Mark Francois MP: speeches

Speeches

• 2 Jul 2026 · Heart Disease and Stroke: Premature Deaths · Hansard source

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  Yes—don’t tell my wife! I thank the Minister very much for what she says about Olivia, her colleagues and all the others who work in the NHS in that field. I will chance my arm and say that they are based about an hour from London; if ever the Minister had time to pop along and see what they do in person, I think she would be both very welcome and incredibly impressed.

• 2 Jul 2026 · Heart Disease and Stroke: Premature Deaths · Hansard source

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  For many years, stroke units have had access to thrombolysis—or “the shot”, as it is known in the trade. However, that is a very rough way of doing it, and it can have side effects and impede a patient’s recovery. Mechanical thrombectomy is a far more accurate way of solving a stroke problem, and with far less risk of subsequent side effects. That is why we are so keen to see its use grow, and I second my right hon. Friend’s request to the Minister.

• 2 Jul 2026 · Heart Disease and Stroke: Premature Deaths · Hansard source

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  It is a pleasure to speak in this important debate about preventing premature death from heart disease and stroke. I congratulate the hon. Member for South Ribble (Mr Foster) on securing the debate and introducing it so ably. It is courageous of him to talk about the medical challenges that he has faced, and I am sure that the whole House wishes him the very best of luck on his journey. It is also nice to be with him in Westminster Hall, having spent five months debating with him in the Armed Forces Bill Committee. Stockholm syndrome kicked in, and we even started to like each other by the end, so it is doubly pleasurable to follow him in this debate. It is great to see the shadow Health Secretary, my right hon. Friend the Member for Daventry (Stuart Andrew)—a man I have always respected—in his place, and to see the Minister, whom I also respect. I have bumped into her in the Portcullis House lifts many times down the years, and it is wonderful to see her in a ministerial position. I wish to declare two interests. First, I am a long-time supporter of the British Heart Foundation, which does great work to research heart disease and improve the technology and techniques to combat what is still, I am sad to say, one of Britain’s greatest killers. I pay tribute to that wonderful charity. I also wish to pay tribute to my wife Olivia, who has worked in the NHS for some two decades now, and who revels in the title of lead neurointerventional radiographer. That is a bit of a mouthful, but if someone has a stroke, she is the girl they need. I say that because she works in the specialist neurointerventional radiography department at Queen’s hospital in east London. As the Minister will no doubt know, there are 26 specialist units around the country, and her team at Queen’s is very ably led by Mr Tufail Patankar, an internationally recognised surgeon and an absolute expert in his field. He has built up that team over time at Queen’s, and, from what I hear, he leads it very well indeed. The technique that the team uses is called mechanical thrombectomy. It is an emergency procedure for treating acute-onset stroke caused by a blood clot blocking a large artery in the brain—that is effectively what a stroke is. During the procedure, the interventionist neuroradiologist —the surgeon—passes a thin tube through an artery. It usually enters the body through either the groin or the wrist, goes up into the brain, finds the blocked blood vessel and then extracts the clot, which can sometimes be a couple of millimetres long—not an easy target to find. When it is withdrawn, blood flow is restored to the affected area of the brain, helping to reduce permanent disability, particularly if the procedure is performed quickly. The department has a mnemonic: “Time means brain”—the quicker the operation can be performed, the more damage is averted and the greater the likelihood of recovery without complications. This was, admittedly, an exceptional case, but the team performed one of those operations on a man in his 20s within 90 minutes of the stroke occurring. He lived locally, and he basically walked out of the hospital a few hours after the stroke none