Dr Simon Opher
MP for Stroud · Labour · United Kingdom
“We must not say that things are getting worse, because I believe they are slowly getting better. As so many have said, we need to fix social care. We could have a system whereby the community is responsible for a patient as soon as they are ready for discharge.”
“I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for securing this debate and for her years of work in the A&E at St George’s. Emergency care is in crisis in the NHS, and corridor care is just an overspill because we cannot cope. That is because we are doing a few things wrong that we could remedy. I work as a GP.”
“That is absolutely true. We need to look at all the ways of reducing demand on GPs and, therefore, on A&E departments—that is what my speech is totally involved in—and pharmacies have a really good role to play. There is another thing here, which was noticed in the doctors’ strike.”
“We also need GPs to be assessing emergencies up until 10 o’clock at night to relieve the pressure on A&Es. There are a couple of other things. I have said about getting more experienced doctors involved earlier in the process, but we also need to invest in scanners—so many people in A&E are waiting for tests before they go home.”
“Dementia fluctuates, so just because someone has seen a slight increase in confusion, that does not mean that they need a whole batch of tests. We need to treat dementia more holistically. Polypharmacy—that is old people on loads of drugs—causes about 10% of admissions, so let us reduce that. We need good end-of-life care.”
“In Stroud alone, in four years, the number of over 90-year-olds went up 29% in just that short period of time. We have an enormous cohort of very elderly and frail people. Secondly, as we have heard, we have a lack of beds due to delayed discharge—I will not say any more on that.”
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“In Stroud alone, in four years, the number of over 90-year-olds went up 29% in just that short period of time. We have an enormous cohort of very elderly and frail people. Secondly, as we have heard, we have a lack of beds due to delayed discharge—I will not say any more on that. Thirdly, we have a lack of care beds in the community to enable discharge. There is also a lack of capacity in GP surgeries for on-the-day appointments. In my surgery, 45% of our appointments are on the day, but we obviously need to increase that so we can absorb the demand in primary care.”
“I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for securing this debate and for her years of work in the A&E at St George’s. Emergency care is in crisis in the NHS, and corridor care is just an overspill because we cannot cope. That is because we are doing a few things wrong that we could remedy. I work as a GP. I did a surgery last Friday and actually tried to admit someone. I rang up A&E and they said, “Well, I wouldn’t send them up at the moment, as we’ve got a six-hour wait.” I realised that, quite often, we do not have an operable emergency care service, and this is something we need to work on. I will briefly go through a few causes and then a few remedies, and the remedies could be clinical as well as organisational. First, we have an ageing population. Frailty is increasing.”
“But, by rebuilding the NHS from the community upwards, fixing social care and investing where it matters most, we can ensure that no patient is left waiting for care in a hospital corridor ever again.”
“Dementia fluctuates, so just because someone has seen a slight increase in confusion, that does not mean that they need a whole batch of tests. We need to treat dementia more holistically. Polypharmacy—that is old people on loads of drugs—causes about 10% of admissions, so let us reduce that. We need good end-of-life care. Some 50% of people with cancer die in hospital—many of them face corridor care—and we need to reduce that, because most of them want to die at home. Every older person needs an advance care plan so that, when they become ill, we know whether they want to go to hospital. That is incredibly important in pathways of care. Corridor care did not appear overnight, and it will not disappear overnight.”
“We also need GPs to be assessing emergencies up until 10 o’clock at night to relieve the pressure on A&Es. There are a couple of other things. I have said about getting more experienced doctors involved earlier in the process, but we also need to invest in scanners—so many people in A&E are waiting for tests before they go home. Also, as my hon. Friend the Member for Tooting (Dr Allin-Khan) said, it is not appropriate to have mental health assessments in A&E; we need mental health assessment units, which I do believe the Government are bringing in. There are a few clinical factors. Perversely, we need not to be so risk-averse. For example, admitting a patient for risk of falling is ridiculous, because they are more likely to fall in hospital than in their own home.”
“We must not say that things are getting worse, because I believe they are slowly getting better. As so many have said, we need to fix social care. We could have a system whereby the community is responsible for a patient as soon as they are ready for discharge. Perhaps the community should have to pay for the patient to remain in hospital after that to encourage it to get them out of hospital. We must stop agency working in social care, because that is causing a huge amount of stress to carers. We need care to be based on a community model so that carers cover small areas and do not have huge travel times. We also have to improve GP access. I think we should also make it so that A&E departments see only accidents and real, genuine medical emergencies. So we need a little bit of an increase in funding for primary care.”
