Sonia Kumar MP: speeches

GMB union members at Glen Dimplex in my constituency have been on strike for five weeks over proposed workload changes. This week, after showing remarkable grit, they secured a return to the status quo while negotiations continue. Will the Leader of the House provide Government time for a debate on what more can be done to protect workers’ rights from unfair changes to their terms and conditions and ensure that employers negotiate in good faith?

I am delighted that the midlands metro tram line will connect Dudley with the rest of the west midlands. However, the construction has caused disruption to local businesses such as the Dubliner’s, and repeated delays have exacerbated that. What support can the Minister provide to businesses that are being impacted by the repeated delays to the tram?

Does my hon. Friend agree that among the geopolitical military strategy and the diplomatic negotiations surrounding the conflict, we must not lose sight of the millions of innocent civilians across the region who are trapped in the middle of violence, displaced from their homes, hungry and without access to healthcare, while grieving loved ones and living without safety and security? Will he set out what steps the Government are taking to press all parties to uphold international humanitarian law, to protect civilians from acute hunger and allow them access to basic healthcare?

Black Country Day is on 14 July, and we have a lot to celebrate. The Black Country was the heart of the industrial revolution, we have Dudley castle and the Wren’s Nest nature reserve, where people can pick up a fossil—and, of course, we can celebrate the people of the Black Country. Will my right hon. Friend join me in wishing all those celebrating Black Country Day a great day? Will he grant a debate on the Black Country?

The UK’s green economy is worth more than £100 billion a year, and nearly half a trillion pounds in investment is in the pipeline. What steps is the Minister taking to ensure that the contracts that his Department provides prioritise British firms and British jobs, so that we can prove our national capabilities and secure our energy?

Modern warfare has evolved from traditional mass troops to online cyber-attacks and drone-enabled conflict. We have seen that with the attacks on M&S and Jaguar Land Rover, and last September I saw it at first hand when I visited a drone factory in Ukraine. How is our Government using the defence investment plan to develop our own sovereign digital and technological capabilities, learning from Ukraine’s war?

I welcome the Government’s closure of the asylum seeker hotel in Dudley. It was a Conservative party policy that was a complete waste of taxpayers’ money. What steps is the Minister taking to reduce the asylum backlog and the dangerous, illegal boat crossings?

Sadly, the recent closures of family-run businesses, such as Scent from Dudley, Black Star Ghanaian product and Family Bargains hardware in Dudley, are symptomatic of a wider trend of high street shopfronts closing. What steps is the Minister taking to speed up high street regeneration by bringing empty shops back into use, and will he visit Dudley town high street to see what else we can do?

One in four women and one in six men experience domestic abuse in their lifetime. Members of Parliament employ more than 4,000 staff in this place, yet there remain minimal protections for staff who are victims of domestic abuse. I thank Mr Speaker for our meeting yesterday to discuss strengthening this policy in the House. Will the Leader of the House join my campaign to encourage every MP’s office to adopt a robust domestic abuse policy and offer training so that we can safeguard our staff from domestic abuse?

Dudley has high levels of deprivation and health inequality. That is why I am campaigning to bring healthcare to Dudley town high street. Will the Minister meet me to discuss how we can leverage the 10-year plan to reduce health inequalities in Dudley, and does he agree that we need a healthcare hub?

Sadly, last week Dudley town centre fell victim to vandalism again. The new central seating area was damaged, impacting local businesses and footfall. I welcome the Government’s efforts to restore neighbourhood policing and our new police station, but what further steps will the Minister take to tackle antisocial behaviour and to take criminals off our streets and allow businesses to operate safely?

Health misinformation and disinformation on social media is not harmless; it is a growing and serious threat to public health. We have already seen cases in which harmful online trends have led to severe injury and, tragically, even to the deaths of children. What steps are the Government taking to hold technology companies to account, and to prevent online influencers from being able to spread harmful and misleading health content on their platforms, given the clear risks that they pose to young people?

Dudley has one of the highest levels of NEETs in the country, and the highest levels of deprivation. After my NEETs roundtable in February, stakeholders wanted better data, joined-up services with the Departments for Work and Pensions, of Health and Social Care, and for Education, and better SEND provision locally. What guarantees will my hon. Friend provide to ensure that places such as Dudley are prioritised, and the root causes of inequality are tackled holistically?

The death of Henry Nowak is a horrifying tragedy, and my thoughts are with his family, friends and community. We must honour the words of his father by not using this tragedy to create further hatred, division or tension, and the House should not go against those wishes. Henry’s family want action so that no other family goes through what they are going through right now. Will my right hon. Friend guarantee that she will go further and faster to tackle knife crime, so that no one fears walking the streets of the UK?

Today, we stand at a defining moment for our healthcare system. We face a ballooning NHS budget and a social care system in crisis. We ask ourselves what must change to reduce deep-rooted health inequalities, improve patient-centred care and remain financially sustainable. The NHS was designed to treat acute illness and provide healthcare free at the point of use, regardless of income, background or status. Medical and scientific progress has transformed healthcare—people are living longer than ever before, often managing multiple, long-term conditions that once would have been fatal. The NHS was founded on the simple but powerful principle of equity, yet health outcomes remain profoundly unequal. Research consistently shows that where someone is born and the socioeconomic conditions they grow up in can determine how long they live, sometimes by more than a decade. The wider determinants of health—income, housing, education and employment—shape outcomes long before illness appears. Now we must embrace the global technological revolution; from artificial intelligence to robotics, we must harness it to improve patient-centred care. Used well, technology does not replace humanity in medicine, but restores it, giving clinicians more time to care. Indeed, we should go further. AI and data analytics should be used not only to treat individuals, but to understand communities, designing healthcare around the real conditions in which people live. A true systemic approach means not just knowing that a patient has a condition such as high blood pressure, but understanding why: the environment that shapes us, rates of poverty or unemployment, housing conditions, education levels, access to green spaces, the density of fast food outlets or accessibility of affordable healthcare services per capita. The reality is that health inequalities are complex, interconnected and predictable. We require a whole-system approach, bringing together the NHS, local councils, hospitals, charities and grassroots organisations. Having a way to fully map communities and what they look like would allow for tailor-made healthcare services to be delivered to the population. Healthcare and the NHS do not need reform; they need an ecosystem map. I want to call it the health biosystem. It would be a system where health is shaped not in hospitals, but in homes, schools, streets and workplaces. As Attlee once said, we have “not been elected to try to patch up an old system but to make something new”.

