← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Layla Moran

MP for Oxford West and Abingdon · Liberal Democrat · United Kingdom

IN THEIR OWN WORDS

I pay tribute to all the Members who have shared their story; I feel we have learned a bit more today about how the hon. Member for Birmingham Yardley (Jess Phillips) became how she is.

TERMINALLY ILL ADULTS (END OF LIFE) BILL · 2026-09-11 · READ IN HANSARD

I genuinely do not believe that palliative care would have been included in the early batch of MSFs if it were not for this Bill forcing the Government to do so.

TERMINALLY ILL ADULTS (END OF LIFE) BILL · 2026-09-11 · READ IN HANSARD

My constituent asks: “how many more need to take their own lives in horrific ways because they simply cannot bear the pain, discomfort and hopelessness any more?” She wants the right to decide for herself when enough is enough. Then there is the constituent whose sister went abroad to access assisted dying.

TERMINALLY ILL ADULTS (END OF LIFE) BILL · 2026-09-11 · READ IN HANSARD

No, I shall not. It is worth noting that the NHS has not been meeting its own standards on palliative care for decades. The then Minister for Care, the right hon. Member for Aberafan Maesteg (Stephen Kinnock), appeared before our Committee in the spring, and he mentioned the importance of workforce.

TERMINALLY ILL ADULTS (END OF LIFE) BILL · 2026-09-11 · READ IN HANSARD

We are lucky in Oxfordshire that we have some of the best palliative care in the country. He described how her care was exemplary—she died without pain and was well looked after—but he felt that her wishes were not respected while his father’s were, and there were consequences to her not being able to access assisted dying, as her brother…

TERMINALLY ILL ADULTS (END OF LIFE) BILL · 2026-09-11 · READ IN HANSARD

Member for Calder Valley (Josh Fenton-Glynn), who is a fellow member of the Health and Social Care Committee. Although we wrote the reports together, I have come to a different conclusion, with great respect. It is, frankly, a stain on successive Governments that palliative care is in this state.

TERMINALLY ILL ADULTS (END OF LIFE) BILL · 2026-09-11 · READ IN HANSARD

The complete record

Every one of 607 lines we hold for Layla Moran, in date order, each linked to its source. Free to read, in full, without an account. Page 3 of 13.

  1. In a debate just two years ago, I called for legally binding targets on sewage pollution, so I was pleased when the Government promised last July to halve sewage pollution by 2030. Today, I urge the Minister and the Government to move faster and to take all legal and financial steps necessary to make that change happen, because, as we have heard, Thames Water customers experience poor service, flooding, sewage in their homes and sewage in their rivers, and for this, they are being asked to pay more—indeed, 31% more in 2025-26 than the year before.

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  2. Thames Water’s repeated mismanagement is why the Liberal Democrats have long called for all of the water company bosses not to receive that level of payout. We will continue to campaign in that vein. Locally, we have been campaigning on the issue for many years. Along with Safer Waters, Thames21 and local activists, we secured bathing water status for Port Meadow in Oxford, only the second inland site in the country. That has forced Thames Water to monitor and report on water quality there, but for the last three years, that rating has been “poor”. Residents in Oxford, like others across the country, continue to risk their health every time they swim. One would think that poor quality would logically lead to action, but it seems not to have done.

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  3. Do the Government have plans for a public information campaign on this matter—paid for, of course, by water company profits? If we saw as many adverts on this issue as we do on things such as fast food, it would help everyone in protecting our rivers. However, I do not want to downplay the institutional failings that we see in the company. We need additional capital investment; in Abingdon specifically, the staff were asking for another set of tanks to filter and clean the sewage to help that problem there, but it is the same everywhere. Last year, Thames Water admitted that £19 billion of its assets were deemed “poor” or “failed”, posing a risk to thousands of homes.