“That is absolutely true. We need to look at all the ways of reducing demand on GPs and, therefore, on A&E departments—that is what my speech is totally involved in—and pharmacies have a really good role to play. There is another thing here, which was noticed in the doctors’ strike. When we have senior clinicians on the front door of A&E, that makes the department much quieter, because they make decisions quickly and can take a bit more clinical risk as they are more experienced. Perhaps we need to rearrange how care works in A&E departments so that we do not get a backlog. I turn to the remedies. We are beginning to turn the NHS around—that is clear from working in it and from what my patients say. Things are beginning to change. We need to do a lot more, but we are investing a lot of money in it.”
“The Clay Loft in Nailsworth provides studio space and tuition for this very popular art form, while Stroud markets provide an excellent place to sell the pots.”
“Many of his techniques came from traditional Japanese techniques and favoured an apprenticeship system. More contemporary and well-known potters such as Grayson Perry and Keith Brymer Jones have all grown from that movement. However, making a living from pottery remains tough. The price of clay and energy have increased, and most potters earn well below the minimum wage. The Arts Council could help individual potters, specifically at the beginning of their careers. That would help nurture the industry, while a reduction in VAT on clay would help small producers. Furthermore, the way HMRC treats apprenticeships and mentoring needs a more creative attitude to help the industry. In Stroud, there are long-running potteries such as Lansdown Pottery and the newer Stroud Pottery.”
“I thank my hon. Friend the Member for Lichfield (Dave Robertson) for his excellent opening speech. My remarks today will be at a slightly different level. They are focused on studio pottery—ceramics made on an individual basis, where each piece is unique and handmade. Studio pottery is growing in popularity in this country following programmes such as “The Great Pottery Throw Down”. There are thousands of makers up and down the country, and the industry is worth about £50 million in its own right. Pottery and potters are as old as the human race; although it might not be the oldest profession, it is certainly one of the earliest. Britain leads the world in modern studio pottery, which was largely started by Bernard Leach and the Japanese master Hamada in St Ives in Cornwall.”
“Developing young potters is essential for the ceramics industry in general, and particularly for studio pottery. As a GP, I know that the therapeutic effects of clay are well documented. I introduced arts in my surgery in 2001, using ceramics and clay, led by Karen Hilliard, to relieve stress in patients. I also pay tribute to Jeremy Steward and Petra Reynolds, who work at Wobage pottery and have remained an inspiration. I cannot finish without mentioning my daughter Martha, who makes a living selling her unique pottery in Stroud market. Although she will never be rich, she continues to inspire me and many around her with her functional and exquisite ceramics. This country should be proud of its world-famous studio pottery industry, which brings employment and joy to so many people.”
“Speaking as a member of the political class and the medical class, may I ask the hon. Lady whether she would accept that it is better for politicians to accept advice from medical experts around medical issues?”
“In the longer term, we need to abolish the House of Lords Chamber and replace it with something that is fit for purpose. The public expect Parliament to debate, scrutinise and improve legislation, and not allow a small, unelected minority to prevent the will of the elected House from being carried into law. I hope that the Government will work with hon. Members to ensure that what happened to the assisted dying Bill will never happen again, and that the will of the Commons on that point is made in law.”
“I had the pleasure of speaking to Baroness Smith, the Leader of the House of Lords, and although she managed to deliver all the Government business in a difficult Parliament, the ability of a small number of peers to disrupt, due to the lack of authority of the House of Lords Speaker, was abundantly clear. For private Members’ Bills, it was open season, as in those circumstances the Speaker has no powers of curtailment or to insist on the grouping of amendments, nor can the party leaders in the Lords impose any discipline. There are, in fact, no rules, which allows a small number of peers to block legislation based on their own particular views. It is time that the other place adopts rules about conduct and the primacy of the Speaker.”
“There was not just the assisted dying Bill, but the Employment Rights Act 2025, when Opposition peers refused to put down their bats in the game of ping-pong. That is why I, with others, set up the all-party parliamentary group on House of Lords reform to examine the options for reform. Comprehensive reform may take time, but there are practical changes that could be implemented in the shorter term. The self-governance of the House of Lords is fiercely guarded by many peers; however, without underpinning rules, those gentlemen’s agreements are open to abuse, as we saw over the course of the previous parliamentary Session.”