Happy St George’s day to everyone in the Chamber. As a physiotherapist, I am immensely grateful to have the opportunity to co-lead this debate on the contribution of allied health professionals. This is an historic moment, as it is the first ever debate in this House on AHPs. I thank the Backbench Business Committee for granting the debate, and I am particularly grateful to my hon. Friend the Member for Thurrock (Jen Craft) for her leadership and partnership. She set out powerfully why AHPs must be central to SEND and paediatric reform, and I want to broaden that by arguing that AHPs are the NHS’s best-kept secret. They are the most powerful levers we have to keep our health and social care systems sustainable, patient-centred and effective. If we are serious about delivering the Government’s ambition in the 10-year health plan and the 10-year workforce plan—the shifts from hospital to community, from sickness to prevention and from analogue to digital—then allied health professionals must be put at the heart of policy, planning and delivery. I want to do three things today. First, I want to set out who AHPs are and the scale of their contribution across our lives; secondly, I want to demonstrate with evidence the impact they have on outcomes and on public finances, and why they are worth investing in; and thirdly, I want to set out five concrete demands, recommendations or wishes to the Government, rooted in evidence from AHP bodies and aligned with the three major shifts in the Government’s agenda. Who are allied health professionals? There are 14 allied health professions covering 15 roles, and together, AHPs form the third largest clinical workforce in the NHS, with over 300,000 on the Health and Care Professions Council register today. They include art therapists, drama therapists, music therapists, dietitians, occupational therapists, operating department practitioners, orthoptists, osteopaths, paramedics, physiotherapists, podiatrists, prosthetists and orthotists, radiographers and, finally, speech and language therapists—which I may need after this speech! AHPs are present from the start of our lives. Neonatal therapists, including physiotherapists, OTs and speech and language therapists, support premature and sick babies to feed, move and develop, with long-term gains for their health, learning and independence. In adulthood, AHPs are central to keeping us in work and out of hospital. The Government rightly want to get more people back into work, which is exactly what OTs do. OTs run vocational rehab services that enabled 94% of people on long-term sick in one primary care network in Wakefield to return to work, leading to a 40% reduction in fit notes and preventing over 1,700 people from leaving the workforce. If we want a healthier workforce, dietitians help diabetics to reduce the risk of complications by up to 50%, and people who see a dietitian are two and a half times more likely to achieve their blood sugar targets, which means fewer long-term complications, fewer heart attacks and fewer strokes. For older people, physiotherapists and OTs lead fall-prevention services and frailty programmes that reduce falls at home by around a third, preventing injuries and avoidable hospital admissions, reducing fractures and maintaining patients’ dignity. I have treated patients who have fallen in their home, who have lain on the floor for hours waiting for an ambulance to arrive. One patient said she lost her dignity and her self-worth as she sat in her own urine, dehydrated, hungry and helpless on the floor, waiting for help. We can reduce such cases. Nobody wants their grandmother, relative or friend to be left on the floor, helpless, for hours. Earlier access to community podiatry, meanwhile, could reduce amputations by 80%. My podiatry friends prevent the need for life-changing surgery every single day. I have worked on surgical wards where patients said time and time again that they wished they had had intervention earlier. Prosthetists and orthotists ensure that people who have survived major trauma can regain their independence. A seven-day prosthetic service in south-east London reduced the time for lower-limb amputees to become independent with a prosthesis from three months to just seven weeks—so they gained their independence more quickly. Radiographers underpin around 80% of hospital pathways through imaging, and community diagnostic centres staffed by radiographers reduce pressure on urgent and emergency care; I may say that I recently gained one such centre, through this Labour Government, at the Guest hospital. We have a mental health crisis, and both children and adults are not getting care quickly enough. Art therapists and music and drama therapists provide early intervention in schools and communities, reducing referrals into overwhelmed child and adolescent mental health services and supporting the wellbeing and resilience of NHS staff themselves. My argument is not just about the care case, however; the economic case is just as compelling. We have clear return on investment data across multiple professions. Self-referral to AHP services has shown a return of around £98 for every £1 invested, by reducing unnecessary GP appointments and enabling early management. Exercise-based self-management programmes, often led by physiotherapists, have demonstrated returns of around £8.80 per £1 invested. Nutritional interventions led by dietitians to prevent and treat malnutrition deliver returns of about £10 for every £1 invested. Osteopathic care can generate a return of up to £2 per £1 invested in primary care. Physiotherapists across a range of conditions deliver an overall economic return on investment of £4 for every £1 invested, which, modelling suggests, potentially saves the NHS a staggering £700 million over five years and an additional £639 million overall of economic benefit to the UK. The Government have set out three core shifts, and AHPs are already delivering on all three. First, on digital and data, paramedics are leading “hear and treat” models, using teleconsultations and shared electronic records to assess, advise and refer 999 and 111 callers without always needing to dispatch an ambulance. In London, that approach is saving around 9,200 double-crewed ambulance hours each week, allowing crews to reach the sickest patients faster. Secondly, on the shift from hospital to neighbourhood care, advanced paramedics working in primary care and urgent community response teams carry out same-day home visits, treat people where they are and prevent unnecessary trips to A&E. A Welsh model reduced avoidable hospital visits by up to 70%. Operating department practitioners are the only profession trained at graduation to work across anaesthetics, surgery and recovery. They can tackle the elective backlog and maintain safety, especially as robotic-assisted surgery and smart operating theatres expand. Thirdly, on the shift to prevention over sickness, orthoptists are essential to diagnosing early eye conditions and they should be rolled out to screen our children in every school so they can get the best start to life. If we do not fully integrate AHPs into those three shifts, we will simply not achieve the ambitions of the 10-year health plan or the 10-year workforce plan. Let me turn to my five recommendations, drawing on the evidence from the HCPC, from the expert AHP professional bodies, from patients and from the APPG on AHPs, which I chair. First, we must have AHP leadership at the table at every level. That means retaining and strengthening the chief allied health professions officer role and the director of rehabilitation role in the Department of Health and Social Care. If they are not at the heart of Government, they will simply be forgotten. At system level, every integrated care board and major provider should have a senior AHP director who has parity with medical and nursing directors and is responsible for prevention, rehabilitation and neighbourhood care. That should be mirrored in primary care and neighbourhood boards, where clinical leadership roles should be defined by function and capability, not by base profession. Secondly, we should expand and evaluate advanced and extended-scope AHP roles in the areas where there is most need and they have most value, such as first-contact physiotherapists in primary care, who reduce secondary care referrals, speed up diagnosis and recovery, and reduce opioid prescribing compared with GP-led care. Thirdly, we must invest in AHP careers from start to retirement. That means increasing training places in line with population need for each of the 14 professions, while also protecting small and vulnerable professions such as prosthetics and orthotics with minimum training place guarantees. We should fully fund AHP apprenticeships, including for operating department practitioners and dietitians, with backfill. We should guarantee high-quality placements and structured preceptorships—something often forgotten by departments. We should also embed continuing professional development funding that is embedded into workforce planning, recognising that CPD is a regulatory requirement and a patient safety issue, not a luxury. That includes bringing forward independent prescribing rights across AHP professions, where appropriate, to reduce delays and free up medical time, building on recent legislation for paramedics. Fourthly, we must fix the digital plumbing to enable multidisciplinary care. AHPs need full, appropriate access to shared care records, ordering and results systems, and remote care tools. Where they have prescribing responsibilities, their digital profiles must reflect that in order for prescribing to be safe, visible and integrated with the whole system. Data must also capture what AHPs do and the outcomes they achieve in function, independence, return to work, quality of life and participation; it is not just contacts and processes. Fifthly, we should make AHP outcomes visible and use them to drive improvements across the system. At national level, the NHS and DHSC should publish regular data on AHP workforce numbers, vacancies and outcomes across each of the 14 professions, using HCPC and other data to inform the workforce plan and the neighbourhood health framework. At local level, integrated care systems should be required to report on access to AHP services and on key indicators such as falls, amputations, delayed discharge, return to work rates and SEND outcomes, linking those to AHP provision. Where investment in, for example, community podiatry or OT rehabilitation leads to reductions in admissions or benefits, those should be visible and reinvested. Five demands—five things that would show real progress, backed by experts, backed by patients. I hope the Minister will meet me to discuss them further. If we give AHPs the leadership roles, tools and recognition they deserve, if we embed them in the 10-year workforce plan, in neighbourhood health plans, in SEND reforms and in the women’s health strategy, they will repay us over and over again in reduced hospital admissions, shorter stays, fewer amputations, more people in work, and children and adults able to communicate, learn and live independently. Allied health professionals are ready to deliver, if we choose to let them.

