Peter Prinsley MP: speeches

Speeches

• 9 Jun 2025 · Planning and Infrastructure Bill · Hansard source

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  I rise to speak in support of new clause 64 in my name. It seeks to encourage a greater focus on the delivery of affordable housing through rural exception sites. I tabled it to prompt further consideration of the role that this policy can play in addressing the urgent need for affordable homes in rural communities. As many who represent areas with significant rural populations will know, we have a serious housing problem. Waiting lists grow faster in rural areas than anywhere else, and young people are forced out of villages and towns by the lack of affordable housing. Parents face old age without the comfort of their children nearby. Pubs, post offices and shops start to struggle for lack of customers. Those businesses close, and a small village and the whole community feels the damage. Rural exception sites, which are usually found on the outskirts of small settlements, offer a modest but vital solution. Developed for the provision of affordable housing to those with a connection to the area, they help sustain local economies, retain local people and skills, and keep families together. Because they adjoin villages, development takes place on a gently human scale; houses radiate out from a historical core, respecting the historical and rural situation. These are not soulless, disconnected housing estates. This is development on a scale that ensures that affordable housing is woven into the fabric of our communities, not added on. It preserves and recreates the social mix once typical of our towns, where, as Nye Bevan remembered, “the doctor, the grocer, the butcher and farm labourer all lived in the same street”. —[ Official Report , 16 March 1949; Vol. 462, c. 2126.] That sort of community is now an exception, but let us reform rural exception sites and offer a route back to that ideal. Despite the potential, the rural exception site regime is alarmingly underused. Out of 145 local authorities in the country, only 25 used rural exception sites to deliver affordable homes in 2021-22. I thank the hon. Member for St Ives (Andrew George), who is not in his place, although he was here for most of the afternoon, for his support for my new clause. Cornwall leads the country by example: 50% of what is delivered on rural exception sites across the whole of England is in Cornwall, and 20% to 30% of housing delivered in Cornwall is through rural exceptions. Why do we not equip other areas across the country, including my county of Suffolk, to do the same? Increasing awareness and engagement will double the output of affordable housing on such sites, so let us encourage officers and local authorities across the country to take a much closer look at the guidance. That will give us a new engagement strategy for delivery partners, who will work with the local community and landowners, which will be crucial. By giving rural exception sites the prominence they deserve in planning, we increase the supply of affordable homes but maintain the unique character and spirit of our rural communities. I was heartened to read in the Government’s response to the consultation on the revised national planning policy framework that further consideration is indeed being given to exceptions as a means of supporting rural affordable houses. That is welcome, and I am optimistic about the potential for rural exception sites to be brought forward in much greater numbers, delivering small-scale affordable housing that is crucial to ensuring that the English countryside has vibrant and inclusive communities for generations to come. Let us put the life back into the heart of rural England.

• 3 Jun 2025 · Dementia Care · Hansard source

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  I thank the hon. Member for South Devon (Caroline Voaden) for securing this important debate. We have heard many moving speeches this afternoon, and it has been a great honour to sit and listen to them. We must remember that dementia is not a fact of life, or something that everyone must face as they get older. It is not inevitable as a part of ageing. Dementia is a disease— a dreadful disease at that. Some 1.5 million people will be living with dementia in this country by 2040, so let us treat dementia with the same seriousness that we treat all other deadly conditions. Let us not neglect dementia simply because it disproportionately affects older people. At present, we have a fragmented and complex health system that does not provide a clear enough route for people with dementia. Let us improve specialist dementia support in hospitals and in the community. It is simply our duty to do so. The estimated economic impact of dementia in the UK last year was £42.5 billion. By contrast, we learned yesterday that the defence budget is £58 billion. It is suggested that, by 2040, the dementia budget will be £90 billion, so something must be done. Improving the treatment of dementia in our communities and in primary care settings will certainly help to free up hospitals and care systems, because, as we have heard, people with dementia occupy a quarter of all the hospital beds in the country. Let us move dementia treatment into the communities, with specialist nurses in communities to ease the pressure. Dementia is not inevitable. We must be bold, optimistic and forward-thinking, and prepared to deploy radical advances in science to tackle the condition. Let us support our scientists and researchers as they strive to develop more effective treatments and make progress towards curing the disease. Let us support research by enabling the NHS to empower its clinicians to conduct research and to use patient data. That would help to facilitate medical research and increase the number of clinical academics, whose number has been declining for much too long. I was delighted to hear my hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams) talk about hearing loss. Many members will know that I am an ear, nose and throat surgeon. Hearing loss is absolutely central to the problem of people withdrawing from the society in which they live. The simple testing of hearing and the provision of hearing aids will do much to help. I urge Members of a certain age to consider having a hearing test. I am interested to know what we can do with patient data. If researchers across the country ran studies on 67 million people, we would accelerate progress towards a cure. Artificial intelligence could be set to work analysing datasets and providing rich sources of longitudinal data to inform future research and cures. Artificial intelligence already models the folding of proteins that cause the disease, so to secure those benefits, let us do something about the collection of medical information, and let us prioritise openness by giving patients access to their medical records, allowing them to see how the information is being used to support the NHS. That is something we could do to help.

