Topical Questions
Tuesday, 20 October 2026
Contributions
Tim Farron (Westmorland and Lonsdale) (LD)Liberal Democrat
T1. If she will make a statement on her departmental responsibilities.
The Secretary of State for Health and Social Care (Yvette Cooper)Labour
The covid-19 inquiry has today published its module 6 report on what Baroness Hallett calls the “devastating impact” of the pandemic “on people receiving and providing care and their loved ones.” My thoughts are with all those who lost loved ones in the pandemic, especially those who endured the immense distress and harm of visiting restrictions in care homes, which meant they could not be with loved ones even as they died. I also pay tribute to all those who worked to protect the most vulnerable in very difficult circumstances, from care workers to family members. The report finds that the adult social care sector was in a “fragile state” and insufficiently prepared for a pandemic, and that social care was too often treated as “an afterthought” in comparison with the priority placed on protecting the NHS. We will provide a full response to the report’s recommendations in due course, but I agree with the chair when she said that “for too long the adult social care sector has been undervalued and under-recognised”. That has to end and I hope we can work across parties to support the Prime Minister’s vision for a national care service.
The only way that children can be tested for metachromatic leukodystrophy and given lifesaving treatment is if their older sibling is diagnosed, at which point it is too late to save the older sibling’s life. That was the case for my constituent Nicola, whose daughter was diagnosed when she was already symptomatic. She died at the age of 13. Nicola’s younger son was able to be diagnosed and treated only because of his late sister’s illness. This cruel tragedy could have been avoided if the Government added MLD to the infant heel prick test. When will the Secretary of State do that? Will she meet MLD families and me so that she can hear from them at first hand about the desperate need for this change?
I am very sorry for everything that Nicola and her family have been through. The hon. Member will know that the UK National Screening Committee guides the Government in screening decisions. It has looked at newborn screening and concluded that there is not yet enough evidence to include MLD in the test. However, it is awaiting evidence from pilot studies looking into screening for MLD and from the recently implemented Norwegian screening programme. I will look further at this issue and ensure that the hon. Member gets a meeting with Ministers to talk about MLD.
Jonathan Davies (Mid Derbyshire) (Lab)Labour
T2. My constituent Audrina Hatton-Wright is a 12-year-old cancer survivor. She has spent a huge amount of her childhood in hospital, where she has found that the food is sometimes not of a nutritional quality to support people’s recovery. She is running a high-profile campaign on this issue, which has taken her on to the BBC and ITV’s “This Morning”. Will Ministers meet me and Audrina to see where we can work on this issue together?
The Minister for Secondary Care (Karin Smyth)Labour
I thank Audrina for the great work that she is doing, supported by the campaign. Food in hospitals is really important, and we would be very happy to meet Audrina. Well done to her.
Mr SpeakerSpeaker
I call the shadow Secretary of State.
Damian Hinds (East Hampshire) (Con)Conservative
With a waiting list of more than 7 million, the NHS needs the sharpest focus on patient care and delivery, but Ministers have created disruption and distraction. I have some sympathy for the Secretary of State, because the right hon. Member for Ilford North (Wes Streeting) had said no to a top-down reorganisation and then abruptly changed his mind without, it seems, thinking it through much. Within an hour of the First Reading of the Health Bill, he had hopped it, and now it falls to the present Secretary of State. Does she believe in the right hon. Gentleman’s plan, and does she still believe that NHS England will be dissolved by 1 April?
That is a little rich coming from a Member who voted for the 2012 Andrew Lansley reforms, having promised no top-down reorganisations then doing one of the worst and most damaging top-down reorganisations ever in the history of the NHS. We are taking the Health Bill through Parliament; it is currently going through the House of Lords. We want to focus on frontline care, rather than the huge expansion of bureaucracy that we saw under the right hon. Member’s Government, which ended up absorbing money, away from the frontline, and creating far too much duplication.
I did not hear the greatest statement of belief that the deadline for that quango would be hit. Since the original plan, we know that costs are up, that transfer functions out of integrated care boards have been delayed, even though 8,000 people have gone, and that multiple mergers are on hold. NHS England may be the mother of all quangos, but it seems instead we are to get the sister of the mother of all quangos. The special health authority is a new, regional management tier, so does the Secretary of State still expect a net benefit of £1 billion a year in this Parliament? If not, what does that do to frontline health funding on top of the pressures we know about on pay and medicines? Is not the real cost here to patient care?
