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UK PARLIAMENT · SITTING

Stephen Kinnock

MP for Aberafan Maesteg · Labour · United Kingdom

IN THEIR OWN WORDS

I thank the shadow Secretary of State for her kind words and look forward to our exchanges across the Dispatch Box. I am ready to engage with her on getting the maximum benefits for the people of Wales.

STRENGTHENING THE UNION · 2026-09-02 · READ IN HANSARD

I thank the right hon. Lady and look forward to working with her. My understanding is that there were challenges around the helicopter capability. Decisions were taken by Natural Resources Wales some time ago to change the way that the tendering for helicopter capability works. We certainly need to look at that.

STRENGTHENING THE UNION · 2026-09-02 · READ IN HANSARD

I thank my right hon. Friend for his question. Like him, I pay tribute to all those involved in the collective and heroic response to the wildfires.

STRENGTHENING THE UNION · 2026-09-02 · READ IN HANSARD

I thank the right hon. Lady for her question. Many of the ideas coming forward for devolving power right across our United Kingdom, beyond Cardiff Bay and Holyrood, are very exciting, and I look forward to exploring them with her.

STRENGTHENING THE UNION · 2026-09-02 · READ IN HANSARD

Just to be clear, this is not about staying out of the issue; it is about respecting the devolution settlement, but being prepared to work constructively where we can in partnership with the Welsh Government. The hon.

STRENGTHENING THE UNION · 2026-09-02 · READ IN HANSARD

I know about and welcome the right hon. Gentleman’s strong connections to Wales. I recognise the connectivity benefits that WSMR’s proposal could deliver, particularly for passengers in Wales and the west midlands.

CROSS-BORDER RAIL LINKS · 2026-09-02 · READ IN HANSARD

The complete record

Every one of 5,341 lines we hold for Stephen Kinnock, in date order, each linked to its source. Free to read, in full, without an account. Page 2 of 107.

  1. Almost 700,000 women from across the country will take part in the trial to test whether using AI to support radiologists increases the number of cancers detected in women taking part in the national breast cancer screening programme. The trial will evaluate multiple AI technologies to assist radiologists in screening mammograms for signs of cancer. It may enable one specialist to complete the process safely, freeing up hundreds of radiologists to tackle waiting lists and rising cancer rates. My message to the research community is clear: research funding remains available, and that funding does not have a ceiling. We know that recent advances in technology and data science create a timely opportunity to accelerate progress. Our investment in research means that the UK is well positioned to lead research on this topic.

    LOBULAR BREAST CANCER: MOON SHOT PROJECT · 2026-07-09 · READ IN HANSARD

  2. The NHS breast screening programme offers all women in England between the ages of 50 and their 71st birthday the opportunity to be screened every three years for breast cancer, to help detect abnormalities and intervene early to reduce the number of lives lost to invasive breast cancer. In addition, some younger women at increased risk of breast cancer because of genetics or their family history are eligible for earlier, more frequent screening, sometimes using MRI rather than mammogram. We are also investing in research to improve the early diagnosis of breast cancer through the early detection using information technology in health, or EDITH, trial, which is backed by £11 million in Government support via the NIHR.

    LOBULAR BREAST CANCER: MOON SHOT PROJECT · 2026-07-09 · READ IN HANSARD

  3. Through more personalised support and better co-ordinated services, we want to ensure that every patient receives high-quality care and support throughout their cancer journey. The ambition of the national cancer plan is clear: to combine the strengths of our NHS, our research community and our life sciences sector so that patients benefit from the very best cancer care. That includes people living with lobular breast cancer who deserve the same progress, hope and opportunity as every other cancer patient. The DHSC was pleased to discuss the issue of NHS breast cancer screening at the petitions debate opened by my hon. Friend the Member for North Ayrshire and Arran (Irene Campbell) last month.