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  4. In July, I visited Abingdon sewage treatment works, and friendly and knowledgeable people who had worked there for decades told me how the system is supposed to work: tanks remove the sludge, microbes digest bacteria and clean water is discharged. It was so clean that I could have drunk from it there and then—in fact, a heron strutted around the wetland ponds showing exactly what would have been possible. Sadly, that summer idyll is all too frequently shattered when the rain falls, the floodgates open and raw sewage pours out. At this point, I should acknowledge the role that we and the public can play in helping to reduce pressure on the system. We have seen with our own eyes those mountains of wet wipes being removed from the pipes, and that skip full of rubbish that should never have been flushed down the toilet in the first place.

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  5. I do not trust Thames Water to do anything, and I will come on to an example of an even bigger and even worse project. We want investment and change, but the problem we have is that there is no longer any trust that this company can do that on time and on budget, and in a way that is actually going to deliver real change. That is why 2,507 local residents across Oxfordshire backed a Lib Dem petition calling for these price hikes to be scrapped. If this were a proper private company, it would not be asking customers to pay more for this level of service, yet that is exactly what it has done, and it has frankly given them no say in the process. While I am lambasting this company today, I am not having a go at its hard-working staff. We need to be clear that they are not to blame for the current woes and dismal performance.

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  6. That is not public ownership, which others call for. The taxpayer would not take on the debt, but the profits would be invested back into infrastructure and fixing the problem, not used to enrich the likes of Abu Dhabi Investment Authority and the China Investment Corporation. Will the Government promise a full response to the Independent Water Commission report and the creation of the new regulator with teeth? When can we expect the White Paper? Will we all, together, make a new year’s resolution—that this is the year we sort out Thames Water’s mess, for the sake of people and our planet, once and for all?

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  7. As it stands, the company is promising lots of lovely things—sailing clubs and all sorts—but when questioned on the matter at a recent drop-in event, the promises seemed to be nothing more than an artist’s impression. Will the Minister therefore intervene to ensure that the local villages and towns that will have to suffer the disruption get something out of it, beyond higher bills? Time and again, constituents are being let down by chronic under-investment. For decades, every Government of every colour have presided over some form of this mess. But I do not want to blame; I just want solutions. As a result, I have some questions. What are the Government doing to prepare for when Thames Water exhausts the £1.5 billion of emergency funding? Have they considered the Liberal Democrats’ plans to turn it into a public benefit company?

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  8. My residents have justified questions about the validity of the arguments underpinning the south-east strategic reservoir option, also known as SESRO, which lies just outside Abingdon. It is estimated to cost £7.5 billion and counting, and we should remember that it started at £2.2 billion, and barely nothing has changed since then. If such a major project must go ahead—the Government say it should, fine—then can the Minister tell me something that I just do not get? Do they really trust Thames Water to get this done right? It is like running a bath when a hole has been punched through the plughole. I would not trust Thames Water to run a bath, let alone deliver a project of this size. Will the Government also make clear what residents can expect from this project, should it go ahead? Will there be genuine community benefit?

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  9. As recently as March 2024, the company paid £158.3 million out to shareholders. This is a company that is hanging on to a lifeline of creditor goodwill, having already raced through £1.5 billion of the emergency cash that was injected 11 months ago. The scale of the mismanagement is staggering. No one doubts the need to take steps to secure our water supply for the future in the context of the climate change, but I now come to the local example that I promised my hon. Friend the Member for Richmond Park (Sarah Olney). Thames Water presides over leaks to the tune of over 592 million litres a day, which is nearly a quarter of all the water it manages—it is unbelievable.

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  10. My scepticism about Thames Water is basically the theme of my entire speech, and I completely agree. We absolutely need more houses in and around Oxford—on that I am clear. However, if that work is one of the things stopping those homes from being built, we must of course ensure that it is done to the highest possible standard. It sounds like something has happened there, and I would love to understand better why the EA withdrew that objection with no further change. More than half of sewage treatment facilities are operating below their required capacity, while raw sewage discharge doubled between 2023-24 and 2024-25. That is a symptom of chronic underinvestment, and we need serious capital to fix the problem. Instead, Thames Water chose to funnel profits into dividends.

