Shockat Adam
MP for Leicester South · Independent · United Kingdom
“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.”
“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.”
“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.”
“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…”
“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.”
“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.”
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“Does the hon. Member agree that being homeless should not prevent people from using primary care services, such as GP and dental practices, and the Government must support those practice providers as much as they can?”
“Over 50% of parents of children who have special educational needs have admitted to neglecting their own health because they are too busy prioritising the health of their children. What is the Minister doing to ensure that parents’ health and mental wellbeing are being prioritised in this very adversarial process?”
“Millions will now be spent on a football match to defend some hooligans—it is not all fans—who chant that there are no schools in Gaza because there are no children in Gaza. Does the Minister agree that the Prime Minister should respect the independence of the police and the safety advisory group?”
“Antisemitism is vile, and no one should be prevented from enjoying their sporting game, whatever it may be, simply because of their faith. As a football fan, I take the decision to ban any fans very seriously, but the Prime Minister’s decision to interfere with the independence of West Midlands police and the SAG should concern all of us in this House, especially when the same Prime Minister failed to intervene when British aid workers were killed while volunteering for World Central Kitchen, failed to intervene when his own MPs were denied access to Israel and the west bank, and failed to intervene when the Israel Defence Forces boarded flotillas with British citizens onboard and detained them.”
“I welcome the announcement that the Government are enhancing their provision of post-16 vocational qualifications, but when will the Secretary of State outline a dedicated post-16 strategy for young people with learning difficulties and disabilities? I recently held a heartbreaking roundtable with young people with learning disabilities in Eyres Monsell, in my constituency. Although they had been doing work experience for years, when it came to giving them full-time work, our corporate supermarkets let them down. They want to work, they are able to work, and with the right support they will work.”
“I thank the hon. Member for Birmingham Erdington (Paulette Hamilton) for presenting this report. Does she agree that we need to have a wider conversation about healthcare for black and ethnic minority individuals, especially as there is a chasm in the provision of healthcare? For example, body mass index, ratios and thresholds, and respiratory meters are not measured for black individuals. We are therefore missing out on detecting health conditions, simply because we are using archaic equipment.”
“Youth services deliver huge benefits to our community, both socially and economically, reducing knife crime and antisocial behaviour and, in turn, saving the country £500 million a year. Yet the clubs that I meet in my constituency, including Wesley Hall youth club and Eyres Monsell club for young people, tell me that there is a real recruitment and retention crisis in the sector. With over 4,500 workers leaving in the past decade, what measures is the Minister taking to address this issue?”
“I welcome the ceasefire and the release of the hostages, and I take solace in the knowledge—or at least in the hope—that unlike other debates of this nature, at the end of this one countless Palestinian children will not have been killed by the IDF. However, does the Prime Minister agree that the people of Gaza do not need a colonial viceroy, Tony Blair, anywhere near determining their future? The former Prime Minister, who has been in meetings with the Trump Administration, is proposing a US-administered Gaza, rebuilding Gaza as a resort on top of the mass graves of men, women and children. Will the Prime Minister condemn this plan and Tony Blair’s involvement in rebuilding?”
“Every night, over 1,000 children are homeless in my city; they are either in temporary accommodation, or even worse off. Does the Minister agree that this is totally unacceptable for a modern society, and that the Government must bring forward its cross-departmental plan to tackle youth homelessness?”
“I recently visited a synagogue in my constituency to celebrate Sukkot, but this year our celebration was drowned in sadness as we paid our respects following the terrorist attacks on two very brave men. We all condemn those attacks because, as the Home Secretary said, an attack on our Jewish community is an attack against us all and we are indeed stronger together. However, does she agree that acts of terrorism should not be used to pit communities against each other, and that by conflating the right to peaceful protest with the actions of a crazed terrorist we are in danger of doing just that? What steps is she taking to ensure that there is greater community cohesion which will build bridges and not wars?”