The right hon. Member’s party and the Government who he supported expanded the number of jobs in NHS England from around 5,000 to more than 20,000 in the space of just a few years. This Government are reducing the number of jobs in administration and bureaucracy in order to invest in expanding the number of clinical posts across the country and across our NHS. We are already making substantial savings, with further efficiency savings and productivity savings taking place this year. This Government are delivering lower waiting lists, more treatment, faster treatment and improvements for patients.
Jack Abbott (Ipswich) (Lab/Co-op)Labour (Co-op)
T4. East Suffolk and North Essex NHS foundation trust has made a £98 million application to the estates safety fund for a new maternity building. Our local services support the delivery of around 3,000 babies every year, but the existing building has not been fit for purpose for many years. Will the Secretary of State support our bid for a new maternity wing at Ipswich hospital, to make sure babies and families get the state-of-the-art services that they so desperately need?
My hon. Friend raises an excellent point about the state that these buildings were left in by the Conservative party, as Lord Darzi’s report made clear. We are investing unprecedented amounts in capital and giving greater certainty, and I would be happy to meet my hon. Friend to discuss the proposal from Ipswich. It is up to local systems to come forward with plans, but I would be happy to discuss that further with my hon. Friend.
I call the Liberal Democrat spokesperson.
Helen Morgan (North Shropshire) (LD)Liberal Democrat
Last week, ITV News uncovered devastating statistics showing that thousands of children are now being treated in hospital corridors. It shared the heartbreaking story of Finlay Roberts, whose parents spent hours in A&E waiting for help before he died—he was just two. As a mum, I cannot bear to imagine waiting and seeing your child deteriorate like that. The Roberts family deserved better, so will the Secretary of State confirm when we will see data on the number of children receiving corridor care, and will she commit to ending corridor care once and for all within a year and making children an urgent priority?
The story of what happened to little Finlay is devastating, and what his family have been through is unimaginable. I reiterate the apology that I have made to Finlay’s family; this happened in the summer of 2024, but it is still devastating that it should have happened, and that he should have been treated in a corridor in that way. As the hon. Member knows, since earlier this year, we have been measuring corridor care for the first time, because we have to end corridor care—it is not fair on patients. I am introducing new assessments of corridor care involving children, because that has to be the urgent priority. No child should be treated in a corridor.
Damien Egan (Bristol North East) (Lab)Labour
T6. The steps towards expanding access to NHS dental treatment that the Minister outlined earlier are very welcome, but too many of my constituents still report that they cannot see an NHS dentist when they need one. Can the Minister therefore tell us what specific steps are being taken to improve dental services across the Bristol region?
The Parliamentary Under-Secretary of State for Health and Social Care (Mr James Frith)Labour
I recognise that too many of my hon. Friend’s constituents are struggling to secure an NHS dentist, despite the improvements that have already been made. Responsibility for commissioning dentistry sits with the local integrated care board, and I encourage him—through me, by all means—to reach out to the ICB and have a conversation with it. The Government have provided £4 billion in ringfenced funding for NHS dentistry, which has gone some way towards making the improvements we have seen, but there is plenty more to do, and my hon. Friend has my attention.
Alan Mak (Havant) (Con)Conservative
T3. Five years ago this month, Emsworth medical practice’s new building opened, thanks to funding from the last Conservative Government. Will the Minister commit to providing funding for the expansion of more GP surgeries in the Havant constituency?
The Minister for Public Health and Patient Safety (Dame Diana Johnson)Labour
There is money available for GP surgeries; as my hon. Friend the Member for Bristol South (Karin Smyth) has already said, many of them were left in a terrible state under the previous Government. They were not invested in over many years. There is money available, and when I meet the hon. Gentleman, I will be happy to discuss that with him.