The hon. Member comes to this with a lot of experience. I agree that people do not know what osteoporosis is, which is why we are having this debate. It is important to discuss what it actually is. For those less familiar with it, osteoporosis is a disease characterised by low bone mass and a structural deterioration of bone tissue, resulting in an increase in bone fragility and a susceptibility to fractures. Osteoporosis is asymptomatic and often remains undiagnosed until a fragility fracture occurs. It develops silently, without symptoms, until the moment that it declares itself—a fall from a standing height causes a fracture, or a twist or even a cough causes a low-grade insufficiency fracture. Normal stress has an abnormal effect on the bone. The bone is able to withstand the stress, but because it is of such poor quality, it then crumbles.

indicated dissent.

I beg to move, That this House has considered osteoporosis and bone health. It is a pleasure to serve under your chairmanship, Ms Lewell. As a practising physiotherapist, I have seen at first hand the profound and often devastating impact that osteoporosis can have on not only the health, but the independence and livelihood of an individual and the lives of those who care for them. For too long, osteoporosis has been dismissed as an unavoidable consequence of ageing, and we have normalised the gradual stoop, the loss of height, and the curvature of the spine. We all recognise the familiar road sign depicting an elderly couple bent double, yet we rarely stop to question what it truly represents. In reality, it is not a benign or natural process. It is often the visible consequence of repeated, preventable spinal fractures, where the bone of the spine collapses under pressure. This is not an unavoidable decline; it is, in many cases, a preventable harm.

