L

Lord Mohammed of Tinsley (LD)

Speaking in the House of Lords on 12 February 2026

Debate

Medical Training (Prioritisation) Bill

Contribution

My Lords, I know that it is late, but it is important that I move this amendment, which seeks for all regulations that are made under the Bill are subject to affirmative resolution procedures. In simple terms, after the Bill is passed, we would have a vote in both Houses on any changes made to allocation of spaces. This amendment goes to the heart of parliamentary accountability. The Bill as currently drafted grants Ministers broad regulation-making powers, including the ability to amend key operational aspects of medical training with limited parliamentary oversight. My concerns are not with the intentions of the current Minister or the present Government but with the precedent that this sets. Delegated powers once granted outlive individual Ministers or Governments. Medical training is an area where stability and predictability are essential. Doctors and medical students plan years in advance—sometimes decades. They make decisions about education, location, finances and family life based on the rules that Parliament sets. If those rules can be altered by secondary legislation without a positive vote in both Houses, we risk creating uncertainty and undermining confidence in the system. The affirmative resolution procedure would provide a necessary safeguard. It ensures transparency, debate and accountability. It allows Parliament to examine whether proposed changes are proportionate, evidence-based and aligned with the original intent of an Act. Importantly, in this case, it would give affected shareholders—medical students, trainees, regulators and the NHS workforce—the assurance that changes will not be made without democratic consent and accountability. This House has repeatedly expressed concerns about the expansion of executive powers through delegated legislation, particularly in areas with significant policy impacts. The Delegated Powers and Regulatory Reform Committee has, on numerous occasions, warned against the inappropriate use of negative or minimal scrutiny procedures where primary legislation confers wider discretion. My amendment responds directly to those concerns. There is also a practical benefit. Requiring affirmative approvals encourages better policy-making. Ministers can explain, justify and defend their proposals in open debate. That process often improves the quality of regulations, identifies unintended consequences and builds broader support for necessary reforms. This amendment would not prevent future Governments adapting the medical training system. It would simply ensure that, when they do so, they do so with Parliament, not without it and not by going around it. It would preserve flexibility while embedding accountability. At a time when trust in politics and political institutions is fragile, Parliament must demonstrate that significant changes to professional regulations are made openly and responsibly. Requiring a positive resolution in both Houses is a modest but important step in that direction. I therefore commend this amendment to your Lordships’ House.

More from Lord Mohammed of Tinsley (LD)

Other recent Hansard contributions by the same speaker.

About Hansard

Hansard is the official verbatim record of proceedings in the UK Parliament. Every word spoken in the Commons and Lords is recorded and published — this page is a single contribution from that record.

Partner sites