← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Mary Kelly Foy

MP for City of Durham · Labour · United Kingdom

IN THEIR OWN WORDS

“The rate of smoking in pregnancy is at a record low of just 4.2%, saving babies’ lives and supporting families to have the best start in life. Record levels of funding are going to stop-smoking services.”

House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

“The regulation of vaping products is necessary to reduce their youth appeal, and the Government are right to be pulling multiple levers to achieve that aim, including a crackdown on rogue sellers through new planning powers for councils, the incoming licensing and registration scheme, and the vaping products duty, which came into effect a…”

House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

“The inequality is stark: if current trends continue, people with a degree will reach smoking rates of less than 1%, while people with no qualifications are not expected to reach that same milestone until 29 years later. That gap should concern us all, because it shows that progress is not being felt equally across society.”

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“It is an honour to serve under your chairmanship, Ms Vaz. I am so pleased to speak in this debate and to have secured it alongside my APPG co-chair, the hon. Member for Harrow East (Bob Blackman). As co-chairs of the APPG on smoking and health, we will always champion cross-party support for ending the epidemic in the UK.”

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“Member for Harrow East alluded to, hearing someone say that they would buy cigarettes before buying food for their children, and that they only ever managed to take their children on holiday once they quit, shows how cessation can give not only freedom from addiction, but financial freedom too.”

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“This Labour Government should be bold and set a date by which we will pledge to see smoking rates below 1% in all groups across society. We can introduce a levy on industry profits to fund programmes to support smokers and still have cash to spare.”

House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

The complete record

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  1. “I look forward to hearing from the Minister and to working with her to ensure that we do just that.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  2. “The regulation of vaping products is necessary to reduce their youth appeal, and the Government are right to be pulling multiple levers to achieve that aim, including a crackdown on rogue sellers through new planning powers for councils, the incoming licensing and registration scheme, and the vaping products duty, which came into effect at the start of this month. A road map that situates vaping policy as part of a wider strategy on smoking and public health would help to enhance this long-overdue regulatory agenda. However, it is a complex area; has the Minister considered convening an expert group of some kind? This Government will be remembered as the Government who signalled the beginning of the end for smoking with the smoke-free generation, but we could be the ones to end smoking for good.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  3. “This Labour Government should be bold and set a date by which we will pledge to see smoking rates below 1% in all groups across society. We can introduce a levy on industry profits to fund programmes to support smokers and still have cash to spare. We can also use the powers in the Tobacco and Vapes Act to ensure that all tobacco products are comprehensively regulated and to take a balanced approach to vapes and other nicotine products. We need to ensure that a variety of cessation aids, such as medication and vapes, are available to smokers to help them on their quit journey. The recent Cochrane review confirmed the effectiveness of vapes in supporting quitting, and we must not forget that, on average, it takes 30 attempts to quit.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  4. “Member for Harrow East alluded to, hearing someone say that they would buy cigarettes before buying food for their children, and that they only ever managed to take their children on holiday once they quit, shows how cessation can give not only freedom from addiction, but financial freedom too. The good news is that there is something we can do about it. Smoking is not inevitable. Tobacco addiction can be broken with the right support. That is why it is so important for the Government to publish a road map to a smoke-free country that sets out how we can target support to the right people and build on examples of best practice. We also need a new target. Smokefree 2030 is very unlikely to be met, and a less than 5% prevalence still leaves millions smoking.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  5. “Last year, one in four people who smoke went hungry after skipping meals, and people who smoke are nearly three times as likely to use food banks. The roundtable included some insightful discussions about how we can make support for smoking cessation available in food banks and other community settings— reaching people where they already are and making it easier for them to access support. Moving forward, opt-out support must be the way we work. It would be great to hear from the Minister what progress has been made on the manifesto commitment on opt-out support in routine care. At the event, I was pleased to hear from Gillian and Hannah, who came to share their lived experience and spoke to us so openly. As the hon.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  6. “The inequality is stark: if current trends continue, people with a degree will reach smoking rates of less than 1%, while people with no qualifications are not expected to reach that same milestone until 29 years later. That gap should concern us all, because it shows that progress is not being felt equally across society. I was pleased recently to bring together stakeholders, on behalf of the APPGs on smoking and health and on poverty and inequality, to host a roundtable on the link between smoking and poverty. Smoking is a well-known health issue, but it is also a direct driver of poverty. It is a preventable contributor to the cost of living crisis for millions of people experiencing tobacco addiction. Smoking pushes 417,000 households below the poverty line.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  7. “The experience of the north-east clearly shows the huge benefits of establishing expert-led, regional tobacco control programmes to support local areas, as we have had in the north-east over the last 22 years. I am sure that all regions would benefit from this approach. There was a time when smoking rates below 10% in the region would have been unthinkable—a pipe dream—but in our mission to end smoking we have achieved many unthinkable things, and we have never stopped pushing for progress. However, we have not called this debate to pat ourselves on the back and think it is job done—far from it. As we have heard, there are still 4.9 million smokers across the UK, and smoking is increasingly becoming an issue of health inequality.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  8. “The rate of smoking in pregnancy is at a record low of just 4.2%, saving babies’ lives and supporting families to have the best start in life. Record levels of funding are going to stop-smoking services. Co-ordinated action among agencies also means that, despite claims to the contrary from the tobacco industry, official data continues to show that robust enforcement is controlling the UK illicit market. I am particularly proud that smoking rates in the north-east of England have fallen by a staggering 67% since 2005—the largest drop in England. That is great to see, not just for my constituents in the City of Durham but for communities right across the north-east, an area with some of the worst health inequalities in the UK. Much of that success can be attributed to the regional leadership and support of Fresh.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  9. “It is an honour to serve under your chairmanship, Ms Vaz. I am so pleased to speak in this debate and to have secured it alongside my APPG co-chair, the hon. Member for Harrow East (Bob Blackman). As co-chairs of the APPG on smoking and health, we will always champion cross-party support for ending the epidemic in the UK. This debate is about what progress has been made towards a smoke-free country and what more we could do. I want to start by recognising just how much we have achieved in the last five years alone, thanks to the actions of both the previous Government and the current one. The Tobacco and Vapes Act became law. Smoking rates have fallen to below 10% across the UK for the first time ever, and rates are falling fastest among 18 to 24-year-olds.”