“According to polling, only 14% of people believe that the House of Lords should be able to prevent the Bill. Just 1% of peers took up more than a third of the speaking time on the Bill, tabling 60% of the amendments. As we have heard, although many of those amendments were tabled in good faith, others, which I will not go into, were absolutely ridiculous. The obstruction we saw with the assisted dying Bill can never be allowed to happen again. I am grateful that we have and can use the Parliament Act, but it is increasingly clear that we must look at other mechanisms. We need to completely change, and possibly even get rid of, the House of Lords. Peers continue to frustrate the timely progress of Bills that were passed by the democratically elected Commons.”
“My views on the issue were cemented by my experience with the Terminally Ill Adults Bill. I had the privilege of serving on the Bill Committee, which sat for more than 100 hours, considered hundreds of pieces of written evidence, heard three full days of oral evidence from experts and accepted more than 150 amendments. I also explored my constituents’ views on this during many surgeries. I take issue with the idea that the Bill is not a good piece of legislation. I have worked in palliative care for many years, and this is an excellent piece of legislation. Saying that it is weak is simply a tactic used by those who do not agree with assisted dying. Through abuse of parliamentary procedure, a handful of peers were able to impede the progress of the Bill, despite it being endorsed by the Commons and the public.”
“I thank the 326 signatories from Stroud who helped to make this debate possible, as well as the many petitioners who are in the Public Gallery. I also thank my hon. Friend the Member for Sunderland Central (Lewis Atkinson) for what I thought was an absolutely excellent speech. Even before taking up my role as an MP, I cannot say that I was a massive fan of the other place. There are undoubtedly many wonderful peers whose expertise and scrutiny make a valuable contribution to our legislative process. However, the idea that individuals should by virtue of their religious office or, until very recently, the lottery of life—or, indeed, because of political donations or cronyism—have a role in shaping, and blocking, our laws is impossible to justify in a democracy.”
“I thank my hon. Friend for giving way. He is making a very powerful speech. These types of debate are slightly triggering for some of us who were on the Committee. I have absolutely no problem with the House of Lords amending the legislation. In fact, that is its job. What it cannot do is simply block the legislation. I wonder what my hon. Friend thinks of that.”
“I fear that a company such as Palantir owning our data is a derogation of our duty, and that we should use that data as a fantastic resource. I am also worried about Palantir’s involvement with death in Gaza and the infringement of civil liberties under the Immigration and Customs Enforcement agency in America. Also, at the Chelsea and Westminster hospital, it seems that the benefits that Palantir said it would bring to the operating theatre were not provable. The data is owned at the moment by GPs, and if there is a spillage of data, GP practices are unlimitedly liable. We must change that; otherwise, no one will become a GP partner. We must also be careful, because excessive and over-the-top safeguarding could obstruct the single patient record, and that would harm patient care.”
“It is about time that, when a patient gets admitted to A&E, the doctors know what the GP has already done, and that, when a patient gets referred to a psychiatrist, they know which antidepressants have been taken. As my hon. Friend said, patients struggle to understand how all the doctors do not know what is going on. We got rid of the fax machine in our surgery only last year, so we are fairly behind on communication, but the Bill lays the foundation for that to be remedied. The benefits of the Bill for patients are huge—their medical knowledge at their fingertips, just as they are for clinicians and for integration. We cannot have integration without a decent single patient record. On research, our data is a national asset.”
“It is a pleasure to speak in support of the Bill, which I believe has the power to transform patient care in the NHS. Particularly after the remarks of my hon. Friend the Member for Bury St Edmunds and Stowmarket (Peter Prinsley), the House will be aware that I also have a vested interest in this, as I have been a working GP in the NHS in Stroud for at least the last three decades. Indeed, I did a surgery last Friday, and I excitedly told the other doctors that we are going to have a single patient record. Instead of being excited, they said, “It’s about time.” Those of us working in the NHS have been calling for a single patient record for years, so it is about time that a patient can tell their story just once, and about time a GP knows what a consultant is saying and the consultant knows what the GP is saying.”
“It is about time we reduced the ridiculous administration around patients and allowed clinicians to properly care for patients, and it is about time we had a single patient record.”
