Peter Prinsley MP: speeches

Speeches

• 26 Jun 2025 · BBC World Service Funding · Hansard source

  More

  I thank the right hon. Member—my recent squash partner—for his intervention, I agree that we must be sure that whatever the BBC says is true; that must be the case. The BBC Arabic service—the language service—disappeared some time ago, and that is to be regretted. In Pakistan, a video falsely claimed to show the aftermath of an Indian airstrike on Pakistani air bases. That went viral—it was viewed over 400,000 times—stoking widespread fear and heightening tensions with India over Kashmir, but actually it was mislabelled footage of the 2020 Beirut port explosion. BBC Verify debunked the claim and calmed the situation. In 2023, a false story spread across the internet that alleged that the newly elected President of Nigeria had forged his university degree. There was anger and unrest until a report by the BBC global disinformation team revealed it to be false, which defused the situation. Those are not isolated stories; they are part of a growing global pattern. The fight is particularly crucial in an era when young people increasingly consume news online. A few weeks ago, I visited a school in my constituency at Bury St Edmunds and asked the children how they got their news. I said, “Do you get your news online?”, and almost every hand went up. Among 12 to 15-year-olds in the UK, only the BBC can compete effectively with the online tech giants. To continue to compete effectively and divert attention from untrustworthy sources, the BBC needs the resources to excel in what a young person recently told me is called the “attention economy”. With appropriate funding for new digital content, the BBC can significantly expand its impact. In recent weeks, our attention has undoubtedly been drawn to the middle east, particularly to Iran, and the power of the BBC’s digital reach is no clearer than through the work of BBC Persian. It recently reached over 32 million users on Instagram in just five days, despite the platform’s having been blocked by the Iranians. People were so desperate to view trusted BBC news that they risked their safety by using virtual private networks, or VPNs, to bypass Iran’s strict internet censors. Some posts achieved more than 12 million views. When Iran restricted internet access, BBC Persian increased broadcasts from eight hours to nearly 24 hours a day and launched an emergency radio service. Despite the fact that there were no reporters on the ground, the team diligently verified information amid severe misinformation campaigns. With adequate funding, the BBC World Service always steps up during global crises, delivering a public good for the benefit of a whole country.

• 20 Jun 2025 · Terminally Ill Adults (End of Life) Bill · Hansard source

  More

  As a young doctor, I would have found the measures that we are debating completely unconscionable, but now that I am an old doctor, I feel sure that this is an essential change. That is because of what I have seen over 45 years in hospitals. Our patients are at the centre of my thoughts as we consider this profound change. We must of course invest in palliative care, and we have some of the best palliative care in the world in this country. Some will say that there are no limits to the comfort that expert palliative care can deliver, but that has not been my observation, particularly as I think about some of my patients with advanced, disfiguring head and neck cancers, and about the terrible loss of dignity and autonomy that I have seen. That is what people fear, and that is why I believe that we are right to give people a choice—a final autonomous choice. I applaud the Bill Committee, and thank the many witnesses who contributed, for this is not easy work. The House has spent hours debating the amendments. The panel of the legal expert, the social worker and the psychiatrist will ensure oversight and scrutiny, and I have no doubt that this is better than a single judge, no matter how distinguished or wise. Family circumstances, free will and mental state will all be considered. I do not think we will see coercion to undergo assisted dying; families are more likely to talk patients out of it. I call this a Bill to assist people who are dying. The measures are not for people who are not dying. People who are terminally ill may live for a long time. They are not yet dying, and the measures are for them until they are. All of us must make the very best of every day, whether our lives be long or short. Of course, that is especially true for those with a terminal diagnosis. The vulnerable must be protected, and I believe that the Bill will indeed protect them—people who are disabled, and who have mental health disorders. Profound sadness as our lives are ending is quite normal, and clinical depression should be treated, but my observation is that the patients we are talking about are clear-headed and very rational. The idea that we risk opening a floodgate or some sort of mission creep is quite wrong. People will have a choice, and will make arrangements to be used only if needed. That will give final peace of mind—it is a final insurance policy. Let me come back to the patients I have treated over my long career, and to the wise words of the nurse who has been my compassionate colleague for many years. She said this was an essential change. There was the matron who recalled the carotid blow-out of her patient as a student many years ago—an image that never left her. There is the absolute sanctity of human life, but we are not dealing with a choice between life and death; we are dealing with death or death. There is also the sanctity of human dignity, and fundamental to that is surely choice. Who are we to deny that to the dying?