    House of Commons15 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  10. “Recent tragic events in the wider north-east region have served as a reminder of the risks that officers face in protecting the public, and our thoughts remain with those families. My constituents in Durham rightly expect an effective, visible and responsive police service. As future decisions are made about police structure and funding, I sincerely hope that the experiences of forces and residents across the north-east will be at the forefront of discussions, because it is time that the Government listened to them. I hope that it will be this Labour Government.”

    House of Commons13 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  11. “Minister, how do I reassure these young people in Durham that our county will receive the additional police officers we so desperately need and deserve, so that children feel safe enough to enjoy being out in the fresh air with their friends, instead of being attached to electronic devices? It is not just young people. I regularly hear from elderly residents who are afraid to go out alone after dark, from women who have escaped abusive relationships only to find themselves being pursued again, from public transport users dealing with antisocial behaviour and violence at bus stations, and from shop workers and market traders who have repeatedly suffered thefts while seeing little police presence on our streets. This is a real picture that I am painting, and we ignore it at our peril.”

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  12. “We must listen to the views of our constituents, whose concerns often go unanswered for lengthy periods because there are not enough officers to respond to incidents. I met Belmont Guides recently, and heard how deeply antisocial behaviour and low-level crime impacts their local community. Whether that is balaclava-clad youths riding e-bikes, vandals damaging park equipment and green spaces, acts of animal cruelty or intimidating behaviour as the evenings draw in, many of our communities are increasingly having to contend with these issues. These young girls deserve to feel safe in their communities, but they see a distinct lack of police officers on the streets. They want to know why that is.”

