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UK PARLIAMENT · SITTING

Shockat Adam

MP for Leicester South · Independent · United Kingdom

IN THEIR OWN WORDS

I refer Members to my entry in the Register of Members’ Financial Interests: I am a practising optometrist. Children across England are living in a postcode lottery when it comes to vision screening.

BUSINESS OF THE HOUSE · 2026-07-16 · READ IN HANSARD

At a recent packed talk with my Highfields residents, they told me the same thing that all my residents tell me about: the scourge of potholes. We know that councils are facing a backlog of £17 billion in road repairs, but new technology exists that can detect early cracks and seal them before they become potholes.

TOPICAL QUESTIONS · 2026-07-16 · READ IN HANSARD

Young people with cancer often face severe isolation during treatment, separated from their friends and everything that is normal to them at that critical age.

TOPICAL QUESTIONS · 2026-07-14 · READ IN HANSARD

I recently read Viktor Frankl’s “Man’s Search for Meaning”, which is a powerful account of life in a concentration camp. There is a poignant part of that book where victims and concentration camp prisoners, talking to each other at the end of the day when they could barely keep their eyes open, go and witness a sunset because its beauty b…

CULTURE, MEDIA AND SPORT · 2026-06-30 · READ IN HANSARD

I will quickly pay homage to some organisations in my city that are utilising arts to improve the mental health of young people and the recovery of those who are unwell.

CULTURE, MEDIA AND SPORT · 2026-06-30 · READ IN HANSARD

He recently held a roundtable where he showed that ill health currently costs the UK economy £212 billion a year, with 2.8 million people out of work due to long-term sickness. However, arts and health interventions are estimated to return up to £8.56 in social value for every £1 spent.

CULTURE, MEDIA AND SPORT · 2026-06-30 · READ IN HANSARD

The complete record

Every one of 569 lines we hold for Shockat Adam, in date order, each linked to its source. Free to read, in full, without an account. Page 3 of 12.

  1. When in opposition, the Prime Minister said that Boris Johnson “always looked the other way” over standards in government, and that he was “corrupt”. Yet Labour Together has been led by key advisers to the Prime Minister, including my constituency predecessor, and some remain in his Cabinet to this day. Given the £730,000 in undeclared donations from millionaire venture capitalists, and a payment of almost £36,000 to a public relations firm to smear investigative journalists, does the Minister agree that the public were promised real change but all they are getting is much of the same, and that the great British people expect a lot better?

