Mary Kelly Foy
MP for City of Durham · Labour · United Kingdom
“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.”
“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?”
“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…”
“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.”
“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.”
“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.”
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“Hospices need to be able to offset their costs. After all, it does not reflect well on a society when the Government do not prioritise end of life care. Patients require the utmost dignity, and the Government should be ensuring that their dignity is prioritised.”
“What St Cuthbert’s is receiving from the integrated care board does not even come close to either wage inflation or general inflation. It is seeing a massive rise in its energy costs, by tens of thousands of pounds. As we have heard, a care home cannot reduce its energy consumption. The marketplace for specialist staff is currently extremely competitive. The absence of a proper workforce plan from the Government is not helping. It should be noted that despite the challenges it is facing, St Cuthbert’s Hospice continues to run at 100% satisfaction. I know the Minister will mention the £100 million announced in the spring Budget, but that falls short of what is really needed. Hospices are collectively budgeting for a deficit of more than £180 million this year. Where is the support for energy bills?”
“I thank the hon. Member for Eastleigh (Paul Holmes) for securing this important debate. I extend my condolences to him for the loss of his manager Sue. I start by giving my heartfelt thanks to all those who work in hospices. Ensuring that people can pass away in comfort and dignity is an extremely honourable profession, and it means a great deal to people, as we have heard. The cost of living crisis is affecting hospices up and down the country, and we need to take it seriously. Even before the cost of living crisis began, working in a hospice was challenging. The Government should not be making it harder. The Minister should be concerned by what hospices such as the brilliant St Cuthbert’s Hospice in my constituency are saying. Inflation, for one, is a real concern.”
“I attended this morning’s debate on hospices, which are at breaking point. There is a massive funding gap between what the Government are offering and what hospices need, and the same is true of dental care, which I have mentioned many times in this place. My constituents cannot get an appointment, and they cannot go private because it is so expensive. I could go on. Child poverty is now rife in my constituency. The number of people fed by food banks has increased, and inequality is worsening. What is happening to our country? Why are the Government allowing this? The austerity policies of David Cameron and George Osborne hollowed out our welfare state and left us unprepared for when covid hit. They both owe the public an apology.”
“I take any opportunity to raise the cost of living crisis in my constituency and beyond. The cost of living crisis started before the Ukraine war in 2022, before the 2019 pandemic and before Brexit in 2016. It started with austerity, which has been affecting people for more than 10 years, and let us remember that austerity is a political choice. It is a choice made by Ministers, past and present, and they were told at the time that it would not work. Even the United Nations told them that their ideological austerity experiment would not work, but the Government continued, and we are all worse off because of it. Bizarrely, I know the Chancellor agrees with me. He said that some cuts went too far when he was Health Secretary, but he is now Chancellor and can reverse those cuts, so why has he not?”
“Recently, Arriva gave up its subsidised 57A route, which goes through my constituency. The council has struggled to find an alternative operator because the Government have banned it from creating its own bus company—one that could serve the local community, which is left struggling to access key local services and even to get to work. Does the Minister agree that it is long overdue and common sense to end the ideological ban on municipal bus companies?”
“Across England, one in six children aged five to 16 are likely to have a mental health issue. Children’s happiness and sense of wellbeing continues to decline. With mental health trusts raising the threshold of how ill under-18s must be, we have seen a quarter of a million children being denied help for their mental health. Poor mental health compounds. Left untreated, it can spiral out of control, as we have heard many times today. No one should be in a mental health crisis, let alone children. The Government must invest in children’s mental health today—no more delays and no more referrals. The Minister must allow children the happiness that they deserve.”
“There have also been concerns raised about the lack of beds for children, as well as poor staffing levels, high staff turnover and a lack of neurodiversity training. Horrifically, young people have even taken their lives while in the care of the trust. We owe it to them, and all those who have been harmed, to investigate what is going on within the trust. Will the Minister commit to an independent, judge-led inquiry into the trust? She can either respond to me now or I can wait for her response in her closing speech. One thing is clear: this cannot go on. I want to highlight the crisis in children’s mental health. In my region, children spent over 1,000 hours in A&E because they were in a mental health crisis. There are over 30,000 children on waiting lists.”