• 22 May 2025 · Access to NHS Dentistry · Hansard source

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  That is certainly a suggestion that should be investigated. We must increase the number of dentists, as we have only 24 dentists for every 100,000 people in the east of England. We also need to increase the number of training providers and training places, but even with the opening of a dental school it will take ages for there to be new dentists. One suggestion is that we sort out the dental accreditation system. Hon. Members may not know that there are only 600 opportunities to take the accreditation exam each year, but there are 6,000 people planning to take the exam—that will take 10 years. We must get the General Dental Council to increase the number of exam opportunities. We have begun to address this political emergency, but we must go further with a clear and fair offer focusing on what the Minister described as the triangle of patients, practitioners and the public purse, providing a service that ensures that we give excellent, affordable care for all, including prevention, especially for the most vulnerable, and in a way that means we can pay for it. NHS dentistry can be saved. Let us have a sign on the door saying, “Urgent NHS dental appointments available here.” Would that not that be great?

• 19 May 2025 · Mental Health Bill [Lords] · Hansard source

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  Does my right hon. Friend agree that while we are seeing record levels of mental health problems in our young people, investment in community services for people with mental health problems must be a priority?

• 7 Apr 2025 · Road Maintenance · Hansard source

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  People in Bury St Edmunds and Stowmarket must navigate pockmarked and pimpled streets—how depressing and frustrating! People are forced to accept a fear of damage or even injury as a precondition of using our roads, and they are locked in extended battles for compensation with the council and their insurers. We all know about this problem. Only 36% of local roads in the east of England are in good structural condition. People talk about the effects of potholes on motorists, and quite rightly—they are dangerous, damaging to cars and a daily irritant for many of us. However, it is not just car owners who are affected by our roads, and many people know a horror story. It is no surprise to me, having sat in this debate, that my son, a student at Keele University in Stoke-on-Trent, was involved in a horrendous bicycle crash as he came down a steep hill and went head over heels when his front wheel landed in a pothole. Cyclists know all about potholes. The evidence suggests that between 2017 and 2023, one person per week was killed or seriously injured while cycling, so potholes cause deaths. This is a trend that has not shown any sign of abating. Bus drivers and taxi operators cannot do their job safely when the roads underneath them simply do not work, and our emergency services cannot help us if they are expected to use crumbling roads. I have heard of paramedics whose ambulances have been damaged, to the point of being undriveable, by hitting a pothole on the way to a call-out. Better, smoother roads will support our local economies, improve transport and, most importantly, limit the number of accidents, so it is wonderful to hear that the Government are at last doing something after more than a decade in which our local roads were simply ignored under the Tories. In Suffolk, the effect of the decline in highway spending—last year, it was down by almost 25% compared with 2015—can be easily seen, but that is already changing. Potholes are getting fixed more quickly, because our local authorities are getting a much-needed injection of cash from this Labour Government. In Suffolk, they are getting an extra £11.7 million this year for that purpose. This Labour Government are taking this issue seriously and delivering for the people of Bury St Edmunds and Stowmarket, and I am glad to see that they are not simply papering over the cracks. They will use the latest tech to ensure that public money is spent as effectively as possible on lasting repairs so that our roads do not split up again. Brilliant new pothole-filling machines and surfacing technologies will save us money, and it was great to hear about the advances in technology from my hon. Friend the Member for Stoke-on-Trent South (Dr Gardner). Ministers have taken the decisive action that the previous Government put off for too long, and I hope the rest of the House can join me in congratulating them on that.