If someone says physio, I am always going to say, “Yes, yes, yes,” behind them. I agree with my hon. Friend that we should roll out physiotherapists and the multidisciplinary teams required to help those with osteoporosis. I also thank her for highlighting the importance of taking bone-sparing medication. Many people in the UK do not take it because they do not understand its importance. More than 3.2 million people in England now live with osteoporosis, including just over 2.5 million women. One in two women over 50 will suffer a fracture caused by osteoporosis, as will one in five men. In terms of years lost to premature mortality and disability, those fractures are the fourth most consequential medical condition in the country. At any given time, around 7% of NHS beds are occupied by patients with fragility fractures, many of them because early warning signs were missed and opportunities to intervene were lost. Behind those figures are lives changed in an instant. It is not just older people. One young woman told me: “I thought my bones were something I wouldn’t have to think about until I was much older”, only to find herself dealing with low bone density in her twenties after medical treatment. Some risk factors for osteoporosis include smoking, alcohol misuse, previous fragility fractures, low body mass index and long-term steroid use. Every single one of those factors needs to be looked after. We cannot look at osteoporosis as a one-condition problem; we must look at the whole lifestyle. Through the work of the all-party parliamentary group on osteoporosis and bone health, which I chair, I heard from patients whose stories are not easily forgotten. A woman in her early sixties fractured her wrist after a minor fall. She was treated and discharged, but no one joined the dots. Within two years, she had suffered multiple further fractures, including to her spine. She now lives with constant pain from repeated spinal fractures, affecting everything from how she breathes to how she moves. I think of those who never recover their independence —of people who go into hospital with a hip fracture and never come home. For many, that fracture marks the beginning of the end, with over a quarter dying within one year. What unites these stories is not bad luck, and they are not isolated tragedies. They are systemic failures: a missed referral, an overlooked warning sign, treatment not initiated, and a second fracture that should not have happened. That is why it is essential that, after a first fracture, every patient is identified, assessed and supported on to an appropriate treatment plan. One fracture must not become many. Too often, the fall that brings someone into hospital is treated as a single event, rather than as an accumulation of undiagnosed and untreated conditions. We therefore miss the opportunity to change the course of someone’s life. Through the work of the APPG on osteoporosis and bone health, I have also seen stark variations in access to treatment across the country. Prescribing rates for critical second-line therapy are three and a half times higher in areas where GPs can prescribe it freely compared with areas where there is a need for specialist referral. A report has also found that GPs in more affluent areas are much more likely to be able to prescribe freely than their counterparts in the most deprived areas. For people in many parts of the country, the barriers do not stop at the prescription pad. When shared care arrangements are not in place and GPs cannot prescribe, patients must attend hospital for routine injections that could be delivered safely in the community. As the Government develop the neighbourhood health service, there is a real opportunity for a multidisciplinary team approach to bone health, one that includes at its heart our allied health professionals, including physiotherapists, dieticians, occupational therapists, falls teams, consultants and advanced practice clinicians. Prevention, prevention, prevention is the key. The importance of a holistic approach is essential to prevention for those who may be susceptible to poor bone health. We should help those people lead healthier lives by stopping smoking, reducing alcohol intake and increasing exercise. Talking of prevention, I need to welcome the Government’s commitment to fracture liaison services, which are the gold standard for fracture care and play an important role in identifying, assessing and treating osteoporosis in people over the age of 50 with a fracture. FLSs reduce fracture rates by up to 40%, and will prevent 74,000 fractures over five years, including 31,000 hip fractures. FLSs are also incredible value for money, breaking even within 18 to 24 months, with a return on investment over five years of £1.88 for every £1. Preventable osteoporotic fractures contribute to 1.5 million days off sick, costing employers £142 million in sick pay. I also welcome the new DEXA—dual energy X-ray absorptiometry—scanners that the Minister’s Department has delivered, and the Government’s commitment to ending the postcode lottery for fracture prevention services. The Minister understands the scale of what is at stake. This must be only the start of managing osteoporosis and bone health. Looking ahead, we know that the challenges will grow. By 2047, an estimated 4 million people in England will be living with osteoporosis, an increase of more than 700,000 on today’s figures. We know the scale of the problem, we know the treatments, and we have the evidence. What we have lacked for too long is urgency. There has been clear progress, and the Minister deserves credit for that. I have three recommendations for the Department. First, we should roll out fracture liaison services to all parts of England. We are a Labour Government, and reducing inequalities is in our blood. We pledged to end this postcode lottery by 2030, and it is crucial that we deliver that. Secondly, we should introduce questions about bone density and osteoporosis in the health check for over-40s. Such pre-emptive measures, including risk stratification, lifestyle advice and early intervention where appropriate, can help people to deal with these issues before they become too serious. Thirdly, we should introduce targeted case finding and proactive bone health management for those aged 70 and above, particularly those at high risk of falls. That should include timely access to DEXA scanning, community-based treatment pathways, and co-ordinated fall prevention to help reduce fractures and associated mortality. Osteoporosis is not an unavoidable consequence of ageing. It is a condition that we can prevent, predict and treat, yet for too many and for too long the first sign —the fracture—is missed. We know what works and we have the tools. Under the 14 years of the previous Conservative Government, we were missing consistency, urgency and the willingness to act. If we get this right, prevent the first fracture and intervene decisively after it, and ensure equal access to care regardless of postcode, we will not only save the NHS significant cost, but preserve something far more valuable: people’s independence, dignity and quality of life. I hope that the Minister will consider my three recommendations and meet me to discuss them further. Osteoporosis is not just a clinical issue; it is a test of whether our health system truly prioritises the long-term health of everyone across the United Kingdom, and not reactive, short-term measures.

I believe that we should be rolling those services out across the entire country, and I will come on to that in the rest of my speech. I am sure that the Minister will also comment on that.

In 2022, my constituent Masi Sibanda dropped her 14-month-old son Noah off at nursery, like any other day. Tragically, it would be the last time Masi would see her son alive. A staff member at the Fairytales nursery tried to get him to sleep. When Noah resisted, she covered his face with a thick blanket and used her leg to pin him down. The pressure applied to his tiny body was so extreme that it ruptured his colon. No parent should have to endure such unimaginable loss. The sentencing has taken place. Will the PM meet Masi to discuss how we can ensure that tragedies like this never happen again?

8. What steps she is taking to support youth centres in Dudley.

Youth centres such as High Oak in Dudley, run by Angela Edwards, are finding it harder each year to stay open because of insecure funding, despite Dudley having some of the highest levels of young people not in education, employment or training. More youth centres and more secure long-term funding are desperately needed. What support can my right hon. Friend provide to these youth centres to ensure that the youth of today and of the future are supported?

