Liz Twist MP: speeches 2026

Speeches

• 17 Jun 2026 · Mental Health: Parity of Esteem · Hansard source

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  I beg to move, That this House has considered parity of esteem between physical and mental health. It is a pleasure to serve under your chairship, Mrs Hobhouse. In my constituency surgeries I see the devastating consequences of our failure to treat mental illness with the urgency it requires. In my role as chair of the all-party parliamentary group on suicide and self-harm prevention, I hear from young people about their experiences and the impact of waiting for treatment from mental health services. Bad mental health is routinely cited as a reason for economic stagnation, low school attendance rates and an increase in benefit claimants. Long waits for mental health support are directly linked to worsening symptoms and, tragically, to spikes in self-harm and suicide attempts.

• 17 Jun 2026 · Mental Health: Parity of Esteem · Hansard source

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  My hon. Friend is quite right to point to those figures and to say that we need much more input into tackling that difference in funding. As I said, the proportion of NHS funding spent on mental health is expected to decline, and we need to look again at that. That is exactly why the mental health investment standard was introduced, and why we need the planned 10-year mental health strategy, when it is published, to set out the actions we need to take to ensure that mental health has parity of esteem with physical health. It is vital that the MHIS continues to protect mental health spending until a suitable long-term funding measure is firmly in place to ensure that funding matches need. Three weeks ago, the interim Milburn review highlighted the unique combination of pressures faced by young people entering adulthood today, including a mental health system that cannot respond to the current level and severity of demand, a pandemic that affected their social development and an ongoing loneliness crisis.

• 17 Jun 2026 · Mental Health: Parity of Esteem · Hansard source

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  I do agree, and I will expand more on that theme. Parity of esteem means tackling mental health with exactly the same respect, funding and clinical focus as physical conditions.

• 17 Jun 2026 · Mental Health: Parity of Esteem · Hansard source

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  I agree with my hon. Friend on the importance of the mental health investment standard as one of the measures for securing good mental health support and for making mental health equal with physical health. As I was saying, parity of esteem means tackling mental health with the same respect, funding and clinical focus as physical conditions. We are here today to debate that principle, which has been discussed in this place for over a decade, yet it remains unfulfilled. We have made great strides in mental health: the Mental Health Act 2025, investment in mental health support teams for schools, which were rolled out this week, and additional mental health workers. Now it is time to deliver on our manifesto commitment to “give mental health the same attention and focus as physical health.” We need to look at the current waiting lists for mental health support, but before I look at the figures, I remind Members that every patient waiting to access mental health support is in urgent need of support, just as those on physical health waiting lists are. Sadly, and all too often, people see their condition worsen as they wait, which can lead to extreme consequences. Furthermore, physical illnesses frequently cause profound psychological distress, yet our services treat the physical and the mental in isolation. From my experiences of working with people who have rare conditions, I know the impact that that can have. The most recent figures show that almost 1.87 million adults and over 576,000 children and young people currently hold open referrals for mental health services. If these were patients waiting for hip replacements or cardiac care, that would dominate the national discourse. NHS England has developed waiting list targets for mental health patients after referral—the longest being four weeks after referral for access to community-based services for non-urgent mental health care—but those developed standards have never been adopted. Research shows that 12 times more patients with mental health conditions are waiting longer than 18 months for treatment, compared to those with physical conditions. The Government have rightly instructed the NHS to drive down waiting times for elective physical health care, but so far mental health services have been excluded from that ambition. The situation for our children and young people is particularly concerning. Barnardo’s says that one in five children now has a probable mental health disorder, which is double the rate in 2017. Demand has increased hugely, yet around 28% of referred children are still waiting for help, with nearly 40,000 facing unthinkable waits of over two years for treatment. We see the human cost of those delays in the lives of people like Amy, a young woman diagnosed with complex post-traumatic stress disorder. She has spent over a decade isolated at home, yet she has seen a psychiatrist only once in those 10 years. We also see it in the harrowing accounts collected by Rethink Mental Illness. One patient told Rethink that their psychosis was full-on and that an attempted suicide was the only thing that got them help. That is an unacceptable threshold for care. I have heard of more experiences from the suicide prevention charity Body and Soul, with which I have worked. One young person it supported spent almost a year on an NHS waiting list for cognitive behavioural therapy. Just as they neared the top of the list, their health deteriorated into a severe crisis, and they attended A&E, battling suicidal thoughts. Instead of receiving urgent intervention, they were informed that their crisis made them “too severe” for the therapy they had waited so long to access. They were removed from the waiting list entirely and, with nowhere else to turn, they attempted to end their own life. As Body and Soul rightly highlights, no patient with a life-threatening physical condition would be told they are too ill to qualify for treatment, unlike in this case. Mental health charity Mind is calling for the development of open-access mental health support pathways, ensuring that people can seek help early and directly, without facing unnecessary referral barriers or rigid clinical thresholds. When we fail to provide accessible care, the results can be fatal. People living with severe mental illness face a premature mortality gap of 15 to 20 years, compared to the rest of the population. Closing that gap by treating mental health with the same urgency as physical health must be the baseline of our approach. Rethink Mental Illness recently found that 83% of people said their mental health deteriorated while waiting for support, and nearly a third of those whose health worsened attempted suicide. Families are making impossible choices, with some parents reporting that they are skipping meals to pay for private therapy for their children because they cannot get the help they need. This crisis in mental health impacts on our Government’s core mission to kick-start economic growth. We are seeing a rise in economic inactivity driven by long-term sickness, and poor mental health is a primary factor. The Mental Health Foundation estimates that the economic and social costs of mental health problems reach £118 billion a year. Those figures have not arisen overnight; the previous Conservative Government have much to answer for in this crisis. We need to make sure that we maintain the emphasis on mental health. Last year, the Department of Health and Social Care reported that the proportion of NHS funding spent on mental health is expected to decline over the next two years. We need to look at that again.

