Jess Brown-Fuller MP: speeches

Speeches

• 31 Mar 2025 · Violence against Women and Girls · Hansard source

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  2. What steps her Department is taking with police forces to tackle violence against women and girls.

• 27 Mar 2025 · Prevention of Drug Deaths · Hansard source

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  I thank the hon. Member for Strangford (Jim Shannon) for bringing forward this important debate. I am particularly pleased to see the Minister in her place, which shows the Government’s recognition that this is a public health issue. Every drug-related death is a preventable tragedy. Every life lost represents not just statistics in a report, but families shattered, futures lost and communities left to pick up the pieces. As a Government and a society, we have a moral obligation to do better. The reality is stark, and it has been laid out very well by Members across the House in the debate: drug-related deaths have reached record highs. They are not just the consequence of addiction but often the result of inadequate support, stigma—as has been mentioned by many hon. Members—and a failure to adopt evidence-based strategies. In 2023, more than 5,000 deaths related to drug poisoning were registered in England and Wales. That is the highest number since records began in 1993 and 11% higher than in the previous year. My local hospital, which is in Chichester, records hundreds of A&E attendances involving drug use. For too long, the response to drug use has been focused on criminalisation rather than treatment. However, as hon. Members have said today, we cannot arrest our way out of the crisis. Those struggling with addiction need access to healthcare, not handcuffs. That means properly funding rehabilitation services, expanding mental health support and ensuring that no one seeking help is turned away due to lack of resources. For me, it is personal. I have witnessed family members self-medicate with drugs when mental health support was unavailable to them. My own dear dad battled with alcohol addiction throughout his adult life. Although it was a related cancer that took him in the end, the addiction had taken him away long before that. In fact, one of the many reasons that I am proud to be a Liberal Democrat is that we pledged, in our general election manifesto, to provide mental health MOTs at key points in our lives when we are most vulnerable to a change in our mental health. I often wonder if my dad would still be here today had he ever had the opportunity to tell a professional that he was struggling. Across the world, we have seen that harm reduction saves lives. I would like to acknowledge the role that hard-working GPs, nurses, community pharmacists and other health professionals play in supporting access to medication and safe consumption spaces, which is taking an evidence-based approach and using it to prevent deaths. In Glasgow, as many Members across the House have mentioned, where drug deaths are at crisis levels, pilots of safer consumption rooms are now under way. I was pleased to hear that my hon. Friend the Member for Mid Dunbartonshire (Susan Murray), as well as other colleagues from across the House, have visited those centres. We should be looking at those models with open minds, rather than relying on outdated ideologies, because the goal is simple: we need to keep people alive for long enough to access treatment and rebuild their lives. As the hon. Member for Warrington North (Charlotte Nichols) said, the savings that we find across health and justice far outweigh the investment needed in those centres. We also need a joined-up approach across the country, which lays out the most effective pilot projects so that they can be rolled out to other areas. In its February 2024 report, the Public Accounts Committee identified that there were delays in allocating funding from the 2021 drugs strategy to local authorities, and a continued lack of understanding about what works to prevent people from using drugs. It is unacceptable that there was a 14% underspend in the funding allocated to the strategy in 2023-24, when it is clearly desperately needed across the country to prevent deaths. Of course, prevention must also mean cutting off the supply of dangerous drugs at the source. We need stronger action to stop organised crime groups profiting from misery. That includes tackling county lines operations, which exploit vulnerable young people and push deadly substances into our communities. It is not a partisan issue; we must work together across the House to ensure that harm reduction, prevention and rehabilitation are at the heart of our national strategy. At the end of the day, it is not about politics; it is about people and ensuring that families do not have to endure the heartbreak of losing a loved one to drugs. At its core, it is about saving lives.

• 27 Mar 2025 · Hughes Report: First Anniversary · Hansard source

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  The hon. Member says that from a place of experience and knowledge. Who am I to speak against anything he says as the expert in the room? I totally agree that that would provide those women some reassurance that their cases have been heard and recognised by the Government. Finally, we are still waiting for a formal response from the Government to the Hughes report. In August, that response was promised “in due course”, but “due course” has come and gone. These women have waited long enough. People who have already suffered for years should not be forced to wait any longer for the compensation and recognition that they deserve. Let us end this culture of delay, disbelief and denial and do what we should have done years ago: listen, apologise and act.

