Josh Dean MP: speeches

Speeches

• 11 Jun 2026 · Business of the House · Hansard source

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  I was delighted when the Labour Government supported Church Street GP surgery in Bishop’s Stortford with the funding for much-needed improvements last year. I recently had the opportunity to visit the surgery and see at first hand how its modern improvements are delivering for patients and supporting staff to expand capacity. We know that bricks and mortar are not the sum total of our health service; it is the people on the ground who make it happen. Will the Leader of the House join me in thanking Dr Sian Stanley, Leigh Evans, Sarah Carter and everyone at Church Street not only for delivering this project, but for keeping the surgery open for more than 16,000 patients while work was ongoing?

• 9 Mar 2026 · Support for NEET Young People · Hansard source

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  A young person with undiagnosed attention deficit hyperactivity disorder is more likely not to be in education, employment or training. That is driven by a lack of recognition, treatment and tailored support. The expert-led NHS ADHD taskforce estimates that the cost to the UK economy of unsupported ADHD is £17 billion each year, but, with the right support, young people with ADHD can thrive. Will the Secretary of State set out how the Department is working across Government, including through the Milburn review, to ensure that young people with ADHD can access the support they need to thrive in work and reach their potential?

• 20 Jan 2026 · ADHD Diagnosis · Hansard source

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  A number of colleagues have spoken movingly about the individual circumstances of their constituents. I want to speak about individual circumstances, as I was diagnosed with ADHD last year. I recently bumped into a friend at an event who had also been diagnosed. I am one of those people with ADHD who takes medication, and she asked me, “When you first took your medication, did you get emotional as well?” The answer was yes, I did. I got emotional for the same reason so many people with ADHD become emotional the first time they take their medication. They realise what so many other people have been able to live like for so many years. They realise that they are not lazy or stupid but just a bit different, needing a little extra support. My hon. Friend the Member for Sefton Central (Bill Esterson) is correct that diagnosis is a gateway to support, not an end in itself. When I speak to people with ADHD, I hear that the difference that diagnosis and support make is almost a universal experience. Many describe it as life-changing, and I certainly do. I am keen to make this point. It is so good to hear from colleagues who are willing to share their experiences. In these discussions it is important to recognise that an ADHD diagnosis is not a problem to be managed or a game of numbers; it is about supporting people, identifying a challenge and finding resolve and support for something that otherwise might have been treated as disruptive behaviour. Instead, we can support them to be their best and most productive selves. Briefly, in the time I have left, I want to turn to the number of young people with ADHD not in employment, education or training. Will the Minister touch on whether the independent review of mental health conditions, ADHD and autism prevalence will interact with the review from the Department for Work and Pensions on NEET rates?

• 26 Nov 2025 · Young People not in Education, Employment or Training · Hansard source

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  It is a pleasure to serve with you in the Chair, Mr Dowd. I thank my hon. Friend the Member for Amber Valley (Linsey Farnsworth) for securing the debate. Of the almost 1 million young people not in education, employment or training, almost 600,000 are economically inactive and disengaged from mainstream employment support, and around 400,000 are hidden NEETs—unemployed, but not claiming universal credit. I will focus my remarks on those young people. I welcome the measures brought forward by the Government, but this is a crisis of opportunity that cannot be tackled through a strong employment and skills offer alone. That is why we must be more effective in identifying, reaching and engaging young people to bridge them into support. Youth workers and trusted adults are the missing piece of the puzzle to unlock the potential of NEET young people. They can build young people’s confidence and resilience; address barriers across education, mental health or employment; act as a gateway to proven interventions; and reduce the risk of disengagement through advocacy and guidance. That claim is supported by a growing evidence base: a paper from the Youth Futures Foundation, published earlier this year, identified the unique role that trusted adults can play in identifying and engaging harder-to-reach young people, and explored their role in delivering the change required to address that challenge. We know, for example, that mental ill health has an impact on economic inactivity among young people, and that this is driven in part by a reduction in child and youth services. We need to take a holistic approach across Government. As we move ahead with some really strong flagship offers for young people—the national youth strategy, the youth guarantee and Young Futures hubs—we have an opportunity to deliver a shared long-term vision for young people across Government that puts relationships with trusted adults and the need for good employment at its heart. The integration of youth provision, employment and skills support is being explored in some youth guarantee trailblazer areas. In his response, could the Minister reflect on its impact in those areas and whether that offers a model for elsewhere in the country?

• 25 Nov 2025 · Health Inequalities · Hansard source

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  10. What steps his Department is taking to tackle health inequalities impacting women in the NHS.

