Tessa Munt
MP for Wells and Mendip Hills · Liberal Democrat · United Kingdom
“I associate myself with the comments of the Secretary of State. I am sure that all of us on the Liberal Democrat Benches feel deeply sad for the Prime Minister. Tuition fees continue to rise, while the plan 2 repayment threshold stays frozen until 2030.”
“As the Leader of the House knows, it is World Suicide Prevention Day. Suicide is the leading cause of death among under-35s. After nearly 30 years, Papyrus, the national youth suicide prevention charity, went into administration two days ago. Its HopeLine, a 24/7 crisis service, ceased with immediate effect.”
“I thank the hon. Gentleman for giving way. I just wanted to highlight a case of exactly that. I have a constituent whose property has been on the market since 2022. The landlord chooses who the new owner will be.”
“When the Minister says managing agents, does she mean management companies, a bit like FirstPort, which provide a lamentable service? One of the retirement buildings in my patch has just been offered the repainting of its windows for £240,000. I think that works out at over £5,000 per flat. This is just for the birds.”
“Like others, one of my constituents inherited responsibility for a retirement property on the death of the resident. It has been on the market since 2022, incurring annual costs of about £14,000. It has a falling sale value, and there is ground rent, service charges, council tax and an exit fee.”
“May I encourage the Church Commissioners to support the Church in facilitating community events? Wells cathedral and Wells bishop’s palace are at the centre of an amazing programme of year-round festivals, fairs and markets, but the Church Commissioners have suddenly served a stop notice on the Phelps’ family at Palace farm in Wells, whic…”
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“Three weeks ago I asked about the long overdue final delivery plan for ME, and the Leader of the House rightly acknowledged the strength of feeling on this issue and referenced the NHS 10-year plan. The 10-year plan has now been published, but unfortunately it makes absolutely no mention of ME. The Department of Health and Social Care repeatedly raised expectations that the final delivery plan for ME would be published by the end of June, which was a delayed date in itself, but that deadline has well come and gone. This is appallingly disrespectful to those suffering from ME, and the continued delay is causing unnecessary distress and despondency. Can the Leader of the House explain why the delivery plan has not yet been published, and can she press the Department for a clear timetable and an urgent statement on this?”
“I have caution about stripping back jury trials, so I ask the Government to commit to tackling court backlogs by investing in more court capacity, particularly in Bristol and the west country, by supporting rehabilitation to stop reoffending and people coming back into the system so quickly, and by addressing the root causes of crime. Will the Minister consider that under the Leveson proposals, there may be space for some of the best examples of the US courts system? Some states have next-day hearings for domestic abuse cases, where courts can catch perpetrators in the window of remorse, when they will recognise their guilt and accept that they need to change.”
“Briefly, the Liberal Democrats welcome the draft instrument, which brings the sheep carcase regulations in line with the existing beef and pig regulations. We want to ensure that sheep meat producers receive a fair price for their products, and to increase transparency and fairness for the sector, thus benefiting farmers, processors and customers across the wider supply chain. In the interest of a little levity, I will just say that we do not want our farmers fleeced.”
“In preparing for this debate, I drew on a number of publications with which the Minister will be familiar, but it is noteworthy that many of the studies were undertaken by those with links not only to justice but to the Home Office, the police, health and social care, planning, education, social equality and good government.”
“I beg to move, That this House has considered the impact of ADHD on rehabilitation and reoffending in the prison system. It is a pleasure to serve under your chairmanship, Mr Dowd. I think we all accept that our prison system faces significant challenges, including poor rehabilitation, high reoffending rates, overcrowding, limited resources and prisoner numbers that have doubled over the last 30 years and now exceed 87,000. The Minister will know that recent estimates suggest that prisoner numbers could surge to almost 100,000 by the end of next year.”
“I agree with the hon. Gentleman and will come to that in a moment. The impact of ADHD on rehabilitation and reoffending sits at the junction of many different interests. It seems likely that supporting people with ADHD could be a critical part of delivering the Government’s aim of rebuilding confidence in the criminal justice system. There is a clear link between ADHD and contact with the criminal justice system, and ADHD is significantly over-represented in prisons. While just 3% to 4% of people in the general population are currently identified as living with ADHD, the National Institute for Health and Care Excellence estimates that the proportion is up to 25% in the prison population. Up to a quarter of people in prison are living with ADHD, but studies show that 41% of women in UK prisons meet the criteria for an ADHD diagnosis.”