    LABOUR TOGETHER AND APCO WORLDWIDE: CABINET OFFICE REVIEW · 2026-02-23 · READ IN HANSARD

  2. Leicester and other garment manufacturers do not need charity, they need fair enforcement, responsible sourcing and Government leadership in procurement. A modest increase, raising the share of UK-manufactured clothing sold domestically to just 10%, would be transformational. It would create thousands of skilled jobs, rebuild capacity and create enormous revenue for the Treasury. Leicester once clothed the world. With the right policy direction, it can clothe Britain again, ethically, sustainably and proudly.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  3. It is already happening at the Sheffield and Manchester city councils, which are developing local cluster productions and competitive local supply chains. We must also ensure awareness; we must fund a consumer awareness campaign. Multiple research projects show that people will pay more to support local communities and businesses. We should create a new “Made in the UK” trademark that only the businesses making clothes in the UK can use. Currently, “Made in the UK” does not mean that something is made in the UK; it can be made somewhere else and packaged here, and still count. Onshoring increases our economic prosperity, reduces carbon footprint, strengthens labour standards, enhances national security and restores community pride.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  4. Changing what waste means may force retailers and brands to stop volume of production, because the current carrots are simply not working. Let us incentivise our manufacturers by creating tax breaks for companies that are making clothing from waste and deadstock. The cost of dealing with fashion waste, especially from low-cost Chinese retailers such as Shein, is rising exponentially. Introducing an incentive for UK manufacturers to create garments from deadstock would help to tackle that issue and create a steady stream of business for UK companies. We need to create a uniform national body to advocate for the sector, and a national director of manufacturers. That would help to join the dots to create competitive clusters.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  5. In fact, 67% of manufacturers are reporting that brands refuse to cover the cost of any of these changes. That volatility destabilises factories and workers alike and is simply not fair or sustainable. [Christine Jardine in the Chair ] Leicester Made, through its Leicester Textiles Renewal project, is already bringing together expertise to strengthen UK supply chains, celebrate regional skills and accelerate sustainable, tech-driven onshore production. Fashion Enter is leading calls for public procurement reform. These are not abstract campaigns, but practical and deliverable solutions. We must also target packaging waste and introduce penalties for firms that produce large volumes to bring down unit costs, only for much of it to remain unsold 12 months later.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  6. The vast majority of Leicester factories are hard-working, skilled and ethical, and they certainly deserve recognition for that, not stigma. If we are serious about ethical supply chains, we must also be serious about ethical purchasing. That is why proposals for a garment trading adjudicator—a fashion watchdog modelled on the Groceries Code Adjudicator—deserve serious consideration. Research recently presented at a Fair Work and Supply Chains in the UK Garment Industry event showed the strain that purchasers are put under by brands: 100% of suppliers pay for audits, yet only 6% are guaranteed future orders. Lead times can drop at the drop of a hat, halving from 30 days to 14 days, and payment terms are lengthened without warning. Orders are cancelled or altered mid-production.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  7. Community organisations—they have joined me today—such as Wesley Hall and the Shama Women’s Centre offer sewing classes that serve as a pathway to work for many disadvantaged women. Leicester does not lack workforce readiness; it has that in abundance. I appreciate that the industry in my city has faced negative headlines. We cannot shy away from that, and I agree wholeheartedly that any form of exploitative behaviour must be addressed and rooted out. The Operation Tacit review, launched after those serious allegations, found, yes, some cases of non-compliance, but it made it perfectly clear that the portrayal of an industry dominated by widespread modern slavery was overstated. Enforcement bodies found no evidence of prosecutable modern day slavery offences.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  8. The environmental case for onshoring is also extremely strong, because it reduces carbon miles naturally and allows tighter environmental oversight. Leicester innovators such as Nanofique and Shibori dye house, working alongside De Montfort University, are pioneering waste water treatment methods that demonstrate how environmental responsibility and industry can work hand in hand. There is also a powerful social case. Garment manufacturing provides flexible employment. That is valuable for all, but particularly for women, enabling many to rejoin the workforce after having children, combating isolation and providing financial independence. I recently met trainees at Fashion Enter’s Leicester hub, alongside Jenny Holloway, and saw at first hand the appetite for skilled ethical production.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  9. During covid, the Department of Health and Social Care spent more than £13 billion on personal protective equipment, with billions-worth written off as unusable and millions more spent on storage. During the pandemic, we saw that UK factories could pivot rapidly to produce PPE and scrubs at scale. The capacity and skills exist; what is missing is a clear mandate. Other nations understand this very clearly. In fact, in the United States, military uniforms must be made domestically, for national security reasons. I believe the UK should adopt a similar principle. Military uniforms and NHS clothing should be manufactured in Britain wherever possible. I am not promoting protectionism; it makes perfect economic and strategic sense.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  10. Yet garment manufacturing now accounts for just £375 million of the UK textiles sector’s £25.6 billion; that is less than 2%. Meanwhile, tens of millions of our public procurement pounds are leaving our shores. We surely have to ask why. The economic case for onshoring is really strong. The British Army clothing budget alone is worth nearly £80 million annually. In previous years—as the hon. Member for Hornsey and Friern Barnet mentioned, figures are available only from 2013—only a small fraction, 6%, was manufactured in Britain. That means that an overwhelming 94% was being manufactured abroad. NHS uniform frameworks are worth £125 million over five years.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  11. I saw at first hand how they powered enterprise, created family wealth for people who had just come to this country, and fostered a culture of community entrepreneurship and philanthropy. The businesses did not just produce garments; they sponsored local events, supported charities, built places of worship and invested in the city. Manufacturing was woven into the social fabric of Leicester, shaping not just livelihoods but lives. Today, across the county, the garment sector still supports approximately 11,000 jobs. Every component needed to make a complete garment is still available in the city. Leicester offers true end-to-end production— from design concept to finished product—with a speed, flexibility and technical capability that many overseas supply chains simply cannot match.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  12. It is wonderful to see you in this place, Ms Ghani. I thank the hon. Member for Hornsey and Friern Barnet (Catherine West) not just for securing this important debate but for her commitment in travelling all the way to Leicester, my home town. That shows how seriously she takes this matter. I will focus my speech on my home town. Leicester is a city rooted in textile heritage, from Tudor hosiery knitters working in their homes to the industrial expansion of the 19th century. In fact, Leicester once proudly claimed to clothe the world. By 1936, it was recognised as the second richest city in Europe, and at its height had more than 1,500 factories employing tens of thousands of people. As a young boy—this is not just nostalgia—I grew up in the shadows of those factories.

