Luke Evans MP: speeches 2025
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Speeches
- 4 Nov 2025 · Welfare Spending · Hansard source
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One of the concerns I have when we discuss mental health in this place is the confusion between mental health and mental wellbeing. Everyone has mental wellbeing challenges—we saw that in the pandemic—but not everyone has a mental health issue. It is absolutely normal, for example, to get very anxious going to a driving test; it is not normal to have that response going to the supermarket. Those two things need different responses and different treatment; some might need support and help into the workforce, while medical support is needed for those with serious mental health issues. Does my hon. Friend agree that it is so important that we acknowledge this discrepancy when we debate the issue, to ensure that we get the policies right for both the patient and the taxpayer?
- 4 Nov 2025 · Welfare Spending · Hansard source
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The Minister mentioned WorkWell, which is a fantastic scheme introduced in 2023 that dealt with 59,000 people through £64 million of Conservative Government investment. I am glad that the Government are taking that forward and looking to expand it. My concern as a GP is about trying to get more people on the premises. Where will the work coaches go when premises do not have the space? That delivery is really important. Will he explain what has happened from the pilots to where we are now and how this will be taken forward?
- 4 Nov 2025 · Welfare Spending · Hansard source
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It was the Conservative Government who brought in the mental health investment standard to ensure parity for mental health. It is this Government who made the capital cut the hon. Gentleman mentions, and who are not meeting the standard. I am intrigued; why does he think that there is so much difficulty understanding that, and why are the Labour Government making cuts to mental health payments?
- 4 Nov 2025 · Welfare Spending · Hansard source
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Will the Minister give way?
- 30 Oct 2025 · Business of the House · Hansard source
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Might we have a debate in Government time on mid-contract mobile phone bill increases, which is a concern I have been raising for a long time? I was pleased to welcome Ofcom’s changes at the start of the year, but it seems that companies such as O2 are finding new ways around them and increasing bills by 40%. That is shocking when done mid-contract, as customers are not aware of the increases. People can cancel their contracts but are not aware of the problem. A debate would allow us to make the public aware that this is going on and look for solutions.
- 30 Oct 2025 · Ageing and End-of-life Care · Hansard source
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Given the recent National Audit Office report and the fact that the tax increase to national insurance contributions has had the biggest impact on the voluntary sector, has an impact assessment been carried out into how much the cost has gone up for hospices in England to provide their services? If not, will the Minister consider it?
- 30 Oct 2025 · Ageing and End-of-life Care · Hansard source
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Will the Minister give way?
- 30 Oct 2025 · Ageing and End-of-life Care · Hansard source
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I yet again thank the hon. Member for Strangford (Jim Shannon). He should be proud of Mona Shannon, and she will be proud of him not just for raising this topic today, but for all the work he does across this House talking about health, because he is assiduous and dedicated to timely health interventions, and that should be applauded across the House and this nation. I am indebted to him for securing this debate. In the hon. Member’s speech, he mentioned who he had spoken to. I, too, have met the organisations Sue Ryder and Marie Curie, including at party conference, and I have met many other organisations, including LOROS and Rainbows, that cover my area. When I saw the title “Ageing Community” for this debate, I must admit that I thought the hon. Member should have applied for a five-day debate, considering what we could cover. I also notice the expertise in this debate. We have a secondary care surgeon, someone with public health experience at the back and me as a GP. It is turning into a multidisciplinary team, and there is a lot to unpack, whether it is prevention, mitigation, healthy lifestyles or looking at the best examples across the world. I recently travelled to Japan and Korea and saw how they look after their elderly and their approach to the lifestyle of the elderly. There is a lot to be learned out there, as across the world we all grapple with an ageing population. There are other topics that we could talk about, and some were touched on. On social care, it is a shame that there has been a change from cross-party talks to an independent commission. I note that Baroness Casey is being taken back to the Home Office, which means she is spread thinly. There is a wider debate to be had on social care, which is: what do the