“There is no consistent approach to screening for ADHD across prison services, and no single screening tool is used as a standard across the system. The lack of consistent screening means that people who come into the system with ADHD are not identified in a timely manner, or indeed at all.”
“That is likely to be because the root cause driving that cycle of constant repetition is not currently being addressed in a structured or uniform way in the criminal justice system. According to the report, the identification, support and management of neurodiverse individuals, including those with ADHD, is “patchy, inconsistent and uncoordinated”. It exposed “serious gaps, failings and missed opportunities at every stage of the system.” To put it simply, the report identified that the system was not adequately supporting neurodiverse individuals. There are many elements of the prison environment that can cause distress to neurodiverse people, including busy and noisy wings, cell-sharing and frequent changes in daily routine.”
“Indeed, I do agree. Our interaction with the NHS needs to be far better. I will come to that later. In December 2020, the then Lord Chancellor and Secretary of State for Justice took the important step of commissioning an independent review into neurodiversity in the criminal justice system. The review was led by the chief inspector of prisons, Charlie Taylor; the chief inspector of probation, Justin Russell; and the chief inspector of constabulary and fire and rescue services, Sir Thomas Winsor. The resultant report concluded that when ADHD goes unrecognised or unsupported, the cycle of “crime, arrest, court, prison, probation and reoffending” will repeat itself.”
“Indeed, there is no consistent data collection. That is a problem not only in Northern Ireland, but in England and Wales, which the debate is primarily about. If someone is identified and diagnosed, it can be hard for them to access the right care and support due to fragmented care pathways. That is compounded by limited awareness and understanding of ADHD in the prison services.”
“A new campaign focusing on the unique experience of neurodiverse individuals with ADHD in the criminal justice system explores evidence-based opportunities to improve support and outcomes. Will the Minister meet me and representatives of that campaign to discuss the challenges facing individuals with ADHD in the criminal justice system and the steps that might be taken to meet people’s needs and improve outcomes in relation to rehabilitation and reoffending? I have asked a number of questions, which I provided to the Minister and his team. I recognise that he will not necessarily be able to answer eight questions right now, but would he possibly give me the honour, first, of a meeting and, secondly, of a response to my questions?”
“It is important to recognise that ADHD screening, a coherent care pathway and improved awareness and training in prisons could play a part in achieving that ambition. In summary, my current membership of the Justice Committee and my membership of the Education Committee during my service here between 2010 and 2015, along with my meeting experts in ADHD and criminal justice more recently, has emphasised to me the need to take a different approach to identifying and supporting neurodiverse prisoners to help those individuals to make new lives and thereby to help the Government to make sure that prison is effective and efficient at turning prisoners’ lives around.”
“Many women are primary carers, and their imprisonment can result in children being displaced, amplifying cycles of trauma and disadvantage over the generations. The establishment of the Women’s Justice Board presents an opportunity to address these issues, so will the Minister outline whether the board is currently considering neurodiversity and the impact of ADHD on women in prison within its remit? Will the Minister commit to ensuring that ADHD is meaningfully embedded and accounted for in the work of the board in order to ensure that the experiences of women with ADHD in the criminal justice system are a priority? The Government have stated an ambition to address the challenges of prison capacity and to shift the approach taken to women offenders.”
“For example, one in three women in prison self-harms—the rate is eight times higher than that on the men’s estate—and there is a strong correlation between ADHD in women and self-harming. These issues are directly relevant to the Government’s wider ambition to reform the way female offenders are managed in England and Wales, including the intention to close one women’s prison and increase the management of female offenders in the community. That in part recognises that many women are imprisoned for lower-level offences. For example, in 2023, theft from shops was cited as the most frequent offence committed by female offenders, accounting for 40% of women’s prison sentences shorter than six months. Evidence also demonstrates that the incarceration of women can have a broader impact on families and children.”
