Alison McGovern
MP for Birkenhead · Labour · United Kingdom
“That is the approach that we have set out in our 10-year capital plan for health and social care. The challenges at North Tees reflect a much wider problem across the NHS estate. For too long, capital investment was insufficient and short term, with capital budgets repeatedly raided to meet day-to-day pressures.”
House of Commons21 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“As I was just mentioning, I will make sure that the Minister responsible hears my hon. Friend’s point and the discussion we have had in this debate and that they can take forward that strategic discussion about the future. I also hope and anticipate that I will be able to answer the questions from the hon.”
House of Commons21 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“Instead of having to plan from one year to the next, NHS leaders can look ahead, prioritise investment over several years and develop longer-term plans for their estates and services. Thirdly, we are giving local leaders greater autonomy about how that investment is used.”
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“I have heard the case that hon. Members have made about the University Hospital of North Tees becoming part of the new hospital programme. As the hon.”
House of Commons21 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
“That builds on £2.7 million already invested in the emergency assessment unit to increase capacity and improve patient flow, safety and experience. We are also investing directly in services across Tees Valley more widely.”
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“We want to ensure that local leaders have a strong foundation to make decisions, and multi-year funding allows them to look beyond immediate pressures, consider investment across their estate and develop credible plans over a longer period. Given what the hon.”
House of Commons21 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗
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“I know that the only job my hon. Friend ever wants is to be the Member of Parliament for Harlow—it is such a great job. As we build the national care service, it is important that the voice of family carers and unpaid carers is heard loud and clear. They have a specific viewpoint on some of the changes that we are trying to achieve. Once we have made the announcement, whoever is appointed will work very closely with him, particularly on young carers.”
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“I thank the hon. Lady not just for her question, but for seeking the debate in Westminster Hall. I apologise to her for not replying to it myself, but there is a sort of time clash going on. My very good friend, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury North (Mr Frith), will respond to her. The argument I was making in my statement was that unless we are prepared to grapple with the issue of social care properly, we will pay for the cost of failure, most especially in what we are seeing in the NHS. I feel sure that this is the right thing to do for the country financially, as well as in terms of ensuring that people can live very good lives into old age.”
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“The system we have is not working. It is far too fragmented, and I have a lot of concerns about the situation faced by the workforce. Hon. Members will have noticed, yesterday, that the Prime Minister responded to a question regarding the role of co-ops in the future of social care. I am interested in all ideas that Members have on how we get the best possible mix of organisations involved in the national care system.”
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“I could not have put the argument better myself. That is exactly the trauma that I am referring to. It is a terrible thing to see an older loved one in hospital, which is not a good environment for them and is likely to make them ill through infection, lose mobility or other things. Nobody wants that. As I said to the hon. Member for Mid Sussex (Alison Bennett) a moment ago, this proposal is the right thing financially, but frankly, it has to be done for quality of life reasons.”
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“Yes, of course, I will. May I, through my hon. Friend, wish her mum an extremely happy 89th birthday? My hon. Friend and I are both daughters of people who worked in the NHS, and nothing makes me more proud.”
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“I thank the hon. Gentleman for bringing that point forward. We have a lot of work to do with our colleagues in local government to get the system right. Helpfully, my previous job was Minister for Local Government, so I am aware of some of the issues. If the hon. Gentleman sends me a note with that border issue, I will happily look into it. That sounds like the sort of thing that is probably happening in loads of places.”
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“I thank my hon. Friend for her contribution and, through her, thank all the Unison group MPs and Unison for their input on the issue. The important matter she raises is one of the reasons we are going to appoint a champion for unpaid family carers. We have talked about all the other financial impacts of this failure, but there is also the economic impact on the labour force of people giving up work to care for an older loved one. We have to take that impact into consideration as we build the new national care service.”
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“My hon. Friend makes exactly the argument as to why we have to take steps now to improve the system. In my statement, I mentioned the increase in the number of organisations using digital care records to help smooth the system, but it also takes the working together of NHS organisations, local authorities and care companies. That is happening in some places. The problem is it is not happening everywhere, and he is absolutely spot on that we have to take steps now.”
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“I thank the hon. Member for raising his constituent’s situation. If he would like to send me the details, I will happily look into it and formally reply to him and his constituent. Baroness Casey’s commission is working on recommendations for fixing social care for everyone who needs it, including working-age adults, but I would just acknowledge that some of the challenges are different, so we need to take that into account as we move forward to the future system.”
