Luke Evans MP: speeches

Speeches

• 24 Mar 2026 · Defence · Hansard source

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  Will the Minister give way?

• 24 Mar 2026 · Endometriosis Services · Hansard source

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  Those were the words that the Minister’s colleague read out in the previous debate, but I have no gripes about the Department saying the same thing. My question is about Jess’s rule and its interaction when there is a single point of referral. There will be a rub between GPs who say that someone needs to be seen because they might have a diagnosis of endometriosis and the system saying that those patients will be bounced back. I would be grateful if the Minister could clarify what that rule will look like in practice, because endometriosis is a good example to demonstrate it.

• 24 Mar 2026 · Endometriosis Services · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Dowd. Hon. Members have share powerful and distressing stories and experiences from their constituents. They are typified by Monica and I pay tribute to her for coming here to explain her story. We must recognise the reality faced by many women and girls living with endometriosis. For too many, it means years of pain and possibly being dismissed, and it definitely means lives put on hold. From a GP’s perspective, the diagnosis is frequently delayed because symptoms overlap with other conditions such as fibroids, adenomyosis, irritable bowel syndrome, PCOS or pelvic inflammatory disease. However, this debate is really about access, and there is a risk that current changes will make access worse, not better. The hon. Member for Ipswich (Jack Abbott) is a stalwart for raising that point as a central issue. The last Government drastically increased testing. They rolled out 161 community diagnostic centres across the country, which carried out ultrasounds, MRI and CT scans, and blood tests. That has helped with diagnosis by ruling in endometriosis and, equally importantly, ruling it out. That is not to mention the elective surgical hubs, 48 of which were delivering gynaecological procedures by March 2024. Those were important steps, but capacity remains constrained. The first women’s health strategy, which committed to reducing diagnostic times for endometriosis, was also published in 2022. That strategy is now due to be renewed. In March 2026, the Women and Equalities Committee published a report from its inquiry into the menstrual health of girls and young women, which states that women’s health has not been “sufficiently prioritised” in recent proposed reforms to the healthcare system. The Government’s plan to renew the women’s health strategy is an opportunity to do so. Will the Minster confirm that those recommendations will be considered, and confirm when the renewed women’s health strategy will be published?

• 24 Mar 2026 · Endometriosis Services · Hansard source

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  I am grateful to my hon. Friend for raising her constituent’s case; Eleanor must be suffering, and the aim is to try to get more people into primary care so they can get the support that they need. That view is shared by both sides of this House and that leftward shift into primary prevention would be helpful. Access will be crucial, which is why some of the Government’s changes to that access—which I will touch on later—are concerning. Women’s health hubs were intended to improve access to care for menstrual problems. They were rolled out by the last Government with £25 million of investment and 39 out of 42 were in place. However, after Labour came in, it removed the national targets in January 2025, leading to an article from the Health Service Journal in April 2025 that stated: “Most integrated care systems lack a women’s health hub offering full services—contrary to government claims—according to research seen by HSJ.” It is not clear whether those numbers have improved and what the situation now looks like. I ask the Minister to provide any updates she has on those women’s health hubs, how they are functioning and whether they are fully operational; if she does not have that information—I know she is a new Minister—I would be happy to receive a letter on that. That leads on to Endometriosis UK pointing out that there have been shortages in trained clinicians and diagnostic specialists. We know that as we expand community diagnostic centres, that will be really important. Under the last Government, there was a workforce plan. We have heard talk of a workforce plan, but it has been delayed multiple times by the Government. I wonder whether there is a date for when that will be finalised, because it is really important. Finally, the heart of this debate is access to primary care. In a debate on endometriosis at the start of this month, the Minister for Secondary Care said: “We have introduced Jess’s rule, which requires GPs to rethink diagnoses for their patients.” —[ Official Report, 5 March 2026; Vol. 781, c. 1068WH.] That rightly encourages GPs to rethink the diagnosis and refer when needed, but at the same time, every referral will now have to be routed through advice and guidance. In effect, it is moving to a single point of access, with a system explicitly aimed at diverting a significant proportion of referrals back to GPs. The new advice and guidance are aiming for about 25% of GP referrals to be diverted back to GPs for “10 high volume specialities”—of which gynaecology will be one—meaning one in four referrals will be bounced back under the neighbourhood health framework released 17 March. On the one hand, GPs are told to refer; on the other hand, the system is designed to send those patients back, which risks patients being kept on waiting lists and away from secondary and specialist care. That really matters for endometriosis. It is a perfect test case, and the new NICE guideline is crystal clear. Recommendation 1.1.3 states: “Gynaecology services for women with suspected or confirmed endometriosis should have access to: a gynaecologist with expertise in diagnosing and managing endometriosis, including training and skills in laparoscopic surgery; a gynaecology specialist nurse with expertise in endometriosis; a multidisciplinary pain management service; a healthcare professional with an interest in gynaecological imaging and fertility services.” All those services are gatekept as secondary care. Someone might have a normal scan in primary care, primary care treatments might fail and a GP might know that they will need to be referred to a specialist—yet they will not be able to get access. Women’s waits could become longer, not shorter. I have tabled multiple parliamentary questions on advice and guidance and have received only holding answers, despite the changes coming in on 1 April. I ask the Minister three questions. First, does she accept that mandating advice and guidance risks delaying referral? Secondly, how will this system avoid conflicting with Jess’s rule? Thirdly, will GPs retain the ability to refer directly into secondary care when clinically necessary? Endometriosis is already hard enough to diagnose and treat; for patients, it is harder still. If access is to improve, the Government must set out clearly how this new system will work. If they cannot do that, they risk making access worse, rather than better—and that is something none of us wants to see.