• 27 Mar 2025 · Hughes Report: First Anniversary · Hansard source

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  It is a pleasure to serve under your chairship, Ms Furniss. I congratulate the hon. Member for Washington and Gateshead South (Mrs Hodgson) on securing today’s timely and important debate on the first anniversary of the Hughes report. She has been a tireless champion for those harmed by pelvic mesh and for children born with birth defects as a result of sodium valproate. I commend her work as chair of the all-party parliamentary group on first do no harm, mesh, Primodos, valproate—that is a mouthful and could have been a bit shorter—of which I am also a member. In 2024, the Patient Safety Commissioner estimated that at least 10,000 women in England have been harmed by vaginal mesh implants, some involving the mesh slicing into their bladder, bowels or vaginal wall, leaving them in permanent pain, sometimes unable to walk, work or have sex, leaving their lives changed profoundly. As multiple hon. Members have mentioned, including the right hon. Member for New Forest East (Sir Julian Lewis), the campaign group Sling the Mesh believes that the true number could be closer to 40,000 women. When Dr Henrietta Hughes agreed to produce this report, she made one thing very clear: this was not to be another review that just gathers dust—this report must lead to action, not just words. We are now a year on and the people affected are still waiting. The Hughes report makes the case plainly: there is a clear need for redress. These women were, in most cases, not failed by a single doctor or a one-off error. They were failed by the system, by healthcare structures, by regulators and by Governments who did not listen when they should have. The redress we need is not about blame but about restorative justice. It should be co-designed with the patients, and it should be distinct from adversarial court proceedings where, as other hon. Members have mentioned, women have to relive their experience and their trauma, time and again. The Hughes report recommended establishing an independent redress agency. The lack of clarity on creating a bespoke redress scheme has left patients in limbo, which is deepening the harm—on that point, the right hon. Member for Salisbury (John Glen) shared his useful insight and learnings from the infected blood scandal. Several women in my constituency of Chichester have shared their stories with me: stories of being dismissed by clinicians, of medical records being incomplete, inaccessible or not reflecting the true circumstances that these women are in, and of suffering through chronic pain and ill health even after the mesh has been removed. I have met two of those women in person. I met one at her home because she is so profoundly injured and traumatised that she no longer leaves her property for any reason. With no access to social media or the outside world, my constituent had no idea that there were others like her, or that there is a national campaign for justice. She felt alone, embarrassed and broken by her circumstances, so I promised to stand by and with her, and with the thousands of others, up and down the country, who have been failed. I take this opportunity to mention Paula Goss: a national campaigner, and a constituent of my hon. Friend the Member for Thornbury and Yate (Claire Young). Paula was affected by a mesh procedure that was not covered by the original Cumberlege review. The surgeon involved was found guilty of serious misconduct but only suspended for six months. Of the 462 patients harmed at the Spire private hospital and the Southmead hospital, just five were called as witnesses to the General Medical Council. When Paula tried to complain, she was—as many hon. Members, from both sides of the House, have noted in this debate—told that she was out of time, and that it was not in the public interest to waive the deadline. How can we call that justice? It is not justice or accountability. Cases like that of Paula, and those raised by my constituents in Chichester, are why we Liberal Democrats believe that the entire set of recommendations in the Cumberlege report must be implemented without further delay. This scandal is not limited to mesh and sodium valproate. The same approach must be extended to other medical scandals, such as Primodos. We cannot continue to treat each crisis as an isolated issue, and need a system-wide approach to patient safety and accountability. That means a duty of candour on public officials. The Liberal Democrats would achieve that by establishing an office of the whistleblower so that safety concerns can be raised without fear or delay. It also means embedding patient voices in the heart of our healthcare system, not as an afterthought but as a fundamental principle. Earlier this year, 100 women secured a financial settlement from mesh manufacturers, but that is a drop in the ocean compared to the number of women who deserve redress. Every single woman affected by this scandal deserves proper compensation, not just those women able to pursue lengthy and difficult legal claims.

• 27 Mar 2025 · Passenger Rail Performance · Hansard source

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  Given that one in five trains operated by Southern Rail arriving at Chichester station is late, and that there is no fast service connecting Chichester to London, what steps are being taken directly to improve train punctuality and reliability for my constituents, especially considering that an annual ticket is nearly £8,000?

• 27 Mar 2025 · PIP Changes: Impact on Carer’s Allowance · Hansard source

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  Terminal illness devastates people’s finances. More than 100 terminally ill people every month are refused PIP, and every day 300 people die in poverty, having fallen through the cracks of our benefits system. Many family carers in the midst of bereavement are then left with nothing. The Government’s plans in the Green Paper say nothing about how the terminally ill or their carers will be affected by these cuts. Can the Minister guarantee today that they will not be plunged into deeper poverty?