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“I thank my hon. Friend for his question and thank whichever of his relatives is working hard in social care. I have been lucky to be in touch with a wide number of organisations. We had an opening meeting in the Department with lots of organisations a month or so ago, and there is a lot of expertise out there. This issue is seen differently by those involved in the different parts, and also because of the different conditions and experiences that people have. I feel positive about that work so far. Many people have engaged with the Casey commission and, I am sure, will do so going forward.”
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“I thank the hon. Lady for her contribution. She makes a good argument, which I think we all see, about how disjointed and fragmented the system is. [ Interruption. ] The shadow Health Secretary is trying to help me out by explaining that her question was probably slightly out of scope of my policy responsibilities, but I will certainly mention to the Chancellor, if I bump into him, that she had a view that she would like to share with him.”
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“I thank my hon. Friend for his question and his experience in this area, which he has shared with me over many years; I appreciate it. He describes the situation well. We need a system that is much less fragmented, easier to understand and that responds to the local context. It is very different providing care in urban areas and rural areas, for example. We have to think through those issues. There are certain things, which I laid out in my statement, that we need to crack on with now, such as giving young people the chance of a job in social care, and other issues we will work through alongside local government colleagues and, as he says, housing providers, too.”
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“I am sure the health board that covers the hon. Member’s constituency will have heard his opinion, which was strongly given. We need to make the system work better, and I am sure that the board will want to reply to him directly.”
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“Yes, I can assure my hon. Friend of that. That is part of the reason for the statement today. Whether it is on workforce, improvements on technology, local authority commissioning or the initial recommendations of the Casey review on motor neurone disease, safeguarding and dementia, we are getting on with those things that are urgent and can be done now.”
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“Let me say “diolch” to the hon. Gentleman. Yes, we can definitely do what he asks; as somebody whose constituency is very close to north Wales, I understand what he means.”
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“The issue that my hon. Friend raises is rightly one for the Home Office, and I will pass on his question to the relevant Minister. I will just say that whether it is the NHS and its creation, or social care down the years, we are grateful to those people who have come to put in a shift and take care of the ones we love.”
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“I am very happy to confirm that. I think we all understand how challenging and bureaucratic that border between health and care can be, and that is one of the urgent matters that I am looking at.”
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“I thank my hon. Friend and pay tribute to her for all the work she is doing with her local hospice and her community on this issue. Members across the House will understand that we have a challenge in hospice funding, which I am looking at as part of the end-of-life care work that I am doing. It sounds like she is more than on top of it with her ICB, but if I can be of any assistance to her, I would be happy to do so.”
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“I thank my hon. Friend for his question, and in responding to him, I would like to quote the Secretary of State for Work and Pensions, who said in his statement to the House this week: “We know that people want security in retirement and we are committed to protecting the poorest pensioners. Under our plans, pensioner poverty is set to fall.” —[ Official Report , 13 October 2026; Vol. 791, c. 198.] I hope my hon. Friend read that statement, and I hope he understands why I will respectfully disagree with him.”
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“I thank my hon. Friend for asking that very important question. When I have heard about the situation in Scotland, I have to say that it worries me, so I will happily agree to his suggestion.”
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“I have visited my hon. Friend’s constituency before; I know what amazing young people there are, and they deserve a better chance. Working in care can be an absolutely fantastic career. A young person who has perhaps experienced unemployment might need a bit of confidence, and being in an emotionally intelligent profession like social care can be a really great start to their career. I will happily work with her on that if she would like.”
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“I refer my hon. Friend to the comments I made in my statement about the importance of putting people first and also to the response that the Prime Minister gave yesterday about the development of co-op organisations in the care system. I think we can make important progress on this, and I am happy to work with my hon. Friend to do that.”
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“Could I, through my hon. Friend, pay my respects to Councillor David’s family and all those who love him and miss him? As I have said, it is important to think about this matter from the point of view of the different communities we have across England. There are challenges in rural areas, and we need to be cognisant of them as we think about what the care service looks like on the ground.”
