Sir John Hayes
MP for South Holland and The Deepings · Conservative · United Kingdom
“On the subject of keeping land habitable, the hon. Lady will be familiar with the fact that the Lincolnshire fens, and particularly South Holland and The Deepings, are entirely flat, without even the undulation equivalent to the Mendip hills.”
“They have shown by their example that carelessness, and only when they have been prevented from doing harm have they ceased to do so. I am delighted that the Government are now taking steps to prevent children from accessing social media and mobile telephones; I would like to go much further, actually, and I hope the Government will.”
“What has occurred is the distortion of public discourse, the enabling of widespread fraud and the provision of the means for every imaginable form of harm, from hardcore pornography being available to children, to internet gambling addiction, suicide sites and much more. Now, the prospect of AI will make all that still more chilling.”
“I absolutely agree. That is why I began by describing what has occurred over the last quarter of a century and the misunderstanding—a pervasive one that affected all political parties and Governments of all kinds—that a dangerous fascination with novelty was more important than the certainty that I have just outlined. The hon.”
“Gentleman is right, and of course it is true that there will be the advantages that he describes, particularly in the research field. My fear is that they will obscure, in the eyes of those who have the power to make a difference, the points that the hon. Member for Poole made.”
“I know from my dealings with the hon. Gentleman that he is a good and effective Member of Parliament who takes a very responsible view of these things, but we must not let the virtues that he describes blind us to the vices. That is what happened with the internet.”
The complete record
Every one of 602 lines we hold for Sir John Hayes, in date order, each linked to its source. Free to read, in full, without an account. Page 5 of 13.
“I apologise, Madam Deputy Speaker, for intervening despite not being here for the beginning of the debate. My hon. Friend will know that I chair the all-party parliamentary group for acquired brain injury, and I am also president of the Lincolnshire Brain Tumour Support Group—she is right about the connection between the two. Does she think it would be advisable for those who have suffered a brain injury to be screened routinely, given the correlation between an earlier brain injury and the later advent of cancer?”
“As the Minister is now referring to my specialist subject, I thought that I had better intervene. Although I defer, of course, to the immense experience of the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley) in these matters, I think that this is associated with lesions and scarring, and that is why, as the Minister said, there is a mild association. As the hon. Member said, there is a much more profound association with other neurological conditions, particularly dementia. While I am on my feet, may I ask the Minister to address the issue of research? The hon. Member for Bury St Edmunds and Stowmarket is right: diagnostics are terribly difficult, but 1% of the expenditure on cancer research currently goes towards brain tumour research. Can we increase that?”
“If Members speak for about six minutes each, everyone will get in. I am going to call the Front-Bench spokespeople at 3.30 pm, so Members should work on that basis.”
“We will now hear brief contributions from a couple of Back Benchers who have gone through the proper process and notified both the mover of the motion and the Minister.”
“I am renowned for my generosity in the Chair and I am extremely open minded about how debates are conducted, but it is not really appropriate to come in two thirds of the way through and intervene when everyone else took the trouble to get here at the beginning. We are all busy, after all.”
“The hon. Gentleman, the Minister and others might like to know that there is some evidence to suggest that bees can count. I speak as a beekeeper. Question put and agreed to. Resolved, That this House has considered the Animals in Science Regulation Unit annual report 2024.”
“As you know, Mr Speaker, the age-old jury system connects the public to the exercise of law, and is therefore at the heart of popular consent for criminal justice. In abandoning this link, are the Government careless of the accountability that it brings, or are they driven wholly by thoughtless expediency? Are Ministers careless or thoughtless?”
“I invite my right hon. Friend to challenge the Minister to deal with the issue of the treaty of Pelindaba, which I think came into force in 2009. It was designed to prevent African nuclear proliferation. If we breach that treaty by means of this deal, it would open up an opportunity for all kinds of hostile powers, including China, to site nuclear weapons in Africa. Do the Government realise that? I know that my right hon. Friend certainly does.”