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  13. Does the hon. Lady agree that any company found to be utilising cotton produced through slave labour should not be allowed to list themselves on the stock market in this country?

    ONSHORING: FASHION AND TEXTILES · 2026-02-12 · READ IN HANSARD

  14. Many families are living in difficult socioeconomic conditions and they are barely surviving. We cannot even begin to imagine the emotional toll and the feeling of guilt that many parents talk about. Many feel that it is their fault. We cannot imagine their mental anguish.

    HUGHES REPORT: SECOND ANNIVERSARY · 2026-02-11 · READ IN HANSARD

  15. The Independent Medicines and Medical Devices Safety Review chaired by Baroness Cumberlege published its First Do No Harm report in 2020. It concluded that women had been misled and ill-informed, and recommended an independent redress agency, specifically a compensation scheme for those harmed by sodium valproate and pelvic mesh. Unfortunately, the Government did not accept those recommendations. In December 2022 the Patient Safety Commissioner was asked to explore options, and on 7 February 2024 the Hughes report clearly called for an independent two-stage scheme providing both financial and non-financial compensation. The Government have yet to respond. Meanwhile, families continue to struggle. In many cases it is the mother, who may herself still be suffering with epilepsy, who is the primary carer of a disabled child.

    HUGHES REPORT: SECOND ANNIVERSARY · 2026-02-11 · READ IN HANSARD

  16. Some parents report that they were warned about the possible side effects to themselves, but never about those to their unborn babies. That pattern appears to have been repeated again and again. Clear warnings did not emerge until the late 1990s and were only strengthened around 2010. The first GP toolkit was published as late as 2015—and it still did not mandate direct, informed conversations with patients, so GPs simply did not have to tell patients. As has been mentioned already, women were often dismissed. No long-term study was ever conducted; even today, some women are only discovering through their own research why their 30 or 35-year-old child lives with a disability linked to valproate. That is truly shocking, and it is still ongoing—it is not history.

    HUGHES REPORT: SECOND ANNIVERSARY · 2026-02-11 · READ IN HANSARD

  17. However, it has always been known to cause serious harm when taken during pregnancy, and the risks are stark: around 30% to 40% of children exposed in the womb develop neurodevelopmental disorders and approximately 10% suffer serious congenital malformations, including spina bifida, cleft lips and other lifelong disabilities. The sadness is that 20,000 children in the UK are estimated to have been affected. The concern is that evidence suggests doctors were aware of the risks from the early years. However, according to the minutes of the Committee on Safety of Medicines, it made the extraordinary decision in the 1970s that fully warning women may cause “fruitless anxiety”. The warnings were not given, and the fact that that decision was made after the thalidomide scandal makes it all the more shocking.