the worse. That is what that relatively new technique can achieve. As the radiographer, my wife guides the surgeon to the target. I call her the “bomb-aimer”. Last year, Queen’s had a “bring your hubby to work” day, and I was taken to work. The hospital has two operating theatres back to back, with an observation area in the middle, so we could stand there and watch the operation taking place on a large screen. We could see the instrument going up into the brain towards the clot, at which point it attached itself to the clot and withdrew it. I have to say that it was not for the faint-hearted; I was there with the hon. Member for Romford (Andrew Rosindell), and we stuck it out and saw the whole thing. It is a very odd procedure to watch, because the patient is lying anaesthetised on the operating table. One would think that all the activity happens around their head, but it does not. The surgeon stands by their groin, where they have gone in, and then uses a very fine guiding device—almost like a gaming console—to control the instrument, taking their lead from the image on the screen that is provided by my wife, the bomb aimer. That is how it works. Last year, the department at Queen’s performed something like 300 of those operations. It operates 24/7, so over the weekend the staff are on a cover rota, or on call, as they say in the NHS. If my wife is at home and the bat-phone—as I call it—goes, she has an hour to get from our home to Queen’s, get scrubbed up, fire up all the equipment and be ready to receive the patients, some of whom may be coming from as far as Norwich and some of whom arrive by air ambulance. When the bat-phone goes, there is no time to grab a cup of tea and a slice of toast; she is in the car and gone. Can I just say that the sooner they finally sort out the chronic mess at Gallows Corner, the quicker and easier that journey will become? But I digress. There are only 25 hospitals in the country that perform the procedure. The reach of the department covers Essex and goes out some way into East Anglia, at which point it hands over to Addenbrooke’s in Cambridge. The department also has friendly rivals who do the procedure at the Royal London hospital in Whitechapel, which tends to cover Kent and south London, but that is on a rota. When the Royal London is off for a given week and Queen’s covers all the areas, it is responsible for a potential patient population of over 5 million. That is a tremendous responsibility, which is why we obviously need to have 24/7 cover. The service is also growing. Anecdotally, I can say that the bat phone rings more than it used to. On one level that is a good thing, because the technology is advancing all the time and patients can now be treated who could not have been treated a few years ago. However, that obviously puts pressure on Olivia, Dr Patankar and the team. I will make a plea to the Minister, if I may. I understand that the Government are evolving their strategy for stroke, as part of the 10-year plan for the NHS. Olivia and her team are keen to see that work evolve, but they are particularly keen to know what role there is for mechanical thrombectomy in the overall strategy. I have literally seen it at work for myself. It is a wonderful, lifesaving technology and technique that the NHS has been doing for barely a decade, and we are getting better and better at it all the time. I pay tribute to the team at Queen’s, as well as all the other teams that do this work around the country, including, for the record, at the Royal London. Most of all—I hope the House will forgive my indulgence—I pay tribute to my wife. Being a Member of Parliament can sometimes be a time commitment, but being the husband of a woman who does this work can be a bit of a time commitment, too. Sometimes, when we are making plans to see people or go to dinner parties, I am not the long pole in the tent. I am very proud of what she does, I am very proud of what her team do, I am very proud of what all the people who work at Queen’s do and I am very proud of the national health service. For the record, I am also proud of the stroke unit at Southend hospital, which provides a very good service, although it does not do mechanical thrombectomy; it defers to Queen’s on that. Well done to everyone who works in this area. I thank the House for its patience and indulgence. God bless all the people who work to save lives from stroke.