“I do agree, although that is a much bigger job. At the moment, mental health uses a different system from the hospital, and it would be great to unite them. I agree with that, but whether it would possible in the next couple of years, I am not so sure. Let me quickly go on to NHS England. The administrative burden on GP surgeries from NHSE has been huge, as my hon. Friend has mentioned, and it will be fantastic to get rid of that. When GPs undergo CQC inspections we have to do pointless protocols to fulfil the criteria, and they involve weeks of work. I want to make a little bid here for a much more supportive, lighter touch approach when looking at proper data around GP surgeries, which we would not have to prepare for. That would be very popular with GPs. I warmly welcome this Bill.”
“I thank the hon. Gentleman for bringing this really essential debate to the House. My constituent Emma Taylor tragically lost her daughter at the age of 19 and she now campaigns tirelessly for SUDEP Action as a policy champion. Does the hon. Gentleman agree with her on the need for the Government to promote proper first aid seizure training?”
“Would the Minister consider creating a national lido fund? If the Government are serious about public health, communities and opportunity for young people, they must be serious about saving our lidos.”
“It is said that the lido is going to be closed for safety reasons, but if it is closed, people in my constituency will go to the many rivers and lakes around Stroud, which are much more dangerous for swimmers. There have been a number of deaths in a lake in the area, so opening the lido will save lives. We need to fix the bottom of the pool quickly and fill it up for the summer, and then we need to consider a change of ownership. It is currently owned by the district council, but maybe it could be run through community ownership or with support from the Government. Many of those in charge of lidos in this country should look to Penzance’s hot saltwater pool. It was redeveloped after storm damage, and it is lovely to sit in. We need to offer day tickets. The Government should make lidos cheap and cheerful because people love them.”
“On the community value of lidos, one of my constituents said: “It is no exaggeration to say that there are people who would not have been born in Stroud were it not for their parents or grandparents meeting at the lido and it is no exaggeration to say that there are people in Stroud who would now have died were it not for the enormous health benefits of swimming in the lido.” At our lido, a load of things have been found that are probably quite familiar to many others: the lining is beginning to break up and there is some worry that the pump and the valves, which are all 80 or 90 years old, are about to fail. We are very angry in Stroud because we were not told about that before. I believe that there are ways to open the pool this summer so that we can benefit from it, and then maintain it in the winter.”
“Lidos are lifesaving: 25% of children in this country are unable to swim when they leave primary school, which is a scandal. The health benefits, which my hon. Friend the Member for Worthing West (Dr Cooper) just talked about, are important, and they include fitness and combating stress.”
“I thank my hon. Friend the Member for Peterborough (Andrew Pakes) for securing this debate. Lidos are important to us all—particularly to me, because I learned to swim in Grange-over-Sands lido, which is a saltwater lido that is currently closed but will hopefully be reopening shortly, and my first job was in south Oxford at the Hinksey open-air lido. Lidos mean a lot to me. We are in crisis in Stroud: last week, we found out that our lido in Stratford Park is not going to open for a number of maintenance reasons. That is a recurring theme—my hon. Friend the Member for Bishop Auckland (Sam Rushworth) said that his lido has not opened either. We are in a crisis, and we need extra Government support. Our lido, like many in this country, was built in 1938, and throughout the war, people swam there to relax.”
“I know that the Government have committed to issuing some statutory guidance, so I would like to hear some more from the Minister about that guidance. Strengthening our small towns and villages means giving actual powers to communities so that they can purchase crucial parts of our society.”
“Members have pointed out, there are many pubs—including in the Stroud area—that are now moving towards community ownership, simply because capitalism does not work very well in rural areas, but assets such as pubs are deeply valued. I will mention the Rose and Crown in Nympsfield, which was recently bought by the community. I have a personal interest in that pub, because it is about 2 miles’ lovely walk from my house and I am really glad that it has remained open. Community energy is also crucial. We have a scheme now whereby solar panels can be put on schools; we are trying to get community energy in every school in our area. However, I have campaigned for the environmental right to buy to be part of the community ownership model.”
“The new community right-to-buy model has been transformative, and community ownership is at the heart of what we do in Stroud. What I have noticed, and other Members have already pointed out, is that each organisation has to go through the same learning process to get funding. And the other thing I have noticed is that a lot of local people are willing to put funds into community ownership, but they need some sort of guarantee that those funds are safe. There is a role for some regional support in that regard. Just in the last week, the Stratford Park lido in Stroud has been threatened with closure. I know that local people hope that local government will be able to step in and offer support. If that does not happen, though, community ownership will provide a guarantee for this much-loved community service. As many hon.”
