meeting children who have benefited profoundly from the therapy. More broadly, the Government should strengthen the availability of basic speech and language therapy training for people working with children to ensure that children who are struggling with hearing impairment can be identified, that their progress is monitored and supported, and that an equal outcome is found for them. In conclusion, will the Minister confirm whether the provision of AVT is the responsibility of the Department of Health and Social Care or a local government issue, bearing in mind that the provision of such assistance comes through local government? Will he also confirm that the 10-year plan will address services such as AVT for deaf children and adults? Finally, will he consider a pilot scheme to broaden our understanding of the benefits of AVT?

• 21 Jan 2025 · Auditory Verbal Therapy · Hansard source

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  I am pleased to hear that the Government have increased the number of speech and language therapists, which is so important for young people who are struggling to achieve their potential in an educational setting, but will the Minister address the specific point on commissioning by local authorities? Often, they are so strapped for cash that they are effectively trying to limit demand.

• 20 Jan 2025 · Obesity: Food and Diet · Hansard source

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  It is a pleasure to close the debate for the Liberal Democrats. I congratulate the hon. Member for Stroud (Dr Opher) on securing the debate. All the contributions, including his opening speech, have been excellent and well informed. I was particularly interested to hear about the existence of good food deserts in Blackpool South and Liverpool West Derby. Even in Shropshire, where we grow some of the most wonderful and nutritious food that can be imagined, we have a higher-than-average obesity rate: 67% of adults are overweight and 32% are medically obese. That is an interesting reflection on the availability of good food and on people’s ability to choose healthy options because of the cost of food at the supermarket. In rural areas, housing is more expensive but average wages are lower. If people cannot access public transport, as the hon. Member for Bathgate and Linlithgow (Kirsteen Sullivan) pointed out, they are often forced to shop at expensive local shops and are thereby forced into buying packets of less nutritious food. We need to deal with obesity. Two thirds of the adult population are overweight. The NHS is spending almost a tenth of its annual budget on diabetes. Obesity has a significant impact on the health and wellbeing of people who deserve better: they are three times more likely to develop colon cancer, two and half times more likely to have high blood pressure, and five times more likely to have type 2 diabetes. The history of tackling those problems is a litany of failure for all three major parties in 30 years of government because, as other hon. Members have mentioned, we have had 700 different policies on the issue over the years, with no impact. It is time for a coherent strategy to tackle the obesity crisis. It is good to tentatively welcome the Government’s new national food strategy and their steps on junk food advertising, which are a positive move. The Liberal Democrats would like to see the Government go further, particularly on the use outdoor advertising in areas where people are particularly vulnerable to seeing it. For example, we want local authorities to be allowed to restrict outdoor advertising near schools. I am interested in some of the suggestions that have been made about planning and fast food outlets, especially as 35.2% of children aged 10 to 11 are now overweight—a staggering 20% rise since 2015. That coincides with a 16% fall in spending on obesity-related measures in the public health grant during the same period. We welcome the Government’s proposed preventive measures. We hope that some of the large sum earmarked for health and the NHS in the recent Budget can be put into public health and prevention measures, because we want to stop people getting unhealthy in the first place rather than dealing with the problem after it occurs. In Shropshire, one in five children aged four to five are overweight and more than one in 10 are obese. Ironically, almost half are not eating enough fruit and veg, despite the fact that they are grown all around us. The same number are not active enough. To encourage activity, we could introduce a different classification for leisure centres. Hon. Members have mentioned the importance of swimming pools and places to become fit and healthy. I know that the hon. Member for Stroud says that the food element is more important than the activity element; none the less, we should be encouraging getting fit as part of a healthy lifestyle. Will the Minister consider making leisure centres part of our critical health infrastructure so people can rely on their leisure centre staying open and can have somewhere to go if they cannot exercise in their home or their local area? Healthy eating helps with other preventable problems, such as tooth decay. My hon. Friend the Member for Honiton and Sidmouth (Richard Foord) mentioned poor oral health, another avoidable issue that we can deal with. The importance of good oral health in care homes has recently been impressed on me by various members of the dentistry profession, because poor oral health can lead to aspirated pneumonia. That is a partially separate issue from obesity, but unhealthy and sugary snacks are being offered to people in care homes, so I wonder whether we can encourage healthier eating in those settings