Rachael Maskell
MP for York Central · Labour (Co-op) · United Kingdom
“I welcome today’s statement and I welcome the Secretary of State to her place. York hospital was heralded as a cheap build, but we are paying a heavy price today. We know that heat in that hospital will have an impact on clinical outcomes as well as on staffing.”
“The conflict is moving beyond traditional warfare; we are now seeing extensive drone use, mercenaries being brought from Colombia, and the exchange of money too. We also know that Russia has its own interests in weapons and gold. We must look at the minimal interest in Sudan and the developments in Port Sudan at this time.”
“When we think about the fact that 33.7 million of the Sudanese population are in need of humanitarian assistance, 13 million have been displaced, 19.5 million are at levels of food insecurity and need urgent attention, and there are 8 million children who are not in the safety of school every day, getting their education, which will fuel…”
“Will the Minister tell us what progress has been made in that area, how that money has been spent and its impact to date? As we see increasing brutalisation in war, we have to focus even more on how we use international law to hold actors to account, and on the pace of that process, because it takes forever and a day to bring people to ac…”
“In the assault on El Fasher in particular, we saw the systematic raping of women, the burning of people and places, and the escalation in the next chapter of the civil war that has raged since April 2023.”
“It is a pleasure to see you in the Chair, Dr Allin-Khan. I congratulate my hon. Friend the Member for Gillingham and Rainham (Naushabah Khan) on securing such an important debate.”
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“I have talked extensively to the professional bodies and clinicians, and I have read the academic evidence. In drawing on best practice, this amendment would provide such safeguards and ensure that the patient is at the heart of the process. Members will know from the evidence given to the Bill Committee that the initial assessment is the most important part of the process, and clinicians and professional bodies do not understand why psychiatrists and social workers are being placed in a quasi-judicial role, rather than being used for their clinical and social expertise. The process makes the wrong assumptions. Without the amendments, there is a predication towards an assisted death, rather than the Bill recognising the insecure position that someone with a terminal illness finds themselves in and the safeguards that are required.”
“I rise to speak to amendments 26, 45 and 46, which stand in my name and the names of other Members. I am grateful for their support. On amendment 26, hospice care is not a formulation of care, but a clinical setting where palliative care is delivered, so I trust that the House will accept my amendment in the interests of accuracy. On amendment 45 and consequential amendment 46, the literature points to complex clinical decision making—which the subject of the Bill is—being safer if it happens in the context of multidisciplinary teams, as was advocated for by the professional bodies at the very start of the process. Such a context screens out unconscious bias and provides for clinical accountability with robust interdependency. It demands a deliberative process and it safeguards clinicians and patients with more secure outcomes.”
“We reported that excellence in end-of-life provision is achievable, but that too many people are not getting access to it. Without that, I fear that the Bill only leads the patient down one route—to die. This is not a choice at all, but a path to an assisted death.”
“Likewise, the president of the Association for Palliative Medicine, Dr Sarah Cox, said: “We know that effective palliative care can change a terminally ill person’s point of view from wanting to die to wanting to live.” –– [ Official Report, Terminally Ill Adults (End of Life) Public Bill Committee, 28 January 2025; c. 70, Q84.] That is evidence. It is a point I have heard from all leaders on the Commission on Palliative and End-of-Life Care. These are the specialists who know how to palliate the physical, psychological, social and spiritual problems of a patient, and they have techniques that many people have not had access to, because of poor provision. The palliative care commission reported on Tuesday and I urge hon. Members to read its evidence-rich report, which draws on best practice.”
“Depression, anxiety and fear are natural responses to trauma, but they can be treated with the right interventions, if detected at the point that somebody expresses a wish to die, and a person can have a wish to live. The travesty of getting it wrong is unconscionable. There would be a palliative care consultant who is registered on the GMC’s specialist register. They would understand the actions that could alleviate someone’s suffering. Evidence to the Bill Committee from Sue Ryder showed how poor provision led to someone considering an assisted death.”
“As with other aspects of the Bill, poor care, poor pain management and poor symptom control—or the fear thereof—are reasons why people seek to end their life. That can be palliated. Colleagues must recognise the paucity of mental health provision given to somebody when they receive a terminal diagnosis. Often there is no psychological aftercare. People are failed, but that should not be a reason to die. I ask for a panel, which would include a social worker, to assess the psychological needs of a patient. They are experts in detecting coercion, whether intrinsic or extrinsic, and understanding people at their most vulnerable with a fusion of complex emotions, anxiety and fear. Solutions can be found by them. There would also be a psychiatrist.”