“I am extremely grateful to the Secretary of State for giving way; he is an immensely courteous Member of this House and always has been. He will be aware, however, that there is a live legal case by the Northern Ireland Veterans Movement, and that the very Human Rights Act he cited says that this kind of order ought not to be moved—indeed, it would be ultra vires—while a case is proceeding. How does he feel about that, and will he explain to the House why we are debating this at all given all that I have said?”
“For the benefit of the large number of visitors in the Public Gallery, I say that we now move to the wind-up speeches. I call the Liberal Democrat spokesperson.”
“Thank you for winding up. This has been a really important debate and I am so pleased that everyone was able to contribute. I hope that, had I spoken in the debate and not chaired it, I would have spoken with the same passion and insight that everyone has shown. Question put and agreed to . Resolved , That this House has considered the role of the NHS in preventing domestic homicides and domestic abuse-related deaths.”
“I will call Josh Babarinde to move the motion, and then call the Minister to respond. Other Members may make a speech only with prior permission from the Member in charge. There will not be an opportunity to wind up, sadly, as it is only a half-hour debate.”
“On that point, the Minister will be aware that the matter was debated at length in the Lords. Indeed, one of the amendments that we are considering deals precisely with the entitlements of the Chagossians. They were not involved in the negotiations at any stage, and they have made that clear. Why on earth would the Minister reject the Lords amendment, which simply says that they should have a defining say in their own future?”
“On a point of order, Madam Deputy Speaker. The Chair made it clear at the outset that the amendments that deal with matters of finance were inappropriate to be considered here, for obvious reasons. I understood, however, that the amendments that we were debating, including those that reference the Chagossians, do not concern finance in particular. Can you clarify the matter?”
“More than that, I implore them to abandon this sorry mission, which is not in the national interest, and certainly not in the interests of the Chagos islanders.”
“That former Labour security Minister, who sits on the Intelligence and Security Committee with me, said: “surrendering sovereignty over the Chagos Islands would be an irresponsible act, which would put our strategic interests—and the interests of our closest allies—in danger.” That is wholly unwise. I will speak, however, about the interests of the Chagossians, who have been ignored throughout this process, who were uninvolved in the negotiations from the outset, whose voice has not been heard, and whose future has been disregarded. That seems to me to be wholly unethical. This is unwise, unpalatable, unwelcome, unethical, and fundamentally wrong. The Lords amendments would make some improvement to something that is woeful. I implore the Government to accept the amendments.”
“I am immensely grateful, Madam Deputy Speaker. The best laws begin as Bills that metamorphosise during their passage and are improved through scrutiny. However, that depends on Ministers listening and learning. The amendments before us from the House of Lords are measured and reasonable. They are not wrecking amendments, but attempts to save the Government from their worst instincts. They provide greater scrutiny, greater parliamentary oversight and more checks and balances, yet they are rejected by the Government. I will not speak, in the brief time available, about the cost of the deal, although it is wholly unpalatable that we should give away a treasured possession and then rent it back from a foreign place. I will not speak about the strategic cost of doing just that, although I will draw on Lord West’s remarks.”
“My right hon. Friend is making a salient point. When local people face the impositions that she mentions, it is prime land that is taken out of production, compromising our food security, making us less economically resilient, and costing jobs and livelihoods in the countryside.”
“I entirely endorse what the hon. Lady said about the family farm tax and the campaign that was waged against it, which crossed a number of political parties. Will she go further and join the campaign that is raging among the Opposition against the imposition of huge solar plants, pylons and substations on prime agricultural land? Thirty-five per cent of the land in this country is not of that kind; surely those things should go there.”
“My hon. Friend is, as ever, making a valuable contribution to our considerations. Does he recognise that energy security and food security should not be made competitors? We need to invest in energy security, yes, but not at the expense of the most fertile, valuable farmland of the country, which we need to grow enough food to feed the nation.”