• 25 Mar 2025 · Women’s Health Services · Hansard source

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  Following on from the question asked by the hon. Member for Nottingham East (Nadia Whittome), I held a debate in Westminster Hall a few weeks ago on maternity services and spoke to families across the country who have experienced failures in the system that ultimately left them without their babies to take home. It was a devastating experience for all involved. The immediate and essential actions in the Ockenden review were supported by the previous Government, and the Secretary of State for Health has been vocal in his support for their implementation. However, those families want to know how quickly they will see real change in maternity services up and down the country so that families can confidently go to deliver their babies.

• 24 Mar 2025 · Planning and Infrastructure Bill · Hansard source

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  My constituents and I know how lucky we are to live in such a beautiful part of the United Kingdom. We need to see growth so that our young people can stay in their local communities, buy homes in the areas in which they have grown up, and continue to contribute to the local economy and keep Chichester thriving for generations to come; but the reality is that the planning system in my little patch of the country is not fit for purpose. With the district council’s footprint covering 70% of national park and 5% of national landscape, the ambitious total for housing allocation in our area is confined to just 25% of the available land in a ribbon that is causing coastal squeeze. This has led to high-density developments built without adequate infrastructure, leaving my residents facing daily challenges navigating the horrendous congestion on the A27, finding local school places for their children, or simply obtaining an appointment with a GP. The current system has left my communities frustrated, my local businesses unable to grow, and local councils tied up in red tape, unable to plan. Housing developers have a duty to create communities, not just buildings, but the very nature of the current planning system means that developers are putting forward proposals that look only at the patches that they are trying to develop rather than the wider picture surrounding it, and the councillors who are elected to represent their areas are fighting with their hands tied behind their backs. In both Chichester and Arun district councils, an application may be refused by the planning committees—perhaps owing to flooding risks, loss of grade 1 agricultural land or inadequate infrastructure in the area—only for that to be overturned at appeal, which is a costly, time-consuming process, taking planners out of the departments where they are trying to plan. The previous administration in Chichester district council allowed the local plan to expire, which left developers riding roughshod over areas on the Manhood peninsula, a low-lying coastal plain that is susceptible to extreme flooding which seems to be getting worse and worse. The new administration in 2023 focused on producing a robust local plan, which has now been through inspection—to the relief of communities across Chichester—and protects areas such as the Manhood peninsula while prioritising brownfield development, which all of us, on both sides of the House, agree should be the priority for planning. However, the Government’s ambitious new housing target could force the council back to square one and put all the power back into the hands of developers, because we are being asked to increase our housing target by nearly 100%. We do not have a planning crisis; we have a building crisis. Developers are land-banking consents rather than getting on with delivering the homes that we need, because demand drives up prices. Since 2007, more than 1.4 million homes given fully consented permissions have not been built. The Bill does not tackle the workforce issues or the supply chain issues, and it also does not acknowledge that water companies, which are responsible for vital infrastructure to ensure that that their reliance on storm overflows can reduce over time, are not consulted over individual planning applications because they are not statutory consultees. As the Minister knows, I have called for such consultation in other debates. Finally, there is no target for social homes in the Bill. Registered providers in Chichester are currently refusing to take on the social homes on smaller mixed-use sites, favouring the larger developments and prioritising upgrading their existing housing stock, which is putting the viability of social homes in my area at serious risk—and they are homes that we are desperately crying out for.

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

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  The hon. Member mentions small businesses. Local hairdressers in my constituency have been in touch with me to say that given the difficult economic picture, these NICs rises will mean that they cannot take on apprentices this year. Does he agree that this NICs rise is a tax not just on business, but on education?