    LOBULAR BREAST CANCER: MOON SHOT PROJECT · 2026-07-09 · READ IN HANSARD

  4. The cancer plan recognises that improving outcomes depends on strengthening research, supporting innovation and bringing together researchers, clinicians, charities, industry and patients to tackle some of the biggest challenges in cancer care. That spirit of collaboration is exactly what we have seen through the Lobular Moon Shot Project. Through continued engagement with campaigners, researchers and patients, we want to support progress towards a better understanding of lobular breast cancer, and ultimately improvements in diagnosis, treatment and outcomes for the women affected by it. More broadly, the plan is about improving not only clinical outcomes, but people’s experience of cancer care.

    LOBULAR BREAST CANCER: MOON SHOT PROJECT · 2026-07-09 · READ IN HANSARD

  5. For breast cancer, that includes a focus on driving screening innovation, including the MammoScreen project, supported by UKRI, which is developing safe, non-invasive, microwave-based imaging for more accurate screening. The Government’s national cancer plan for England, published earlier this year, sets out our ambition to improve cancer outcomes and ensure that by 2035, three in four people diagnosed with cancer survive for five years or more. Research, innovation and earlier diagnosis are central to achieving that ambition. We know that too many women with lobular breast cancer face delays in diagnosis because it can be more difficult to detect. That is why the work being championed by the Lobular Moon Shot Project is so important.

    LOBULAR BREAST CANCER: MOON SHOT PROJECT · 2026-07-09 · READ IN HANSARD

  6. I will absolutely take that suggestion back. I understand my hon. Friend’s point about having a specific call for proposals. I will discuss it with my hon. Friend the Member for Washington and Gateshead South and get back to him. Our approach to funding research is through open and fair competition and peer review to ensure that the highest-quality proposals most likely to deliver real impact for patients are funded without imposing financial targets or limits. We also recognise that international research co-operation is fundamental to driving medical breakthroughs and saving lives. That is why the DHSC participates in and influences the EU cancer mission, which aims to improve the lives of more than 3 million people affected by cancer by 2030 through multi-country research calls and activities.