“As we have heard today, England is in the midst of a mental health crisis, and that is certainly true in the north-east. I join my hon. Friends the Members for Middlesbrough (Andy McDonald) and for Darlington (Peter Gibson) in calling for an independent inquiry into the Tees, Esk and Wear Valley NHS Trust. The testimonies I have heard have shocked me. I know that I can speak only in broad terms, but they include serious cases of improper care and misdiagnosis, and of putting people on waiting lists despite their feeling suicidal. The Care Quality Commission reports that we have seen raise concerns about risk assessments, communications and record keeping, and a lack of observation.”
“I say to the Minister: please do the right thing—ignore the advice of your Department and implement the measure in this petition. It is sensible, justifiable and it will save lives. We owe that to those who have lost their lives.”
“A general duty of care is too vague and does not provide clarity or consistency. A statutory duty of care would change that and give students and their parents peace of mind that they were protected. The Minister said that legislation might have unintended consequences at this time. What does he think those will be? While he is here, I want to put on the record the wider mental health crisis among students. As we have heard, the NUS has found that a third of students feel that the cost of living crisis is having a major impact on their mental health. There has been a mental health crisis at universities for over a decade now. To make matters worse, those in crisis have to wait ridiculous lengths of time to see a professional.”
“How can a Government say to families who have lost their child that it would be disproportionate to implement a statutory duty of care. Disproportionate to whom? One hundred students are taking their own life every year. If there had been a statutory duty of care, they might be here today. What we have now is a general duty of care, but let us be frank: a general duty of care just does not work. If it did, we would not be here debating the petition. Last year, a senior judge ruled that no relevant common law duty of care existed in a case from a bereaved family against a university. We could say that a general duty of care does not even exist, and that needs to change. The petition that we are debating is the right response: it is fair, just and reasonable, and it has my support.”
“I thank the hon. Member for Don Valley (Nick Fletcher) for leading the debate. I thank the 25 families behind the petition, which has well over 100,000 signatures, and express my sincere condolences to all of them. I extend my condolences to Lee, Hilary, Mark and Ben and thank them for their appearance before the Petitions Committee last month. University should be an exciting, life-changing experience for young people and their families; it should not be life-ending. No parent should ever be told that their child has taken their own life—not ever. The fact that over 100 students take their life each year reflects that something is seriously wrong with the current system. I must say that the Government’s response to the petition has been quite insensitive.”
“The horrifying experiences of my constituents, which I will outline, will certainly strengthen that claim, but before I turn to my constituents, let me state a chilling fact: Britain has poorer oral health than any other developed economy.”
“Vast areas of our country are increasingly described as “dental deserts”, places where not a single dental practice is accepting new NHS patients, and County Durham is one such place. We in Durham have witnessed dental services decay at an alarming rate. In my constituency today, there will be children sat in classrooms struggling to concentrate because of something as preventable as toothache. So it is hardly surprising that tooth decay is now the leading reason for children being admitted to accident and emergency in our country. This scandal is not unique to Durham or the north-east; it is a problem everywhere. In 2023, dentistry is available on the NHS on paper but not in practice. The British Dental Association has described NHS dentistry as entering its final act.”
“It is clear why dentists are closing their doors to NHS patients, and it is certainly not because of a lack of demand. The problem, which the BDA has identified, is that the unreformed NHS dental contract means that dentists are pushed into the private sector to keep their practices afloat financially. As one dentist said to me: “Every day I’m providing some treatment for nothing or at a loss—working the best I can, caring for NHS patients the best I can within the dental contract.” He also went on to say that the Government are clearly winding down NHS dentistry in the hope that the public will accuse dentists of being greedy. The exodus of dentists is clear for all to see—except, it seems, the Government, who continue to deny there is a crisis in NHS dentistry.”