• 19 Mar 2025 · Down’s Syndrome · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Turner. I congratulate the right hon. Member for Beverley and Holderness (Graham Stuart) on securing this important and timely debate ahead of World Down Syndrome Day this Friday. What a pleasure it was to take the opportunity before the debate, as we were slightly delayed, to chat to marvellous Millie, who is an incredible advocate for those who have been touched by Down syndrome. In my constituency of Chichester we are fortunate to have an incredible charity, the Chichester and Arun Down Syndrome Support Group, which works tirelessly to fill the gaps left by failings in public service provision. Ahead of this debate, the charity highlighted to me many of the challenges that people with Down syndrome face, particularly in accessing the support they need throughout their education. One of its core initiatives as a charity is the bespoke schools outreach programme, which ensures that children with Down syndrome receive the tailored education they require. They require additional support throughout their education, yet many families struggle to obtain EHCPs from local authorities. In West Sussex, the picture is stark: only 3.6% of EHCPs were issued within the statutory timeframe of 20 weeks in 2023, and the situation has not got much better. Those delays force children with Down syndrome to remain in unsuitable educational environments where their needs are not met, which hinders their opportunities. Most importantly, when an EHCP is issued, we need the accountability to see that that EHCP is delivered. The charity also highlighted to me the cliff edge of support that people living with Down syndrome face at the age of 18, when they are no longer in an education provision. I was pleased to visit Together Our Community at its exciting new venue in Chichester, which is due to open next month. That will provide a space for TOC members and a public-facing café where adults with additional needs between the ages of 18 and 35 will have the chance to learn and develop essential skills. For people with Down syndrome, charitable organisations such as those provide vital support and services and give these incredible people the opportunity to thrive, not just survive. The Down Syndrome Act recognised the needs of those living with Down syndrome and rightly acknowledged that public services must take those needs into account across health, social care, education and other local authority provisions. However, the Act must be properly resourced. The NHS website lists a range of specialists that a person with Down syndrome may need to see, including speech and language therapists, physiotherapists, opticians and occupational therapists. Yet local organisations consistently report a lack of those essential services, which undermines the opportunities for people with Down syndrome to live comfortably or independently. Three years on from Royal Assent, the Act is not supporting those who it was designed to support. The Liberal Democrats have long called for all individuals with long-term conditions or disabilities to have access to a named doctor, which would shift care from the corridors of hospitals to local communities. That is especially crucial for people with Down syndrome, who not only have learning disabilities but are at a significantly higher risk of conditions such as dementia, seizures and leukaemia, as the hon. Member for Thurrock (Jen Craft) mentioned. The impact of social care on people with Down syndrome cannot be overstated, which is why the Liberal Democrats are calling for a comprehensive overhaul of social care policy. While we welcome the cross-party commission to establish a long-term agreement on social care, we strongly believe that it can be concluded within one year, not three. While the Down Syndrome Act was a step in the right direction, real change requires more than warm words; it demands proper funding and meaningful action. From healthcare and social care to employment and independent living, people with Down syndrome deserve better. As the right hon. Member for Beverley and Holderness stated, the guidance is where we are severely lacking at this moment in time. The Government must prioritise this issue, and we will continue to push for the improvements necessary to enhance quality of life for all.

• 18 Mar 2025 · Carbon Capture and Storage · Hansard source

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  Will the Secretary of State join me in congratulating the six students from Bourne community college who came to Westminster yesterday to present their report on the future of hydrogen storage as a net zero approach to aviation? Does he agree that students engaging with science, technology, engineering and mathematics are excited about the potential of clean power and carbon capture, and that proper funding for STEM in our schools will provide us with the next generation of scientists and engineers who can help us to achieve these goals?

• 17 Mar 2025 · Women’s Changed State Pension Age: Compensation · Hansard source

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  My hon. Friend’s story of Yvonne reminds me of my constituent Christine, who had a long career in the NHS. She took a lower paid job in 2012 on the assumption that she would be able to claim her state pension in 2016. It was not until she contacted the DWP after she had left the NHS that she found out that she was not entitled to the state pension for twice the amount of time that she thought she would have to survive on a smaller income. This has been the experience of countless women in my constituency and across the country. They planned their retirement and future based on the wrong information. Does my hon. Friend agree that the continued betrayal of these women by successive Governments is disgraceful, and that ignoring the ombudsman’s recommendation sets a dangerous precedent?

• 17 Mar 2025 · Sentencing Council Guidelines · Hansard source

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  I note the comments by the chair of the Sentencing Council Lord Justice William Davis, who said that both Labour and Conservative Ministers, or their representatives, had known about the plans since 2022 and did not object. While I am disappointed that the Government are only acting reactively now, does the Minister not agree that the shadow Secretary of State has no shame and that it is hard to take his faux outrage seriously when this is just another audition for Tory leader?

• 17 Mar 2025 · NEET Young People · Hansard source

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  Much like the constituencies that have been mentioned, my young people in Chichester are struggling to find work and that is no more apparent than for those with learning difficulties, so will the Secretary of State join me in congratulating Together Our Community, or TOC, which provides work experience for young people with learning disabilities aged 18 to 35 to show that they do have something to offer the workforce? TOC is about to open its own café and centre for these young people. Will the Secretary of State outline what support is available for such charities and join me at its opening next month?

