Jess Brown-Fuller MP: speeches 2025

Speeches

• 4 Feb 2025 · National Cancer Plan · Hansard source

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  Nearly every family has a cancer story, whether it is a personal fight or that of a loved one. A 10-year plan from the Government is a welcome step, as the previous Government broke their promise to implement a 10-year cancer strategy that would have made a real difference to patients. We on the Liberal Democrat Benches are very proud that our cancer campaigner, my hon. Friend the Member for Wokingham (Clive Jones), secured from the Government a commitment to introduce such a plan. Testing for cancer, diagnosing and starting treatment quickly reduces stress and anxiety. Also, if the cancer is caught early, it is more likely to be treated successfully. Yet the target of 85% of people receiving their diagnosis and starting treatment within 62 days of an urgent referral has not been met since December 2015. In my constituency, one third of cases fall short of that target and 1,000 families lose a loved one every year to this cruel disease. Lord Darzi’s review laid out very clearly that the UK has appreciably higher cancer mortality rates than other countries and that more than 30% of patients are waiting longer than 31 days for radical radiotherapy. A quarter of England’s 280 radiotherapy machines are now operating beyond their recommended 10-year lifespan, and in some areas, such as West Sussex, there is no access to radiotherapy at all. That is why we welcomed the £70 million investment announced in October to start to replace the older radiotherapy machines. Will the Minister confirm whether there will be further rounds of funding to keep pace with available radiotherapy technology? Will he look to support those at the mercy of a postcode lottery by ensuring that radiotherapy is available in all areas? What is the expected timeline for reversing the damage done by the previous Government, and when can all patients expect to start their treatment within the 62-day urgent referral target?