• 12 Jun 2025 · Long-term Medical Conditions · Hansard source

  More

  It is a pleasure to serve under your chairmanship, Mr Efford. Long-term conditions need a long-term plan. We were promised one of those, and it cannot come soon enough. The Chancellor’s statement yesterday, which committed to a 3% real-terms rise in NHS funding each year, gives me enormous hope for the future of our health service. Some 70% of that funding will likely go to the treatment of long-term conditions, so it is incredibly important that we consider how we should treat them. Most of us at some point will collect a few long-term conditions. Some of us are born with them; sometimes, they are serious disabilities. I am sure that we will hear some stories of those challenges. I reached out to the people of Bury St Edmunds and Stowmarket and heard many stories about their experiences of using our NHS. All too often, it is the same story: it is those with long-term conditions, not deadly diseases, who feel most let down now. The reality for many is that by the time they reach my age, they are fortunate if they have never had to visit a clinic or see a nurse about something that is no longer working quite as well as it should. The wheels begin to fall off all of us eventually. Living with a long-term condition has a profound impact on people. It can mean lost work days, missed opportunities and, for many, being pushed out of the workforce altogether. When people are unable to work because of poor health, they are cut off from society and their quality of life obviously declines. That also has a terrible effect on the economy. It is estimated that successfully addressing the crisis in long-term sickness would increase GDP by between £109 billion and £177 billion over the next five years, generating billions of pounds of additional tax revenue. This is a growing trend and as the population gets older it will simply become more pressing. I worry that we have not truly adapted our medical system to deal with this reality. When I was a medical student, a heart attack was managed with morphine and bed rest. Things have certainly changed, and yet the NHS has not changed enough. In 1948, it was created to deal with infectious diseases and acute hospital care, but the health needs of the population have changed completely. People now live long lives with conditions such as heart disease, diabetes and arthritis. We need to focus on keeping those people in the community rather than waiting until they become so unwell that they have to be brought to hospitals. The NHS should not just be a sickness service; it should help people to manage their conditions and live much better lives. During our debate on dementia a few days ago, I heard many moving stories about families challenged by that devastating illness. Dementia fills so many hospital beds, and the cost to society is quite staggering, but the real message of the debate was about the need for better community care and greater investment in technology and research. That is true for dementia, but it is also true for many long-term conditions. We have the time and the ideas; now, we must use them. There is much talk about moving care from hospitals to the community, which is not a slogan but an absolute necessity. I have seen it work in practice: before I came here, I was involved in a project that moved care for people with hearing loss out of hospitals and into the community. Patients benefited from easier and quicker access to specialist NHS audiology and nursing services. We now need to see such an approach rolled out across the country. The neighbourhood practice model advocated by my Suffolk GP colleagues must be part of the answer, with community health hubs open into the evening, resourced with nurses and mental health services and incorporating a pharmacy, with a GP who is known to the patient and to the family. Those hubs would be the place to call when sick—a better option than calling 111 or having a long wait in A&E. They would offer access to multi-disciplinary teams all in one place, a bit like the geriatric day hospitals that my dad, Professor Derek Prinsley, a pioneer of geriatric medicine, introduced into his practice in Teesside in the 1960s. The NHS must be a neighbourhood health service, not just a national health service. That is how we join up care so that patients no longer feel like they are being pushed from pillar to post. Instead of being rushed between different appointments in hospital corridors, people should be cared for in one place, bringing lifesaving continuity of care. It is time to end the fragmented system of the past, where people ended up in A&E simply because there was nowhere else to go, and where we had older people lying in trolleys in the early hours for long-term conditions that could have been managed in primary care. A&E should be for real accidents and emergencies. That is how we must start thinking about the long-term care of long-term conditions. At the centre of our thoughts must be the patient. Health services are all too often designed to deal with patients with a single disease, but for a growing number, that is no longer a suitable model. If I have high blood pressure and asthma, I have to visit the practice three times: once for the blood pressure check and once for the asthma check, and then another appointment to see the GP. I think we can do better than that. How can we truly put the patient at the centre of healthcare? As I have said before, one answer is to embrace the digital transition and change the medical record paradigm. Let the patient have the record. Give them agency over their healthcare. If people knew a bit more about their health, they might care for it a bit better. More than one in five patients with a long-term