• 23 Mar 2026 · Tobacco and Vapes Bill · Hansard source

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  I am glad the Minister has addressed many of the questions that I posed. One was about the designation of vape-free places, and I think there is consideration of what that will look like. How will the Government approach that? I would welcome it if she could at least set out the framework of what she might think about in her new role.

• 23 Mar 2026 · Tobacco and Vapes Bill · Hansard source

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  I welcome the new Minister to her place; she is stepping in and taking the Bill through this stage, like a technical finishing substitute. I, too, have been substituted for my hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson), who spent a huge amount of time going through the Bill in Committee. I place my thanks to her on the record. Because of what she did, I have not had to do it, which has been a relief. Eradicating smoking among young people is a public health priority. There may be differences in how we would achieve that, but the objective is shared by Members across the House, and we will not divide the House on the Bill tonight. There has been important common ground. As my colleague Lord Kamall said in the other place, smoking is harmful, vaping is less harmful than smoking, and not vaping is better than vaping. I think we can all agree that those principles should guide this legislation. Those principles underpinned the Bill introduced by the previous Government. Since then, it has expanded, and at times it risks losing focus on its central aim of reducing smoking, particularly among young people. The Opposition have been concerned, for example, about measures that have placed additional burdens on hospitality and retail, and about restrictions on vaping that could undermine its role as a quitting tool for adult smokers. I therefore welcome the changes made in the House of Lords and the Government’s acceptance of them. Further, the exemption of the adult mental health in-patient setting from the ban on vapes vending machines is a sensible and compassionate decision. Ministers were right to respond to concerns raised by peers, including my colleague Lord Moylan, and mental health charities, and we welcome the changes to clause 12. It is also right that local authorities will be able to retain proceeds from fixed penalty notices to support enforcement under the amendments to clause 39. However, the Bill marks not the end of the process, but simply the end of the beginning. Key questions remain, including about the regulation of flavours and descriptors, advertising, and the designation of vape-free places. Those decisions will pretty much determine whether the Bill works in practice. It is therefore essential that the Government proceed in a way that is proportionate, enforceable and sustainable. We have already seen the importance of that balance. I welcome the decision to drop proposals to extend restrictions in pub gardens, which would have placed further strain on the hospitality sector. However, Ministers should take note. Restrictions should be targeted at areas where there is a clear and significant risk to public health. Possible considerations include restrictions outside schools and playgrounds, and I gently ask the Minister to reflect that approach as further regulations are developed. The Lords also strengthened the Secretary of State’s powers in relation to cigarette filters, enabling more effective regulation of components that contribute to environmental harm. In addition, a series of technical amendments were agreed to, aimed at clarifying definitions, improving compliance mechanisms and ensuring that secondary legislation is subject to the appropriate level of parliamentary scrutiny. For example, Lords amendment 1, relating to age verification regulations under clause 1, requires the affirmative procedure to be used, increasing oversight of a core part of the Bill. Those are sensible improvements that reflect the spirit of constructive scrutiny. A key and central issue raised throughout the passage of the Bill has been the risk of unintended consequences, and particularly the growth of the illicit market. Whether we are for the Bill or against it, one concern unites us all: the black market. If regulation is too restrictive or poorly enforced, it will drive consumers away from the legal market and into illegal supply, which would undermine both public health and enforcement. The Opposition proposed an annual report on illicit tobacco and vaping activity, which the Government rejected. Given the concerns raised throughout the passage of the Bill, I would be grateful if the Minister could set out clearly how the Government will monitor and respond to changes in the illicit market. We support the broad objectives of the Bill, but we will be watching closely. Its success depends not on its intentions, but on its delivery. When it was first introduced, I spoke about my experience as a junior doctor on a respiratory ward—my first hospital job. I saw patients struggling for breath, families in distress, and moments when, despite everything, there was little more that could be done. The true test of the Bill is simple: in years ahead, fewer families should have to experience the same pain, suffering and despair. Let us hope this works.

