Sarah Green MP: speeches

Speeches

• 10 Mar 2025 · Schools: Exceptional Funding · Hansard source

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  Chesham grammar school, in my constituency, has received exceptional funding from the Department for some years to facilitate the hire of the neighbouring leisure centre’s sports hall for PE lessons. This year, the school’s application has been denied, despite its circumstances not having changed; it still has no on-site sports hall, and it still needs to fund the £65,000 hiring fees each year. Will the Minister meet me to discuss this particular case to ensure that the students of Chesham grammar school have access to the PE curriculum the school is required to provide come September?

• 29 Jan 2025 · Terminally Ill Adults (End of Life) Bill (Fourth sitting) · Hansard source

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  Q 157 I am keen to hear about the training, education and clinical supervision you have in place for assisted dying. Perhaps I will address that to Dr Fellingham, but I am sure you could all answer. Dr Fellingham: Certainly. The training is very stringently developed, and very rigorously tested. Our management training practice, which is required of all doctors who want to practice assisted dying, was developed by our colleagues in the Australian Centre for Health Law Research at the Queensland University of Technology. It drew on extensive research that the group had conducted around the world to create an online training package that takes at least a day to complete and covers a huge amount of things that are of great concern. Not unsurpris-ingly, it includes things like how to assess capacity, how to detect coercion, how to assess for voluntariness, and how to determine the various different eligibility criteria that apply in our Western Australian law. To be able to access that training and become a voluntary assisted dying practitioner, a person already has to be a doctor of quite some standing in their own specialty. They have to be a consultant in a specialty with at least one year of full-time practice under their belt, or a general practitioner with at least 10 years of broad experience. We are not talking about junior doctors being able to offer this; we are talking about doctors of significant clinical standing with a very broad range of patient experiences. They put themselves forwards and do that training, and then that training has to be refreshed and updated every three years. I have five hospitals in my health network, and together with my colleagues I developed a very comprehensive package of training, education and awareness that is tailored for people who may have a role in this at various different levels, from a nurse on the ward all the way through to someone who actively taking part in the process. A very wide range of documents and training packages have also been developed by our Department of Health. In addition, all practitioners who work in this space are invited to become members of our community of practice, where we share peer education and experiences. We also have guest speakers from national and international viewpoints to continue to educate us as a group, and to ensure that our practice is consistent and in line with local and international standards.

• 28 Jan 2025 · Terminally Ill Adults (End of Life) Bill (Third sitting) · Hansard source

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  Q Dr Clarke, what are the existing statutory guidelines on end-of-life practice? How are those decisions logged, recorded and monitored? Dr Clarke: The fundamental principle is always that, by default, the patient has capacity unless there is clear evidence that they do not. We presume that patients have capacity. As doctors, we are obliged to ensure that patients have informed consent when deciding between different treatments. That means we need to lay out the whole array of treatment options, and the risks and benefits of each, to empower individual patients to make decisions for themselves. Regarding the issue that has been alluded to of whether doctors should be prohibited from raising the issue of assisted dying, it is my belief that that would fundamentally alter the doctor-patient relationship. If consent is not informed—and it is not informed if we are not laying out all the different options to a patient—we are denying patients the opportunity to make decisions for themselves. A patient is always able to refuse every treatment, and in particular every life-prolonging treatment, that they choose to, provided they have capacity. We, as doctors, may think that a decision is unwise, but that is irrelevant, because those days of bad old paternalistic medicine are gone. The patient makes the choice. If a patient says, “I do not want chemotherapy. I do not want to eat. I do not want anything at all—no treatment”, we respect that, unless they lack capacity. The elephant in the room with all of this is the capacity assessments. I would suggest that anybody who pretends that those assessments are easy and routinely done well in the NHS has not got enough experience of observing that happening. I teach capacity assessments to doctors and medical students, and it is often the case that they are very poorly conducted. The doctor often does not understand the criteria for assessing capacity. That is if it happens at all. Sometimes, a paternalistic doctor will decide that a patient is dying, and we should stop their antibiotics because they are clearly now at the end of their life. They have a chat with the family, who say, “Yes, we agree,” and nobody talks to 82-year-old Mrs. Smith and asks her what she feels about it, because they assume that she does not have capacity because she is old. I see that regularly. Sometimes, a palliative care team will intervene in those situations, because the professional and legal framework that is meant to guide this practice is just not happening. It is a very fraught and tricky area. If there is one thing that I would say to the Committee regarding making the Bill as robust, strong and safe as possible, it is: please consider seriously the matter of education and training from day one of medical school onwards. Death is at the periphery of a medical school curriculum. Death and dying are not taught. You might get a week of palliative care in five years, and that has knock-on effects all the way through, at every level of seniority in the medical workforce.