    HUGHES REPORT: SECOND ANNIVERSARY · 2026-02-11 · READ IN HANSARD

  18. Member for New Forest East (Sir Julian Lewis) mentioned, we have seen this all before: 30,000 people were infected and affected in the contaminated blood scandal in the ’70s and ’80s; 700 hard-working postmasters and postmistresses were falsely prosecuted and their lives destroyed; and billions and billions of pounds were wasted on unusable personal protective equipment during a national emergency. Sodium valproate is an effective drug. It was developed in 1962, and it has transformed the lives of countless people with epilepsy and bipolar disorders.

    HUGHES REPORT: SECOND ANNIVERSARY · 2026-02-11 · READ IN HANSARD

  19. It is a real honour to serve under your chairship, Dr Allin-Khan. I thank the hon. Member for Chesham and Amersham (Sarah Green) for this valuable and vital debate. I pay tribute to all families who have suffered a miscarriage of justice, and in this case to all those who have been impacted by sodium valproate or pelvic mesh. I am especially grateful to my constituent Emma Friedman, and I salute her and her son Andy for educating me about this issue, and particularly about sodium valproate, but also for their real strength and perseverance and their unwavering commitment to justice. Achieving justice should not really be so hard, but unfortunately it is. As the right hon.

    HUGHES REPORT: SECOND ANNIVERSARY · 2026-02-11 · READ IN HANSARD

  20. The current Health Secretary, when in Opposition in February 2024, expressed frustration at how slowly justice was progressing. Those words must now be matched with action.

    HUGHES REPORT: SECOND ANNIVERSARY · 2026-02-11 · READ IN HANSARD

  21. Yes—that is the least that we can do. Sodium valproate is effective, as was powerfully demonstrated by the hon. Member for Bexleyheath and Crayford (Daniel Francis), and women must not abruptly stop taking the medication, as that can be seriously dangerous. However, this issue represents a serious failure of communication between regulators, GPs, specialists, fertility clinics and pharmacists. We must modernise the safety system, with better data sharing, digital alerts, clear warnings on packaging and, above all, mandatory one-to-one consultations so that every woman of child- bearing age understands the risks and the alternatives. Mistakes will always occur in medicine, but how quickly we acknowledge them, learn from them and compensate those harmed is the true mark of a progressive society.

    HUGHES REPORT: SECOND ANNIVERSARY · 2026-02-11 · READ IN HANSARD

  22. In 2024, Leicestershire police signed a contract with Palantir worth close to £1 million for an intelligence and investigation platform. From what I can deduce through the work I have done, there was absolutely no formal tender process. I raised this concern in the Chamber in June 2025, along with my concerns about Palantir’s racial profiling and civil liberty abuses, which we are seeing in ICE raids now. The written response I received did not address any of my concerns, so will the Government now ensure that all the information about that contract is released immediately? Can the Minister confirm that Peter Mandelson played absolutely no role in unleashing this dystopian contract on the residents of Leicestershire?

    MINISTRY OF DEFENCE: PALANTIR CONTRACTS · 2026-02-10 · READ IN HANSARD

  23. I would like to pass on my heartfelt sympathies to the family of Khaleed Oladipo, who was tragically killed in a knife crime incident last week in the city of Leicester. I am sure that no Member of this House wants to see another life cut short and another mother’s heart broken, so will the Minister back my calls for the Government to appoint a dedicated Minister to tackle knife crime?

    TOPICAL QUESTIONS · 2026-02-09 · READ IN HANSARD

  24. I thank the Minister for his statement, and I definitely agree that Epstein’s crimes were disgusting and Mandelson’s behaviour despicable. I remind the Chief Secretary that, under the last Conservative Government, the now Prime Minister said, “a fish rots from the head” and that real change had to be “led and modelled from the top”. Yet here we are, and the issue is back. Despite the colour of the rosette changing, the Prime Minister’s closest circle must now take the fall for his poor decision making in appointing a man who was best friends with a paedophile. Given that there is now a criminal investigation into his closet advisers, should he not do the honourable thing and take his own advice?