• 29 Jan 2025 · Outsourcing: Government Departments · Hansard source

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  It is a pleasure to serve under your chairmanship, Sir Jeremy. I thank the hon. Member for Middlesbrough and Thornaby East (Andy McDonald) for securing today’s important debate. I think we can agree across the House that this debate is really about the workers, and the disproportionate effect that outsourcing has on some—especially those in the BAME community, as the hon. Member for Bradford East (Imran Hussain) and the right hon. Member for Hayes and Harlington (John McDonnell) mentioned. Time and again, we have seen examples of Government Departments outsourcing their obligations to others who have failed to fulfil their duties, representing poor value for money for the public. Examples of such systemic failures include procurement issues in the NHS, poor accommodation standards in the military, and failing, poorly designed programmes for tutoring in English schools. In 2022-23, the public sector spent around £326 billion—29% of its total spending—buying goods and services from the private sector. As my hon. Friend the Member for Carshalton and Wallington (Bobby Dean) reflected, that creates monopolies in the private sector, so support in the public sector is totally eroded and it is unable to provide those services any more. As the hon. Member for Normanton and Hemsworth (Jon Trickett) said, this means that a third of taxpayer money is now being spent on outsourcing. In the light of those figures, we must ensure that public procurement processes do not undermine confidence in our institutions, especially following years of a Conservative Government that caused significant damage to public trust in politics and public institutions. Let me give an example of the lack of accountability that the hon. Member for Normanton and Hemsworth talked about. With local authorities reneging on their responsibilities to manage new roads, land management companies such as FirstPort come in and charge excessive fees to homeowners. Politicians of all parties—the Conservatives, Labour and the Liberal Democrats—have hauled that company in to say, “You are treating your householders poorly,” but how do we actually hold them to account if they are a private company providing a private service? Nothing will change unless we bring the service back in house. During the covid pandemic, there were clear failures in procurement processes, particularly through the use of VIP lanes for Government contracts. That led to £9 billion being wasted on personal protective equipment that had to be written off, and £2.6 billion being spent on items deemed not suitable for the NHS, which accounted for one in 10 items purchased overall. It is imperative that robust rules are in place to guarantee that vital public spending is conducted effectively, efficiently and transparently, and that scandals like the misuse of VIP lanes will be avoided. There are huge opportunities in the NHS to get this right. The Government should investigate the merits of national commissioning and procurement of National Institute for Health and Care Excellence-approved digital technology, devices and diagnostics, much like is currently done for medicines. There are fantastic examples of integrated care boards using commissioned services that have improved patient experience and created a more joined-up health pathway, but we do not see those best-practice models rolled out across the whole of our healthcare service, because of the fragmented approach to procurement, with individual ICBs doing their own commissioning. Far from restricting choice for local NHS trusts, cutting the cost of new tech and digital services could make them available for the first time in areas where they currently are not available. Care boards often have to commission such innovations and services from companies separately, causing a far greater overall cost. As many Members have said today, we have no evidence that commissioning services out actually saves the public sector any money at all. The NHS has huge buying power and the Government should make the most of it to improve patient treatment. Commissioning based on NICE guidelines could also help clinicians to better determine which devices or digital innovations work best for their patients. Something that is often missed when we talk about outsourcing is that frontline services in healthcare are already all outsourced. Nobody working in the frontline of our healthcare professions is employed directly by the NHS. Our general practitioners, pharmacists, dentists and audiologists are all outsourced; they are all part of private companies. I recently saw the real effect of that, when a GP federation that provided doctors across my constituency and the wider area fell apart. Suddenly, lots of doctors who, as far as they were concerned, worked for the NHS were out of work with no recompense. We know that we have a crisis and that we need doctors on the frontline providing general practice services, but when that private company collapsed, there was nothing available for those doctors, even though they had always felt that they were part of the NHS. The Liberal Democrats also really want to improve the standard of Ministry of Defence housing by reviewing outsourced housing and maintenance contracts, which have represented poor value for money, leading to inadequate accommodation for our service personnel. The facilities are often outsourced, too, as the hon. Member for Moray West, Nairn and Strathspey (Graham Leadbitter) said. The Thorney Island barracks in my constituency have long called for improvements to accommodation and infrastructure facilities, so I was glad to hear about plans for new accommodation to be constructed there later this year. However, too many of our service personnel across the country have to put up with homes leaking sewage, inadequate rooms for their families and a lack of basic information about when improvements will be forthcoming. The MOD has historically failed to get good value for money from its management of contracts for service family accommodation, which it leases from Annington Property Ltd. In the 1990s, the Conservative Government sold off MOD accommodation to Annington, which made £550 million in profit in 2021, but the MOD is still responsible for the upkeep of the properties, with five maintenance contracts worth £640 million being established in 2022. We welcome the Government’s commitment to reviewing outsourced services through public interest tests to prevent a recurrence of scandals such as the PPE debacle and the challenges faced in MOD housing provision, but it is essential that outsourcing occurs with full transparency from Government Departments, to ensure that deals struck represent good value for money for the public and are not handouts to “VIPs” without a proper process in place. The Liberal Democrats would also ensure that Ministers received annual training to prevent further scandals about standards, and we would enshrine the ministerial code in legislation. We will continue to call for measures that strengthen tests to prevent misuse of public funds, in order to rebuild trust in our institutions.

• 28 Jan 2025 · Gaza: Humanitarian Situation · Hansard source

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  According to the UN, 1.9 million people in Gaza are currently displaced, which is 90% of the population. Half of them are children. How will the Minister work to secure the right of return and self-determination for Palestinians in Gaza, especially in the light of the calls from the US President to “clean out” Palestinians from the region?

• 24 Jan 2025 · Climate and Nature Bill · Hansard source

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  I thank my hon. Friend on behalf of those on the Liberal Democrat Benches for her truly impassioned speech and for her work on the Bill. Chichester harbour has lost 58% of its saltmarsh since 1946—the equivalent of three football pitches every year. Does she agree that that needs to stop today to ensure that that national landscape and site of special scientific interest is protected for generations to come?