as well as in our schools and hospitals. There is no getting away from the fact that obesity is intrinsically linked to inequality and deprivation. Since 2019, the cost of a weekly food shop has risen by almost a third. As I mentioned, rural areas are not excluded. In Shropshire, 14% of households are struggling with food poverty, or as I prefer to call it, poverty. There is a high risk of cost of living vulnerability for children who are in poverty. Lots of Members spoke about the great work of their local food bank. In Shropshire, an organisation called OsNosh takes food that is due to be thrown away by the supermarkets at the end of the day but is still perfectly good to eat. The next day, it produces fantastic chef-cooked lunches that people can enjoy. If people are able to pay for those lunches, they can do so; if they are not, they do not have to. It is a wonderful way of bringing the community together to eat good food without the stigma of not being able to afford it. However, I think we all agree that reliance on the third sector to solve this problem is not really acceptable in the modern age, so lifting families out of poverty must be a priority for the Government. Our policy is for free school meals for all children in poverty, and a roll-out of free school meals to all primary schools is our ambition when funds allow. I hope that the Government also have the ambition, when funds allow, of lifting the two-child benefit cap, which would lift a quarter of a million children out of poverty. Holiday activities and food programmes happen across the country, not just locally. In the summer, I visited a HAF programme in Oswestry at which children were offered a healthy meal, a day out of the home—often in a much safer environment than their home—and a good day of activities. The organisation that delivers that in Oswestry, the New Saints Foundation, offers it not just to children whose families cannot afford a nutritious meal at home but to all children, to remove the stigma, and give all the kids a fun day at the HAF programme. Future funding for HAF programmes is not certain, so will the Minister clarify what will happen to them? They are a really good way to ensure that children eat healthily through the holidays, as well as when they are at school and in receipt of free school meals. The hon. Member for Stroud also mentioned labelling. I am conscious of time, so I will be fairly brief with this little anecdote. Labelling can be really misleading, even to parents who are comfortably off—I would not describe myself as the most well off—and well meaning. It was a long time ago, so I will not mention the brand, but I resorted to buying an organic brand of food for my child when we were at the puree stage of weaning. He became so addicted to it that it became really difficult to wean him off on to something much more nutritious, filling and healthy, such that I had a sleepless night every night because he was still hungry. One evening, I had a very embarrassing moment in the supermarket, almost having a breakdown because I had bumped into an old friend and the supermarket had sold out of these food pouches, and that was a complete disaster. I found out later that although the puree was organic and had no added sugar, it was actually really high in sugar. It was essentially just pears, water and some spelt, so it was really sweet and sugary. I had inadvertently given my child something that I had expected to be healthy but was not. Good labelling would have solved that problem; I am sure that it would help many parents whose child has a single brand addiction. It was 15 years ago, and the brand may well have reformulated since then, which is why I will not mention the name, but it is something that we need to be aware of. The right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke) spoke powerfully about his own struggle with his weight, and he mentioned the use of various different types of jab to tackle obesity. I do not think that we should dismiss jabs out of hand. Clearly, they are very helpful for some people, but I really think that the Government’s emphasis needs to be on prevention, and on a public health strategy to stop people getting to the point of needing to use those drugs in the first place. The UK should be one of the healthiest countries in the world. We have a great history of grassroots sports, the highest-quality food production imaginable, and world-leading medical research, but we are becoming sicker, and falling behind similar countries. It is time to act. We welcome the junk food advertising ban and restrictions on high-caffeine energy drinks as a really good first step. We also welcome the commitment to a national food strategy. I put in a plea for our farmers, who work to very low margins. I ask for the strategy to consider the role of the Groceries Code Adjudicator, and ensure that our farmers are kept in business to continue to deliver our food. Finally, please consider our calls for prevention, to give children a healthy start in life.

• 15 Jan 2025 · Foot and Mouth Disease · Hansard source

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  In Shropshire, dairy and other livestock farmers have been having a torrid time recently, and they will have read this news with a sense of dread. I am also an officer of the all-party parliamentary group on food security, and we recently heard some eye-watering evidence from the border authorities at Dover about illegal meat imports and the threat that they pose to UK biosecurity. Can the Minister explain to the House what assessment he has made of the problems with that process, and what he intends to do to ensure that diseases such as foot and mouth do not arrive in the UK?