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“My hon. Friend rightly raises a really important issue. We cannot think about the welfare of people who are receiving care if we are not thinking about the welfare of people caring for them. That is why we are going to appoint a champion for unpaid carers, who can be their voice as we build the new national care service, to ensure that all the issues he rightly raises are considered in this process.”
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“I thank my hon. Friend for an insightful and important question and for the work he does to ensure that his constituents’ views are put forward here. What matters in order to fulfil the test that he sets for the national care service is to be really clear on outcomes. A number of Members have mentioned the travesty of people staying in hospital longer than they need to, and how traumatic it is when we experience a loved one not being cared for in the way that we would wish towards the end of their life. We all have to be clear about the outcomes that we want to see from this new service, and then we will be able to meet the test his constituents set.”
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“I thank my hon. Friend for that question, and through her, I thank all the people who campaigned for good care in her constituency. She tempts me; I am trying to be non-partisan today, and she is sparking my inner party-political fire. All of us, and all parties, can make a contribution to getting this right. We are rightly proud of the role of the Labour party in founding the NHS, and I want us to be just as proud of what we do to create the national care service from this point on.”
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“I thank my hon. Friend for that contribution. He is absolutely right: people feel as if the current system is a fog, at best. It is totally fractured, and it is too hard to navigate for people already dealing with some of life’s biggest challenges. Those Co-op values are an important factor in our thinking as we move forward with the national care service. He mentioned the Prime Minister’s comments yesterday; I am glad to confirm that those are exactly the values that we want to bring to this discussion. We are trying to ensure that people are empowered and have their voices heard, and that they work together for the good of those who need care.”
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“I think it would be better if they intervened on my speech, if that is acceptable to you, Mr Wishart, but that may mean that I miss paragraphs that officials have diligently written.”
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“As ever, it is a pleasure to serve under your chairship, Mr Wishart. I would like to thank Members from across the House who participated in such an important debate, and especially my hon. Friend the Member for Blaydon and Consett (Liz Twist) for securing this debate. She does a very important job in chairing the all-party parliamentary group on suicide and self-harm prevention, and she will have heard today just how much her colleagues from across the House of Commons support her in that work. Officials have very kindly drafted me quite a long speech. I am going to try to answer Members’ questions, but given that you diligently tried to get so many people in, Mr Wishart, Members may have things to say that were missed.”
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“My recommendation would be that Members who are interested meet officials in the Department as soon as possible to be updated on that work, if that is acceptable to colleagues. Youth suicide prevention and mental health will be a part of the mental health strategy going forward. We need to take immediate steps to make sure that the process through the administration happens. Colleagues will understand that I cannot give more details at the Dispatch Box just now, but as I said, I suggest we have a meeting for colleagues with officials very soon so that they can understand the detail. Then we will need to make sure that the mental health strategy, which the Prime Minister has committed to before Christmas, takes into account all the issues that colleagues have raised today.”
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“Friends and others have put to me, I want to draw Members’ attention to the publication last week of the Fonagy review, which gave the wider context of rising mental distress, particularly for young people and especially for young women. If Members have not read the report, I strongly recommend it to them, because that is the context against which we will move forward before Christmas to publish the mental health strategy, which will pick up many of the issues that Members have mentioned. Turning to Papyrus, I hope that all those who have worked for Papyrus, been involved in it and raised funds, including 3 Dads Walking and so many others, will have heard the support for its work today. I want to add the Government’s gratitude. Officials are in touch with administrators to try to work with them in the way that colleagues have suggested.”
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“Through my hon. Friend, I thank Papyrus and all those in her constituency for all their hard work. I will update colleagues in just a moment on the steps we will take from this point, but by way of context, people have mentioned the suicide prevention strategy for England, which shows that while suicide rates among children and young people are relatively low compared with older age groups, the longer-term trend is really concerning. Right across the House, we share that worry about the increase we have seen in suicide among the young. The strategy requires tailored and targeted support, early intervention and collaboration right across the public sector, which we all want to see. Before I turn to Papyrus and respond to the questions that my hon.”
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“We know that the best care and support from a mental health point of view often comes from the community and voluntary sector, and Members have described quite accurately what the funding environment has been like—too short term. I ask colleagues to work with me as we try to get to a better, more long-term arrangement.”