British public actually want? Often we look at the Scandinavian model, but say that we do not want to pay the taxes for it. We want the household or family approach, like the Bangladeshi or Pakistani model, but we certainly do not actually want grandma or grandpa coming to stay with us and we want to stay working. Therein lies the problem in British culture. We are not 100% sure what we want when we cross over from the NHS into social care, and we are not sure how to provide it. Some hard evidence of policies on an ageing community has been talked about, and unfortunately I have to raise the issue of winter fuel. In the Government’s analysis when they took away winter fuel payments—despite all the warnings—they knew that it would put 50,000 people into absolute poverty and 100,000 people into relative poverty. We can contrast that with the Opposition and our recent announcement on stamp duty. Jackson-Stops estimates that in the first year alone, up to 500,000 people above the age of 55 would consider downsizing because of that policy. I do not call that downsizing, as we heard in the debate on stamp duty—it is right-sizing, because it gives a real chance not only for more families to go upwards, but for people to move into more appropriate accommodation as they age. There is a lot to be said in the debate about an ageing population, as the hon. Member for Shipley (Anna Dixon) pointed out, but I will focus my comments on the three questions that I think I caught from the hon. Member for Strangford: the assessment of the need for a national strategy for palliative care; what the Government are doing to ensure that palliative care is included in neighbourhood health centres; and the progress being made on 24-hour support. I will start with the national strategy and funding, and let us give credit to the Government where it is due. When it comes to children’s hospice funding, they have continued the payment and extended it, which is welcome, although it does not offer enough mitigation for national insurance contributions. The Government will say that when it comes to adult funding, they have given £100 million. That is capital funding, though, and as one hospice worker put it to me, there is no point in having new curtains and a lick of paint if there are no staff. As the Liberal Democrats pointed out, the National Audit Office report on the hospice sector that came out only yesterday states: “DHSC and NHS England do not know what proportion of the total amount of palliative and end-of-life care provided in England is delivered by the independent adult hospice sector, and therefore how reliant they are on the sector”, or what the real impact of Government funding is. It continues: “In 2024-25, 11 independent adult hospices in England reported service reductions or staff redundancies, and other hospices announced plans to reduce services, in response to reduced income or increased costs. Cuts appear to be across all types of services offered by hospices. Most hospices reported the increase in the costs of service delivery within the palliative and end-of-life care sector as being the primary reason for service reductions…Six hospices have been designated by ICBs as ‘commissioner requested services’, a mechanism to forewarn ICBs of potential difficulties with services that, should they discontinue, would have significant impact on the local population”. Hospice UK responded to that, saying: “unfortunately the whole hospice sector is…struggling, just as demand for their services is rising. Surging costs mean 2 in 5 English hospices are planning cuts this year, and 20% ended last year with a deficit of over £1m.” What does that actually look like in real life? In my area, LOROS is facing a deficit of £2 million. It has already had to reduce its in-patient capacity from 31 to 20 beds, and it is reducing its day therapy and cutting its physiotherapy, occupational therapy, social work, chaplaincy and complementary therapies, and closing the volunteer home-visiting service. It is not just my region that is affected: a cursory look at Hansard will show that the Kirkwood hospice in Kirklees has made 19 redundancies; the Ashgate hospice in Derbyshire has 52 jobs at risk, with beds cut from 21 to 15; St Catherine’s hospice in West Sussex is looking at 40 job cuts, with half of its new rooms being mothballed; Weston Hospicecare—highlighted both here today by the hon. Member for Weston-super-Mare (Dan Aldridge), and by others, including my hon. Friend the Member for Bridgwater (Sir Ashley Fox) at other times—faces an increased national insurance bill of £139,000; the Arthur Rank hospice in Cambridgeshire is losing £829,000, which is forcing the closure of nine beds, 40% of its capacity; and Marie Curie has pointed out that its national insurance contribution costs have risen by £2.9 million. Through all this, we have still never heard whether the Health team knew that this was going to happen and chose to push it through, or whether it was simply an oversight when it came to challenging the Treasury. Ever since the Budget, we have never heard an answer to that. At the time of the Budget, the CEO of Marie Curie, Matthew Reed, said: “The Health Secretary himself has acknowledged that palliative and end of life care is not good enough, so we are shocked by the lack of measures in the budget to fix