• 15 Jan 2025 · Health and Social Care: Winter Update · Hansard source

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  I associate myself with the comments of the Secretary of State and the shadow Secretary of State regarding the abhorrent attack in Oldham. The pressure on our hospitals this winter brutally demonstrates the scale of action needed after years of Conservative neglect of the NHS. Across England last month, 71% of A&E patients were seen within four hours, but that statistic varies wildly depending on where one happens to live. At Shrewsbury and Telford emergency departments last month, ambulances had to wait an average of over two hours to hand over their patients. Just 50% of patients were seen within four hours, and nearly 1,500 patients were left stuck on a trolley for more than 12 hours. Statistics like these often fail to have much impact now, because we have heard them so regularly—particularly since winter crises have become normalised—but it is very important that we consider who is behind them. It is patients such as my constituent Emma, who having been diagnosed with sepsis spent 48 hours in a fit-to-sit area and then 12 hours on a trolley in an X-ray corridor before finally being admitted, alongside a horrifying delay in the medication required to deal with her life-threatening condition. Yet we often have to wait weeks for data that fully explains what is happening in our hospitals, and no official data is collected about the number of critical incidents. This leaves patients potentially ill-informed, and it makes scrutiny and support in this place, in particular, difficult to provide. Will the Secretary of State commit to introducing faster and more detailed reporting about the live state of play in our emergency departments, including the number of critical incidents and the temporary escalation spaces, and give a timeline for reporting that information? Will he publish information that shows the impact that delays are having—for example, by looking at the number of deaths in emergency departments—and will he act on the long-term Liberal Democrat request to publish localised data on ambulance delays so that support is provided in areas, such as Shropshire, where it is most needed?

• 13 Jan 2025 · Rural Crime · Hansard source

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  I thank the Minister for her answer. She will know that the funding allocations for policing are based on reported crime, not underlying crime rates. In rural areas such as North Shropshire, people say that they do not always report a crime when it happens. Residents in Oswestry and Whitchurch tell me that they do not bother to phone the police because they do not think anyone will come. Will she consider reassessing the formula to ensure that in rural areas the funding reflects the level of underlying crime?

• 13 Jan 2025 · Rural Crime · Hansard source

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  4. What assessment she has made of the impact of crime on rural communities.

• 7 Jan 2025 · Access to Primary Care · Hansard source

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  Dentistry is a key part of primary care, yet an estimated 5 million people in England have been left without an NHS dentist. That is why today a petition is being handed in at Downing Street signed by more than a quarter of a million people. We have moved on from the election, but we do not yet have a timetable for when the negotiations for a new NHS dental contract will begin and when another 700,000 extra urgent appointments will be rolled out. Can the Secretary of State confirm the timetable for those improvements? What specifically are the Government’s plans for the new patient premium, and will he offer assurances to dentists that any changes to the current model will be outlined in detail to them as soon as possible?

• 7 Jan 2025 · Employer National Insurance Contributions: Social Care · Hansard source

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  Coverage Care, a not-for-profit adult social care provider in North Shropshire that operates 11 care homes and employs around 1,000 local staff, has been in touch to say that it expects the impact of the increase in national insurance contributions to be £840,000 in the first full year of implementation. Given that there are huge numbers of vacancies across adult social care in North Shropshire, will the Secretary of State consider exempting social care providers from the national insurance increase? Otherwise we are putting money into social care with one hand and taking it away with the other.

• 6 Jan 2025 · NHS Backlog · Hansard source

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  Looking at the time, I shall be extremely brief. I thank all colleagues who have come along today to make such thoughtful and, in some cases, harrowing contributions to the debate. I would like to thank the Minister, the shadow Minister and the hon. Member for Chichester (Jess Brown-Fuller) for their contributions and for so effectively summing up the arguments that have been made today. Everybody knows that the NHS is in crisis. The Government have acknowledged that, which is welcome. We all want to see things improved for our own constituents, who are suffering the consequences of a system that is on its knees. I welcome the Government’s announcements over the past few weeks. I hope they will listen to the constructive comments made by Liberal Democrats, because they are intended to deliver the NHS that our constituents deserve, and that I know the staff who work in the NHS want to be able to deliver. Question put and agreed to. Resolved, That this House has considered backlogs in the NHS.