Helena Dollimore (Hastings and Rye) (Lab/Co-op)Labour (Co-op)
T7. Many hospital specialisms are increasingly shared between Eastbourne hospital and Hastings Conquest hospital, which is in my constituency. That means that the people I represent who do not drive are required to travel a long way by public transport to get to Eastbourne hospital—between 90 minutes and two hours, and that involves a lot of walking. The hon. Member for Eastbourne (Josh Babarinde) shares my concerns about people travelling in the other direction. With so many services shared between the two hospitals, I am calling on the NHS integrated care board, the trust, and the Reform-run county council to look at providing a shuttle bus that would make it easier for people to travel between the two hospitals. Does the Minister agree that this is something health commissioners should look at when planning services?
Order. Can Members please help other colleagues to get in by shortening their questions?
My hon. Friend is absolutely right that it is the responsibility of the commissioners to look holistically at the provision of services. We want more services closer to home, using technology, care in people’s homes and so on, but she is quite right to highlight this issue. I know that she will continue campaigning on it, and I hope everyone has listened to her, so that people can come together to help her constituents.
Mr Gregory Campbell (East Londonderry) (DUP)Democratic Unionist Party
T5. Bowel cancer rates are increasing among the under-50s. What targeted interventions are taking place to try to reduce such incidences?
The national cancer plan, published by the Health Department, is about prevention, treatment and support, as well as, crucially, research. That research can benefit us across the United Kingdom.
Mrs Sharon Hodgson (Washington and Gateshead South) (Lab)Labour
T8. I had the pleasure last week of meeting Her Majesty the Queen to discuss the importance of having fracture liaison services in every NHS trust, to which this Government have already committed. On World Osteoporosis Day, will the Minister outline what steps her Department is taking to develop the long-overdue national implementation plan for universal access to fracture prevention services by 2030?
The Minister for Social Care and Mental Health (Alison McGovern)Labour
It is no surprise to me, given my hon. Friend’s record of campaigning on this and many other issues, and the work that she did in opposition and in government, that she would be in such august company to discuss this matter. I pay tribute to her and all the campaigners, because osteoporosis can have a devastating impact on health. She knows we are committed to improving care, in particular by rolling out state-of-the-art scanners, and I am sure we will meet soon to discuss it.
Wendy Morton (Aldridge-Brownhills) (Con)Conservative
The Government propose to abolish Healthwatch and bring its functions inside the Department and local NHS bodies, but patients need an independent champion who can challenge things when they go wrong. What savings does the Minister believe will result from abolishing Healthwatch? How will she ensure that this does not result in the loss of an independent voice for patients?
I am clear that there has to be an independent voice for patients as part of the health system. That is why I said on Third Reading of the Health Bill that the Government were looking again at Healthwatch and would report back in the Lords. We will do that shortly, in advance of the Committee stage.
Lizzi Collinge (Morecambe and Lunesdale) (Lab)Labour
T9. As the Minister knows, I work with a lot of dying people and their families, so good palliative care is important to me, as it is to my constituents. Recently, this House turned down an opportunity to expand end-of-life care, with some opponents citing the state of palliative care as the reason for voting against assisted dying. What is the Minister doing to improve palliative care, particularly in the light of recent announcements about a national care service?
I pay tribute to my hon. Friend for all her work with hospices and others on palliative and end-of-life care. I think everybody right across this House wants to see it improved. We have a modern service framework on its way, and as part of the national care service that we are working on, we will make sure that we care for the dying in a much better way in this country.
Paul Holmes (Hamble Valley) (Con)Conservative
I recently visited Newmedica in my constituency to see the vital role that independent providers have in offering NHS-funded eye surgery and care. With the Health Bill progressing, what assurances can the Minister provide that it will strengthen the right to choose across all providers and ensure that ICBs make full use of all the choices, which my ICB is not?
I thank the hon. Member for his excellent question. The Government are protecting choice in the Health Bill. It is a chance also to affirm the independent sector and the vital role that it plays. Optometry is not an add on to the NHS; it is an important part of the health ecosystem. I am happy to have further conversations with him.
Andrew Lewin (Welwyn Hatfield) (Lab)Labour
As we approach winter, it is even more important that we minimise pressure on hospitals. In Welwyn Garden City, we have an urgent treatment centre at the new QEII, but it is in a modern building, and I believe that it has the capacity to do more. Does my right hon. Friend agree that it is time to look at the resources that we could provide to the new QEII to provide greater community care?