• 12 Mar 2025 · Housing Development Planning: Water Companies · Hansard source

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  I thank my hon. Friend the Member for North Shropshire (Helen Morgan) for securing today’s important and timely debate on an issue that is critical for my constituents in Chichester and for people up and down the country. The challenges facing our water infrastructure are well documented, and waste water treatment works across the country have been operating well beyond their capacity for years, with serious consequences. During the general election, I knocked on the door of a lady in my constituency called Alison, who I had not seen in many years. She is a wheelchair user, and she told me how delighted she was to have been moved to a new social home. She had lived there happily for two and a half years until a new development was built in the field just next door. Suddenly her toilets no longer flushed, and she had no access to her wet room. When she spoke to her water company about sewage rising up in her toilet, it recommended that she go to the local pub to use its facilities. That is totally unacceptable for Alison and for every single constituent facing such situations. When our systems become overwhelmed, storm overflows and sewage spills pollute our rivers, harbours and coastline—failures that are visible nationwide. Water companies have a duty not only to provide clean water, but to manage waste water safely and effectively. Yet the system has been failing for many years. In my constituency alone, there were 990 recorded sewage spills last year, which lasted over 17,000 hours.

• 12 Mar 2025 · Housing Development Planning: Water Companies · Hansard source

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  My hon. Friend is absolutely right that we are tough on water companies—and so we should be. As my hon. Friend the Member for North Shropshire said, they have made large profits and they have a duty to make sure that every single constituent in this country has access to clean and safe water and that it is disposed of appropriately. But I absolutely agree that they should also be included as a strategic partner, and I will come on to that. Those failures harm our environment, endanger public health and threaten local economies, particularly tourism, which relies on clean water and a thriving natural landscape. In the Government’s plan for change, they set out an ambitious proposal to build 1.5 million homes in England and accelerate planning decisions. While there is no doubt that new homes are needed, they must be accompanied by the appropriate infrastructure to support them. Water companies have a duty to maintain, improve and extend their water supply networks to account for future water needs, but they are currently excluded from the planning process by not being listed as a statutory consultee. That omission means that, when a development is proposed for a site where there is no capacity, water companies lack the opportunity to formally object or to insist on necessary infrastructure improvements before the permission is granted. The issue is compounded by how capacity in our waste water treatment plants is measured. Instead of assessing the real-world resilience of our waste water infrastructure, capacity is gauged by measuring dry spells over a 12-month period. That means that a company’s capacity can change year on year, depending on the weather. With an ever-changing climate, that is not an accurate measure of the capacity that a site can cope with. It is not a realistic reflection of demand on new developments. If they were statutory consultees, water companies could highlight those inefficiencies at an earlier stage, ensuring that essential upgrades are planned and delivered before new developments are approved. In Chichester, we are currently dealing with the absence of a proactive water management system; a lack of capacity at a specific waste water treatment works in Apuldram is delaying the regeneration that the city centre so desperately needs. To address these challenges, we must adopt a more proactive and consistent approach to waste water management. As my hon. Friend the Member for North Shropshire mentioned, sustainable drainage systems—otherwise known as SUDS—are a key element of this. I am pleased that Chichester district council has included SUDS as part of its local plan, which is currently being consulted on, but they should not be applied on an authority-by-authority basis; we should have legislation making SUDS the standard across the country.

• 12 Mar 2025 · Community Theatre · Hansard source

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  As my hon. Friend knows, I am a keen supporter of the arts, especially community theatres. Will she join me in congratulating Chichester Community Development Trust, which has managed to secure national lottery funding to redevelop part of the former hospital at Graylingwell and create a community hub that will be used as a rehearsal space for creatives and community theatres in the Chichester area? Does she also agree that sustainable funding, once the creative hub is up and running, will be key to ensuring that it is there for future generations?

• 12 Mar 2025 · Sustainable Farming Incentive · Hansard source

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  Farmers in Chichester are exhausted by the ever-changing schemes and the time it takes to apply for them. Imagine their surprise when they found out that the SFI scheme had been closed, not with no notice—I think that is unfair—but with the NFU given 30 minutes’ notice, as opposed to the six weeks that it was promised. At a time when BPS schemes are being significantly reduced, what communication and support will be provided to the family farms that have missed out on this round of SFI funding?

• 10 Mar 2025 · “Break Down Barriers to Opportunity” Mission · Hansard source

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  The plan for change includes the mission to break down barriers to opportunity and build an NHS fit for the future, but many NHS trusts, including mine, which represents St Richard’s hospital in Chichester, report that they are unable to offer level 6 and level 7 apprenticeships, due to a lack of backfill funding. That often results in them handing back the apprenticeship levy. What steps is the Department for Education taking to address that fundamental flaw in the scheme, and to ensure that apprenticeships deliver the nurses and midwives of the future?

• 3 Mar 2025 · Social Housing · Hansard source

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  Chichester’s planning policy dictates that 30% of all homes in new developments should be social and affordable housing. However, we have recently noticed a worrying trend of registered providers refusing to take on contracts in smaller and medium-sized developments, and favouring larger developments. That is putting a lot of the social housing in Chichester at risk. What is the Minister doing to ensure that registered providers continue to take on smaller contracts in mixed-use developments?