• 6 Jan 2025 · NHS Backlog · Hansard source

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  I had not put the crumbling estate into my speech, but my hon. Friend makes a very valid point, because people cannot work efficiently when they are dealing with terrible hygiene and safety issues around them every single day.

• 6 Jan 2025 · NHS Backlog · Hansard source

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  The hon. Gentleman always makes an excellent contribution to our debates. He is right that we should look at best practice in Northern Ireland and the devolved nations, as well as in England, to get the right solutions for the problems that we face. I hope colleagues will forgive me as will not take any more interventions because we are tight on time and a lot of people want to speak. We have reached a point where patients suffering heart attacks are being advised to find their own way to hospital. How can that be acceptable? Once patients get into A&E, they are confronted with the brutal reality of the backlogs. The reality means that only half of patients arriving at A&E in Shropshire were seen within four hours in November. The statistics are shocking, but individual people with serious problems suffer as a result—people such as my constituent with a pericardial effusion, who was deemed fit to sit and left in a chair for more than 24 hours before finally being taken on blue lights to receive the care she needed. Staff in this situation are so overworked that the standard of care that they give is below what they would like to provide. The patient’s dignity is compromised, and staff are being driven from the service because they are unable to provide the care that they desperately want to. Until the Government put a plan in place to solve the workforce crisis, there is a risk that these scenes will continue to happen. In my local hospital trust alone, a total of 854,839 hours of nursing shifts went unfilled in the 12 months to October. Liberal Democrats are calling for a qualified clinician in every A&E waiting room to ensure that anyone whose condition is deteriorating is treated more urgently. We are also calling on the Government to publish accessible localised reports of ambulance response times so that the delays that blight places such as North Shropshire and other rural areas can finally be addressed. A key reason for the emergency backlog is that every day, around 12,000 hospital beds are filled with patients who could leave if they had a care package in place. That is the equivalent of around 26 hospitals being out of action every day. That is why Liberal Democrats have been banging the drum for social care. Without capacity in the care system, beds will remain blocked, A&Es will stay clogged and ambulances will continue queuing outside hospitals. I am pleased that the Government have finally listened to our call for cross-party talks to fix a broken care system, and I look forward to constructively engaging with them throughout that process, but we cannot afford to wait three more years for this plan to be enacted. I hope that the Government will reconsider their timescale and get the review done as soon as possible, so that the care sector can see the long-term cross-party commitment to reform that it so drastically needs. Part of solving this issue is supporting preventive measures, which stop people needing secondary care in the first place. I recently visited the North Shropshire charity Energize and saw the work of its Elevate programme, which works to improve fitness, balance and co-ordination in elderly and frail patients. It has had some amazing achievements: I met a gentleman suffering from Parkinson’s who had been falling five times a week before he started his programme, and who is now falling only once a week. Of course, it would be great if he did not fall at all, but I am sure everybody would agree that that is a huge improvement. It is estimated that for every £1 invested in that programme, £26 is saved, so it is an area where we can really make a difference to the crisis in the NHS. Few backlogs have as much impact as those in cancer diagnosis and care. Nationally, the target of 85% of patients receiving treatment within 62 days has been missed every month since December 2015. At my local hospital trust, fewer than two thirds of patients began treatment within the 62-day target. Improving this situation is integral to increasing survival rates. It is also key to restoring patient faith in the NHS, stopping cases like that of my constituent, whose family felt completely failed by the NHS after he waited almost a year for treatment after first presenting with bowel cancer symptoms. Could the Minister clarify whether the Government remain committed to meeting the cancer waiting time targets this Parliament, as promised in their manifesto, and whether those targets will be included in their new national cancer strategy? To achieve that improvement, we need to address key workforce issues, notably in radiology, where there is a 31% shortfall of consultants across the country. Again, in rural places such as Shropshire, it is recruitment and retention issues that have caused the sharpest problems. Throughout 2024, it became normal in Shropshire to wait months for cancer test and scan results, with patients in my constituency only receiving their results after their next scan was due to have happened. I am pleased to report that under new management, this backlog is now in the process of being cleared. However, that