← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Dame Diana Johnson

MP for Kingston upon Hull North and Cottingham · Labour · United Kingdom

IN THEIR OWN WORDS

“I will set out the position on planning. The Government share the concerns about the potential impact of new developments on the operation of hospital helipads.”

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“There were some very good contributions to the debate. I heard what the hon. Member for Chelmsford (Marie Goldman) said about Essex & Herts Air Ambulance, and the issues with the local hospital. I will relay those points to the Minister for Secondary Care. I recognise the concerns raised by hon.”

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“Work is happening on aviation standards, too. The CAA’s civil aviation publication 1264 provides guidance on the design and operation of hospital helicopter landing sites. This matters, because safe access depends not just on having a landing site but on whether an aircraft can use it safely.”

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“He has regularly talked about their importance, particularly for rural and coastal communities, where the geography can make it harder to reach patients quickly. In his excellent opening speech, he paid tribute to the important and vital work of the air ambulance service in Northern Ireland. I too recognise its invaluable work.”

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“The Government will continue to work with fuel suppliers to make sure that essential services are supported. The hon. Member for North Cornwall (Ben Maguire) said that Cornwall Air Ambulance is based in his constituency.”

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“Friend would expect, since becoming the Minister for Public Health and Patient Safety, I have been briefed by officials on the Hughes report and the progress we have made so far. Of course, I am happy to meet my hon. Friend and the families affected.”

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The complete record

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  1. “I have heard the strength of feeling about PSA testing for men who are not eligible for the new screening programme. I want to reassure men that the policy has not changed. Any man who is concerned about prostate cancer, including a man without symptoms, can discuss PSA testing with his GP. Separate from the decision on national screening programmes, it is my view and the Secretary of State’s view that men who ask their GP or urologist about a PSA test should be able to make an informed choice, based on good-quality information, about the likelihood of being helped or being harmed. The Secretary of State worked on this issue as a Health Minister at the Department almost 25 years ago, and personally ensured that the guidance includes references to the importance of informed choice.”

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  2. “I will carry on because I am conscious of time and I want to make these points. I want to address directly the concern about the evidence underpinning the current screening recommendation. The committee considered the current NHS standard of care, which includes the use of MRI before biopsy. It did not include newer and innovative approaches for which the evidence is not yet sufficiently established. There are enormously encouraging advances taking place, including more targeted approaches, such as focal therapy. Better diagnosis and less harmful treatments could change the balance between the benefits and harms of screening, and as robust evidence develops, it will be considered. I also want to deal with the point about GPs.”

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  3. “The question is not whether we want to prevent more deaths from prostate cancer—of course we do. The question is how we can do so safely, effectively and fairly, using the best available evidence while continuing to build the evidence where it is not yet strong enough. As I have said, as that evidence develops, we must be prepared to act. I thank the hon. Member for Berwickshire, Roxburgh and Selkirk for raising this important issue, and all Members who have contributed to this thoughtful and powerful debate.”

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  4. “I recognise the hon. Gentleman’s experience as a GP. My understanding is that a man who requests a PSA test from a GP will have that test if he is given the information and the choice is there, but I will write to the hon. Gentleman if that is not correct. It has to be an informed choice, with the man knowing the risks and the harms but also the potential benefits. Ultimately, everyone in this Chamber wants the same thing: we want fewer men to die from prostate cancer, cancers that need treatment to be found earlier, and every man to receive the care that is right for him; but we must achieve that while protecting men from unnecessary diagnosis and from receiving treatments that can have lifelong consequences for a cancer that might never have caused harm.”

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  5. “We now have the highest number of fully qualified GPs since 2015, and almost 16 million more GP appointments were delivered in the last year than in the 12 months before the election. As a result of that investment, 77% of people now say that they have a good local service. We know that there is more to do, especially in rural and remote areas, but there is clear progress against our 10-year plan.”

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  6. “I am happy to meet the hon. Gentleman. I have looked at the issue around Oak Park community clinic and I know that he has met the integrated care board. I am told that all options are being considered to provide a sustainable and accessible solution for diagnostics at the Oak Park site, but I am happy to meet him.”

