Pippa Heylings MP: speeches

Speeches

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

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  Will the hon. Member give way?

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

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  Will my hon. Friend give way?

• 19 May 2025 · Gender Self-identification · Hansard source

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  It is a pleasure to serve under your chairship, Mr Mundell. I thank my hon. Friend the Member for South Cotswolds (Dr Savage) for moving the motion and for her powerful speech. I also thank all the signatories to the petition. I want to add my voice to the calls for transgender people to be able to change their legal gender through self-identification and, in particular, without the need for recourse to a medical diagnosis of gender dysphoria. The petition reflects a long-standing call for dignity, simplicity and fairness in how we treat some of the most marginalised people in our society. We seem to be going backwards rather than forwards. The Women and Equalities Committee spent years scrutinising the Gender Recognition Act. As early as 2016, and again in a 2022 report, the Committee recommended a move to a more streamlined, de-medicalised process, recognising that being trans should never be treated as an illness. Yet that is exactly what the current process continues to do. The requirement to obtain a medical diagnosis of gender dysphoria from an NHS gender clinic doctor is not only dehumanising and daunting for those involved, but these days is practically almost impossible, and inaccessible. As other Members have done, I would like to bring into the debate the voice of trans people, particularly from my South Cambridgeshire constituency. Let me share the very human story of what it is like in practice—the story of a trans woman who embodies the struggle that the petition seeks to address. Yannifer is a trans woman, a close friend and a colleague of mine. She happily changed her gender in her passport and driving licence back in 2023, after a visit to her GP—self-declaration in practice. I remember the joy of that day, and her joy and pride in what she said was her most life-affirming moment. But that was short-lived, because she then realised that that did not entitle her to the next steps towards a gender recognition certificate, nor to hormone treatment. For that, she needs a diagnosis of gender dysphoria from an NHS gender clinic. With the NHS in crisis and the reality of the current provision, Yannifer is now two years into what is likely to be at least a six-year wait—a cruel and unnecessary delay for a basic recognition of her identity. She has been able to form the most special of relationships, but she is not able to marry her partner in her own acquired gender without a gender recognition certificate. More dangerously, she has had to turn to private treatment, at huge personal cost, because her GP still refuses to prescribe the hormones that she needs, citing loopholes that discredit private diagnoses. We have heard today about the mental health impact of this process, and the stress and uncertainty that it causes are not hypothetical. The situation in which Yannifer finds herself is dangerous. She has told me that to procure medication informally is just to survive, because the alternative of not being able to live in her acquired gender and to change and transition, as she puts it, would be “practically suicide-inducing”. So she lives in limbo, denied the basic dignity of legal recognition. There are huge questions over the need for this medical diagnosis. As the Women and Equalities Committee concluded, the diagnosis is outdated. The World Health Organisation has moved from “gender dysphoria” to “gender incongruence”, under a non-mental health classification. The UK is now out of step with international best practice. Ireland, Denmark, New Zealand and Argentina have all reported positive administrative and public health outcomes from policies based on legal gender self-declaration. As we have heard today, these nations are not collapsing and the sky has not fallen in. They are modernising, but in the UK we continue to ask trans people to navigate a legal process that is, according to the Government’s own consultation, dehumanising, overly bureaucratic and prohibitively expensive. We continue to ask trans people to prove that they are ill in order to access the legal right to live as their authentic selves. That contradiction is not only outdated, but harmful. Trans people such as Yannifer are not asking for special treatment; they are asking for respect, safety and recognition. I would like Yannifer to know that she is heard, and that we see, value and respect her. That is why I am urging the Government and the Minister to reconsider the recommendations of the Women and Equalities Committee, to allow self-identification, remove the requirement of a gender dysphoria diagnosis from the Gender Recognition Act and reform the Act completely to enable self-identification, as the petition requests.