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  11. I thank you, Mrs Harris, and all Members for their contributions to the debate. I am not totally sure we got all the answers we were hoping for. Soon, I hope, means soon. I look forward to seeing the detail of what is in the White Paper, where many of the answers will be. I am sure the Minister and the officials will have heard that the scepticism on both sides of the House is pretty strong. I would argue that the company is not and has not been meeting its obligations for quite some time now, either financially or to its customers. We will see what the conclusions will be. I rather suspect that, sooner rather than later, they will land on the place where we have been for quite some time. I thank all Members for participating. Question put and agreed to. Resolved, That this House has considered the future of Thames Water.

    FUTURE OF THAMES WATER · 2026-01-06 · READ IN HANSARD

  12. Hallelujah! It feels like some common sense is finally re-entering this debate, and I warmly welcome the Minister’s statement. So do my constituents in Oxford West and Abingdon who wrote to me at the time. Many were literally in tears because they were worried that they would not be able to participate—in fact, they could not do so. But I do hear what others are saying. They are trying to pooh-pooh how much this agreement is worth. It is not just about the money, but there is money to be recouped here and there will have been an impact assessment. How much is this worth to the UK economy now and going forward?

    UK-EU COMMON UNDERSTANDING NEGOTIATIONS · 2025-12-17 · READ IN HANSARD

  13. This is just not the time for a strike. As much as we have huge sympathy with many of the grievances of resident doctors, we understand that the next few weeks will be critical for how the next few months will be for the NHS, so I echo calls for the BMA to listen to reason. However, I spare a thought, and I hope the Secretary of State does, for the overseas doctors we rely on so heavily, because there is an acute workforce shortage. How, through this plan and this legislation, will the Secretary of State avoid creating a two-tier system that risks undervaluing the critical work that overseas doctors do to prop up our NHS?

    RESIDENT DOCTORS: INDUSTRIAL ACTION · 2025-12-10 · READ IN HANSARD

  14. My hon. Friend talks about accessibility, and we cannot forget about disabled people in that. If I may, I will share a perverse peculiarity at Radley station near Oxford, which is considered a rural station. Disabled people can go northbound, but not southbound, because there is no step-free access. How ridiculous is that? Is this Bill not an opportunity to address some of those discrepancies?

    RAILWAYS BILL · 2025-12-09 · READ IN HANSARD

  15. At one point, Abingdon had the highest number of PhDs per square kilometre in Europe because of the Culham Science centre, yet the two would be artificially cut off even though they are absolutely adjacent. It makes no sense. The better, more practical approach, with fewer barriers, is to focus on the county as a whole and make sure that, when we look at where we put jobs and drive innovation, we create communities across the whole county. Otherwise, we will find ourselves in the same position again, looking at a constrained city centre and a constrained greater Oxford, wanting to expand ever more. I hope that the Government look coolly at the numbers. I am sure they will be convinced that the “One Oxfordshire” vision for the whole county, with the city and the university at its centre, is the right way to go.

    OXFORD TO CAMBRIDGE GROWTH CORRIDOR · 2025-12-03 · READ IN HANSARD

  16. It started with the Cowley branch line, which was a huge achievement, and I was delighted that it was realised. However, that must be only the start, because what we need to do is connect people with jobs and with homes, and create communities as we go. It is for those reasons that I am sorry to say that I profoundly disagree with the right hon. Member for Oxford East and her assessment of what is right for local government reorganisation, because to divorce Oxford University and the city from the rest of the area fails to understand the interconnectivity of our county. I will give one example. Under the current Greater Oxford plan, it cuts off Abingdon from Culham.

