← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Dr Zubir Ahmed

MP for Glasgow South West · Labour · United Kingdom

IN THEIR OWN WORDS

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.

ASYLUM HOTELS · 2026-07-13 · READ IN HANSARD

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…

ISRAELI SETTLEMENTS: TRADE BAN · 2026-07-09 · READ IN HANSARD

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.

ADVANCED MANUFACTURING · 2026-07-02 · READ IN HANSARD

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.

NATIONAL MATERNITY AND NEONATAL INVESTIGATION · 2026-06-30 · READ IN HANSARD

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.

NATIONAL MATERNITY AND NEONATAL INVESTIGATION · 2026-06-30 · READ IN HANSARD

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.

LEGACY OF JO COX · 2026-06-11 · READ IN HANSARD

The complete record

Every one of 520 lines we hold for Dr Zubir Ahmed, in date order, each linked to its source. Free to read, in full, without an account. Page 6 of 11.

  1. The fee has been redesigned in response to consultation feedback, is being phased in to give the sector time to adapt, and uses existing registration data to keep the administrative burden on business low. Ultimately, this is about maintaining confidence in the safety and performance of medical devices, supporting continued access, and ensuring that the MHRA has the capacity to act quickly and proportionately if issues arise. I am happy to write to hon. Members if there any detailed points that I have not addressed; I have taken on board the comments of the hon. Member for Sleaford and North Hykeham and I am happy to write to her and the Committee. For those reasons, I invite the Committee to support these regulations for the sake of patient safety and our commercial environment, and I commend them to the Committee. Question put.

    DRAFT MEDICAL DEVICES (FEES AMENDMENT) REGULATIONS 2026 · 2026-01-21 · READ IN HANSARD

  2. Out of a desire to avoid duplicative obligations, we are taking forward a separate piece of regulation that will mean that on 28 May 2026, devices other than custom-made ones, placed on the NI market will need to be registered with EUDAMED and will no longer need to be registered with MHRA, so the fee will not apply. Under EU regulations, custom-made devices are excluded from EUDAMED. They will still need to be registered with the MHRA, and will incur the fee. Taken together, these regulations put the funding of the strengthened PMS on a clearer, more sustainable footing, so that those who benefit from access to the UK market contribute fairly to the ongoing regulatory work that supports their access.

    DRAFT MEDICAL DEVICES (FEES AMENDMENT) REGULATIONS 2026 · 2026-01-21 · READ IN HANSARD

  3. Members know, the regulatory position is different from that of Great Britain: under the Windsor framework, the EU devices regulations apply in Northern Ireland. This means that devices placed on the NI market must meet relevant EU requirements. The European Commission has recently announced that EUDAMED registration will become mandatory by May 2026. EUDAMED is the European Commission’s database that collects and stores data about devices on the EU and NI market. It is free for users, as it is funded centrally by the European Commission. In practice, that means that manufacturers, or their representatives, of devices—other than those that are custom-made—that are placing them on the EU or NI markets must register their devices on EUDAMED from 28 May 2026.

    DRAFT MEDICAL DEVICES (FEES AMENDMENT) REGULATIONS 2026 · 2026-01-21 · READ IN HANSARD

  4. Roughly three quarters of these posts are existing roles, previously funded through the DHSC subsidy, with around one quarter being new posts that the MHRA expects to fill by the end of March 2026. Performance will be monitored through indicators such as the volume and quality of vigilance reporting, field safety corrective action and trend reporting, signal detection, and timeliness from the initial signal through to alerts and the corrective action being applied. The MHRA is committed to strengthening its internal metrics and producing new KPIs to track performance. These will be reviewed through the biennial fees uplift process to ensure that costs remain efficient and proportionate, and to avoid over or under-recovery. I turn briefly to Northern Ireland. As hon.

    DRAFT MEDICAL DEVICES (FEES AMENDMENT) REGULATIONS 2026 · 2026-01-21 · READ IN HANSARD

  5. As the hon. Lady knows, doctors are able, in certain circumstances, to prescribe unlicensed treatments to their patients if they feel it is a proportionate act to take. It is not something that is in guidelines or routinely recommended, but is at times at the discretion of individual clinicians. Clearly, that would be a peripheral activity, and something that could be looked at by local governance processes; but I am confident that these regulations strengthen the current post-market surveillance, so we are moving to a place of greater safety for the totality of the system. The fee funds around 102 staff working across key areas, including medical device safety and surveillance yellow cards, software and diagnostics, and compliance and safety data.