• 25 Nov 2025 · Health Inequalities · Hansard source

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  When my constituent Rachel attended numerous A&E departments with severe abdominal pain, swelling, fever and nausea, her fears of a ruptured ovarian cyst were repeatedly dismissed. In her day-to-day life Rachel is a professional advising on antimicrobial resistance around the world, but as a patient she felt that her concerns were being ignored and that she was being pushed aside. She is determined to use her experience to challenge the unacceptable medical misogyny that she and other women across the UK still face too often. What action are the Government taking to ensure that women are not left to endure painful reproductive health conditions, and will the Secretary of State agree to meet Rachel to hear her story at first hand?

• 5 Nov 2025 · Curriculum and Assessment Review · Hansard source

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  I really welcome the review’s focus on social justice and the critical skills needed for work and life. We know that young people face an unprecedented mental health crisis. Can the Secretary of State reassure me that young people’s wellbeing will be a material consideration for her Department in implementing the review’s recommendations, particularly on assessment reform? Does she agree that mental wellbeing and resilience are also critical skills that we should support young people to develop, and that they too should be included in reform of the curriculum?

• 15 Oct 2025 · Jhoots Pharmacy · Hansard source

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  Last week I met staff from Jhoots Pharmacy in Thorley and was shocked when they told me that they had been unpaid for months but were still working. Some were struggling with their mortgages or unable to afford food for their children’s school lunches. Their concern was for their residents, many of whom are elderly and vulnerable, who have been left without essential medication because of stock issues and unexpected closures. They are good, decent people who want to provide a community service for our residents. Will the Minister assure my constituents directly that the Department will look at all possible options and work across Government where relevant to address the situation that allowed this to become a problem and the specific situation affecting my constituents now?

• 15 Oct 2025 · Educational Assessment System Reform · Hansard source

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  I beg to move, That this House has considered reforming the educational assessment system. It is a pleasure to serve under your chairship, Ms Lewell. Over the summer, another cohort of young people finished their exams, marking the end of a period that left many feeling overwhelmed, anxious or uncertain about the future. Young people are growing up at the sharp end of so many challenges. We can see that reflected in recent figures from NHS England: one in four young people are struggling with their mental health, and the number of 16 to 24-year-olds with a common mental health condition is up by more than a third in a decade. We face an unprecedented a youth mental health crisis. I am proud to sit behind a Labour Government that recognise the scale of the challenge. Almost 1 million more pupils will have access to school-based mental health support this year, and 6,700 additional mental health workers have been recruited since last July. But we cannot ignore the impact that the exam system is having on children and young people’s mental health. We must go further. Paddy, a YoungMinds activist, gave a striking account of his A-level experience. He said that: “From the start of Year 13,1 found it difficult to think about anything other than exams. At school, I would hardly eat anything, as I was so focussed on studying. The exams massively heightened my OCD. It seemed to know these exams were incredibly important to me, and it went on the attack. The peak was the night before one exam, when I had a complete breakdown and could not stop crying. The pressure was enormous, and I felt like I was drowning in the sea of pressure. Two years after finishing my exams, I still have nightmares about them, imagining I’m back in the exam hall.” Paddy’s experience is not an isolated example. Research from the YoungMinds Missing the Mark campaign reveals the profound impact that exams are having on children and young people. Over 60% of GCSE and A-level students struggled to cope during exam season, with many experiencing panic attacks, or even suicidal thoughts and self-harm, and taking time off school. At just 11 years old, year 6 pupils said that their SATS made them question their abilities for the first time in their lives, losing confidence and missing out on sleep as a result. Let me be clear: I am not making an anti-exams argument. Exams help to level the playing field, and there will always be a place for them. But there is a clear imbalance in the system. Young people are simply sitting too many exams in a concentrated timeframe that puts unacceptable pressure on pupils and teachers alike. Reforms to GCSEs over the last decade have led to an eight-hour increase in exam time, with end-of-course exams nearly all taken over a period of six weeks in a single summer term. Sixteen-year-olds in England spend approximately 31.5 hours sitting their GCSE exams. Compare that to Victoria in Australia, where students in low secondary sit around four hours of centralised exams; in Alberta in Canada it is 10 hours, in Poland it is 12, and in the Republic of Ireland it is 16. I argue that we are now seeing the fallout of those changes: a much less flexible system that is contributing to a deepening mental health crisis. Eight in 10 education leaders surveyed by the Association of School and College Leaders said that reformed GCSEs had created greater levels of stress and anxiety among their students. The current system is not just damaging to wellbeing; it is failing to effectively assess the skills that young people need today. A focus on memory recall is pushing educators to teach to the test, covering content at pace at the expense of developing a depth of understanding.