    OXFORD TO CAMBRIDGE GROWTH CORRIDOR · 2025-12-03 · READ IN HANSARD

  17. Born in Oxford and educated at a local comprehensive in Kidlington, she is herself a powerhouse in the life sciences, and she has a vision for the university as a global leader of innovation, while recognising its rootedness in our community. Oxfordshire, as a county, is one of the most productive regions in the UK. In 2025, the global innovation index ranked Oxfordshire fifth globally for the most innovation-intensive clusters relative to population density. In order to build on that, like so many others, we need the infrastructure and, in particular, connectivity. Oxfordshire county council’s OxRAIL 2040 plan sets out an ambitious but realistic programme of investment to support sustainable growth and link homes with key employment sites across the county.

    OXFORD TO CAMBRIDGE GROWTH CORRIDOR · 2025-12-03 · READ IN HANSARD

  18. It is a pleasure to serve under your chairship, Sir Jeremy. I thank the hon. Member for Cambridge (Daniel Zeichner) for securing this important debate. It is a joy to represent the city of Oxford, particularly the university bits that I have inherited from my neighbour, the right hon. Member for Oxford East (Anneliese Dodds). I am glad she got to keep her own college, though; that just felt right. As such, I am able to wax lyrical about our university—a powerhouse of innovation at the centre of a hub of science and technology businesses, with the highest concentration of science research centres in western Europe. Irene Tracey, its new vice-chancellor, is a personal example of Oxfordshire’s potential.

    OXFORD TO CAMBRIDGE GROWTH CORRIDOR · 2025-12-03 · READ IN HANSARD

  19. I absolutely agree that the Cowley branch line is amazing, but I underline the point that the right hon. Member for Oxford East (Anneliese Dodds) made about the Kennington bridge problem: there is a £70 million hole there. That matters, because the Oxford flood alleviation scheme will protect the Thames valley floodplain, the largest unprotected floodplain in Europe. If the problem is not addressed, the scheme will get held up, which in turn will stifle growth across the region. It is really important—small, but important.

    OXFORD TO CAMBRIDGE GROWTH CORRIDOR · 2025-12-03 · READ IN HANSARD

  20. Q11. Allison in Oxford is threatened with new service charges by her housing association, Green Square Accord, for shrubbery she happily cut herself for 22 years and for cleaning a communal area that simply does not exist. Meanwhile, Rebecca’s charges have more than doubled over the last four years, with no explanation. Green Square Accord is not the only provider doing this. It is a wild west out there. Will this Government consider Liberal Democrat plans for a new regulator and a cap on these outrageous rip-off service charges?

    ENGAGEMENTS · 2025-12-03 · READ IN HANSARD

  21. One staff member said: “This place helps people feel like a skilled person, not just an ill person.” We need the funding for those centres to continue, and for them to be rolled out across the country. I urge the Government to be bold, take on the leadership and ensure that the money is there. If they do, our Committee will back them every step of the way.

    BUDGET RESOLUTIONS · 2025-12-02 · READ IN HANSARD

  22. They fall through the cracks, denied care for being too well, too ill or not in crisis. They wait years for services, and, unlike for physical health, there are no targets. We need national access and waiting time standards now. The consequences of the system can be tragic—just ask Dianne, one of my constituents. Her son Leon was discharged from the community and he deteriorated. Despite desperate pleas, doctors would not review his case, and he completed suicide. There is a ray of hope in the system: 24/7 neighbourhood mental health centres. Such centres are open access, with an integrated, holistic model, rooted in communities—everything that our experts asked for.

    BUDGET RESOLUTIONS · 2025-12-02 · READ IN HANSARD

  23. The Committee urges the Government to change course and, further, to enshrine the original definition in law. Why spend all that money? There are so many reasons. There is a strong link between mental illness and demand for social care. People with severe mental ill health die on average 15 to 20 years earlier. A Care Quality Commission survey showed that up to 90% of people with mental health issues want to work, but only 37% are working. For people with severe mental illness, that figure falls to 8%. They are not lazy; they are sick. Investing in mental health grows the economy and boosts productivity. Of course, money is not everything. It is right that we do this for the people—something that I know only too well as the proud partner of someone who happens to have a bipolar diagnosis.