“Does the Minister agree that, in the light of the challenges, criminal justice services should adjust the way people with ADHD are managed, to improve rehabilitation and reoffending outcomes? Will the Minister address the matter of women who meet the criteria for ADHD in prisons? ADHD in women is often misdiagnosed or missed altogether. Women are more likely to mask symptoms, presenting as anxious, depressed, having eating disorders or as emotionally distressed. That means that for many women and girls their ADHD is often diagnosed late or not at all. More work is needed to understand the experience of women in the criminal justice system who have ADHD. They are likely to experience multiple barriers and may be impacted by co-occurring mental health issues or other disadvantages.”
“Responses to their environment can lead neurodiverse people to exhibit challenging behaviour that could result in their being disciplined or sanctioned, and affect their engagement or consideration for rehabilitation programmes. Other reports, such as that published in December 2024 by Takeda, on reforming justice and tackling the unseen challenge of neurodiversity in the criminal justice system, have concluded that there is a need to reassess our approach to managing offenders and consider more innovative ways to interrupt the cycle of reoffending. That includes better approaches to addressing the unmet needs of neurodiverse individuals, where conditions such as ADHD may have a direct impact on offending.”
“What steps have the Government taken and will they take to engage with the ADHD taskforce and wider stakeholders to address the barriers and implement the recommendations highlighted in its interim report and forthcoming final report? Many reports show us that people with ADHD are more likely to struggle with impulse control, emotional regulation and memory recall. We understand that those behaviours can lead to early school expulsions, unstable employment and contact with the criminal justice system. Once someone is in the system, ADHD can affect how they interact with the police, legal advisers, the judiciary, court staff and probation officers. That can increase exponentially the risks around unreliable statements, misunderstood behaviours and disproportionate sentences.”
“The ADHD taskforce was established in 2024 and recently published an interim report on the state of play in ADHD care, with its final report due this summer. The taskforce has taken a cross-Government approach, rightly recognising criminal justice as a key focus. The taskforce interim report highlights a number of important and pressing issues, particularly the need for better data to understand where and how people with ADHD are interacting with public services; the relationship between education, health and wider support in relation to outcomes for people with ADHD, including contact with the criminal justice system; and the value of earlier intervention.”
“Will the Minister outline what steps the Government are taking to monitor the number and availability of neurodiversity support managers in prisons across the country, and what measurements are being used to assess the impact of their work? It is important to keep up the momentum behind the neurodiversity action plan. However, the 18-month review and update committed to under the action plan, which was due in early 2024, has not been published. I would be grateful for further details from the Minister on his plans to continue the implementation of the neurodiversity action plan. Will he outline what steps were taken last year and will be taken to implement the plan? When will the 18-month review, which was due in early 2024, be published?”
“The Ministry of Justice’s cross-Government neurodiversity action plan, published in 2022 in response to the independent review, was a step forward in the official recognition of the unmet need around neurodiversity in the criminal justice system. Some promising steps were taken to advance the commitments in the plan, such as the recruitment of more than 100 neurodiversity support managers in prisons and the roll-out of neurodiversity training in some settings. But data remains insufficient and fragmented, as the hon. Member for Upper Bann (Carla Lockhart) said, and that poses challenges to the effective assessment of the impact of interventions.”
“The structural changes that are taking place in NHS England, which has commissioning responsibility for offender health services, might provide an important opportunity to consider some of the challenges, and to develop new models for supporting people with health and care needs to access the right care and treatment in the community. That is particularly important where an unmet need has the potential to have a direct impact on an ex-offender’s likelihood of reoffending. Will the Minister outline the measures that are currently in place, and what he plans to offer, in the way of support and continuity of care for neurodiverse prisoners after their release, particularly in healthcare settings?”
“A basic level of awareness of neurodiversity and the needs of neurodiverse people was lacking among frontline staff. The lack of training, combined with staff shortages in prisons, can impact the management of neurodiverse prisoners. Those working in prisons must be able to recognise that the behaviour of some prisoners may be linked to ADHD, and a lack of training for those in mental health teams can result in misdiagnoses or suboptimal treatment. There is an ongoing need to better embed training for prison officers and extend the establishment of neurodiversity support managers across prisons in England and Wales, as mentioned earlier.”