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  7. “I understand the concerns that my hon. Friend has raised, particularly with regard to vulnerable patients, but it is important that GP lists are as accurate as possible. We think that there are around 6 million more registrations than England’s population and most people flagged are confirmed to have moved abroad. Strong safeguards are in place, including no patient being removed on the basis of a single indicator or because they failed to respond to one piece of correspondence. Overall, it takes more than five months from identifying a patient who may no longer reside to deregistering them from a practice system. I am always happy to meet my hon. Friend.”

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  8. “I am grateful to the hon. Gentleman for raising this. He will appreciate that I am relatively new in post, but I am going to find out and I will write to him with the specific answers to the questions he has posed today.”

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  9. “My hon. Friend is a doughty champion for her local area and for ensuring that we have services close to populations and close to where people live. I am very happy to meet her to discuss this.”

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  10. “I pay tribute to my hon. Friend for all her campaigning on diethylstilbesterol and to her constituent Jan Hall and her family. We recognise the serious intergenerational effects of exposure to DES, including increased cancer risks and reproductive complications, and we have asked NHS England and clinical networks to improve awareness of those issues and the people affected by them. We have commissioned an evidence review of the intergenerational effects of DES, which will inform our efforts to strengthen support in this area.”

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  11. “I recognise that some women exposed to DES still face difficulties accessing advice, monitoring and referral. Clinicians should consider individual medical histories, symptoms and risk factors. I had a look at the letter that was sent on 12 December explaining what more should be done by clinicians. I will again ask officials to look at whether we need to reissue that letter or whether we need to take any other action to ensure that the information about DES is spread as widely as possible among clinicians.”

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  12. “As I just said, the Government are improving identification and support for people affected by DES by raising awareness among clinicians and strengthening the dissemination of existing NHS guidance. There are considerable challenges associated with recalling records from the 1940s to the 1970s, particularly because of the record-keeping practices of that era and the fact that the Medicines and Healthcare products Regulatory Agency had not yet been established at that time, but I am mindful of the point that the hon. Member makes.”

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  13. “One of the reasons the Government committed to bring back the family doctor was the importance of maintaining continuity of care for patients. I am pleased to say that the proportion of patients who say they are able to see their preferred clinician when they make a GP appointment has risen from 61% to 68% since the election, but we recognise that there is more to do, and this remains an important priority for the Government.”

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  14. “I recognise the enormous experience and knowledge of the former Secretary of State for Health and his work on this issue and patient safety more generally. The Department has started to look at expert advice, with a clinical working group, on how best to support continuity of care in modern general practice. I have not read the report that he referred to, but I am happy to go and have a look it. I am also happy to have a discussion with him, because it would be helpful to understand his thinking on what I know he considers to be a very important issue.”

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  15. “Gosh, my hon. Friend made a very passionate statement there, and I absolutely agree with what she said. This work will be undertaken with the national maternity and neonatal taskforce, and we will look at all these issues. I hope my hon. Friend will feel able to contribute to that work if she wishes to.”

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  16. “I will be mindful of your comment, Mr Speaker. What happened recently is totally unacceptable, and the Secretary of State has made that clear. My understanding is that those individuals who have accessed information about patients, and had no businesses to access it, have been suspended. Disciplinary action will follow, possibly with dismissals. Such actions are totally unacceptable.”

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  17. “Times in A&E are being speeded up. The hon. Lady speaks with experience because she is a clinician, and I am happy to go away and look at that issue and write to her if there is information we need to let her have. My understanding is that we are speeding things up in A&E, and getting people through and on to the ward as quickly as possible. [ Official Report , 28 October 2026; Vol. 792, c. 2WC.] (Correction)”

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  18. “I am aware that a number of right hon. and hon. Members are very interested in this issue, and as the new Minister for Public Health and Patient Safety, I am driving the work and giving the report by the Patient Safety Commissioner the urgent and thorough consideration that it requires. As has been stated, the Government are committed to making meaningful progress in this Parliament, and we are advancing non-financial redress to improve health service support for those affected.”