• 27 Feb 2025 · War in Ukraine: Third Anniversary · Hansard source

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  I thank the right hon. Member for Chingford and Woodford Green (Sir Iain Duncan Smith) for securing this important debate. I recognise that, quite rightly, the debate has focused on our responsibility to support Ukraine’s war effort against Putin’s unprovoked and illegal attack in Ukraine, but I wish to talk about our continued commitment to Ukrainians here, as the hon. Member for Gosport (Dame Caroline Dinenage) and my hon. Friend the Member for Bath (Wera Hobhouse) both mentioned. Since the start of Russia’s invasion of Ukraine, more than 218,000 Ukrainians have arrived in the UK under the Ukraine family and sponsorship schemes. I am incredibly proud of my constituency of Chichester, which has taken more Ukrainian refugees than any other city in this country, and those refugees have now become a valued part of our community. Now more than ever, we must stand firmly with our Ukrainian friends, both in defending their sovereign territory and in ensuring that those who are here can live safely and comfortably. The original visa scheme, as the Minister will know, was for three years, and with the three-year anniversary being marked this week, many visas are now expiring. The Government have asked Ukrainians to apply for the Ukraine permission extension scheme, which will extend their visa for a further 18 months. However, they are allowed to apply for that extension scheme only when their visa has 28 days or fewer left on it. This is causing myriad difficulties for that community, including in their ability to renew employment contracts, extend leases or set up new leases on rented accommodation, or commit to education opportunities. I had the opportunity to visit Bishop Luffa school in Chichester last month, and met a group of Ukrainian students, who have not only become well-liked by staff and students, but have excelled in their studies and are expected to finish their A-levels with high grades across the board in subjects such as mathematics and the sciences. Those students are the doctors and the scientists of the future, yet there is no clear direction from the Department for Education on how they should pursue higher education—be it via the same routes as their UK counterparts with whom they have studied, as refugees, or as international students. I have raised this matter with the Secretary of State for Education and I hope that there will be clearer guidance in the near future for students who are desperate to study in the UK.

• 27 Feb 2025 · War in Ukraine: Third Anniversary · Hansard source

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  Absolutely, I share my hon. Friend’s concerns about the fact that the time spent here is not counting towards the right to remain or settled status. As the hon. Member for Gosport mentioned, these families have found homes and built communities here in the UK, and they just want to know either way what will happen to them in the future. The young people I was speaking about are often cared for by one parent or by grandparents, while their other family members defend Ukraine’s sovereignty. Some families have reported that estate agents are requesting from these single-parent Ukrainian families a six-month up-front rental deposit. That is untenable across the country, but especially in areas such as Chichester, where the average one-bedroom flat is £1,200 a month. Employers are also asking for proof of visa status, which is causing families additional stress when they are waiting for a visa decision, sometimes just days before their visa expires. For those Ukrainians on zero-hours contracts, it is directly impacting their ability to earn money to contribute to UK society and provide a safe home for them and their dependants. If the Ukrainians were given a 90-day window before their visas expired, as originally proposed by the Home Office, rather than the very short timeframe they are being given, the situation could be vastly improved. I thank Opora, the UK charity supporting Ukrainians here in the UK, for all the support that it is giving those families who are navigating what can often be a complicated, convoluted and long process of reapplying for these schemes, and for taking the time to brief me properly on the situation that these families find themselves in. Today’s debate will rightly be dominated by what we can do for Ukraine and our steadfast support across the house, but I hope that the Minister is working closely with his Home Office colleagues so that, while we support the brave Ukrainians who are heroically defending their country, we can also continue to support the community of Ukrainians here in the UK.

