Ms Nusrat Ghani
MP for Sussex Weald · Conservative · United Kingdom
“Before we come to the urgent question, I must say how disappointing it is that the Government were not forthcoming with a proactive ministerial statement on this matter. The disruption to aviation and the impact on many constituents has been considerable.”
“The point of order and its content are not a matter for the Chair. I have not been notified of any Minister coming forward at this point, but I have only just come into the Chair. If the hon.”
“(3) Regulations under section 14Z45B must provide that, where an out-of-hospital service is to be provided to a patient, the integrated care board must— (a) offer the patient a choice of at least two providers capable of providing the service, which may include NHS bodies and independent sector providers approved to provide that service u…”
“(2) For the purposes of subsection (1), the relevant requirements are— (a) that the special educational provision set out in section F of an EHC plan meets the needs identified by an EHC needs assessment; (b) that ICBs can be required to provide such special educational provision; (c) that ICBs must provide such special educational provis…”
“(3) The Charter must— (a) set out the fundamental principles and responsibilities for assessing whether a data sharing partnership is in the interest of the public and the NHS; (b) include the primary goal of protecting people’s privacy and their data from exploitation, while promoting trust in data systems and the handling of health data…”
“(2) Arrangements under subsection (1) must, so far as reasonably practicable, provide for— (a) general practitioners, dentists, pharmacists and other relevant primary care professionals to work together as part of integrated local primary care teams; (b) the sharing of relevant patient information between those professionals through secur…”
The complete record
Every one of 4,837 lines we hold for Ms Nusrat Ghani, in date order, each linked to its source. Free to read, in full, without an account. Page 1 of 97.
“Before we come to the urgent question, I must say how disappointing it is that the Government were not forthcoming with a proactive ministerial statement on this matter. The disruption to aviation and the impact on many constituents has been considerable. I hope the Minister and the Treasury Front Bench will pass that message on to the Secretary of State.”
“Order. We have many colleagues to get through. I can see that some Members are holding bits of paper with far too many sentences on them—cross them out and ask a question in one sentence. I call Sharon Hodgson.”
“The point of order and its content are not a matter for the Chair. I have not been notified of any Minister coming forward at this point, but I have only just come into the Chair. If the hon. Gentleman needs to seek further advice, there is no doubt that the Speaker’s Office can let him know where he needs to go to further his point of order.”
“Order. Before I ask any other Members to contribute, I need to set the record straight. Government statements are within the gift of the Government. Urgent questions are the result of private and confidential conversations between Members and the Speaker, and whether one will be granted should not be speculated on, inside or outside the Chamber.”
“Order. I will now announce the result of today’s deferred Division on the draft Plant Health, Seeds, Seed Potatoes and Plant Propagating Material (Amendment) (Northern Ireland) Regulations 2026. The Ayes were 371 and the Noes were 100, so the Ayes have it. [The Division list is published at the end of today’s debates.] I call Luke Taylor.”
“Order. I will have to cut people off if they continue asking long questions, and that will ruin their social media shots if that is what they are here for. There are far too many people still wishing to contribute. You are only going to disappoint your own colleagues. Keep your questions short. I call the Foreign Secretary.”
“Order. We have the Health Bill debate later on today, so we are pressed for time. I ask colleagues to keep their questions short and the Minister to be on point.”
“Amendment 46, in schedule 12, page 151, leave out paragraph 98.”
“Amendment 41, page 112, leave out lines 1 and 2 and insert— “23 For section 274A (Secretary of State’s guidance about NHS England data functions) substitute— “274A Secretary of State’s guidance in respect of their data functions (1) The Secretary of State must publish guidance about the exercise of— (a) their relevant data functions, and (b) their other functions in connection with their relevant data functions. (2) Before publishing guidance under this section the Secretary of State must consult any other persons that the Secretary of State considers appropriate in relation to the guidance. (3) The Secretary of State must have regard to the guidance published under this section.”” This amendment would transfer the existing statutory requirement for published guidance about data functions from NHS England to the Secretary of State.”
