Dr Peter Prinsley
MP for Bury St Edmunds and Stowmarket · Labour · United Kingdom
“I am confused by the Opposition referring in their new clause to a requirement to “make regulations” in this respect, as the private sector is already widely used to reduce waiting lists where appropriate. However, we must also be aware of the problem we have with overuse of private facilities.”
“I wonder whether the hon. Member’s experience mirrors mine. Many years ago, it seemed to be easy for general practitioners to ring me up. I often received telephone calls from general practitioners asking for advice about patients.”
“I am listening carefully to what the hon. Member, who is a medical colleague of mine, has to say. Although I think that a fracture liaison service is an excellent idea, there are many, many aspects of medical care that require careful attention, such as the management of people with hearing loss—my own field—or the assessment of people wi…”
“I agree with everything that the Minister has to say—what a surprise—but particularly the fact that when the new Government came in, they did something about these 40 “new” hospitals that were not full hospitals.”
“I am interested in what the hon. Member has to say about strike action. I was involved in trying to get the resident doctors’ strike stopped, but was unsuccessful for many months. I think she is talking about the principle of whether people involved in medical care should ever go on strike.”
“Does the Minister agree that the single most effective thing that we have done for public health since we were elected is to get the Tobacco and Vapes Act 2026 passed? The gradual abolition of cigarette smoking will save more lives than anything else we could conceivably do in politics.”
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“The blood vessels have an elastic lining, and if the elastic lining fails, they begin to expand, causing aneurysms. The most frightening aneurysms are those of the main aorta, which in some patients can rupture, leading to sudden death. They can occur all over the body, however, and therefore cause all sorts of curious neurological or gastrointestinal symptoms depending on where the aneurysms are happening. That is about one in 100,000 people. There is even a dental Ehlers-Danlos syndrome, which causes the teeth to loosen and fall out. That is about one in a million people. Given that there are many different types of Ehlers-Danlos syndrome, it is not surprising that it can be difficult to diagnose. To diagnose something, one has first to think of it.”
“But now I see from the Ehlers-Danlos Society that there are 13 recognised types of the syndrome. We always thought of it as the double-jointed disease, and one would loosely test it by seeing whether someone could take their thumb and put it against the side of their arm—I increasingly cannot even get mine to a right-angle now. It is a rare disorder. To give hon. Members a flavour of the different sorts of Ehlers-Danlos syndrome, there is a hypermobile Ehlers-Danlos, which is the double-jointed person. That is about one in 5,000 people. The classical Ehlers-Danlos, which is where people get this very stretchy skin that kind of falls away, is about one in 20,000 people. The really frightening Ehlers-Danlos syndrome is the one that affects the lining of the blood vessels.”
“It is a pleasure to serve under your chairship, Ms Furniss. I was not going to talk in this debate until last week, when a lady came to my surgery at Bury St Edmunds. I used to hold surgeries all the time for patients with ear, nose and throat disorders; now I hold surgeries for constituents who come with political difficulties. This young lady was in a wheelchair, and told me she had Ehlers-Danlos syndrome and that she had been to Germany to get a diagnosis, after many years of failing to get one in this country. Ehlers-Danlos syndrome is a disorder of the protein that is involved in the making of the connective tissue—which is the tissue that joins us all together—particularly the elastic bits. When I was a medical student there were four types of Ehlers-Danlos syndrome, and it was quite a favourite topic for examine questions.”
“I am grateful for that answer. Greater Anglia has consistently been at the top of the performance scale for our railway operators, but could the Secretary of State tell me whether the nationalisation of the railway will lead to the increased likelihood of a much better commuter service between Bury St Edmunds and Cambridge, which is presently only an hourly service, and what the prospect is of a direct train line from Bury St Edmunds to London?”
“I share the frustrations of Ministers and of the Government. I know that they have worked really hard on this. Dr Fletcher of the BMA has also worked hard, and I am sure that there is a deal to be done somewhere. The Medical Training (Prioritisation) Act 2026, to prioritise UK graduates, was very welcome, but I wonder whether we can also do something to fix the foundations of medical careers, by devising a much better system than the crazy foundation lottery that sends a doctor from Norwich to Belfast and a doctor from Belfast to Norwich. That would be a great expression of good will. Meanwhile, I am sure that my colleagues in the NHS will work around this strike—our patients will be safe—and I am sure that our NHS will continue to improve under this brilliant Labour Government.”
“The long-range missile attacks have raised the spectre in my mind, and surely in those of others, of attacks on the United Kingdom. I have listened to the Secretary of State’s reassurances about the defence of this country, but we have all seen the value of the Iron Dome. What is being done to create such a system for the defence of this country?”