condition has said they do not have enough information to manage their condition. That is 5.5 million people across the country who are not confident that they can manage their condition, so let us have the doctor ask the patient for the record, not the other way round. That would be a revolutionary change. I would like to talk about medical research. Of course, our country has an incredible record of medical research: Jenner, who devised vaccination; Lister, who invented antisepsis; and Fleming, who discovered penicillin—British doctors who saved unimaginable numbers of lives. Then there is Dr John Snow, who removed the handle from the water pump in Broad Street, near to where we are sitting today, ending the cholera epidemic and founding the field of public health. It is on scientific advances like those that we mostly depend as we fight many long-term conditions. We will hear of artificial pancreas pumps to treat diabetes and genetic treatments to cure sickle cell disease and arthritis, but let us not take that progress for granted. We should support medical innovation and put the best technology into the hands of our doctors. I am proud that the Government are boosting investment in diagnostic machines in hospitals across the country, because I have been told by constituents about the struggle of misdiagnosis—months and years spent unsure what is wrong with them, with doctors unable to shed any light. We are rolling out artificial intelligence and improving diagnostics across the country, and the Government have promised to support that further. Improving researchers’ access to medical data will be part of the approach. Let us imagine the scientific advances we could make if researchers could conduct studies on sample sizes of 67 million people. Scientific and medical advances depend on our brilliant young people, who must be funded and supported as they embark on research careers. The number of clinical academics is in decline, which is a particular worry of mine. We should challenge that and reverse it. The NHS is easily the biggest employer in our country—perhaps one of the biggest employers in the whole world—but what are we doing to ensure that its people can best support us? A failure to tackle long-term conditions is significantly impacting the NHS’s own workforce. Musculoskeletal conditions, rheumatoid arthritis and osteoarthritis are leading causes of absenteeism among NHS staff, with ambulance and clinical support staff particularly affected, but we also hear many examples of terrible workforce planning. We learn of nurses and midwives graduating from colleges carrying large debts, after working for thousands of hours on placements for free, only to find a recruitment freeze in the very hospitals that desperately need their skills. Instead, hospitals are spending huge sums on agency staff. This is not a long-term plan; this is short-term thinking of the very worst kind. I am glad that agency spending fell last year. We must make sure that we spend wisely on newly qualified nurses and midwives, which will end up saving the NHS enormous sums. We also ought to do something about their student debt. Why not write it off if they commit to working for five years in our NHS, giving them security? Our health service needs their expertise. What about the young doctors, of whom I have spoken before? We need enough GPs, nurses and clinicians to help people to get well, but every year, thousands of UK doctors qualify with debts of up to £100,000. Many are then sent far from home, family and friends just as they begin their careers, and after two years they face intense competition for higher training against thousands of international doctors who fill up our hospital rotas and keep our services running. Some young doctors find themselves repeating their foundation years or going overseas, and others leave medicine altogether. This is certainly not a long-term plan. We must do better. I have seen for myself that our hospitals can run better with the resources they already have. At my West Suffolk hospital I saw the results: corridor care has been abolished and long-term waits in A&E are now a thing of the past. That has been done by taking a whole-hospital approach to improve the patient experience and ensure that the appropriate health professional is dealing with the patient at the earliest opportunity. That does not cost more, the staff are happier and the service is massively better. That is what happens when we put people first, work together across the disciplines and take real responsibility for change. Mr Blair once spoke of dealing with crime and the causes of crime; today I speak of dealing with diseases and the causes of diseases. Poverty, poor nutrition and poor housing are at the heart of so much of our country’s ill health. Those are not just background factors; they are the root cause of suffering and long-term conditions. If we are truly committed to a healthier society, those are the challenges we must address. The mission of our party and our Government is to lift millions out of poverty, tackle deep inequality and shape people’s health from cradle to grave. We will not accept the shocking housing conditions endured by so many of our fellow citizens. These are not simply political and economic problems; they are the underlying causes of much disease and misery, and many avoidable deaths. There is much for us to do, but I am convinced there is much that we can do to create easier access to NHS services, improve primary care and support those who want to conduct groundbreaking medical research. I hope the Government will look to tackle our long-term conditions crisis.

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

  More

  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.