it. Palliative care needs are projected to rise by 25% over the next 25 years, around 147,000 more people each year, yet this government lacks a strategy to tackle the magnitude of this challenge.” Have the Government made an assessment of how much the NICs increase has impacted the hospice sector? As has been mentioned, Together for Short Lives estimates that the average hospice is facing a bill of about £133,000. I raised a lot of these questions in a debate in January, and the Minister for Care kindly wrote to me in response. It is not just about the financial side; we are looking at the structural aspect too. He wrote: “As you are aware, integrated care boards…are responsible for the commissioning of palliative and end-of-life care services to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. In addition, the National Institute for Health and Care Excellence…has published quality standards and guidelines to support commissioners to carry out this duty. While the NICE guidelines are not legally binding, they act as a regulatory benchmark for best practice in palliative and end-of-life care…Whilst the majority of palliative and end-of-life care is provided by NHS staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.” So there is a grey area about where hospices are covered, and that fits in with the NAO report.
- 30 Oct 2025 · Ageing and End-of-life Care · Hansard source
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The hon. Lady is spot on; that is exactly the point that I was getting at. While there is a legal duty in terms of palliation, what that palliation looks like is important. Her question was also raised by the hon. Member for Strangford, who asked whether it is now time to have a strategy dedicated to palliative care, given the rise in demand. The letter goes on to say: “Charitable hospices are autonomous organisations that provide a range of services that go beyond that which statutory services are legally required to provide. Consequently, the funding arrangements reflect this.” We are in a grey area, and a palliative care strategy could well be a way to unlock this problem. I will be interested to hear what the Government have to say on this issue. However, it is not just about finances and commissioning; it is also about the workforce. That is partly addressed in the letter: “As set out above, we have committed to develop a ten-year plan to deliver an NHS fit for the future. This summer, we will publish a refreshed NHS long-term workforce plan to deliver the transformed health service we will build over the next decade so that patients can be treated on time again.” By my calculations, we are coming up to Halloween and even bonfire night, and we still have not seen a workforce plan. My question to the Government is: when are we likely to see that? That leads me on to my next point: how do the Government intend to ensure that palliative care specialists are included in neighbourhood health centres? The 10-year plan is laudable, and I think there is agreement across the political spectrum on its contents, but the one thing it is missing is a delivery chapter. How are we going to do it? The shift is correct, but we do not know how we are going to get there, so I would be grateful if the Minister could address that. The 10-year plan explicitly talks about public-private partnerships, and there is concern on both sides of the House that we could see PFI mark 2. If Members need to have their memory jogged, private finance initiatives brought in £13 billion to build hospitals and services, but at a cost of £80 billion to taxpayers. Why does this all matter? In my last few moments, I will turn to the final question that was posed by the hon. Member for Strangford, which was about access to 24-hour support. I will quickly read out a couple of comments from one of my constituents, whose husband Mat sadly passed away from a brain tumour. She highlights this issue: “During the day, the support was outstanding because I could call the community nurses and the palliative nurses, and they would always call me straight back. They would visit Mat daily to administer the medications needed in his syringe drivers. They were kind, caring and so supportive to us and our family. The night times were different and frightening. Often during the night when I was trying to get support, he could see how scared and stressed I was, which made him more scared, often telling me he was okay just to try and not make me worry. Every night I used to be thinking what might happen tonight—will Mat have another seizure? Will he be in so much pain again? Will they call me back if I need support? How long will it take to get help to arrive?” Marie Curie points out that only seven of the 42 ICBs in England have a single point of access. I raised this issue with the Minister in a letter in August, and he kindly responded in September. He pointed out that integrated care boards must commission on this basis. There is NICE guidance on “End of life care for adults”, under quality standard 13, and on “End of life care for adults: service delivery”, under NICE guideline 142, which talks about the fact that there should be some form of 24-hour care, but at no point did the letter address the issue of the phoneline. When I asked the Department about data, I was told in a letter: “Regarding data