I warmly welcome the women’s health strategy. I recently visited the Navigating Our Womanhood Together bus in Dudley, which supports women’s health from menstruation to menopause, and I look forward to more such initiatives being delivered as part of the strategy in my constituency. Will the Minister set out how the strategy will harness allied health professionals, including specialist physiotherapists, to support pelvic health, such as incontinence, prolapse and post-natal care?

The Pride in Place funding in Dudley is being divided between two constituencies, risking the dilution of its impact. Given the high levels of deprivation among many of my constituents, what steps will my right hon. Friend take to ensure that communities in Dudley fully feel the transformational benefits of the investment and see tangible improvements? Will he meet me to discuss how we can crowd in funding?

I welcome the Prime Minister’s statement and commend his leadership in steering the UK clear of the Iran conflict and blockade. During this war, healthcare centres, hospitals and ambulances have been attacked. The Iranians now face acute shortages of care and medicines. What action is the Prime Minister taking to press all parties to comply with international humanitarian law and end the attack on healthcare infrastructure?

I had the pleasure of visiting the newly opened Pens Meadow SEND school in Dudley. That fantastic and long-awaited school has transformed opportunities for local children, families and staff, and stands as a testament to the vision of the headteacher, Marie Hunter. Will the Leader of the House join me in welcoming the school and thanking Marie and her team, and will he grant time for a debate on improving SEND provision in the Black Country?

For far too long, communities across the Black Country have had to put up with poor transport links. That is why the long-awaited opening of the metro station later this year is such welcome news for people and businesses in Dudley, even after delays. This key investment will help bring visitors to Dudley High Street and drive the renewal of our town centre, but our area desires one more project. What further investment will the Department for Transport commit to bringing to Dudley? Will the Secretary of State commit to attending the opening of the metro? I am happy to treat her to some orange chips from Dudley.

14. What steps she is taking to improve transport connectivity in Dudley.

Given that around one in five households in Dudley are in fuel poverty and that electricity levies fall disproportionately on low-income families, I welcome the Chancellor’s decision to remove some social and environmental levies from electricity bills. That has helped to shield some of my constituents from the impact of the war in the middle east. Does my right hon. Friend agree that rebalancing these levies can both support households and accelerate cleaner heating?

3. What steps he is taking to help prevent increases in energy bills for households.

Russia’s continued assault on Ukraine has devastated its healthcare system: hospitals are under extreme pressure and there is a critical shortage of specialist staff to treat the injured. That is why I, along with other British physiotherapists, travelled to Ukraine to train clinicians who are working under unimaginable strain. Will the Prime Minister join me in thanking Tanisha Sandhu, Daniel Simm, Kay Joe and Anju Jaggi for their remarkable work? Will he commit to expanding UK-Ukraine clinical training partnerships?

Traders like Sukibinder Singh, who owns Little Italy in Dudley, tell me how low footfall, empty shops and shoplifting are putting people off coming to the town centre. Will my hon. Friend set out what action he is taking on business rates and targeted reliefs to help bricks-and-mortar businesses to compete and prosper?

We have seen the devasting impact of cyber-attacks on British companies and the NHS, and there are serious concerns about the NHS data being entrusted to external firms such as Palantir. What steps is my hon. Friend taking to ensure that new NHS IT systems are secure, ethically governed, protect patient data and public trust, and are British where possible?

15. Whether his Department has issued guidance to the Department of Health and Social Care on the procurement of secure IT systems infrastructure from British businesses.

This year Teddy Grays in Dudley celebrates 200 years in business, with five generations of the same family keeping that local sweetshop and mainstay in Dudley. However, as with many small businesses, energy bills are a constant threat to its success. What steps is my right hon. Friend taking to ensure that Teddy Grays can enjoy another 200 years of sweet success, and will he meet me to discuss this further?

What action is my right hon. Friend taking to disrupt the finances of the organised crime groups facilitating illegal migration to the United Kingdom, and what steps is her Department taking with international partners to prosecute those who are funding those operations, both domestically and internationally?

Paige, my constituent, a survivor of human trafficking as a 24-year-old, was betrayed not only by her abusers but by the very systems that were meant to protect her. When she reached crisis point and attempted to take her life, she was denied continuous medical and healthcare support, while her advocate was excluded from multi-agency meetings. Will the Solicitor General set out what steps are being taken to increase prosecutions for human trafficking and ensure that victims such as Paige receive consistent therapeutic and legal support, from initial disclosure through to the aftercare that follows court proceedings?

5. What steps she is taking to increase prosecution rates for human trafficking.

Following local closures, residents in the north of Dudley currently have no accessible household waste site, forcing them to make lengthy and costly journeys to the only remaining sites in Stourbridge, which is leading to fly-tipping across the borough. Will my right hon. Friend join me in urging the Conservative council to reinstate Anchor Lane accessible waste disposal services in the north of the borough, and will he agree to a debate on this matter?

I thank my right hon. Friend for his work on the Business and Trade Committee, of which I am a proud member. Does he agree that an increasingly competitive and uncertain world defines the UK’s sovereign capabilities, and that supporting them through the national wealth fund is vital to strengthening our industrial resilience and securing our supply chains—including critical minerals—to protect the British economy?

The situation in Sudan is deplorable. Sadly, as is too common, women and girls are being terrorised and rape is being used as a weapon of war. The United Nations has reported that, horrifically, infants as young as a year old are being raped. This is hell on earth. The Secretary of State has mentioned that she is working with our African partners. Can she discuss what healthcare support will be provided to women and girls, from medical aid to paediatric care for children born from rape?

Many injured service personnel face prolonged recovery journeys, and access to specialist rehabilitation is crucial. How is the Department expanding the role of allied health professionals in the Defence Medical Services to strengthen rehabilitation and provide joined-up care from injury to recovery?