• 2 Jun 2026 · Armed Forces Bill · Hansard source

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  I do not want to pre-empt what will no doubt be an erudite speech, but the key point is that there is a mechanism for doing this—we are halfway there. If service parents get a transfer order a few months in advance, then unless they can be certain that the receiving LEA will accept their EHCP, which they may have gone through a bureaucratic minefield to achieve—I am sure we all have individual examples from our constituencies—are they going to risk it? Will they stick or twist? Or will they leave the service and try to find somewhere local to live, but at least keep the precious EHCP? The nub of the matter is whether we can make it mandatory that the transfer takes place. Having made the point, I will rest, and wait for the contribution from the hon. Member for Leyton and Wanstead (Mr Bailey). Amendment 4 is similar in spirit to amendments 2 and 3, but relates to the national health service rather than to education. The essence of the amendment is that military personnel who are already on a waiting list for treatment in one NHS integrated care board area should not suffer any disadvantage relative to the civilian community if, again, they have to be transferred for operational or other service-related reasons. In plain English, they should not lose their place in the queue.

• 2 Jun 2026 · Armed Forces Bill · Hansard source

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  My right hon. Friend is of course a former MOD Minister himself and represents a large number of service personnel. It is obvious from his intervention that he understands the issue very well. What he has just asked me is wholly in line with the spirit of our amendment. My hon. Friend the Member for Solihull West and Shirley unfortunately has a competing commitment this afternoon with the Justice Committee and the report on jury trial, which I hope the House accepts is a very important matter. He hopes to join us later in the debate when he has attended to that. Given his medical expertise, he pressed this point with the Minister for Veterans and People at the same meeting that I have referred to. Sadly, again, we received an equally uninspiring reply. For the record, given that the King’s Speech also presaged new legislation on NHS organisation, we sought to suggest that one way to proceed might be to include an amendment in that Bill rather than in this one. In other words, that medical issue could be put in a Bill introduced by Ministers from the Department of Health and Social Care. I reiterate our request, perhaps to the Government more broadly, to consider what we still regard to be a sensible proposal. I turn now to amendment 5 on court martial boards. One issue highlighted during our visit to see the service justice system was the challenge of finding sufficient officers to serve on court martial boards who are in no way connected with the defendant. That can become more of a challenge as defendants become more senior, as the pool of officers from which to draw narrows as one moves up the promotion pyramid. The essence of the amendment is to allow retired officers to be drawn upon to help comprise the membership of boards for court martial, and therefore to widen the potential pool of those who might be available to undertake this important military and, indeed, civic duty.

• 16 Apr 2026 · Armed Forces Bill (Seventh sitting) · Hansard source

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  Clearly, all members of the Committee regard the mental health of our armed forces personnel and their families as equally important as their physical health. We therefore understand and welcome the intent of this clause.

• 16 Apr 2026 · Armed Forces Bill (Seventh sitting) · Hansard source

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  The Opposition have some sympathy with what the hon. Member for North Devon is trying to achieve. There has historically been something of a cliff face. The medical requirements of a person serving in the armed forces are primarily attended to by Defence Medical Services; when that person leaves the armed forces and becomes a veteran, they transfer to the national health service. It is probably fair to say that in some cases there is a hiatus in medical information and records when that transfer takes place, and I am sure that it would be possible to improve it. Some GP practices have veterans champions and some practices automatically ask someone who signs on with them, “Are you a veteran?” Unsurprisingly, those practices tend to be better at making sure that medical records are passed on. The hon. Member raised the specific case of the medical records of nuclear test veterans. I am not impugning the Minister, but I think the Ministry of Defence could try harder to ensure that those specific records are made more freely available. On the more general point, we could do better at the transfer of records, particularly for those people who have suffered episodes of mental ill health, which are perhaps not immediately obvious. The vast majority of armed forces personnel leave military service in good shape, both physically and mentally, but I know from experience that for some veterans—the Minister has taken a real interest in this—there is, perhaps some years after they have left, what the professionals call a “trigger event”. Perhaps their father is diagnosed with a terminal illness with very few weeks to live and is then gone. That can suddenly bring out in the veteran all sorts of issues, perhaps relating to their service and operations. In those circumstances, unfortunately, people can spiral down very quickly; they might have trouble with their relationships, lose their job or become reliant on drink or drugs. In the worst cases, they might lose their home and end up in a dingy one-bedroom flat in the rough end of town—and in the worst of all cases, sometimes, they even take their own lives. This is not in any way a partisan point. Governments of all colours have tried to work on the problem, as have charities such as Help for Heroes, the Royal British Legion and Veterans Aid—I think of everything that Hugh Milroy has done in this space—but we could do more. Being able to pass across medical records in a timely and accurate way when people leave would help in those circumstances, even though sometimes problems lie hidden, for want of a better phrase, and come out only some years later. For those reasons, I have a lot of sympathy with what the hon. Member for North Devon proposes.

• 16 Apr 2026 · Armed Forces Bill (Seventh sitting) · Hansard source

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  As that was technically an intervention, I will have the first crack at it, but I am sure the Minister heard what the hon. Lady said. I see what she is trying to do here. Within the NHS there is the mantra “no decision about me without me”. If an NHS patient requests their medical records, they are meant to get them in a timely manner. We could all name constituency examples where that has not necessarily always been the case. Nevertheless, that is the principle, and it seems to me that it should apply equally to people who have served in the armed forces, who should suffer no disadvantage by virtue of their service, under the armed forces covenant. I am certainly sympathetic to what the hon. Lady said, and I am sure the Minister will be, too.

• 24 Mar 2026 · Armed Forces Bill (First sitting) · Hansard source

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  My hon. Friend is making an extremely good speech. As he and the Committee know, there is a major reform of NHS England going on. At the ground level, it means that there will be far fewer integrated care boards. In Essex, we are going from three to one, and that approach is mirrored across the country. Is not my hon. Friend’s amendment therefore very timely, because—this should appeal to the Minister—we are trying to slim down NHS bureaucracy and give ICBs more power within the system? Would my hon. Friend’s proposal not tie in extremely well with the reorganisation of integrated care boards, which hold much of the budget within the NHS?