• 17 Jun 2026 · Mental Health: Parity of Esteem · Hansard source

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  I absolutely agree with my hon. Friend, which is why I am so pleased that we set up mental health teams in schools. We need to look at preventive measures so that we do not keep getting into this position. When people are left to languish on waiting lists, their ability to participate in the workforce collapses. We must stop waiting for people to hit rock bottom before we step in: we have to deploy preventive measures. It is simply not good enough that one in three young people must wait more than 18 months for treatment after referral. I welcome the changes the Government have implemented, the extra investment for mental health support in schools, and the expansion of that support to 100% of schools by 2030, but I have some specific asks of the Minister, supported by mental health charities. First, will she ensure that reducing waiting times for non-urgent community mental health care is included as a specific priority in NHS planning guidance? That would send a clear message to local systems that this must be tackled alongside elective physical care. Secondly, Mind, the mental health charity, says that reducing mental health care waiting times must be treated as a core test of parity of esteem; Rethink makes the same point. Will the Minister commit to fully rolling out the access and waiting time standards consulted on by NHS England in 2021 to ensure that emergency mental health care is provided within one hour, urgent care within four hours and community care within four weeks? Thirdly, to help us to meet our shared ambitions for parity of esteem, will the Minister outline how we will work together to reverse the projected decline over the next two years in the proportion of NHS funding spent on mental health? Will the Government also commit to protecting the mental health investment standard until a long-term alternative funding plan is firmly in place? Finally, the Government have outlined an ambitious shift toward neighbourhood health services. How will the Department ensure that community mental health is a central component of this roll-out, so that patients can access multidisciplinary support before they reach crisis point? We have a historic opportunity to build a national health service that treats the mind and the body with equal respect. I look forward to the Minister’s response on how we will finally deliver true parity of esteem between physical and mental health services.

• 17 Jun 2026 · Mental Health: Parity of Esteem · Hansard source

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  The hon. Member might be reading my mind, because I will come on to that issue. I am sorry to hear of the death of his constituent—it is tragic.

• 16 Jun 2026 · Health Bill (First sitting) · Hansard source

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  I am co-chair of the Unison group of MPs, which is linked to Managers in Partnership.

