Shockat Adam MP: speeches

Speeches

• 1 Jul 2025 · Universal Credit and Personal Independence Payment Bill · Hansard source

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  I have been sitting here for over four or five hours, and there have been so many changes and concessions that I really do not know what we will be voting on. This is no way to bring in a Bill, when it is so important to people’s lives. The independent alliance stands firmly against the Bill, because it is unfair and unworkable. No Member should, in good conscience, vote for it. Of course, abuse of the welfare system is unacceptable—we all agree on that—but the Bill does not target fraud. It targets the most vulnerable and most needy in our communities. There have been some excellent and very powerful contributions, and, like everybody else, I have constituents who have shared their story. Jo, a constituent of mine, is actively suicidal. All sharp objects and medications have been removed from her home. The only reason Jo is not in hospital is that there are no beds available, yet Jo has been told she is not ill enough to qualify for PIP under this system. Is this the kind of society we want to build? The Bill is not just unfair; it is unworkable. The Government are asking Members to vote for cuts now based on the promise that they will help people back into work in future, yet the supporting evidence from the OBR will not even be available until October. The process has been rushed, the consultation inadequate and the system proposed cruelly simplistic. Scoring four points on a single activity will become the deciding factor in whether somebody receive life-changing support. According to the Joseph Rowntree Foundation, cutting disabled people’s benefit will not magically create suitable jobs, especially in those areas of the country that have long had a weaker jobs market. A disability that is close to my heart is visual impairment. There are 2 million people in this country living with visual impairment, which is set to double by 2050, yet 25% of employers would not be willing to make workplace changes for employees with a visual impairment, and 48% did not even have an accessible recruitment process. There is nothing addressing this issue. Government figures estimate that these changes will push approximately 150,000 people, including thousands of children, into poverty. There is no credible employment support plan for them. There is no guarantee that those whose conditions fluctuate will be treated fairly. These changes will disproportionately punish people with mental health conditions, like Jo. Politics is not a game. We cannot balance the national budget on the backs of disabled people, and the public know this. I will be supporting the reasoned amendment tabled by the hon. Member for York Central (Rachael Maskell), because this Bill is simply unfair, even though I am not quite sure what it stands for at the moment. It is unworkable and unworthy of this House’s support. I urge all Members to do the same.

• 24 Jun 2025 · War Memorials · Hansard source

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  It is a real pleasure to serve under your chairship for the first time, Mr Stuart. I thank the hon. Member for Cowdenbeath and Kirkcaldy (Melanie Ward) for securing the debate. Like everybody else, I will speak about the importance of war memorials, not just as statues but as living symbols of remembrance that link our past to our present and help us shape the future that we want to build together in this country. Each war memorial—a cenotaph, a plaque or something practical such as a hospital wing or a bus shelter—is unique. These monuments build cohesion and serve as a method of remembrance for local communities. Sometimes the names etched on memorials are the only place where those individuals are remembered, so it is vital that we preserve them. Through them, we honour the sacrifices and courage and—a vital point in this divided and polarised world—our shared history.

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

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  The hon. Gentleman is making a powerful point. Can he foresee a circumstance in which a child with anorexia turns 18, decides to get assisted dying, and the first time the family hear about it is after they have died?

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

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  Does the hon. Member agree that no matter how many new clauses we introduce, we cannot militate against people being vulnerable, particularly financially? According to the charity Mind, 2.7 million people in this country have considered suicide because of financial hardship. How could we militate against that?

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

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  Will the hon. Member give way?