• 24 Mar 2025 · Planning and Infrastructure Bill · Hansard source

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  Imagine an English village, if you still can—old houses around a village green, with a little school, a pub or two, a post office, a row of shops, and an ancient church with a creaking gate and some crooked headstones with fading bouquets shaded by ancient oaks. It may be a place where old maids hike to Holy Communion through the mists of the autumn morning. That sort of village is disappearing. Anyone who visits now will find the pub shut for want of drinkers, the shops empty, and the vicar gone—only the fading bouquets remain. There is no doctor’s surgery and no bus route. It has isolated, elderly residents; not a child in sight, as if the Pied Piper had been to visit, and ageing parents with none of their family nearby to help. Like so many problems in this country, housing lies at the centre. The houses in this sort of village are occupied by commuters with big cars lurking in the driveway, or by retired folk whose children have long since moved away. For the lowest-paid people, housing is more expensive in the countryside than in every urban area except London, with the cheapest housing costing nine times the average income of the lowest-paid quartile. Therefore, as the Government construct 1.5 million houses, let us think long and hard about where we will put them. This Bill, together with the changes that the Government have made to the national planning policy framework, will do much to loosen restrictions on house building. The designation of land as grey belt is good for those in suburban green belts, but more can be done to earmark land for housing deep in the countryside. We ought to encourage more house building at small scale on the edge of villages. For hundreds of years, that was the model of expansion across all of England. It has produced our prettiest villages, where progressively newer buildings radiate outwards from a historical core. That is the sort of development that preserves the character of a village. It is the most popular form of development in the countryside, and the Campaign to Protect Rural England has put its name to a call for small-scale affordable housing on the edge of villages. We already have places set aside on the peripheries of towns and villages across the country for delivering such community-scale housing. They are called small rural exception sites. Currently, they allow affordable housing to be granted for local development on small sites not usually granted planning permission. Although those are intended to promote the construction of affordable homes, most of the plots are undeveloped. Minor changes to the national planning guidance are needed to allow for proper development. That will help us to get a lot more use out of such sites, spurring reasonably sized considerate development and ending the pattern of relocation that causes family ties to fragment. Construction will energise a village’s economy, giving work to local firms that are well placed to deliver housing quickly and efficiently. This Government can regenerate rural England. This is surely our generation’s chance, so let us grasp it.

• 5 Feb 2025 · Closure of High Street Services: Rural Areas · Hansard source

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  I thank my hon. Friend the Member for Scarborough and Whitby (Alison Hume) for that. It is a pleasure to serve under your chairmanship, Ms Furniss. Stowmarket’s high street is called Ipswich Street. It is the central artery of the town, running through Stowmarket from the historic marketplace. Only a few years ago, it was a busy street, bustling with commercial activity. People came to Stowmarket from nearby villages to go shopping. Many of them went on to visit other attractions, such as the amazing Food Museum—which I recently visited—and the John Peel Centre for Creative Arts. However, stores started to close, one after another, and six shopfronts now lie completely empty. It is a familiar scene up and down the country: high streets disfigured, with vacant shops sticking out like missing teeth. That has a terrible effect on local communities. As the stores close, the town centre becomes trapped in a vicious circle: few people want to go shopping, the high street is full of boarded-up shops, footfall declines and more stores close. We have heard about that in this debate. My colleagues will be familiar with the problem of banks vacating the high streets—indeed, we now have more food banks than actual banks in this country. Other shops follow the banks in shutting their doors. The town centre loses the café and the pub that both performed a vital service as focal points for the community. The Government must find a way to mitigate the effect of these stores closing. Times change, commercial life and society have changed, but let us preserve the high street.