    LOBULAR BREAST CANCER: MOON SHOT PROJECT · 2026-07-09 · READ IN HANSARD

  7. Improving outcomes for lung cancer and other less survivable cancers will be critical to achieving the Government’s ambitious objective that 75% of people diagnosed with cancer should survive for at least five years. That is why the national cancer plan places a strong focus on earlier diagnosis, reducing inequalities and ensuring that people with less survivable cancers receive the attention and support that they deserve.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  8. For too long, outcomes for lung cancer have lagged behind those for many other cancers. The reason for that is well understood: too many people are diagnosed when their cancer is already at an advanced stage, limiting treatment options and reducing the likelihood of successful outcomes. That is why early diagnosis is absolutely critical. When lung cancer is diagnosed at stage 1, five-year survival is over 60%. By stage 4, it falls to just over 4%. Those figures alone demonstrate why finding lung cancer earlier remains one of the most effective ways of improving survival. The Government fully recognise the importance of this challenge.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  9. We all want to see more lung cancers diagnosed earlier, more lives saved and fewer families affected by the devastating consequences of a late diagnosis. Lung cancer remains one of the greatest cancer challenges that we face. More than 42,000 people were diagnosed with lung cancer in England in 2023, and about 35,000 people lose their life to the disease across the United Kingdom each year. Lung cancer is also one of the cancers most strongly associated with deprivation. People living in the most deprived communities experience higher rates of smoking, a higher incidence of lung cancer and poorer health outcomes. That is why tackling lung cancer is about not only improving cancer survival, but reducing some of the most persistent health inequalities in our society.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  10. It is a real pleasure to serve under your chairmanship, Sir Alec. I congratulate the hon. Member for Wokingham (Clive Jones) on securing this important debate and on his continued and relentless advocacy for people affected by lung cancer. I am grateful to the hon. Member for Strangford (Jim Shannon); to the Liberal Democrat spokesman, the hon. Member for Didcot and Wantage (Olly Glover); and to the shadow Minister, the hon. Member for Hinckley and Bosworth (Dr Evans), for their comprehensive and constructive contributions. I pay tribute to my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson), the lead Minister on this policy area. There is a great deal of consensus across the House on this issue.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  11. Through the national cancer plan, we have committed to ensuring that every eligible person in England receives their first invitation for a check by 2030, helping thousands more people to benefit from earlier diagnosis and improved outcomes. This investment reflects the Government’s confidence in the programme and the evidence supporting it. By 2035, lung cancer screening is expected to diagnose up to 50,000 cancers and identify at least 23,000 cancers at an earlier stage, helping thousands more people to receive potentially lifesaving treatment. This represents one of the most ambitious cancer screening programmes anywhere in the world.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  12. The programme is already demonstrating how earlier diagnosis can transform outcomes. Recent NHS England data shows a significant improvement in early-stage diagnosis in areas participating in the programme. That means more people are being diagnosed when treatment is most effective and when there is the greatest opportunity for curative intervention. The hon. Member for Wokingham and others have spoken about the importance of a truly national programme. I agree that every eligible person should have the opportunity to benefit from lung cancer screening. That is why the Government are committing more than £650 million to complete the roll-out of lung cancer screening across England by 2030.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  13. The programme is designed to identify cancers at an earlier stage among those at highest risk, particularly people aged 55 to 74 with a history of smoking. Smoking remains responsible for about 72% of lung cancers, which is why a targeted approach is both clinically effective and evidence-based. The results so far have been extremely encouraging: more than 1.8 million people have attended a lung health check through the programme, and more than 11,000 people have been diagnosed with lung cancer. Most importantly, 77% of cancers detected through the programme have been diagnosed at stage 1 or stage 2; outside the programme, the equivalent figure is about 30%. That means that thousands of people are receiving a diagnosis earlier, accessing treatment sooner and benefiting from significantly improved prospects for survival.