• 16 May 2025 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  My hon. Friend is right to point out that compassion and fairness for those who are terminally ill are rightly at the heart of the Bill. Does he agree with my constituents who would like to see it extended to those terminally ill with motor neurone disease and neurodegenerative disorders, to give them choice and dignity, too, by extending the eligibility period? [ Interruption. ]

• 27 Mar 2025 · Business of the House · Hansard source

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  Addenbrooke’s hospital in my constituency has launched a major expert clinical inquiry, following worrying evidence that nine young children suffered worse outcomes than expected following surgery by a now suspended paediatric orthopaedic surgeon. I have written a letter to the hospital requesting that a 2016 report into the same area be sent to the Secretary of State for Health and Social Care and me. Will the Leader of the House help secure an opportunity for me to meet the Secretary of State to discuss that report and the new inquiry, so that we can ensure that it is open and transparent, and so that we can reassure patients, families and the staff of the organisation, and ensure that there is no retaliation against any whistleblowers?

• 4 Mar 2025 · Bathing Water Regulations · Hansard source

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  It is an honour to serve under your chairship, Sir John. I thank my hon. Friend the hon. Member for Taunton and Wellington (Gideon Amos) for securing this critical debate. While covid-19 undoubtably brought on many challenges, one positive outcome was the surge in open-water swimming. More people than ever before enjoyed blue spaces for recreational activities, reaping significant benefits for both their physical and mental wellbeing. However, many were more cautious about diving into freezing cold lakes, rivers and streams when they were aware of the level of bacteria and pollution present in our waters. As Liberal Democrats, we have long and passionately campaigned on this issue. Last year, the Lib Dems discovered that water companies had discharged sewage over 100,000 times in areas designated as current bathing waters, putting public health and local ecosystems at risk.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I agree with the hon. Member. I will give one example: the Arthur Rank hospice, which serves all of Cambridgeshire. I had a tour there and saw the work being done by its dedicated professionals. I was informed by its senior leadership that these hikes in national insurance contributions for employers will be the equivalent of £230,000 in additional payroll costs on top of the fundraising that it already has to do. That is money that it does not have. We know from the debate on assisted dying, assisted suicide and the terminally ill how critical palliative care and end-of-life care is. That is one hospice that will struggle severely to deal with these charges. Hon. Members have spoken about the GP crisis. According to the British Medical Association, 1,387 GP practices have closed since 2015 and the NHS has lost the equivalent of 1,333 full-time, fully qualified GPs. Each GP is responsible for an average of 2,294 patients, and about 3 million people have been directly affected in the last decade by shrinking GP numbers. At a time when we desperately need more GPs, we are introducing a tax that risks driving even more practices out of business. It is not just me saying that; I am sure that hon. Members across the House will have heard from GPs in their constituencies. In my constituency of South Cambridgeshire, I have heard from the Harston, Comberton, Queen Edith, Eversden and Melbourn practices. I have spoken in particular to Dr Gee of Harston surgery, who has told me that his practice with 7,600 patients faces a £20,000 bill from April just to maintain its current services—just to stand still.