• 16 Jun 2026 · Health Bill (First sitting) · Hansard source

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  Q Dr Dash, you have explained why you believe that the changes to Healthwatch will strengthen patient responses. How do you think that could be strengthened to ensure that the levers really are being pulled for patients? That seemed to be the case. Dr Dash: There are a few different things. First, we have talked about appointing a director of patient experience. They will report directly to the chief exec of the NHS. That is crucial; it is about emphasising the importance. We are about to do the interviews for that person, so I hope they can be in post very quickly. Secondly, we are hopefully about to publish the quality strategy. Within that strategy, which has come out of the 10-year plan, we are very clear about the three dimensions of quality. Those are: safety, so ensuring that basic standards are in place; effectiveness, so making sure that patients receive the right care in the right place at the right time and it is delivered to a high standard; and, crucially, patient experience. In the quality strategy, we emphasise that all three of those are crucial. You need to have all three and all three need to be done really well. We then go on to talk about different mechanisms for improving those dimensions. Crucially, we have a set of 183 metrics, which we will review within the NHS England quality committee while it still exists, and then within the National Quality Board. We also expect every region to review those metrics, as well as others, and every ICB and provider to review the ones that are relevant to them. So the next bit is to have all those different metrics. Thirdly, we need wider transparency. There are way more than 183 different metrics and we need to have far more on patient experience. They need to be routinely collected in the same way that we do surgical audits or audits of GP work. Those all got in the public domain; that was a big element of the 10-year plan. Finally, as I said before, we need boards to take full responsibility and accountability for all aspects of quality, which includes patient experience. As I go round and meet individual hospital boards, I ask them about that. I spend quite a lot of time with chairs and new non-executive directors coming into NHS providers, and I continually emphasise, “This is a crucial area for you to focus on as a board.” What are you asking your exec colleagues? Who have you put in place as your director of patient experience within the organisation? How are you routinely collecting information from a whole spectrum of users from the whole of society? How are you doing that in a confidential way for the reasons we spoke about earlier, and then ensuring that people are acting on it? I do not think we are doing anything like enough of that, and we need to get much better and do far more of it.

• 16 Jun 2026 · Health Bill (First sitting) · Hansard source

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  Q Ms Woolnough, you have talked about the abolition of NHS England, and, as I understand it, you are dealing with what the position is rather than taking a stand. Beyond the legislation, what are the key things that we should be looking at to get the transfer of functions to ICBs and DHSC right? Sarah Woolnough : We have talked quite a lot about the culture in the NHS and whether these changes enable the sort of shift that lots of people talk about wanting. Let us be really serious about devolving power and earned autonomy, and about the balance between politicians rightly being held accountable for high-level metrics but with enough operational freedom to allow local systems—services close to people and patients—to get on and do the best for them? We have a slight concern that, even though the Carltona principle should mean that the Secretary of State will enact powers in a way that does not slow things down, because of the broad sweep of powers given back to the Secretary of State, and the quite extensive powers of direction, politicians come under extreme pressure to intervene in certain cases or when there has been a scandal or patient safety issue, and that could lead to things clogging up. Fundamentally, our worry has been—again, this goes beyond the legislation—how do you genuinely create a system where the culture is not as paternalistic as it has traditionally been, where you are empowering both staff and patients and citizens to have more say in their care, and where system leaders are not constantly looking up for permission, worried they may be held to account for quite a narrow set of metrics? Although managing money and constitutional standards is very important, if we are to deliver the 10-year plan aims and improved patient care, it is more than that. Our worry has been that the abolition of NHS England by the legislation will narrow things. We do not know, because it is broader than legislation, but how do we fundamentally shift the culture? I know that that is the Government’s intention, but it is about more than legislation. Where is the work to make that happen?

• 16 Jun 2026 · Health Bill (First sitting) · Hansard source

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  And do you think—

• 16 Jun 2026 · Health Bill (Second sitting) · Hansard source

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  Q Do you think that there are any good examples we can learn from? Sir Ciarán Devane: Yes, I do. I was in Epping recently, at St Margaret’s. I talked to the lady who runs the patient engagement: she is a volunteer and is a patient herself. They are a very good example, because they have said, “If we want to provide good services and avoid people turning up at the A&E in Harlow, we can do a neighbourhood diagnostic service.” The patient representatives got in very early. They ran some public meetings ahead of it and said, “We are thinking of doing this: what do you think? We’ll feed it back.” Everything good is happening somewhere. It is the variability that is causing the problem. We need to make sure that good practices are deployed across the sector. That has to be the expectation: if this reform, which is huge, is to deliver value, that is the value that it has to deliver.