“Families are already watching loved ones waste away: 361 people have already died of hunger, including 83 since famine was officially declared. The world’s leading genocide scholars, Israeli human rights organisations and international experts are clear: what is happening in Gaza meets the legal definition of genocide. Yet here in Britain, the right hon. Member for Tottenham (Mr Lammy), in his final flurry as Foreign Secretary, wrote that the Government have not determined that Israel acts with intent, and therefore there is not a genocide. How can anybody look away relentlessly when all this tragedy is happening? I have very little time, so I ask the Minister: will he call on diplomatic—”
“It is a real honour to serve under your chairship, Mr Stringer. Nine children lie in bloodstained, torn clothes. They were not fighters, militants, extremists or terrorists; they were simply queuing for water in what Israel itself has declared a safe zone, and yet the so-called most moral army in the world unleashed death upon them. Their small bodies now bear witness to a horror that no child should ever know. That is not an isolated strategy, as the hon. Member for Cowdenbeath and Kirkcaldy (Melanie Ward) so powerfully said. We have seen the death of innocent people in churches, mosques, hospitals and schools—every sector of Palestinian society has been destroyed. For those who survive the bombs, starvation is tightening its grip.”
“We have witnessed the Israeli army massacre over 60,000 people in Gaza, 19,000 of whom were children. The blood-soaked tentacles of the Israeli army are now reaching closer to home, especially in my case. Yesterday afternoon in Doha, my niece and her daughter were having a lovely time together in a library when the Israeli army, which this Government fail to condemn for committing genocide, dropped a bomb two or three streets away from where they were. The building shook, and there was smoke everywhere. My niece’s baby is still asking, “Will it happen again?”, so I ask the Minister: will it happen again, and what will this Government do, beyond saying empty words? When will we completely stop every single arms sale to Israel, impose economic, political and social sanctions, and use all our power to get desperately needed aid into Gaza?”
“The more than 1,000 people who have been arrested include blind veterans, elderly people, NHS workers and even the children of Holocaust survivors, yet the Government are intent on aiding and abetting Israeli firms—51 of them will be exhibiting in London this week at the arms fair—alongside rolling out the carpet, stained with the blood of the children of Gaza, for the President of Israel. Why are non-violent protesters being treated with greater punishment than a Government bombing and starving millions of children? Does the Minister agree that if there was real justice, the Government would arrest the Israeli leadership and send them to the International Criminal Court?”
“In the month of August alone, across our country mosques as well as women, children and families have been subjected to unacceptable levels of Islamophobic abuse and attacks—from a young Muslim mother with her young child being abused in a park in Yorkshire for simply wearing a niqab, to a young autistic man in Manchester being threatened to have his throat slit and told to go to his mosque. Does the Leader of the House agree that some language and rhetoric used by some Members both in this Chamber and in some media outlets fuel this hatred on the streets? Given the ever-increasing number of attacks, will she remind Members of our responsibility in our use of language, and will she urge the Government to expediate the ongoing consultation and urgently adopt a robust definition of Islamophobia?”
“Every single day, 80 to 90 people die from a cardiac arrest out of hospital. However, when a defib is used quickly, not only does it save lives, but recovery is faster and the risk of comorbidities, including brain damage, and the need for long-term care are dramatically reduced. An intensive care unit bed costs around £2,300 a night, but a patient treated with a defibrillator within one minute will often avoid intensive care altogether and suffer far fewer longer-term complications. Early access to a defibrillator therefore saves the NHS and the Government significant amounts of money, as well as saving lives. Defibrillators should be readily available everywhere, but one area where they are not is places of worship. I ask Ministers to scrap the VAT and give peace of mind to our communities.”
“It is a pleasure to serve under your chairship, Mr Stringer. I thank the hon. Member for Bishop Auckland (Sam Rushworth) for securing this debate on what is literally a matter of life and death. Last week, I was fortunate enough to unveil a new community defibrillator in the Evington ward of my constituency, thanks to the dedicated work of community champions such as Teej and organisations such as the Evington Road Neighbourhood Association, and to the generosity of the local pharmacy, Pearl Chemist, which allowed them to use its wall. That work shows that when people get together they can achieve anything, but it also highlights the wider crisis that access remains a postcode lottery. A quarter of the postcodes in my constituency are not within easy reach of a defibrillator.”