    STANDARDS IN PUBLIC LIFE · 2026-02-09 · READ IN HANSARD

  25. Journalists have been killed, courts have been intimidated and international law has been subverted to feed a genocide. More than 1,500 aid workers have been killed. Surgeons have been crying in front of the children they are trying to save. If they were in this country, they would be able to save those children, who are dying right in front of them. This is just daily life in Gaza, and we have no political will. I will end with this. This weekend I watched “The Voice of Hind Rajab”, which is about a six-year-old who became the voice of the children of Gaza. She was trapped in a car with her family. She cried out to the world that night, “It’s getting dark. Please come and save me.” Nobody came for her. It is getting dark for the world, and we must lighten up the world for them.

    OCCUPIED PALESTINIAN TERRITORIES: GENOCIDE RISK ASSESSMENT · 2026-02-05 · READ IN HANSARD

  26. Before he was murdered, he said: “I never once hesitated to convey the truth exactly as it is…hoping that God would bear witness against those who stayed silent in this world”. Staying silent is precisely what too many people have done. What of the international rules-based order? The International Court of Justice is hearing a genocide case. Advisory opinions have been issued, and the law is trying to work, yet when the International Criminal Court seeks accountability, which is what it has done before, the response is not support but hostility. Sanctions are imposed, and threats are made. In fact, our Foreign Secretary allegedly threatened the ICC’s chief prosecutor by saying that accountability would be like dropping a hydrogen bomb. I ask plainly: are international courts only legitimate when the accused are Africans?

    OCCUPIED PALESTINIAN TERRITORIES: GENOCIDE RISK ASSESSMENT · 2026-02-05 · READ IN HANSARD

  27. As defined in international law, genocide is the deliberate and systematic destruction of a people because of who they are. Measured against this definition, the Government’s position on Gaza is not cautious; it is morally incoherent. At least 71,000 Palestinian men, women and children have been murdered. We have witnessed this in real time, yet we are told to wait and not to jump to conclusions. Where were the systems that were meant to guide us when humanity crossed the line once more? Let us start with the media, the purveyors of the truth. Foreign media are not allowed into Israel, so what has happened? Three hundred Palestinian journalists have been killed. One of them was Anas Al-Sharif.

    OCCUPIED PALESTINIAN TERRITORIES: GENOCIDE RISK ASSESSMENT · 2026-02-05 · READ IN HANSARD

  28. Since the beginning of this latest catastrophe, following the horrors of 7 October, those of us who have been asking for balance, respect and nothing more radical than a justice-based international order have been castigated, and some of us have even been criminalised. We are now 26 months into this horror, and we are still asking for the same thing. We are pleading for the principles on which we as a country agreed following two wars—after humanity confronted its own capacity for evil and promised, “Never again.” We built structures to ensure that this would never happen again, yet Gaza has stripped away any remaining illusion that this rules-based order still exists. Let us be clear about what we are discussing today.

    OCCUPIED PALESTINIAN TERRITORIES: GENOCIDE RISK ASSESSMENT · 2026-02-05 · READ IN HANSARD

  29. One major reason for the court backlogs is the repeated outsourcing of private contracts for prisoner transportation to companies such as Serco, which has caused a loss of a whole court day every single week. Given that there is a lack of penalty clauses for late prisoner transportation, and that Serco continues to be awarded procurement contracts, can the Minister commit to reviewing that matter and the associated costs, instead of removing our juries and our civil liberties?

    COURT BACKLOG · 2026-02-03 · READ IN HANSARD

  30. ] We have a sense of belonging to this land, even though we are far away from our ancestral land. That does not happen by chance. It happens by design, and it can only happen in a country that promotes integration based on the values of decency, respect and contribution, rather than contempt, impatience and transactional values. It works when a society respects values that should be woven into its fabric—when we value our care workers, our frontline health workers, our teachers and our transport workers, not because of how much money they earn but because they are the foundation of our society.