“Following his appointment, Ray was diagnosed with oral cancer, for which he is now receiving treatment. As there is a cost of living crisis, we have a duty to ask, what if Ray had not been able to pay for private treatment? What if the cancer had continued to go undetected? Frankly, Ray might not be here today. It is morally wrong that Ray was put in that position. No one in my constituency —or anywhere, for that matter—should be put in that position. Why is this happening? My visit to a dental practice in Gilesgate this week provided some of the answers. The practice has just one dentist working two days a week seeing NHS patients, and it has 10,000 patients on its books. It does not take a genius to work out why my constituents cannot see a dentist.”
“Her family contacted me because they could not find a dentist to help her. Luckily, after I reported the case on social media, a local dentist was kind enough to help her out, but our health system should not be based on charity. Constituents have also contacted me about do-it-yourself dentistry. In case the Minister is unaware, that is when people fit their own fillings and extract their own teeth without anaesthetic or any professional training. I have raised the alarming experience of my constituent Ray in the Chamber before, but I do so again because his case underlines why access to dentistry should be not a luxury, but an integral part of our health system. Ray was unable to find an NHS dental appointment, so, out of utter frustration, he decided to go private.”
“They know that dentists are trying their best for their patients. The problem lies at the Government’s door. In the time that I have, I can share only a portion of the pain and suffering that my constituents have had to endure. One moved to Durham over four and a half years ago but still cannot find an NHS dentist, despite being told after a kidney transplant that it was vital that they had regular dental check-ups to monitor their health. Now they have a broken tooth and simply cannot afford to fix it. Another constituent told me how she had to borrow money to afford a private appointment. She is now 30 weeks pregnant and exempt from dental charges, but her exemption is worthless as there are no appointments available for her. A young girl in my constituency tripped over and shattered her teeth.”
“Of course, prevention is better than cure, and that is one of the reasons why so many children have to go to A&E. If problems were identified and prevented in young children, there would not be the cost implication for services further down the line. In an ideal world, we would have dentists in schools. As I said, Britain has the poorest oral healthcare among developed countries. Can the Minister honestly say that we have genuine preventive oral healthcare in our country? Over the past 13 years, dentistry has become unaffordable and unavailable for many of my constituents. Nearly 400 have contacted me in dismay at their recent experiences. I thank them for their contributions and I hope the Minister can give them some reassurance today. My constituents know that the problem is not with the dentists themselves.”
“The system is also dysfunctional, and practices have handed back a record £400 million-worth of funding back to the Government because they do not have the capacity to meet the required targets.”
“I could not agree more with my hon. Friend. The dentists that I have spoken to recently all want to help NHS patients, but the way the contracts are designed, it is not worth their while, and of course they have to make a living. I mentioned that I made a point of order yesterday regarding the Prime Minister, who has repeatedly claimed that there are “500 more dentists” in the NHS. However, following a freedom of information request, we now know that the number of dentists in the NHS fell by nearly 700 last year. The number of dentists has also fallen since the pandemic and is at its lowest level in a decade. Diagnosing the causes of the problem is not complicated. As I mentioned at the beginning, Britain has poorer oral health than any other developed economy.”
“I could have spoken for hours this evening, reading out the correspondence I have received from constituents. Each constituent’s experience reflects a serious failure by this Government, so I implore the Minister not to insult the intelligence of the people of Durham, but to take this opportunity to accept that there is a crisis in NHS dentistry and to commit finally to meaningful reform.”
“Dentistry must be at the centre of the policy-making process, not an afterthought. Secondly, will the Government publish a comprehensive national dental strategy, one that is focused on prevention and tackling health inequalities? Thirdly, will he undertake meaningful reform of the NHS dental contract, which would stem the flow of dentists out of the system? Fourthly, will he work with the BDA on the previous points? Finally, as I have said, I raised a point of order yesterday on the Prime Minister’s claim that there are 500 extra dentists in the NHS. There are in fact 700 fewer dentists, not more. Unless I have missed something today, the Prime Minister has not corrected the record, as he is obliged to. Will the Minister finally correct the record on behalf of the Prime Minister?”