“Along with thousands of other children, my youngest son is today going back for his first day at school. Unfortunately, more than 660,000 Gazan children—those who have not been butchered or maimed irreversibly by the Israel Defence Forces—are being denied schooling for the third consecutive year. That is not surprising, given that 97% of schools have already been virtually destroyed. What is the Secretary of State doing to ensure that the next generation of Palestinians can access education, alongside launching a bespoke visa system that enables students to come to study here in the UK? If not, why not?”
“I thank the hon. Lady for securing this really important debate; it is often said that Sudan is the forgotten conflict. Does she agree that we must urge the United Nations to enforce its resolution 2736, which mandates lifting the siege, particularly in the city of El Fasher, and facilitating the delivery of humanitarian aid?”
“I, too, thank my hon. Friend the Member for Birmingham Perry Barr (Ayoub Khan) for tabling this urgent question. I also thank the Minister for his answers, and I sympathise with his position, but replacing this workforce, policing the dispute and paying the legal fees has cost the already overstretched council £4 million. All the while, the good people of Birmingham—the very people who voted in a Labour council and many Labour Members of Parliament—are living in foul misery. Does the Minister agree that it would save millions of pounds, improve our relationship with the dedicated bin workers and restore a basic necessity to the people of Birmingham if he intervened to get us out of this stink?”
“Sadly, both universities in my constituency, De Montfort University and Leicester University, are on the verge of making hundreds of redundancies and even shutting down complete faculties. What financial commitment is the Department making to secure academic jobs, especially in subjects such as chemistry, humanities and languages, rather than making short-term cuts?”
“I agree with the Secretary of State that even recognising the state of Palestine today would not make any difference to the children on the ground, so will he take a tangible step and propose a British-led, internationally supported hospital in Gaza, in partnership with a coalition of the willing, to provide some remnants of humanity in this darkest of hours?”
“Last week, as a Minister met Yair Golan, shaking hands, smiling and taking photographs, a Palestinian mother faced a dilemma: should she stay where she is and see the starvation of her children, or should she venture out and see the children being blown to pieces, adding to the 17,000 others who have died and the 10 a day whose limbs are blown off? These children do not need these empty words. Words will not stop their bleeding, they will not stop their killing, they will not nourish their bodies and they will not stop the tears of their mothers.”
“I thank the hon. Member for the brilliant, nuanced speech that he is making about our role and its importance. Does he agree with me and with Amnesty International that there are more than 1 million Muslim Uyghurs in prison camps in the Xinjiang region of China, and that we can work effectively by ensuring that products made in that region, for example cotton, do not find their way on to the high streets in this country?”
“I refer the House to my registered interest as a small business owner. Retailers in my constituency, including city centre retailers, tell me that they are on their knees, crippled by soaring costs, rising national insurance contributions, rising antisocial behaviour, expensive and poor parking, and a lack of any city centre regeneration. These long-standing independent businesses—the lifeblood of our community—are now considering closure. Has the Minister considered their clear ask, which is reducing or freezing business rates, and having affordable and accessible parking and community-focused events to revive our high streets?”
“According to the latest British social attitudes survey, 60% of the British public now support proportional representation. Given that mayors will be elected under this system from 2027 onwards, why does the Minister refuse even to consider that fairer system so that by the time the next general election comes along, voters will have their views more fully and fairly represented?”
“Autism and other neurodiversity conditions in children present challenges to any parents, but sadly stigma and ignorance remain particularly high in some communities, including some parts of the South Asian community. This already adds deep emotional strain to families suffering and navigating complex journeys. That is why the Leader of the House will join me, I am sure, in congratulating sisters Shamina and Hawa Khan, who have just opened Café Neuro in Leicester South. It is a warm welcoming space that is offering not just tea, samosas and sweet treats but training, advocacy and community support. If the Leader of the House is ever in Leicester South, I would be delighted to share a masala chai and samosa with her there.”