    INDEFINITE LEAVE TO REMAIN · 2026-02-02 · READ IN HANSARD

  31. It is an honour to serve under your chairmanship, Sir Edward. I have much to say in this debate, hence it is very difficult for me to know where to begin. However, I will begin by thanking the petitioners. For this MP—indeed, this is also the case for many of the MPs in this room, and for Cabinet Ministers and shadow Ministers, and even for a Prime Minister—I am what I am because of the manner in which this country treated me when I came here. I had two parents who could not speak a word of English, yet the support that we received means that now we have a dynasty of academics, entrepreneurs, professionals and even a parliamentarian—although I know, for some people, that might be enough to create a policy to make sure that it never happens again. [ Laughter.

    INDEFINITE LEAVE TO REMAIN · 2026-02-02 · READ IN HANSARD

  32. I agree with the hon. Gentleman. Having a policy like the current one also flies in the face of the Prime Minister’s pre-election pledge. It is a betrayal of his sixth pledge, which we were told was: “an immigration system rooted in compassion and dignity.” I, and I am sure many others, feel the betrayal most sharply when it comes from an Asian Home Secretary—someone whose own journey reflects the promise of migration, but who now advances policies that punish people who are just like her own family and mine once were. Apart from the policy being morally bankrupt, it also flies in the face of fiscal responsibility. We are told that this issue is all about cost, and that migration is a burden. Yet those claims collapse under scrutiny. The widely cited £234 billion “ILR emergency figure” has been discredited even by its own authors.

    INDEFINITE LEAVE TO REMAIN · 2026-02-02 · READ IN HANSARD

  33. I am sorry, but I cannot do so, in the interest of time. Security results in integration. Insecurity results in chaos, not to mention the serious possibility of exploitation of people by employers; colleagues have already made the point about indentured labour. When did modern Britain become such a transactional country? If we truly want an integrated Britain, the last thing we want is longer waiting times, uncertainty and a broken promise. What we need is certainty—five years’ maximum for the process, with fast decisions—and a real acknowledgement that migration, when it is organised with respect and fairness, strengthens a country rather than weakening it.

    INDEFINITE LEAVE TO REMAIN · 2026-02-02 · READ IN HANSARD

  34. When will the Government announce the results of their British industrial competitiveness scheme consultation, and provide the fabulous manufacturing industry in my constituency with some much-needed help towards its energy costs?

    TOPICAL QUESTIONS · 2026-01-29 · READ IN HANSARD

  35. Sadly, on Boxing day Leicester learned that it had lost one of its finest: Councillor Manjula Sood MBE. Manjula Sood had been a Labour councillor for 25 years, worked for countless charities and worked so hard for community cohesion. In 2008, she had the honour of becoming the UK’s first female Asian Lord Mayor, but for me, she will always be known as Mrs Sood, my junior school teacher. Will the Leader of the House commemorate Mrs Sood and also make time in this Chamber for an annual debate where we can commemorate all local champions who truly put the great in Great Britain?

    BUSINESS OF THE HOUSE · 2026-01-22 · READ IN HANSARD

  36. I thank the Secretary of State for his statement and welcome much of it, including the fact that it recognises the challenge facing suppliers and that it will support 80,000 jobs. Will the Government commit to working with small local businesses to deliver the scheme, which will help the local economy, or will it just be for the big boys?

    WARM HOMES PLAN · 2026-01-21 · READ IN HANSARD

  37. Despite the Minister’s assertion that the Government are holding the Israeli Government to account, I would like to remind them that a tender has just been issued by the Israeli Government for a further illegal construction of more than 3,000 homes in the E1 project in the west bank, which will completely cut the west bank in half. Will the Government now comply with the ICJ’s opinion that third states like ours have a duty to bring Israel’s illegal occupation to an end by imposing sanctions on Israeli Ministers in their professional capacity and to prohibit UK companies from involvement with illegal settlements?