• 16 Jun 2026 · Health Bill (Second sitting) · Hansard source

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  Q You all represent patient organisations in different ways. I would like to put this in the context of the 10-year plan and the shift to involve patients and communities in shaping services. From your patient perspective, how can we best support ICBs, local authorities and other people to drive that change for patients? James Cooper: It is key that ICBs are given that support. In the conversations that Together for Short Lives and the services we represent have with ICBs, we certainly get the sense that they want support. They want to know how much they should be funding certain services, and they want to know how to plan. A lot of guidance is already out there, particularly in children’s palliative care, where we have service specifications and NICE guidance and quality standards—there is even a legal duty to ensure that ICBs commission palliative care for children and adults. That accountability and support from the centre, and making sure that resource is there, is key.

• 16 Jun 2026 · Health Bill (Second sitting) · Hansard source

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  Q Minister, we have talked a lot today about ICBs, the local government Healthwatch and the single patient record, and we have heard some interesting comments. Can you summarise why you believe it is important that we look at this legislation now? Karin Smyth: I will come to the single patient record because I think it is a gamechanger. We have heard today from some fantastic experts about the work they are doing to identify how it might work and how we might bring patients and the public with us. Again— I do not think we should just bank this—we have not heard anybody object to it. We did have some evidence highlighting how things have gone wrong in the past. I worked at a primary care trust and clinical commissioning group at the time when care.data was brought forward. We can all point to where it has gone wrong, but nobody has said that this is not the right thing to do. That is good, but there is still a lot of detail to go through. We need to keep highlighting the benefits. We heard from Peter Prinsley about whether patients have more control—we do think this is about empowering patients. That was what we said in the 10-year plan. The 10-year plan is about empowering patients in this very large system, for which they are now paying £200 billion of their taxes. We heard from the excellent clinical panel. I defer to clinicians about what they need, both if they are dealing with chronic long-term conditions—we heard that it can sometimes take two and a half hours for an assessment—or if they are working in a busy emergency department. The fact that this is needed will be controversial. There will be a lot of questions about it and a lot of concern about privacy, data, cyber and so on. We need to hold on to those benefits, which are huge in clinical terms and for patients. Another point we heard, which is also true, is that people think this already happens. People do not understand why, when they turn up at an A&E in Whitby, as we heard, or somewhere else, and then go back to central London, the systems cannot talk to each other. For me, that is about people’s trust and belief in what is a public service. It is a really important part of that. On abolishing NHS England, I do not think anyone has come to one of my constituency surgeries and said, “Please do this,” or talked about it in great detail, but people do understand. My experience in opposition and so far in government is that MPs are perplexed when they try to intervene on behalf of patients, or to get an answer locally as to why on earth chief executives of ICBs or trusts sometimes do not respond even to a Member of Parliament’s requests for meetings. I find that shocking, but it does happen. How on earth is a patient or somebody struggling through the system expected to get a response? Getting it right is not black and white, and it is not easy to get the balance right between the Secretary of State’s democratic oversight and autonomy at a local level, but the Bill starts the process of doing that, and it is fundamentally important. Regarding the other provisions, I accept that great work has been done by many people in Healthwatch and its predecessor organisations, and by people working in the patient safety landscape, but again it is not working. I think that those bodies have been allowed to abdicate responsibility for the core role of patient experience and patient voice. That is not their homework; it is their actual job. It is not something that should be outside, and that is why I think this Bill is really important.