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

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  It is a real pleasure to serve under your chairship, Mr Efford. I thank the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley) for his learned and absolutely excellent speech. I will focus on my profession as an NHS optometrist and discuss the impact of sight loss from long-term conditions. Let us imagine a young mother-to-be sitting in my consulting room glowing with excitement, whose joy turns to fear as I gently explain to her that her sight is deteriorating—all of a sudden it becomes a race against time; she may never be able to see her baby clearly. Or let us imagine the teenage boy with dreams of a rugby career who leaves my room with the life-changing knowledge that he is losing his vision. Unfortunately, those are not extraordinary cases; they are everyday tragedies in my workplace. These long-term conditions are often framed in terms of physical health, but as someone working with patients losing their sight, I see—as the hon. Member already eloquently articulated—the more profound, layered consequences everyday: the emotional trauma, isolation and loss of independence, and the inevitability of declining mental health, which I want to concentrate on. For example, macular degeneration is the leading cause of blindness in the UK. It does not just take away people’s central vision; it also affects their ability to read, recognise faces and drive. That means grandparents may never be able to see the faces of their grandchildren; tears are a natural result of such a devastating awareness. There is also a condition called glaucoma—generally diagnosed later in life—known as a thief of sight, because it creeps up on someone silently, often unnoticed, until irreversible damage has been done. It steals more than vision; it robs people of confidence, safety and the ability to live independently. For many, the diagnosis comes too late, and with it comes a slow loss of identity. Sight loss is not just a health issue but a social one, and its impact is profound. More than 4 million people in England with a long-term physical health condition also live with mental health problems. Those individuals experience significantly poorer outcomes and shorter life expectancies, and economically the toll is massive: between £8 billion and £13 billion a year, or at least £1 in every £8 spent on long-term conditions, is linked directly to poor mental health and wellbeing. One extremely overlooked condition—I suspect many people have not heard of it—is a consequence of vision loss called Charles Bonnet syndrome, which causes people to see vivid hallucinations as the brain attempts to fill in the gaps left by the reduced sight. The images can be repetitive patterns, but more often and distressingly they can be realistic visions of people, sometimes long deceased, or landscapes. Let us imagine that a person who is elderly, fragile and possibly alone is diagnosed with sight loss, and all they can see is their long-lost childhood pet—it is beyond frightening. It is not a mental disorder, yet many patients suffer in silence, afraid to talk about the hallucinations for fear of being misunderstood and misdiagnosed. Research suggests that at least one in five adults with sight loss will experience Charles Bonnet syndrome—more than 1 million people in the UK—but the figure is probably even higher. Children are affected too, but we are only beginning to understand their experiences. People living with long-term conditions such as macular degeneration, glaucoma and diabetic retinopathy face a constant battle not just with their illness, but with a system that is not designed to meet the complex, long-term nature of their needs. We need a change in the Government’s upcoming 10-year healthcare plan, and I have some suggestions for that. We should recognise sight loss and associated conditions such as Charles Bonnet syndrome as part of the national long-term conditions framework. We need routine mental health screening and support for people with chronic vision impairment—in fact, for all long-term conditions. We need training for all healthcare professionals, as the hon. Member for Bury St Edmunds and Stowmarket said, in integrated work, so that optometrists, GPs and nurses identify patients and support them with the psychological impact of the illness. NHS funding models and care pathways should be redesigned to reward integrated care and cross-speciality collaboration, especially where physical and mental health intersect. We need investment in early detection and care pathways. Long-term conditions shorten lives not only through the body but through the burden they place on the mind. If we do not act, we will be complicit in that erosion. But if we do act—if we integrate care, listen to patients, fund innovations and remove stigma—we can change what it means to live with long-term conditions in this country. Let us ensure that people living with long-term health conditions, whether heart failure, arthritis, diabetes or sight loss, are not left to fall through the cracks. Sight is not a luxury, independence is not optional and suffering in silence must never be acceptable.