    TOPICAL QUESTIONS · 2026-01-20 · READ IN HANSARD

  38. Ordered, That Shockat Adam, Marsha De Cordova, Jim Shannon, Brian Leishman, Jeremy Corbyn, Ayoub Khan, Iqbal Mohamed, Mr Adnan Hussain, Paulette Hamilton, Mark Pritchard and Adrian Ramsay present the Bill. Shockat Adam accordingly presented the Bill. Bill read the First time; to be read a Second time on Friday 13 March, and to be printed (Bill 369).

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  39. Glaucoma alone accounts for £750 million. That is not just a cost to the NHS, but a cost of lost productivity, informal care and diminished quality of life. This is a silent epidemic, but it is not inevitable. What am I asking for? What can be done to begin to tackle this silent epidemic? Fundamentally, I am asking for a national direction from the Department of Health and Social Care to ICBs that they should commission a uniform primary care glaucoma service that utilises qualified high street optician practices. Only by doing so will we end the postcode lottery in glaucoma care. We already know what works, we already have the workforce, and we already have the technology. We now need clear direction and political will. Question put and agreed to.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  40. The recent draft “Getting It Right First Time” model, developed with minimal input from primary care optometry, risks reinforcing England’s hospital-led approach and undermining the Government’s own ambition to shift care from hospitals to the community. We also see worrying behaviour at ICB level, with several ICBs removing the limited community glaucoma services that they had in place to make short-term savings. That is extremely myopic. Given the ongoing financial pressures on ICBs, we do not expect individual ICBs to make significant progress in commissioning optometry-led glaucoma pathways that fully integrate optometry and ophthalmology without clear direction from the Government. The total cost of visual impairment in the UK is estimated to be £26.5 billion, and it is set to rise to £33.5 billion by 2032.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  41. Even more concerningly, 21 ICBs—half of them—do not commission a glaucoma monitoring service in the community and rely simply on the hospital eye service to follow up glaucoma patients for the rest of their lives. That is where the sight loss occurs, as the hospitals simply do not have the required capacity. This is a postcode lottery that punishes the vulnerable, especially when people from black and Asian communities are up to four times more likely to develop glaucoma and often have the least access to timely care. Unlike in Wales and Scotland, where a “shared care” service for glaucoma is commissioned by every health board, optometry-led and properly integrated between primary care optometry and ophthalmology, often the approach of NHS commissioners in England is hospital-led.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  42. That is not a one-time saving; glaucoma is a chronic condition, and these are recurring appointments for people who are living with the condition, not cured of it. Making full use of the skills and capacity already in primary care takes significant pressure off hospital services, enabling them to focus on tasks that can be managed only in a hospital. This could save the NHS an estimated £12 million annually. At present, 10 integrated care boards have no glaucoma case-finding or referral management services. Many patients in those areas who are referred to hospital could instead be retained in primary care optometry with appropriate commissioning, rather than being added to the existing waiting lists.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  43. Thankfully, this is where the Government’s own NHS 10-year plan—in particular its ambition to shift care out of hospitals and into the community, and its focus on prevention, not sickness—closely aligns with the transformation needed in glaucoma care. There are over 14,000 qualified optometrists in England, providing more than 13 million NHS-funded eye tests. They are trained, regulated and ready to help. Community glaucoma services, led by appropriately qualified optometrists with the approved equipment, have already demonstrated the ability to reduce hospital appointment referrals by up to 71%. If implemented nationally alongside an optometry-based glaucoma monitoring service, it may be possible to release 300,000 hospital appointments every year.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  44. Hospital ophthalmology is one of the largest out-patient specialities in the NHS, with 8.9 million appointments a year in England between 2023 and 2024. It is estimated that glaucoma care accounts for about 20% of all hospital eye service appointments, with around 1 million visits annually across England alone. In 2024-25, it was reported that 600,000 people were on a hospital waiting list for an ophthalmology appointment. However, the ongoing care, such as the need for regular planned follow-ups for glaucoma patients, is often overlooked, with the numbers not hitting the headlines like those waiting for an initial assessment or surgery. NHS hospitals cannot carry this load alone.