“I could not agree with my hon. Friend more. His point is similar to the one made by my hon. Friend the Member for Yeovil (Adam Dance): the earlier we screen, the better we will be able to understand how people learn. In the long run, if life is not education, I do not know what it is—I am sure the Minister will have some sympathy with that point, because he and I both served on the Education Committee between 2010 and 2015. We need to make sure we have far better screening so that people can understand how both young and older people learn. We should never finish learning. The report observed that only 24% of prison staff had received some level of training about neurodiversity. I accept that that was back in 2021, but I doubt it is much different now.”
“Will the tool be used for every entrant to the prison estate or is it for those who might be suspected of having some sort of neurodiversity?”
“On that point, we are clear that the money that goes into the probation system may not be enough to deal with the scale of the added pressures on the probation system. I think the Chair of the Justice Committee, the hon. Member for Hammersmith and Chiswick (Andy Slaughter), talked about contract management. The example of Serco is a really good one; there will be so much more reliance on electronic tagging. Will the money actually allow that to happen?”
“I thank my hon. Friend very much for bringing forward this debate. I point out in particular that one of my residents—a man called Chris, who is now a friend—lost his wife Lorraine. She was simply cycling back from her work at school and was hit by a driver. In order to ensure that nothing so dreadful happened again, Chris paid for speeding signs on his piece of road. It really should not be for individuals to feel so desperate that they end up funding that themselves. Certainly in my area, it is very difficult for communities to prove that they need to have some sort of speeding restrictions. Those signs are really effective, particularly since they move around in parishes, which I have and which I know my hon. Friend does not have.”
“Will the Minister consider the fact that if someone wants to install a 20 mph limit in our towns and cities—such as Wells or Cheddar, which are plagued by speed trouble—the police advice is that drivers have to already be close to 20 mph for them to accept the need for a 20 mph limit? That strikes me as utterly bonkers. It stifles any further discussion and the implementation of 20 mph limits, even near schools.”
“On 28 June 1986, my constituent developed symptoms of ME, and he has lived with those same symptoms for 40 years, and the NHS remains unable to offer any meaningful intervention. Those who have lived with ME for decades—some bed-bound and in darkness—feel that no one in authority notices or cares. In 2022, the then Health Secretary started work on a delivery plan for ME, which finally offered hope. This Government promised the final delivery plan at the end of March and then put it off until the end of June, which is only seven parliamentary days away. Can the Leader of the House reassure the 1.3 million people living with ME and ME-related symptoms that they will not have to wait longer than the end of June for the Government commitment to address this huge intergenerational injustice?”
“I am greatly pleased that this debate is taking place. In my constituency and within Somerset and North Somerset—the whole of Somerset—there are 8,463 miles of rivers, reans and streams which, from Somerset, would take us as far as Singapore. That level of water coverage presents a danger not only for those who swim and need to be taught to swim, but for young people, who should understand very clearly what to do should the vehicle in which they are travelling goes into water. There are specific rules around how to save ourselves if the car or vehicle we are in goes into water. Does my hon. Friend have a comment about that?”
“Lastly, we must not forget those living with the consequences of the virus, as Members have mentioned. We call for a long covid register. As we remember those whom we lost, we owe it to them and to future generations to ensure that these lessons are not buried in reports and left on shelves, but lead to real changes that make improvements in our constituents’ lives. The British people were courageous, generous and selfless; they deserve a Government who act to match that spirit.”
“We must also confront a hard truth: our nation was less resilient because health inequality has left our population quite simply less healthy. Years of cuts to public health services under the Conservatives left us more vulnerable. The Lib Dems are calling for urgent action to increase the public health grant and allow communities to co-produce plans; establish a health creation unit to lead cross-Government efforts to improve health and wellbeing and tackle inequality; improve access to blood pressure checks in community spaces and expand social prescribing; introduce a new kitemark for health apps and digital health tools, ensuring that they are clinically sound; create a new levy on tobacco company profits to fund healthcare and smoking cessation services; and pass a clean air Act to tackle pollution and improve air quality.”