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

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  It has been humbling to be part of this debate and to hear powerful contributions from hon. Members who have so much knowledge, in particular the hon. Member for Runnymede and Weybridge (Dr Spencer) and the hon. Members for Dorking and Horley (Chris Coghlan) and for St Neots and Mid Cambridgeshire (Ian Sollom), who made emotive speeches. I welcome the Bill and the Government’s recognition that the current legislation is no longer fit for purpose. With over 54,000 people detained under the existing Mental Health Act, this is an opportunity to modernise a system that often fails to provide care fairly and effectively. We have heard brutal testimony of that today. Although I support the direction of the Bill, one area that needs greater attention is the impact on young people. We are seeing a clear and worrying rise in mental health issues among children and teenagers, yet the Bill does not fully guarantee them the same rights and safeguards as adults. There is still no statutory test for decision-making capacity for under-16s. Without it, many young people could miss out on key rights such as choosing a responsible nominated person or accessing the protection around informal admission. Current guidelines say that children should be placed on adult wards only in exceptional cases, but that is still happening far too often. In 2022-23, nearly 200 children were admitted to an adult psychiatric ward. These environments are not designed for them. Children who are placed there can lose access to education, peer support and age-appropriate care. This must change. It is not only adult wards that are of concern to me but the fact that many children are sent to live far away from their homes and support structures, even to other towns. We must have statutory provision to stop this happening. Turning to racial inequality, the data continues to tell a stark story. Black people are nearly four times as likely to be detained under the Mental Health Act and seven times more likely to be placed under a community treatment order. Those orders were meant to reduce hospital readmission, but they often do not achieve that aim. Instead, they feel indefinite, coercive and difficult to challenge, and many say that they erode the trust between families and healthcare providers. That is why I support either abolishing CTOs altogether or ensuring that they are subject to regular independent reviews with clear criteria. I also support the call to have a person in every trust who is responsible for race equity—someone with authority and visibility to ensure that training, policy and data are used effectively to address local disparities. We need national accountability too. That is why an annual report by the Secretary of State, broken down by protected characteristics, is vital. If we are serious about reducing inequality, we must measure, understand and act on it. Finally, on autism and learning disabilities, I support the decision to remove the ability to detain people without a co-occurring mental health condition. However, there are real concerns that, without proper support in the community, people may end up being misdiagnosed just to fit the criteria for detention, or may be left without appropriate care altogether. We need a clear, costed plan for supporting integrated care boards and local authorities to deliver the care people need in the community. That means targets, proper funding and safeguards to prevent delays and poor outcomes. We cannot afford a system where a lack of planning results in another decade of delays for this vulnerable group. The Bill is an important step forward, but it is not enough on its own. If we want meaningful change, we need investment, accountability and a stronger focus on the rights of the people who depend on mental health services every day. We are all responsible for ensuring that this legislation does more than just change the law. It must change lives.

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

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  Will the hon. Lady give way?

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

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  Will the hon. Member give way?

• 8 May 2025 · Brain Tumours: Research and Treatment · Hansard source

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  I salute the hon. Member for Mitcham and Morden (Dame Siobhain McDonagh) for securing this debate. Hopefully we can turn her personal tragedy into a national triumph if we work together. She is absolutely correct in saying that individually, certain types of brain tumours are very rare, but collectively they are very common. The simple fact that only 1% of our national cancer research funding goes to them is absolutely unacceptable. I refer Members to my entry in the Register of Members’ Financial Interests, as I am a national health service optometrist. I will speak on that topic, because a simple eye test can detect a brain tumour, as the hon. Member for Strangford (Jim Shannon) said. I have unfortunately—or fortunately, in certain cases, because we have been able to detect them early—been in the position of seeing people who are completely asymptomatic or people coming in with a simple headache having brain tumours detected. That is why I really want to emphasise that the avenue of using eye tests is undervalued and underutilised. They are completely un-invasive, cost efficient and accessible, and they can save so many lives. Is it at all possible for us to have a national awareness campaign as part of a broader body to ensure that eye tests can be linked to brain tumours, so that they can be detected?

• 25 Mar 2025 · Asylum Hotels and Illegal Channel Crossings · Hansard source

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  Everyone agrees that we must have sensible immigration policies, but does the Minister agree that phrases such as “Stop the boats” and “Smash the gangs” are just populist sloganeering that dehumanises the most vulnerable in society and serves as a scapegoat for successive Government shortcomings including the £700 million spent on the useless Rwanda scheme, the billions wasted on personal protective equipment, and the lack of investment in the NHS? That is the reason why people cannot obtain appointments with their GPs, not people arriving on a boat. Does the Minister agree that we must take a holistic approach, including perhaps opening up safe routes and efficient processing, so that when people arrive in this country they can start working from day one?