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I thank the right hon. Member. As I mentioned, Arthur Rank hospice in my constituency is one such hospice that should definitely have that compromise. Not only that; we have to look at the whole primary care sector—both GPs and independent care homes—because that is what will winter-proof our NHS. We cannot fix the NHS without fixing social care. The national insurance increases are not just unwise; they are unthinkable. We are in a time of healthcare crisis when people are already struggling to secure appointments. Despite the Government’s assurances, these tax rises will inevitably affect ordinary people. They will particularly hurt those desperately trying to access their local GP and crucial appointments. We cannot and will not fix the NHS by driving its primary care providers into the ground. I urge the Government to engage with our GPs, reconsider and provide immediate reassurance to GP practices, hospices and care homes that they will be protected them from these changes. Without those frontline services, the NHS stands no chance of coming off life support.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I beg to move amendment 1, page 1, line 2, at beginning insert— “(A1) In section 9(1A) of the Social Security Contributions and Benefits Act 1992, before paragraph (a) insert— “(za) if the employer is a specified employer under subsection (1B), the specified employer secondary percentage;” (A2) After section 9(1A) of that Act insert— “(1B) A “specified employer” means— (a) a person providing a care home service or a domiciliary support service who is regulated under— (i) Part 1 of the Health and Social Care Act 2008, (ii) Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016, or (iii) Part 5 of the Public Services Reform (Scotland) Act 2010, (b) a person contracted to provide primary care under the provisions of— (i) Part 4 of the National Health Service Act 2006, (ii) Part 4 of the National Health Service (Wales) Act 2006, or (iii) sections 17J to 17O of the National Health Service (Scotland) Act 1978, (c) a person contracted to provide general dental services under the provisions of Part 2 of the National Health Service (General Dental Services) Regulations 1992, (d) a person contracted to provide pharmacy services under the provisions of— (i) Part 7 of the National Health Service Act 2006, or (ii) Part 8 of the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013, or (e) a charitable provider of health and care, or (f) a person providing hospice care whether in a hospice or elsewhere. (1C) For the purposes of this Act, the specified employer secondary percentage is 13.8%.”” This amendment, together with Amendment 2 provides that care providers, NHS GP practices, NHS commissioned dentists, NHS commissioned pharmacists, charitable providers of health and care, and those providing hospice care would continue to pay contributions at current rates.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I agree. What the hon. Member says is critical, and I will come on to the situation with our GPs. The Lib Dems continue to highlight the point that to fix the NHS, we have to fix the social care crisis. Freeing up hospital beds requires us to fix the social care sector. According to research, 60% of the UK’s care home beds are provided by private companies, which are on the brink of bankruptcy and are being tipped over the edge thanks to these changes and rises in employers’ national insurance contributions. We do not understand how that can align with the plans of the Chancellor and the Health Secretary to alleviate pressure on hospitals and ensure effective healthcare delivery.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  These hikes in employer national insurance contributions are not just numbers on a spreadsheet, but will have real and damaging consequences and will strike at the heart of small and medium-sized businesses, which are the backbone of our economy. In my constituency in South Cambridgeshire, we have one of the highest densities of small and medium-sized enterprises, principally in the biotech and life sciences sector, which is a growth area for our economy. It is critical that we get this right, and I have heard from the sector that it is troubled by this legislation. More worryingly, the consequences will extend to our social and healthcare sectors, which are already under immense strain. GP surgeries and care homes across the UK are at risk of being severely impacted. Those are essential frontline services, which are essential to supporting the NHS and to fulfilling this Government’s mission of moving from treatment to prevention, and from hospital to community. How can we expect to tackle the backlog in routine operations, and how can we deal with the winter waiting lists at accident and emergency, and with so much pain and anguish, if the primary care providers that form the foundation of our healthcare system are being undermined by this tax increase?