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  19. “I am very sorry to hear about Ruth’s experience and what she has gone through. Just last night, I watched the film that has been produced about the experience of a number of women—my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson) provided a screening of it in Parliament last week—and the stories in it are harrowing. As I have said, I am looking at the issue. I am conscious that right hon. and hon. Members are interested in what the Government are going to do. The previous Secretary of State had made it clear that progress would be made by the end of this Parliament. That is as far as I can go today, but I am personally looking at this issue.”

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  20. “My hon. Friend makes a very important point. That is why we have revised the women’s health strategy. It makes it very clear that medical misogyny is not acceptable and that women’s voices must be heard.”

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  21. “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.”

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  22. “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.”

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  23. “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.”

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  24. “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.”

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  25. “In supporting smokers to quit, protecting children from nicotine addiction, strengthening enforcement and creating a smoke-free generation, the Tobacco and Vapes Act represents one of the most significant public health reforms of our time. Future generations will look back on this moment as a defining milestone in public health. It is legislation that will save lives, reduce inequalities, improve health outcomes and create a healthier, fairer future for communities across the United Kingdom.”

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  26. “Indeed, new figures published just last week show that smoking prevalence across the UK has fallen to 9.8%, which is the first time it has fallen below 10%. That is a significant milestone that demonstrates the progress we are making. We must not mistake progress for completion, however. Around 4.9 million adults across the UK still smoke, and we remain determined to go further. Our immediate priority is delivering the Tobacco and Vapes Act successfully and ensuring that these landmark reforms achieve their full potential. The Act represents the most significant advance in tobacco control in a generation, and getting implementation right will deliver benefits for decades to come. I am very happy to look at all the issues and suggestions that have been made by hon. Members; perhaps we can discuss them at the APPG.”

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  27. “New fixed penalty notices come into force on 29 October, supporting trading standards to crack down on retailers who break the rules. The Act also provides powers to introduce a licensing scheme for the retail sale of tobacco, vapes and nicotine products in England, Wales and Northern Ireland and to expand the retailer registration scheme in Scotland. To answer the question asked by my hon. Friend the Member for Newcastle upon Tyne East and Wallsend, we intend to consult on those issues next year. Several hon. Members asked what comes next after the implementation of the smoke-free generation measures on 1 January and for a longer-term road map for tobacco control and the introduction of a “polluter pays” levy. We share the ambition to drive down smoking rates.”

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  28. “In terms of upcoming policy changes, in May we concluded our consultation on extending smoke-free places to certain outdoor settings and introducing vape-free places. Our consultation on proposals to reduce the appeal of tobacco, vaping and nicotine products closed on 2 October. We are now carefully considering the responses as we develop effective and proportionate policies that continue to protect public health. Turning to enforcement, to ensure that measures in the Tobacco and Vapes Act are effective, we are providing up to £30 million a year for enforcement agencies until 2028-29. That will support legitimate businesses and enable stronger enforcement against those who break the law. The Tobacco and Vapes Act also provides new powers for enforcers.”

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  29. “From 29 October, we are introducing a ban on vape vending machines, banning free distribution and extending the age of sale to 18 for all nicotine and vaping products, including nicotine-free vapes. The Tobacco and Vapes Act also introduces a comprehensive ban on the advertising and sponsorship of tobacco, vaping and nicotine products. We intend to bring that into force across the UK from 1 June 2027. My hon. Friend the Member for Falkirk asked how we will ensure that striving for a smoke-free generation does not mean banning key smoking cessation tools such as vapes. The measures consulted on have been carefully assessed to ensure the right balance between protecting children and ensuring that adult smokers can still access vapes to quit smoking.”

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  30. “Many comments were made about youth vaping, and we know that vapes can play an effective role in helping adult smokers to quit, as my hon. Friends the Members for Newcastle upon Tyne East and Wallsend and for Falkirk stated. However, young people, and adults who do not smoke, should never vape. That is because we know that they are not harm-free and the longer-term harms are still unknown. We are taking firm action to protect future generations from the risk of nicotine addiction. That is important given that a million 11 to 17-year-olds have tried vaping this year. We have also banned single-use vapes, and a vaping product duty is now in force.”

