Dr Zubir Ahmed
MP for Glasgow South West · Labour · United Kingdom
“I commend my right hon. Friend for how she has gone about reducing the use of asylum hotels in this country, after the shocking legacy left behind by 14 years of the last Government.”
“I am grateful to my hon. Friend for making such a powerful speech; she always holds up a moral compass to us all in this place. Does she agree that those who deny access to medical treatment to children as young as four—who, while waiting for medical treatment, get to the point of near-fatal dehydration—and those who deny cancer patients…”
“The Secretary of State will know very well that Glasgow South West is home to a storied, nationally significant collection of advanced manufacturing, from Type 26 frigate construction at BAE Systems, to small satellites at Craft Prospect, to the maritime supply chain at the Malin Group.”
“I start by commending my right hon. Friend on his thoughtful and considerate approach to this investigation and other matters during his time in office. He rightly spoke about culture, and others have spoken about ideology.”
“Friend share the findings of this report formally with the Scottish Government, because many of the findings on training, culture and clinical pathways will resonate there? Unfortunately, the Scottish Government have been less than forthcoming with their own investigations into this matter.”
“I did not know Jo, but I acutely remember the day when Jo was murdered. I was working as a doctor across the river in Guy’s hospital. I remember being unable to sleep that night, and seeing my right hon. Friend the Member for Ilford North (Wes Streeting) and my hon.”
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“If the hon. Gentleman had read the details of any contract that the Government have negotiated, whether it is this one or the previous one, he would know that the break clause is there for a reason. Of course we evaluate value for money at those times. He used the word “cheap”, but let me tell him something: it is not cheap to have to wait over two years for NHS treatment in Scotland, which is 30 times more likely to happen than in England. That is why on 7 May the NHS in Scotland can get an upgrade with Anas Sarwar as First Minister and Jackie Baillie as Health Secretary. The FDP is helping people get the care they need more quickly and more efficiently. As a programme, it is a success.”
“As Members will no doubt understand, for some essential IT services, it is simply not possible to develop in-house solutions, as we seek the best from the market. I reflect on my own practice in Glasgow, in the Queen Elizabeth university hospital, which the hon. Member for Aberdeenshire North and Moray East seems to think has found a panacea of publicly delivered technology. I can tell him that when I walk into that hospital, I login through Microsoft Windows. Then I open a programme built by a North American tech company to order test results. Then I open another programme built by a North American tech company to look at the results of those tests. Finally, if I want to check X-rays, I open a fourth programme built by a North American technology company to evaluate CT scans, MRI scans and X-rays.”
“More generally, as the Minister for Health Innovation, Patient Safety and Life Sciences, I would not be doing my job properly if I did not try to champion British business at every opportunity or to champion British small and medium-sized enterprises to become British plcs. I hope hon. Members will take that as read. The contract has extension provisions and will be reviewed in line with standard contract management processes. We will decide later this year whether to extend it. NHS England will be transparent about the process and the evidence used, as we have been throughout our regular performance reviews for this contract and the FDP. On digital sovereignty, our priority is to give patients the care they need.”
“If the hon. Gentleman will allow me, I think I will answer his point shortly; in the interests of time, we have to be careful about interventions. We live in a fast-paced technological world, and that means that we always look to the next possible provider to provide value for money, so it is right that there are break clauses in the contract to allow evaluations to take place. I can reassure all hon. Members that, as a clinician and a Minister, my north star is always patient safety and quality, and of course value for money. If, at the point of the break clause, we evaluate and find that there are other providers that can do the job better, then of course that needs to be looked at and reflected upon.”
“It should also be understood that the FDP is only for health and care purposes; it cannot be legally used for non-health purposes such as immigration enforcement, as has been promulgated. As Members will expect, my position on the owners and executives of Palantir is very much the same as that of my right hon. Friend the Secretary of State—we are no fan of their politics. However, the FDP, and the principles that underpin it, are critical to the future of the NHS. Palantir operates strictly within a UK-regulated contract where the NHS controls all data, access is tightly governed and information can be used only for agreed purposes that benefit patients. I would expect any member of staff who did not in all conscience feel that they could work with Palantir to raise that with their employer.”