    House of Commons13 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  13. “It has spoken of officers working hard to meet demand, often at the expense of their own wellbeing and family life, while dealing with uncertainty created by short-term funding settlements. We have already heard about the unfairness of forces with lower council tax bases, so I will not repeat those facts. However, as discussions continue about the future structure and funding of policing, it is important that the experiences of north-east police forces are fully understood. Any assessment of need must reflect not only population but deprivation, rurality and vulnerability. County Durham contains both urban and rural communities, each with their own challenges, and those realities should be reflected in future considerations.”

    House of Commons13 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  14. “Officers today are not only dealing with traditional crime, they are responding to incidents involving online offending, child exploitation, safeguarding concerns, domestic abuse and mental health crises. Those issues require significant time and resources, but are now a routine part of modern policing. The result is that officers are dealing with huge workloads. In Durham, recorded crime per officer remains above the national average. This has implications not only for the service provided to the public, but also for the wellbeing of officers and staff who continue to serve our communities with professionalism and dedication. Durham Police Federation has highlighted the pressures experienced by frontline officers.”

    House of Commons13 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  15. “The reality is that Durham constabulary has had to manage a rising and increasingly complex demand while operating with over 100 fewer police officers than it had in 2010, despite officer numbers increasing nationally overall. It has had a real impact on our communities. Only last week, I received an anonymous letter from a serving police officer outlining their concerns about neighbourhood policing. They told me that despite neighbourhood teams seeming to be adequately staffed on paper, the reality on the ground is that these officers are routinely assigned to cover other duties, leaving PCSOs to cover the majority of neighbourhood work. Alongside that, the nature of policing has changed dramatically.”

    House of Commons13 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  16. “It is a pleasure to serve under your chairmanship, Mr Wishart. I congratulate my neighbour, my hon. Friend the Member for North Durham (Luke Akehurst), on securing this debate. The consequences that we see today in our areas in the north-east, which we have heard about already, come as no surprise. Generational de-industrialisation causing regional economic disparity combined with austerity, deep cuts to public services and growing pressure on councils and community services have all taken their toll. We are now seeing those consequences—higher levels of social need, antisocial behaviour, neighbourhood insecurity and addiction. Our officers can often be left dealing with the symptoms of the challenges that begin long before criminality occurs.”

    House of Commons13 October 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  17. “In one specific instance, the school’s leadership proposed a co-educational integration plan requiring only £3,000 of investment from the parent company, but GGE flatly refused. That starved the school of minimal resources while setting a benchmark designed for failure. This is not an isolated incident; there is a clear pattern across the country. We saw warning signs when GGE acquired and closed Malvern St James, but in that case there was at least some notice. Durham and another GGE-owned school in Wales, Ruthin school, have been afforded no such courtesy.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  18. “At a meeting on 27 June 2025 designed to allow parents to understand more about GGE, attendees were told that there would be investment in the school for at least five years to help make it financially viable. One of the parent company’s first acts was to mandate a shift to co-education from September 2025, claiming that it would increase the student roll and secure the school’s future. That was resisted by some families as there was no consultation, and GGE actively silenced parent feedback. The school became Durham high school. But, having demanded that shift, the promised investment to fully install male changing facilities at the school did not materialise. GGE also seemingly blocked the senior leadership team’s efforts to make it work.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  19. “Parents had parted with significant sums of money to secure places at the school, yet only a few weeks later what seemed to be an assured future in new hands has fallen apart. Members may ask what went wrong. In 2024, the school was acquired by GGE as part of its proposed expansion into the UK independent school sector. The stated mission of the company was to operate independent schools and promote international education opportunities. As Durham high school has found out to its cost, however, the reality has been different. Following the acquisition of the school, which formerly operated as Durham high school for girls, the parent company incorporated a new UK company, Durham Education Ltd, to run the school under the umbrella of GGE.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  20. “I am grateful for the opportunity to draw the House’s attention to a hugely concerning issue that has recently unfolded in my constituency: the sudden closure of Durham high school. The lack of communication and clarity from its owners, Galaxy Global Education, up until the very final moments of the school year left staff and families heartbroken and in shock. Founded in 1884, the local institution spent 142 years providing an outstanding educational environment rooted in our local community. Indeed, in 2024 it was named independent secondary school of the year for the north-east by The Sunday Times . In early 2026, the school was still issuing marketing material and advertising pupil enrolment opportunities. Pupil enrolment was still being offered as recently as the beginning of June.”