about palliative care helplines, such as average waiting/response times, the Department does not collect or hold this information.” Will the Minister look at that and consider whether the Department should hold such information? The letter went on to say: “We recognise that more could be done to support the palliative and end-of-life care sector. I have tasked officials within the Department and at NHS England to look at how improving the access, quality and sustainability of all-age palliative and end-of-life care to ensure that their proposals are in line with the ten-year plan.” I would be grateful if the Minister could ask the Minister responsible whether there is indeed an update and what that looks like. At the end of the day, we are concerned not necessarily about inputs, but much more about outputs. We know that death is certain for us all; only our willingness to face it seems optional. This is very much a British mentality, and I believe we need to change that when it comes to talking about death and our mortality. We need to speak more openly and candidly about what an ageing population looks like, for that is what we are. That is why the hon. Member for Strangford brought forward this debate, and he reminds us that we chase the days ahead while never quite noticing how swiftly they turn into years behind us. That leads me to reflect on the fact that, as politicians and as a society, we build a world to live longer, yet we all too easily forget to ask: how do we want to grow old?
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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Does my right hon. Friend agree that that is compounded by the Government’s position on spending reductions? We saw that on the Floor of the House, when the one attempt to make spending reductions was gutted mid-discussion, with proposals being pulled from a Bill that dealt with welfare. Therefore, the Government will not make any spending cuts either, which does not leave much else bar borrowing, in my estimation.
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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A really important issue, especially for elderly people who are caught in a large home, is social care. We need to make sure that healthcare and support is there as people get older. If they find themselves trapped in a large house, how do we make sure that it is modified? That has an additional cost, which is often lost. Does my hon. Friend agree that freeing up such people to move offers them the benefit of saving money?
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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My hon. Friend is making an excellent speech. Does he agree that when supply is tight, if we allow people to move more easily, the right people will be in the homes that are right for their time of life? An elderly couple in a five-bedroom house will make the choice to downsize, while a family can upsize to the right house. When supply is tight, that fits much better for us as a society.
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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My hon. Friend makes an excellent point. One of the biggest concerns I have is that the Government have taken away the funding for neighbourhood plans. We know that neighbourhood plans give villages their say in where planned housing goes, but more importantly they deliver more housing. Does he believe it is short-sighted to take away that funding, which will compound the problem he is talking about—he is discussing the aspect of style and design—of getting communities to take on extra housing?
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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The Liberal Democrat spokesperson is making some excellent points. Will she therefore support the motion?
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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The hon. Lady may recall that it was a Labour Secretary of State who removed the word “beautiful” from the national planning policy framework. How does she expect to have those beautiful designs if that has been taken away as a standard within the guidance that her Government provided?
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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Another term for austerity is “living within your means”. That is what the British public understand, and that is the point we are trying to make in this debate. When the Government have needed to make difficult decisions, they have fallen short. Can the Minister explain why the Government are not living within their means?
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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Pretzel-like.
- 28 Oct 2025 · Stamp Duty Land Tax · Hansard source
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Is my right hon. Friend aware of the study by Jackson-Stops, which looked at people aged 55 and over to see how much abolishing stamp duty would help to move the market along? The study estimated that in the first year, abolishing the tax would allow 500,000 people to downsize to free up homes for families, and in the second year, 1.4 million. Stamp duty is a real blocker. Does he agree that that study shows the power of this policy?