is happening due to overseas outsourcing, which is not a sustainable long-term solution for this country. We need to retain, recruit, and retrain more radiologists and ensure that enough modern equipment is in place across the country so that no one has to wait too long or travel too far to get the scans that they need. Will the Minister address whether that will also be part of the national cancer strategy? We cannot talk about backlogs without talking about mental health. According to the Darzi review, 1 million people were waiting for mental health services by last April, over 340,000 of whom were children—children whom we as a nation need to protect, because they are our future. Waiting times for child and adolescent mental health services are shocking in every constituency in the country; from ADHD diagnoses to anxiety, depression and eating disorders, far too many people are not getting the urgent support that they need. A headteacher of a school in north Shropshire told me that in recent years, nine students at his school have lost a parent to suicide, yet there are no community mental health services in the town. Along with the Government, Liberal Democrats would introduce a mental health professional in every school. However, we are also calling on the Government to improve early access to mental health services, and to cut mental health waits by establishing mental health hubs for young people in every community and introducing regular mental health check-ups at key points in people’s lives when they are accessing the NHS, so that we can pick up those problems and intervene early. Meanwhile, GP surgeries are also struggling to handle the growing pressure being exerted on them. More than a million patients who tried to contact a GP last year could not get through. If patients cannot access primary care, they seek help elsewhere, or they do not seek help at all; in both cases, this creates further problems down the line. In Shropshire, we have lost 14.3% of fully qualified GPs in the past eight years. A young constituent of mine had to wait seven weeks just for a telephone consultation—a wait that would have been even longer if they had wanted an in-person meeting. Liberal Democrats would give everyone the right to see a GP within seven days, or within 24 hours if it was urgent, using 8,000 more GPs. If we can improve primary care, we can reduce backlogs across the health and care system. Yet the Government have pledged to increase national insurance charges that could cost GP surgeries the equivalent of 2 million appointments a year. This hike will also hammer pharmacies, with more than a third of pharmacy owners now worried that their business may not survive the winter. If pharmacies close, backlogs will simply increase elsewhere. If we can keep them open and improve services such as Pharmacy First, we can reduce pressure across the system. We would like the Government to commit to removing the increase in employer national insurance contributions to support these crucial community services, so that fewer people end up in hospital and more people are treated in the community, where they will get better and quicker treatment. Meanwhile, in dentistry, where practices will also be hit by the national insurance rise, there is not so much a backlog of care as an absence of care. Some 6 million adults in the UK are not registered with an NHS dentist and, in places like Shropshire, it is becoming almost impossible to find one, with increasing numbers of practices handing back contracts that have become unsustainable. One of my constituents has been trying to register with an NHS dentist for five years, while another pulled out his own tooth with a pair of pliers. The Labour Government must show that they understand the problem better than the Conservative Government, whose solution was to introduce golden hello payments. They have been in place in Shropshire for years and they have not achieved the desired outcome. With that in mind, will the Minister outline the Government’s plans in relation to the new patient premium and offer assurances to dentists that any changes will be communicated, so that practices can plan and prepare to best serve their patients? NHS contracts need to be reformed so that we can end the use of the term “dental desert”, end DIY dentistry and guarantee access to people who are in pain. In conclusion, the Liberal Democrats believe that people should be able to take control of their own lives and their own health. That means everyone should be able to access the care they need, where and when they need it. We welcome much of today’s announcement on elective care, and we welcome today’s announcement on social care, but we are concerned that the decision to hike employer NICs could worsen the crisis in the NHS. Hitting GPs, hospices, dentists and social care providers with higher taxes makes no sense. The Treasury is giving to the NHS with one hand, but taking away with the other. We also want much faster action on social care. As I said, I look forward to engaging constructively with the Minister to come up with the consensus we need, but we cannot afford to wait until 2028 for improvements to be made. The Conservatives’ legacy on the NHS is that it is on its knees. The Liberal Democrats understand that there is no magic quick fix to change that, but to give people the care they need and deserve we must look at the measures needed for the whole service, giving equal priority to both heart attacks and hip replacements.