“(8) In this Chapter “health care” includes all forms of health care whether relating to physical or mental health and also includes procedures that are similar to forms of medical or surgical care but are not provided in connection with a medical condition.”” This amendment would enable the Care Quality Commission and NICE to continue to make mandatory requests to the Secretary of State to establish an information system, following the transfer of NHS England’s functions. Amendment 14, page 110, line 37, leave out paragraph 14. This amendment is consequential on Amendment 13.”
“(6) In deciding whether to comply with the request, the Secretary of State— (a) must, in particular, consider whether doing so would interfere to an unreasonable extent with the exercise by the Secretary of State of any of its functions, and (b) may take into account the extent to which the principal body or other person making the request has had regard to— (i) the code of practice prepared and published by the Secretary of State under section 263, and (ii) advice or guidance given by the Secretary of State under section 265. (7) In this section “principal body” means— (a) the Care Quality Commission, (b) the National Institute for Health and Care Excellence, and (c) such other persons as may be prescribed in regulations.”
“(4) For the purposes of this Chapter a request under subsection (1) is a mandatory request if— (a) it is made by a principal body, and (b) the body considers that the information which could be obtained by complying with the request is information which it is necessary or expedient for the body to have in relation to its discharge of a duty in connection with the provision of health services or of adult social care in England. (5) Subsection (6) applies where the Secretary of State has discretion under this section as to whether to comply with— (a) a mandatory request, or (b) other request under subsection (1).”
“(2) A request may be made under subsection (1) by a person only if the person considers that the information which could be obtained by complying with the request is information which it is necessary or expedient for the person to have in relation to the person's exercise of functions, or carrying out of activities, in connection with the provision of health care or adult social care. (3) The Secretary of State must comply with a mandatory request unless the Secretary of State considers that the request relates to information of a description prescribed in regulations.”
“(7) Before making regulations under this section, the Secretary of State must consult such persons as the Secretary of State considers appropriate, including representatives of general practice, hospitals, community services and patients.”” This amendment would require interoperable NHS digital systems to improve information sharing, reduce duplication and support continuity of care. Amendment 13, page 106, leave out lines 34 and 35 and insert— “For section 255 (power to request NHS England to establish information systems), substitute— “255 Powers to request the Secretary of State to establish information systems (1) Any person (including a devolved authority) may request the Secretary of State to establish and operate a system for the collection or analysis of information of a description specified in the request.”
“(5) The Secretary of State must ensure that the arrangements under this section are designed to— (a) reduce duplication, (b) reduce unnecessary administrative work, (c) improve continuity of care, (d) reduce avoidable delays in diagnosis, treatment and referral, and (e) enable clinicians to access relevant information securely when providing care. (6) Regulations under this section must include appropriate requirements relating to information governance, cyber security, patient confidentiality and the lawful processing of personal data.”
“(2) Regulations under subsection (1) must apply, so far as appropriate, to— (a) providers of primary medical services, (b) providers of primary dental services, (c) providers of pharmaceutical services, (d) NHS trusts, (e) NHS foundation trusts, and (f) providers of community health services. (3) The regulations must provide for the secure exchange of relevant patient information between providers using interoperable systems. (4) The regulations must include provision for electronic prescribing across NHS care settings where prescribing is clinically appropriate.”
“Amendment 16, page 88, line 19, at end insert— “(1A) The function under sub-paragraph (1) must be exercised by a person employed in the civil service of the State, and a Minister of the Crown or a special adviser must not be involved in any decision relating to such an appointment, suspension or removal.” This amendment would ensure that civil servants are responsible for the decision making and appointment processes for trust and ICB leaders, rather than Ministers or Special Advisers. Amendment 54, in schedule 8, page 106, line 33, at end insert— “5A After section 254 insert— “254A Interoperability of health and social care information systems (1) The Secretary of State must make regulations requiring providers of NHS health services to use interoperable digital information systems.”
“(3G) The Secretary of State must review the operation of the remuneration arrangements periodically and make such changes as are necessary to ensure that the matters in subsections (3D) to (3F) continue to be reflected.” This amendment would require pharmacy funding to reflect the additional costs of providing services in rural and sparsely populated areas. Government amendments 70 and 71. Amendment 85, in schedule 3, page 86, line 14, leave out paragraphs 5 to 8. This amendment would retain the requirement for NHS Foundation Trusts to have a Council of Governors. Amendment 86, page 86, line 30, leave out paragraph 14. This amendment would retain the requirement for NHS Foundation Trusts to have a Council of Governors.”