- 28 Oct 2025 · China Spying Case · Hansard source
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To repeat the quote we heard earlier, we need to walk and chew gum at the same time. It is easy to call China a threat, but still to engage. That is exactly what the Chinese Government do to us: they say, “We’re embarrassed. We’re upset. You promised us something”, and we just say, “Oh, I’m terribly sorry about that.” We could stand up for ourselves and say what we think. Let us not forget that we are in a trade deficit with China; it is economically in China’s interest to be working with us, as much as it is in our interest to be working with China. My worry, though, is that the public are joining dots. The Government will say that there are no dots to be joined, but the longer this goes on and the more incidents come out, it becomes harder to make that argument. That brings us full circle to where I started, because this is about transparency and releasing the documentation.
- 28 Oct 2025 · China Spying Case · Hansard source
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Absolutely. Not only have the Government not done anything with the case, there are wider debates that could take place—about what legislation needs to change and other measures that could be included in the Budget, for example.
- 28 Oct 2025 · China Spying Case · Hansard source
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The real threat to our security is not necessarily what others do in the shadows; it is what one’s own Government hide from the light. That is the essence of what we are trying to get to in the motion before us—we are asking the Government to publish the papers. Let me take a step back from this issue to look at the way in which the public will perceive it. This is the biggest spy story in this country’s history, at least in this century. We can get into the tit-for-tat about what the PM did or did not know, whether the National Security Adviser speaks to his deputy or not, who told the deputy National Security Adviser that he needs to toe the Government line, and how the Labour manifesto got into the witness statements, but I want to concentrate more on the bigger picture. My right hon. Friend the Member for Chingford and Woodford Green (Sir Iain Duncan Smith) rightly pointed out the behaviour of the Government. The Prime Minister could have sorted this out by coming to the House and speaking about this topic. He could have laid it all out and put it all forward. The only thing we have had has been a statement before Prime Minister’s questions. Of course, we Back Benchers cannot ask questions after such statements—there is no way for us to do so. If the Government are so angry, why is more action not being taken? Why are people not being fired, and why are we still having this debate several weeks on if all the information is so crystal clear that this House can move on? I am worried that this is a pattern of behaviour with the Prime Minister, because we saw this with the ambassador. The Prime Minister was the decision maker on that issue, but he did not come to this House; he sent one of his Ministers. I expect that the retort from Labour Members will be, “It was always thus”, but the reason this saddens me so much is that the Prime Minister is being judged by the standard that he set. He said that he would do things differently, but he is not. He is not coming to the House to explain when he could do so. We know that the information and the decisions rest with him. When I pushed the Minister, the hon. Member for Barnsley North (Dan Jarvis), about leadership last time, that was not directed at him—I have a great deal of respect for him. He is following the leadership of the Prime Minister, who has not come to this House to explain what is going on. If this issue is as clearcut as Labour Members have said, that would be an easy case to make and this House would believe the Prime Minister, but we are not there. That is why I worry, because it leads to a wider debate and wider concerns among the public about whether something is going on.
- 28 Oct 2025 · China Spying Case · Hansard source
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The Minister is making a powerful point about the active threat. At this point in time, do the Government perceive China to be an active threat?
- 28 Oct 2025 · China Spying Case · Hansard source
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I feel I am being misquoted, because I have simply asked for all this to be resolved by publishing the information. The Government could come out and say that China is a threat. I have also said that we can call it a threat and work economically with the Chinese. That is what I hope will happen. [ Interruption. ] I will finish at that point.
- 28 Oct 2025 · China Spying Case · Hansard source
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My right hon. Friend is absolutely spot on. It is because of these unprecedented facts that I would expect the Prime Minister to come forward and provide answers, not send a Minister in his place.
- 28 Oct 2025 · China Spying Case · Hansard source
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Tony Blair was Prime Minister for a very long time. Did he amend the legislation?
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