• 22 Jan 2025 · Education, Health and Care Plans · Hansard source

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  Only 49% of children in Buckinghamshire receive their EHCP plan within the statutory limit, which means that more than half are waiting way beyond that time frame. There are hidden impacts to those delays: one family in my constituency faces a three-year waitlist for autism spectrum disorder and ADHD assessments. They have serious concerns about their current accommodation, but the lack of diagnosis for their son is delaying their eligibility for suitable housing. That is three years in unsuitable housing with no additional support. I have spoken to schools in my area that say they have children with EHCPs who would be better served in a specialist setting. The demand for places means that they remain in mainstream education, where, in the words of one local headteacher, that the SENCO workload is unsustainable for staff. The Department for Education’s own survey showed that only 63% of classroom teachers felt able to meet the needs of pupils with SEND. I am keen to hear from the Minister on what work is ongoing to help give the current teaching workforce the training and confidence they need to meet the demand in our mainstream schools.

• 9 Dec 2024 · Topical Questions · Hansard source

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  T5. What steps are under way to recruit and retain more educational psychologists so that children, including in Chesham and Amersham, do not have to wait as long as they currently are for the assessment they need?

• 9 Dec 2024 · SEN Provision: Funding · Hansard source

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  A recent National Audit Office report makes it clear that, without reform, the SEN system is financially unsustainable. The Minister will know that, since 2020, local authorities such as Buckinghamshire council have been able to exclude their dedicated school grant deficits from their main revenue budgets. That statutory override means that local authorities do not breach their duty to set a balanced budget, but it is due to end in March 2026, and there is currently no identified solution. Can the Minister share more on what urgent conversations she is having with colleagues to ensure that local authorities get the certainty they need?

• 24 Oct 2024 · Special Educational Needs and Disabilities · Hansard source

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  Other Members have asked about educational psychologists. There is a real shortage right now. Are the Government considering enabling other professionals to undertake some of the assessments to help unblock the waiting lists?

• 12 Sept 2024 · Sir David Amess Adjournment Debate · Hansard source

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  It is a real privilege to contribute to my first Sir David Amess Adjournment debate. I did not have the privilege of knowing him, but may I acknowledge and pay tribute to his colleagues for keeping his memory very much alive? We have had some brilliant maiden speeches this afternoon, and I know that there are more to come. I congratulate the hon. Member for Mid Derbyshire (Jonathan Davies) on his confident speech; my hon. Friend the Member for Henley and Thame (Freddie van Mierlo), whom I welcome to the Liberal Democrat Benches; and the hon. Members for Exmouth and Exeter East (David Reed) and for Bolton West (Phil Brickell), who delivered confident and assured speeches. I also want to acknowledge the very moving and raw contribution from the hon. Member for Bexleyheath and Crayford (Daniel Francis) and the very personal speech by the hon. Member for Reading West and Mid Berkshire (Olivia Bailey). I wish the hon. Member for Southampton Test (Satvir Kaur) an early happy birthday. Her pride in her city shines through, as does that of the hon. Member for Doncaster Central (Sally Jameson). I echo the tribute that the hon. Member paid to Baroness Winterton, who was in the Chair when I gave my maiden speech. Over the summer recess, I spent a lot of time in the smaller communities in my constituency, including Knotty Green, Winchmore Hill, Chenies, Coleshill, Seer Green and Jordans. There were some common themes that I would like to raise before the House adjourns. As Members might imagine, some of the issues are particularly local to the area. In Coleshill, there is real frustration at the continuing lack of broadband in the village. In Coleshill and Winchmore Hill, I was told about the lack of reliable bus services. Recent bus timetable changes have made it harder for pupils to get back to school this term. A solution was found for the boys at a local boys’ school, but the same cannot be said for the girls, who no longer have a viable way to get to one of the local girls’ schools on public transport from the villages affected by the timetable change. I am mystified as to why boys and girls have been treated differently by the council. It will not surprise the House that in all the villages that I went to, residents shared their horror at the state of our rivers. Many of them volunteer on the River Chess and the River Misbourne, which are rare chalk streams, and they can see the devastating impact of pollution and sewage. A number of younger constituents came to share their concern for the environment and for making sure we all do our bit to save the planet. I pay tribute to one young constituent, Stella Jackson, for presenting her petition to me: she deserves particular praise for her efforts in gathering signatures for the petition that she ran in her village to encourage us all to reduce, refuse, recycle and reuse. While I am talking about our young people, I have to say that I was encouraged to see that last week’s Westminster Hall debate on services for special educational needs and disabilities was so well attended; indeed, I was unable to voice the experiences of my constituents, because Westminster Hall was so full. There is a crisis in SEND provision. In our local area, Buckinghamshire council states that demand for SEND services has increased by 50% in the past three years alone, and that this is unsustainable. The heartbreaking conversations that I had with families over the summer support that assessment. It is also hard to hear the stories of people of all ages who have been waiting for healthcare appointments and treatments. We know the NHS is under great pressure. We know, too, that healthcare workers are working tirelessly in difficult circumstances. I hope that we can look back on today’s Darzi report as the point at which the NHS started to turn a corner. I wish to finish by mentioning the pensioners from my constituency who came to see me this summer worried about the cuts to the winter fuel allowance. The matter came up in every village that I visited. Since the summer recess, almost 100 other constituents have written to me with similar concerns. This Government cannot be held accountable for the mess they inherited, but stripping support from the poorest pensioners just when energy bills are set to rise again cannot be the answer. One constituent with Parkinson’s told me that cutting back on their heating will almost certainly exacerbate their symptoms. Taking away this vital support is, quite simply, the wrong thing to do.