“I will not. Dr Lade Smith, the president of the Royal College of Psychiatrists, could not have been clearer, and academic research says the same: when someone is in receipt of a terminal diagnosis, there is frequently an episode of depressive disorder. Dr Price said in evidence: “Those who had a wish to hasten death were 18 times more likely to also feel suicidal”. –– [ Official Report, Terminally Ill Adults (End of Life) Bill Public Bill Committee, 30 January 2025; c. 275, Q359.] They say that mental disorders are treatable. The spike in suicidal ideation and action is highest in the first few months following terminal diagnosis and then dissipates with time or intervention. Again, that is evidenced. People change their mind and no longer want to die.”
“Will he look again at those frameworks to ensure that there is equality, so that we can use sanctions effectively and the world understands where this country is coming from?”
“Given that sanctions provide crucial leverage and deprive individuals and regimes of power and resources, it is vital that they are applied equally. When we see the effect that sanctions have had on Putin’s Russia, we question why the Government have not brought equality against the Israeli regime, whose treatment of the Palestinians is pushing people into starvation and famine and ultimately bringing 2.1 million people to their deaths. In light of Israel’s actions, we need equality, and while I understand that the Minister will not make pronouncements from the Dispatch Box today, could he set out how he formulates the evidence by which the thresholds are reached for sanctions to be applied?”
“Friend believe can be taken so the House can be supplied with the full evidence base it needs to make informed choices, not least because policies such as pathways to work will place many people at serious risk, including serious risk to their lives?”
“First, I pay tribute to the work of my hon. Friend. She has been a persistent champion of safeguarding vulnerable people in the system, and this report really emphasises that. I was surprised that the Committee did not recommend the removal of conditionality, because that is a serious lead into harm for so many people. In anticipation of the pathways to work legislation coming before this House, I think the report makes very sobering reading and raises serious concerns about safeguarding and the accountability of that safeguarding. I would pick out the recommendation about the chief medical adviser’s assessments. Currently, that is private advice to Ministers. What steps does my hon.”
“UK manufacturers of F-35 components can place GPS markers on every single component, and the UK Government can ensure that every component that is exported has a GPS marker on it, so what is the Government’s excuse for continuing with their programme on F-35s when they can distinguish the destination of every single component?”
“I would be interested to hear from the Secretary of State about what assessments she has made of the impact on public services, particularly adult social care, of the move to change personal independence payments. In my local authority, the director has said to me that she is deeply concerned about the additional costs and about moving people into dependency, as their independence is removed. Can the Secretary of State set out what assessment has been made and provide figures to demonstrate that?”
“I am proud to represent this country’s only human rights city, where everybody is welcome and every life is of equal worth. Our economy depends very much on our universities, and our universities depend on international students—in fact, employers come to our country because of the diversity of our students. Will the Home Secretary properly consult the higher education sector—the second biggest export from my constituency is higher education—to ensure that we do not harm our local economy and the opportunities for both international and home students?”
“Let us vow to stop such pernicious cuts and rewrite the story with the voices, experiences and hope of disabled people. Even if tech, task, time and place can be accommodated, work is not always the answer. We do not even have the diagnosis, understanding of the evidence, or answers from Charlie Mayfield’s report. I will vote against these cuts because I am Labour and because disabled people matter.”
“Everything is hard in body or in mind. People face the barriers, pain, dejection and not being believed—even when they are, assumptions are made on which only lived experience can speak. They face the effort to live, to just get up and face the day and to prove that their experiences are real, and they face the costs. After 14 years of battling, here we are, with “Pathways to Work”, taking away money, agency, dignity, independence and the essence of life itself. I fear, like many do, that people will take their lives, once again crushed by a system that fails to believe and points the finger rather than offering the hand, turning hope to despair. Poverty, dependency and harm—if not physical, most definitely psychological—await. Colleagues, we are better than this.”
“It was sobering yesterday listening to Dr Mustafa, the Prime Minister of the Palestinian Authority, not least as he stressed the UK Government’s leadership role and the importance of the recognition of the state of Palestine. Bearing in mind that leadership role and the fact that 147 jurisdictions already recognise that state, will the Minister explain to the House today the reasons for the impediment to that recognition? It is really important that we hear that, because we are here to hold the Government to account.”