“I thank my right hon. Friend for the intervention. We all know that there is huge demand and such a lack of NHS dentists out there that it is, I guess, a question of political will whether this problem is solved or not. The absence of oral healthcare from our national debate about the future of the NHS is alarming. Dentistry is integral to our national health and therefore must be key to the NHS. Without proper investment in preventive healthcare such as dental check-ups, we cannot quickly treat oral cancers, nor can we stem the flow of people with dental problems into our already overcrowded accident and emergency departments. I would be grateful if the Minister responded to the following questions. First, will he ensure that dentistry is properly represented in the governance structures of the NHS?”
“It feels as if the Minister is coming to the end of his speech, but I would really like him to correct the record. In my point of order yesterday, I said that the Prime Minister has on seven occasions said that there are 500 more NHS dentists, when there are in fact 700 fewer dentists. If the Minister has met the British Dental Association, it will have pointed that fact out to him. Could he please correct the record, or may I ask you, Madam Deputy Speaker, for advice on how we can encourage the Prime Minister to correct the record before the House rises tomorrow?”
“Further to that point of order, Mr Speaker. The Prime Minister may have made several inaccurate statements regarding the number of NHS dentists. Since January, he has said on seven occasions that there are more dentists working in the NHS. On 3 May, in response to me at Prime Minister’s questions, he stated that “there are more than 500 more dentists working in the NHS this year than last year.” —[ Official Report , 3 May 2023; Vol. 732, c. 111.] However, a freedom of information request obtained by the British Dental Association has thrown his comments into doubt. According to the FOI response, the number of dentists is down by 695 compared with the previous year. There are, in fact, more than 1,100 fewer dentists undertaking NHS work than before the pandemic, which brings the workforce to levels not seen since 2012-13.”
“It is all just a smokescreen to attack workers’ rights even further. On the Government’s watch, austerity has removed 20% of firefighters since 2010, making all our lives less secure. It is the same with nurses. Tens of thousands left the job they love just last year, and now the Government want to make nurses’ lives and the lives of millions of other workers even harder. Why are Ministers not tackling the causes of this issue—the cost of living crisis that is making the lives of my constituents a misery?”
“Instead, they have wasted Parliament’s time with a Bill that the Joint Committee on Human Rights has said falls short of human rights obligations. Amendments made in the other place have sought to put flesh on this skeleton Bill—amendments that the Government will reject this evening. It is disgraceful that this Bill seeks to undermine devolution using Henry VIII powers. I commend my hon. Friend the Member for Cynon Valley (Beth Winter) on her amendment in Committee, and I welcome the amendments from the other place. The British Government should not be interfering in areas where they have no responsibility. It will simply deepen the divide between London and the devolved Governments, and it is a joke that Ministers talk about public safety during strikes when the Bill itself does not even mention safety.”
“Since the Combination Act 1799, the party on the Government Benches has tried to suppress working people’s rights, but it has never succeeded in that, and it never will. The right to strike is a fundamental human right that goes hand in hand with freedom of association. History shows us that working people are never afraid to challenge an oppressive Government. We have seen that in the recent wave of industrial action, where workers are prepared to fight for decent pay, against poverty wages, for secure jobs and for their communities. They will continue, whether or not this Bill becomes law, and the public will be on their side. Ministers could have used this time to negotiate with trade unions, tackling the real causes of industrial unrest.”
“I rise this evening as a proud trade unionist, proud to declare my interest as a member of two great unions—Unite and Unison—and proud to represent a constituency that is at the heart of the labour movement. I know that every single worker who marches in the Durham miners’ gala will be opposed to this Bill, which is autocratic, undemocratic and unworkable. It is autocratic because it gives enormous powers to the Secretary of State through Henry VIII powers, reducing Parliament’s role to a rubber stamp. It is undemocratic because it is another poorly written Bill rushed through Parliament that will undoubtedly see the intervention of the courts after Royal Assent. It is unworkable because trade unions and their members will not accept this blatant attack on their rights, and nor should they.”