• 23 Jan 2025 · County Council elections in West Sussex · Hansard source

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  I hope the Government will pay heed to the strength of feeling across West Sussex and my constituency that elections should never be cancelled opportunistically under the guise of local government reorganisation. It leads to the disenfranchisement of voters and further erodes trust in politics and politicians. Following is the full text of the petition: [The petition of residents of the United Kingdom, Declares that the County Council elections meant to take place in May 2025 should not be postponed indefinitely. The petitioners therefore request that the House of Commons urges the Government to ensure that the County Council Elections in West Sussex take place in May 2025. And the petitioners remain, etc.] [P003036]

• 23 Jan 2025 · Holocaust Memorial Day · Hansard source

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  I am very grateful to the Government for making time for the House to debate the important topic of Holocaust remembrance ahead of Monday’s Holocaust Memorial Day, a day of solemn remembrance and reflection. On that day, 80 years will have passed since the death camp Auschwitz-Birkenau was liberated, yet the memories remain as poignant as ever, largely due to the day that we mark every year. Six million Jewish men, women and children were brutally murdered by the Nazis, and millions of others suffered under Nazi persecution. The Holocaust was a crime of such magnitude that a new word was coined by the Polish lawyer Raphael Lemkin to describe its horrors: genocide. Today we also remember the victims of more recent genocides, including those in Bosnia, Rwanda, Cambodia and Darfur. Those atrocities are a stark reminder that hatred and intolerance, if left unchecked, can have devastating consequences, inflicting terror and eradicating entire communities. Such tragic events serve as stark reminders that we, as a global community, have not yet fully learned the lessons of the past, and the promise of “Never again” is not one that we are doing a good job of upholding. We cannot stand by while radicalisation and hatred flame up around us, when 245,000 survivors of the Holocaust are still alive today. It has not even been a lifetime since the world promised justice at the Nuremberg trials, and promised “Never again”, yet antisemitism is rising once more here in the UK and around the world. Extremist voices are fuelling division and fear, and exploiting tensions to spread further hatred, disinformation and cultural amnesia. We must remain vigilant, for one lesson of the Holocaust is that silence is never an option. In my constituency of Chichester we are proud to have a community that is committed to remembrance and education. Over the past decade, Chichester Marks Holocaust Memorial Day has organised meaningful events, from ceremonies held in local assembly rooms to educational films and talks for our schoolchildren, ensuring that future generations understand the impact of the Holocaust and the importance of standing up against prejudice and intolerance. This year, Chichester festival theatre will host “The Last Train to Tomorrow”, an opera that tells the story of the Kindertransport, a rescue effort that brought 10,000 Jewish children to safety here in the UK. Such stories remind us of our shared humanity, and the power of compassion in the face of unimaginable darkness. I praise the chair of Chichester Marks Holocaust Memorial Day, Councillor Clare Apel, whose dedication has been instrumental in making these events happen over the past decade. Her personal connection to the Holocaust, having lost 50 members of her family, serves as a poignant reminder of why we should never forget. On Monday, a new blue plaque will be unveiled as part of the Selsey heritage trail, to commemorate the part that Selsey played in helping the Kindertransport children who came to the UK. Plans are under way to establish a permanent memorial site in Chichester to honour the victims and educate generations to come. That initiative stands as a testament to our collective commitment to ensure that “Never again” is not just a phrase but a call to action. The words “Those who do not remember the past are condemned to repeat it” are inscribed at the memorial site at Auschwitz, so today we honour the survivors, the victims and those who continue to bear witness. It is our collective responsibility to carry forward their legacy, challenge hatred wherever we see it, and build a future based on understanding and respect for all.

• 23 Jan 2025 · ECO4 and Insulation Schemes · Hansard source

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  I thank the Minister for advance sight of her statement. I can only imagine the frustration that consumers feel when they go through the quite often complicated process of trying to upgrade their home to bring down their bills for good, only to be met with substandard work and a subsequent lack of enforcement. Liberal Democrat Members recognise that the Government have inherited a fragmented and confusing system, and that the focus today is on consumers and on remedial work affecting the shoddy work they have had installed. I am glad that the Government are committed to ensuring that the onus of that remedial work does not land in the pockets of consumers. We agree that the system needs a complete overhaul, especially since the last Conservative Government left the Great British insulation scheme falling woefully short of the targets it set for itself and supporting far too few people far too slowly, while some who did receive installations have found them to be well below the required standard. If faults are found with other energy efficiency measures, will the Minister guarantee that consumers do not have to pay a penny for those, as for the ones she has highlighted? How soon can consumers expect their quality checks to be delivered, and will priority be given to households in fuel poverty as well as to the elderly and the vulnerable?