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“I wholeheartedly agree with that point. We need to move to a system where children and young people are able to get support quickly, in an open, non-stigmatising way, so that we do not see them reach crisis point. That is the direction of travel that the Fonagy review suggested last week, and we will take it forward through the mental health strategy. I am conscious that the shadow Minister, the hon. Member for Farnham and Bordon (Gregory Stafford), asked me some direct questions, including about funding. I want to respond to his point and the point made by my hon. Friend the Member for Leeds South West and Morley (Mark Sewards). There has been a real problem with short-term funding. Again, we need to think about what principles we should put in place to try to resolve that.”
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“Resolved, That this House has considered Government support for youth suicide prevention charities and mental health support for young people.”
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“We obviously have more to do, because we want coverage to be complete by 2029, but we are making progress. We are also investing in early support hubs, which a number of hon. Members have mentioned. They will provide that community-based, destigmatising support. Again, we have more progress to make on that. I want to finish by saying that it has been good and important to hear about hon. Members’ experiences with their constituents on this issue. We all want to work together to make sure that we can find any possible solution to what has happened with Papyrus. I suggest that we meet again shortly to discuss that, but my final message is really for any young person out there: you are not by yourself. You are not alone; reach out for help and you will be able to move forward, so please do reach out. Question put and agreed to.”
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“Members have also mentioned Samaritans and its number, 116 123, which is there to support those who need it. The NHS 111 service with the mental health option can also be used when people need that support. I wholeheartedly encourage us all to keep helping people to know where they can reach that support if they need it. Of course, we do not want children and young people to get to a crisis point. I hear from schools and teachers again and again about how they need support to make sure that they are addressing challenges where they come up for young people. That is why I am pleased with the progress being made through our mental health support teams in schools and colleges. The latest data shows that nearly 6 million pupils and learners are now covered by a mental health support team—about 60% of pupils and learners in England.”
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“We want to make sure that we see continuous improvement in outcomes from those spending increases, particularly for some of the conditions that are most stigmatised—schizophrenia, bipolar and other conditions where we have not seen the better outcomes that we have for conditions that people find easier to talk about. A number of hon. Members, including the hon. Member for Richmond Park (Sarah Olney), asked whether I would meet them to discuss this topic, matters in their constituency or organisations that they have supported. My time for meeting MPs is Wednesday after Prime Minister’s questions, and if a Member of Parliament asks me to meet, I will meet. Please get in touch via the Department, and I will be happy to meet all hon. Members who wish me to.”
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“He is quite right to point out that it is extremely important that we understand the efficacy of what has been done before, so that we can bring that into the mental health strategy to come. The hon. Member for Winchester (Dr Chambers) asked about the mental health investment standard. I will write to him with the details of how we are taking that forward. Spending forecasts show that we should reach £16.1 billion on mental health in 2026-27, which is a good thing. I have concerns about outcomes, because it is very important that while spending increases, recovery also increases.”
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“I agree that connectivity between organisations is really important. One of the things that the suicide prevention strategy has said is that preventing suicide is everybody’s business. We all need to have that in our minds and work together across organisations to support people. My hon. Friend the Member for Portsmouth North (Amanda Martin) asked me about ketamine use. The suicide prevention strategy identified substance misuse as an issue for suicide prevention, and I will be working very closely with colleagues across Government to try to support their work on substance misuse. The shadow Minister asked about evaluation, and I will write to him with the details on that.”
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“With respect to questions to the Government on the Parliament Acts, I refer Members to the Acts themselves, which set out conditions under which legislation may pass without requiring the consent of the House of Lords. That is a matter for Parliament, and it is not for the Government to decide whether to pass this Bill. As is usual with any constitutional questions, Members may approach the Clerks for further advice, as I am sure you would agree, Madam Deputy Speaker.”
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“It is on that basis that I am speaking at the Dispatch Box today as the Minister responsible for helping to ensure that the Bill, if passed, is workable and effective. I must explain to Members that in the interests of time, I am going to keep my remarks purposefully brief, and I will not be taking any interventions; I apologise to Members wholeheartedly for that, as I would normally take interventions. I am happy to discuss with Members any issues that they have. I have listened to the entire debate today and heard Members’ views, questions and many interventions, and I want to turn briefly to a couple of important issues. On procedure, like any private Member’s Bill, this Bill will proceed through the usual parliamentary stages, subject to Parliament’s will.”