• 16 Jun 2026 · Health Bill (Second sitting) · Hansard source

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  Q Sir Ciarán, the 10-year health plan, which is behind a lot of this, demands that we are really ambitious in involving patients and communities in shaping the services that they need. How can we best support ICBs, local authorities and other organisations to drive that change? Sir Ciarán Devane: I go back to our having to convince people. Many people are convinced—that is probably the first thing to say. But we have to convince people of the benefit of doing this. Delivering the ambitious neighbourhood health plans that James describes will happen only if everybody is in the room and doing it. I do not necessarily think that the legislation can mandate that belief or the way to do that. However, it can set an expectation for the ICB that, in developing its plans, it should be able to demonstrate that it has engaged with the local authorities, patient organisations and the public local to it. The legislation can set an expectation that the ICB is using population evidence to make the right commissioning choices and that, if reconfigurations, which may well be locally contentious, are to happen, engagement happens beforehand. As elected Members, the Committee will know that those conversations should start early and that local populations should not just be bounced into something. It will be incumbent on the new department to set those expectations with the ICBs about the new way of working. That is the only way we are going to create an NHS that will be able to cope with the number of frail, elderly people with multiple morbidities. Those people are a consequence of the success of the NHS over decades. People are living longer with cancer; the prevalence of cancer—the number of people alive with cancer—has doubled in 20 years. But that means that there are four million people who are not necessarily well. The only way to cope with that is to make a significant and radical change to the neighbourhood health plans and bring the public with us. That will happen only with proper patient and public engagement.

• 15 Jun 2026 · New Social and Affordable Homes: Blaydon and Consett · Hansard source

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  13. What steps he is taking to build more social and affordable homes in Blaydon and Consett constituency.

• 15 Jun 2026 · New Social and Affordable Homes: Blaydon and Consett · Hansard source

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  For 14 years, the Conservatives presided over a house building crisis that locked a generation out of home ownership and left social housing in short supply. In Blaydon and Consett, my constituents have been calling for years for more social and affordable housing to be built. Will the Minister say how this Government are going the extra mile to ensure that we deliver on the calls of my constituents for more social homes?

• 11 Jun 2026 · Bus Services · Hansard source

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  13. What plans she has to work with local leaders to improve bus services.

• 11 Jun 2026 · Bus Services · Hansard source

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  People across the north-east, including in my constituency of Blaydon and Consett, have been benefiting from a £2.50 bus fare for a single journey, funded thanks to the Labour Government and Kim McGuinness, our Labour Mayor of the North East. With that fare, there have been over 100 million bus journeys and an increase in bus patronage. To build on that success, we need the national bus fare cap funding from this Government to continue. Will the Minister confirm that the Government intend to keep the £3 national cap on bus fares beyond March 2027?

• 10 Jun 2026 · Engagements · Hansard source

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  Q6. The British Standards Institution is 125 years old this year. I am proud to have been working closely with it to produce and publish BS 30480: the world’s first free standard on suicide and the workplace. The standard has now been downloaded more than 12,500 times. As we all work towards reducing the number of people who die by suicide, will the Prime Minister support more workplace adoption of the standard and work with the BSI and me to achieve that?

• 9 Jun 2026 · Suicide Prevention Strategy · Hansard source

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  4. What assessment he has made of the adequacy of progress on implementing the suicide prevention strategy for England.

• 9 Jun 2026 · Suicide Prevention Strategy · Hansard source

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  The strategy said that it would “reduce the suicide rate over the next 5 years—with initial reductions observed within half this time or sooner”. However, we have now passed the halfway point, and sadly, those initial reductions have not been achieved. What is the Government’s plan to ensure that target is achieved by the end of the strategy?

• 1 Jun 2026 · Health Bill · Hansard source

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  First of all, I very much welcome the Bill. It has been designed to deliver and work with our 10-year plan in that bigger picture. I will touch on three issues raised with me by my constituents in Blaydon and Consett. The first is the single patient record. Of course it makes absolute sense for everyone to be able to access up-to-date records when a patient is admitted. I think of the groups I have worked with who have rare conditions, for example, who find that when they are taken into a different hospital, the doctors there are unable to access the records of their specialist treatment. That is the first thing, although there is also a good deal of concern among my constituents and others about how that will be managed and brought about, and how the data will be handled and the contracts awarded. The second issue I wish to raise is Healthwatch. I understand that the Government’s real intention, through the Bill, is to strengthen the patient voice and the ability to raise issues, but there is real concern that an organisation inside the Department of Health and Social Care will not provide that independence. Will the Minister commit to looking again at how that independence can be built in and linked with the ability to pull the levers that Ministers have talked about, in order to make a real difference for patients? It is about getting that balance right. Finally, I want to talk about parity of esteem for mental health services. As we move from treatment to prevention services, we need to use this legislation to reinforce parity of esteem for mental health services, including in the ability to access them. We need to build in preventive measures and access to those mental health services. I would just like to comment on the point made by my hon. Friend the Member for Worthing West (Dr Cooper) about building public health issues into the overall health framework. We need to look at re-establishing that public mental health function within DHSC under the new arrangements, and indeed within ICBs. We need also to link this to our mental health strategy, which we are expecting in the very near future. I welcome the Bill greatly and look forward to seeing those issues addressed in Committee.