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

  More

  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?

• 20 May 2025 · Spending Review: Cross-departmental Planning · Hansard source

  More

  Some 9,000 UK medical graduates compete with 15,000 overseas graduates for postgraduate training, meaning that many of our own graduates simply cannot progress into higher professional training, and either go abroad themselves or leave medicine. Does the Minister agree that the Treasury has a crucial role to co-ordinate spending on medical university education by the Department for Education and on postgraduate training by the Department of Health and Social Care, so as to ensure that public money spent on medical student education is not wasted?

• 7 May 2025 · Educational Opportunities in Semi-rural Areas · Hansard source

  More

  Thank you, Sir Edward. That is very kind. Far too often, people who leave the academic track at 16 are not provided with an alternative. Apprenticeships and skills education were neglected by our predecessors, so I am glad that in Bury St Edmunds and Stowmarket we have some fantastic businesses, such as British Sugar and Greene King, providing high quality apprenticeships. We also have excellent technical education providers such as Nikos Savvas, principal of the outstanding Abbeygate sixth-form college in Bury St Edmunds and CEO of the Eastern Education Group, who has been visionary in championing the value of effective technical skills, extending all the way from early years to adulthood. It has never been more important to have a proper system of technical education. We will soon see a wave of major infrastructure projects in the east of England, and we will need thousands of workers. We must ensure that we are educating people quickly enough to fill those jobs. Anglian Water reservoirs, offshore wind farms, East West Rail, Sizewell C—the success of these vital projects depends on a constant supply of technically trained people. The Eastern Education Group has suggested a formal network of “further excellence” technical colleges, a suggestion that I strongly commend to the Government. I recently visited Hinkley Point C, the model for Sizewell C, and met outstanding nuclear technicians who started their careers with apprenticeships. They went straight into well-paid jobs and will eventually operate nuclear power plants. What matters most, they explained to me, was being a SQEP—a suitably qualified and experienced person. Whatever your academic background, it is important simply that you can do the job, so let us SQEP up our society and invest in technical education and apprenticeships across the country, especially in rural areas where it is so sorely needed. We will train the generation that will rebuild Britain.

• 6 May 2025 · Eye Care: 10-year Health Plan · Hansard source

  More

  The president of the Royal College of Ophthalmologists has stated that the widespread outsourcing of NHS cataract surgery to private, for-profit providers risks the integrity of hospital eye surgery departments meaning that there will be few services to treat patients with preventable blindness. How can we reassure the public that such services will be maintained?

• 7 Apr 2025 · Road Maintenance · Hansard source

  More

  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.

• 2 Apr 2025 · Universities: Funding and Employment · Hansard source

  More

  It is a pleasure to serve under your chairmanship, Mr Vickers. I should like to speak this afternoon about the vital but vulnerable role of clinical academics. These are the people who combine frontline work in the hospitals with teaching and research at the universities. They are essential to the success of life sciences, and central to the training of the future NHS workforce. Clinical academics are employed by the NHS and higher education institutions jointly. Their pay follows the NHS consultant contract, which was updated last year after national negotiations. Universities, however, were not part of those negotiations, and are now required to implement that contract without having received any additional funding. The result is deeply worrying. I understand that 20 out of 26 medical schools may be preparing to offer redundancy to clinical academics because they simply cannot afford them. That would be a disaster. We cannot afford to lose the very people who train the future NHS staff and carry out the medical research that underpins all the innovation in our health service. As the Government rightly expand the number of medical school places, we will depend even more on clinical academics to educate the next generation of doctors. Their numbers are declining. Clinical academics now make up just 5.7% of the consultant workforce—down from 8.6% in 2011. Over the last decade or so we have seen a 6% fall in medically qualified researchers, and a 24% decline at the senior lecturer level. We are marching towards a cliff edge. More than a third of clinical academics are over the age of 55 and approaching retirement, so universities need to provide incentives to get younger clinical academics to come. We did solve this problem previously. When the consultant contract changed in 2003, the then Department of Health provided £15 million to support the medical schools with the implementation of the consultant clinical academic contract. That funding was later embedded in the baseline grants to the universities. That is a model for solving this problem. Unless we act now, we will lose this vital workforce altogether at the very moment when we need them most, and we simply will not be able to run our medical schools.