As my hon. Friend may know, we have just announced £140 million of new investment in urgent treatment centres and same-day emergency services. That is exactly to ensure that we are easing the pressures around accident and emergency, which went up substantially this summer, linked to the extreme heat. I know that Ministers would be happy to discuss his local proposals with him.
Ben Obese-Jecty (Huntingdon) (Con)Conservative
I thank the Minister for her recent confirmation that the renal dialysis service would remain at Hinchingbrooke hospital in my constituency during the build under the new hospital programme, but I am conscious that it is not in the scope of the actual new hospital and may not be there in the longer term. Can she offer me some assurances that this vital service for constituents will remain at Hinchingbrooke? If not, is any provision being made to ensure that this local resource stays available?
I am glad the hon. Gentleman found that correspondence helpful. As he knows, I am keen to discuss the new hospital programme and its progress with all Members. I am sure that discussions about the renal service at Hinchingbrooke continue to take place locally, and that those involved will continue to work together. I know that the hon. Gentleman will keep in touch about the progress of the discussions on behalf of his constituents, and I am happy to talk to him about the issue.
Lorraine Beavers (Blackpool North and Fleetwood) (Lab)Labour
Blackpool Victoria hospital desperately needs more money, because the ICB’s funding for hospital trusts does not account for the 20 million tourists or the complexity of care required. Will the Secretary of State ensure that the hospital receives its fair share of extra funding from the ICB?
I appreciate my hon. Friend’s concern on behalf of her constituents. We are moving the system governing hospitals such as Blackpool away from deficit funding so that it becomes well governed and managed, in line with fair shares allocation, and I shall be happy to discuss that further with my hon. Friend.
Caroline Voaden (South Devon) (LD)Liberal Democrat
Torbay hospital, which serves my constituency, is one of the oldest parts of the NHS estate, and the Devon and Cornwall fire services recently ruled that its tower block would now be unsafe in the event of a fire. A quarter of the beds in the hospital are in that tower block, so patients are now being moved. Staff are extremely worried about what will come next, and this is making the hospital much less viable. Will the Minister meet me, and other Devon Members, to discuss its future funding, and the need to make it safe and secure and ensure that it continues to operate?
I have met the hon. Member for Torbay (Steve Darling) to discuss this matter. Obviously, money has been allocated. We are well aware of the hospital’s position, and it is also part of the programme. I shall be happy to provide further information if the hon. Lady is not clear about the allocations that have been made.
Tracy Gilbert (Edinburgh North and Leith) (Lab)Labour
Demand for surrogacy from the UK is leading to the exploitation of women in countries across the globe, including Ukraine, Nigeria and Mexico. Can my right hon. Friend give a commitment on when legislation will come to the Floor of the House, so that we can play our part in ending that exploitation as soon as possible?
We are clear that no surrogacy arrangements should place any party at the risk of exploitation, and the Foreign, Commonwealth and Development Office provides guidance on the risks of overseas surrogacy and the steps that intended parents must take to return to the UK with their child. The Government have no current plans to legislate to prevent people domiciled in the UK from entering international surrogacy arrangements.
Mr Gagan Mohindra (South West Hertfordshire) (Con)Conservative
Under the last Conservative Government, upwards of £300 million, which would have been lifesaving as well as life-changing for many of my constituents, was earmarked for the new Watford general hospital. The lack of those funds, combined with the closure of the urgent care centre at Mount Vernon hospital, means that many of my constituents are not now receiving the first-class healthcare that they would reasonably expect. What assurances can the Minister give local residents?
I pay tribute to my hon. Friend the Member for Watford (Matt Turmaine) and others for their campaigning in that part of north-west London and elsewhere. The movement of services is now firmly part of the programme, and the people of Watford will have the services that they deserve. Discussions are continuing, and I shall be happy to update the House on the final decision as soon as possible.
Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)Labour (Co-op)
Percy, a five-year-old constituent of mine, wrote to me ask whether gluten-free products would ever be provided on prescription for people with coeliac disease. What steps is the Minister taking to address postcode variations in the provision of gluten-free food by integrated care boards?