“(3E) In making provision under subsection (3D), the determining authority must have regard to— (a) rurality, (b) the age profile of the population, (c) transport and distribution costs, (d) seasonal changes in demand, (e) difficulties in recruiting and retaining staff, and (f) the loss of economies of scale arising from sparsely populated communities. (3F) The remuneration arrangements must be designed to support the financial sustainability of pharmacies providing essential NHS services in rural and sparsely populated areas.”
“(5) Before exercising a power under subsection (2), the board must, except in an emergency, give the provider a reasonable opportunity to make representations. (6) Nothing in this section prevents an integrated care board from taking immediate action where delay would materially risk patient safety or continuity of medicines supply.”” This amendment would give integrated care boards powers to intervene where a pharmacy provider is failing to provide their required services to protect patients and medicines supply. Amendment 57, page 72, line 40, at end insert— “(3D) Regulations made under subsection (1) must ensure that the remuneration arrangements for pharmaceutical services take account of the costs of providing those services in rural and sparsely populated areas.”
“(2) Where the board considers that emergency intervention is required, it may— (a) require the provider to take specified remedial action, (b) suspend specified arrangements, (c) terminate arrangements with the provider, (d) make arrangements with another provider for the provision of pharmaceutical services, or (e) take any combination of the steps in paragraphs (a) to (d). (3) The powers in subsection (2) must be exercised with regard to the need to maintain continuity of medicines supply and protect patients from avoidable disruption. (4) An integrated care board must not continue arrangements with a provider where it is satisfied that the provider is demonstrably unfit to provide pharmaceutical services safely and effectively.”
“(4) The Secretary of State must every three years review and by regulations amend the factors mentioned in subsection (2).”” This amendment would require dental funding to properly take account of rurality, local need, travel costs, workforce challenges and other factors alongside deprivation. Amendment 56, page 64, line 34, at end insert— “45A After section 133 insert— “133A Emergency intervention in pharmaceutical services (1) Where an integrated care board considers that a person providing pharmaceutical services is failing, or is likely to fail, materially to comply with— (a) a contractual obligation, (b) a patient-safety requirement, or (c) a workforce obligation, the board must consider whether emergency intervention is required to protect patients or continuity of pharmaceutical services.”
“(2) In making provision under subsection (1), the Secretary of State must have proper regard, in particular, to— (a) the rurality of the area, (b) the age profile of the population, (c) the population who have disabilities, (d) local transport and travel costs, (e) seasonal changes in demand for services, (f) difficulties in recruiting and retaining dental professionals, and (g) the loss of economies of scale arising from sparsely populated communities. (3) Provision made under section 103 must proportionately weight other measures alongside deprivation when determining the level of NHS dental funding required in an area.”
“(5) In making arrangements under this section, the Secretary of State must have particular regard to people who face barriers to travelling to dental services, including older people, people with disabilities, vulnerable people and schoolchildren.” This amendment would require dental funding to reflect local unmet need and redirect unused funding towards improving access. Amendment 49, page 60, line 22, after paragraph 18 insert— “18A After section 103 insert— “103A Rural and local-need factors in NHS dental funding (1) Directions made under section 103 must provide for NHS dental funding arrangements to take account of local need.”
“(2) Where funding allocated for primary dental services in a financial year is not used for the purpose for which it was allocated, the Secretary of State must ensure that, so far as reasonably practicable, that funding is redirected to measures designed to increase access to NHS dental services. (3) Measures under subsection (2) may include— (a) additional NHS dental capacity, (b) additional NHS dental appointments, (c) measures to reduce waiting times, (d) outreach dentistry, (e) domiciliary dental services, and (f) dental services provided in or in connection with schools. (4) The arrangements must include mechanisms to ensure that funding allocated for the purpose of increasing access results, so far as is reasonably practicable, in additional NHS dental capacity, appointments or reduced waiting times.”