Over 900 doctors have been killed by the Iranian regime since 1979. A leading medical union warns that Iran’s state health system is near collapse and medicines are increasingly scarce, leaving children vulnerable for lack of basic care. Does my right hon. Friend agree that urgent international action is needed to hold the regime to account, particularly for the devastating impact on paediatric care?

Leading doctors have warned that social media has become a public health emergency that casts long shadows over our children’s minds. From self-harm to sleepless nights, distorted self-images and sexualised images, and the addictive nature of social media, the damage runs deep. Does my right hon. Friend agree that protecting young people’s wellbeing must come before digital profit and convenience? Will she commission research into the long-term side effects of social media, including on cognitive and motor development, in order to shape policy not just now but in 10 years’ time?

Section 21 in chapter 8 of the Greenland Self-Government Act 2009 states that decisions “regarding Greenland’s independence shall be taken by the people of Greenland.” Therefore, no external coercion should be applied to Greenland’s people. What steps is my right hon. Friend taking with our European allies to ensure that that Act is respected and that no major power can pressure the Greenlanders over their constitutional status?

A constituent of mine who attends Dudley Voices for Choice has autism with complex mental health needs and is at risk of self-harm. Despite not being able to use a telephone, they are still required by mental health services to do so, and therefore they cannot be treated. They were told that they are non-compliant, so their support was reduced. What steps is my right hon. Friend taking to ensure that mental health services offer alternative ways to communicate for those who cannot use a telephone? I would like to thank Sarah Offley and the team at Dudley Voices for Choice.

Given the mass protests, blackouts, social media censorship and the estimated death toll of 2,000 civilian in Iran, will my right hon. Friend set out what co-ordinated diplomatic response she is pursuing with the US and middle east allies, and what contingency plans there are should a dangerous power vacuum develop?

11. If he will make an assessment with Cabinet colleagues of the potential merits of establishing a statutory national register of electricians.

I thank the Minister for her response. Gas installers must legally register under a Health and Safety Executive-owned scheme, yet electricians, despite near-zero part P enforcement and around 20,000 electrical fires a year, remain governed by voluntary clubs. The October 2026 rule changes will address qualifications, but not enforcement. Does my hon. Friend agree that there must be legal protections for electricians, just as there are for gas installers, to safeguard residents?

In towns such as Dudley, bus routes are the lifeblood of the community. That is why I was disappointed when part of the 215 bus service serving Sledmere was going to be scrapped and residents were, rightly, upset. I am delighted that that decision has been overturned after lobbying Transport for West Midlands and I thank it for its change of direction. Will my right hon. Friend welcome that reinstatement and grant time for a debate on the importance of protecting bus routes where other forms of transport are not available?

As temperatures have plummeted across the country this week, road conditions have deteriorated. Sadly, the Conservative council in Dudley removed 500 grit bins before the winter, creating dangerous conditions for all and making day-to-day errands simply impossible. Will my hon. Friend work with me to hold Dudley council to account and ensure that Dudley’s roads are safe all year round?

T6. I am proud that Dudley is home to Brockmoor Energy and Environment Scheme, the first to be funded under the net zero neighbourhood programme by Richard Parker, the West Midlands Mayor. Will the Minister set out what further measures he is taking to improve energy efficiency, retrofit homes and upgrade energy infrastructure in Dudley, and whether he agrees that the scheme should be expanded?

Article 2.4 of the United Nations charter states: “All Members shall refrain in their international relations from the threat or use of force against the territorial integrity or political independence of any state”. Does the Secretary of State agree that, even when a President lacks democratic legitimacy, any peaceful transition in Venezuela must be in the hands of its people and not dictated by foreign Governments, who must follow international law?

I welcome the Palestinian embassy, but with the crisis in Gaza still acute, the Israeli Government’s decision to strip NGOs of accreditation is unconscionable and puts vulnerable families at even greater risk. I welcome the steps taken to bring injured Gazan children here for treatment, but many are just too unwell to travel. What additional steps, whether through field hospitals, specialist equipment or teams and medicines, will the Minister take for children still in Gaza who are unable or not stable enough to travel to receive specialist treatment?

I thank the Minister and his Department for confirming yesterday that Dudley has successfully cleared the first stage of Pride in Place assessment—the first step to unlocking £20 million over the next decade. Will he outline how the new planning reforms, Pride in Place funding and greater community powers will revitalise Dudley town centre, and can he confirm that any new infrastructure will use local materials from local businesses, such as Dreadnought Tiles, to boost the local economy?

Tackling violence against women and girls demands that victims be at the heart of decisions, and robust action. I look forward to the publication of the strategy. Does the Minister agree that locally commissioned domestic abuse services should have statutory representation and multi-agency risk assessment conference boards, backed by dedicated funding to strengthen support, improve safeguarding and deliver better criminal justice outcomes?

T9. Will my right hon. Friend meet me to discuss the role that allied health professionals, such as physios, occupational therapists, speech and language therapists and others, can play in helping NEETs to overcome barriers and secure meaningful and lasting work?

I welcome the Government’s £820 million investment to help young people into work. In Dudley, one in five school leavers—the highest proportion in the country—are not in education, employment or training. Will the Minister guarantee that this funding prioritises areas with the greatest need, including Dudley? Will she commit to visiting my constituency?

As we await the outcome of negotiations to end the war in Ukraine, which must be rooted in the voices and needs of the Ukrainian people, access to healthcare is essential to rebuilding the nation. What steps is my right hon. Friend taking to ensure UK-backed reconstruction strengthens rehabilitation and healthcare infrastructure, and will she meet me to support my efforts to link allied health professionals in Ukraine?

Red Hall primary school in Lower Gornal is sited on either side of a busy road, connected by a zebra crossing. Children are put at risk each day as they cross between the sites, as there is no patrolling and frequent unsafe driving. I have urged the council to act. What work is my right hon. Friend doing with the Secretary of State for Transport to ensure adequate funding and support for road safety?