“In our synagogues each week, we pray for the King and for the Almighty to grant wisdom to all his counsellors. Never has such wisdom been more essential, for antisemitism and Iranian-backed terrorism are evil bedfellows. Will the Minister join me in supporting all the work of the CST and our emergency services at this terrible time?”
“I welcome the Government’s reforms to the criminal justice system, but I would like to ask what measures will be taken to increase cultural, class and age-group diversity in magistrate recruitment, so as to increase confidence in our reforms?”
“I know that some in this Chamber are sceptical about the role of the other place. However, after dinner last night, at about 11 o’clock, I took some visitors into the House of Lords Gallery, and was completely astonished to find a very lively debate taking place in a full Chamber. Will the Leader of the House join me in recognising the great diligence of our colleagues in scrutinising legislation? However, does he agree that the House of Lords must not obstruct the will of the elected Chamber?”
“Mr Harris invented the other letters—love letters to the Prime Minister: imagine that. Now we have email and texts, and no doubt future writers will look at political emails. Times have changed, and we must acknowledge that. In Denmark, the letter post has, unbelievably, completely stopped. Here, the universal service remains an obligation, not an option. Our people expect that. I urge the Government to get a grip on this. If the solution is indeed public ownership, let us simply do that.”
“It is a pleasure to serve under your chairship, Mr Twigg. I thank the hon. Member for Exmouth and Exeter East (David Reed) for introducing the debate. I also thank the hon. Member for Sutton and Cheam (Luke Taylor), who has turned private investigator. I was very impressed by his efforts. There is no doubt that there is a real crisis in the postal service. I have just read “Precipice” by Robert Harris; it tells the story of a love affair between Prime Minister Asquith and a young socialite. It is recorded in the many, many letters delivered between them each day. The book is about the letters between them, half of which survive. The letters to the Prime Minister, I believe, were destroyed, but the letters to the socialite survive and form the basis of the book.”
“In reality, we all know that what we have is a form of a graduate tax—long-term, income-contingent and unavoidable for many—but without the clarity or fairness such a system should have. So we do need reform, but not through the Opposition’s plan; we must make a better plan. The Labour party is and will remain the party of working people, grounded in the principles of fairness, which means confronting systems that entrench inequality and replacing them with ones that expand opportunity. If we are serious about fairness, we must act—and act we will, for we will use the levers of the state to ensure fairness.”
“The suggestion to scrap degrees, particularly in the arts and cultural sectors, is culturally dismissive, plainly disrespectful and insulting. It reflects a narrow view of value and ignores the real contribution of the creative industries to our economy and our national life. Turning to the system itself, student finance is not neutral. It perpetuates an inequality. Those from less well-off backgrounds must take on larger maintenance loans simply to afford the cost of living, graduating with significantly higher debts than their peers. That undermines social mobility. Instead of higher education acting as a ladder of opportunity, the system has reinforced disadvantage. Those who start with less, leave with more to repay.”
“Student finance is complicated. With thanks to my hon. Friend the Member for Glasgow South (Gordon McKee), who has been in and out of his seat all afternoon, I was able to produce a biscuit explainer today, which is available on all good social media channels. Reforming the student finance system is not straightforward. It is a complex challenge—it is made much more difficult by the need to stabilise the economy, which is something that I obviously strongly support—but we must be clear that the task is harder because of the economic mess left behind by our predecessors: years of short-termism and under-investment that have constrained what can now be done. Yet even within those constraints, the direction proposed by the Opposition is a bit flawed.”
“Many United States service personnel from RAF Lakenheath and RAF Mildenhall live off base in Bury St Edmunds. Three planes from Lakenheath were shot down in friendly fire over Kuwait last week. Fortunately, the pilots were rescued. Mildenhall is home to a large fleet of aerial refuelling tankers. I do not know whether it was a tanker from Mildenhall that was lost, but I do know that there are six grieving families right now. Will the Secretary of State join me in extending our support and sincere condolences to our brave United States families? Wherever they are, they are in our thoughts.”
“I wish to make a medical point. Considering the clear evidence for the genetic propensity of Jews to develop certain medical conditions and diseases, is it not right that, in terms of data, the NHS and the Department of Health and Social Care treat Jews as both a religious and an ethnic group?”
“I declare an interest, in that I receive a state pension. [Hon. Members: “No! No way!”] We welcome the Government’s commitment to the triple lock, but some pensioners in my constituency continue to live in poverty and isolation, and are in need of food banks. What specific measures can the Government take to reduce social isolation and tackle poverty in this group of people?”