• 18 Mar 2026 · Student Loans · Hansard source

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  Given that the Minister has just listed a great big set of problems facing students, what does he say to students when the Chancellor has said that they are not at the front of the queue?

• 18 Mar 2026 · Student Loans · Hansard source

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  Will my hon. Friend tell us more about the quality?

• 18 Mar 2026 · Student Loans · Hansard source

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  The Opposition have made the argument that 30% of courses leave people with a negative bank balance. That is the problem that we are trying to solve. We are not denigrating anyone for wanting to choose; this is about ensuring that the quality of the course means that people have a positive life outcome, not a negative one. Does the Minister agree with that principle?

• 18 Mar 2026 · Student Loans · Hansard source

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  The hon. Member is absolutely right. I expect his constituent will be shocked to hear that this is not a priority for the Government. It is unfair, which is why the Opposition at least tried to put up a solution. I was expecting the Government to turn around and say why it does not work, and perhaps offer us something different. That is what the public and his constituent want to hear, and certainly what mine do. The Chancellor went on to say: “If you say to me, ‘you shouldn’t have done child poverty and you should have reformed the student loan system,’ I just strongly disagree with that.” Actually, that is very honest. I give her credit for that, but look at the wider context and what that means for younger people. As we have heard, unemployment in the UK is at its highest since 2021, and since 2015 for those aged 16 to 24. UK youth unemployment, for the first time ever, is above the European average. Let that sink in. As I said to my right hon. Friend the Member for Sevenoaks (Laura Trott), 257,000 people left the UK last year when it was expected to be 77,000, and three quarters of them were under the age of 35. Those people will not be recorded among the number of young people who are not in employment, education or training because NEET numbers are not calculated to include such cases. So not only do we have youth employment going up, but herds of young people are moving elsewhere. That is a tragedy for our economy and for those young people, because they are having to look elsewhere to find work, the lifestyle they want and their place in the world. To me, that is really sad. What is the Government’s solution? They have already increased taxes on businesses, introduced more red tape and seen youth unemployment go up, and they have said to businesses, “Do you know what we are going to do? We are going to give you £3,000 to rehire the person who lost their job.” They have created a hole and they are now trying to fill it themselves, but they are only filling it halfway. The Conservatives have set out a solution in the document that we have brought forward. Agreed, it does not fully cover the entire student loan system, and I agree with my hon. Friends that the whole approach needs to be carefully looked at, but at least the Conservatives are offering solutions and have time to develop them. The Government are having meetings and talking, but I see no solutions, and that is a shame.

• 18 Mar 2026 · Student Loans · Hansard source

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  I have said this in the House before, but I will say it again: this is a Prime Minister who promised change and then changed his promise. On this subject, we only have to look at his 10-point plan from 2020. He said: “My promise to you is that I will maintain our radical values and work tirelessly to get Labour in to power—so that we can advance the interests of the people our party was created to serve. Based on the moral case for socialism, here is where I stand.” In point 2, he said: “Support the abolition of tuition fees and invest in lifelong learning.” He was right that Labour won a landslide election, but, strangely enough, that promise has gone.