3. Whether the Commission is taking steps to create a domestic abuse policy for the House of Commons.

I thank my hon. Friend for his response. In the past year, nearly 4 million people in the UK have been victims of some sort of domestic violence. This is a national crisis. In light of that, will my hon. Friend and the Commission he serves consider taking steps to improve the messaging for MPs’ staff around domestic violence and abuse, and share details of available training? Will he agree to encourage MPs to endorse the new House of Commons policy on domestic abuse in full, which I have been helping to shape with House staff?

I have seen at first hand how severe musculoskeletal conditions such as lower back pain can devastate someone’s ability to work, have relationships and sleep, as well as their overall wellbeing. The education of more than 1 million children is disrupted by MSK conditions due to missed schooling and fragmented, hard-to-navigate services. Will the Minister therefore prioritise MSK conditions in phase 2 of the modern service framework and confirm when that will be published?

The Bill seeks to confront one of the most urgent and entrenched inequalities in our economy: the persistent barriers that women in business continue to face. Despite the entrepreneurial spirit and innovation demonstrated by women across the United Kingdom, they remain significantly under-represented among recipients of capital and public financial support. The evidence is stark. In 2024, just 2% of UK equity investment went to female entrepreneurs—a decline on the previous year. Over 80% of venture capital funding is allocated to male-dominated businesses, despite research confirming that women-led businesses deliver, on average, a 35% better return on investment. However, women typically start businesses with 53% less capital than men do, and the loans they receive are, on average, 68% smaller. Approval rates for funding are lower for women, and too often they must pitch to all-male investment panels. Evidence from early-stage equity markets shows that male investors express less interest in female founders, whereas female investors are more likely to back them. For black female entrepreneurs, the challenge is even greater: between 2009 and 2019, a mere 0.02% of venture capital funding went to black women. This is not just a disparity issue; it is an economic one. The 2019 Rose review estimated that £250 billion could be unlocked for the UK economy if women were supported to start and scale businesses at the same rate as men. Adjusted for inflation, the figure now stands at a staggering £310 billion. That is the scale of the opportunity we are failing to unlock. Even in challenging economic circumstances, women in my constituency of Dudley continue to lead the way, against the odds. For example, Iron & Velvet, the UK’s only manufacturer of eco-friendly, water-soluble cleaning sachets, is headed by a truly inspirational woman. Debra McDonald, its chief executive officer, told me: “Investors frequently undervalue or question the ambition of female leaders.” According to the Black Country chamber of commerce, just 20% of member companies are led by women, and such businesses are even rarer outside London. We cannot allow this to persist. The injustice goes beyond numbers; it holds back potential in every community, from the west midlands to every region of our country. I welcome the Government’s recent commitment of £400 million to support under-represented fund managers, and the doubling of their investment in female-led venture capital funds to £100 million through the Invest in Women taskforce. Compared with our international peers, though, the UK is simply losing ground. The United States of America stands out globally as the leading country for women-led businesses in 2025. Over the past two decades, female-owned businesses in the US have grown dramatically, with a 100% increase. Between 2019 and 2023, these businesses contributed a whopping 1.4 million new jobs and generated $500 billion in revenue. Meanwhile, Sweden and Poland are surpassing the UK, with more targeted strategies to improve women’s access to finance. In Sweden, 4.6% of all venture capital funding is now allocated to female-only founded businesses, outpacing the UK’s rate. Poland ranks first in the EU, and fifth worldwide, for female entrepreneurship. The progress in those countries is no coincidence; it reflects deliberate and sustained efforts to empower women in business. I have a vision for a country where prosperity has no barriers, and where every individual has the opportunity to fulfil their potential—a nation where access to finance is not a privilege but a right, and where women entrepreneurs, small business owners and innovators from every background can turn their ideas into action. This is about fairness, ambition and unlocking the full promise of our people, so that no one is held back simply because of who they are or where they come from. In this Bill, I propose three core measures, backed by experts, to begin dismantling the barriers. The first pillar mandates transparency and accountability within financial institutions. The British Business Bank would lead this transformation to ensure genuine equity in access to finance. Banks, venture capital firms and public funding bodies would be required to publish gender disaggregated lending data, review their practice on bias, and embed anti discrimination measures across every stage of investment and loan assessment. For too long, a lack of data has hidden the barriers for women entrepreneurship, and this measure brings the inequalities into the light. By exposing where decisions fall short of equity, institutions will be compelled to act—not out of obligation, but because inclusion strengthens our economy. The Bill would ensure that capital is allocated on potential and performance, not prejudice. As Becky Cotton, a pioneering woman in business and the co-founder of Lumino, told me: “Sunshine is the best disinfectant.” Secondly, the Bill would direct the British Business Bank and related Government-backed schemes to expand their outreach and set measurable targets. At least 30% of all finance provided should support female-led businesses, and the percentage of equity finance for female entrepreneurs must increase from 2% to 10% by 2030. This reflects a key recommendation from the Women and Equalities Committee’s groundbreaking report on female entrepreneurship. Thirdly, the Bill would require the Secretary of State to prepare and publish a report on access to finance. I have already laid out the inequality that exists in this area, but mandating the Secretary of State to produce a report is essential for transparency, accountability and progress. Without the clear reporting that this Bill is calling for, the scale of inequality will remain hidden. From that report, we can begin to develop other policies to unlock investment for women and other disadvantaged groups, finally bridging the gap between men and women in finance. This is not just a Bill for women; it is a Bill for our economy, our communities and our collective future. It recognises that fairness and prosperity go hand in hand, and it will remove the barriers to women’s economic participation. We will all benefit from increased innovation, job creation, stronger families and a more resilient society. This is a critical moment. Unlocking £310 billion of growth by investing in female-led businesses is not just the right thing to do; it is smart economics. Empowering women and women-led businesses is among the most effective investments we can make as a nation. This Bill is about the fixing the system, not fixing women. Question put and agreed to. Ordered, That Sonia Kumar, Liam Byrne, Sarah Edwards, John Cooper, Dan Aldridge, Gurinder Singh Josan, John Slinger, James Asser, Rachel Taylor, Matt Western and Ms Polly Billington present the Bill. Sonia Kumar accordingly presented the Bill. Bill read the First time; to be read a Second time on Friday 28 November, and to be printed (Bill 330).