“Over half of UK universities, including the University of York, are again consulting on academic and staff redundancies. In line with the University and College Union’s “Stop the Cuts” week of action, does the Minister agree that we need an urgent review into higher education funding and visa arrangements for international students and their dependants, and that we need to protect students from poverty, to safeguard our world-class universities and, ultimately, drive research, innovation and their economic output?”
“The Government were right to co-ordinate this conference as a first step on the path to peace. It is obviously disappointing that it was not possible to establish a contact group at the end of the conference, but I know the Minister will be working hard to progress bilateral talks, not least with the external actors in this conflict such as the UAE and Egypt. I want to put the spotlight on women and girls in this conflict, who are experiencing high levels of sexual violence. What discussions were there on the protection of women and girls, and on the further steps that could be taken both to ensure the safety of those experiencing trauma today because of their experiences and to protect women and girls in the future?”
“Tomorrow, we would have been debating the Terminally Ill Adults (End of Life) Bill. However, we have not seen the impact assessment, which I understand has been prepared but not published. Many of us have serious concerns about the safety of the legislation. Significant advance notice of what is in the impact assessment is really important for us, so that we can scrutinise it. Will the Leader of the House say when the impact assessment will be published? Now that it has been prepared, will she ensure that we can see it immediately, and that it is not withheld?”
“I ask the Minister to review that, and to encourage simple measures—as Chris Boardman says, we should use paint and plastic before the hard-wired infrastructure.”
“To incentivise walking, wheeling and cycling, and to form habits, we need to invest in capital and revenue infrastructure, skills development and, above all, ambition—not least because half the number of girls as boys travel to school by bike. With Active Travel England in the heart of my constituency, I recognise the importance of that. We need to ensure there is safe space around schools, as we have heard; that we slow traffic, as with Acomb primary school and Acomb Road; and that we stop the chaos outside schools, as with Our Lady Queen of Martyrs school on Hamilton Drive. We also need to ensure that school travel plans are active in driving the ambition that every family should be engaged in active travel.”
“As we invest in Him, we invest in ourselves, and have such certainty that the hope in this broken world, including for those who are persecuted, will never be destroyed and can only be found in Him.”
“There is such little hope in politics, on our streets or across the world. Yet the sermon went on to say: “and then there was Jesus”. That spins logic, and everything else, on its head. The Red sea opened. There was resurrection Sunday. For all of us who put our trust in Christ, we know that there is eternal hope. It is with that hope that we see the most incredible witness of those who are persecuted. Their hope and their unfathomable joy reminds us all that no regime can suppress the cast-iron security that the Easter message brings. Such hope could not hold Jesus in a grave. It enables persecuted Christians, and all of us, to know that no matter what we face, Jesus is always with us and always will be.”
“We think, of course, of the suppression of the Church and its leaders in China, and of the public denial of the sacraments to Jimmy Lai. It is so important that we review our policy. We said when we left the EU that we would put human rights at the heart of our trade agreements, but we have work to do to achieve that. This week, I was listening to a sermon ahead of Easter, which reminded me of persecuted Christians around the world. It talked about coming to the end of the road, where there is no hope, as the Israelites came to the Red sea and the disciples came to the cross. It marked so much as the end. In a nation and world in chaos and crisis, it is hard to find hope. For many persecuted Christians, who are imprisoned and tortured or living in fear, it is hard to find hope.”
“One is covered by the Home Office—ensuring that we have safe and legal routes for people who experience persecution to come to the UK. We talk about such routes, but the reality is so different, and because I represent a human rights city, that is a vital point. The second area is covered by the Foreign Office. ODA has an incredible impact, ensuring more security and greater resilience, and it is so important that we return to 0.7%. Even in a world where our global economy is so disrupted, we must find space to restore ODA to 0.7%. Thirdly, on trade, I think about China, as I always do. It is 15th on the Open Doors world watchlist, yet we have just signed a trade agreement with it. How much emphasis was put on the need for freedom of religion and belief in China alongside the ink that marked that agreement?”