    BUDGET RESOLUTIONS · 2025-12-02 · READ IN HANSARD

  24. As Lord Darzi outlined, although mental health accounts for over 20% of the disease burden, it receives less than 10% of NHS spend. Worryingly, the share of NHS spending on mental health has fallen again this year. For five years it went up, slowly but surely, from 8.05% in 2018 to 9% in 2023. That may not sound like much, but it represents billions in extra spending. That started to make a bit of a difference, particularly in workforce numbers, but anyone who uses the system knows that we have a long way to go. I am bitterly disappointed that the mental health investment standard, which is the principle of increasing the share of ICB spend on mental health each year, has been watered down to be based on flat, real funding growth—just keeping up with inflation. This is an unwelcome finessing of the definition, and it is a backwards step.

    BUDGET RESOLUTIONS · 2025-12-02 · READ IN HANSARD

  25. The Secretary of State was absolutely right: the NHS does need to innovate and renew—and indeed any investment in any Budget is welcome—but how this renewal happens and what is prioritised also matters. While I of course agree that the focus on hospital waiting lists is right, I can also be concerned that the focus on physical health risks deprioritising an under-loved but equally important area: mental health. Today, the Health and Social Care Committee published its report on community mental health services, with a focus on severe mental health. The report is clear: we must take a radical new approach to mental health and its funding. Although parity of esteem has been enshrined in the NHS constitution for over a decade, we have not made enough progress.

    BUDGET RESOLUTIONS · 2025-12-02 · READ IN HANSARD

  26. On mental ill health, the right hon. Gentleman is absolutely right to point out that it is one of the drivers of people going on universal credit and that does need to be tackled. Does he share my alarm that today in the Health Service Journal it has been reported that the Government are planning to water down the mental health investment standard, which will start to reverse the trend we saw over many years of achieving parity of esteem between physical and mental health?

    BUDGET RESOLUTIONS · 2025-11-26 · READ IN HANSARD

  27. Diethylstilbestrol, or DES, was prescribed to women until the 1980s to treat miscarriage. Those who took it were themselves at greater risk of breast cancer, and their daughters have a higher risk of rare cervical cancers. It is estimated that a whopping 300,000 women have been affected. Two weeks ago the Secretary of State made an apology to victims, but they rightly want more than “sorry”, and they have pointed out that the current screening regime is insufficient. Will the Secretary of State meet me, and campaigners and victims, in order to understand how this was allowed to happen, who will be held accountable, and how those women can go about securing compensation for this egregious scandal?

    HEALTH INEQUALITIES · 2025-11-25 · READ IN HANSARD

  28. I am struck by the number of my constituents who, unprompted, will raise how weak international law seems to be at holding those accountable in Gaza, Sudan and elsewhere to account for the atrocities they commit. This is a moment where we must bolster international law, not undermine it. My question to the Foreign Secretary is this: what has happened to the UK response to the International Court of Justice advisory opinion on the occupation? She herself in her statement pointed out the stranglehold on banks, that the Palestinian economy is on its knees and that the illegal settlements continue to grow. This is not new; this has been happening for decades. What are we doing about it? We must abide by that opinion.

    GAZA AND SUDAN · 2025-11-18 · READ IN HANSARD

  29. Throughout these horrific two years, I have kept trying to make the case for the innocents—for the people who did not choose any of this and who are not responsible. It is completely unacceptable that Hamas have not released all the bodies, and it is equally unacceptable that the Israeli authorities released 100 Palestinian bodies with just numbers. What are the Government doing to help the Palestinian authorities to identify all the bodies that have been returned, in both Israel and Palestine, so that families can grieve and the dead can have the dignity that they deserve?