• 15 Oct 2025 · Educational Assessment System Reform · Hansard source

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  I could not agree more with the point my hon. Friend makes. I held a number of roundtables with parents and carers in my constituency over the summer as well. We were discussing the SEN challenges we face in Hertfordshire. At every session I held, parents and carers talked about the inflexibility of the system. Getting the reforms right to ensure that the system provides that flexibility and caters for all students could not be more important. My hon. Friend is right to highlight that, because everything we have talked about so far disproportionately impacts the most disadvantaged. Schools in the most deprived areas spend more time preparing for SATs; 76% of children with SEND do not reach the expected standards at the end of year 6, which rises to 91% of pupils with an education, health and care plan. Students with a history of poor mental health are at particular risk, which is even more acute for care-experienced young people, given the prevalence of mental health conditions in that group. Young people deserve a fairer, more balanced approach to assessment, where wellbeing and academic success are not at odds with one another.

• 15 Oct 2025 · Educational Assessment System Reform · Hansard source

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  Again, I could not agree more. Being trapped in that cycle of failure leaves a mark on young people. We want young people to leave school ready for work and life, and to thrive with confidence. A system that grinds them down cannot be correct. I could not agree more on the point of post-16. I have had a number of conversations about that over recent weeks. That is an area that desperately needs reform, so that we get our young people ready to thrive in life. The independent curriculum and assessment review offers a vital opportunity to tackle that injustice and one of the upstream drivers of the youth mental health crisis, and build a system fit for the 21st century. No 11-year-old child should feel bad about themselves because of exams. SATs are used to rank the performance of schools; they are not supporting children’s learning. Timed tests over four days in year 6 are neither a reliable way to capture a pupil’s knowledge and abilities, nor a way to monitor school standards. Assessment should support a pupil’s learning and be clearly separated from school performance metrics, because placing the burden of accountability on children at such a formative age cannot be right.

• 15 Oct 2025 · Educational Assessment System Reform · Hansard source

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  I cannot remember the numbers off the top of my head, but my hon. Friend is right to highlight the number of secondary schools that retest students because of the lack of reliance and belief that SATs accurately measure their ability. We urgently need to rethink our approach to assessment at the primary level, and all options should be on the table. I would be grateful if the Minister could address the concern around SATs in her response, and confirm the Department’s commitment to addressing them when the curriculum and assessment review concludes. We need to rebalance the system, reducing the dominance of high-stakes, end-of-course exams for GCSE and A-level students. A diversification of assessment methods could reduce pressure on young people, allowing them to showcase a broader range of strengths and better prepare them for life after school. I would be grateful if the Minister could confirm whether the Department would implement such an approach, should it be recommended in the independent curriculum and assessment review’s final report. Moving away from reliance on traditional exams and reducing the volume of exams that young people sit does not mean sacrificing rigour, as set out in Cambridge OCR’s “Striking the balance” report. It concluded that the overall volume of exams can be reduced without impacting the reliability of grades, and that greater consideration should be given to non-exam assessments. A well-designed, modular, multimodal system could be equally robust and offer fairer, more balanced ways to measure achievement. Universities across the country already do that to great effect and could offer a model to learn from for our school system. More widely, a whole-school approach is essential to supporting children and young people’s mental health. An assessment system that balances wellbeing and academic success would be complemented by a curriculum, teaching and learning approach that promotes resilience and supports social and emotional learning. Will the Minister confirm that wellbeing will be a central focus in the Department’s approach when it comes to implementing the findings of the independent curriculum and assessment review and more generally? I am under no illusions that reform of the assessment system is a silver bullet to resolve the youth mental health crisis. Young people sit at the intersection of many complicated challenges, and this must be part of a wider piece of work to support them. I recognise that it will take time and will need to be phased in, to avoid overwhelming the education system, in consultation with our educators. But children and young people are experts in their experiences. When they tell us something is wrong, it is our responsibility in this House to listen and act accordingly, not decide that we know better. The last major reform of the assessment system took place a decade ago. We cannot miss this opportunity to get it right for young people. They need us to embrace ambitious reform now, not in another 10 years, to help tackle the youth mental health crisis and deliver a lasting assessment system that supports their wellbeing and their academic success and better prepares them for work and life.