• 22 Jan 2025 · Listed Places of Worship Scheme · Hansard source

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  The grant scheme we are debating enabled St Paul’s in my constituency to undergo some radical improvements to accessibility and its community spaces. Without the community spaces that operate out of churches and cathedrals, the homes for charities no longer exist. Does the hon. Gentleman agree that, given that every £1 spent in churches gives a £16 return to the community, this scheme is an investment in the future of community groups and charities?

• 15 Jan 2025 · Rivers, Lakes and Seas: Water Quality · Hansard source

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  In 2023, Chichester suffered 990 sewage spills in our rivers and harbour, lasting more than 17,000 hours. Does the hon. Member agree that, after a decade of Tory inaction, the Water (Special Measures) Bill is welcome, but it could go further on regulation, especially by giving Ofwat teeth?

• 14 Jan 2025 · Drones: High-security Prisons · Hansard source

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  LiveLink Aerospace in my constituency is a surveillance company that has created a technology that is being used on Royal Navy ships, in airports and on private yachts. This technology could be crucial to maintaining the no-fly zones above prisons, which were introduced in January last year. Will the Minister explore this technology? Will he come to my constituency to visit LiveLink Aerospace and see what the technology can do?

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

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  I thank my hon. Friend the Member for Wimbledon (Mr Kohler) for securing today’s important debate, and all hon. Members for approaching the conversation with the compassion and thoughtfulness that this topic deserves. Examples shared across the House show that hospices are a vital part of our healthcare system. They provide outstanding care for patients approaching the end of their lives, offering dignity, comfort and support to families, and they are often driven by hundreds of volunteers, alongside the paid staff. Hospices will play a key role in meeting this Government’s objective to move care from hospitals to the community. This debate is very timely, given that the front pages of the newspapers are reporting today that half a million people were left languishing on trolleys in A&E and in corridors in 2024 because there were not enough beds to admit them. Hospices, such as the extraordinary St Wilfrid’s in my constituency of Chichester, are the cornerstone of community care. I was blown away during my recent visit to St Wilfrid’s, and I am not ashamed to admit that I was brought to tears by the accounts of the family members, patients and staff I met that day. I applaud the hon. Member for Stoke-on-Trent South (Dr Gardner) for her show of emotion, because it is an emotive topic. St Wilfrid’s provides comfort and compassion to patients and their families during life’s most challenging moments—both directly in the calm and idyllic surroundings of the hospice and out in the community, providing palliative care for 300 people in the comfort of their own homes. It is St Wilfrid’s belief that everybody should be afforded a good death, and it strives to ensure that there is beauty in every day for patients and their loved ones, yet its service is being crippled by rising costs and a lack of sufficient Government support. Hospices are in the process of setting their upcoming budgets, and many are having to make difficult long-term decisions to cut palliative care because they lack a long-term solution to address the growing financial strain. As the hon. Member for North Herefordshire (Ellie Chowns) mentioned, it is all well and good being able to say you have a lovely car park when you do not have any nurses to park in it. Only 17% of the overall cost of St Wilfrid’s hospice is currently covered by NHS grant funding—well below the minimum requirement across the country. One of the biggest components of hospice costs is the salary of their expert clinical and other staff. Hospices are trying to match NHS salary increases to ensure that staff can afford to stay with them, and to remain competitive. In addition, they are now burdened with paying increased national insurance contributions, whereas direct NHS providers are exempt. For St Wilfrid’s, the rise in national insurance contributions will cost an additional £210,000, which is a significant financial burden. Although we Liberal Democrats and hospices alike welcomed the capital investment announcement in December 2024, that funding does not address the challenges of day-to-day spend, so there is still a vast gulf between rising expenses and available income. As the hon. Member for Birmingham Erdington (Paulette Hamilton) said, the funding must be the start, not the end. Hospice UK has warned that around 300 hospice in-patient beds—14% of the total—are currently closed or out of use due to a lack of funding and chronic staff shortages, meaning that fewer patients are able to access the end of life care that they need at one of the most vulnerable times in their lives. My hon. Friend the Member for Twickenham (Munira Wilson) mentioned the Marie Curie report, as did other Members across the House, which stated that one in four people who need hospice care cannot currently get it. The term “bed blocking” is not one I am particularly comfortable with, but if adequate palliative care is unavailable in the community or in a hospice, those people will remain stuck in hospital, and those hospitals cannot provide the expert care that a hospice can. Our hospices are ready and willing to take on those patients, but they need the support of this Government to do so. As my hon. Friend the Member for Wimbledon (Mr Kohler), who brought forward this debate, said, people do not want to die in hospital. They want to die at home or in a specialised setting such as a hospice. That is why the Liberal Democrats are calling for hospices to be exempted from the rise in national insurance contributions. This targeted measure would provide immediate relief for a sector that is struggling under the weight of rising costs, and prevent further reductions in capacity or even closures. We must think long term. Hospices need a sustainable funding model that guarantees they can continue their vital work of providing care for patients, supporting families and easing the pressure on the NHS. Hospices must also be a part of the conversation in the Government’s upcoming 10-year plan for the NHS, and that must include sustainable hospice funding reform. Examples from across the House today showed a shared recognition of the importance of hospice care. Now we need the Government to match that recognition with action for the patients, for the families and for a health service that depends on hospices.