“I declare an interest as a working GP in the NHS. I probably would not be standing here if general practice had not been decimated over the last 14 years. I welcome the £485 million of extra funding, and I also welcome the fact that the capacity and access money is being channelled back into emergency GP action, so increasing the number of appointments, and increasing continuity of care by bringing back the family doctor. May I have some reassurance that the processes of advice and guidance and the referral mechanisms will not get in the way of Jess’s rule, which is about referring patients on their third presentation without any particular diagnosis?”
“That is putting an enormous strain on the healthcare system. An interim rapid damage and needs assessment conducted jointly by the United Nations, the EU and the World Bank found that more than $1.47 billion-worth of damages had been inflicted on the health sector, and that reconstruction will cost about $8 billion. There is a massive need to rebuild the healthcare facilities in Gaza. Two weeks ago, I heard direct testimony from a British doctor who had just returned from Gaza. She witnessed the wilful destruction of medical equipment—for example, cutting off the ends of all the ultrasound machines—and the systematic destruction of medical data. She described seeing patients arriving with sniper wounds that were so precise they were clearly made to cause lifelong disabilities and therefore harm young people in Gaza.”
“More than 13 years ago in Syria, for example, healthcare workers were systematically targeted by the then Syrian Government and Russian forces. The same is happening in Sudan now. There is, then, a bigger point, and we must stop this happening. This country should campaign on healthocide in the world. The situation in Gaza is grim for healthcare: not a single hospital is fully functional in the Gaza strip, while 50% of them are partially functional; only 1.5% of primary healthcare centres, or three out of 200, are fully functional; and not a single hospital is operating in northern Gaza or Rafah. Healthcare workers conduct more than 100 consultations a day; in British general practice, I am not allowed to do more than 25, so that gives a feeling of how much work these people are doing.”
“Later this evening, I will host a launch event for the investigation of the Gaza aid-worker massacre on 23 March last year, when 15 emergency workers were massacred by Israeli forces. I could not come to this debate without mentioning the tragic case of Hind Rajab, a five-year-old Palestinian girl who was murdered by Israeli forces alongside six of her family members. Crucially, two paramedics who were coming to save her life were also killed. Her voice will continue to haunt the world. I hope to meet her mother later today, and I want to be able to look her in the eye and say that this Government are doing all they can to prevent another such situation as happened to her daughter. Healthocide is becoming a new phenomenon in war.”
“We must stop this developing situation in the world. In addition, the healthcare system in Gaza is near to total collapse after such targeting. As I said, in a week’s time many aid agencies—over 30 of them—will be barred from working in Gaza. I will, then, discuss both those issues. The targeting of healthcare workers in Gaza has been widespread and well documented. Since October 2023, 1,700 healthcare workers have been killed, hospitals have been bombed and raided, and senior doctors have been detained. I talked to one healthcare worker in Gaza who said that they could not leave the hospital in scrubs because they would be identified as a healthcare worker and arrested.”
“In June last year, when preparing to go to the main Chamber for Foreign Office oral questions, I received a phone call from my colleague, Dr Rebecca Inglis, who works for Healthcare Workers Watch. She told me that, just hours before, a GP in Gaza was killed by an Israeli soldier, shot in the head. I do not know why—perhaps because I am also a GP—but that really hit home about the situation in Gaza. More than 1,000 healthcare workers have now been murdered in Gaza, while countless others remain detained. As well as the healthcare system in Gaza, I would like to talk about healthocide as a concept. The deliberate targeting of healthcare workers is becoming an instrument of war, not just in Gaza but in other places in the world. Healthcare workers do not have sides and are not partisan; the only side they are on is the side of humanity.”
“I beg to move, That this House has considered Government support for the healthcare system in Gaza. It is a privilege to serve under your chairmanship, Sir Jeremy, and I thank the Minister for attending. I also thank the Backbench Business Committee and the co-signatories of my application for the debate. I place on the record my thanks to Médecins Sans Frontières UK and Professor Ramzi Khamis for their assistance in my preparations. This debate could not have come at a more crucial time for healthcare in Gaza: in about a week’s time, many aid agencies that provide medical care will be barred from operating there. I believe there might be an urgent question to the Foreign Secretary about this very situation today, so it is a live debate. I thank all those who have asked to speak about this crucial issue.”