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  14. The hon. Gentleman is absolutely right. There is a lot more work to be done, and it is a priority for the Government: it is right up there in the 10-year plan and the priorities. As he said in his excellent speech, we need to mobilise every one of the shifts—from analogue to digital, from hospital to community and from sickness to prevention—in the battle against cancer, because it is a formidable enemy and we need every single weapon we can deploy to defeat it. We are determined to break the historical pattern of slow progress and finally give people with less survivable cancers the focus, urgency and outcomes that they deserve. That commitment is already being translated into action through the NHS lung cancer screening programme.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  15. Through the continued roll-out of lung cancer screening, investment in diagnostic and treatment capacity, support for research and innovation, and the commitment set out in the national cancer plan, we are taking decisive action to diagnose more cancers earlier, improve survival and reduce the number of lives lost to lung cancer. Once again, I am grateful for the opportunity to set out the Government’s position today.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  16. That is why the Tobacco and Vapes Act 2026 is the biggest public health intervention in a generation, breaking the cycle of addiction and disadvantage and putting us on track towards a smoke-free generation. Over the next 50 years, that smoke-free generation will save tens of thousands of lives and avoid up to 13,000 cases of lung cancer, stroke and heart disease. Although survival rates for lung cancer have improved significantly over recent years, we recognise that there is still much more to do. The Government are determined to ensure that England becomes a world leader in cancer survival, and that patients benefit from earlier diagnosis and better outcomes, regardless of where they live. I again thank the hon. Member for Wokingham for securing this vital debate, and I thank all the Members who have contributed.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  17. Alongside all our efforts to catch and treat cancer earlier, through our 10-year plan for England we have also committed to shift from sickness to prevention. We know that smoking is the leading cause of preventable death in the UK. It claims around 80,000 lives a year, puts huge pressure on our NHS and costs taxpayers billions. It causes one in four of all cancer deaths in England, including from lung cancer, and kills up to two thirds of long-term smokers. It costs health and care services £3 billion a year—resources that could be freed up to deliver millions more appointments, scans and operations. The cost of smoking to our economy is even greater, with £18.6 billion lost in productivity every year and with smokers a third more likely to be off work sick.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  18. Through the continued expansion of diagnostic services, including community diagnostic centres, to which the shadow Minister rightly referred in his speech, we are bringing tests and scans closer to where people live and helping to improve access across the country. Alongside screening, we continue to invest in diagnostic capacity, treatment services, research and innovation. We are exploring pilots for self-referral chest X-rays, which could help to streamline diagnostic pathways and make it easier for people with concerning symptoms to access investigations more quickly. We are also supporting the adoption of innovative technologies that can improve diagnosis, reduce waiting times and help clinicians to identify cancers earlier.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  19. By targeting communities at highest risk first, the programme is helping to reduce long-standing inequalities in cancer outcomes and ensuring that those who are most likely to benefit from earlier diagnosis are reached as a priority. Reducing inequalities is therefore central to our approach. The national cancer plan includes a strong focus on reducing variation in cancer outcomes and ensuring that patients benefit from earlier diagnosis, regardless of where they live, their background or their circumstances. We are also conscious of the concerns that have been raised about access to services in rural and coastal communities.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  20. The shadow Minister is right that promoting and maximising uptake is a crucial indicator of success for the programme. I thank him for giving me the opportunity to take that point away; I will discuss it with my hon. Friend the Member for Washington and Gateshead South, and we will get back to him in writing as soon as possible. Hon. Members have rightly raised the issue of inequalities. We know that lung cancer does not affect all communities equally: it remains one of the cancers most strongly associated with deprivation. People living in the most deprived communities experience significantly higher rates of smoking, a higher incidence of lung cancer and poorer health outcomes, which is why the lung cancer screening programme has prioritised roll-out in areas of greatest need.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  21. I just want to briefly put on the record that I will discuss that with my hon. Friend the Under-Secretary of State and we will write to the hon. Gentleman with an update on the work we are doing across the regional Governments in Wales, Scotland and Northern Ireland.