The national position in England remains that gluten-free bread and mixes can be prescribed on the national health service for eligible people diagnosed with coeliac disease. As my hon. Friend says, ICBs can restrict or end the prescribing of gluten-free food, but I am happy to discuss this matter with her.
Seamus Logan (Aberdeenshire North and Moray East) (SNP)Scottish National Party
The Department has thus far refused to publish the impact assessment associated with the US-UK pharma deal. May I ask what the Government are trying to hide?
The first nation status that we have with US pharma is an advance on the usual relationships—it comes with huge benefits—but I should be happy to take away more specific concerns that the hon. Gentleman may have following a conversation after today.
Rachel Blake (Cities of London and Westminster) (Lab/Co-op)Labour (Co-op)
I am grateful that the Department has moved swiftly to identify the issues with the supply of Bedrolite from Bedrocan, the company in real difficulty in the Netherlands. I understand that there is confidence in supplies until 2027, but my constituents say that that may depend on whether someone has an NHS or a private prescription. Would the Minister and his officials meet me to go through these processes, some of which, from my constituents’ experience, have been very bureaucratic?
My hon. Friend makes a really important point. Ensuring sustainable supply for so sensitive a medicine to address epilepsy is uppermost in my mind. It is a live situation, I am working at pace with officials, and I will update her accordingly.
Steve Darling (Torbay) (LD)Liberal Democrat
The fire service and the Care Quality Commission have now served legal notice against the tower block at Torbay hospital, and more than 100 beds are under threat. With that new information, this is now a crisis at Torbay hospital. Will the Minister please meet me and other Devon MPs to help navigate this crisis?
I recently met the hon. Member, and as he knows, we are absolutely committed to working with the local system to do that. I absolutely commit to updating him as soon as possible if he is not aware of where we are on that. I will get something back to him very quickly.
Markus Campbell-Savours (Penrith and Solway) (Lab)Labour
For those considering suicide, the message must be that there is always another way, but with new Office for National Statistics data showing that the rate of suicide in Cumberland has increased yet again, would Ministers meet me and Cumbrian Members to ensure that our health system is providing support to all when they need it?
I thank my hon. Friend for that important question. On such an important issue, I will of course meet him. We have had a number of very important debates on this issue, which shows how important Members across the House think this is.
Bradley Thomas (Bromsgrove) (Con)Conservative
It can take far too long for patients to receive a diagnosis of Lyme disease. My constituent Gill, who is a nurse, gave her life to the NHS, but it failed to diagnose her and she had to seek treatment from abroad. Will the Minister meet me and Gill to discuss what went wrong?
I will, of course.
Darren Paffey (Southampton Itchen) (Lab)Labour
The damning ITV News investigation of failings in disability care covered the case of Adam Crook, son of my constituent Joanna, who raised serious allegations about alleged assault and unexplained burns, yet these serious concerns remain unanswered. The care home still has not been inspected since 2021 and the provider has faced no sanctions. Will the Minister please ensure that this is investigated, that the CQC acts and that those responsible are held accountable?
I would like to thank my hon. Friend for his question and, through him, to pass on my concerns to the family he mentions. I will write to him on what the CQC is doing. Baroness Louise Casey has recommended some safeguarding steps that we should take urgently, which we are doing—we have a new national safeguarding board—and I will draw the chief social worker’s attention to the case he mentions.
Dr Ellie Chowns (North Herefordshire) (Green)Green Party
Constituents in North Herefordshire and across the country want an end to the current postcode lottery in access to adult social care. The King’s Fund published a report on equal access just last week. Has the Minister read that report, and does she agree that social care needs to be locally delivered, but nationally funded?
The hon. Lady makes an excellent point. The research is good, and the crisis we are seeing in some hospitals as we turn the ship around is because we have not grappled with the issue of social care. We must make sure people are cared for in their own homes, and we must do that consistently to help our NHS.
Luke Myer (Middlesbrough South and East Cleveland) (Lab)Labour
Will Ministers meet me to discuss the future of East Cleveland hospital and what other services we can get closer to our community?
Yes.