“A separate company, IQVIA, provides the highest standard of privacy-enhancing technology for that data in the FDP, which means that we can remove personal identifiers from the data where they are not required, ensuring that privacy is maintained throughout. NHS England and NHS organisations retain full control as data controllers, including over decisions about how data is used, who can access it and which products are deployed. Palantir does not own the data, the products or the intellectual property, nor can it use the NHS data for its own purposes. The FDP is a secure data environment. Security is built into its design and operation, and it has been through national, technical and cyber-assurance, with external oversight.”
“Of course, it would take time and planning to safely transition from one supplier to another, as it always does in the NHS, when patient safety is the primary concern. At the moment, there are unfortunately only a small number of companies that can do what we genuinely need them to do at the scale that we need them to do it, but the contract has multiple measures built in to allow greater freedom of choice. That includes making sure that the NHS owns the intellectual property for all products and that it is possible to migrate them to other providers. Data security is also at the heart of our health innovation programme. Protecting personal data is at the heart of the FDP and the health innovation strategy. Most importantly, we have separated church and state, in terms of service provision and data security.”
“In the interests of time, I will continue. I apologise to my hon. Friend. In the future, our goal is to see a vibrant UK market in digital and technology, which would give the NHS more choices and help to improve standards. Of course, I would be unashamedly pro-British about my ambitions for that mix, because that is the way that we not only serve our NHS but also support economic growth. At the moment, what matters is who controls the data and how that is governed. I appreciate the sensitivities around that, I really do. Rightly for the FDP, this is a matter for the NHS and UK regulators. I have also been asked about vendor lock-in and whether it is possible to remove companies like Palantir from the NHS. The answer is unequivocally yes, it is possible.”
“We must be careful not to conflate one technology with the next, and in doing so, alarm citizens and patients about what is happening with their data. I can assure Members across the House that in my ministerial service—just as in my 20 years of clinical service—my north star is transparency, patient safety, quality and providing the best care to all patients up and down the country.”
“Just as I have a responsibility to ensure that we get value for money out of all contracts in the national health service, and that we evaluate them regularly, Members also have a responsibility to be careful not to aggregate different components of the NHS and present them as a monolithic technological solution. The FDP is, and will continue to be, an important component of delivering patient care in the NHS in England. Of course, who contracts with the FDP will be open to question as we go forward and think about future contractual arrangements. It would be disingenuous to suggest that the FDP is somehow the only technological solution or database in the NHS; there are many others that do good work—whether that is the single patient record, the health data research service, the NHS app or clinical systems for NHS primary care providers.”
“My hon. Friend will know that no NHS system or pathway can ever work without the confidence of the public, and that needs to be reflected in any evaluations that take place. I have heard my hon. Friend’s concerns loud and clear, as well as those of Members across the House. It is right that we look to maintain the highest standards for our NHS. It is also true that the FDP has a role to play in delivering for the NHS and helping people get the care they need more quickly and efficiently. Those are real outcomes that will improve people’s lives, all through the better use of data. Members on both sides of the House often rightly challenge me to go further, faster on rare diseases, rare tumours and rare cancers. None of that is possible in modern medicine without data, and the analysis of data.”
“We concluded that partial removal would risk fragmenting provision, and a threshold based on event size would not reflect risk.”
“I wish to be clear to Members that TDDI does not include first aid. First aid remains outside the scope of CQC regulation. To support providers to make this transition, they will have significant time to prepare. I can assure everyone involved that there will be a 15-month period in which providers can register and the CQC can process registrations before regulation becomes enforceable. The CQC will consult on guidance and produce supporting materials to help determine whether registration is required. The provision to allow registration will come into force on 7 September 2026. It will not become an offence to provide TDDI as an unregulated provider until 6 December 2027. In developing this policy, the Government have considered a range of options carefully, guided by the Manchester Arena inquiry findings.”
“I recognise that these changes are overdue, but it was important to consider the impacts carefully, and I am pleased that they have now been laid. This statutory instrument brings TDDI at events into line with hospitals, clinics, ambulances, GP surgeries, community services and care homes, where it is already regulated. That means that a provider delivering TDDI at an event must register with the CQC and comply with the same robust regulatory standards that apply elsewhere in our healthcare system. Some of these providers will already be registered to provide TDDI in other settings, and the process will be quicker for them. There has been some confusion about what TDDI actually is. It includes a wide range of treatments from emergency interventions to ongoing care for long-term conditions.”