    GAZA AND HAMAS · 2025-10-29 · READ IN HANSARD

  30. Last week I met Nada, an Oxford plastic surgeon who told me horrific stories of the children she has been treating in Gaza. I believe that the Secretary of State has met her, too. The most concerning thing is that if these wounds do not have care, they will lead to life-changing disabilities. Medics are calling for a humanitarian corridor between Gaza and the west bank so that those Palestinian children can stay in Palestine. What discussions has she had on the matter?

    TOPICAL QUESTIONS · 2025-10-28 · READ IN HANSARD

  31. Earlier this year, I visited the “hospital at home” team at the John Radcliffe hospital, who run an incredible virtual ward. I saw them deliver care to Mavis, who is 91. She was so emotional and grateful for the work they did—we all ended up in tears. Imagine my disappointment that while I was off, we got an email from the team saying that the funding for that incredible service is no longer there and that they face closure. This is an example of the best of the NHS. We want it rolled out to the rest, but if the funding is not there for these nascent services to find their footing, how can we ensure that best practice can be spread across the whole of Oxfordshire and beyond?

    VIRTUAL WARDS · 2025-10-21 · READ IN HANSARD

  32. This week I have been inundated by families who send their children to Europa school just outside my constituency; they are so concerned by these changes. I taught the IB for 11 years, and I know full well the difference that its incredible curriculum can make to children’s lives. Does this policy direction not send a negative signal from the Government? I remind the Minister that it was a Labour Government who introduced the funding in the first place. Surely this is the wrong direction.

    INTERNATIONAL BACCALAUREATE · 2025-10-20 · READ IN HANSARD

  33. The case of Jhoots is clearly hugely unfortunate given the incredible work that community pharmacies do up and down the country for our constituents. I am pleased to hear the Minister say that this case will not negatively affect the funding settlement, but it is set against the backdrop of a very precarious sector where actors who want to do good by our communities and do a high-quality job often find that they simply cannot make ends meet, and bad actors find a way to move in. When the Committee looked last at this issue, the workforce was a key plank to why the sector is not sustainable. What update can the Minister give us on the inclusion of pharmacists in the workforce plan?

    JHOOTS PHARMACY · 2025-10-15 · READ IN HANSARD

  34. That was a promise made to my great-grandfather finally made good, but it is an empty promise unless it is followed by statehood, so my question to the Prime Minister is simply, will he make the Palestinian state a reality, and will he give it his personal attention over the course of his premiership, so that this is the last time we see this devastation? We do not want to see a repeat of that cycle of violence that we have always seen in the past.

    MIDDLE EAST · 2025-10-14 · READ IN HANSARD

  35. I want to feel happy this week, but I find it impossible, because with so much destruction, so much devastation and so many lives lost, I look back over the last two years and ask the question, what on earth was it all for? But history teaches us that from the depths of such despair can often launch a positive future. There is only one way to achieve the everlasting peace that President Trump so rightly talks about: that is a two-state solution—Israelis and Palestinians living side by side in dignity and security. I would like to thank this Government for recognising the state of Palestine.