“I thank the hon. Member for giving way, especially as she is making such a powerful speech. Yesterday, I went to an event with Health Equals, which has shown that where a child is born can lead to a 16-year discrepancy in life expectancy due to poverty. Does she agree that some form of legally binding poverty reduction target scheme could be put in place, as in Scotland, so that we can measure our progress?”
“A new report by Crisis shows that only 2.6% of rental properties in my area of Leicester South are affordable to those on local housing allowance. That is a real-terms cut as rents soar, because the Government have frozen housing benefit until 2026. Will the Secretary of State explain how that freeze aligns with the Government’s aim of reducing homelessness, and will the Government urgently review the cap so that people can afford to keep a roof over their heads?”
“In his own words, he might not have been able to carry on his duty as a parliamentarian if he had not gone for a simple eye test where they detected glaucoma. Twenty-five years later, his sight is still preserved.”
“Another memorable patient was a gentleman who was brought in kicking and screaming by his wife because he kept knocking off the salt, pepper and ketchup from the dinner table. It became apparent, again: he could see everything clearly straight ahead, but he really could not see anything on the side. He also had a very advanced form of glaucoma. Glaucoma is the leading cause of preventable blindness in this country, with over 700,000 people affected, but the shocking thing is that more than half of them—350,000 people—are undiagnosed: they are walking and driving around not knowing that they have the condition. They could be one of us—somebody we love, or somebody we work with, as was the case of a former Member of Parliament of this parish, Paul Tyler, a Lib Dem Member, who was diagnosed at a completely routine eye test.”
“Broadly speaking, glaucoma damages the optic nerve. The optic nerve is made of millions of little nerves and bundles, and each part of the nerve represents a single point in our visual fields. Because vision loss begins at the edges, people do not often realise that anything is wrong until it is too late. I would like to give two brief but real examples from my experience. First, a woman came into my practice who had been hit by a car, while in her own car, from the side, not once but twice. She came in and read out the bottom line—the tiniest letters that can be seen—and could not understand why she kept missing things on the side: in this case, cars. It became apparent that she was a quite advanced sufferer of glaucoma, and she had lost the majority of what we call peripheral or side vision.”
“I beg to move, That this House has considered glaucoma awareness. It is a real pleasure to serve under your chairship for the first time, Mr Pritchard. I thank all right hon. and hon. Members for attending this important debate. First, I declare my registered interest as a practising optometrist for the NHS. As an optometrist for many years, I have had the privilege—sometimes the heartbreak —of looking into the eyes of people whose lives are changing without their even knowing about it. Fundamentally, that is what glaucoma does: it changes lives quietly, and often without warning. Last week was Glaucoma Awareness Week because many people are not aware of the condition. At this point, I applaud the work done by Glaucoma UK to raise awareness of the condition. It is known as “the thief of sight” for very good reasons.”
“It should not be easier to get a takeaway delivered than to refer a patient with a sight-threatening disease. To move forward, we need access to NHS email for all primary eye care providers; shared patient records between optometrists, GPs and hospital services; and an efficient two-way electronic referral system. That kind of interoperability is basic infrastructure and would transform the speed, safety and continuity of glaucoma care. Finally, we must move from sickness to prevention. The final and most important pillar is prevention.”
“It is a postcode lottery—one that punishes the most vulnerable, especially given that people from black and Asian communities are up to four times more likely to develop glaucoma and often have the least access to care. We need to raise awareness and create the statutory framework so that everyone—GPs, pharmacists, the public—knows to go the optometrist for an eye test. We need a national roll-out of a statutory integrated glaucoma pathway. Secondly, we must move from analogue to digital; lack of digital connectivity is another major obstacle. Many optometrists are unable to send digital referrals to local hospitals. Some do not even have access to NHS email and we still cannot access shared patient records. That means crucial information such as medication, medical history and images get lost, delayed or duplicated. This is 2025.”