• 7 Jan 2025 · Northern Gaza · Hansard source

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  Women who can get access to hospital provision in northern Gaza are undergoing C-sections without any anaesthetic, and new mothers—180 every day—are struggling to find clean water to provide formula for their new babies or continue to breastfeed, but Israel continues to restrict aid. The United Nations has made three attempts in the last three days to reach Gaza, and has been refused every time. The Minister has mentioned political solutions but seems to be avoiding consequences so I will ask the question again: what consequences can Israel expect from this Government if it continues to ignore international law and the urgent requirement to get the care that is needed for women and children in Gaza?

• 7 Jan 2025 · Drug and Alcohol Addiction: Treatment · Hansard source

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  Social prescribing is one of the primary care services provided for drug and alcohol addiction, and it also supports the Government’s aim of moving from cure to prevention, which is why I was shocked to hear that a primary care network in my constituency is reviewing its social prescribing offering across the Chichester district and proposing to remove it entirely. Does the Minister agree that social prescribing is a key pillar of our primary care services, and does the money used need to be ringfenced to protect that service across the country?

• 6 Jan 2025 · NHS Backlog · Hansard source

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  I thank my hon. Friend the Member for North Shropshire (Helen Morgan) for introducing this important debate on our first day back after Christmas. I also thank all hon. Members from across the House who have contributed to the debate, and specifically the hon. Members for Runnymede and Weybridge (Dr Spencer), for Ashford (Sojan Joseph) and for Bury St Edmunds and Stowmarket (Peter Prinsley), who always bring really valuable contributions because of their background and current professions; it is very much appreciated when talking about the NHS. My hon. Friend the Member for North Shropshire highlighted in her opening remarks that backlogs are not just about NHS waiting lists, but that there are also problems with mental health backlogs, handover delays, A&E waits, poor access to dentistry, GP appointments, cancer treatment waiting times and staff that are being driven from the NHS because they cannot provide the care they want to give. Our healthcare system remains the No. 1 issue that I am contacted about. It is not unreasonable for my constituents and people across the country to expect to receive the care they need when and where they need it. I doubt there are many people who have not been affected or know somebody who has been affected by NHS backlogs. Indeed my dad struggled for months to get a face-to-face GP appointment for what he believed was a return of a hiatus hernia. By the time he saw his GP and was referred, the oesophageal cancer that he had was so progressed that palliative care was the only option for him and he passed away shortly after being diagnosed in 2021. When I asked my constituents to get in touch with examples of personal experiences of the NHS backlogs, I was inundated with emails from people across Chichester, and I will share some of those with the House. I have Jane, who was at high risk of bowel cancer due to living with ulcerative colitis. She is meant to see her consultant every six months but has not had an appointment since 2019, despite her GP trying on her behalf on multiple occasions. She has no idea if the polyps discovered in 2017 have turned cancerous and is living in constant fear of her health deteriorating further. Ian got in touch after waiting over a year to receive a scan after he experienced extreme chest pain. The scan revealed heart disease, but the lack of any follow-up appointments has left him anxious and uncertain about his health. I will also mention a good friend of mine, Rylee, who noticed irregular bruising and a physical change on the back of their leg in 2021 and was finding it harder to walk. After visiting the GP, who sent an urgent referral