• 25 Feb 2025 · Palestinians in Gaza: US Policy · Hansard source

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  Back on 17 October 2023, when the first hospital in Palestine was bombed, the al-Ahli Arab hospital, much conversation was had about who could have committed such a heinous crime. Since then, the Israeli army has destroyed all medical facilities in Gaza, and now we have a President of the United States using gangster-style intimidation to forcibly remove Palestinian people from their land. Will the Foreign Secretary—who has repeatedly refused to call out the Israeli Government for the war crimes they are committing, refused to ban all arms sales, refused to acknowledge that a genocide is happening and refused even to consider economic sanctions, because £6.1 billion is too high a price to pay—accept the reality of the situation and accept that Trump and Netanyahu’s plan proposes ethnic cleansing of the Palestinian people in Gaza?

• 25 Feb 2025 · SEND Education Support · Hansard source

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  It is a pleasure to serve under your chairship, Mr Twigg. I congratulate the hon. Member for Suffolk Coastal (Jenny Riddell-Carpenter) on securing this vital debate. I refer Members to my entry in the Register of Members’ Financial Interests: I am an NHS optometrist. I rise to highlight two critical issues: the severe gap in transport provision for post-16 students, and the additional challenges faced by children with visual impairment in the SEND system. No parent of a SEND child willingly chooses to send them miles away for education. They do so because there is a lack of local provision. Until the age of 16, local authorities cover the cost of transportation, but beyond that, families are expected to finance it themselves —an expectation that is, frankly, unrealistic. I have spoken to parents who are on the brink of crisis, including Ruth and Esther from Still SEND 16+. Some are considering giving up their work to personally manage their child’s school commute, pushing them into benefits and ultimately costing the state more than simply providing transport would. A consultation has already shown that 29% of affected young people may be forced to abandon education. Will the Government consider making post-16 SEND transport statutory, ensuring that young people do not have to choose between education and affordability? I also wish to raise the additional challenge faced by children with a visual impairment within the SEND framework. Across the UK, 41,000 children and young people rely on specialist visual impairment education services. Half of them have additional SEND needs, yet local disparities in provision mean that many do not receive the support they require. The Royal National Institute of Blind People has called for urgent reforms. I echo that. The curriculum framework for children and young people with visual impairment must be embedded in all SEND policies. The Government commitment to recruit 6,500 expert teachers must include funding for additional registered qualified habitation specialists and qualified visual impairment specialist teachers, and all teacher training and special educational needs co-ordinator courses must include mandatory visual impairment awareness training to improve inclusivity in mainstream schools.

• 11 Feb 2025 · Parkinson’s: Patient Care in Newcastle-under-Lyme · Hansard source

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  The eyes are not only the windows to the soul, but a window to our health. Last week I had the pleasure of meeting the team at Moorfields eye hospital who, alongside a team at University College London, have done some work on a simple retinal scan that can detect Parkinson’s disease seven years prior to any symptoms. Does the Minister agree that optometry, eye care and eye health should be at the forefront of NHS England’s plan for integrated care, and that we should bring forward a national eye health strategy?

• 4 Feb 2025 · Social Security Benefits · Hansard source

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  It is a real honour to participate in this debate. I may not be as illustrious as previous contributors, but I will try my best to make whatever small impact I can. I start by commenting on a point made by the shadow Minister, the hon. Member for East Wiltshire (Danny Kruger) about believing in people and wanting the best for them. I wholeheartedly agree with that—we want the best for people and for them to be the best that they can—but simply believing is not enough. Simply believing that my children will achieve great grades at school without sending them to school or giving them the facilities and the tools is not enough. My team are in the relegation zone, and simply wanting them not to be relegated by belief will not be enough without investment in that football team. When we have had under-investment, especially in the mental health sector, we need more than just belief to achieve and to alleviate those problems. The semantics that we use specifically around our GPs, when we are sometimes questioning their credibility when they sign people off, are rather damaging. I welcome the increase in pensions announced by the Secretary of State, but at this moment in time, as colleagues have mentioned, 1.9 million pensioners in the UK are living in relative poverty. Pensioners are missing meals, having to shelter in libraries and are depressed due to the Government’s cuts to the winter fuel payment. Research conducted by Unite the union has shown that more than two thirds of its retired members are having to turn down their heating. A third are taking fewer baths and showers, and 16% have cut back on hot meals due to the increased costs of trying to stay warm. Heating or eating is a reality for many people; they are not just words that we utter in this Chamber. In addition, more than 63% of people have said that they have felt more cold, more often and 17% are reporting that the cut has resulted in their becoming ill or their symptoms becoming worse. That is burdening our NHS, which is already overstretched. We must find a way, if possible, to release the statistics for excessive deaths caused by the cold weather.