“Community glaucoma services led by optometrists have already demonstrated the ability to reduce hospital referrals by up to 79%. If we implemented a nationally regulated programme, it could free up 300,000 hospital appointments a year. That is not a one-time saving, because glaucoma is a chronic condition. People are not cured of it—they live with it, and must continue with recurring appointments for the rest of their lives. Shared care would allow faster appointments, earlier diagnosis, less vision loss, and critically, more time for hospital ophthalmologists to treat complex cases. It could also save the NHS an estimated £12 million annually. Wales has already adopted this model; England should do the same. Yet fewer than one in five areas in England offers this service.”
“One of the problems is that current waiting list data measures only first-time appointments, not the ongoing care vital to chronic conditions such as glaucoma. We need published data on follow-up waiting times, because that is where sight is being lost. That data would allow patients to make an informed choice about where they would like to receive treatment. Here is the reality: hospital ophthalmology is the largest outpatient specialty in the NHS, with 8.9 million appointments in England in 2023-24, according to the College of Optometrists. It cannot carry that load alone. The answer lies in the community. There are over 14,000 qualified optometrists in England, providing more than 13 million eye tests. They are trained, regulated and ready to help.”
“Patients are losing their sight not because care does not exist, but because the pathway is broken and follow-up is delayed. Just recently, a patient of mine was referred to hospital and diagnosed with glaucoma—fine, no problem there. The initial appointment happened without any problems, but the follow-up was postponed. Then the patient missed her appointment, and the one after that was postponed again. By the time I saw that patient again, just over a year later, they had lost two full lines on their visual acuity chart—the chart used by the optician. That is two lines that this patient will never, ever get back. That is the difference between being able to read letters or not; between seeing a grandchild smile or only hearing them.”
“Her daughter, Judith, now champions awareness through the incredible organisation, Esme’s Umbrella. These are not clinical oddities; they are real human stories, and far more common than we acknowledge. We are now facing a growing crisis. Work done by the Association of Optometrists, Primary Eyecare Services and Fight for Sight has shown that glaucoma cases are expected to rise by 22% in the next 10 years and 44% in the next 20 years. That is hundreds of thousands more people needing care, follow-up and support, yet we already have the tools to stop this. I would like to frame this, Minister, around the three bases of the Government’s own proposals for tackling healthcare. First, we must move from hospital to community.”
“On the subject of depression and identity, I want to share a moment that has stayed with me; it concerns a rare condition that many people do not know can be a consequence of vision loss. A woman, diagnosed with glaucoma, phoned my clinic, deeply distressed. She said a child was following her—but no one else could see them. She was terrified that she was losing her mind. In fact, she had a condition called Charles Bonnet syndrome, a common but under-recognised condition in which the brain fills in visual gaps with vivid hallucinations. Many people never mention it, understandably fearful that they will be labelled as senile or unstable, and so they suffer in silence. Esme lived with Charles Bonnet syndrome for over a decade, haunted by hallucinations that she knew were not real.”
“I could not agree more. If we achieve that one thing today, we will have achieved a great milestone. In its early stages, glaucoma has no symptoms, pain or warning signs—just a slow, silent theft of vision. By the time it is noticed, the damage is permanent; it is as if the fire has gutted the house before anybody has even smelled the smoke. That loss has far-reaching consequences. People lose not only their sight but, more importantly, their independence—their ability to drive, read, cook or even leave the house. Falls increase, isolation grows, and then come the emotional and mental health impacts: fear, depression and loss of identity. At this point, I quickly pay homage to charities such as Vista in my constituency, which has offered valuable support for people living with visual loss.”
“In fact, 41% of people surveyed reported severe financial impact due to sight loss, often followed by depression, anxiety and social withdrawal. This is a silent epidemic and it all leads to a low score in every perceivable index. But it is not inevitable. We already know what works and we already have the workforce and technology. What we need now is collaboration from the optical and ophthalmic industry and a political will. That will help us shift care from hospitals into the community, bring eye care into the digital age and help us prevent sickness such as glaucoma, saving the sight of millions in the future. Let us act now while we can still see what is around us.”