“(9) In this section “dental training hub” means a facility or network of facilities at which dental education, supervised clinical training and NHS dental service provision are integrated.” This amendment would establish dental training hubs in areas of unmet need, including Dorset and west Dorset, to expand training, improve NHS dental access and strengthen the workforce. Amendment 48, page 60, line 6, at end insert— “99C Allocation of NHS dental funding according to unmet need (1) The Secretary of State must make arrangements to ensure that NHS dental funding is allocated according to local unmet need.”
“(6) Treatment provided by a student under subsection (5) must— (a) be NHS treatment carried out on an NHS patient, (b) be provided under the supervision of a suitably qualified dental professional, and (c) be free at the point of use to the patient where the supervising provider is receiving, or is entitled to receive, the relevant NHS tariff or other NHS payment in respect of that treatment. (7) A dental training hub must provide, or participate in, structured pathways into dental apprenticeships and other appropriate employment-based dental training. (8) Arrangements under this section must include measures to support retention of dental professionals trained through the hubs to meet future workforce commitments.”
“(3) In exercising the duty under subsection (1), the Secretary of State must work with— (a) universities and other providers of approved dental education and training, (b) local authorities, and (c) integrated care boards and other NHS bodies. (4) The purpose of dental training hubs is to— (a) increase the capacity for dental education and training, (b) increase the availability of NHS dental services in areas of unmet need, (c) strengthen the recruitment and retention of the dental workforce, and (d) support the development of the long-term dental workforce. (5) Arrangements under this section must provide for students in the final year of an approved course of dental education to provide NHS dental treatment under appropriate supervision.”
“(3) The Secretary of State must ensure that the funding arrangements under this section are reviewed periodically and amended where necessary to reflect changes in the costs of providing services in rural and coastal areas.”” This amendment would require GP funding to reflect the additional costs of providing services in rural and coastal areas. Amendment 47, page 60, line 6, at end insert— “99C Dental training hubs (1) The Secretary of State must make arrangements for the establishment and support of dental training hubs in areas where there is an unmet need for NHS dental services. (2) The arrangements under subsection (1) must include provision for dental training hubs in Dorset, including provision in west Dorset.”
“Amendment 51, page 57, line 26, at end insert— “5A After section 87 insert— “87A Rural and coastal general practice funding (1) Arrangements for payments under general medical services contracts must take account of the additional costs of delivering primary medical services in rural and coastal communities. (2) The factors to which arrangements under subsection (1) must have regard include— (a) rurality, (b) the age profile of the population, (c) transport and travel costs, (d) seasonal changes in demand, (e) difficulties in recruiting and retaining staff, and (f) the loss of economies of scale arising from sparsely populated communities.”
“(2) In exercising functions under this section, the Secretary of State must have regard to the role of general practice in— (a) preventing illness, (b) managing long-term conditions, (c) providing care in the community, and (d) reducing avoidable hospital admissions. (3) Arrangements for funding general practice must have regard to the volume, complexity and value of care delivered through general practice. (4) The Secretary of State must publish, for each financial year, a statement setting out how the arrangements for payments under general medical services contracts are intended to support the matters in subsections (1) to (3).”” This amendment would require sustained investment in general practice reflecting the volume, complexity and value of care provided.”
“(4) The arrangements must be designed to ensure that a viable provider of primary medical services is not prevented from carrying out essential improvements because of insufficient access to capital funding. (5) In this section “premises” includes premises owned, leased or otherwise occupied for the provision of primary medical services.” This amendment would establish a capital funding programme to improve and modernise primary care and General Practice premises. Amendment 50, page 57, line 26, at end insert— “5A after section 87 insert— “87A Sustainable funding for general practice (1) The Secretary of State must ensure that arrangements for payments under general medical services contracts provide for sustained investment in general practice.”
“Amendment 52, in schedule 1, page 57, line 15, at end insert— “83B Primary care estate investment programme (1) The Secretary of State must establish and maintain a programme for providing capital funding for the improvement and modernisation of premises used for the provision of primary medical services. (2) The programme must prioritise practices where premises— (a) are no longer fit for purpose, (b) require substantial repair, adaptation or modernisation, or (c) otherwise materially restrict the provision of safe, accessible or effective primary medical services. (3) The Secretary of State must ensure that the process for applying for and accessing capital funding under this section is proportionate and does not impose unnecessary administrative burdens.”