Shockat Adam (Leicester South) (Ind)Independent
I welcome the Government’s commitment to regulating funeral services, but for Jewish and Muslim families, burying a loved one quickly is a religious duty, not a preference. Will the Minister ensure that faith communities and burial societies, such as the Muslim Burial Council of Leicestershire in my constituency of Leicester South, are consulted directly, and that the new legislation does nothing to delay burials?
The hon. Member makes an incredibly important point, because people’s faith needs to be respected as part of ensuring that they have dignity in death and that they and their families are treated with care and respect. We will ensure that this issue is part of the consultations under way at the moment, and this will certainly be a central consideration in ensuring we have an effective regulation system.
Lloyd Hatton (South Dorset) (Lab)Labour
This month, we heard that Wareham’s chemotherapy clinic will reopen early next year, following two years of campaigning, meaning that patients across Purbeck will no longer have to travel long distances to access cancer care. Building on that success, will the Minister work with me to finally restore the rheumatology clinic at Swanage community hospital, so that many more patients can access care much closer to where they live?
I am always keen to discuss and visit places in Dorset with my hon. Friend. I am happy to look, with him, at the integrated care board’s overall plan for the provision of all those services.
Saqib Bhatti (Meriden and Solihull East) (Con)Conservative
I recently met pharmacists in my constituency, who expressed concern about the resilience of the supply chain, and specifically about wholesale suppliers spreading rumours, with the result that medicines are stockpiled, forcing up prices. In this case, it was Ramipril, but this is an issue across the board. It is the British taxpayer—our constituents—who suffer. Is the Secretary of State aware of this issue, and has she considered getting the Competition and Markets Authority involved?
Medicine supply chains are complicated, global and highly regulated. On the point that the hon. Gentleman makes about price and prospective profiteering, I would be very happy to speak with him in more detail. The overwhelming majority of medicines are in good supply.
Baggy Shanker (Derby South) (Lab/Co-op)Labour (Co-op)
Despite increasing demand, the previous Government scrapped plans for a new health centre in Sinfin, denying our community the care and capacity that it deserves. Will the Minister confirm that this Government are taking a different approach, providing the NHS services in local communities such as Sinfin and beyond?
Absolutely. That is a core part of the neighbourhood health offer that this Government are making. We have already announced, in wave 1, a number of neighbourhood health centres; wave 2 will be announced shortly. This is absolutely key to keeping people out of hospital and providing healthcare in local communities.
Helen Maguire (Epsom and Ewell) (LD)Liberal Democrat
The unit of dental activity formula is broken, pushing dentists out of the NHS every single day. In Epsom and Ewell, there is a dentist who is restricted from providing NHS dentistry by the UDA quotas. Will the Minister reform the dental contract now, and incentivise NHS dentistry?
The Government remain committed to longer-term reform of the dental contract. We have to look much more at the outcomes that we are commissioning, and not simply concentrate on units of activity, which have not aged well and are part of the problem that we are trying to address.
Euan Stainbank (Falkirk) (Lab)Labour
In 2022 in Oslo, a monument was unveiled to Cecilie Flatval, a woman with incurable breast cancer. This weekend, I met my constituent Sylvia, who survived breast cancer and has fundraised extensively through Race for Life. Will the Minister meet me and Sylvia to discuss how we can support a similar monument in the United Kingdom?
I thank my hon. Friend for raising this issue in Breast Cancer Awareness Month. This is a moment to recognise the progress that has been made as the result of a huge amount of work across our NHS and in research, but there is still a long way to go. I will ensure that he gets the ministerial meeting he seeks.
James Wild (North West Norfolk) (Con)Conservative
On Saturday, I joined hundreds of people in King’s Lynn in protesting against leaked plans for Norfolk and Waveney University Hospitals Group to downgrade accident and emergency and maternity services, and the intensive care unit, at the Queen Elizabeth hospital. Does the Health Secretary agree that services should be as local to people as possible, and will she reject any plans to remove services from the QEH?
I am aware of the issues around the hon. Gentleman’s local hospital; I have worked with him closely as part of the new hospital programme as well. It is up to local systems to decide on the clinical pathways across the whole patch. Those decisions must be clinically led, and there must be consultation with local people. I am very happy to keep an eye on that, and to talk with him in the future.
Source: UK Parliament Hansard API. Debate ID: 5420669.