“The Open Doors world watchlist, Aid to the Church in Need, overseas organisations and charities, among many, expose the deep scale of persecution on the basis of faith. Most conflicts and war crimes are also associated with faith, and we know that about 380 million Christians across our planet are killed or experience high levels of persecution because of their faith. We see suppression and imprisonment of people, and the destruction of churches. If there is not such sexual or physical violence against Christians in the west, persecution can often show itself as psychological or spiritual suppression of the all too few who dare to speak the name of Jesus freely—even in a place like the UK, where there are no bounds but people still dare not speak his name. There are three policy areas that I will touch on briefly.”
“It is a pleasure to see you in the Chair, Ms Butler. As we prepare ourselves for Easter, it is right that we turn our eyes to those persecuted around the world for following Christ, so I pay tribute to my hon. Friend the Member for Newport West and Islwyn (Ruth Jones). It has been poignant and humbling to listen to the speeches by Members today, as it is sobering and challenging to read the reports of those who share the same faith as me but whose experiences are so different. Today, around a third of the population, and growing, share the Christian faith in the far reaches of the world, but for many their experiences are so different. As we ruminate over the census of decline here in the UK, we see the persecution of Christians around the world, and the sharp intolerance and violence that their faith often draws.”
“The hon. Member is making a powerful speech. I have steered the palliative care commission for the past six months, and the one thing that has become crystal clear in our minds is that the fundamental funding model is completely broken; it is not fit for purpose. Furthermore, we need more integration in the system. Hospices are involved in part of people’s care; they do not provide the entirety of their care. Does she believe that the findings of the commission need to steer the future funding of the hospice sector?”
“We have to recognise that the hospice sector is in quite a difficult place financially. However, if there is good advance care planning, money currently spent in secondary care could be invested in the hospice sector and in more community provision. Surely that must be a first step that would not only get better clinical outcomes but be better for the whole of the palliative care pathway.”
“A suggestion to the Minister would be to integrate the staff working in hospices into the NHS payroll. It would be that simple to exempt them from those national insurance increases.”
“The Belfry in York has been left literally in ruins as a result of now having a £1.5 million shortfall. Contracts have been signed and the project needs support. Will my hon. Friend arrange a meeting for churches that are midway through their project, with her and the Secretary of State, so that we can clear up this mess?”
“Before scheduling legislation on the “Pathways to Work” changes, will the Leader of the House ensure that there is proper consultation with disabled people on the fiscal elements of the proposals, and that the Government publish the transition arrangements in full and their response?”
“I am grateful to the hon. Member for securing today’s debate. We know from Adoption UK’s adoption barometer that 42% of families experience challenges or crisis. It also notes that it can take them an average of five months to get the support they need, and we need to shrink that timeframe. Does he agree that we need to have money reserved for the urgent support that these families need?”
“I am grateful to the Minister for her commitment and for all that she is doing in this area. When young people are placed in adoption, can we look at ensuring that there is more open adoption? We certainly need to look at the data on that. We know that a teenager finding their birth parents can often lead to an adoption breakdown. That teenager might never be able to restore a relationship either with their birth parents or with their adoptive parents.”
“There are two universities in my constituency: York St John University has removed 70 vacant posts and deleted 30 posts, while the University of York has already seen 273 leave. I know from talking to the unions just last week that the pressure is there once again. It is having a real impact on staff and academics as well as students. We know about the mental health challenges and the stress that people are experiencing, and those workloads are going up.”
“On international students, I urge the Minister to make representation to the Home Office to ensure that dependants can accompany academics and students as they come to this country, and that we look again at visa costs and NHS surcharges. That will enable people to come our country to put in to it and bring benefits—including the economic benefit that we know has been deeply damaged with the change in visa rules. We also must address our relationship with the EU, which we got so much out of. We must address a deeper relationship with Horizon, look at Erasmus again, and ensure that we are getting the very best academics, researchers, staff and students from across the EU. We must also give our students the opportunity to travel overseas and make it more attractive to engage in higher education. The pain has been felt in York.”
“That is poor for the economy and the UK industry, and catastrophic for universities and students—22,000 jobs could be lost. That must not happen. We also must be aware that the demands of UK industrial ambition far exceed the supply of graduates that we are currently producing. We are all alerted to the falling roll that will hit higher education by 2030—another 11 million graduates will need to be found to fuel our economy into the future—yet last year we saw 5,000 jobs cut in the academic year. This is a real challenge. If we are going to realise the knowledge and scientific, innovative and technical opportunity that this country presents to the world, we must have a global outlook on the investment we must make into higher education. There have been many factors impacting universities, many of which we have heard.”