• 27 Jan 2025 · Speech and Language Therapy · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Vickers. Not being able to articulate one’s thoughts verbally is, I suspect, not something that many of my parliamentary colleagues suffer with, but unfortunately it is the truth for hundreds of thousands of people in this country. Speech therapy is not limited to children, as was mentioned by the hon. Member for Lichfield (Dave Robertson), who I am grateful to for bringing this debate to the Chamber. There are countless adults in need of speech therapy services. Those include stroke survivors who are relearning how to speak—which is why it is such a pleasure to speak with Chris, who is here in the Public Gallery and is a true hero in the footballing world—as well as people with cleft conditions or those living with dementia. I thank the hon. Member for Lichfield for spotlighting long covid, because that is an issue that will be with us for many years to come. The need in the adult sector is significant, but today I will focus on children because they represent our future, and without intervention at a critical stage the challenge they face will only grow. I have not had the pleasure of meeting Mikey, but I would like to know if this resonates with him. Imagine a child starting school for the first time: friendship and bonds are made, and classmates are eagerly raising their hands, making friends and joining in chatter in the playground, but the child remains silent—not because they do not want to speak, but because they cannot. Their words are locked away and their thoughts are trapped. Thousands of children face that challenge daily and they are getting left behind, not because they lack potential but simply because they lack support. That is the silent struggle of thousands of children in our country. Speech, language and communication difficulties are not just a health issue but a life one—they affect mental health, academic success, employment, and relationships. They are a barrier to participating fully in our society. Over 369,000 pupils in England were identified as having speech, language and communication needs in 2023-24. That is a staggering 64% increase since 2015, and yet, as of November 2024, more than 65,000 children were waiting for speech and language therapy, with nearly half waiting for over 12 weeks. The impact of that delay cannot be overstated. Worryingly, in socially deprived areas, upwards of 50% of children start school with impoverished speech, language or communication. Those delays snowball, creating challenges in literacy, learning, and most importantly, social integration. It is concerning that research shows that more than 60% of young offenders have difficulties with speech. Is that the postcode lottery that the hon. Member for Lichfield talked about? The cycle of disadvantage starts with communication barriers, and it can end in exclusion, isolation or even worse. It is now a crisis. Speech and language therapists are overstretched, underfunded and working in systems that fail to meet the demand of local needs. However, there is a solution within reach. Speech and language therapy changes lives. It is not about helping children speak clearly; it is about unlocking their potential. It gives them tools to learn, connect and thrive. It breaks down barriers to education and opportunity, and with timely intervention children can overcome those difficulties and go on to succeed in school, work and life. In 2015, the Royal College of Speech and Language Therapists commissioned research to estimate the benefits of speech and language therapy compared to the cost of not doing it. The results showed that for every £1 spent on speech and language therapy, £2.30 in healthcare savings was delivered. Speech therapy is not a cost; it is an investment in the future of our society. We need urgent action. First, we need increased investment to reduce waiting times and to ensure every child, no matter their background, gets the support they need. Secondly, we need improved workforce planning that addresses the shortages of speech and language therapists across all sectors—health, education, social care and justice. Thirdly, we need universal proactive provision, so that support is fully preventive, rather than reactive and limited. Those changes align with the Government’s stated priorities. Communication is fundamental to all areas of public policy—it touches economic growth, an NHS fit for the future, safer streets and breaking down barriers to opportunity. This is the moment to decide whether we will act. Will we allow those children to struggle in silence, or will we give them a voice? Lastly, I urge the Government to meet with Mikey Akers and the Royal College of Speech and Language Therapists to discuss workforce retention and development. Let us invest in our future and ensure that every child has a chance to be heard, to succeed and to thrive.