to the hospital, Rylee waited for months only to discover when chasing the hospital that the referral had gone to the wrong place. They then got added to the waiting list and were told the wait would be between 40 and 50 weeks. We are four years on from the initial changes to Rylee’s leg, and they are finally being treated by leading specialists as Rylee can no longer walk unaided. Amputation of their leg is now being considered. If Rylee had been seen within the expected window of an urgent referral, they would not be facing the prospect of losing their leg in their mid-20s. These are just a few examples of what is a much larger picture of the NHS, with caring and compassionate staff working within it who are overstretched and overburdened and, as my hon. Friend the Member for North Shropshire said, who cannot provide the care they desperately want to because of a system that cannot meet the demand. The Liberal Democrats recognise that this is an inherited problem; indeed, the key NHS waiting times standards have not been met for some years. The number of patients waiting longer than four hours in A&E rose consistently between 2015 and 2020. The 62-day waiting time for standard cancer treatment has not been met in recent years, and the consultant-led treatment target in England of 18 weeks has not been met in 2016. The last Conservative Government left emergency care in a deep crisis. The Darzi review stated that 800 working days were lost every day to handover delays in 2024. Last winter, ambulances across England collectively spent a total of 112 years waiting outside hospitals to hand patients over. In 2024, more than 1 million patients faced waits of more than 12 hours in A&E. The Liberal Democrats welcome new investment in the NHS, but instead of spending money firefighting crisis after crisis, we would invest to save taxpayers’ money in the long run. We would do that by investing in the front door and the back door: in primary care, with GPs and dentists, and by reforming social care. Some of my constituents would like it noted that they will not be counted on any statistics regarding backlogs, because they cannot get a GP appointment to even get on the backlog list. That is why the Liberal Democrats are calling for everyone to have the right to see their GP within seven days, or 24 hours if it is urgent, with a 24/7 booking system to end the 8 am phone-call lottery to get an appointment. We would also ensure that everybody over the age of 70 and those with a long-term condition have access to a named GP. We would fix the back door and address the social care crisis now, rather than spending another three years commissioning a report that will find out what we already know: social care is in urgent need of reform. The Darzi review showed that inadequate social care accounts for 13% of hospital bed occupancy, meaning that people who desperately want to get home cannot because of the lack of social care packages available and that others deteriorate at home, because they cannot access the social care they need. In the past year, more than half of all requests for social care were unsuccessful. We would strengthen our emergency services to reduce excessive handover delays by increasing the number of staffed hospital beds and calling for a qualified clinician in every A&E waiting room to ensure that any deteriorating conditions are picked up on to prevent tragic avoidable incidents. I once again thank the hon. Friend the Member for North Shropshire for bringing forward this incredibly important debate, and I thank those Members who contributed to a conversation that matters to my constituents in Chichester and to people across the country.

• 6 Jan 2025 · Support for Veterans · Hansard source

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  Maggie Haynes is the founder of Tuppenny Barn, a horticultural therapy charity in my constituency, and she is a veteran herself. She established a female veterans course after observing that the challenges faced by women leaving the armed forces combined with poor communication from the MOD was leaving them unaware of the services available to them. What is the Minister doing to improve support for female veterans?