• 27 Jan 2025 · Clinical Academics · Hansard source

  More

  The number of clinical academics is in worrying decline. These are the people who teach our doctors in universities and are conducting groundbreaking research. Consultant clinical academics’ contracts with universities give them pay parity with the NHS. However, the universities do not have the funding to match the costs of the new NHS pay structure for consultants. I have heard that, unable to retain them, 20 out of 26 medical schools in the country are offering voluntary redundancy to their staff, and sometimes not voluntary. Does the Minister agree that we must do all we can to support medical education and research in this country?

• 23 Jan 2025 · Holocaust Memorial Day · Hansard source

  More

  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

  More

  I agree with my hon. Friend, as he will see. There are odd shifts, night duties without hot food, and days and weeks that go by without an opportunity to meet supervising consultants. Short clinical attachments mean that the relationships previously created with senior mentors are rare. Just last week, I received an email from a surgeon who was my consultant in 1986. He had noticed in a surgical journal that I had become an MP, and I remembered him as the brilliant surgeon that he was. These are the relationships that make people feel as if they belong within a wider profession, but I doubt whether the young trainees of today would have the chance to make such lasting connections. There is little security of employment, because doctors are obliged to apply every year or two for another post, probably in another place. The doctors’ mess used to be a place where young doctors could find a sort of surrogate family in an unfamiliar place, but that is now sadly a thing of the past. According to research from the British Medical Association, fewer than 10% of UK trusts or health boards offer hot food after 11 o’clock at night. The demands of the job affect relationships. Many young doctors are in relationships with fellow doctors, but lucky indeed are the couple who can work and live in the same place, or even contemplate raising a young family together. Sadly, relationship difficulties and breakdowns are commonplace. Holidays must be taken at odd times, and rotas are inflexible. Doctors are left unable to take a day off to attend a wife’s graduation, a sister’s wedding or even their own wedding—all true. Progression in a chosen career depends on a multitude of competitive interviews and hugely costly professional exams. There is no security of employment. In a survey called “Fight Fatigue” conducted by the Royal College of Anaesthetists, 50% of respondents said that they had had an accident or a near miss when driving home after a night shift—I recall fatalities like this in my own hospital; 84% were too tired to drive home after a night shift; and only 64% had access to any rest facilities. What would we say if the same were true of airline pilots, to whom anaesthetists are sometimes compared?

• 21 Jan 2025 · Welfare of Doctors · Hansard source

  More

  I agree with exactly what the hon. Gentleman said. In a recent survey, 29% of hospital doctors said they were unable to take any breaks at all during the working day; for GPs, the figure rose to 40%. That is simply not safe, for either doctors or patients. In a 2023 survey conducted by the Royal College of Surgeons, half of respondents cited poor working conditions as the main challenge in their job. It is no wonder that so many colleagues are retiring too soon. The average age for a radiologist to leave the NHS is now 56, yet we are desperately short of these vital specialists. This is happening across many specialties. Just in 2023, 23,000 English doctors left the profession prematurely. We cannot afford to lose our most experienced doctors. Too often they are discouraged from continuing in practice by a bureaucratic and costly appraisal and revalidation process, and they simply throw in the towel. Their experience is a vital asset to the NHS, and we must think carefully about how we retain them or return them to the workforce. One solution will be to create simple routes for experienced doctors to practise flexibly.

• 21 Jan 2025 · Welfare of Doctors · Hansard source

  More

  I was not aware that the practitioner health service was not available in Northern Ireland; I certainly agree that it ought to be. The practitioner health service was designed to be used by only 0.5% of GPs, but in fact it is accessed by 10 times that number. Ensuring that such services are fully funded will be important. There is alcohol and drug abuse, loneliness, depression, insomnia, anxiety and, sadly, suicide—including two of those who I graduated with from Sheffield, both in their very first year of medicine; and two doctors, a psychiatrist and a neurosurgeon, from my own road in Norwich. One of my own trainees was rescued at the last minute from a very serious attempt. All doctors know of this problem, but few speak of it. Last week, I informed the House of my former student who described the terrible flashbacks and post-traumatic stress disorder of the young clinical intensive therapy unit staff who witnessed 40 or 50 covid admissions die at a hospital in Yorkshire, and the complete lack of support they received. Many are reluctant to seek help and do not know where to turn. Itinerant junior doctors not registered with GPs are known to self-medicate. We simply cannot leave them on their own. In conclusion, I will respectfully make some suggestions, which have little or no cost implications. In making them, I am thinking especially of our resident doctors. They include to provide identified mentors, not simply people called educational supervisors; simplified contracts, transferable across trusts and between hospitals; clear, early information for doctors about what they will be paid and their rotas, timetables and holidays; hot food at night, and places to rest and sleep; to cover exam fees and make examinations fair and achievable; and to provide parking at the hospital and, crucially, a GP for every doctor and simple access to mental health support. Medicine is a brilliant career—satisfying, interesting and rewarding. Let us look after the doctors who look after us.