• 23 Jan 2025 · Holocaust Memorial Day · Hansard source

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  Thank you, Madam Deputy Speaker. “Hate is the worst 4 letter word that exists”, said Holocaust survivor Mathilde Middleberg. I am deeply honoured to be called in the debate. As movingly articulated by the hon. Member for Hendon (David Pinto-Duschinsky), 80 years has passed since the liberation of Auschwitz, but it is heartbreaking to see acts of genocide, hate and evil still happening across the world and increasing threats from a new wind of far-right. The horrors of the camps must never be forgotten, and the testimonies of the survivors are still ringing in our ears and are as relevant today as they were 80 years ago, because what is 80 years in the history of the world but a blink of an eye? Yet, sadly, current events suggest that some people today need a reminder of the lessons of that horror. For the 75th anniversary of the liberation of Bergen-Belsen, the University of Leicester in my constituency published extracts from the east midlands oral history archive of an interview with Leicester nurse Erti Wilford. Erti treated the survivors of Belsen for two years after its liberation by the British Army. She spoke of approaching Bergen-Belsen and smelling the dreadful smells from as far away as five miles, saying that she had: “Never seen so much suffering and lice and filth. At Belsen they were just bag of bones and it was just dreadful, but some of them lived, it was quite incredible”. Erti recalls the excitement of a camp doctor finally being allowed to deliver a baby and return it back to its mother rather than hand it to a guard for execution. We must remember the names of Anne and Margot Frank, whose final resting place is Bergen-Belsen. They unfortunately died of typhus approximately a month before the liberation. One would hope that such experiences mean that hate and genocidal and Nazi actions are a thing of the past, but sadly that is not the case. As articulated by the hon. Member for Brigg and Immingham (Martin Vickers), in Bosnia, the trucks arrived and they said, “Men, young and old, tall and short—get on and we will transport you to safety.” Within two weeks, 8,000 Muslim men, women and children were executed.

• 13 Jan 2025 · Hospice and Palliative Care · Hansard source

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  Palliative and end of life care is about dignity, compassion, and giving every person their right to live their final days in comfort and peace, as the hon. Member for Wimbledon (Mr Kohler) observed when compassionately describing his parents’ last moments. However, I agree wholeheartedly with the hon. Member for Stoke-on-Trent South (Dr Gardner) that access to high-quality care is a postcode lottery across the UK. Only a third of local NHS areas in England can provide 24/7 end of life care at home, which leaves nearly 100,000 people every year without the care and support that they deserve during their most vulnerable moments. We must address this disparity. Every patient deserves a personalised care plan that respects their wishes and supports their physical, emotional, social and spiritual needs. Care plans should also offer non-clinical help, such as financial advice and opportunities for people to participate in meaningful activities while they can still do so; and let us not forget the families who require respite care during this period. Hospices play a vital role in such care, but, unlike the NHS, hospice care is not fully funded by the Government. Hospices receive only about a third of their income from the state; the rest is raised through charitable donations, which is pitiful. This model is unsustainable. As a result of rising costs, which have not been helped by the national insurance increases, the sector faces a £60 million deficit this year alone. As demand for hospice care grows owing to an ageing population and advances in medicine that help children with life-limiting conditions to live longer, the strain on hospices will only increase. Without immediate action they will struggle to meet this growing demand, leaving more people without the care that they deserve. We need bold and decisive steps to fix that. First, we need fair and sustainable funding. The Government must create a national plan to secure consistent funding for hospices. Emergency funding is urgently needed. Secondly, we need a national standard for care. National quality standards and agreed outcomes for palliative and end of life care are essential. Every integrated care board must meet minimum standards to provide fair access to care nationwide. Thirdly, we need support for underserved communities in areas where people are currently missing out. There should be access to palliative care in homes, care facilities and hospitals, ensuring that no one is left behind. Fourthly, the £26 million children’s hospice grant must be ringfenced. Let me end by thanking the incredible teams at the two hospices in my city that serve my constituency: LOROS, which assists 2,500 people a year, and Rainbows, a fabulous organisation that cares for young people with life-limiting conditions. I want to thank them both.