• 24 Jul 2024 · Education and Opportunity · Hansard source

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  My hon. Friend is making an excellent speech. Does she agree that in many local authority areas, such as mine in Buckinghamshire, schools are already oversubscribed, so the places in the state sector simply do not exist for independent school parents who find they can no longer afford the fees?

• 23 Jul 2024 · Immigration and Home Affairs · Hansard source

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  I congratulate the hon. Member for Chelsea and Fulham (Ben Coleman) on his maiden speech. It is a great privilege to serve in this place, and I welcome him. I also congratulate the Government Front Benchers as they take on their ministerial responsibilities. I will focus on three bits of legislation mentioned in the King’s Speech that have generated interest among my constituents in Chesham and Amersham. The first is the water special measures Bill, because the Liberal Democrats have led the charge on calling for tougher penalties for water companies that dump sewage in our rivers and fail their customers. I am therefore keen to learn more about the Bill and the powers it will give to ban bonuses and introduce new fines. Residents and businesses in Chalfont St Peter spent the first half of this year struggling to cope with sewage-filled floodwaters. Some had the horrible experience of their bathroom and kitchen plug holes burping sewage into their home. Thames Water later admitted to me that the cause of at least some of this sewage being brought into homes was that the company’s tankers had released floodwater, which they had pumped out of another area, into the wrong location, overloading the drains. Thames Water’s response to this year’s various problems in different parts of my constituency has been disgraceful, so I look forward to hearing how the Government will ensure that Ofwat finally uses its teeth and starts holding the likes of Thames Water to account. The second Bill in the King’s Speech that I would like to touch on is the planning and infrastructure Bill. I represent a constituency where a significant amount of land is classified as green belt. My constituents are keen to get a definition of what “grey belt” means. Other than poor quality and ugly, there has been little detail about exactly what land would fall into that category. I also look forward to hearing what steps the Government will take to ensure that any new developments include the GP practices, other vital services and infrastructure to support them. The third announcement in the King’s Speech that I would like to talk about is the Government plan to end VAT exemption for independent schools. The issue has been raised with me by several parents who send their children to independent schools in order to receive additional support for special educational needs and disabilities. I welcome the confirmation I have received that pupils with an education, health and care plan will remain exempt from VAT. There are, however, children receiving support for SEND in the independent sector who do not have EHCPs. I hope that the Government can offer assurances that such children will be taken into account as they pursue this policy. I will end by mentioning healthcare. While I welcome the Government’s focus on reducing waiting times, I was disappointed not to see specific mention of improving access to GP appointments, because that is raised with me week in, week out. Just this weekend it was raised by residents in Gerrards Cross, where there is no GP practice. I hope that, with their significant mandate, the Government will give access to GP appointments the attention it desperately needs.