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I could not concur more. Over the past decade or more, we saw chronic under-investment from the Conservative Government, despite the needs having been recognised in statute, and that has left us in this pressure point situation. We are now seeing the results of that. I have also been told that this is a time bomb, because we will see the impacts in the future in the quality of life, in opportunities, in the NHS and in social services—in all services really—if we do not deal with this situation. I have also been told about the situation for siblings. When a child is not given the support that they need in school, young carer siblings are often drawn out of their class and asked to be with their sibling during their lunch break or lessons. There is an impact on all those affected.

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I will come on to what I think is a postcode lottery. We see regional disparities in the care and provision given, so I thank the hon. Member for raising that point. For many, the wait to get assessments for education, health and care plans can be months, if not years. Lord Darzi’s investigation of the NHS in England notes, “Waiting lists for community services and mental health have surged.” The report also mentions how “Demand for assessments for ADHD and Autism have grown exponentially in recent years”, with children disproportionately represented among them. Recent research found that 200,000 children in England are struggling to get an education, health and care plan. That is 200,000 families left in uncertainty, desperate for help and struggling without the support they need. Cambridgeshire currently has 8,033 students with EHCPs—a 51% increase in the last five years—and of those, 2,593 plans primarily address autism spectrum disorder. Indeed, I was told by the chief executive of Cambridgeshire county council that there has been an increase of 270% in the number of children presenting with autism. Requests for education, health and care needs assessments have risen faster than the national average. Why? We think that is driven by greater awareness of SEND and the statutory responsibilities of local authorities, the impact of the covid pandemic and the overall increase in mental health issues for children, even at a very young age. Those numbers help to underline the scale of the issue, but we should not get drawn purely into statistics and figures, because behind every number and every percentage there is a child, a family or a sibling being failed every single day. I come to the issue of disparity that the hon. Member for Congleton (Mrs Russell) mentioned. Families who can afford to seek private neurodevelopmental assessments tend to receive help much faster than those who are reliant on public services. For the rest, it is a postcode lottery. NHS England data reveals stark regional disparities in waiting times for diagnosis. For example, the north-west region has the longest average wait of three years and four months, from referral to diagnosis. We therefore have a health inequality element to this too, as certain groups of children are less likely to have their needs identified or met, punished just because of where they live. For some children, mainstream schools are simply not suitable, and parents and carers bear the brunt of that reality, managing reduced timetables, enduring repeated exclusions and watching their children receive only a few hours of education each day.

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I thank my hon. Friend for raising one of the complex issues around this provision. While we support the current Government’s additional allocation of funding to this critical area, we really want them to look at the fact that it is not just about mainstream provision; it is also about specialist provision. As she says, we must look at all types of provision, because this is complex. Even if support is given in mainstream schools, it is often on very reduced timetables, which means that parents and carers are unable to work and be productive for society, because they are either covering the spaces in that provision, unauthorised or otherwise, in other settings, or covering for the times when the school cannot provide timetabled support. I return to what the Liberal Democrats think we should have: a national SEND body, an urgent increase in diagnostic services, action to address the chronic lack of educational psychologists, targeted resources for local authorities to improve their capacity, support for our schools and for more special school places, and interim support measures for children awaiting diagnosis so that they do not fall through the cracks. The Lib Dems have always said that we need mental health professionals in every school. It is great to hear the Government talk about mental health professionals in secondary schools. We have heard about the need in primary schools, so let us get in there early too. A capacity for early diagnosis and management means, as somebody said to me, in the words of Desmond Tutu, that we can stop pulling people out of the river, and instead stop them falling in the river in the first place. Once again, I pay tribute to all the amazing parents and carers who have spoken to me, and the amazing teachers, headteachers and SEND co-ordinators who are working in this area.

• 3 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  Will the hon. Member reassure the GPs in my constituency, in Harston, Comberton, the Eversdens, Melbourn and Queen Edith’s, who have sought reassurances that the Government do not intend to threaten the viability of thousands of NHS general practices through these charges?