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“The issue of assisted dying has been subject to extensive and detailed consideration over a number of years, most recently in this House and the other place in the previous Session, as well as outside Parliament. We think today of all those who feel strongly on both sides of this debate and what they are thinking about as they listen to our discussions. We send our care to all those who are struggling with grief. Let me reiterate that the Government are neutral on the question of assisted dying and on the passage of the Bill. As the Prime Minister has said, this is an incredibly important and personal debate, and it is right that it is a matter for Parliament, not Government, to decide whether the Bill should become law. However, the Government have a duty to the statute book.”
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“Not for the first time this week, I find myself wholeheartedly agreeing with the right hon. Member for East Hampshire (Damian Hinds). He and I agree that we will all act according to our conscience and respect others if they come to a different conclusion. I thank Members on both sides of the debate across the House for their consideration of this legislation and their thoughtful contributions to the debate. By my count, 40 Members have spoken in the debate; I have listened to all that they have said with great interest, and I thank each and every one of them. It has been a difficult debate to speak in at times. We have heard of people’s own family and private experiences, and that is hard to bring to this House. I really thank all colleagues across every corner of this House for doing so.”
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“Building a national care service will mean that people know where to turn when they need help and that care workers are given the status and the respect they deserve. We are pushing ahead with workforce changes, including career progression, training and job security, and we have made £4.6 billion of additional funding available for adult social care by the end of this Parliament, including £500 million for the first fair pay agreement for care workers. We will strengthen social care now—we are not just waiting for the Casey commission—and provide greater choice and independence as we do so. Turning to palliative care—”
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“I have said that I am not going to take any interventions. I am sorry to be discourteous to the hon. Member, but I am going to stick to that. I want to make a few comments on the matter of social care and palliative care, having recently taken over responsibility for these most important issues. In my opinion, social care has been ignored for far too long—both the 1.5 million people, mainly women, who work in it and the families who need it. We have heard that across the House today. The Prime Minister has made social care a personal priority, and I am working with my right hon. Friend the Secretary of State to deliver changes now, alongside the work being done by the Casey commission, which we have expedited by a year.”
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“On that basis, we would provide technical support to the promoter if Parliament chooses to progress the Bill. That said, I will repeat the comments made by the right hon. Member for East Hampshire from the Opposition Dispatch Box, which I now say on behalf of the Government. This is a deeply challenging issue for us all, for the public and for the constituents we represent. In discussing this issue, we must model the best behaviour of this House—having respectful, thoughtful, careful debate, listening to one another and understanding our very different perspectives. I think that we have done that today. I hope that, whatever happens in the Division, we will be able to continue to show those behaviours and give this serious subject the deep respect it deserves.”
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“Members and friends will know that in July, I lost my own mum, so I had a very practical education in this topic, and that experience will shape how I take this work forward. To conclude, I thank all hon. Members once again for all they have said. They will understand how difficult it is when we are sharing personal experience, as many of them have done today, and I am really proud of everybody who has done so, difficult and challenging though this issue is. I thank all Members who have given me their sympathy over recent months and weeks. It has been so appreciated. The Government remain neutral on whether the Bill should become law, but it is our serious responsibility, should Parliament pass it, to ensure effective implementation within the framework provided by the legislation.”
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“As part of that work, we expect all integrated care boards to complete a needs assessment so that we can get a detailed understanding of their current and future population, including people of all ages with palliative care and end-of-life needs. That is vital in order to commission services that best meet the need while providing value for money. Many hon. Members raised the importance of doing that, and particularly of reducing unwanted variation. I acknowledge that and I will be working with Members across the House to deliver that modern service framework. Members quite rightly mentioned the hospice sector. We provided a £125 million capital boost to funding for adult and children and young people’s hospices. I say to hon. Members that I have heard the points that they have made, and I know we have more to do. Many hon.”
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“I also respect my hon. Friend and, though it was not a point of order, the House will have heard what she said. I am attempting to address the points that have been raised in the debate, particularly on procedural matters, on social care and palliative care, which I turn to now. Palliative care is extremely important and has been raised many times within the debate. As the Chair of the Select Committee set out, we are developing a modern service framework for palliative and end-of-life care. The framework is clinically led and evidence-based, to support sustained improvements in outcomes for patients and carers, including by systematically identifying, measuring and reducing health inequalities and reducing unwarranted variation in access, in experience and in outcomes.”
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