“The subsequent Manchester Arena inquiry uncovered serious failings, including inadequacies in the provision of healthcare services at the arena. The inquiry noted that those shortcomings may have been present in other venues across the country, in part because of the absence of regulation. A central finding of the inquiry was clear: the Department of Health and Social Care should consider changes to the law to enable the CQC to regulate healthcare delivered at events. The CQC has outlined initial concerns about the quality of care provided at events. It has heard serious allegations where unregulated provision has resulted in harm. The Government are committed to acting on the inquiry’s recommendations and strengthening public safety.”
“I beg to move, That the Committee has considered the draft Health and Social Care Act 2008 (Regulated Activities) (Amendment) Regulations 2026. It is a pleasure to serve under your chairmanship, Mr Stringer. This statutory instrument makes an important change. It will amend the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 so that the treatment of disease, disorder or injury—TDDI—is brought within the regulatory scope of the Care Quality Commission. The change will be for TDDI provided in sports grounds and gymnasiums or under temporary arrangements at sporting or cultural events where it is delivered for the benefit of those taking part in or attending those activities. Members will recall the tragic events of 22 May 2017, when the Manchester Arena bombing killed 22 people and injured more than 1,000.”
“By making these changes to the 2014 regulations, the Government will make true their commitments, fulfilling the recommendations of the Manchester Arena inquiry and its drive to improve patient and citizen safety. I commend the regulations to the Committee.”
“The CQC has accepted the high-level recommendations and is taking forward targeted reforms, including stabilising its regulatory platform and improving the registration experience for providers. The CQC has set out further steps to improve its inspection framework and strengthen transparency on ratings, characteristics and how judgments are made. This addresses the concerns highlighted by Dr Dash’s review and will help ensure timely, risk-based assessments—exactly what event healthcare providers will need as they register. Extending CQC regulation to event healthcare is the safest and most straightforward route. It leverages an existing regulatory system, answers the inquiry’s call to action, is being implemented alongside reforms strengthening the regulator’s performance, and closes this long-standing gap in public safety.”
“Extending that regulation to the additional settings outlined will bring more consistency for patient safety and quality of provision. Moreover, this is an essential amendment to the regulations. The Manchester Arena inquiry recommended action to address gaps in the standard of healthcare provision at events, and it pointed specifically to statutory regulation and enforcement by a regulator. The Government have accepted those recommendations, and this policy reflects our intention to implement them. Secondly, I will address the CQC’s capability to act as a regulator. It is right to acknowledge the findings of Dr Penny Dash in her 2024 review. Those critiques, I am glad to say, have been catalysts for change.”
“I have heard concerns from stakeholders about the impact on those providing TDDI, such as clinicians who often do so voluntarily, and the potential impact that a requirement to pay to register with the CQC could have on them and the wider event sector. The CQC will therefore commence a consultation in May, which will provide opportunities for further consideration of the appropriate implementation of the regulations for sectors such as individual volunteer clinicians and mountain rescue services. Some stakeholders have asked whether the CQC is the right body to regulate TDDI. Does it have the capability to do so, given the issues identified by Dr Penny Dash in her review? First, the CQC is the statutory independent regulator for health and social care in England, and it already regulates TDDI in a number of other settings.”
“My hon. Friend has worked tirelessly, as all hon. Members in and around the Manchester area have, since the unconscionable events of the Manchester Arena bombing. Regulation such as this could not have come into force without their representations in addition to the inquiry’s findings, so I am grateful to him and other colleagues. That is why we are taking forward a coherent package, developing non-statutory guidance for providers and organisers alongside the change to secondary legislation to remove the two exemptions and bring TDDI at events within CQC regulatory scope. Stakeholders were concerned that smaller events could be targeted by substandard and unregulated providers. Size does not always correlate with risk, and the Government are determined not to leave those smaller events exposed to inadequate care.”
“Given the changes that have been made to the CQC governance architecture, I believe that it is absolutely the right body to do this work, which is basically an extension of what it already does in hospitals, care homes and GP surgeries up and down the land. The tragic events in Manchester highlighted the care gap, and this Government intend to ensure that it is closed for the benefit of our citizens attending events up and down the county. By amending the CQC’s regulation, event organisers and those attending events can be reassured that the medical cover provided is adequate and of a suitable quality. Regardless of the size and type of event, a basal level of quality must be assured.”