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  21. “I thank my hon. Friend for the intervention. I completely agree. The way in which the company has acted towards pupils, parents and staff is outrageous. The least it could do is to provide some clarity and support going forward. Later in my speech, I will ask the Minister about some lessons that can be learned.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  22. “And for over an hour we clapped, talked, cried, hugged and clapped again. In that hour there was no complaining. No anger. Just togetherness. A community to the very end.””

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  23. “What happened to Durham, Ruthin and Malvern cannot be allowed to happen again. I will close with the words of Mrs Middleton, the acting head for the school’s final weeks, who has been highly commended for the compassion and dedication that she has shown to the entire school community during the most horrendous circumstances: “On the final day we came together. Of course, there was sadness. There were tears. But there was also laughter, celebration, joy, and a deep sense of knowing one another. The hardest words I have had to say over these past few weeks were: “It’s time to go.” No one moved. So I left the stage, and Mrs Rochester and I walked the children out. Senior Leaders had planned to stand outside, greet parents and clap the children out. All the staff joined us.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  24. “What happened at Durham high school will not simply go away. My constituents may be down but they are certainly not out, and they are driven by a desire for justice. Though they understand it may be too late for their beloved school, they wish no other family or hard-working member of school staff to have to go through the pain and uncertainty that they have felt. Last Friday, my team joined families, pupils, staff and trade unionists outside the school gates for a final act of solidarity. The compassion, mutual respect and dignity that was on display is something that GGE would do well to learn from. I am sure that all of us across the House might agree that no matter the nature of the establishment, the education of our children is a public good, not a real estate portfolio.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  25. “Will she advise me whether an independent investigation could be called into GGE’s management of Durham, Malvern and Ruthin to establish exactly what happened? Will she advise me on efforts that the Government, the local authority or the school community can take to preserve the Durham high school site for educational use, rather than allow a historical education asset to disappear? Finally, will the Minister take steps to close corporate loopholes and ensure proper regulation is in place for foreign investors in UK schools? We need robust legal mechanisms within the DFE to prevent foreign capital from severing historical school properties from their educational purposes. We need statutory protections that stop predatory owners transferring freeholds out of educational charities into private, for-profit shell companies.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  26. “Yet with the opaque structure of the business and the fact GGE has been able to rapidly churn through directors at Companies House, shuffling responsibilities and moving its statutory administrative offices to anonymous London addresses, it seems that oversight on such businesses is patchy. How can we ensure in the future that what has happened in Durham, Malvern and Ruthin does not happen elsewhere? To be clear, my key asks of the Minister are as follows. Will the Minister help families in Durham, Ruthin and Malvern get clarity on what steps were taken by the Department for Education, Estyn and Ofsted to ensure the suitability of GGE? Will the Minister commit to reviewing the governance structure of all the affected schools?”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  27. “That brings me to the core question: what can the Government do to stop predatory overseas companies asset-stripping our educational institutions and treating our children’s futures as real estate speculation? Schools such as Durham high served as a safety valve for the local authority's overstretched school place allocations. Despite that, entire families have been thrown to the wolves so that an overseas corporate entity can access prime land on the edge of a historic city centre. Section 128 of the Education and Skills Act 2008 rightly gives the Secretary of State for Education the power to bar unsuitable individuals from managing independent schools.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  28. “Thankfully, the school business manager prioritised the livelihoods of the hard-working staff, paid the wages and ignored the demand. However, in a final blow to devastated staff, I heard just yesterday that the administrators have informed them they cannot claim unpaid salaries for July and August, despite already carrying out their work for the academic year. A cynical mind would look at how Durham Education Limited was put into administration and conclude that it benefits a parent company to position itself as a major debtor upon any future sale, especially when the ultimate ownership of the land is in doubt. Despite assurances from GGE, the entire debacle bears the hallmarks of a land grab. In Durham, the prime real estate on which Farewell Hall sits is estimated to be worth around £10 million.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  29. “There is not enough capacity to easily absorb these pupils. As well as throwing these families into crisis, GGE has also heaped pressure on the local authority. Will the Minister liaise with Durham county council to ensure that the admissions team is appropriately supported? The conduct of GGE in the final days, weeks and months of the school’s operation reveals the true nature of this business. As the company ran down the school, the financial team carefully managed the remaining funds to ensure they could pay staff salaries for June, despite GGE blocking the school from paying suppliers. Yet days before payroll was due, an unexpected invoice was received from GGE that would have wiped out those payments entirely, and GGE required the massive bill to be paid that same day.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  30. “All this background leads us to the crux of the situation: more than 280 children have been left stranded without a school, staff have been left without jobs and young women who sat their public exams this summer may not even be able to collect their results in the school where they studied. Local suppliers have been left facing significant losses due to unpaid invoices. Crucially, children with additional needs who thrived in this intimate environment have been thrown into limbo. They must now search for alternative specialist provision potentially miles away from home, or face being absorbed into mainstream settings. Our local secondary state schools that provide top-class education and often win prestigious awards—such as St Leonard’s, Durham Johnston and Belmont—are all just about full.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  31. “The structure of the company seems equally opaque, spread across several companies, school-operating companies and overseas interests. One of those beneficial owners ultimately traces back to the Cayman Islands, with no transparency at that point. What is clear is that one person holds a significant amount of power, and they were the person with overall control of the school until its closure. Shangqin Gao, a Chinese national, holds roughly 75% of GGE’s shares. As I understand it, the school has had no contact with this person. The House may note that this individual is also linked to two other businesses: Shine Space Management Ltd and Galaxy Capital Real Estate. The latter was incorporated only two years before the purchase of Durham high school.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  32. “The school has a physical capacity for 650 pupils, and a financial break-even point of roughly 350. A senior staff member said in their parting message: “Whatever you read, this isn’t a VAT story. It isn’t a falling rolls or unstoppable decline story. The truth is deeper, and more complex, and eventually truth will out.” It seems clear that there was never any genuine effort by GGE to make this school a success. Speaking to union representatives at the school, I am told that repeated requests to see even a basic plan for how the company would secure the school’s future were rebuffed. What do we know about GGE? Very little seems to be the answer. It was only incorporated in the UK in April 2025, and I understand that it has not yet been possible to assess its level of available cash, debt levels, profitability or inter-company lending.”