“Merry Christmas to you, Mr Speaker, to the Leader of the House and to my friends across the House. I also wish a merry Christmas to my constituent in Holbeach, Annette Bramley, although at this time she will be grieving the loss of her daughter Holly, who was brutally murdered by a worthless, wicked husband. We have just debated animal welfare, and this week we have talked about violence against women. This man tortured and brutally killed Holly’s pets before he killed her. So often that is the case: first come God’s creatures, then come men and women. Will the Leader of the House make a statement to support Annette’s campaign for a national register of animal cruelty? That would give some solace and hope to those many women and children—and men, by the way—who face domestic abuse.”
“The salient difference between the Government and the people is that the public expect vile, vicious, violent people to be locked up, so that they can ruin no more lives, whereas the Government want to let them free. About two thirds of rapists and 83% of child sex offenders will be eligible for early release. Is it any wonder that the Domestic Abuse Commissioner and the Victims’ Commissioner have criticised these plans? Will the Government at least exclude those kinds of offenders before implementing this policy? Otherwise, they will wreak harm, hurt and hate on every part of our country.”
“I am extremely grateful to the hon. Gentleman for giving way—I did give him notice that I was going to intervene. It is inconceivable, is it not, that Home Office Ministers would not know the answer to that question? When I was a Home Office Minister, I would ask my officials for exactly that kind of information. It is not just that the hon. Gentleman did not know; it seems that Ministers did not either. I cannot believe that. It is inconceivable.”
“My experience in this House over almost 30 years is that most people here—indeed, the overwhelming majority—want to do the right thing, irrespective of party, and I make that perfectly clear through you, Madam Deputy Speaker. But in that spirit, I know that you will take the view that it is critically important that parliamentary answers be full and accurate. That is something that I conjured with as a Minister, answering many, many written questions in a variety of Government Departments. Will the Minister address the specific issue raised about the accuracy and completeness of answers to questions?”
“That is well illustrated by the work done by the all-party parliamentary group for acquired brain injury, which I am now proud to chair, and published in a report to which I will refer later in my speech. We made the case that a cross-departmental approach to brain injury is required, for exactly the reasons I have set out. Of course, it affects the Department of Health, but it also affects the Department for Culture, Media and Sport—I spoke about sporting injuries a moment or two ago. It affects the Ministry of Justice, because such a high proportion of the incarcerated have brain injuries. It affects almost all aspects of Government, on which I know other contributors to this debate will focus, so a lateral approach to the way that public policymakers consider brain injury and its effects is critical.”
“Brain injury is the leading cause of disability and death among people under 40 in the UK. It can happen at any time, in any place. The causes, again, are various. One thinks of sporting injuries, or perhaps an attack—a violent incident. Of course, the principal causes are things like road traffic accidents, motorcycle and car accidents. Acquired brain injury, for the reasons I have given, has long warranted more attention than it has received, both publicly and among policymakers. While the Department of Health and Social Care plays a central role in dealing with the immediate trauma caused by the sorts of accidents I have described, many other Government Departments have a relationship with the effects of brain injury.”
“I beg to move, That this House has considered the potential merits of a comprehensive acquired brain injury action plan. Dickens wrote, “Reflect upon your present blessings—of which every man has many—not on your past misfortunes, of which all men have some.” There are few greater misfortunes than an acquired disability. Among those, a brain injury can challenge every aspect of life, whether people can walk, talk or think—or at least think straight. The effects are various: they can be mild or severe, and recovery will often take not just weeks or months, although the initial trauma can be treated in that timeframe, but many years. However, an improvement can be made over the long term. Most of us think, “This will never happen to me.” I guess that is true of most misfortunes, including ones of this severity.”
“I was hoping it might. Lateral policymaking is not easy in Government, because of the way Government works and ministerial responsibilities are exercised. It is a challenge, therefore, to get that sort of approach adopted by a Government of any colour or persuasion.”