“It is a pleasure to serve with you in the Chair, Mr Vickers. There is a real mismatch between the Chancellor’s growth agenda and the policies impacting the higher education funding landscape that we inherited. As has been highlighted, every £1 of public investment into university research generates £14 in economic output—but scale up, add in the direct, indirect and productivity overspill, and we are talking about £15.2 billion returned to the Exchequer from a £2.49 billion investment. The N8 Research Partnership universities have an economic impact greater than the whole of the premier league. We know that this is of significant value, and we must honour that. If £1 billion is deducted from UK Research and Innovation investment, we are talking a 42% fall in that return.”
“They are working more hours than they are studying, and as a result some are not even able to complete their course. That is not the kind of education system that we want, so we must revisit the funding model. Tweaking around the edges is not enough. We are missing opportunities for the economic future of our country. In York, there are the bioeconomy, digital and advanced rail opportunities, safer automation and the digital creative sector. They need these graduates and academics, and we need our universities to remain.”
“I completely agree with the hon. Gentleman, and thank him for participating in this debate and bringing his experience. The referendum was nine years ago, and the country was in a very different place then. We must address that, but also look at opportunities to put funding into the sector. It is clear that the funding model is broken. We know that students cannot continue to pay higher tuition fees, and nor should they. The funding model needs to shift. I support a progressive taxation system, because whether someone earns more money because they are a graduate or through other means, I believe the more they earn, the more they should put into the system. In York, where the cost of living is exceedingly high, students are breaking.”
“Just suppose that we closed our airbase in Cyprus. Just suppose that we applied greater sanctions, and withdrew export licences. Just suppose that we recognised the state of Palestine. Would the Minister be making the same statement? What analysis has he made of that?”
“I clearly welcome today’s announcement, but it is a tragedy that many services have closed and people’s therapy has been stopped as a result of this funding hiatus. Will the Minister ensure that those impacted by the gap in funding will have additional support for the trauma that it could have caused to those young people? Will she ensure that the Treasury signs off funding ahead of deadlines when the funding ends?”
“The law must also be followed. The fact that 46% of registered trail hunts end up chasing a fox proves that the law needs tightening up and that we need tougher sentencing. Ultimately, this Labour Government will deliver that. Does my hon. Friend agree that that is a priority?”
“I am grateful to the hon. Member for securing the debate. The last Government published a paper on this subject, “From harm to hope”, but it fell short of the vision set out by Dame Carol Black for how we get on top of the significant harm that people experience. Does he agree that alongside a public health approach to substance misuse, we need harm reduction units so that people who are drug users can access the care and support that they need to make their first contact with professional services?”
“I have the highest respect for my right hon. Friend, but I am afraid he is not right on this policy. As a former physiotherapist, I know that many people will not be able to claim carer’s allowance. Now that we have had the impact assessment, we have seen that nearly 400,000 disabled people will be pushed further into poverty, including 50,000 children, and that 150,000 carers will lose the lifeline of carer’s allowance. We do not have a social care system to replace it; besides, social care is more expensive. Today, I want to speak truth to power. Sometimes Governments get things wrong, and I ask the Government to seriously reflect on these policies. The first half of Pathways to Work is good, but the second half will let a lot of people down. Please reflect, and please withdraw this policy.”
“Fiscal responsibility under this Government, unlike the previous Administration, ensures that people are paying less and keeps the cost of living down. However, as the Labour party, we have an additional social responsibility, so can we look at those DWP changes again? Of course we have to protect the most vulnerable, but we are really worried about the people just above that band who are set to lose out.”
“One in three hospital admissions occurs in a person’s last year of life, and 43% of people will die in an NHS hospital. Clearly, that is not acceptable when people are at their frailest. What is my right hon. Friend doing to invest in virtual wards so that we can keep those people at home, and in the district nurse workforce to ensure that district nurses have a proper career structure and that theirs can be a profession of choice once again?”
“I can assure asylum seekers that they will be treated with kindness and compassion in my human rights city of York. However, tragically, a mother at full term lost her baby at a hotel. Will the Minister give a guarantee that pregnant women will not be moved from hotel to hotel, so that they can have continuity of services and a safe pregnancy?”
“I am grateful to the Minister for his speech and the consideration that he is giving to this issue. Will he look at a reverse burden of proof so that, instead of proving an exclusion, it is switched to show no association with modern slavery?”