• 8 Jan 2025 · Playgrounds · Hansard source

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  It is an absolute pleasure to serve under your chairmanship, Mrs Lewell-Buck, and I thank the hon. Member for Bournemouth East (Tom Hayes) for securing this debate on the important yet overlooked area of playgrounds. Many Members have articulated the advantages of playgrounds, including in relation to mental health, the fact that people live in a concrete jungle and physical activity. However, in an era in which screens dominate our children’s attention and social media replaces face-to-face interaction, playgrounds are more critical than ever. I will focus today on two overlooked benefits that they provide: tackling obesity and building community cohesion. First, let us consider the role of playgrounds in combating the epidemic of childhood obesity. The Government have laid out two vital objectives in their preventive agenda: halving the gap in healthy life expectancy, and creating the healthiest generation of children ever. Playgrounds directly contribute to the achievement of those goals through their activity. Healthy food is served in many such places, including fruit, vegetables and hot meals. For some children I know, those meals may be the only nutritious food that they receive daily. In communities where food insecurity is high, playgrounds are not just a place for fun; they are, without exaggeration, a lifeline. They ensure that children can play and thrive, fuelled by the nourishment they desperately need. Without these spaces, our fight against obesity and related diseases would become even harder. Secondly, and my constituency of Leicester South has borne this out, adventure playgrounds foster something more intangible, and that is community cohesion. Children from all walks of life unite while they are playing, breaking down race, class and culture. Playgrounds remind us of our shared humanity in a world that is increasingly divided by polarisation and conflict. As children play, they create bonds. As the hon. Member for Ealing Southall (Deirdre Costigan) mentioned, the United Nations convention on the rights of the child recognises that in article 31, which declares that play is a critical human right. Unfortunately, that right is under threat. The number of adventure playgrounds has fallen from 253 in 1980 to just 126 in 2021. Worse still, many of these playgrounds operate only for limited hours and lack resources, which means that children and the play workers do not create any meaningful bonds. Closer to home, I must raise the plight of two incredible adventure playgrounds in Leicester South: St Andrews and Highfields, where I played as a child. Both are on the verge of shutting down, despite being in areas where provision for young children is already scarce. In particular, Highfields has been a pillar of its community for over half a century, but it still lacks secure tenureship. The loss of those playgrounds would tear the fabric of the communities that they serve, so will the Minister please meet me to see whether we can save them?

• 7 Jan 2025 · Employer National Insurance Contributions: Charities · Hansard source

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  It is a pleasure to serve under your chairmanship, Ms Vaz. I thank the hon. Member for Isle of Wight East (Joe Robertson) for bringing this important debate to Westminster Hall. I will be a little more generous and say that this situation was an unintended consequence of the Budget, because it is unravelling very quickly. However, as the hon. Member for Strangford (Jim Shannon) said, the charity sector could cease to exist. Jasmine House, which provides support for women who have been victims of sexual violence and are having to wait five to six years for a court appearance, has a two-year waiting list. Last year, when I spoke to the charity, it was intending to expand. Now it is going to more or less shut down because it just does not have the money. It will cost too much to continue operating. Another charity, which is close to my professional career, is Vista. It is 170 years old and provides support for partially sighted and blind individuals in the city of Leicester. The changes will cost Vista an extra £25,000 a year. It is calling for an exemption for social care providers and charitable organisations, or for ringfenced funds to be provided to local governments to cover the cost in full.