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  45. I recently saw a patient who was referred to the hospital and diagnosed with glaucoma. That bit was absolutely fine—the initial appointment happened—but the follow-up was postponed and then they missed an appointment. This meant that, by the time they came to see me again a year later, they had lost a significant amount of their visual field, to such an extent that even their central vision—their acuity—was affected. That anecdotal example corroborates the findings of major chains such as Specsavers. The problem is that current waiting list data provides a measure only of first appointments, not of the ongoing care that is vital to chronic conditions like glaucoma. We need published data on follow-up waiting times, because that is where sight is being lost. Here is the reality.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  46. People lose not only their sight, but their independence and their ability to drive, read, cook and even leave their house. Falls increase and isolation grows, and then come the emotional and mental health impacts: fear, depression and the loss of identity. Furthermore, with an ageing population, we face a growing crisis. Glaucoma cases are expected to rise dramatically in the coming decades, with a growth rate that outstrips the ageing population. A study from 2017 suggests that over the next 20 years, glaucoma cases will rise by 44%. That is hundreds of thousands more people who will need care, follow-up and support, and I fear that data will prove to be an underestimate. Let me be blunt. Patients are losing their sight not because care does not exist, but because the pathway is broken and the follow-up is delayed.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  47. Unfortunately, no amount of money would be able to restore her sight, because glaucoma, as well as being silent, is usually irreversible. Glaucoma is the leading cause of preventable blindness in the UK. Over 700,000 people are affected by it, and, even more concerningly, more than half of them are undiagnosed. That is 350,000 people walking and driving around, not knowing. It could be any one of us, or someone we love or work with. Indeed, a former Liberal Democrat Member of this House, Paul Tyler, was not diagnosed until a routine eye test. In its early stages, glaucoma rarely has symptoms, and there are rarely any warning signs—just a silent, slow theft. By the time it is noticed, the damage is usually permanent, and the loss has far-reaching consequences.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  48. Imagine trying to navigate a busy high street, to cross a road or simply to move safely around one’s own home. This is not simply theoretical; let me give the House two brief but very real examples from my experience. I saw a woman who on two separate occasions was hit by a car from the side while driving her own car, before she finally came in for an eye test. She was unaware that there was a problem, because she could see number plates and road signs perfectly. What she could not see was the side of her vision eroding. Another heartbreaking experience when a pensioner came to me with a handbag packed with what looked like her life savings. Cash in hand, she explained that she would spend whatever it took if I could just give her a pair of glasses that would allow her to see her two loves: her love of painting and her grandchildren.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  49. That is exactly what glaucoma does—it changes lives quietly, and often without warning. Glaucoma is known as the thief of sight, and for a very good reason. It damages the optic nerve at the back of the eye, with each nerve fibre representing a different point in the visual field. Because the loss begins in the peripheral vision, people often do not realise that anything is wrong until it is too late. If Members would like a glimpse of what an advanced glaucoma sufferer sees, may I ask them to cover one eye completely and, with the other eye, to look through an aperture created by their hands and touch their fingertips to their palms? As the condition progresses, the aperture gets smaller and smaller and smaller, until eventually nothing is left.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD

  50. I beg to move, That leave be given to bring in a Bill to make provision about the detection, treatment and monitoring of glaucoma by optometrists in England; to make provision about the full integration of optometry and ophthalmology services for the purpose of glaucoma care in England; and for connected purposes. I refer hon. Members to my entry in the Register of Members’ Financial Interests; I am a practising NHS optometrist. I also thank the Minister for Care for coming to the Chamber for this valuable debate. As a practising optometrist of many years, one of the heartaches of the role is this: during a routine examination, I can detect a condition that will forever change the life of the person who is sitting in my chair, and the patient is blissfully unaware of it.

    GLAUCOMA CARE (ENGLAND) · 2026-01-20 · READ IN HANSARD