“Thank you again for chairing the Committee, Mr Stringer. The shadow Minister is very knowledgeable about these matters. Like her, I have been an attending doctor at events, and I am very sensitive to the representations she made, as well those made by other colleagues over the last few weeks and months. Much of what she talked about relates to the definition of “quality”, but defining that is not for the Government but for experts, clinicians and regulatory bodies, which is why it is so important that we give the CQC the power to do this. I do not want small events and village fêtes to be overregulated; that is not the intention of this legislation. Nor do I want individual doctors, clinicians and other volunteers to be over-burdened with financial registration fees, and we will look into this with the CQC.”
“My hon. Friend raises an excellent point; I am very happy for the CQC to take that away and answer her specific question. On the issue of what constitutes first aid or more complex medical care, all of us who have been medical cover at events have sometimes come across the incongruous situation where being a medically qualified doctor is sometimes not enough to provide first aid. Those incongruities have existed for as long as I have been in practice, and I do not think the regulations particularly change that. It is often down to individuals’ interpretation of first aid, as well as their insurance cover, and I am sure that we do not want to overly complicate this matter.”
“The hon. Lady knows that I often indulge her interventions, but not today. These regulations are a response to a public inquiry and are designed to ensure that the CQC has the scope and oversight of events and arenas. It is for the CQC over the next 15 months to provide some of these definitions and clarity, and they are absolutely the right people to do it. On that basis, I ask colleagues to support this very necessary measure to protect those the people we were elected to serve. Question put.”
“Friend the Member for Blaydon and Consett knows I am not a Department for Business and Trade Minister, but I am committed to making sure that she is linked in with the appropriate Minister in that Department, particularly around her asks on how smaller and medium-sized enterprises can access and implement the standard and overcome the regulatory and financial hurdles to doing so, and I would be delighted to try to organise that meeting for her.”
“The standard is advisory and is intended to be integrated into existing organisational policies and health, safety and wellbeing arrangements, and therefore to be flexible. In terms of supporting its implementation, decisions on how to use it rest with individual organisations, but the Government recognise that some employers may choose to use it as a reference point or benchmark alongside their existing workplace mental health and wellbeing policies. My hon.”
“My ministerial counterpart, the Minister with responsibility for mental health and women’s health, Baroness Gillian Merron, was particularly pleased to speak at the launch of that standard. As with other BSI standards, this voluntary British standard is published as guidance; it is designed to support organisations of any size and across all sectors in strengthening their approach to suicide prevention, intervention and bereavement support in the workplace. On uptake, I was pleased to hear that the standard has been well received so far, with more than 11,000 downloads since its publication in November. It is overwhelming to hear that businesses across the country are putting the standard into practice, including Heathrow airport and Inclusion Education, which have publicly adopted it.”
“The Government’s relationship with the BSI is through a memorandum of understanding, primarily to support the UK standards system, rather than to direct or enforce implementation of standards by businesses. Decisions on adoption and implementation remain with individual organisations, although the Government may play a role in encouraging awareness of those standards to support best practice. In November last year, as we heard, the BSI launched a new voluntary standard entitled “Suicide and the Workplace”. That standard was particularly notable, given that it was not just the UK’s but the world’s first national standard supporting suicide prevention efforts in the workplace—a truly commendable achievement.”
“The strategy focuses on harnessing efforts across civil society to help identify and support people at risk. Standards such as the one produced by the British Standards Institution play an important role in raising the profile of suicide prevention in England and in supporting employers to play their part. I take this opportunity to congratulate the BSI on 125 years of tireless work, ensuring quality not only in British society, but across the world. The British Standards Institution is the UK’s national standards body—an independent organisation that develops standards that shape and encourage best practice across myriad professional sectors.”
“It is a pleasure to serve under your chairmanship, Mr Stringer. I thank my hon. Friend the Member for Blaydon and Consett (Liz Twist) for securing this debate on a topic that is especially close to her heart and for her work more generally to promote action on suicide prevention. I am also grateful to hon. Members across the Chamber for their interventions. Every suicide is nothing short of a tragedy. It has lasting and devastating impacts on families, friends and communities. Ensuring that the right care and support are available to someone who may be struggling when and where they need it can make all the difference in saving a life. That is why reducing the numbers of lives lost to suicide is a key priority for this Government, and we are committed to taking forward the suicide prevention strategy for England.”