• 18 Dec 2024 · Discrimination Against Ethnic Minorities · Hansard source

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  I recently met a group of women from Bangladeshi origins in my constituency who are desperately trying to find work, which is not easy, especially after the decimation of the textile industry in Leicester South. As English is not their first language, and as not all potential employers have the capacity or time to meet the Department for Work and Pensions’ demands for written proof of job applications and interviews, they are finding it extremely stressful and it is affecting their mental health, especially when they are threatened with sanctions. Does the Minister agree that more empathy needs to be built into the system?

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

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  I refer the Committee to my entry in the Register of Members’ Financial Interests as an optometrist. I will speak to amendment 7, which stands in my name, which calls for GP surgeries, pharmacists, the often forgotten profession of optometrists and other health professionals to be excluded from the national insurance rise, along with charities with fewer than 50 employees. We have seen the over-strain and burden on our GP services being taken over fantastically by the Pharmacy First programme. However, the National Pharmacy Association has voted for action, which could include reducing opening hours, in response to the increased costs that will be caused by the national insurance hike. This hike is going to cost each pharmacy business an estimated £12,000, which is absolutely unattainable for many of the pharmacists I speak to. My constituency of Leicester South has the second-highest ratio of patients to GPs, with 3,260 patients to a single GP. This already overburdened service is going to be hit even further with this rise in national insurance, with the Royal College of General Practitioners warning in November that the national insurance hike risked GP practices making redundancies or even closures. Nearly 450 GP practices have already closed or merged since 2018, according to a survey by the GPs’ journal Pulse . This is simply an untenable state for the national health service and healthcare workers. Pharmacists, dentists and optometrists employ their professional staff. Many people I have spoken to are now going to have to remove employment and bring in locums. I would like to ask the Minister whether any impact assessment has been made on the loss of earnings for employed staff if locum staff are brought in. Primary care services are the bedrock of the NHS and many are already on a financial tightrope due to years of austerity. The national insurance hike will see many community GPs, pharmacists and optical health facilities reduce services or completely close down.

• 29 Nov 2024 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  As a medical professional who is surrounded by even more senior medical professionals, I know we can all miss things when there are tangibles in front of us: the shadows on X-rays and the markers on blood tests. As professionals, we miss things that can be seen. What security will we have that we can pick up things that we cannot see, like coercion?

• 13 Nov 2024 · Violence against Women and Girls · Hansard source

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  A constituent of mine came to see me in distress a couple of weeks ago, having been a victim of rape in 2021. She has now been given a date in 2026 for her case to be heard. I am sure the whole House will agree with me that that is completely unacceptable. She has been denied access to mental health support during this time, because it may impact her defence. What are the Minister’s thoughts on that matter?

• 6 Nov 2024 · Budget Resolutions · Hansard source

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  Like everyone else, I would like to extend my congratulations to those who have made their maiden speech, and to say what a pleasure and honour it is to share the Chamber with them. I refer Members to my entry in the Register of Members’ Financial Interests, which details my professional career as an optometrist providing NHS services and owning small businesses. This is my first Budget, just as it is for many other Members in the Chamber, and I have listened carefully to Members dissecting it and weighing up the details—as always, the devil is in the detail. As an NHS care worker, I welcome the increase in the NHS budget, but I am concerned by the absence of specific measures to address the funding crisis in professions such as dentistry, pharmacy and optometry, all of which have important roles to play in providing care to patients. Investment in such services will save millions in the long run. In my constituency, there is a real disparity in patient and GP numbers; in fact, it is the second largest such disparity in the country. For every GP, there are 3,262 patients. That is untenable. As a result, many people cannot see their GP, and that is where optometry, dentistry and pharmacy play a huge role, serving those who do not even have a registered GP. I am sorry that there is a need to do more to promote the contribution that those professions make to the NHS, and ensure that they are properly funded in the future. I welcome the increase in funding for social care and special educational needs and disabilities, and in the national minimum wage. However, in placing a burden on pensioners and small business owners, the Budget has missed an opportunity. The Government could have used wealth taxes on those in our society with the broadest shoulders to raise the revenue necessary to fund improvements in our public services. Instead, they allowed the money to be raised from small businesses and those who are most vulnerable, such as our pensioners.