    NATIONAL LUNG CANCER SCREENING PROGRAMME · 2026-06-25 · READ IN HANSARD

  22. The shadow Minister, the hon. Member for Sleaford and North Hykeham (Dr Johnson)—I hugely respect her expertise as a paediatrician—has said that our decisions could be motivated by “fear and hostility”, but that is not a charge that anyone could level at Dr Cass, who has shown the utmost courage and professionalism from the moment that she was appointed. It was on the strength of her independence and integrity that the previous Conservative Government, of which the hon. Lady was of course a member, accepted her recommendations. One of those recommendations was for a regulated, robustly safeguarded trial. Yesterday, Dr Cass said that she is “absolutely convinced that more children will be harmed if we don’t do the trial than if we do.”

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  23. As the Minister of State for Care, I am, for example, responsible for making sure children at end of life are receiving the right palliative and end-of-life care. And tooth decay, for example, has an appalling effect on children’s wellbeing. When it comes to gender incongruence, I cannot help but think of those children suffering in great distress, who may even be watching our proceedings this evening, and I want them to know that all of us in this Chamber want what is best for them. We might disagree about how we get there, but I do not doubt the sincerity of anyone who has spoken today. Fundamentally, our approach on this side of the House is to be led by the evidence, and on this I pay tribute to Dr Hilary Cass, who has taken on one of the most sensitive and polarising issues of our times with such courage and professionalism.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  24. I would like to start by declaring an interest, because my son Milo, of whom I am extremely proud, is a trans man. I have listened to colleagues very carefully over the course of our proceedings. There have been some truly heartfelt speeches, and this strength of feeling is certainly warranted wherever children are concerned. The Government welcome this scrutiny, and I want to thank Members from all sides of the House for the constructive tone and substance of this debate. I am not the Minister who is responsible for leading on this policy in the Department for Health and Social Care. Nevertheless, I feel a great deal of responsibility for the health and wellbeing of children in our country.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  25. I know that feelings on these matters are strong and heartfelt. If the Conservative party has changed its position and is putting forward its arguments with sincerity and honour, that is a perfectly acceptable position to take, but I simply remind the House of the journey that the party has been on.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  26. A child can participate only with the consent of a parent or guardian and the child’s own consent or assent, and only if they have had a diagnosis of gender incongruence for at least two years; if they are of stable physical and mental health; if they are not subject to any safeguarding concerns; if they and their parents demonstrate sufficient understanding of the nature of the treatment, including its potential advantages and disadvantages; if they have been deemed clinically appropriate by both their NHS care team and the national multidisciplinary team; and if they are already accessing NHS gender services, including participation in a tailored package of psychosocial care.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  27. This is a debate about hormones for suppressing puberty, and is related to the matter that the hon. Lady raises, but it is important that we get the sequencing right. Let us look at the trial and the evidence. That is part of the process of understanding the milestones and the forks in the road faced by children who are experiencing gender incongruence. Let us do this one step at a time. We are proceeding carefully, cautiously and under the mantra that the safety and wellbeing of children are non-negotiable, and with clarity that a robustly scrutinised trial with rigorous safeguards is the only way of establishing a robust evidence base for puberty-suppressing hormones. Many hon. Members have asked about safeguards, so let me remind the House what they are.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  28. That is why she was so clear in recommending a trial to find that clinical evidence, because that is the basis on which we can take those decisions. The information in the data linkage study is much more limited than the detailed information that the research team will be able to collect about the relative benefits and risks of puberty-suppressing hormones. NHS England is, however, committed to delivering the data linkage study and has taken time to ensure that the data is shared by relevant organisations.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  29. We cannot cut corners when it comes to the safety and wellbeing of children, and the safeguards are now in place to guarantee greater monitoring and clinical reassessment, including objective criteria for withdrawing children and young people from the trial entirely. I remind colleagues that the bar to qualify for the trial is extremely high, with only a small number of young people expected to meet the strict criteria. Some other colleagues—I turn now to the point made by the right hon. Member for South Holland and The Deepings (Sir John Hayes)—have queried the need to have a clinical trial when a number of children have already taken puberty blockers and information is already available. However, Dr Cass concluded that there is not enough evidence about the risks and benefits of those medications.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  30. A little later, I will go through all the different work that is going on. This is absolutely not happening in isolation; we are taking into account a range of other studies. Some colleagues have raised the work of the MHRA in strengthening the safeguards for young people involved in the trial. The MHRA has been engaged in a scientific dialogue with the trial sponsors, and it was the outcome of that process that led the MHRA, as an independent body, to publish the updated protocol last week. We welcome the changes, because they show that the MHRA is taking its job seriously and that the system is working as intended.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  31. On one level, this is a specific debate about a specific issue, but when we zoom out, we see that it goes to the heart of what our NHS is about, which is how best to do the greatest possible good for the greatest possible number of people. When we look at this through that basic ethical prism, there can be no doubt that this Government’s position is the right one. A small cohort of vulnerable children are struggling, and it is our job to help them—it really is as simple as that. I therefore urge colleagues to oppose the Opposition’s motion. Question put.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  32. Throughout this process, he has immersed himself in the detail, scrutinised the issue and sought the strongest assurances from his most senior clinical advisers. We have received those assurances and are proceeding on the basis of evidence, not ideology. I end with regret that it appears that the cross-party consensus on Dr Cass’s expert review has been lost, but also with hope that colleagues can get behind Dr Cass’s work again. We will move forward on the basis of taking decisions based on the expertise of clinical and medical professionals, and acting within clearly defined safeguards and robust oversight, including in this House, to provide the best quality of healthcare and support for all children and young people to access what they need.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  33. The new services will increase clinical capacity and reduce waiting times so patients can be seen sooner and closer to home. I can update the House that waiting lists for children and young people’s gender services have come down since this Government took office. As of April, nearly 3,000 fewer children and young people were on the waiting list compared with September 2024. This Government stand by the principle that we will always be led by clinical advice and clinical evidence, but that does not mean we take these decisions lightly, and it does not mean that we are abdicating our responsibilities either. My right hon. Friend the Secretary of State has requested monthly updates on the progress of the trial, including any emerging risks.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  34. For example, Pathways Horizon is an observational study of all children and young people attending NHS children and young people’s specialist gender services. Pathways Connect is a brain imaging study, Pathways Voices will interview young people, and Horizon Intensive is about ensuring that there is a comparison group of 300 participants who are expressing gender incongruence. Furthermore, NHS England has opened three new children and young people’s gender services in the north-west, London and Bristol, with a fourth planned for the east of England this year. I can confirm that the Government aim to have a service in every region of England in the coming years. These services use a different model with multidisciplinary teams, including mental health support and paediatrics, within specialist children’s hospitals to provide holistic care.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  35. As the right hon. Lady will know, a lot of this is about the distress and the tremendous mental health pressure that young people going through gender incongruence feel. Clearly, one of the outcomes that we will look for from the trials is an alleviation and an amelioration of those significant mental health issues and distress. Those are the kind of outcomes we want to see to help some of those young people who often end up in awful situations, leading to self-harm and other terrible situations. Some colleagues have asked about the wider support we are providing for children and young people with gender dysphoria and incongruence. I am pleased that the Pathways study is just one part of the wider work being done to ensure that the support is there.