• 14 Oct 2025 · Mental Health Bill [Lords] · Hansard source

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  In the interest of time, I will turn straight to new clause 25, tabled in my name. The Bill sets out a range of situations where the competence of a patient aged under 16 will be relevant, but it does not set out a framework for how it should be determined. That puts patients under 16 years old at a huge disadvantage. Unlike those aged 16 and over, there is no clear mechanism for determining whether a child under 16 can make decisions and the law assumes that under-16s cannot make decisions for themselves, unless they demonstrate they are able to do so. That means that under-16s may not benefit fully from the rights and safeguards set out in the Bill because they are assumed to lack competence to make the relevant decision. For example, they may not be able to exercise their right to choose a nominated person or to access enhanced safeguards around treatment. There is currently no statutory test for determining a child’s ability to make decisions. While some may refer to Gillick competence, the Joint Committee on the draft Mental Health Bill noted that Gillick competence is “broad”, “ambiguous” and that there were significant inconsistencies in its application. A similar observation was made by the Court of Appeal in a decision earlier this year, which also indicated the Court’s approval of a functional test to determine a child’s competence. New clause 25 addresses this disparity by introducing a “functional test” to determine an under-16’s ability to decide. This reflects the suggested approach in the current code of practice, adopted by some judges. The Law Commission has recommended a similar test as part of its proposed legal reform concerning disabled children’s social care. This test fills a significant gap in the Bill, providing important clarity for professionals when a child’s competence needs to be determined. Crucially, the test set out in new clause 25 is explicitly limited to decisions made under the reformed Mental Health Act. It does not cover decisions falling outside of the Act, so does not affect the existing decision-making powers of the courts or those with parental responsibility. A clear and consistent approach to assessing a child’s competence can only be achieved by including a test on the face of the Bill, as the code of practice can only reflect the law—it cannot prescribe a test for competence. I would be grateful if the Minister addressed that point at the end of this debate, and if he would consider meeting me to discuss my amendment in more detail. This Bill has many strengths that will deliver for people and modernise mental health care, and it is crucial that we ensure children and young people can benefit from those strengths in the same way adults can benefit.

• 2 Sept 2025 · Eating Disorders: Prevention of Deaths · Hansard source

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  I thank my hon. Friend the Member for Isle of Wight West (Mr Quigley) for securing today’s debate. I will focus my remarks on the more than 360,000 children and young people living with an eating disorder in England. What work is the Department undertaking to ensure that the access and waiting time standard for children and young people with eating disorders is being met? When does NHS England intend to publish its refreshed guidance on young people’s services? I would also like to raise the case of my constituents Amy and Kester. Their six-year-old son has been diagnosed with ARFID, or avoidant/restrictive food intake disorder, a less known and understood eating disorder. They found that few healthcare professionals are aware of ARFID and, once they finally received the diagnosis, they discovered that there was no treatment pathway available in our area. While there is a specialist team at Addenbrooke’s hospital, referrals are only available for children aged eight and over, meaning that their son will not be able to access services for two years. More damage is still being done, so could the Minister set out what work is being done to open up further pathways and help to better understand ARFID? On artificial intelligence, the Centre for Countering Digital Hate recently published a report in which a fictional 13-year-old girl was given instructions and material related to disordered eating by an AI chatbot. What work is taking place across Government to ensure that we are tackling the potential harm being done, and that young people are not being given misinformation by AI that will drive more eating disorders?

• 22 Jul 2025 · Metachromatic Leukodystrophy Screening · Hansard source

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  In 2024, two-year-old Lily Stock was diagnosed with metachromatic leukodystrophy, a rare and progressive disease that will, in her family’s words, “slowly take Lily away”. Libmeldy, a lifesaving gene therapy, is available through the NHS, but I understand that it must be administered before symptoms develop. Sadly, that means it is too late for Lily to benefit from the treatment. Emily and Sean, Lily’s parents, are campaigning for MLD screening to be added to the heel-prick test on newborns, so that MLD can be identified early and treated effectively and no family will have to go through this devastating experience. Will the Minister and her officials look into adding MLD screening to the heel-prick test, and will she and the Secretary of State join me to meet Lily’s family and hear their story at first hand?

• 7 Jul 2025 · Giving Every Child the Best Start in Life · Hansard source

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  I thank the Secretary of State for her statement and for her recognition that where people live should not dictate the support available to them when they are growing up, nor when they want to start a family. I really welcome the work that she is leading to support our young people’s mental health and wellbeing. She will recognise that younger and younger children are presenting with mental health issues. Will she set out how our Best Start family hubs will help to address the early drivers of mental illness for children and young people before they reach crisis point, and ensure that every child is supported to thrive from an early age?