“Through the new community-based mental health centres that are being piloted, people and families can receive care and treatment when they need it, in their community, 24 hours a day, and in a much calmer environment than one finds in traditional A&E departments.”
“I encourage all workplaces and employers to familiarise themselves, and align their work practices, with the Government’s suicide prevention strategy and to consider how they can best support their staff. I would also encourage them to consider drawing on the BSI standards as an exemplar tool to help embed suicide prevention in working practices. Finally, as the BSI standard highlights, the importance of community, both inside and outside the workplace, cannot be overstated. That is why so many of the Government’s ambitions surrounding suicide prevention, and indeed wider prevention, hold community at their core. With our 10-year health plan, we are shifting care and support from traditional institutions into the community, and our focus is more firmly on prevention.”
“With suicide prevention, we often talk about the importance of meeting people where they are. Ensuring that people are supported by their workplaces is one valuable way of doing that, and the Government are committed to finding more opportunities to ensure that every person requiring support can access it readily. For example, my counterpart Baroness Merron, alongside co-chairs Money and Mental Health, convened senior stakeholders from financial services to discuss the role they could play in supporting people at risk—both their customers and their employees. I understand there was a great appetite in the room to take further action on this matter, and Baroness Merron is working closely with officials to progress this work at pace.”
“The Construction Leadership Council’s mental health project has focused, through the lens of prevention, on identifying the primary root mental health causes impacting construction workers. The project, in partnership with Mates in Mind and the University of Warwick, held a series of regional focus groups with on-the-ground workers and identified those causes as including late payments, a lack of stable work, and workers having to travel and stay far away from family and loved ones. The Department for Business and Trade consulted on those issues and received around 3,000 responses. An action plan, together with a joint code of practice setting out how employers across the sector can provide a more supportive environment to address and prevent those issues specifically, will be published this summer.”
“That points to the importance of public and private sector organisations—well beyond the confines of what we see as the traditional NHS—that are well placed to reach those vulnerable people most at risk. Workplaces provide the perfect opportunity to signpost people to the support they need. Employers should support practices and conversations that help to prevent suicides—for example, by having employment assistance programmes, line manager training and support networks in place for employees. Every employee should feel supported, and every employer should ensure that support is known of and available to their staff. As has been highlighted, we know that some sectors are disproportionately affected by suicide. For example, suicide rates in construction are four times higher than in other business sectors.”
“My hon. Friend is always knowledgeable about these matters and she tempts me to egress across the confines of my departmental portfolio. I am happy to cite her recommendations in my correspondence with colleagues in the Department for Business and Trade when I try and set up a meeting for my hon. Friend the Member for Blaydon and Consett. The role of employers generally cannot be understated. As the suicide prevention strategy clearly sets out, by improving support practices and conversations employers can and do save lives from suicide. Almost three quarters of people who take their own lives are not in contact with NHS mental health services.”
“It highlights the important role that employers and organisations can and should play in supporting their staff to get the support they need. Guidance such as the BSI’s “Suicide and the Workplace” standard brings welcome visibility to just how important that role is. I extend my thanks to everyone who contributed to and was involved in the development of the standard. In conclusion, I know how personally painful debates such as this can be, but all hon. Members will know that the impact of these discussions goes well beyond the four walls of our Parliament and into the streets. That awareness is so important, and I am grateful to my hon. Friend the Member for Blaydon and Consett for securing this debate. I would be delighted to meet her and to organise the meetings I outlined. Question put and agreed to.”
“Our suicide prevention support pathfinder programme for middle-aged men will invest up to £3.6 million over three years in areas of England where middle-aged men face the greatest risk of suicide. It will support new ways of embedding effective, tailored support for middle-aged men within their communities and will create clearer, more joined-up pathways into existing local suicide prevention systems. Today’s discussion has without doubt highlighted that suicide prevention truly is everybody’s business. Every person, organisation and service has a role to play. We can all do more to ensure that we are equipped with the skills that can and will save lives. Our suicide prevention strategy sets out a comprehensive, evidence-driven plan to reduce the number of lives lost to suicide across our country.”