• 27 Feb 2025 · Women’s Health · Hansard source

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  It is lovely to see you in the Chair, Dr Huq, and I welcome the Minister to her place. I thank the hon. Member for Hastings and Rye (Helena Dollimore) for securing this important and timely debate, and for giving a passionate and well-informed opening speech. Women’s health has been overlooked for far too long, and today’s discussion is an opportunity to highlight the urgent action needed to address the crisis in women’s health, with International Women’s Day due to be celebrated next week. The Fawcett Society found that nearly two thirds of women in the UK believe that their health concerns are not taken seriously, and more than half have had negative experiences with healthcare professionals. I start this speech feeling very frustrated, because during the debate I have had a message from one of my good friends who was ignored two years ago when she had pain in her leg, and she has just texted to tell me that she will now have to undergo a course of chemotherapy and extremely evasive treatment so that she can retain her ability to walk. My friend is in her early 20s—she was ignored, so I am very cross. This is not just a health issue; it is an economic issue, as has been mentioned. The UK loses 150 million working days every year due to women’s poor health and inadequate support. If we want a healthier, more productive society, we must take action to close the gender gap in healthcare. During a drop-in surgery that I ran in my Chichester constituency, a woman told me that when her daughter started experiencing extremely painful periods, with pain outside of her period, all she could do was cry at the thought of her having to go through the same painful process with healthcare professionals that she had been through herself to get a diagnosis for endometriosis, which took that lady nine years. Gynaecological waiting lists have more than doubled since 2020, which is the biggest increase of any medical speciality. At the end of last year, 755,000 women were waiting for treatment. Behind every number is a woman experiencing chronic pain, worsening mental health and a disrupted daily life. One in four women with a gynaecological condition will end up in A&E because they could not access the care that they needed in time, yet the NHS is failing to prioritise these urgent needs. The Royal College of Obstetricians and Gynaecologists has been clear: the system needs a complete overhaul so that gynaecological care is given the attention it deserves. An example is St Richard’s hospital in my constituency, which does not have a specific gynaecological ward. That means that women who have gynaecological issues or have received treatment are placed across several other wards. That could negatively impact their treatment as it makes it more difficult for them to receive urgent specialised support in emergencies. Also, as the hon. Member for Luton North (Sarah Owen) said, clinicians do not have to do gynaecological training as part of their mandatory training. Delays in female cancer care are alarming. Between April 2021 and March 2024, 2,980 people waited over 104 days to start treatment on the 62-day urgent suspected breast cancer referral route. My hon. Friend the Member for Bath (Wera Hobhouse) noted that younger women have a much worse prognosis, due to a lack of breast cancer screening before they are 50. For ovarian cancer, the average wait from GP referral to treatment is 69 days. That is one of the longest delays for any cancer. These prolonged waits are not just unacceptable—they have life-altering consequences. For generations, women’s pain, particularly in maternity care, has been dismissed. That has created a crisis of confidence in NHS maternity services. Several investigations have revealed fundamental flaws in our maternity care and how it is delivered across England. A Care Quality Commission inspection of 131 maternity units found that 65% of them were not safe for a woman to give birth in, and studies show that one fifth of all causes of stillbirth are potentially preventable. The CQC has also warned of a normalisation of serious harm in maternity care. That cannot continue. I held a debate on maternity services earlier this week, calling for the Government to fully implement the recommendations of the Ockenden report. That is urgently needed to reform the maternity care sector for the better. In 2024, the Patient Safety Commissioner estimated that 10,000 women in England had experienced harm as a result of vaginal mesh implants, although campaigning groups argue that the true figure could actually be closer to 40,000. One woman in my constituency asked me to go to her home because she does not leave it; she is a victim of the mesh scandal and she is totally isolated from her community because of it. I am a member of the First Do No Harm APPG, which builds support and raises awareness of the recommendations of the 2020 Independent Medicines and Medical Devices Safety Review, and I was really glad to hear the contribution from the hon. Member for Washington and Gateshead South (Mrs Hodgson), who talked about the women living in poverty, isolation and pain, who are so often dismissed by the professionals. The review found that those suffering adverse effects from medical treatments including vaginal mesh found a system that was “disjointed, siloed, unresponsive and defensive.” So many of those women are still waiting for compensation. It is a national scandal and a grave injustice. I appreciate all the work that the hon. Member is doing with the APPG. The Liberal Democrats would ensure that medical scandals that have disproportionately harmed women in the past can never be repeated, including through the introduction of a statutory duty of candour for public officials. We believe that every woman deserves high-quality, safe and accessible healthcare. We would try to tackle the maternity care crisis by addressing chronic understaffing, improving retention and modernising outdated facilities. We will continue to press the Government to expand access to screening for conditions such as breast cancer and cervical cancer. We would also make a serious commitment to investing in women’s health research. For too long, the gender gap in medical knowledge has left women without the answers or the treatments that they need. Faster diagnoses and better treatment pathways for women’s cancers and gynaecological conditions must be a priority for this Government, not an afterthought, because this is not just about healthcare; it is about basic dignity, fairness and justice. Women should not have to fight to be heard when it comes to their own bodies. It is time to put women’s health front and centre of the NHS.

• 27 Feb 2025 · Creative Industries · Hansard source

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  I refer Members to my entry in the Register of Members’ Financial Interests. Much like Loughborough and Bradford, Chichester is a city that punches well above its weight with its creative and cultural offering. Much of the local authority funding that supports organisations in my constituency—such as Chichester festival theatre, the Pallant House gallery and the Novium museum—comes via the district council. Local government reorganisation puts such funding streams at risk, especially when combined with an authority that is struggling with the cost of, for example, social care and highways. What will the Secretary of State do to ensure that these vital organisations are protected during this reorganisation?