    PUBERTY BLOCKERS · 2026-06-23 · READ IN HANSARD

  36. In fact, taking the last full year into consideration, we are on track to deliver more than 2.5 million more dental treatments than in the year leading up to the general election.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  37. It is a real pleasure to serve under your chairmanship, Sir Desmond. I thank the hon. Member for Chichester (Jess Brown-Fuller) for securing this important debate and I am delighted to wish her a happy Sussex Day. We may come from different political traditions, but she occupies Gillian Keegan’s former parliamentary seat, and I occupy Gillian’s former office in the Department of Health and Social Care, so we at least have that in common. This is the second debate that I have responded to on dentistry in as many days—I was in the Chamber yesterday, and I am here in Westminster Hall today. That shows what a critical matter this is to our constituents, which is why this Government are taking clear action. On access to NHS dentistry, I point to 1.8 million extra treatments in the first seven months of the last financial year.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  38. The most important thing we can do to end dental deserts is train the next generation of dentists in the relevant areas. We are taking steps to increase the supply of dentists across the country. Earlier this month, I announced the first sustained expansion of dental school places since 2007. Let that sink in for a minute. It is 20 years since we had any increase at all in dental school places, apart from a one-off increase after covid. Backed by £11 million, a total of 50 dental school places per year have been allocated equally to the University of Portsmouth and the University of East Anglia.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  39. The result of that neglect has been people doing DIY dentistry, and the No. 1 reason why children aged five to nine are going to hospital is tooth decay. It is a shocking and Dickensian state of affairs, frankly, and the Government take it very seriously. As I said in the main Chamber yesterday, the solution is not to bring out sticking plasters and press releases, and to tinker around the edges. The sector needs long-term reform, and the Government have laid the groundwork for a recovery that is based on solid foundations, not the sort of gimmicks that we saw under the previous Government. For example, the patient premium cost £126 million and we did not see any increase in new patients. We had to scrap that because it was a waste of time and money.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  40. Member for Chichester, has delivered over 67,200 more NHS dental treatments. That is 11% more treatments between April and October last year compared with the same period before the general election. I hope that answered the question from the hon. Member for Bognor Regis and Littlehampton (Alison Griffiths). While we have made significant progress, I do not downplay for a second the issues faced by the constituents of the hon. Member for Chichester. Whenever I reel off these statistics in a debate or on the morning media round, I can hear people saying, “Okay, you say that, but where is my dentist appointment?” I understand that there are pockets of progress and areas where we are not at all where we need to be. But it is important to be realistic: 14 years of neglect cannot be put right overnight.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  41. I am so delighted that the hon. Lady intervened, as I was about to come to that. We have reduced the underspend—one of the many utterly shocking things I found across my portfolio when we came into office in July 2024 was a £392 million underspend on NHS dentistry. We had an absurd situation where demand for NHS dentistry was going through the roof, but because of utter incompetence, the previous Government were underspending by £392 million. We were hands-on on that. We have the ICBs commissioning; we have micromanaged this. I am delighted to say that we have got the underspend down to just £36 million in 2024-25. That is how we have managed to massively boost the number of treatments. According to the most recent data available, the Sussex integrated care board, which serves the constituency of the hon.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  42. We will be publishing the data on the golden hellos in August, along with all the other data. There is a time lag from the end of the financial year to when we have collated all the data—it takes a few months—so there will be data in August on a number of issues we have discussed today. The challenge of golden hellos is that we run into problems around the contract, incentivising people to do NHS dentistry, and getting people to live and work in certain parts of the country when they might be more attracted to a big city. We are aware of the challenges for coastal areas. On the Portsmouth announcement, I have never driven from Portsmouth to Chichester, but I understand it is about a 20-minute drive, depending on the traffic—