“My hon. Friend is trying to steal the conclusion of my speech, so I will bring it forward. I am always delighted to meet her, and she knows I am happy to contribute to any roundtable that she feels needs my attendance. I can charge my officials with the task of getting that organised. Those community-based mental health centres are co-delivered with primary care specialist services that can be drawn on as required. People can receive psychological therapies, medication and other interventions, while also having access to expertise that can help with wider issues that may be impacting on their wellbeing and recovery, such as issues with housing, employment and peer support.”
“Mental health funding will rise by £140 million in real terms this year, reaching a record £16.1 billion. That is on top of capital investment of £473 million over four years to deliver new models of care and digital transformation. However, improving mental health services is about more than money because, despite the money from the last Government, they presided over a dramatic increase in mental health distress and waiting lists spiralling out of control. This Government will combine investment with reform to reduce waiting times, improve the quality of care, and strengthen prevention and early intervention.”
“The case that the hon. Gentleman highlights is indicative of the fact that much work has been done and much more needs to be done. We are providing early intervention for children’s mental health and wellbeing by rolling out mental health support teams, which will happen in every school by 2029. We are investing £13 million to pilot enhanced training for staff, so that they can offer more support to young people with complex needs. We are ensuring that, as we are digitally transforming, children and adults can access talking therapies where required. A lot has been done and there is a lot more to do, and we will carry on doing it.”
“We all recognise the devastating impact that eating disorders have on people’s lives, so this Government are committed to going further. Increases in mental health spending, which reaches a record £16.1 billion this year, include funding for eating disorder care. We have also commissioned an independent review to better understand rising prevalence, and the interim report of that review highlights the worrying rise in the prevalence of eating disorders. We look forward to the final report, which will set out recommendations on improving support.”
“I am grateful to my hon. Friend for highlighting those cuts and the devastating impact they had, particularly on mental health and eating disorder services. She is absolutely right that we have to do a lot more on the pathways, including harmonising some of the data and clinical coding to make sure that we are catching people early in the process. As I said, the prevalence review will now focus on eating disorders as well—that is a welcome intervention—and of course, children become adults, so we must end the cliff edge at the age of 18 and make sure that care continues in a holistic fashion. We are getting on with that.”
“The hon. Gentleman is absolutely right. The Government are conducting a consultation to examine the most effective ways that we can go further to ensure that children have healthy online experiences. The three-month consultation, which is evidence-led and has input from independent experts, will include determining the right minimum age for children to access social media, and it will report in the summer.”
“My hon. Friend may know that in Scotland there is no NHS app. In England, where there is one, we can facilitate bowel cancer screening through the app, increase uptake, and save more lives. In Scotland, all the SNP has managed to provide in 20 years is, possibly, some dermatology services in Lanarkshire. When we came into power—”
“Anyone receiving mental health treatment, in particular acute mental health treatment, deserves dignity and high-quality care. Where care falls short, this Government’s approach is that sunlight is the best disinfectant. That is why we are absolutely committed to learning, and to taking action to protect patients and improve in-patient mental health care up and down the country. I am deeply distressed to hear about this case and about other cases, including at St Andrew’s. NHS England and the Care Quality Commission are acting to keep patients safe. I am happy to take forward any further discussions with the hon. Lady, as necessary.”
“I am grateful to my hon. Friend for making these points about haemophilia care. We are committed to implementing all recommendations of the review, and good progress has been made, including on non-plasma-derived treatments and the revision of the national service provision. NHS England and the Department of Health and Social Care will continue to provide updates on the Government response. I am happy to meet my hon. Friend to discuss this.”
“I commend the community groups in the hon. Gentleman’s constituency. He will know that there are record amounts of funding going into mental health provision under this Government. We are committed to ensuring that that funding is disseminated into the community, by moving more services from hospitals into the community.”
“They have a statutory duty to make arrangements for the provision of community equipment to disabled people in their area. That equipment can be free for the recipient if the person is assessed as having eligible needs. Types of support include equipment to enable people to live more independently, such as grab rails, walking aids and wheelchairs for short-term use. Responsibility for managing the market for these services rests with local authorities. For people with long-term, complex mobility needs, support is provided by the national health service, based on assessed need. That may involve the provision of specialist equipment adapted to the specific needs of the individual, and can include both powered and manual wheelchairs.”