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  31. “I want to address that, but first I will say that protecting future generations through our smoke-free generation must go hand in hand with helping current smokers to quit. Through the public health grant, we have ringfenced a record investment of £153 million each year for local stop-smoking services specifically, with funding targeted towards those areas with the highest smoking rates. As I said, the hon. Member for Harrow East and my hon. Friend the Member for City of Durham raised the question about services and opt-out. Those services are currently available in 99% of maternity services and 92% of inpatient services. On top of that, ICBs have access to funding for tobacco dependence treatment services in those particular settings.”

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  32. “Over the next 50 years, that will save tens of thousands of lives and could boost the economy by up to £48 billion pounds. Since Royal Assent, the Department has made significant progress towards the implementation of the Tobacco and Vapes Act. We have laid enabling legislation in Parliament, engaged extensively with stakeholders across public health and the retail sector, and published detailed guidance. We are also in the process of developing a nationwide awareness campaign to inform the public. We are expecting that to be rolled out in November with a particular focus on areas with high smoking rates. The hon. Member for Harrow East asked about what progress has been made on the manifesto pledge for opt-out smoking cessation interventions in all routine care.”

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  33. “For example, the number of women who smoke at the time of delivery varies drastically according to deprivation—from 12% in Havering, 8% in Kingston upon Hull, where my constituency is, compared with less than 1% in Richmond upon Thames. Those are not merely statistics; they represent real families, communities and children whose health and life chances are being diminished by tobacco addiction. Turning to the smoke-free generation, it is a real privilege to have responsibility for implementing the landmark Tobacco and Vapes Act. As many Members will be aware, the Act will create a smoke-free generation by ending the sale of tobacco products to future generations across the UK. In practical terms, that means than anyone who has turned, or is turning, 17 this year will never legally be sold tobacco.”

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  34. “Smoking contributes to a range of serious long-term conditions, including stroke, heart disease, diabetes, dementia, asthma and complications during pregnancy. The cost of smoking is not just measured in lives lost and poor health. There are significant economic costs. Smoking is estimated to cost the NHS and social care system £3 billion annually, resources that could otherwise be used to fund millions more appointments, scans and operations. In terms of health disparities, smoking remains one of the greatest drivers of health inequalities in this country, with the burden falling disproportionately on our most disadvantaged communities. The disparities are stark.”

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  35. “The hon. Member for Wokingham (Clive Jones), who speaks for the Liberal Democrats, made a very personal statement at the beginning of his speech about the role that smoking had played in his family, with his dad dying at a relatively young age. The Opposition spokesperson, the hon. Member for Farnham and Bordon (Gregory Stafford), set out the work of previous Governments and asked a series of questions, which I will try to address. I think we are all agree that tobacco is a uniquely harmful product and smoking is the single most entirely preventable cause of ill health, disability and death in the UK. It is responsible for around 75,000 deaths each year. Smoking reduces life expectancy by an average of 10 years, and almost every minute of every day somebody is admitted to hospital because of smoking-related harm.”

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  36. “Importantly, she also talked about the illicit products and traders, and the fact that organised crime is funded by those products. My hon. Friend the Member for Newport West and Islwyn (Ruth Jones) talked about her professional experience as a physiotherapist and the challenges that are faced particularly in Wales. My hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) talked about growing up in a family of smokers; he is very anti-smoking. He set out really clearly the health benefits of giving up smoking and how quickly those benefits can materialise. My hon. Friend the Member for Falkirk (Euan Stainbank) talked about vapes. He chairs the APPG for responsible vaping and also made the case for vapes in helping people cease smoking. Again, I would be very happy to attend and talk to the APPG if that would be helpful.”