• 18 Mar 2026 · Student Loans · Hansard source

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  Exactly. It was not in the manifesto, and the Prime Minister made a promise. He made a promise when he stood to be Labour leader, and it was not there. Worse still, what did he do in his first Budget? He increased student fees from £9,250 to £9,535. And last year, he froze the thresholds. That is important, because he promised one thing and then changed his promise. When it comes to student loans, we have heard a lot of tittle-tattle on both sides of the House, but all parties—including the Liberal Democrats, wherever they happen to be—have a responsibility. In 1998, it was Tony Blair who brought forward tuition fees. He then increased them in 2004. Then there was an increase in the coalition years, which the Liberal Democrats stood on an election manifesto not to do. And here we are now, having just been over what the Labour Government said they were going to do and now have done. Does it really matter? Yes, there was an issue hidden in the plan 2 student loan, but it has come to fruition because of what we have seen across the globe. I do not think anyone was raising those concerns back then, but the Government have to deal with things that come up. That is what we are looking for today. That is what students outside this place will be listening for. Two years in, what is the solution? At the end of the day, it is the middle earners who are being squeezed. It is unfair, because no matter how hard they work, their debt is going up. Principally, regardless of our political position, I think we all agree that is unfair. The question is how we solve it. When the Chancellor was asked that question, she said: “So, yes, we want to fix it. Yes, we want to make improvements. But is it front of the queue? No, it’s not... Politics is about priorities. I’m not denying there is a problem. I’m not blind to that, but what I do say is there has to be some patience.” Tell that to the hon. Member for Kettering (Rosie Wrighting) or the people from Hinckley and Bosworth whose debt, no matter what they do or how hard they earn, is going up.

• 18 Mar 2026 · Student Loans · Hansard source

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  As a doctor, I was lucky enough to have funding to go towards my education, but I am always surprised to hear people saying that we should put more funding into students on the back of the porters and the receptionists who never went to university. It is those people’s taxes that are supporting those students—that 50% helped to get me where I am. What does the hon. Gentleman say to people like those in his community? They are the ones who are being left behind by paying their taxes for other people to have their time at university.

• 18 Mar 2026 · Student Loans · Hansard source

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  Is my right hon. friend also concerned by the fact that, last year, the Office for National Statistics said that 257,000 people left the UK, up from an expected 77,000? Three quarters of those people were under the age of 35. That shows that young people are fleeing this country to look elsewhere for work. Does she share my concern that that is the case?

• 18 Mar 2026 · Fuel Duty · Hansard source

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  That is good to hear. As it is under review, it sounds as if, should there be a change, the Government would look to support the British public, and I support that. Is there some kind of framework that the Government are using to make this decision? Is there a trigger point on fuel prices, or on how long petrol prices remain at that level? This relates to the previous question about budgeting. Are the Government using triggers, or is it just finger in the air and wait and see what happens?

• 18 Mar 2026 · Fuel Duty · Hansard source

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  It would be remiss of me not to point out that in July the price cap will be reviewed. Does my hon. Friend agree that there is a decent chance, given what is happening in Iran, that we may well see an increase in energy bills anyway?