• 30 Oct 2024 · Budget Resolutions · Hansard source

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  It is so inspiring for women and girls across the country to have heard the first female Chancellor deliver her Budget today. As Liberal Democrats, we will always welcome those parts of the Budget that aim to take the NHS off life support after so many years of under-investment by the last Conservative Government. It is good to hear those commitments today. If we are to fix the NHS and bring down the disastrous treatment and appointment backlogs that are causing incredible suffering to constituents across the country, we need not only to repair hospitals with crumbling roofs but to build new ones, and urgently, because progress has been far too slow. We all knew that the new hospitals programme was ambitious but, sadly, the Conservatives failed. Originally, 40 new hospitals were promised by 2030, but not one of them has yet opened. In a cruel irony, we find ourselves with a backlog of hospitals waiting to be built, with no assurances in this Budget on how many will be funded. In my constituency, the cutting-edge Cambridge cancer hospital, with its great ambition to change the story of cancer forever, will offer lifesaving treatment to patients across the east of England, including, I hope, my husband. What really sets it apart is that in the same building, alongside the patients and their medical teams, academic and industry researchers will focus on delivering groundbreaking early detection and innovations that will transform the lives of millions of cancer patients, not just in Cambridgeshire and the east of England but worldwide. However, this new hospital is trapped in uncertainty. Despite having had a full business case approved, planning permission granted and spades in the ground, this essential hospital is on hold. Every day that we wait for the final green light, the costs escalate—not only the cost of the building but, potentially, at the cost of human lives, too. The Government have placed these hospitals that were promised in 2019 under review, because despite their promises the Conservatives never allocated the necessary funding. We wait with bated breath for the final decision, which is now set for January 2025. I had the pleasure of meeting the Secretary of State for Health and Social Care to discuss the situation facing the Cambridge cancer hospital in my constituency. I received assurances that funding to support the costs of the contractor is still being paid. Will the Chancellor commit finally to allocating the funding necessary for the Cambridge cancer research hospital, so that the promises to all those in the east of England and beyond who are desperate for groundbreaking, lifesaving cancer treatments are not broken once again?

• 3 Sept 2024 · Healthcare Provision: East of England · Hansard source

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  In my constituency of South Cambridgeshire, we are witnessing the tragic consequences of an outdated funding formula. It is entrenching deep inequality across the region and the country, but it is particularly deep in Cambridgeshire, which is the most impacted of all 42 healthcare systems in the country. We receive the lowest healthcare funding per person for primary healthcare. This is just wrong. A distressing example of this is happening right now in South Cambridgeshire, one of the fastest-growing places in the country. GPs—we have talked about productivity—are treating more patients than ever before, but cannot keep up with the demands of a growing population. This is particularly so because of the funding formula. During the election campaign, I ran a survey that showed that 60% of respondents were struggling to access a GP appointment. We have heard that this is happening across the region and the country. It has come to a head this week, with four much-respected family GPs tragically handing back their contracts because it is financially impossible for them to continue. They are devastated by this decision. I have spoken with the integrated care board, which has been unable to stop this happening, and my constituents in Fulbourn, Fen Ditton, Marleigh and Cherry Hinton are hugely concerned. This has occurred as a direct consequence of the Carr-Hill funding formula—an outdated funding formula that does not take into account deprivation in an area. The practices that are dealing with deprivation find themselves dealing with more patients than others and more complex needs than others, but the funding formula does not take this into account. The practice has tried to deal with this over the years, but this is the tragic consequence in the end. Will the Minister join the Royal College of General Practitioners, the NHS confederation of primary care networks, the Cambridgeshire and Peterborough integrated care board and me in calling for a radical review of the outdated Carr-Hill funding formula, so that we can enable GPs to do their job sufficiently and well?