“Iran has a network of proxies and lone actors who threaten our security here at home. Will the Secretary of State join me in thanking all the volunteers of the Community Security Trust who protect our Jewish places of worship and schools? Never have they been more crucial.”
“Has the Leader of the House had the opportunity to see the shocking Channel 4 programme “Dirty Business”? It brought to my mind Mr Binks of Stowmarket, who showed me a collection of photographs of the River Gipping over 50 years. They showed a once navigable river, full of fish and clear water, which is now blocked with fallen trees, brown water and neglected banks, causing repeated flooding. Does the Leader of the House agree with me that that is a consequence of the previous Conservative Governments’ disastrous deregulation of the water industry, which has ruined our rivers?”
“Yet for some reason, if we need a hospice, we expect a charity to raise the funds for it and to run it. Being born and coming to the end of life are just inevitable parts of life, so I think we need a paradigm shift—a philosophical change—in the way we think about palliative care, which must be regarded as a core part of our national health service. If we genuinely believe that dignity at the end of life matters, let us make palliative care core.”
“To expand, more staff need to be recruited, so we must do something to increase training capacity across the hospice service, particularly because we must ensure that we have a seven-day service. If we need to increase the service from a five-day service to a seven-day service, we need two sevenths more people. Palliative care is a crucial part of a healthcare system. The problem, as we have heard on many occasions, is that hospices rely on charity and legacies. That is obviously admirable, but it raises an important question—one that I think was first asked by Baroness Finlay in the other place. We do not expect a maternity service to require charitable funding. If we needed a new maternity service, we would expect the NHS to put it up.”
“What makes that hospice a little unusual is that it sits right on the campus of West Suffolk hospital, an arrangement that facilitates help for the patients in the hospice from all the services within the hospital. If, for example, a patient falls and fractures a leg, or needs an ear surgeon, support is available rapidly and nearby. Most hospices simply do not have access to that level of clinical support, and that is a real advantage for the Bury St Edmunds hospice. St Nicholas hospice also illustrates a wider challenge facing palliative care across the country. As we know, demand for hospice services is increasing. St Nicholas lately increased its capacity by about 33% to meet the needs of patients and families in the local community.”
“I also pay tribute to Dr Eric Wilkes, who was a brilliant general practitioner and founder of the hospice movement in Sheffield. He was one of my teachers and one of the first people to understand the importance of integrating end-of-life care into community and hospital settings at St Luke’s hospice. The term “palliative care” was invented only in 1990—some 20 years or so after I first met Dr Wilkes—and the Sheffield model has been completely crucial to this development. I would like to talk about palliative care in my constituency of Bury St Edmunds and Stowmarket, and in particular the remarkable work of St Nicholas hospice, its wonderful chief executive Linda McEnhill and all her staff. The hospice provides essential support for those approaching end of life and for their families and loved ones.”
“I thank my hon. Friend the Member for York Central (Rachael Maskell) for this important debate. I pay tribute to her political expertise in this area and for everything she has done. Dame Cicely Saunders—much quoted in this debate—was the founder of the hospice movement in this country. She understood that medicine is not only about curing illnesses; it is about dignity and ensuring that people are supported compassionately at the most vulnerable moment of their lives. It was her work that transformed how we think about care at the end of life, and today hospices all over the country continue that legacy. In my own work as an ear, nose and throat surgeon dealing with patients with advanced cancers in the head and neck, I am well aware of the importance of hospices.”
“I am grateful to the shadow Secretary of State, who is, as he says, my Suffolk neighbour. Suffolk is home to the United States air force base at Lakenheath. The American air force has been our enduring friend since at least the second world war. Does the hon. Gentleman agree that we must do all that we can to support these brave United States air force personnel at this dangerous time in the world?”
“I accept that there are problems with the curriculum in Palestinian schools, but the eyes of the world are now distracted, and settlement expansion continues, as far as we can tell. I am concerned that when the dust settles and the rubble is cleared, the viability of the Palestinian state will be significantly jeopardised. Does the Minister share my firm belief that what is going on does not really represent the will of the Israeli people?”
“Friend said, simply cannot compete with compound interest. It is about whether young people begin adult life with opportunity, or decades of liability. Let us sort this out. Let us increase the repayment thresholds, ensure that interest does not outpace realistic repayment capacity, explore tax-deductible repayments similar to pensions, and improve transparency so that students fully understand what they are signing up for. Education should expand opportunity, not entrench intergenerational unfairness. That is a reality we must confront, and a duty we must uphold, as we deal with this utterly iniquitous system.”