• 25 Feb 2025 · Maternity Services · Hansard source

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  My hon. Friend is absolutely right; the key to providing strong maternity services that benefit both the staff and the patients is making sure that there is a full workforce so that they can do not just the “need to haves”, but the “nice to haves” in a maternity department, which can make such a difference to patients’ experiences when they are going through that service. The retention issue that we have directly impacts training. Newly qualified and inexperienced midwives need experienced mentors, but if seasoned professionals leave, the next generation lacks the support necessary to transition into leadership roles. Midwives and other maternity staff must train together at every level to be fully equipped for every situation, and ensure that concerns can be escalated effectively. That is why the Ockenden report and the Royal College of Midwives seek a commitment to including midwives in the long-term workforce plan. In 2017, bursaries for student nurses and midwives were ended, with the Royal College of Midwives warning that that decision threatened the future of our maternity services in England. It has led to one third of midwifery students having debts exceeding £40,000, with 80% of them knowing someone who has dropped out of their course due to financial hardship. Many also take on additional jobs to afford their studies, which detracts from their vital training. To mitigate those pressures on trainee midwives, I encourage the Government to explore alternative routes to support midwifery and nursing students, which have been laid out by the Royal College of Midwives, through new funding options or a scheme where student debt is forgiven after a defined period of service in the NHS. A similar funding issue affects apprenticeship schemes in midwifery. Despite receiving overwhelmingly positive feedback from trusts across the country regarding the apprenticeship route, many trusts cannot afford to offer those positions due to a lack of backfill funds, so trusts often hand back their apprenticeship levy, as the scheme is undeliverable. I hope the Minister will work with her colleagues in the Department for Education to address this fundamental flaw in the delivery of level 6 and level 7 apprenticeships, which have proven to deliver the midwives of the future. In preparing for today’s debate, I was invited to my local maternity unit at St Richard’s hospital in Chichester, where as I mentioned I had both of my children. University Hospitals Sussex had its maternity services inspected by the CQC in September 2021, which found all hospitals across the trust to be inadequate or requiring improvement. Although there has not been a formal inspection since, the trust assures me that all actions from the CQC have been completed, with the majority of the Ockenden immediate and essential actions implemented. However, to fully implement all the IEAs will require funding, which currently the trust does not have. St Richard’s hospital confidently tells me that it is now fully staffed for the first time in a long time, and the director of maternity services is keen to look at how she can further improve patient experience and communication. I know Members across the House are keen to work with their NHS trusts constructively to ensure the best outcomes possible for their constituents. I was reassured by the senior leadership team, those working in the department, and the new parents on the ward, who I had the pleasure of congratulating. Introducing tiny babies to the world was probably the best moment of my recess—it was very bizarre for those parents when the MP walked in and said, “Can I say hello?” I am pleased that the trust is taking seriously its responsibility to provide a much improved service. It would be a missed opportunity if I, as the chair of the all-party parliamentary group for infant feeding, did not mention how we could do much more as a society to support mothers to breastfeed, if they choose to. The UK’s breastfeeding rates are among the lowest in the world. Only 1% of mothers exclusively breastfeed at six months, despite the World Health Organisation recommending exclusive breastfeeding for this period and continuation, alongside nutritious foods, for up to two years. Some 44% of mothers surveyed wished that they had breastfed for longer and would have done so if they had received better and more tailored support. New mothers need time, expertise and evidence-based information to make informed decisions on their feeding choices, and maternity services play a key role in establishing a feeding plan that works for mother and baby before they go home. But, across the country, community midwifery and health visiting services have been vaporised, so support is patchy and often delivered by volunteers or midwives in their spare time. I hope that the Government will support improved community services such as milk support groups, to give all women, regardless of their feeding choices, somewhere to turn when they need support. I will take this opportunity, perhaps selfishly, to get on record the name of one of the coolest kids I ever met. Benedict Henry Goodfellow was an absolute dude— [ Interruption. ] I am not going to cry—and I am proud to call his mum, Steph, one of my close friends and the strongest woman I know. This debate is so important to me because Bendy needed 24-hour care since birth after a case of extreme birth trauma left him with devastating neurological damage. Bendy was loved by everyone who came into contact with him until he died, aged 10. The experience left Steph traumatised and profoundly changed. Bendy was born nearly 30 years ago and yet Steph and Ben’s story is just as relevant today. It should not be. I am immensely grateful to Donna Ockenden for putting me in touch with families from across the country—including from Leeds, Nottingham, Shrewsbury and Sussex—ahead of this debate to hear their personal experiences of failures in maternity care.