• 26 Jan 2026 · Armed Forces Bill · Hansard source

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  I want to make a bit of progress, but perhaps later if I have time. Turning to housing, I should declare a different interest, as this was an area I cared about very much when I served as an MOD Minister. When I left ministerial office in 2016, the then Prime Minister Theresa May commissioned me and a small team to write a report about military recruitment, including terms of service such as service housing. We eventually entitled it “Filling the Ranks”, and it was submitted to the Prime Minister, with a copy to the Defence Secretary, in 2017. The report made 20 recommendations for improving recruitment, ranging from better advertising and further expansion of cadet units through to taking a more realistic approach to minor medical ailments such as mild eczema and temporary childhood asthma. Nineteen of the recommendations were accepted and actioned, to varying degrees, but unfortunately the one that was not was to consider sacking Capita—or according to Private Eye “Crapita”. Unfortunately, I never managed to persuade our Ministers to do that, despite the company’s truly awful record on Army recruitment. The peer review of “Filling the Ranks” was positive. However, as we were making visits to military establishments and interviewing everyone from privates to very senior officers, including on many of the issues contained in the Bill, in nearly every case within 15 minutes of talking about recruitment, we found ourselves involved in a related conversation about retention. In simple terms, we learned very quickly that there was no point widening the aperture of the recruitment tap if we could not put a retention plug in the sink. We were, therefore, delighted to be recommissioned to undertake a second report specifically into retention, which we subsequently entitled “Stick or Twist?”, as we thought that that encapsulated the serviceman’s dilemma, and which was eventually submitted to the new Prime Minister—one Boris Johnson—in February 2020, a month before the country went into lockdown. This report touched on a number of facets of the armed forces covenant, which are also part of the Bill. I have copies of both reports here with me. Quite a few of the recommendations in “Stick or Twist?” were adopted, and the then Defence Secretary Ben Wallace used it to persuade the Treasury to provide some extra tens of millions of pounds to improve childcare facilities at a number of bases around the country. It was worth doing the report if only for that. I should like to pay tribute to the small team that helped me to compile the two reports: Colonel—now Brigadier—Simon Goldstein, himself a former distinguished reservist; and my two researchers Mrs Sophie Doward-Jones and Mr Rory Boden, who worked tirelessly to produce two documents written in a Select Committee style, with all the work that that entails, for the attention of the Prime Minister and Defence Secretary. Again, however, the most controversial suggestion in “Stick or Twist?” was not adopted. It was a proposal to form a forces housing association and thus bring in expertise from the registered social landlord sector to better manage service families accommodation—SFA. Frankly, at the time this was simply too much for the vested interests in the MOD’s Defence Infrastructure Organisation to accept. Nevertheless, I was delighted that my hon. Friend the Member for South Suffolk (James Cartlidge), the shadow Defence Secretary, announced a few months ago our intention to introduce such a body if we return to government. The Armed Forces Bill has much to say on this topic—as indeed have many Members this evening—especially in clause 3, which heralds the creation of a defence housing service. This is conceptually similar in some ways to what was first recommended in “Stick or Twist?” six years ago, but with some important differences. I genuinely look forward to debating the respective merits of the two approaches with the Minister in Committee. The Bill also touches on the issue of the armed forces covenant, which is a matter that we have discussed in this House on many occasions. In essence, the intention is to spread the authority of the covenant to cover other Government Departments, including Education and the NHS. We have a number of suggestions for how this process might be improved—for instance, in special needs education, which we hope to explore in Committee. I would like to pay tribute to the hon. Member for Birmingham Edgbaston (Preet Kaur Gill) for what she said about the Queen Elizabeth hospital in Birmingham. I had the privilege of visiting the military unit there on two occasions—once in the company of His Royal Highness, the then Prince of Wales, now His Majesty the King—and I echo everything she said about the excellence of that department at that hospital in caring for those who have served their country. The Bill goes into some detail about potential improvements in the service justice system. This touches in part on a number of quite sensitive areas, not least those highlighted by my former Defence Committee colleague Sarah Atherton in what became known as the Atherton report. We shall again attempt to explore the merits and details of those proposals in Committee. Before I conclude, I want to refer to the remarks of President Trump about the brave soldiers who fought alongside the United States and other allies in Afghanistan. Would that he had not said such things, especially as our troops also fought with the Americans in Iraq and in the caves of Bora Bora in 2001 after the United States invoked article 5 after 9/11—the only nation ever to do that. We traditionally avoid discussing royal matters in this House, but if it is true that President Trump’s volte face on this was in some way due to royal intervention, all I can say is: God save the King. We should endeavour to take a broadly positive attitude to the Bill, but I must caution that there are two areas where the traditional consensus might struggle. First, the Government claim to be fully committed to the two principles of the armed forces covenant—namely, that no members of the wider armed forces family, be they regulars, reservists, veterans or their loved ones, should suffer any disadvantage as a result of their military service, and that special treatment may in some cases be appropriate, especially for the wounded or bereaved. All that rings hollow, however, when we see what the Government are currently doing to our brave Northern Ireland veterans—a matter we were debating in the House just last Wednesday evening over Labour’s remedial order to undermine the Conservative legacy Act, which protects our veterans. Over 100 Labour MPs failed to back that order on the night, including, interestingly, the Prime Minister himself, who abstained, as did over half the Cabinet, including the Defence Secretary and even the Armed Forces Minister. The Government have performed 13 U-turns in the past few months alone, and we very much hope for a 14th U-turn over two-tier justice and facilitating lawfare, especially against our own vital special forces, allowing our brave Northern Ireland veterans to live out their lives in peace instead.