“I thank my hon. Friend for securing this important debate. Yesterday it was reported that desperate parents are having to steal baby formula to feed their children. It is seen as stealing but, of course, it is survival. Does she agree that the Government should consider price controls on essential items such as baby formula?”
“Where has that process got to? When are we likely to hear again from the Secretary of State? Will we see a Green Paper? More broadly, can the Minister share his thoughts on re-evaluating property prices? As I said, the current valuations are over 30 years old. I would appreciate an answer from him on those points. The cost of living crisis is affecting all our constituents. It is leaving people with extremely difficult choices to make. In many cases, their choice is between heating or eating. These are the families who desperately need our vital public services. Replacing council tax with something progressive, as well as adequate funding from Whitehall, would ease the burden on those families and strengthen our public services locally. We need to do this as a matter of urgency.”
“It was supposed to be revised periodically, but that has never happened in England. Housing inflation since 1991 has made those valuations nonsensical. Crucially, it means that the richest households, who live in the most expensive houses, are not paying their fair share. Billionaires in London will pay the same tax as someone occupying a modest property. Council tax has become like the “community charge”—the poll tax—that it was supposed to replace. I appreciate that the Minister could not announce a policy change here in Westminster Hall today even if he wanted to, but can he give us a sense of what is happening in the Department on this issue? Last November, at a sitting of the Levelling Up, Housing and Communities Committee, the Secretary of State said that the Department was looking into local government finance.”
“I thank the hon. Member for Barrow and Furness (Simon Fell) for securing this important debate. It is good to see cross-party consensus; I hope the Minister will note that it is not a party political issue. I also pay tribute to my hon. Friend the Member for Easington (Grahame Morris) for his work in highlighting the problems with council tax. We all know that council tax is flawed. Our constituents know it, we know it and the Government know it, too. The reality of council tax is that it is making councils overly reliant on locally raised revenue streams in order to offset Whitehall cuts. What makes the situation even worse is just how regressive council tax is. It baffled me when I was a local councillor, as it still does, that council tax is based on property valuations made in 1991, over 30 years ago.”
“A cap on fares is not much use if a bus does not turn up. The Minister even stated on his social media this week that people in County Durham need access to a car or a van to get around. Does he believe that he is improving bus service reliability if providers are slashing routes and services?”
“Led by Durham University, the Northern Accelerator has invested more than £100 million in partner university spin-outs in the past five years, bringing skilled jobs and opportunities to my constituents and across the region, but if the Minister is really serious about levelling up Durham, can he explain why the north-east receives just 4% of Research England’s budget and six times less money than London?”
“Q6. Unable to secure an NHS dental appointment, my constituent Ray was forced to go private. It was then discovered that he had a large, aggressive tumour in his face and jaw, and 16 hours of gruelling surgery was required to remove it. If he had not been able to afford it, Ray might not be with us now. This is yet another chapter in the horror story that is the decay of dentistry on this Government’s watch, so does the Prime Minister accept that NHS dentistry is in crisis, and will he meet me and the British Dental Association to ensure that no one loses their life because they could not get a dental appointment—yes or no?”
“While the Government continue to fail the most vulnerable in our society, the charity sector is left to fill in the gap. In my constituency, we are very fortunate to have the County Durham Community Foundation, which has raised £900,000 through its Poverty Hurts appeal, allowing many fantastic local projects to literally keep their lights on during the cost of living crisis. I welcome the Government’s recent announcement of support for charitable organisations, but what steps is the Department taking to establish a wider and longer-term funding commitment to the sector?”
“In 1948, Labour recognised that it was vital to integrate dentistry within the NHS and that oral health is not an optional luxury but integral to our national health and key to the NHS. How we tackle it must therefore be a priority, not an afterthought. Only a Labour Government can save dentistry from the rot and decay that has set in under the Tories’ watch.”