“(6B) In preparing regulations under this section, the Secretary of State must secure the participation of disabled people, including blind and partially sighted people, and organisations representing them, in the design, development, testing and review of the system.” This amendment seeks to ensure that the Single Patient Record supports the communication, information and reasonable adjustment needs of blind and partially sighted people and other disabled patients by embedding existing NHS accessibility standards within the system. It also requires disabled people and their representative organisations to be involved in the design, development, testing and ongoing review of the Single Patient Record to ensure accessibility is embedded from the outset.”
“Amendment 87, page 36, line 32, after subsection (6) insert— “(6A) Regulations under this section must make provision to ensure that the system— (a) complies with the Accessible Information Standard, DAPB1605, or any standard which replaces it; (b) uses and is interoperable with the Reasonable Adjustment Digital Flag, DAPB4019, or any system or standard which replaces it; (c) enables patients’ communication, information and reasonable adjustment needs to be identified, recorded, flagged, shared, met and reviewed without avoidable repetition by the patient; and (d) enables patients to receive and access information relating to their care in formats appropriate to their communication and accessibility needs.”
“(6C) In preparing a risk assessment under subsection (6A) the Secretary of State must have particular regard for— (a) those without access to a suitable electronic device, (b) those without access to suitable broadband connectivity, (c) those with physical and/or mental disabilities, (d) those belonging to groups considered socially excluded, and (e) those considered lacking digital skills. (6D) The Secretary of State must lay a copy of the risk assessment under subsection (6A) before both Houses of Parliament.” This amendment would require the Secretary of State to prepare and publish a risk assessment on the potential for digital exclusion under the establishment of single patient record.”
“(4C) The Outline Plan must be published at least three months before any regulations under this section are laid.” Amendment 22, page 36, line 32, at end insert— “(6A) Before making regulations under this section, the Secretary of State must prepare and publish a risk assessment on the potential for digital exclusion under the establishment of a single patient record. (6B) In preparing a risk assessment under subsection (6A) the Secretary of State must consult all stakeholders the Secretary of State considers relevant, including patient representation groups.”
“(4B) The Outline Plan under subsection (4A) must set out, as a minimum— (a) the intended high-level design and scope of the single patient record, including the core data categories expected to be included and the principal care settings to be connected in the first phase; (b) the proposed technical and architectural approach, including how existing source systems will be linked rather than replaced; (c) the proposed timetable and phased rollout plan, including priority pathways; (d) the intended access model for patients, clinicians and other relevant care professionals, including arrangements for proxy access and digital inclusion; (e) the key safeguards for privacy, security, audit and prevention of inappropriate access; and (f) the proposed approach to public engagement and awareness before the system becomes operational.”
“Amendment 88, page 36, line 26, at end insert— “(4A) Regulations may not be made under this section unless the Secretary of State has first published and laid before both Houses of Parliament a Single Patient Record Outline Plan.”
“(3B) The regulations must include a requirement for the Secretary of State to prepare and publish a report on the potential merits of making prior membership in the armed forces visible on the single patient record. (3C) A report under subsection (3B) must consider— (a) the ability of veterans to access the necessary NHS support, and (b) the ability of medical staff to provide former members of the armed forces with appropriate care.” This amendment would require prior membership in the armed forces to be visible to all relevant healthcare workers under the establishment of a single patient record and require the Secretary of State to publish a report on making prior membership in the armed forces visible on the single patient record.”
“(3B) The regulations must include a requirement for the Secretary of State to prepare and publish a report on the potential merits of introducing a statutory requirement for mandatory medical markers for firearms licence holders to be used by those relevant in providing patient care.” This amendment would require medical markers for firearms licence holders to be visible to all relevant health workers under the establishment of a single patient record. Amendment 24, page 36, line 23, at end insert— “(3A) The regulations must make provision for prior membership in the armed forces to be visible to all relevant healthcare workers under the establishment of a single patient record.”
“Amendment 35, page 36, line 21, at end insert— “The regulations must make provision for patient information to be readily available to providers of palliative and end-of-life care including voluntary sector providers.” This amendment would ensure the single patient record is available to all palliative and end of life care providers. Amendment 23, page 36, line 23, at end insert— “(3A) The regulations must make provision for medical markers for firearms licence holders to be visible to all relevant health workers under the establishment of a single patient record.”