• 18 Dec 2025 · Christmas Adjournment · Hansard source

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  As I have three minutes, I just want to raise two quick issues. The first, I hope, is good news; it is to do with Riverside medical centre. I have been trying for seven years to get an extension on its GP practice, but because of the unbelievable NHS bureaucracy, about which I will not try the patience of the House, it has not been possible to do so until recently, even though a brand new housing estate called High Elms Park, built by Barratt Homes, has produced many extra residents who need a GP. The parties have now come up with an innovative solution. Barratt has just sold the last couple of houses on the estate, and for a notional £1 it is going to donate its sales office to the practice, which will convert it into a GP annexe that can accommodate three GPs with attendant training and administrative facilities. This is a big win for the local community; we had a public meeting in April at which there was overwhelming public support for the idea. The planning application has been slightly delayed because of red tape, but Riverside assures me that that application will go in soon, and it should be a relatively straightforward conversion. Hopefully, that annexe—which I think will be very popular in the village of Hullbridge—will open some time in the summer of 2026. That is a good-news story. We then have the saga—and it is a saga—of the old Co-op supermarket site in Wickford. In a nutshell, the Co-op closed over three years ago. The site was bought by a South Africa-based developer called Heriot. It tried to do a deal to redevelop the site with Morrisons, but that fell through; it tried to do one with Asda, but that also fell through. Heriot recently got planning permission, yet it still has not managed to secure a contract with a new tenant. There are rumours all over the town of Wickford that it has been talking to everyone from Lidl to Waitrose, although I will believe the latter when I see it. My constituents in Wickford are exasperated with Heriot. They just want a new supermarket. They deserve one by now, so I make a plea in the Commons to the directors of Heriot, with whom I have had numerous meetings: “Please, please bring this to fruition. You’ve got planning permission; pick one group and do a deal with them. Get them on site, and let’s get that new supermarket opened in a way that my constituents in Wickford—who have waited more than long enough—deserve.” In my final 10 seconds, Madam Deputy Speaker, I wish you, all MPs, the staff of the House, and our own staff—without whom this job would be impossible—a very merry Christmas.

• 18 Dec 2025 · Jury Trials · Hansard source

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  Merry Christmas, Mr Speaker. I am sure the Solicitor General is aware of Operation Nova, which is funded by the Department of Health and Social Care and assists veterans who come into contact with the criminal justice system, so may I set her a theoretical challenge? Let us assume that an Op Nova veteran who fought in Afghanistan goes out one evening and is assaulted in a bar, perhaps by someone who does not like soldiers very much, but the situation is confused, and the soldier—the veteran—ends up in the dock. Should not that person, who fought for his country in a war zone and in this country’s uniform, be entitled to put his defence in front of a jury of his peers?