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  37. “Members raised a number of questions this afternoon, which I will try to address in my remarks, but I would also be very pleased to attend a session of the APPG to discuss the issues further. It is really important that we carry on with the cross-party nature of this debate and the work that has gone on by previous Governments. I pay tribute to the work of the previous Government and previous Prime Minister in this particular area, ably assisted by the hon. Member for Harrow East. The hon. Member for Strangford (Jim Shannon) told us about the rather drastic action his grandfather took to ensure that he remained smoke-free throughout his life. My hon. Friend the Member for Newcastle upon Tyne East and Wallsend (Mary Glindon) spoke about the role of vapes in helping people quit smoking.”

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  38. “It is a pleasure to serve under you this afternoon, Ms Vaz. I congratulate the hon. Member for Harrow East (Bob Blackman) and my hon. Friend the Member for City of Durham (Mary Kelly Foy) on securing this important debate, and on their steadfast advocacy in support of creating a smoke-free generation. I am grateful to all hon. Members who have contributed today. I note that the two hon. Members who secured this debate co-chair the APPG on smoking and health and are obviously a formidable duo. I am not surprised that they were able to secure this debate, which I understand was granted by the Chair and members of the Backbench Business Committee. They obviously made a very powerful case. Hon.”

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  39. “The clause therefore requires the Secretary of State to assess the expected level of need for infant support services specified in the Bill. This is a practical, evidence-informed approach. So that it can respond to the needs of babies and families as they change, the clause deliberately does not prescribe every detail of the assessment. It does, however, establish a clear expectation that need will be understood and kept under review, thereby helping to inform decisions about services and resources.”

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  40. “Crucially, the clause allows services and functions to be updated as needs and provisions evolve, thereby helping support to remain relevant to babies and families. Any change will be made through regulations subject to parliamentary oversight. That approach allows the framework to evolve as evidence, services and families’ needs change. The regulations will be subject to the affirmative procedure, so both Houses will have an opportunity to scrutinise and approve them. Clause 2 puts the needs and experience of infants, parents and carers at the heart of national decision making. It helps to ensure that babies, whose voices are too often unheard, are not overlooked. We all know that the period from conception to age two is a golden opportunity to shape life, health, learning and happiness.”

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  41. “Finally, pre-conception health is of course very important, but the Bill is deliberately focused on the clearly defined period from conception to age two, when support can be directly linked to pregnancy, childbirth and infant development. Extending the Bill further would significantly broaden its scope and duplicate wider public health policy. Let me turn to the clauses. Clause 1 establishes the scope of the framework set out in the Bill. It requires the Secretary of State to make regulations specifying the publicly funded infant support services to which the Act will apply, together with the functions connected with their provision. Those services must support pregnancy or childbirth, an infant’s health and development, or the relationship between an infant and their parent or carer.”

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  42. “Member for New Forest West on that point, and his belief that it is implicit in the Bill’s drafting that environmental issues would be considered, among others. The sharing of data among health and local authorities in respect of children at risk is absolutely a key issue that we need to work at. The hon. Member for Sleaford and North Hykeham raised the workforce plan. I am told that we will not have to wait too much longer and that a workforce plan will be published shortly, but I take the point made by my hon. Friend the Member for York Central about the need for integrated workforce planning in respect of babies and children. I also recognise the need to include the voice and agency of families, mothers, fathers and carers in this whole issue.”

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  43. “She made a thoughtful and well-informed contribution—as ever—in support of amendment 1. My hon. Friend the Member for Stoke-on-Trent South also supports amendment 1, and spoke so movingly about the very sad case of her constituent Chloe Wilshaw. I am glad that Ministers will be meeting my hon. Friend shortly. My hon. Friend the Member for Newport West and Islwyn talked about her experience as a paediatric physiotherapist, and how important the support that families and mothers get from conception onwards is to ensuring that babies get the best start in life. My hon. Friend the Member for York Central made, as ever, a considered speech. She raised a number of points, including whether environmental issues would be considered. I was interested to hear the exchange between her and the right hon.”