• 20 Jan 2025 · Obesity: Food and Diet · Hansard source

  More

  A bariatric bed is a special big, strong bed used in hospitals for extremely obese people. When I was a medical student, there was no such thing as a bariatric bed—not invented, not needed. But then, hospitals did not have food banks for their staff either. So how have we got our relationship with food into such a mess? The epidemic of obesity is a public health emergency costing billions. Millions of our citizens are dying early. The Government simply must act. This cannot be left to the market. We did it with smoking, and now we will do it with obesity. We have no choice. We know that at the heart of the matter is high-fat, high-sugar, high-salt, factory-produced food that is often ultra-processed, cheap, convenient, tasty and very profitable for a few very large food businesses. Nor must we forget that it is our poor citizens who are most affected—those who are cash-poor, time-poor and at high risk of a poor diet. We cannot continue like this. The Government must act to change food habits. This is not the nanny state; this is simply good government. “Smoking kills,” it says on cigarette packets. Some food kills, too, so how about “The food in this packet will kill you if it is not part of a healthy, mixed diet”? Obesity is a massive issue for surgeons, increasing morbidity and mortality. Although we can staple stomachs or inject up to 3.5 million people with anti-obesity drugs, we all know that that is not the answer. Let us use the power of Government to legislate: warnings on food packets, breakfast clubs in schools, which we have already introduced, advertising bans, tax incentives, cooking education and an end to the dependence on the cheap, unhealthy food that blights the lives of so many of our citizens. We have no choice.

• 7 Jan 2025 · Mental Health Services · Hansard source

  More

  I have just been visited by my former medical student, a young doctor in Yorkshire working in an intensive therapy unit, who told me that 40 of the 50 patients who were admitted with covid died. Many healthcare workers are suffering from flashbacks and post-traumatic stress disorder. What measures will the Government take to look after the mental health of the healthcare workers who so bravely helped us during the covid pandemic?

• 8 Oct 2024 · SEND Provision: East of England · Hansard source

  More

  I thank my hon. Friend the Member for Lowestoft (Jess Asato) for securing this debate. Despite councils losing about 98% of tribunal cases, there seem to be no real consequences of their failures to act in the first place. Families are left to navigate a tribunal system that is overwhelmed, delaying the help their children desperately need. There seems to be a failure of accountability. My constituents are frustrated and tired of fighting a system that should be working for them. The time has come for stronger enforcement mechanisms. Local authorities must surely face penalties for failures, particularly when they fall short of their legal duties. The public demand some change. My constituent Thomas Howard led a petition signed by more than 16,000 people calling for mandatory neurodiversity training in universities. That shows the breadth of concern about the lack of support across all levels of education, from primary schools to universities. The call for accountability is not just about individual cases; it is about making the system work for everyone. This debate is an opportunity for us to push for real change in the east of England. Without stronger accountability, we will continue to let down children and families we are meant to serve. We must ensure that local authorities are not only meeting their obligations but are in some way held responsible when they fail to do so.