• 6 Jan 2025 · NHS Backlog · Hansard source

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  I beg to move, That this House has considered backlogs in the NHS. Happy new year to you, Madam Deputy Speaker. I thank the Backbench Business Committee for granting the debate. I applied for it because many Members were interested in having the chance to discuss the problems and consult constructively on the potential solutions for the NHS across the country. It has ended up being a particularly timely debate given the Secretary of State’s statement this afternoon, which we broadly welcomed. The Conservatives have pushed the NHS to breaking point, leaving a legacy that includes the biggest waiting list in history and a healthcare system on the brink of collapse. We have reached a crisis point of backlogs in the NHS system. They affect not only those who are in dire need of medical care, but the wonderful staff who work tirelessly in hospitals, GP surgeries, dental surgeries, pharmacies, social care providers, hospices and so on. The situation in Shropshire right now demonstrates the scale of the crisis. The pressure is extreme on every aspect of healthcare and reflects the fact that in many cases rural areas are bearing the brunt of a national problem. Shropshire’s NHS has declared a critical incident—one of many across the country, I know—as staff battle to cope with the huge winter spike of viruses. That means that people cannot visit their loved ones on a regular basis, and are required to wear a mask when they go into the hospital. That is just one example of how the system is failing to cope with the pressure. Understandably, talk about NHS backlogs centres on the 7.5 million cases waiting for treatment. But backlogs also apply to the overflowing A&E waiting rooms and to the long lines of ambulances queuing outside. They apply to the elderly people who have fallen and waited many hours for an ambulance. They apply to possible heart attack and stroke patients being told to make their own way to hospital by West Midlands ambulance service at certain times this year. Outside Shrewsbury and Telford hospitals last Sunday—the latest day we have data for—ambulances waited an average of three hours and 48 minutes to hand over a patient. Across England on the same day, 2,620 patients had to spend more than an hour stuck in an ambulance waiting for space to become available at A&E.

• 6 Jan 2025 · Health and Adult Social Care Reform · Hansard source

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  I add my thanks to those of the Secretary of State and the shadow Secretary of State to all those who worked in our health and care services over Christmas and the new year. Our health and social care system is in crisis, so the Liberal Democrats are broadly supportive of the measures that the Government have announced today. However, we do have some concerns, not least that action on social care may arrive too late and that the focus on elective care may come at the expense of emergency care. The Liberal Democrats have long called for cross-party talks on social care, so we are glad that the Government have listened and we look forward to working constructively with the Secretary of State and other UK-wide parties as the review develops. However, carers, care providers and councils are on the brink of bankruptcy and they need solutions right now, not in three years’ time. There have been many such reviews, and what is needed now is action on the recommendations they have made. It is absolutely crucial that waiting times for elective care are cut radically, so the action announced today to speed up scans and treatment is very positive. A waiting list of more than 6 million people is one of the worst legacies left by the Conservatives, but those legacies include overcrowded A&Es and unacceptable ambulance delays, which can mean the difference between life and death, as people in North Shropshire know only too well. Emergency care is under immense pressure at the moment—one visit to Shrewsbury hospital demonstrates that—and we need bold action if we are to ensure that this is the last ever winter crisis. As the MP for a rural area, I hear every week from constituents suffering because of the crisis, so they will be following today’s developments closely. Many of my constituents are elderly—far more than average—and they are the people most likely to need the NHS and the most likely to be digitally excluded. According to Age UK, around 29% of people aged 75 and over do not use the internet, and around a third do not have a smartphone. They deserve as much choice and control as everybody else, so can the Secretary of State outline how those without access to the NHS app will be able to benefit from the same options and information as those who do have access? Will the Secretary of State consider fast-tracking the social care review so that the sector can get the urgent attention it needs? Will he commit to rescuing our emergency services by supporting Liberal Democrat calls to make the NHS winter-proof with a new winter taskforce that builds resilience in hospital wards, A&E departments and patient discharging? Finally, will he define what a working-class area is, because the health and care crisis is acute in rural Britain and we cannot afford to be left behind?