“It is a pleasure to serve under your chairship, Ms Lewell. I thank my hon. Friend the Member for Ilford South (Jas Athwal) for introducing the debate. This is an issue of intergenerational inequality, of which we should all be ashamed. My university cohort and I graduated without debt. We entered a housing market that was accessible and over time we accumulated assets, property, pensions, savings and security. I served 40 years in the NHS, until that was interrupted by an astonishing election result. Now, the landscape has changed. I see the difference in my own family. My two older children studied under plan 1; their repayment terms were short and less onerous. My youngest fell under plan 2 and she has a huge debt, which is growing despite the fact that she is paying it off. This debate is about aspiration, which, as my hon.”
“Interfaith activity has faced significant reduction and in some cases almost collapsed following heightened tensions from the Gaza conflict. Does the Minister agree that measures to support and fund interfaith understanding have a crucial role in restoring community cohesion?”
“I am grateful to the right hon. Member for securing this important debate. Dr Richard West MBE and Dr Daniel James, general practitioners in Woolpit in my Suffolk constituency, have been awarded the Royal College of General Practitioners East Anglia Faculty GP prize this year in recognition of sustained contribution to rural mental health and community-focused general practice. Does she agree with me that we must do all we can to look after the mental health of the rural population, particularly isolated farm workers?”
“There is obviously a problem with funding the recruitment of additional GP partners in rural surgeries. Does the hon. Member agree that we should think carefully about how the partnership model itself might be improved?”
“The 2025 EU-UK summit set ambitions for the UK to join the single electricity market. Does the Minister agree that close and easier energy interconnection between the EU and the UK constitutes a key strategic component of our continent’s energy security, and reduces costs for UK businesses and customers?”
“6. What assessment she has made of the potential implications for her policies of the EU’s decision to designate Iran’s Islamic Revolutionary Guard Corps as a terrorist group.”
“Given Iranian malign influence on the streets of London, Iran’s web of proxies, the menace that it poses to world peace, and recent reports that as many as 30,000 protesters may have been killed by the IRGC, will the UK join the EU, the United States, Canada and Ukraine in imposing further sanctions? Is it not time for our Government to formally proscribe the IRGC, which is surely not the servant of the Iranian people?”
“Friend the Member for Edinburgh South West (Dr Arthur) for his Rare Cancers Bill, and I congratulate him on getting it to advance so far. Like me, he is a new Member of Parliament, and I am in awe that you have managed—”
“Before I came to this place, I was involved in research into a rare ear disease called cholesteatoma. We did genetic research on that—genome sequencing—and we were able to identify some of the genes that probably cause the condition, but that does not make it any easier for us to prevent it, for we cannot choose our genetic code. The problem with brain tumours is that they are deep-seated and inaccessible. We cannot see them or feel them, which is why curative approaches are so elusive. We can debate this in the Chamber until the cows come home, but that debate will not bring the cure, so we must decide what politically we can do to help. I welcome the £32 million boost to brain cancer research, and our new approach to clinical trials. I thank my hon.”
“Many of our clinical academics are getting towards the end of their careers, and we are not doing enough to recruit new academics in the early part of theirs. I would like us to think about what policies we might develop to encourage that—this is a political problem. My hon. Friend the Member for Mitcham and Morden said that given we have made so little progress, we must be content with the status quo. I beg to differ; we are not content with the status quo, and that is why we are all here this evening to discuss this matter. We know that this is a promising time for some areas of medical research. Genetic research, for instance, is now becoming very important. I am not sure that whole genome sequencing, if that were available for everybody, would solve the problem, but it is the way we are going.”
“Sometimes they present with a little hearing loss in one ear, or with just a little ringing. Sometimes they present incidentally. Some of the other brain tumours we see in the ENT world are very rare. One that sits in the roof of the nose —an olfactory neuroblastoma—is so rare that I probably saw fewer than six or seven cases throughout my career, yet it presents with a loss of sense of smell, which is a very common problem for people who come to see ear, nose and throat surgeons or general practitioners. We must not deceive ourselves that we are dealing with an easy condition, for this is a difficult one. I believe that we must support research into these mysterious diseases. As I have said before in this Chamber, this country is desperately short of medical researchers and clinical academics.”
“I have seen such patients over the years, and I can say that diagnosis may be very difficult, even with the help of hindsight. An average general practitioner will see a new brain tumour once every seven years, but they will see thousands of patients in that time, so it is not surprising that the tumours are difficult to diagnose. I hear that a patient with a brain tumour will often have visited their general practitioner five or six times before a diagnosis is made. We must do what we can to raise awareness. In ear, nose, and throat care—which, as Members may know, is my specialty—we see a condition called acoustic neuroma. It is a brain tumour on the nerves that lie between the ear and the brain—the balance nerves. Such tumours are rare, even in ear, nose and throat clinics. I would see only a handful of them each year.”