“We have the work that the previous Government and this Government have done. There has been no party politics; over time, Ministers have recognised the challenge—the scale of the problem—and the reasons for addressing it, which I have set out. We can hope that this Minister, who I know is dutiful and diligent, will rise to exactly that challenge. I do not know whether I am flattering her, Dame Siobhain—I am doing my best.”
“The previous Government said that they were going to do it, committed to the principle and welcomed the work that we were doing. However, we then, of course, had the inconvenience of an election—one of the aspects of democracy that sometimes gets in the way of these sorts of things. Therefore, the work was not brought to a conclusion. Earlier this year, the current Government announced their intention to develop an “action-oriented, and accountable” ABI action plan “with input from NHS England and other Government departments”. It was due to be published “this year”—well, the year is running out, Minister. However, there are still a couple of sitting weeks left: a statement could be brought to the House and perhaps a document could be published that responds to the calls that we have made.”
“That led to the establishment—you may remember it, Dame Siobhain—of trauma networks, with a centralised and specialised approach to trauma care and service across the country. The excellent work of the APPG for acquired brain injury, which was reformed in 2017, showed that there was a strong case for a cross-party commitment to action. I have already spoken about the 2018 report, which called for a national reconsideration of rehabilitation and the collation of reliable statistics, given the problems with data collection and analysis that prevail. To be fair to the previous Government, our report was well received by Ministers. Indeed, they responded to what we had called for by committing to publish a strategy on acquired head injury in 2021. The following year, there was a call for evidence to inform the development of such a strategy.”
“I served in the Cabinet Office and its purpose, in a sense, is to deal with those issues that could otherwise fall between the cracks and departmental silos. However it is done, we need a national strategy. As far back as 2001, the Health Committee published a report on head injury, issuing 28 recommendations that included, as a matter of urgency, finding ways of improving methods of data collection on incidence, prevalence and severity. In 2005, the national service framework for long-term neurological conditions was launched; it contained many good ideas, but had no mandate and no funding. In 2010, the National Audit Office published a report, “Major Trauma Care in England”, which highlighted the need for improvement in major trauma care.”
“Given the number of people affected by brain injury, the comparatively low cost of effective interventions, such as rehabilitation and community support, and the ongoing lack of support services, there continues to be a strong need for a proper strategy to be put in place. I spoke earlier about a lateral approach. We are calling for a national strategy on brain injury. Around 60% of prisoners report having an acquired brain injury. We discussed that at a recent APPG meeting, where we heard from experts in the field. I have served as a Minister in multiple Departments—I will not list them all—and I know that cross-departmental working is tough, and the Minister will know that too, but it can be done. It requires structures to be created that facilitate Ministers to come together. The Cabinet Office might be able to play a part.”
“I have every confidence that the Minister will rise to her feet at the summation of this debate and tell us that she has not only thoroughly studied the all-party group’s report—daily, perhaps—but that she is ready to respond in the way that we invite. I pay tribute to the hon. Member for Rhondda and Ogmore (Chris Bryant), who chaired the APPG before I did—I was his vice-chairman for many years. He drove the original version of the report, which was republished more recently. It is an outstanding piece of work. We all know that APPGs vary, but this one is focused on the subject for which it is responsible and is determined to make its voice heard, because of the all-party support it attracts and because of the salience and significance of this subject.”
“The same approach is being piloted by the National Rehabilitation Centre, where every £43,000 invested in rehab yields savings of up to £680,000. That is a remarkable 16:1 return on investment. Now is the time to extend the entitlement adopted by the MOD much more widely. We must establish a national neuro-rehabilitation framework that guarantees that access to specialist care is not a lottery, but a certain path to recovery. In doing so, money would certainly be saved, but life chances would be improved immeasurably, too. High-quality rehabilitation reduces the risk of homelessness, addiction and a drift into lawlessness. It allows people to contribute, return to work and rebuild lives and relationships—to begin to stand tall again. Now is the time for the Government to act.”