“Indeed, and many of us have campaigned on the medical evacuation of young people. The Minister has delivered on that, although there have been some problems recently, which he may address. A key issue in Gaza to which I will return is that currently the medical evacuation of anyone to East Jerusalem, which is still in the occupied territories, is not allowed. East Jerusalem has some well-functioning hospitals with capacity, and that is one of the issues we need to address.”
“I absolutely agree. War is traumatic on so many different levels, and mental health is a key part of holistic care and must be covered in any rebuilding of the healthcare system. We also need to start to look at training people in the Gaza strip and the occupied territories, because it is better to train them than to import them.”
“My hon. Friend is spot on. Rather than evacuating children to the NHS, which was the right thing to do while war was raging, it is better to build up facilities in the area and start training doctors and other health professionals to look after people there. We are training some Gazan medical students—I have met some of them—but the future lies in building up medical training in the area.”
“I thank my hon. Friend for that timely intervention—I know she uses her professional skills in Parliament. It is important that we support the healthcare system in Gaza, and I know the Foreign Office is keen to do that.”
“The hon. Gentleman is spot on. The most important thing is peace, so that we can build a healthcare system. Although there has been a ceasefire, a lot of Palestinians are still dying. We first need to make a stable environment, and we need to be pragmatic. While there are functioning hospitals in East Jerusalem, we should be able to take people out of Gaza and get them treated there. As I have outlined, the healthcare facilities in Gaza have been severely damaged. I will come later to the possibility of bringing in mobile units on a short-term basis, but in the long term we need to build up the hospital sector.”
“I would like to hear the Minister’s opinion on that. Healthcare workers in Gaza are performing the most difficult and courageous work imaginable, often literally under fire. They deserve protection and their patients deserve care. We cannot simply look away. We need action now.”
“We could be operating with them almost immediately. We must push to allow them into Gaza. Also, we need to start rebuilding hospitals and build up field hospitals as well. There is a lot to do, but we must start on this process. Will the Minister work with our allies to ensure that attacks on healthcare are investigated and documented wherever they occur, and that perpetrators are prosecuted? Healthocide must become recognised and exposed and we must deter it in the world. I was refused entry into the west bank last year. I realise that it is very difficult to get any leverage over the Israeli Government to influence their decisions—I respect that—and I understand that the Foreign Office tries to do what it can, but is it time to impose proper, full sanctions on Israel if it does not resolve this itself?”
“The World Health Organisation holds a list of approximately 18,000 urgent cases, yet permission to travel that short distance for care—including urgent cancer care—has been routinely denied. Will he use any possible leverage we have to ensure that the Israeli Government immediately pause the deregistration of international humanitarian aid organisations and negotiate their continued presence in Gaza? As my hon. Friend the Member for Derby South (Baggy Shanker) mentioned, we need to establish a medical supply chain that allows medicine and equipment into Gaza immediately, and we need to find rapid alternatives to destroyed facilities. For example, mobile operating theatres could be in Gaza within 48 hours. They are about the size of articulated lorries and could be driven in, and they are self-maintaining.”
“On top of all that, we now face an even more alarming development: 37 international non-governmental organisations, including Médecins Sans Frontières, face deregistration on 1 March—next week. If that proceeds, they will no longer be able legally to operate in Gaza, the west bank or East Jerusalem. MSF alone supports one in five hospital beds in Gaza and assists in one in three births. In 2025, it performed 22,000 surgical operations, handled more than 100,000 trauma cases and carried out more than 800,000 out-patient consultations. If these organisations are forced out, the consequences will be catastrophic. Will my hon. Friend the Minister urge Israeli officials to reopen the humanitarian medical corridor, allowing critically ill patients to travel to East Jerusalem and the west bank for treatment?”
“This is a particularly horrifying statistic: 11 children have reportedly died from hypothermia this winter, including a two-month-old baby and one-year-old child. There are many serious problems, among which I would like to pinpoint Guillain-Barré syndrome, which is very rare—as a doctor, I have seen it only once—and it leads to increasing paralysis and often requires ventilation. The causes are often difficult to identify, but there seems to be a Guillain-Barré syndrome epidemic in Gaza. It may be triggered by infections or other, possibly sinister, causes. Doctors in Gaza have tried to take away soil samples but have been restricted. I do not know what is causing it but Guillain-Barré is an acute problem with serious repercussions.”