“It is an honour to speak in this debate. I thank my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh) and the hon. Member for Witney (Charlie Maynard) for securing it. We have heard many fine and very heartfelt speeches this evening, particularly those recounting personal stories about Members’ families. Our new cancer strategy was announced last week. Sadly, political events of the past few days have somewhat submerged its importance, but we should be talking about it, as it is much the most important political development as far as I am concerned. We have seen little progress in brain tumour care—that is the truth of the matter. Those tumours are devastating; they rob victims of years of life, and wreck families.”
“Yes, I am in awe that my hon. Friend has managed to achieve so much; you see, Madam Deputy Speaker, I am a new Member of Parliament! Let us encourage clinical trials, for as Lord Vallance has said: “Clinical trials are the route by which promising research can be turned into treatments”, which will save lives.”
“I cannot understand how there can be a relationship between head injury and brain tumour. Repeated injury causes some neurological conditions, particularly for footballers, whom we see getting early dementia, but I do not see a connection between head injury and brain tumour. Does the shadow Minister?”
“What a brilliant plan, and I congratulate the Minister on bringing it to the House this afternoon. However, cancer trials need clinical academics, and we have a crisis in clinical academic recruitment, retention and funding. Does she agree that we must find ways to encourage young clinicians into academic and research roles?”
“We spoke about the graduated driving licence scheme in a Westminster Hall debate and referred to the situation in Western Australia and Victoria. Does the hon. Member agree that the lessons we can learn from there have absolute relevance to the situation here?”
“The word “genocide” has been used to rally protest all over the world, but we have seen where some of that has led. If we allow this most significant of words to be bandied about with such certainty, do we not risk undermining the words that are needed to describe the Holocaust, which was the intentional and systematic murder of 6 million European Jews by the Nazis; the Rohingya being expelled en masse, raped and slaughtered; the Uyghurs being subjected to mass internment, forced sterilisation and cultural erasure; or the mass murders in Rwanda? Genocide is a quite specific crime, and frankly it is not my belief that this was the intent of the Israel Defence Forces. But I do agree that there is an obligation for this to be assessed.”
“It is a matter for a court to decide on genocide, and despite the many debates about it in this Chamber, we can all agree that this is not a court. We know that there has been massive loss of life and destruction in Gaza, but I simply cannot believe that it was the stated intention of the Government of Israel to completely destroy the population of Gaza. We do not have any means of independently verifying anything, since we are left to rely on news from the Hamas-led Health Ministry and the Israel Government’s spokespeople. I directly asked the President of Israel, Mr Herzog, twice about allowing in independent journalists, such as those from CNN or the BBC, and I was twice informed that it was too dangerous. Is that still the case? I doubt it now that there is a ceasefire.”
“As the Chief Rabbi said, “If Hamas lays down its arms there will be no fighting… If Israel were to lay down its arms there would be no Israel.” Genocide is a legal description of the intentional, systematic destruction in whole or in part of a national, ethnical, racial or religious group, as defined by the 1948 UN genocide convention. The concept was defined by Raphael Lemkin, a Polish Jewish lawyer from Lviv/Lwów/Lemberg—much in the news—in the aftermath of the war. I first heard of Lemkin in the marvellous book “East West Street” by Philippe Sands, who will deliver tonight the Alf Dubs lecture in Battersea. “Intent” is the crucial word. Britain and its allies are not accused of genocide for the strategic bombing of Germany, despite the hundreds of thousands who were killed.”
“I thank the hon. Member for Argyll, Bute and South Lochaber (Brendan O’Hara) for bringing forward this most important debate. This is a debate on an obligation to assess the risk of genocide. Who could disagree with that? There has been a terrible war in Gaza, and although there is a ceasefire, loss of life continues. It was sparked by the 7 October attack in 2023 and the taking of the hostages, which was the worst attack on the Jewish people since the Holocaust. This was not a war of Israel’s seeking. The aims of the war were to secure the release of the hostages and to prevent Hamas from ever repeating their attack, which they had promised to do on many occasions.”
“The hon. Member is giving a historical perspective, which I am sure we all appreciate. It seems that Mr Mandelson is a serial liar. Does the hon. Member agree that the Prime Minister said this morning that Mr Mandelson lied, lied and lied to him? Who in this House has never been lied to?”
“Fish and chips is a great British food, but fish and chips first came to Britain with Jewish immigrants from Spain in the 16th century. Cold fried fish was a staple of many Shabbat lunches, including my own grandma’s. The first chippy is credited to Joseph Malin, who added chips in about 1860, in London. What a great idea and what a great immigration story!”