“A report from earlier this year, commissioned by the APPG, urged the Government to invest in specialist neuro-rehabilitation to save long-term societal costs. The report called for brain injury to be treated on a par with cancer and dementia. A statutory right to rehab in every region means that specialist neuro-rehabilitation services after an acquired brain injury would be put in place. None of the failures that we see today in response to brain injuries is inevitable. The Ministry of Defence already guarantees the right to rehabilitation for military personnel, so we have a precedent. We want to build on that precedent, across Government, for those affected by brain injury. We know from the MOD the results of having that right for rehabilitation—shorter recovery times, better outcomes, restored lives and improved prospects.”
“We have argued for what we call a right to rehab. Putting aside the substantial financial cost, the physical and emotional costs are still higher. The estimates do not include many of the costs associated with homelessness, addiction, mental health services and psychiatric stays. The cost to the NHS and welfare of lengthy treatment and recovery is huge and rises quickly during spells in hospital before one even receives community support and longer-term social care provision. Much of this could be prevented, and many of the costs could be reduced, if we had the right to rehab. Much work has been done on this subject, including by Headway, which I mentioned earlier, and the United Kingdom Acquired Brain Injury Forum.”
“The real cost is in lives disrupted, plans abandoned and ambitions jettisoned as a result of brain injury; in parents seeing a child’s personality change overnight and carers stretched to their limits, with little or no respite, because symptoms are dismissed as being mild or imperceptible or attributed to some other cause entirely. Although less obvious, those effects are just as devastating. When those costs are added to the ones I have described, the all-party group estimates that the real cost of acquired brain injury is £91.5 billion. That is about half of what the NHS spends every year. It is extraordinary that this issue is not given greater consideration. I am delighted that this debate gives us a chance to do so, at least for this short time. I thank all colleagues across the House who have been part of these efforts.”
“Of that, £20 billion is accounted for within the NHS and social care budget for acute long-term care, £21.5 billion is attributed to lost productivity, £1.5 billion is spent in the criminal justice system and the Department for Education—yet another Government Department that needs to be involved in the consideration of this issue in the lateral way I mentioned—and about £1.9 billion is spent on benefits. Leaving aside the human cost and the visceral effects brain injury can have on affected individuals and those who care for them, this has a considerable effect on Government, the Exchequer and the public purse. Those ramifications only scratch the surface of the wider social cost.”
“I pay tribute to Lincolnshire brain tumour support group, of which I am president, and to Headway, which I will say more about in due course. The end result of those admissions is that about 1.3 million people are living with the consequences of acquired brain injury every day. They and their families, loved ones and friends, and the communities of which they are part, are dealing with the effects. According to our all-party group’s latest report, the cost to the UK economy through healthcare, social care, lost productivity and wider public services is £43 billion annually, which equates to 1.3% of GDP.”
“I am grateful for the hon. Gentleman’s contribution. He makes a valuable point and an interesting suggestion that I will reflect on. He is certainly right that more can be done to affect brain injury in the first place. I have spoken a bit about its effects, but he is right to speak at greater length than I did about its causes. In the area of sport, of course, he is right that we now know that heading a football does all kinds of damage that no one imagined a generation or two ago. His suggestion is well made and worthy of further consideration. Around 350,000 people a year are admitted to hospital with acquired brain injury—that is one every 90 seconds. About 125,000 of those are admitted following a traumatic brain injury, around 43,000 with brain tumours and others following strokes.”
“There is a great deal, a great deal before us.” For everyone, regardless of what they suffer, to be able to glean that happiness, through the care and support that they receive, should be the ambition of every Government Minister and every Member of this House.”