I beg to move, That leave be given to bring in a Bill to require the Secretary of State to prepare and publish a report on access to finance for women in business; to make provision about the publication of data relating to access to finance for women in business; and for connected purposes. The Bill seeks to confront— [Interruption.]

What measures is the Home Secretary taking to dismantle the criminal gangs that are exploiting both legitimate and illegitimate businesses to facilitate illegal channel crossings? Can she give us details of the regulatory action that is being taken to prevent the use of assets such as shops on our high streets, and to prevent the supply of life jackets, boats and other components needed for dangerous crossings by illegal immigrants and criminal gangs?

I welcome the Labour Government’s progress on policing, including Dudley town centre’s new police station, which will open this year, and the new police officers being redeployed to Dudley borough in April. Given the urgent need for police reform, will the Minister go one step further and commit to reviewing the west midlands’ outdated funding formula, which does not align with local crime and deprivation levels?

T8. What support can the Minister offer the Dudley Canal and Tunnel Trust, which seeks to open up canal access to the hidden gem at Wren’s Nest, which is part of the UNESCO geopark? That would help boost sustainable tourism, give access to residents, and highlight the site’s international geological significance.

I warmly welcome the statement. With improved medical care, earlier diagnosis and greater awareness, more children with special educational needs are being identified. How will my right hon. Friend ensure that schools have the right environment, staff, funding and resources for SEND children to get the most of the positive changes in the curriculum?

In Dudley, we have the Pensnett estate, one of the largest industrial estates in Europe. It is home to nearly 200 businesses, including a variety of SMEs, ranging from plumbing to steelworks. What steps is my right hon. Friend taking to ensure that SMEs in Dudley have the time and the space to bid for contracts? Will the Minister agree to hold a roundtable on defence on the Pensnett estate?

3. What assessment he has made of the adequacy of the level of direct procurement from defence SMEs in the west midlands.

As we approach Remembrance Sunday, we honour those who gave their lives for our freedom, and remember the often overlooked women who served as codebreakers and factory workers, and in countless vital roles. In light of that, I have written to Dudley council asking it to permanently install the first ever women of war silhouette, funded by the Sedgley townswomen’s guild. I thank its members for their dedication. Will the Leader of the House join me in remembering the thousands of women who served, and continue to serve, and will he make time for a debate about their contribution?

What steps is the Department taking to improve access to finance for UK start-ups seeking to scale up, given that only 1% of UK start-ups raise equity of more than £100 million? By comparison, in the US, 6% of start-ups do so. Furthermore, how can we ensure that women get a fair share of access to finance?

I recently returned from Kyiv, where I visited a rehabilitation centre supporting those injured by the Russian invasion. I was deeply moved by the dedication of the Ukrainian clinicians working under immense pressure. As a physiotherapist, I recognise the vital role that allied health professionals play in recovery. It was Allied Health Professions Day last week, and I would like to thank all the dedicated clinicians for the unconditional service they provide every single day. Will the Leader of the House agree to a debate on the importance of healthcare professionals collaborating internationally to help Ukrainians and the UK?

After months of campaigning, public meetings, presenting a petition, sending letters, meeting Ministers, holding a day of action outside Ladies Walk and scrutinising Dudley council, I am delighted that the Ladies Walk Centre in Sedgley, a vital community hub providing NHS and library services, will remain open. This is a victory for local residents, who rightly oppose Dudley council’s near-closure of the site despite its chance to renegotiate the lease five years ago. Will the Leader of the House welcome this news and grant a debate on local government transparency?

Thank you, Madam Deputy Speaker, for calling me to present a petition this evening on behalf of the constituents of Dudley. Despite the Conservative council pledging funding in a public question and answer session in April, the Sycamore Adventure Centre is due to be privatised, with a risk of a hike in entrance fees. The centre must remain solely controlled by Dudley council. The petition “declares that Sycamore Adventure Centre has served as a vital, safe and inclusive community space for children, young people…in the area; that for decades, it has been more than just a play site—it has fostered community cohesion, supported children’s physical and mental health, and given young people a place to explore, learn, and grow…The petitioners therefore request that the House of Commons urge the Government to stop the privatisation of Sycamore Adventure Centre, guarantee that access to the centre remains open and free (or affordable) to all families, preserve the current number of play sessions and hours of operation, and work with local residents, staff, and young people to protect and enhance the centre as a valued community resource. And the petitioners remain, etc.” Following is the full text of the petition: [ The petition of residents of the constituency of Dudley. Declares that Sycamore Adventure Centre has served as a vital, safe, and inclusive community space for children, young people, and families in the area; that for decades, it has been more than just a play site — it has fostered community cohesion, supported children’s physical and mental health, and given young people a place to explore, learn, and grow; that the petitioners call for an immediate halt to the proposed privatisation of Sycamore Adventure Centre, which would reduce accessibility by introducing fees or limitations that restrict entry for families already facing financial hardship, cut down play opportunities and available hours, leaving children with fewer safe and constructive activities, undermine community ownership of a space that belongs to all of us, shifting its priority from public benefit to private profit; and that public recreational spaces like Sycamore Adventure Centre must remain publicly funded, publicly run, and accessible to all. The petitioners therefore request that the House of Commons urge the Government to stop the privatisation of Sycamore Adventure Centre, guarantee that access to the centre remains open and free (or affordable) to all families, preserve the current number of play sessions and hours of operation, and work with local residents, staff, and young people to protect and enhance the centre as a valued community resource. And the petitioners remain, etc.] [P003117]