    MIDDLE EAST · 2025-10-14 · READ IN HANSARD

  36. It is a decrease in the proportion of the mental health investment standard for the first time in, I believe, nine years. It is incredibly concerning. It was hard-won, cross-party support that made that proportion go up over time. It was incremental, but it was starting to make a difference to the system. Does the hon. Gentleman agree that it would be helpful if the Government clarified whether that will continue in 2025-26? When Baroness Merron came to our Committee, she could not confirm that. If there is not going to be a continuation, the system needs to know by now, frankly, so that it can prepare adequately for it.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  37. Amendment 9 would be an extra step, ensuring that the plan is shared with parents and carers—with the nominated person. I pay tribute to those who have campaigned so doggedly for the inclusion of nominated persons in the Bill.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  38. My question to the Minister is, will the centres be funded beyond April? If not, how can the Department make decisions about the system based on data that does not represent a full calendar year? I also want to speak in support of amendment 9. I pay tribute to Cyril and Dianne whose son Leon suffered from schizophrenia for many years and sadly completed suicide in January 2019. He was let down by community mental health services. Leon’s mother, Dianne, saw the illness get worse and worse, and when she tried to re-refer him into the system after he had been detained, she was told, “Computer says no.” This Bill will improve the lives of families like Dianne and Leon’s, because Dianne’s pleas would have been heard under the new nominated persons provisions.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  39. Just a few weeks ago, while still on maternity leave, I decided to have a keeping-in-touch day and the Committee decided to visit an oasis in this desert—the incredible Barnsley Street neighbourhood mental health centre in Tower Hamlets. Unfortunately, the centre is one of only six pilots set up to this level across the country, but we heard some amazing stories of how people had been diverted away from in-patient mental health units by an approach that truly puts the patient at its centre. It was inspiring. However, we heard from the centre that its funding will not continue beyond April. It is only just starting to gather the data it needs; system change is desperately needed in this space, but the concern is that the system will change without robust data behind it.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  40. This is a long-overdue and very welcome Bill, but frankly it will not even touch the sides of what most of our constituents and communities need when it comes to the wider mental health landscape. I support many of the amendments to improve it, not least those laid by my hon. Friends on the Liberal Democrat Benches. I need to make a couple of quick points, because we want the Bill to succeed. The Minister will know that since December the Health and Social Care Committee has been conducting an inquiry into community mental health services, because we recognise that unless we start tackling these matters upstream, we will not achieve the Bill’s aims. For so many, it feels like they are walking through an NHS desert: they simply cannot get the appointments they need; they do not feel supported; and no one can navigate this complex system.

    MENTAL HEALTH BILL [LORDS] · 2025-10-14 · READ IN HANSARD

  41. These are the words of a victim who suffered intolerable sexual misconduct in her workplace: “The non-disclosure agreement was entirely one-sided—gagging me, but not the men or the execs involved. It covered not just business matters but everything painful I endured. I ended up in hospital.” Does the Prime Minister agree with me and Members across the House that the misuse of NDAs in cases like this are totally unacceptable? If so, will he help us to amend the Employment Rights Bill, currently going through the Lords, to stop this pervasive practice once and for all?

    ENGAGEMENTS · 2025-04-30 · READ IN HANSARD

  42. We are desperate to help the Minister in this endeavour, and look forward to receiving our invitations to the cross-party talks, which have yet to be issued. However, the Health and Social Care Committee heard today from an organisation called Think Ahead, which is the only organisation in the country that trains mental health social care workers. I have just heard that the Department of Health and Social Care is not refunding that organisation. Can the Minister explain why?

    HOSPITALS · 2025-04-23 · READ IN HANSARD

  43. It is a specialist tertiary care hospital, which means it is able to perform very specialist surgery, and it wants a new building to do that in. When it put to the Government a bid for £28 million, it was rejected. Instead, it has gone out to seek private financing, and it will now cost the trust £46 million to deliver the exact same building. Would it not have made sense for the Government to allow the trust to borrow from the Government to build it, and then to pay the money back from its own reserves over time? Think what it could have done with that £18 million.

    HOSPITALS · 2025-04-23 · READ IN HANSARD

  44. The Public Accounts Committee, on which I know many Members have served, as have I, has a motto: sunlight is the best disinfectant. If the Government will not publish the detailed assessment, the Minister needs to explain why. My local area, like so many others, has been affected by this issue. Last year I visited the John Radcliffe hospital, which serves much of Oxfordshire, and I saw at first hand how its capacity to deliver care is being severely constrained by the size and condition of the physical estate. We went to visit the old site of the neonatal intensive care unit, which had to be moved because the staff were worried about the ceiling literally coming down on sick children and on incubators. It was atrocious. The John Radcliffe hospital wants to be world-leading.