“Patients and care home residents must have a legal right to maintain contact with their loved ones; a comprehensive civil emergency strategy is essential; and the new UK Resilience Academy must train 4,000 people in resilience and emergency roles, as promised. Can the Minister give us confidence that this will be delivered? The voices of frail and older people must be heard at the heart of Government planning. We call for a commissioner for ageing and older people, to ensure that their needs are never neglected again. Public officials must be held to a duty of candour—the Government’s promise of a Hillsborough law remains unfulfilled. Can the Minister say when survivors and families will see the legislation for which they have waited so long?”
“There was cruelty in the rigidity of restrictions, with families kept apart even in their loved ones’ final moments. All of this was made more painful by the bitter hypocrisy of partygate, a betrayal of trust that mocked the sacrifices of millions. The Lib Dems called for an inquiry in 2020, and we continue to demand answers. The full facts must be known about every aspect of the Government’s poor response. This is not born out of a desire for vengeance; the British people deserve to know the truth, and they deserve far better in future. We now have a moral responsibility to act, and this Government must commit to implementing the inquiry’s recommendations in full and without delay.”
“That resilience and solidarity showed the very best of who we are. Sadly, that same spirit of public service was not reflected in the highest offices of Government. The findings of the first covid inquiry, led by Baroness Hallett, laid bare the truth that the UK was ill-prepared for dealing with a catastrophic emergency, let alone the coronavirus pandemic. We had planned for the wrong pandemic, one based on flu; we ignored the risks associated with other potential pathogens; we ignored warnings; and then we failed to act on lessons from past civil emergency exercises and outbreaks of disease. These were systemic and political failings that worsened people’s suffering. Let us be frank: the most vulnerable paid the highest price.”
“Today, we mark five years since the start of the covid-19 pandemic. Just under 227,000 people in the UK died with covid-19 listed as a cause on their death certificate. Every one of those statistics is a mother, a father, a brother, a sister, a child, a neighbour or a friend. Thousands were separated from their loved ones, and that loss and grief may never fully heal. Yet in the darkest of times, the British people shone with immense compassion and courage, and a sense of community spirit. Doctors, nurses and carers worked punishing hours, often risking their own lives; teachers, council workers and others worked in the toughest of conditions; and volunteers came forward in droves to collect and deliver prescriptions, shop for the frail and elderly, staff temporary centres to administer vaccines, and check in on neighbours.”
“I thank the hon. Lady very much for introducing this debate, because it is so important. I could not agree more that screening is incredibly important, but we also need to make sure that modern radiotherapy treatment is available for those whose breast cancer has been detected. NHS England has degraded the availability of radiotherapy treatment in many regions over the last 10 years. I understand that breast cancer patients from Bassetlaw have to travel over an hour, as they do in my area, to receive the radiotherapy that they need. What might the hon. Lady say about the Government’s new cancer plan? I hope it goes a long way to resolving the problem of getting access to radiotherapy, which is so effective.”
“My constituent Phill is one of the 916 people in the special category mechanism who were suddenly and inexplicably excluded from the Government’s infected blood compensation scheme when it was published in February this year, even though the Government’s expert group had said in August last year that they should be compensated. Why did the criteria informing the eligibility for the scheme change without explanation, and can the Minister please provide a list of all the conditions included in the core award?”
“My constituent Anthony’s husband’s emergency and urgent care was compromised because hospital staff could not access his medical records, even though he had been treated by specialists in the same hospital. Can we have a debate on ensuring that patient records can be accessed swiftly by clinicians across hospital trusts within regions, so that patients are not endangered by the inability of software systems to communicate within the NHS?”
“17. What assessment she has made of the potential implications for her policies of the third report of the Justice Committee of Session 2022-23 on IPP sentences, HC 266, published on 22 September 2022.”
“It is 12 and a half years since IPP sentences were described as “not defensible” and were abolished for offenders, but 2,852 people remain incarcerated under these sentences—just 74 fewer than in June 2022. When the Justice Committee reported in 2022, its key recommendation was that the Government legislate to enable a resentencing exercise for these individuals. Will the Minister please set up an expert committee to at least advise on how to bring forward a resentencing exercise urgently?”