• 18 Mar 2026 · Fuel Duty · Hansard source

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  Forgive me; I would be happy to give way again if the hon. Gentleman knows what the value was at that point. I do not know what it was because at the time I was working in the Energy Department trying to help support those households who were struggling and suffering, particularly those who lived in caravan parks, static homes and canal boats, who are off-grid and suffered by the very nature of where they got their fuel. He is right to say that we have to take this in the round. I have heard the Chancellor say that multiple times. How long will this go on? The decision is under consideration. I am not asking about when the decision is made or how to make that decision. This is more about understanding at what point we make those decisions and when the Chancellor decides that it is the right time to step in. It may well be that that decision was too late and that lessons could be learned. How do we know? That is the question I am posing to civil servants and this Government, because the hon. Gentleman’s party is now in charge of setting that out and deciding when is too long and when is too late. I would argue that the current payment of £53 million is not enough for my constituents. Many of them will not benefit, because they will not be covered by the resilience fund. What the Government have done under the resilience fund—formerly the household support fund—is simply delegate the decision making to councils. Under the previous Government, when we were in charge, we chose not to do that because we wanted to support everyone who was struggling. It is this Government’s job to set out why they are not going to do that. I would argue that keeping the fuel duty rise in September will create a terribly difficult time for any of us who drive cars or run a business that uses vehicles. Let us not forget that the energy price cap will change in July. The Government have rightly said that it is frozen until then, but the impact on prices will not come through the system until July, so we might well see prices and the price cap rise very quickly in July just as the fuel duty is about to come in in September. We are back to the point made by the knight of the realm, my hon. Friend the Member for Bridgwater (Sir Ashley Fox) about this toxic concoction of everything happening at once. I urge the Government to be aware of that and to set out the trigger points and the framework.

• 18 Mar 2026 · Fuel Duty · Hansard source

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  On a point of order, Madam Deputy Speaker. I am grateful for the chance to make a point of order about the intervention made by the hon. Member for Cowdenbeath and Kirkcaldy (Melanie Ward). She labelled the Conservative Benches “the manosphere”. Do you, Madam Deputy Speaker, think that it is suitable to use sex as a pejorative just because there happen to be only male Members sitting on the Conservatives Benches at this point in the debate? I would envisage it being a problem if I used such a term the opposite way to label only females sitting on the Labour Benches.

• 18 Mar 2026 · Fuel Duty · Hansard source

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  The best way to decide how someone is going to behave in the future is to look at their past habits: we froze fuel duty for 15 years, and when a crisis hit in 2022 we reduced it. That is exactly the point that I was trying to make when the hon. Lady intervened. The Government have come up with a plan that is a talking shop and not doing anything. In response to the situation in Iran, they have simply reannounced what was in the Budget and further conversations with the CMA and the heating oil firms to work out whether they should or should not do something. That is precisely the point I am making: the rhetoric from the Government was “We are going to go for growth” but they then put in place some anti-growth policies, whereas now the cost of living is the No. 1 priority, but they are simply talking about that and making things worse.

• 18 Mar 2026 · Fuel Duty · Hansard source

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  I come here today with a mission. Unfortunately, for the past two years I have not followed closely enough the Labour party’s position on what the Government want to deliver. I have lost track of whether we are talking about pillars, aims, priorities, staging points, milestones or foundations, but at the start of the year the latest reinvention was a mission focused on the cost of living. That was a slight change from when the Government first took office, because their main aim and their No. 1 priority at that point was to go for growth. Alas, as we have seen, that is not happening—the last figures say growth is 0%. What is more, it was evident that all the Government policies that were being put in place were actually anti-growth, as we are starting to see.

• 18 Mar 2026 · Fuel Duty · Hansard source

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  Fourteen years!

• 18 Mar 2026 · Fuel Duty · Hansard source

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  The Minister is right to talk about de-escalation and look to the international side, but, as I raised in my speech, there are domestic factors at play here too. What are the Government doing to set out a timeline to make these decisions and assess their implications so that the country can plan around what may or may not be going on? We do not know how long this will go on. What points are the Government looking at to make and inform their decisions?

• 18 Mar 2026 · Fuel Duty · Hansard source

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  On a point of order, Madam Deputy Speaker.

• 18 Mar 2026 · Fuel Duty · Hansard source

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  The tourist tax!

• 18 Mar 2026 · Fuel Duty · Hansard source

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  I am grateful to the hon. Lady for pointing that out because I was the energy PPS in the Home Office at that time, so I saw exactly how that worked, what it looked like and how difficult it is to put measures in place. Let me remind her that the Conservatives made a £200 unconditional payment to anyone who could claim that they were living off grid. That is a stark difference from this Government, who have put aside £53 million for the 1.5 million people across the entire nation who use heating oil because they live off grid—£35 per person. The Government have ringfenced that money, so it will only be available to the houses that are hardest hit, meaning that most households will not get any payment at all. That is the exactly the point I am trying to make: the Government talk a good game, but when it comes to delivery, they are not doing what they say.