    House of Commons7 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  33. “I agree with the hon. Gentleman. It seems that this overseas company had no intention of educating our children in the UK, and legislation should be strengthened or put in place to stop this happening again. It is as though GGE saw the fallout of their decision to inform Malvern in advance and attempted to hide from any further scrutiny by giving the other schools zero notice. It is abhorrent. When I contacted GGE’s directors to demand answers, they were at pains to point out to me that they have done all they can to support staff and families. They even alluded to the Government’s introduction of VAT on independent school fees. That is nonsense. Since the VAT changes were announced, Durham high school’s roll only dipped from 288 to 281—a net loss of just seven pupils.”

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  34. “I have heard from dozens of my constituents across the City of Durham who have been impacted by either delayed or missing pension payments, and the number grows every day. A recent disturbing case centres around a chap who, sadly, has been diagnosed with early-onset Alzheimer’s at just 46 years old. Ill health retirees should never be left without the vital support they need at the most difficult moment of their lives. Will the Minister please reassure the House that Capita will clear the existing backlog as a matter of urgency, prioritising those with ill health, bereaved families and those facing financial hardship?”

    House of Commons6 July 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  35. “It has been more than two years since the devastating explosion at Coronation Terrace in Willington, and although the immediate emergency has long since passed, the impact on local residents continues. Families have had to live alongside an unsightly, derelict and potentially dangerous site, and there have been prolonged delays in resolving insurance claims involving numerous parties, leaving the community in limbo. As usual, discussions take place behind closed doors, but my constituents deserve to see all those involved working together to bring this matter to a conclusion. Will the Leader of the House advise me on the best way to expedite action in cases such as these, where complex insurance processes appear to have stalled progress for far too long?”