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  43. Yes, but before the hon. Lady intervenes, I will say that I am fully aware that Portsmouth is in Hampshire, so I ask her not to give me a deluge of letters from her constituents.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  44. We clearly need to check our GPS on that one. I understand that there are challenges, but the point is that, for the first time in decades, Chichester has a school in its vicinity that is training dentists who will be within striking distance. Who knows where all the dentists will end up living when they have done the training? But our data suggests a strong correlation and causation between where somebody goes to dental school and where they end up putting down roots and working, living and settling. That is very much our hope for the 25 places that are, for the first time in 20 years, going to the University of Portsmouth, which I was pleased to visit just a few weeks ago.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  45. I will continue to engage closely with dentists, representative bodies and patients to ensure that the reforms we bring forward address long-standing concerns and support the long-term future of NHS dentistry.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  46. Alongside that, we are taking targeted steps to support areas where access is most challenging, including through workforce incentives, new school places and reforms to the exams process for overseas-qualified dentists, which will deliver an additional 2,000 dentists per year by 2028. And we are just getting started: as I have said previously at the Dispatch Box, I remain firmly committed to delivering fundamental reform of the dental contract before the end of this Parliament. However, meaningful reform requires careful consideration. The challenges facing NHS dentistry are complex, and there is no single universally agreed solution or perfect payment model. That is why it is important that we take the time necessary to develop reforms that are effective and sustainable, and that work for patients and the profession.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  47. Lady’s constituency, because we are preventing more painful conditions from spiralling into avoidable hospital admissions. In a nutshell, our 2026 reforms are putting patients first and supporting those with the greatest need while backing our NHS dentists, making the contract more attractive and effective, and giving them the resources to deliver more. The Government remain committed to rebuilding NHS dentistry after years of neglect. We have made a start with reforms to the dental contract that prioritise patients with the greatest need, support better access to urgent care and deliver a better deal for dentists.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  48. Dentists now have the extra incentive to provide urgent care for issues such as severe pain, infections or dental trauma on the NHS. Secondly, from this month, those receiving complex care, such as treatments for severe gum disease or decay in multiple teeth, will be able to schedule a single planned package of treatment and pay one patient charge for it, rather than having several courses of treatment and paying a patient charge for each. That could save people more than £200 per year—money going straight back into the pockets of working people. We are also paying dentists more fairly for this work, to incentivise them. The appointments also mean that we are easing some of the pressures on St Richard’s hospital in the hon.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  49. We are beefing up the soft drinks industry levy to remove more sugar from children’s diets and updating standards so that there is healthier food and drink in schools. This year, we are undertaking vital reforms in dentistry. Two months ago, we embedded urgent dental care into NHS practices, making it easier for patients to get support where they need it most. The problem we heard time and again from the sector was that dentists were not incentivised to undertake NHS work, so we brought forward a package of reforms, from which I will highlight two measures. First, dentists are set to receive higher payments for treating patients who need urgent care, taking the payment for a unit of dental activity from approximately £42 to approximately £75.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD

  50. It will also attract young people from across the country, who may choose to continue their careers, make their homes and put down roots in the area. Similarly, the most important thing we can do for the long-term dental health of the hon. Lady’s constituents is to make the shift from treatment to prevention. In 2024, more than one in 10 children aged five years old in Sussex ICB had experience of tooth decay, despite it being largely preventable. We are backing supervised toothbrushing through a national programme that will reach up to 600,000 children in the most deprived areas of England, backed by £21.5 million. Over £290,000 has been invested across West Sussex, East Sussex and Brighton and Hove, and over 45,000 free toothbrushes and toothpastes have been delivered through our innovative partnership with Colgate-Palmolive.

    ACCESS TO DENTAL SERVICES: WEST SUSSEX · 2026-06-16 · READ IN HANSARD