• 19 Jul 2024 · Planning, the Green Belt and Rural Affairs · Hansard source

  More

  I am a surgeon from East Anglia, and it is an honour beyond my imagining to have been elected to Parliament to serve the people of Bury St Edmunds and Stowmarket in the most beautiful county of Suffolk. I thank its voters for putting their faith in me and in Labour, and for giving us the chance to change Britain. I am the first ever Labour Member of Parliament for Bury St Edmunds and Stowmarket, which has been a Conservative seat for nigh on 150 years. I must thank my predecessor, Jo Churchill, most sincerely for her long service to her constituents. I am the first ear, nose and throat surgeon ever elected to Parliament. I am not, however, the first member of my family to be an MP. I recall my uncle, George Jeger, from when I was a small boy in the 1960s—he was the Member for Goole, in the East Riding of Yorkshire. I thank my teachers at Guisborough grammar school in Cleveland. As a descendant of Jewish refugees, what a pleasure it was to hear my hon. Friend the Member for Middlesbrough South and East Cleveland (Luke Myer) deliver his maiden speech. I went to medical school in Sheffield, and I thank the many surgeons who trained me in the NHS. I thank the thousands of patients whom I have treated during my career, and who put their faith in me and are my lasting inspiration. Indeed, one of the first people I met as I walked into Parliament was one of my patients, Paul from Great Yarmouth, who works here in this place to keep us all safe. I thank my family and in particular my wife, Marian, the former sheriff of Norwich, who has been my greatest supporter and who first encouraged me in politics. My constituency of Bury St Edmunds and Stowmarket is a wonderful part of the world, with a rich tradition of agriculture and food production. We are home to Greene King and, according to the records in the House of Commons Library, one of my distinguished predecessors urged the House bars to stock the delicious beer created from Suffolk barley. I see that the present Greene King brew in the Strangers’ Bar is called Level Head—something we are all going to need in the years to come as we begin to rebuild Britain. We are also home to Silver Spoon, and the enormous Suffolk sugar beet production is key to the local economy. In Stowmarket, we have a brilliant food museum to showcase that most essential of national services, farming. I was delighted to see our new Government’s proposals to sort out our buses. Let us think of them as the crucial services they are and support them. There are villages in my constituency that have two buses a day during the school term and no buses at all in the school holidays. How does anyone without a car get to the GP surgery or to the pharmacy in the nearby town? Very few surgeons are ever elected to Parliament and I will bring my experience of 42 years as an NHS doctor to this place to do something to help mend a service that my right hon. Friend the Secretary of State for Health and Social Care has described as broken. Many of our hospitals are indeed in poor repair and we have seen very little progress on the 40 new hospitals famously promised by the last Government. In Bury St Edmunds, we urgently need to confirm the capital funding to progress the replacement of the West Suffolk hospital which, like my own James Paget university hospital in Great Yarmouth and our sister hospital in King’s Lynn, is supported by thousands of scaffolding poles and is literally falling down. Last week, it was reported that bird droppings had fallen through the roof on to sterile surgical instruments. My predecessor was a strong advocate for the replacement of our hospital, and I will aim to continue her work. Our brilliant new Government have much to do. Let us use our huge mandate wisely. Let us look after the staff who look after us, end the outrage of food banks for the nurses in many of our hospitals, and sort out the pay and conditions of all who work in our most precious of public services. Let us make the biggest employer in the land the very best employer in the land. There are things to do to sort out social care and to end the financial lottery at the end of life, which many families fear. The answers are political, and we can do this. Our hospitals are full of patients with a non-medical condition called bed block, because they cannot be discharged safely in many cases. I cannot begin to tell the House how many of my operating lists have been cancelled because of that problem. Whole surgical teams are waiting around for hours and operating theatres are lying empty. If we solve the problem of social care, we will not need to build ever bigger hospitals. But I am optimistic for our NHS. Britain leads the world in scientific advances. Right in my own region of East Anglia we have world-beating biomedical science and leading universities. Recently, we celebrated 75 years of the NHS. My father—who, if he were alive and here today, would be astonished—was an RAF medic who joined the RAF in 1948. My son is an A&E doctor right here in London. My sister is a nurse. My family has served the NHS continuously since it began. When the great Nye Bevan invented the NHS, a painful hip was treated with a walking stick, and a cataract with a thick pair of glasses. Now the miracles of joint replacement and cataract surgery are no longer regarded as the surgical miracles they are, but as an entitlement. Nye would have been amazed. I am sure we will see in our own time scientific and medical advances beyond our imagination. Already we are at last seeing effective treatments for dementia and neurological disorders, and genetic cures for haemophilia and other inherited problems. We will also have cancer vaccines and other marvels that we cannot yet imagine. I urge all my honourable colleagues in this brand-new Parliament to do whatever we can to support research and innovation with all our heart and all our soul, for as the great poet Seamus Heaney wrote, “once in a lifetime The longed-for tidal wave Of justice can rise up, And hope and history rhyme.” I commend this King’s Speech to the House.