“If they are also suffering with glaucoma, we can stop the disease in its tracks before it causes irreversible harms. It is critical that patients with glaucoma who need cataract surgery are able to discuss options with their glaucoma consultant, because if MIGS is not performed during cataract surgery, it may be eliminated as a future option. The total cost of visual impairment in the UK is now £26.5 billion. That is projected to rise to £33.5 billion by 2032. Glaucoma alone accounts for £750 million, according to the College of Optometrists, and most of that burden falls outside the national health service in lost productivity, in formal care, in people having to give up work to look after family who have lost their sight and in a completely diminished quality of life.”
“For those over 40, when glaucoma risks are higher, every routine health check should include a simple question: “When did you last have your eyes tested?” Finally, we must consider innovation. Most glaucoma patients are prescribed lifelong eye drops, but there is poor compliance. Mr Pritchard, imagine that you were elderly and trying to open up a bottle of eye drops and bring it to your eyes. It is very difficult, especially with arthritis and tremors; difficulty inserting the drops remains a major challenge. But new options are now available. One is called minimally invasive glaucoma surgery, which can delay or even eliminate the need for drops. I urge the Minister to explore commissioning MIGS, especially for suitable patients undergoing cataract surgery. Everybody who lives long enough will need to have a cataract operation.”
“The hon. Gentleman may have read my speech when I was not looking, as I am coming to that point in a little while. Regular eye exams are the frontline of glaucoma detection, yet one in four people in the UK is not accessing any form of eye care at all. Minister, we should begin with a mandatory sight test for drivers. The UK is the only country in Europe that gives lifelong licences until the age of 70 without requiring an eye exam. Earlier this year, a coroner in Lancashire issued a prevention of future deaths report linking a fatal crash to undiagnosed sight loss. This is no longer just a health issue; it is a public safety one. We can also incentivise eye tests, perhaps through reduced insurance premiums, employer wellbeing programmes or GP-led initiatives.”
“I always recall a patient of mine who was diagnosed with glaucoma at a very late stage. She came into the practice with a wad of cash and said, “Give me the best glasses and lenses you have, so I can see again.” Unfortunately she had glaucoma, and the vision was lost. There was nothing that money could buy.”
“I would like to take this opportunity to thank the people in the Public Gallery: we have people from the Worshipful Company of Spectacle Makers, the General Optical Council, the College of Optometrists and Glaukos —my apologies if I have forgotten anybody there. We must utilise optometry as the primary eyecare provider that it is, and treat it as such, equivalent to how we treat our GPs and pharmacy colleagues. We need a statutory framework to regulate the whole process of detection, monitoring and treating glaucoma. Working collectively with the optical and ophthalmic bodies and the Government, we can surely do our best to keep people from suffering preventable sight loss and the devasting impact that that has on their lives. Question put and agreed to. Resolved, That this House has considered glaucoma awareness.”
“It has been a real pleasure to serve under your chairship, Mr Pritchard. I thank each and every hon. Member for their contribution. I think we have achieved the first objective, which was to raise awareness of glaucoma, and we should keep the conversation going. As my neighbour, the hon. Member for Hinckley and Bosworth (Dr Evans) said, we have an ageing population. If nothing is done, very soon there will be more than half a million people walking around with this condition. That is why it was pleasing to hear that the Minister remembered our meeting, which was early on in our tenure; I can assure him we will continue to have that meeting every time he sees me about eye health.”
“The Crown court backlog stands at approximately 73,000 cases annually, and rape and sexual assault trials in Leicester Crown court face delays of up to three years. What steps is the Department taking to reduce that backlog and ensure that serious offences are brought to trial more efficiently to prevent further trauma for victims and the miscarriage of justice?”
“Do not allow a Home Secretary, in a moment of political expediency, permanently to expand the reach of anti-terror laws into the heart of a domestic protest. Do not let this House be the one that shrank the boundaries of freedom of expression. We owe it to those who fought so hard for our freedoms, dared to dissent and refused to be silent—let us summon their courage now. I urge colleagues to vote against this proscription, and to protect our democratic tradition and our right to protest.”