“Amendment 43, page 36, line 11, leave out “including” and insert “solely for the purposes of” This amendment would ensure that regulations requiring or authorising the making available of patient information through the single patient record system can only make provision in respect of the circumstances set out in the Bill. Amendment 15, page 36, line 13, after “behalf” insert “, including nominated carers” This amendment makes it explicit that nominated carers can access the single patient record on behalf of those they care for. Amendment 27, page 36, line 21, leave out lines 21 to 23.”
“Amendment 105, page 36, line 8, at end insert— “(ba) enabling a patient, following diagnosis of a health condition, to consent to the sharing of such information as is necessary for the purpose of enabling the organisation to offer or provide condition-specific support to the patient with an approved voluntary, community or charitable organisation providing condition-specific support services; (bb) facilitating referral, where consent has been provided, to such an organisation under subsection (ba);” This amendment would ensure that regulations establishing the Single Patient Record may include provision enabling patients, following diagnosis, to consent to referral and information sharing with approved voluntary, community and charitable organisations providing condition-specific support services.”
“This amendment is consequential on Amendment 17 and would enable the Secretary of State to implement financial penalties if an integrated care board fails to comply with a direction to increase spending on primary care services in line with the growth in their total programme (healthcare) funding. Amendment 26, in clause 51, page 35, line 38, after “available” insert “for the purpose of delivering or improving patient health or social care”. Amendment 42, page 36, line 1, leave out “health” and insert “direct patient”. This amendment clarifies that the Secretary of State’s regulation-making powers in respect of the single patient record are limited to the provision of direct patient care and social care.”
“(2B) The increase in spending set out in subsection (2B) must be in line with the change in level of their total programme funding.” This amendment would introduce the primary care Investment standard, requiring integrated care boards to increase spending on primary care services at least in line with the growth in their total programme (healthcare) funding. Amendment 11, page 32, line 34, after “subsection (1)” insert “and (2A)”. This amendment is consequential on Amendment 10 and would enable the Secretary of State to implement financial penalties if an integrated care board fails to comply with a direction to increase spending on mental health services in line with the growth in their total programme (healthcare) funding. Amendment 18, in clause 47, page 32, line 34, after “subsection (1)” insert “and (2A) and (2B)”.”
“Amendment 10, page 32, line 30, at end insert— “(2A) The Secretary of State must give integrated care boards directions to increase spending on mental health services at least in line with the change in level of their total programme funding.” This amendment would place the original mental health investment standard on a statutory footing, requiring integrated care boards to increase spending on mental health services at least in line with the growth in their total programme (healthcare) funding. Amendment 17, page 32, line 30, at end insert— “(2A) The Secretary of State must give integrated care boards directions to increase spending on Primary Care services.”
“(4C) The Secretary of State must ensure that the methodology used in determining allotments does not rely predominantly on measures of deprivation where those measures fail adequately to reflect the costs or unmet need as set out in subsection (4B). (4D) The Secretary of State must publish the methodology used in determining allotments under this section and must review that methodology at intervals of not more than five years.” This amendment would require ICB funding allocations to reflect the additional costs and unmet health needs of rural and coastal communities.”
“Amendment 59, in clause 47, page 32, line 15, after subsection (4) insert— “(4A) In determining the amount to be allotted to an integrated care board under subsection (1), the Secretary of State must have regard to the additional costs of providing health services in rural and coastal communities. (4B) The matters to which the Secretary of State must have regard under subsection (4A) include— (a) rurality, (b) population age, (c) transport and travel costs, (d) seasonal changes in demand, (e) recruitment and retention difficulties, (f) the loss of economies of scale arising from sparsely populated communities, and (g) unmet need for primary medical, dental and pharmaceutical services.”
“(10) The purpose of assistance and support under this section is to enable the new provider to secure supplies of medicines and other pharmaceutical products as quickly as reasonably practicable and to minimise any interruption in the provision of pharmaceutical services.” This amendment would require the Government and integrated care boards to support new and independent pharmacy owners taking over failing, closed or disrupted pharmacies, including by helping them establish relationships with pharmaceutical manufacturers and suppliers so that they can secure medicines and other supplies quickly and maintain continuity of service.”