“The situation is compounded by the cost of living crisis, which is blighting the lives of ordinary people. If someone needs to choose between eating and heating, they will probably not want to fork out for an expensive root canal; they will probably choose to have an extraction instead or do it themselves. This is a stark example of health inequalities. I have some questions for the Minister. When will the Government adopt a preventive approach to health and social care, particularly to dentistry? When will the Government provide NHS dentistry with the funding it desperately needs? Has the Department had meetings recently with the Treasury to discuss funding? When will the Government work with the British Dental Association to reform the current dental contract, to stop the exodus of staff from the NHS?”
“I fear that if NHS dentistry continues down this road, England may have an entirely private dental provision, and the facts speak to that. In August last year, the BBC showed that eight in 10 NHS practices were not taking on children as patients, nine in 10 practices were not accepting adult patients, and a third of council areas were not taking on adult NHS patients. How can we have a preventive approach if my constituents cannot get to see a dentist? In addition, tooth decay is the most common reason for A&E hospital admissions in young children. That is a disgrace. Nothing could reflect the current crisis more than DIY dentistry. People are fitting their own fillings and extracting their own teeth without anaesthetic or professional training. This week alone, I have been contacted by eight constituents who have performed DIY dentistry.”
“Across Durham and the whole country, dentistry is in crisis. It is a system in need of urgent reconstruction, not tinkering. To be clear, the problem has not been caused by NHS workers or dentists. It has been caused by the Conservative Government, who have ignored the concept of prevention rather than cure. Dentists have told me that the key issue is the chronic underfunding of NHS dentistry. Let us not forget that it has been subject to cuts unparalleled elsewhere in the NHS. There is a real recruitment and retention crisis in the workforce, but the situation cannot be improved by simply recruiting more dentists. The fact is that NHS dentists are made to work in a fundamentally flawed system that does not have prevention at its heart.”
“In 2021, the Government rejected my amendment to the Health and Care Bill to tackle smoking and youth vaping. England is now set to miss the Smokefree 2030 target by at least seven years, and countless children are now addicted to vapes. I welcome the U-turn, but what steps has the Minister taken to make up that lost time?”
“I recently visited the outstanding Laurels Childcare Company in Durham to listen to its concerns about childcare funding. Such providers are crying out for clarity on the Government’s plan. More free hours must not mean more underfunded hours. The Government admitted in 2020 that it costs £7.49 to deliver an hour of free childcare for a three-year-old, yet in September providers will be paid just £5.50 for those hours. Can the Minister tell me why?”
“The BMA has made it crystal clear that it is willing to enter into negotiations, so will the Secretary of State commit right now to asking ACAS to negotiate and mediate? If not, why not?”
“We spend more than £150 million a year on a prison education system that is unfit for purpose, and much of that is extracted as profit for failing outsourced companies. Does the Minister think that is good value for money?”
“Let be me clear: this Bill is inhumane. It is not an illegal migration Bill: it is an anti-refugee Bill, and an extension of the failed hostile environment policy introduced by the Conservative party.”
“No, I am not going to give way at this point; I have waited since 5.30 pm. Sorry, Bob. Anti-refugee MPs have been emboldened by the Home Secretary’s rhetoric of hate, as we can see from the amendments and new clauses and by what we have heard from many Government Members. Unbelievably, the Bill has the potential to be even worse than when it came to the House on Second Reading. Let us not forget that the day after an immigration facility was attacked—it was firebombed—the Home Secretary spoke of an “invasion” of southern England. It has been reported today that the Home Secretary even fuelled a rebellion against her own Bill in order to introduce tougher amendments.”
“On Monday, we debated the immoral Illegal Migration Bill—or the anti-refugee Bill, as it should be called. The Bill scapegoats refugees—people fleeing from climate change and from war. Now we have a Budget that fails to resolve the real issues that working people in our country face. Whether it is at home or abroad, the Conservative party does not care for working people or the most vulnerable people. The nasty party is well and truly back, with its divide-and-rule politics.”