“I welcome the Lord Chancellor’s statement and the work that David Gauke has done to inform everything that is happening today. As a member of the Justice Committee, I look forward to seeing him before us shortly. I seek clarity on what the Lord Chancellor referred to as the “so-called medication to manage problematic sexual arousal”. Will she place the available research and conclusions in the Library so that we all have access to the information and can understand the data on which she and David Gauke have relied?”
“This week is National Epilepsy Week. Epilepsy is more than just seizures; it affects every area of somebody’s life. With more than 630,000 people suffering in the UK, every single MP in this House will have someone with this condition in their constituency. In the light of this being National Epilepsy Week, can we have a debate in Government time on the Government’s commitment to improving access to care and treatment for those with this condition, particularly those whose seizures do not respond to treatment?”
“I invite the Paymaster General to meet me and my affected constituent—it would have to be online, and it would be with his carer because this gentleman is very ill and suffering dreadfully, and yet he seems to have been excluded from getting fair compensation.”
“I am grateful for the Minister’s statement, but I too would like to identify the gaping hole in the compensation scheme that relates to the special category mechanism. I point out that some of my constituents are in very poor health and their lives may be limited time-wise, yet they will end up with less compensation than someone who is in stage one and is healthy. At every point throughout the process, the compensation scheme has said that the SCM infected should be compensated. The infected blood inquiry said the same thing. The Government’s own expert group also said in August 2024, until they were hauled back into the Cabinet Office and then they changed their mind, that they must have compensation.”
“Today is World ME Day, and I hope that the Secretary of State and her Ministers will recognise the up to 1.3 million people who live with ME and ME-like symptoms, and some of those with long covid. All they want is to have a normal life. I recognise what she has said about making PIP work for fluctuating conditions. Can I ask her to work with her colleagues in the Department of Health and Social Care to put aside research funding, so that money is available to ensure that those who would love nothing more than to live a normal life and go to work can get better?”
“PIP does not accommodate the nature of that disability for those who suffer with the condition. The Green Paper talks about two positive moves, which I potentially support: the redesign of the PIP assessment and the recognition that many people have lifelong disability and cannot return to work, so there should be some accommodation for them through special funding. I ask that the Minister consider people with ME and long covid when looking at that redesign.”
“In response to all the letters and emails from my constituents, I will focus on PIP and the effect that the changes will have on the 1.3 million people who are suffering from ME and long covid. I am particularly concerned that the additional criterion for a PIP award of needing four points in one descriptor disproportionately affects people with ME and long covid, because they currently reach their eight points with a spread of low points across many descriptors. The abolition of the work capability assessment and the focus on PIP are a double whammy, particularly given the extra difficulty that people with ME and long covid will have in accessing PIP. They did better under the work capability assessment, because that could accommodate the fluctuating nature of ME and the reality of post-exertional malaise as a distinct aspect of it.”
“May I ask the Prime Minister to join me when that national memorial is unveiled so that we can pay our respects to the likes of the late Captain Wilfred Bruce Tilley DFC, of Axbridge in my constituency, and the other amazing young men and women whose work was so critical to the safety of millions of people in this country and elsewhere?”
“Q2. Ahead of the 80th anniversary of VE Day, may I thank the Prime Minister for his Government’s recognition of the highly dangerous and clandestine work of the 1,746 pilots and navigators who formed the RAF’s photographic reconnaissance squadrons, and the 635 Buckinghamshire-based photographic interpreters—often forgotten—whose service will be marked with a national memorial near the Churchill war rooms? They had a death rate of nearly 50% and a life expectancy of only two and a half months, but they nevertheless captured 26 million images of enemy operations, providing daily, up-to-date intelligence, via the interpreters’ analysis, to the strategists in the Cabinet war rooms, for all our armed forces.”
“T8. I have a constituent who has broken and rotting teeth. His GP referred him to the local dental hospital, but he has been refused treatment because the hospital said that the surgeon would take a referral only from a dentist, which my constituent and many others in Somerset just do not have. What does the Minister suggest my constituent should do to stop the pain?”