“That did not alter as a result of my head injury, but it might have done. I have seen those much more seriously affected by the traumatic injury they endured. As I looked at them I thought, “There but for the grace of God go I”, so I was determined thereafter to do all I could to fight for people with serious head injuries who struggle with their effects. I have been determined to champion their cause and to turn my hopes on their behalf, and their hopes too, into reality. I started with Dickens, one of our greatest writers, and I will end with Tolstoy, the great Russian writer. He wrote: “As long as there is life, there is happiness.”
“I know that other hon. Members want to contribute to the debate and can see their eagerness to do so, so I will draw my remarks to a close. For survivors, a head injury is just the beginning; the real challenge after survival lies in the days, months and years that follow. Individuals and their families struggle to navigate, with minimal support, a fragmented and underfunded system of rehabilitation. I know that because more than 40 years ago, like so many other young people, I suffered a serious head injury. But the key for me is that it did not stop me from doing what I wanted or being what I became. That is fundamental for anyone with an acquired disability. It is a matter of record that I decided to become a Conservative MP when I was seven—I was probably six, actually.”
“This is an area of work and a need that can go unrecognised and unseen. The feeling of isolation and loneliness—this is, as I described, a hidden epidemic—can place immense strain on families as survivors are no longer able to access, for example, the specialist daycare centres that they might otherwise enjoy. We need to find a way of granting exemptions for charities from things such as the employer national insurance charges. I hope that the Minister will look at that, or even speak about it in this debate. Some 57% of Headway charities say that they have experienced delays in receiving payments from local authorities and integrated care boards. Some charities have even had to employ additional staff members purely to chase the debts that they were owed. These are small organisations with limited budgets; they just need help.”
“Research by Headway has shown that over three quarters of brain injury survivors encounter daily challenges due to the hidden nature of their injury, and that nine out of 10 people affected by a brain injury cite societal misunderstanding as a major obstacle in navigating life with a hidden disability. Collecting those facts and figures is important because of the nature of acquired brain injury. I will not say too much more about the costs to the sector, except that over the past three years several local Headway charities have permanently closed, including one in the last month. Three local volunteer branches have also shut down. That is because of rising costs of all kinds, which I do not need to list here. Closures really do risk brain injury survivors feeling lost.”
“Given that brain injury is no less than a hidden epidemic, it is imperative that the Government take further action to collect statistics about it, so that we can accurately ascertain the numbers impacted. We need a UK-wide consensus on which conditions are classified and coded as brain injury, and to make that data freely available. Access to hospital admission data on brain injuries must be free; currently, charities face significant costs. The charity Headway, which has done so much in this field, is not an immensely wealthy organisation and so those costs are significant to it. I hope that we get some reassurance on that point.”
“I have talked about the subtlety of the effects that ABI can have, including the changed personality that many people experience as a result of a brain injury. Addressing such subtle changes requires a level of understanding and expertise, so national training could be really important and of immense value. I hope that the plan will also include funding for community-based specialist brain injury services. Staggeringly, the vital research by Dr Alyson Norman found that a third of serious case reviews in social services involved someone with a brain injury. Dr Norman lost her own brother to suicide after he suffered a lifetime of untreated brain injuries sustained in childhood.”
“Following representations from myself and others, the Minister, who has responsibility for public health and prevention, kindly responded to say that the Government will publish an action plan in 2026. I hope that it will be published as early as possible—if not before Christmas, perhaps as an early new year’s resolution. After years of campaigning by charities and MPs, the excellent news is that there now seems to be momentum on this issue, which is what sufferers and their families deserve; it is what they warrant and certainly what they need. The plan needs to include a focus on better community rehabilitation and on how that will help to achieve real change for people with ABI. It could also include national training for local authority and integrated care board commissioners, and for social workers, on the complexities of ABI.”
“All the Minister has said so far is incredibly welcome. On ministerial engagement, given what she said about the cross-departmental working, which I called for earlier, is she engaged with the Ministers in those Departments in drawing up the plan and, if so, how?”