• 29 Jan 2025 · Rural Housing Targets · Hansard source

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  It is a pleasure to serve under your chairship, Ms Jardine. I am an MP from rural Suffolk, and I hope we can create affordable rural housing. Why did our predecessors not try to do that? I believe that changes to the rural exception regulations could help achieve it, and at an appropriate scale, so that we retain the character of our towns and villages. We need to help build housing, but crucially we need to help build local communities. We need there to be housing for young families, but also housing for older people, perhaps with embedded building features such as walls that are sufficiently strong to hold grab rails. I was told by Age UK only this morning that in Japan stamp duty is waived if the children of older people buy houses near where their elderly parents live. Too many of our villages in Suffolk, and in Norfolk, where I live, are occupied by ageing residents far from family and services. I am sure we can make changes to improve things, while repopulating the rural community and building resilience for the future. So let us rebuild our rural communities at a scale sympathetic to the existing settlements.

• 23 Jan 2025 · Holocaust Memorial Day · Hansard source

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  May I say how moved I have been by all the speeches that I have heard this afternoon? On Monday I will stand in Abbey Gardens in Bury St Edmunds, at a steel teardrop erected as a memorial not only to the 6 million Jews murdered in the Holocaust, but to the 57 Jews slaughtered by their neighbours in Bury St Edmunds in March 1190. I will also the honour the memory of the liberation of Auschwitz precisely 80 years ago. In East Anglia, Bury St Edmunds, Norwich and King’s Lynn were important centres of medieval Jewish life. However, East Anglia also has a sad role in the history of European antisemitism. It was here that the myth of the Jewish blood libel first emerged when, in 1144, the Jews of Norwich were falsely accused of the ritual murder of a boy named William. That myth persisted for centuries, played its part in the growth of antisemitism in the 20th century, and lives on to this very day. The blood libel stoked hatred in Bury St Edmunds, culminating in that vicious massacre in 1190. In the aftermath, the town expelled all the surviving Jews. Exactly 100 years later, in 1290, King Edward expelled all the Jews from England. I stand here not only as the first Labour MP for Bury St Edmunds, but as its first Jewish MP. I am a Jew who represents a town that, almost 1,000 years ago, was the first in the country to expel the Jews. History has come full circle. However, sadly, antisemitism is on the rise again in this country. The number of antisemitic hate crimes has reached record levels—more than double the number in previous years. The Community Security Trust reports that damage and desecration of Jewish property rose by 246% on the previous year, which is deeply concerning. The CST does crucial work to protect Jewish communities across the country, enabled by the support of His Majesty’s Government, for which we are all deeply grateful. Similarly, Holocaust education, promoted through the work of the Holocaust Education Trust and the Holocaust Memorial Day Trust, is of great significance in this country. This generation is privileged to know the last few living witnesses of the Holocaust. We must make sure that their stories do not fade into obscurity, but survive in the collective memory of humanity. I finish with a few lines by the medieval poet Meir of Norwich, written as he fled England in 1190—the earliest Hebrew poetry ever written in this country: “When I hoped for good, evil arrived, yet I will wait for the light. You are mighty and full of light, You turn the darkness into light.”

• 21 Jan 2025 · Welfare of Doctors · Hansard source

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  I agree that we must put resources into general practices to deal with the Government’s plan to move care from the hospital out into the community. I am sure that needs to be addressed. The partnership model, which has served us so well, is now surely threatened as fewer young GPs are prepared to take on the responsibility or the financial risk of general practice.

• 6 Jan 2025 · NHS Backlog · Hansard source

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  May I carry on, as I have very little time? I am glad that the Prime Minister has made general practice and care in the community a central part of his plan. General practice is the front door to the NHS. Patients who have a genuine connection with one or two GPs are less ill and live longer. There is an illuminating article entitled “Closer to home” in this month’s Fabian Review by my Suffolk GP colleagues Drs Reed and Havard, who reimagine GP as a comprehensive community health service close to the patient, with multiprofessional teams of health workers and with mental health services and district nursing all in one place. Patients know who their doctors are and know that the community health centre is the place to go. Let us call them Bevan community health centres. We really can manage most clinical problems in the community, and investing in our brilliant GPs is truly the key to the crisis. Community hubs with diagnostic capabilities for larger populations would send to hospital only people who need to go to hospital. We must do something about productivity. I started my career with four workers in the theatre operating on eight children, only to reach a situation today of operating on four children with eight workers. As we reform and rebuild our NHS, let us bring the 1.5 million staff members with us on this great journey, for it is on them that we and the NHS depend. The measures announced today will surely help, but only if we find enough staff and invest in training. Let us look after those who look after us, with fair pay, fair conditions and a great deal of respect. That must be our mission.