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  36. “A generation is growing up with pain, fear and preventable disease. We know the problems. We know the solutions. What we need now is action.”

    House of Commons15 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  37. “I welcome the Government’s recent steps, including the urgent care changes and the beginning of wider reform discussions, but tweaks to the existing system cannot become a substitute for fundamental reform. We need a clear timetable for formal negotiations on a new dental contract, a deadline for replacing UDAs in this Parliament, and proper funding, so that practices do not lose money for providing NHS treatment. The challenge before us is to build a system that allows dentists who want to provide NHS care to do so, and a system that ensures that patients can access that care. The measure of a healthcare system is not how well it serves those who can afford an alternative, but how it protects those who cannot. We must stop treating the collapse of NHS dentistry as inevitable.”

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  38. “The associate dentist was left, in their words, twiddling their thumbs, while patients were turned away or offered private care. I also heard from award-winning Claypath dental surgery, one of the last remaining NHS dentists in Durham city. The practice manager said the practice had “witnessed firsthand the steady destruction of NHS Dental Services over the last 20 years by successive Governments, that have used the demolition of NHS Dentistry as a way of saving money in the NHS”. As part of the cost cutting, the practice’s contract was reduced by 2,000 exams in April. During an attempted appeal, the practice was told to accept the change or lose the whole contract. I ask the Minister: how does cutting contracts like that improve access for patients?”

    House of Commons15 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  39. “Ministers should publish local data showing which practices are accepting new NHS patients, how many NHS clinical hours are being delivered, whether urgent care is being completed, how many children are being seen, and whether disease is being stabilised rather than left to worsen. One issue raised with me is the NHS Business Services Authority reporting and payments. Recent system changes have led to incorrect payments, and have made it harder for practices to calculate associate dentists’ pay. For practices already operating under serious financial pressure, that creates yet more uncertainty. Another issue is unit of dental activity caps. One local dentist described a practice with the chair, the associate dentist and the patient ready to go, but no additional UDAs were available.”

    House of Commons15 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  40. “I am grateful to the Backbench Business Committee for granting this debate, and I declare an interest as co-chair of the all-party parliamentary group for dentistry and oral health. I pay tribute to the British Dental Association, our secretariat, for the work it continues to undertake to keep NHS dentistry in the spotlight. Due to my APPG role, I hear regularly from patients and dental professionals across the country, and the message I hear nationally is echoed by my constituents in Durham: NHS dentistry is becoming harder to access and the current system is not delivering the practical care that patients need. We need to measure access properly.”

    House of Commons15 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  41. “We do not ask for kind words today, but for action on research, access to treatment, support and giving people more time not just to survive, but to live—because behind every diagnosis is a person who still has dreams, plans and a life worth fighting for.”

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  42. “Will the Minister set out how the Government will ensure three things: first, that secondary breast cancer data is collected and published consistently across every trust, with clear accountability for delivery; secondly, that every patient has meaningful access to a specialist named contact with the time and capacity to support them properly; and thirdly, that people living with secondary breast cancer are not left behind when life-extending treatments become available? Secondary breast cancer is not just a diagnosis. Mothers miss milestones, daughters face uncertain futures, partners become carers and families must live with a clock that they never asked to hear ticking.”

    House of Commons11 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  43. “They are asking for something very simple: that all parties come together to find a way to give eligible patients more time. I must also mention the work of our hospices, such as St Cuthbert’s hospice in Durham, which are supported by charities such as Marie Curie, in providing people who are living with secondary breast cancer with the services that they need. Marie Curie reports that one in three people do not receive the care and support they need at the end of life, so I welcome the fact that the Government are developing a palliative care and end-of-life care modern service framework. I hope that the framework will address the lack of support available outside of normal working hours, embed palliative care in neighbourhood health and ensure that the palliative care workforce is fit for the future.”