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  44. “Member for Chichester also asked about breastfeeding, and there were a number of contributions on that very important issue. She asked whether there would be support for it in the secondary legislation that would come forward. Our starting point for the secondary legislation will be the Healthy Babies offer, which includes maternity, health visiting, infant feeding support, perinatal mental health support and parent-infant relationship support, while remaining open to considering other services that evidence might show babies and families actually need—so the answer to that is absolutely yes. We also heard from my hon. Friend the Member for Washington and Gateshead South. I pay tribute to her for all the work she did in her previous role to make sure that the Bill could come before us today and will move through its stages in the House.”

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  45. “Like Sure Start before it, Healthy Babies will make enhanced health support available in every part of England, giving all families access to trusted, practical help throughout the critical 1,001 days from conception to age two. The Bill will complement the Healthy Babies expansion by creating a clear and enduring framework for support from conception to age two, providing long-term visibility and accountability. A number of important points have been raised in the debate today. First, the hon. Member for Chichester asked whether those undergoing IVF would be included as prospective parents. The Bill focuses on support from conception to age two, as we have heard, therefore parents who conceive through IVF will be covered from the point at which a pregnancy is established, in the same way as any other prospective parent. The hon.”

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  46. “It is a pleasure to serve under your chairwomanship this morning, Dame Siobhain. We have had a very thoughtful and well-informed debate on the Bill. I am grateful to all hon. Members who have contributed, but I pay particular tribute to the right hon. Member for New Forest West for introducing the Bill and for the care, determination and constructive spirit with which he has championed it. I will follow his lead and deal with both groupings in my remarks. We can all agree that every baby should get the best possible start in life, and I am delighted that last month the Secretary of State for Health and Social Care announced the expansion of Healthy Babies to every local authority in England.”

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  47. “As I have said, regulations specifying or changing the services and functions within scope will be subject to the affirmative procedure, giving both Houses the opportunity to scrutinise and approve them. This is a really important Bill. It will help ensure that babies and families remain visible in national decision making, and that support during the critical period from conception to age two is informed by need, focused on outcomes and accountable to Parliament. I thank all Members again for their thoughtful and constructive contributions today. I pay tribute to the right hon. Member for New Forest West for introducing the Bill, and for his continued commitment to giving every baby the best possible start in life. The Government are pleased to support the Bill, and I commend it to the Committee.”

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  48. “Clause 5 also covers prospective parents and carers, meaning that the Bill can take account of people preparing to become responsible for an infant, whether through a current pregnancy or in relation to a child who has already been born. Those definitions do not create any separate duties or entitlement to services; they provide the clarity needed for the duties in the Bill to be understood and applied consistently. Clause 6 contains standard provisions needed to bring the Bill into effect. It deals with territorial extent, commencement, transitional or saving arrangements and the short title of the Act. The Bill extends to England and Wales, but its substantive provisions apply to England. Clause 6 will take effect on Royal Assent, with the remaining provisions commenced by regulation, which allows time to prepare for implementation.”

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  49. “By making provision and outcomes more visible, the clause will support sustained focus on babies and their families, and it will provide a clear basis for parliamentary scrutiny. Clause 5 defines the Bill’s key terms. It defines an infant as “a child under two years of age”, which reflects the Bill’s focus on the earliest period of life, when the foundations for health, wellbeing and development are laid. It defines a parent broadly, including anyone with parental responsibility for a child or an infant. It also recognises carers who look after an infant without having parental responsibility. That inclusive approach reflects the range of family circumstances in which infants are cared for, ensuring that the Bill is not limited to one particular family structure or legal relationship.”

    House of Commons14 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  50. “The report must assess the level of provision of the specified infant support services during the period, which will give Parliament regular and transparent information about the support available in England to infants, parents, carers, and prospective parents and carers. Importantly, the report must consider not only what provision exists but the contribution that those services have made to positive outcomes in relation to pregnancy and childbirth, infant health and development, and the relationship between parents or carers and the infant. That includes examining those outcomes in the light of the needs assessed under clause 2. Clause 4 therefore completes the link between understanding need, considering the appropriate level of provision and reporting openly on the contributions that services are making to positive outcomes.”

    House of Commons14 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