• 12 Dec 2024 · Disability History Month · Hansard source

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  It is an honour to serve under your chairmanship, Sir Mark. As many people know, I am an ear, nose, and throat surgeon, with a special interest in hearing loss and ear diseases. That has been my life’s work, so I declare a big interest in this subject. Deafness and hearing loss are invisible disabilities, but they are common—very common. They affect 70% of people over the age of 70, and 40% of people over the age of 40. Hearing aids are free on the NHS, but millions of people who could benefit from them do not have one, and many people who do have one simply do not use it—perhaps up to 5 million people. Perhaps a million of our fellow citizens cannot hear conversational speech, with many unable to contact their GP or use health services. Many deaf people do not work because the adjustments that could and should be made for them are not made. Deaf awareness among employers is insufficient. I will talk a little about earwax. Occluding earwax, which causes hearing loss and is also caused by hearing aid moulds, is a huge issue for deaf people. The services in this country to remove it are very patchy. Before I became an MP, I was the chair of a deaf association in East Anglia, a charity that helped thousands of deaf people and had contracts from the NHS to provide ear care and hearing aids. I believe that charity is a model of community-based, not-for-profit NHS ear care to the population that could be widely copied. The charity has mobile services for rural locations and can provide ear care in residential settings with one-stop provision of wax removal, audiology and hearing aids, keeping people communicating, connected and able to work. I also commend the work of many excellent larger charities set up to help people with hearing loss, some of which were here in Parliament this week. The RNID estimates that the cost of hearing loss to the economy is £30 billion a year due to loss of earnings, reduced quality of life and increased social care costs. The solution to much of the problem is obvious: hearing aids must be just about the most useful disability aid ever invented. Let us do what we can in this Parliament to support our NHS audiology and hearing aid services. After all, most of us will need them one day. Let us not ignore deafness when we talk about disability. I read about a young person with hearing loss who said: “One of the worst things is when people say something I miss…they say ‘oh it doesn’t matter’. It probably didn’t matter to them at the time, but it makes me feel I don’t matter.” I think that matters to all of us.

• 14 Nov 2024 · National Insurance Contributions: Healthcare · Hansard source

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  Does the Minister agree that the support that we will put in place for general practice and, in particular, the community health hubs that were recently announced, will be crucial to the improvement in the health service that we urgently need?

• 16 Oct 2024 · Access to Primary Healthcare · Hansard source

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  First, I must declare, as the shadow Secretary of State for Health and Social Care, the right hon. Member for Louth and Horncastle (Victoria Atkins), reminded me last week, that I am a surgeon. I have, therefore, an interest in this matter, but so do we all. The last Government should be truly ashamed of themselves. I see but one remaining Member—a colleague of mine—sitting on the Conservative Benches. General practice has been badly neglected. The public could see that. Surely the Government must have known it. Certainly patients could see it, given their scramble on the phone at 8 o’clock, hoping not to be at the end of the queue for one of the very few appointments with one of the very few doctors. During my career, I have seen the number of hospital doctors and consultants increase many times, but we have seen very little increase in GP numbers, and now we live with the consequences: too many exhausted GPs, many leaving the profession altogether or retiring much too soon, and now the spectre of a two-tier GP system, as private GP services expand rapidly all over the place. We can, and will, do better than this. We already are doing better, with plans to recruit many qualified GPs without jobs into practices without doctors. Today, we must look after our GPs as never before. We will move much of our care out of our hospitals and into the community, but it is on GPs that we will depend to achieve that. GP services will expand to provide community investigations, facilities, specialist and surgical services, and much more, as we rightly adopt the new Government’s agenda of moving care out of hospitals. We must ensure that GPs have the very best IT and technology. We must connect the GP IT with the hospital IT, so that I can see the same record as the GP; the nonsense of typed letters and fax machines should end completely. I am, however, optimistic. Scientific advances continue to astonish us. We know what we have to do, and we have the determination to do it. Doctors and patients will support this. Let us get to work. General practice is the best of the NHS, and we must support it.