• 19 May 2026 · Topical Questions · Hansard source

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  T9. The latest Women’s Aid annual audit highlights that nearly 80% of domestic abuse survivors now face devastating tech-facilitated abuse and online stalking. How will the Ministry of Justice collaborate across Government to ensure that our courts and prosecutors are fully equipped to tackle digital violence?

• 18 May 2026 · Backing Business to Create Economic Growth · Hansard source

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  I welcome the extensive measures that this Government are taking in this King’s Speech to create and enable economic growth across the country, including in my constituency in the north-east. As we know, growth is at the heart of this Government’s agenda, and a good deal of legislation has been proposed to ensure we make the conditions right for it. Bills such as the Government’s new regulating for growth Bill will drive our economic development forward. I am also pleased to see a regulation of late payments Bill—something that small businesses have long wanted—which is an important step forward. It was welcome to hear the positive news that the IMF has increased its growth expectations, and it is pleasing to see that the priority of growth will be written into legislation. However, I ask the Minister to confirm that health and safety—a key issue for workers—will be up there with growth as a priority, driving safety for our employees. The UK’s long-term economic security depends on raising living standards in every part of the country. Places such as the north-east have been left behind for decades, and our young people deserve greater opportunities. We are already taking steps to address that through our action on child poverty—we cannot build a resilient economy without ending the opportunity crisis and ensuring every child has the best possible start in life. True economic growth requires an inclusive system in which every child can go as far as their talent and effort will take them, so we must build on the recently passed Children’s Wellbeing and Schools Act 2026 by taking further positive steps. I am pleased to see in the King’s Speech additional support for educating children with special needs. The Government will introduce the education for all Bill, which aims to transform the way in which special educational needs and disabilities are addressed. I have recently held events in my constituency to hear from some of the parents, teachers, carers and others whom that Bill will affect. I want to understand how we can help improve the lives of parents, teachers, and the young people themselves. Parents and teachers tell me about the monumental pressures they face in supporting their children and students every day. They worry that without sufficient support, opportunities for those young people will close. They are fighting an outdated and ineffective system just to get those children the support they need, which is why I am glad that the education for all Bill will reform the system and invest over £200 million in training for teachers and support staff, helping them to better understand special educational needs and inclusion, on top of other money that has been provided for capital work on schools. However, naturally, some families fear that the changes will negatively affect them. I hope that the consultation that is ending today will help the Government to improve any forthcoming legislation, ensuring that it meets the needs of parents, teachers and young people and addresses their concerns. Every child deserves the chance to succeed, regardless of their background or their needs, and inclusive education that supports children with additional needs has long-term economic benefits. I will speak briefly about the regulation of waste operators. It is time for waste operators to be regulated—many are good and reliable, but others are not using permits, and we see the results in the form of fly-tipping locally, which many of our constituents complain about. I am glad that those rules are being strengthened. Finally, I will touch on energy. In the current global context, energy security is more important than ever. The local authority in Gateshead has created a local power scheme to benefit the area, and I hope that similar community-run power schemes will be part of the Government’s agenda. I am proud to support the King’s Speech, which will continue to create the change that positively transforms ordinary people’s lives.

• 23 Apr 2026 · Business of the House · Hansard source

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  I recently had the chance to speak to air cadets at 1509 (Blaydon) Squadron, my local air training corps, where I received a good grilling on the job of an MP and on a wide range of issues affecting the cadets. They told me how they are learning practical and social skills, as well as being provided with training and outdoor pursuits by the RAF. Can we have a debate in Government time on how we can continue to build on the work of our cadet services to benefit our young people?