    HOSPITALS · 2025-04-23 · READ IN HANSARD

  45. The Health and Social Care Committee has asked how the Department is prioritising schemes and has not received a clear answer, so my question is very simple: in the interests of transparency, will the Secretary of State publish, for every single new hospital programme scheme that was subject to last year’s review, the details and findings of the Department’s assessment of them against each of the criteria that were published alongside his statement in the House of Commons on 20 January 2025? It is the very least that the schemes that felt deprioritised deserve, and we are hearing many examples of those from Members of different parties. I choose to believe that this outcome is inadvertent but, frankly, it just looks a bit shady. We have seen it happen before with the levelling-up money under the previous Government.

    HOSPITALS · 2025-04-23 · READ IN HANSARD

  46. In January, the Secretary of State provided the criteria by which the schemes were scored and funding was allocated, such as site constraints and maturity of planning permission, but it is disappointing that, as I understand it—I am willing to be corrected—the review was conducted without the involvement of the trust teams responsible for delivering the rebuilding programmes. As of last month, no trust with a new hospital programme scheme has been provided with the full details of how it scored specifically against the criteria.

    HOSPITALS · 2025-04-23 · READ IN HANSARD

  47. Clearly, on current commitments, we will not see capital funding that is sufficient to meet anything close to the unfunded promises made by the Tories in 2020. Nevertheless, the principle of investing in our hospital infrastructure is good; money will be saved in the long run on maintenance and emergency repairs, as well as providing a better quality of care. In the policy paper on the plan for implementing the new hospital programme, the Government stated that funding will reach only £3 billion in the early 2030s due to “other key priorities in health spending, such as funding to enable the Secretary of State’s 3 shifts”. That is good, but we need transparency around how decisions were made and which projects were chosen.

    HOSPITALS · 2025-04-23 · READ IN HANSARD

  48. We have challenged the Government to maintain their capital spending and not fall into the traps of the past, when capital spending was redirected to fund day-to-day spending, so I was pleased to receive confirmation from the Department, and now from the Dispatch Box, that the Chancellor’s changes to the fiscal rules will stop future raids on the capital budget, or CDEL, to fund the day-to-day spending budget, or RDEL. That is hugely welcome. However, although the protection of capital budgets is reassuring, I remain concerned about the lack of transparency around how the funding is allocated by the Treasury. The charge levelled at the Government is that funding is being funnelled into acute care to tackle waiting lists, at the expense of funding primary care, infrastructure and care in the community.

    HOSPITALS · 2025-04-23 · READ IN HANSARD

  49. Lord Darzi’s independent investigation clearly set out the impact that “capital starvation” has had on the NHS in recent years, and the importance of capital spending to fixing the health service. The report highlighted substantial shortfalls in capital investment, combined with a tendency to raid capital budgets to cover in-year spending deficits, so I welcome today’s Liberal Democrat motion, which allows Parliament to highlight how important these issues are to the public. This is the second Liberal Democrat Opposition day, and it is the second time we have debated health and social care. It is because it is a priority for the country that it is a priority for us. The Health and Social Care Committee has taken a keen interest in the new hospital programme.

    HOSPITALS · 2025-04-23 · READ IN HANSARD

  50. It is the Government using their own borrowing rules to allow investment in vital public services, and it makes no sense that they cannot do it. When it comes to mental health services, we have the incredible Warneford hospital in Oxfordshire, and Warneford Park in Oxford will provide a new cutting-edge mental health hospital surrounded by a research and innovation hub. Groundbreaking research is planned on understanding brain health and discovering new drug therapies and new forms of treatment. This is a great vision, but it will cost £500 million. We do have private benefactors, including local businesses, willing to feed into it, but where is the funding pot for mental health trusts? They were excluded from the new hospital programme, and it is not at all clear where that kind of money may be found.

    HOSPITALS · 2025-04-23 · READ IN HANSARD