• 26 Jul 2024 · Making Britain a Clean Energy Superpower · Hansard source

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  Thank you, Madam Deputy Speaker, and congratulations on your new role. I also congratulate the hon. Member for East Thanet (Ms Billington), with whom I worked before we both came to this Chamber, through UK100 and elsewhere, on local climate action, which I will speak much about today. I also congratulate the Minister and the Secretary of State for Energy Security and Net Zero. It means a great deal to me to make my maiden speech during a debate in which the new Government are setting out green energy policies and plans to get us back on track with our climate pledges here at home, so that we can once again contribute on the international stage towards collective global action. Closer to home, Government research shows that local climate action would achieve net zero for half the cost of the national approach and deliver three times the financial returns, but we need a clear framework between the national and the local and for how councils fit into the national plan for net zero, including community energy initiatives. Let me say how proud and humbled I am by the faith the residents of beautiful South Cambridgeshire have put in me. They wanted change, and this was a truly historic result. The Liberal Democrats won all three Cambridgeshire seats, turning them from blue to yellow for the first time, forming a golden ring around the constituency of the Minister of State, Department for Environment, Food and Rural Affairs, the hon. Member for Cambridge (Daniel Zeichner). I congratulate him on his appointment as the Minister for farming. We have a golden ring, or rather a golden doughnut with red jam in the middle, and it is thanks to family, friends and activists, many of them here today, that that happened. I am a lass from Hull, whose dad was a GP and mum a nurse. From an early age, I accompanied my dad on his home visits to patients, and it was those roots in the NHS that fostered in me a deep sense of community service, as well as an insight into the links between inequality, child poverty and poor health outcomes. That is why I am proud that the Liberal Democrats put the NHS and social care at the forefront of our campaign, after years of Conservative chaos and neglect left the NHS on its knees. I will continue to campaign to get fairer funding for our GPs in Cambridgeshire, because the unfair funding formula in Cambridgeshire is leaving GPs struggling to keep their heads above water. Inequality was a cruel determinant in the covid pandemic and led to many avoidable deaths. South Cambridgeshire helped avoid more. It was here that the quick deciphering of the covid virus’s genetic code allowed for the vaccines to be developed straightaway. That partly explains why they were available in record time. The researchers then continued to detect the variants as they emerged. It was truly lifesaving. That is part of the reason why semi-rural South Cambridgeshire is fast changing. It is now home to world-leading innovation, with Europe’s largest biomedical centre and the Wellcome Genome Campus, as well as more than 8,000 start-ups and businesses, most of which are small or medium-sized enterprises. Our world-leading tech and life science sectors are among the biggest contributors to the country’s economy, and I invite the Government to recognise that. They are the goose that lays the golden egg, which is why their future needs to be shaped carefully with and through the local authorities, giving local people a voice and tackling affordable housing, the water supply, transport and grid infrastructure gaps in a way that allows communities, businesses and nature to thrive. That is why I would like to pay my respects to my predecessor, Anthony Browne, who worked hard to raise those issues. He supported the calls on Government to tackle the water crisis, and I look forward to continuing his work supporting the campaigns for the new cancer and children’s hospitals, too. I also pay tribute to his predecessor, Heidi Allen, who is still remembered fondly by many residents. Sadly, Heidi stood down from politics as a result of the abuse that many MPs—mainly women —face. In her words, “Of course public scrutiny is to be expected, but lines are all too often regularly crossed and the effect is utterly dehumanising.” Heidi had become an MP to stand up for the vulnerable and for those who have no voice. Now, more than ever, I want to continue their work by helping to ensure that there is a positive and inclusive vision for all in South Cambridgeshire where no one is left behind. It is distressing that 15% of children in my constituency are living in poverty, with increasing numbers dependent on food banks and free school meals, isolated in villages with no public transport. This inclusive vision must include our unique and precious chalk streams that connect us—our blue veins; the silvery threads weaving together our villages. We have the Granta that twinkles through Stapleford, Linton and Balsham; the River Shep that starts in Fowlmere nature reserve and flows through Shepreth and Barrington villages; the River Rhee that flows through Haslingfield and Harston; the Mel that rises in Melbourn and flows through Meldreth; and the Fulbourn and Wilbraham chalk streams. Residents are rightly outraged at the dumping of raw sewage in these streams and rivers. I urge the Government to get tougher with the water companies. Together with the Government, I will champion breathing new life into the Chalk Streams (Protection) Bill. I have worked professionally for many years with Governments around the world to integrate climate and nature into growth plans, mediating agreements where benefits can flow to local communities. What motivates me most is how young people see their future. A recent study on young people found that too many had climate anxiety. Their most used words were fear, anger, frustration and worry. There were two main reasons why they felt this way: first, they did not think that decision makers listened to them; and, secondly, they thought that decision makers did not care or take the right decisions for their future. I have met many young people in South Cambridgeshire who feel this way, and they want action on the twin climate and nature emergencies. I speak to them now: I want what we do in this Chamber to restore your faith and give you agency, so that together we can be the change that we want.