    House of Commons11 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  44. “The clearest example is Enhertu, which could give people with HER2-low metastatic breast cancer more time, yet was not recommended for routine NHS use in England in 2024, as a cost-effective pricing agreement could not be reached. Since then, eligible patients have missed out, and people have asked why a life-extending treatment should be available in Scotland but not in England. The Government’s decision to increase the NICE cost-effectiveness threshold for new medicines is welcome, and I hope it will create an opportunity to reach an agreement on Enhertu. I also welcome the fact that discussions between AstraZeneca, Daiichi Sankyo, NHS England and NICE are understood to have begun. More than 50,000 people have signed a petition calling for urgent agreement on Enhertu.”

    House of Commons11 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗

  45. “On access to treatments, everyone living with secondary breast cancer deserves to have access to new, effective life-extending treatments, but there are serious concerns that the way in which NICE currently assesses some drugs limits access for people living with incurable metastatic breast cancer. Campaigners have warned that since the introduction of the severity modifier, some advance cancer treatments have been disadvantaged compared with the previous system. Breast Cancer Now reports that only a minority of end-of-life treatments assessed under the new approach received the same level of priority as they would have before.”

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  46. “Patients place their lives in the hands of the system, so they deserve to know that decisions about their care are evidence- based, properly scrutinised and made through strong, multidisciplinary teams. When that trust is broken, it is difficult to rebuild. I pay tribute to those who spoke out, such as my constituent Jackie, who did so on behalf of her sorely missed daughter, Michaela, and Amelia, Cat and Nadeen, who formed the Pink Justice Network. I do also recognise the efforts of the new senior leadership team at the trust, who are working to reform services and repair patient confidence.”

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  47. “I also welcome the Government’s commitment to the national cancer plan, to define and count recurrent cancers, starting with metastatic breast cancer, and to ensure that patients have named primary contacts, but patients need delivery now, not just commitment. The NHS must routinely capture data on not only diagnosis but treatment and support needs. That is how we can move from counting people in theory to improving the services available to them in practice. In Durham, trust was shattered when failures were identified in breast services at County Durham and Darlington NHS foundation trust. The concerns went way beyond isolated mistakes, and patients wondered whether the care that they received was truly in line with the standards that they should expect.”

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  48. “We know that around 60,000 people in the UK are living with it, but that remains just an estimate. More than a decade after data collection was made mandatory, it is still not being consistently or accurately recorded across the country, and if people are not properly counted, their needs are too easily overlooked. The NHS cannot plan the right number of specialist nurses, oncology appointments, palliative care services, mental health support services or clinical trials if the true scale of need is not known. I welcome the work of the national disease registration service, with NHS trusts, to improve data returns on metastatic breast cancer, but I am concerned that no data has yet been published.”

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  49. “I received timely treatment and am now cancer-free, but I am forever grateful to the teams at the QE hospital in Gateshead, the Maggie’s centre and Future Dreams for their support. Whenever I can, I encourage people to attend screening appointments and to check themselves. In fact, on 14 July I will be hosting an event alongside leading breast cancer advocates and sporting ambassadors, focusing on raising awareness of the importance of women prioritising their breast health. I would love the Minister to join us. I know that my personal experience was not that of someone living with secondary breast cancer. For people whose cancer has spread and can be treated but not cured, time is everything. In 2026, it is unacceptable that we do not know with confidence how many people are living with secondary breast cancer.”

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  50. “It is a pleasure to serve under your chairmanship, Mr Betts. I am grateful to have had the opportunity to work with the hon. Member for Wokingham (Clive Jones) to secure this important debate. I thank the campaigners who work to ensure that people living with secondary breast cancer are seen, heard and supported. I am thrilled that my hon. Friend the Member for West Lancashire (Ashley Dalton), who has spoken so openly about her diagnosis, is here today: I am sure that her remarks will be invaluable. I speak not only as a Member of Parliament, but as someone who has been through breast cancer. I was fortunate: my cancer was picked up through screening and caught early.”

    House of Commons11 June 2026Contains Parliamentary information licensed under the Open Parliament Licence v3.0Source ↗