    DRAFT MEDICAL DEVICES (FEES AMENDMENT) REGULATIONS 2026 · 2026-01-21 · READ IN HANSARD

  6. Lord Darzi’s report laid bare the growth in demand for ADHD assessments nationally. That has been so significant in recent years that it risks completely overwhelming the resource available. I thank everyone who has taken part in sharing evidence for Lord Darzi’s report, and with the subsequent ADHD taskforce established by NHS England. We know, from the taskforce’s report, that there are quality concerns with assessments. There has been rapid growth in remote assessments and in use of the independent sector. We are urgently looking into those concerns. That is why work is currently underway to improve ADHD services in both the short and long term to meet the needs of those waiting for an assessment, or those needing treatment for a diagnosis.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  7. The website also specifically highlights the increased risks of suicide and addiction in those with ADHD, it signposts anyone who might be struggling to find urgent help and support, and has updated wording to reflect lived and clinical experience. I extend my thanks again to Richard and Christine for all their input to that work. I invite them into the Department to meet me alongside my colleague, the mental health Minister, to see how we can go further faster. We know that too many patients are facing long waits to access services including ADHD assessments and support. I know that such issues are affecting our constituents up and down the country, as has been reflected in this debate, and I understand the devastating impact that that has on individuals and families.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  8. In line with that, we will go further to ensure that NHS mental health services deliver the care that people deserve and rightly expect. The publication of the “Staying safe from suicide” guidance in 2025 means that all mental health practitioners must now follow the latest advice in understanding and managing suicide. Associated training is now available to all NHS and non-NHS mental health staff. Following the tragic loss of their son Matthew, Richard and Christine have been keen to ensure that other families are made aware of the increased risks of addiction and suicide that are associated with ADHD. NHS England has worked closely with Richard and Christine to revise content on the nhs.uk website, and has included separate, tailored content on ADHD for adults, children and young people.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  9. We will work across Government to improve support to those who are suffering, and those who have been bereaved by suicide. We know that people with ADHD have co-occurring neurodevelopmental conditions. We must not only intervene early but assess people with suspected neurodevelopmental conditions—about which I will say more later—and ensure that, following diagnosis, people have the right support to meet their needs, including their mental health needs. The Government have already taken significant steps to stabilise and improve NHS mental health services but, of course, there is so much more to do. Transforming the system always takes time but we are committed to delivering a new approach to mental health. The 10-year health plan sets out the ambitious reform that we wish to undertake to make the system fit for the future.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  10. I thank them for being in the Public Gallery for this debate, and thank them for all the invaluable work that they have done with the Department and with NHS England to raise awareness of the issues surrounding ADHD and suicide through the charity that they set up in Matthew’s memory. We have learned, through this debate, the intersection between ADHD, other mental health conditions and suicide risk. Every suicide is a profound tragedy that leaves families, friends and communities devastated. That is why, in addition to our approach to ADHD, mental health and autism, we are committed to delivering the suicide prevention strategy for England, which aims to address the risk factors contributing to suicide to ensure that fewer lives are lost.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  11. It is a pleasure to serve under your chairship, Ms Vaz. I thank my hon. Friend the Member for Sefton Central (Bill Esterson) for securing what is, by all acknowledgement, an important debate on ADHD. I thank other hon. Members for their valuable contributions today, particularly my hon. Friends the Members for Hertford and Stortford (Josh Dean), for Sheffield Hallam (Olivia Blake) and for Warrington South (Sarah Hall), and the hon. Member for Yeovil (Adam Dance) for sharing personal experience that has been invaluable to this House. In this debate, we have heard moving testimonies and I want to thank all hon. Members who have shared personal and family experiences. I personally express my welcome and my deepest sympathies to Christine and Richard, the parents of Matthew Lock.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  12. I have met the chair of the taskforce: we discussed the outcomes, and the need—as the hon. Member mentioned in his remarks—for work on those outcomes to dovetail with the prevalence review. I think that would be the most appropriate way to provide a holistic response. We, of course, respect the findings of the report, which is an excellent scientific piece of work looking at the data underpinning the diagnoses.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  13. It is our expectation that through the NHS reform Bill and the disbanding of NHS England, as well the production of independent health authorities and strategic commissioning, the health service will be better able to serve the needs of children requiring assessment for mental health conditions and ADHD. We will end up having a helicopter view, which is currently not possible.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  14. Part of that will be about how we address and label reporting, and I would expect that we come up with a better definition and a better way of reporting than we have at the moment. The Government’s 10-year plan sets out the core principle of early intervention and support, and will make the NHS fit for the future. Through the NHS medium-term planning framework, published in October 2025, NHS England has set an expectation that local ICBs and trusts improve access, experience and outcomes for ADHD services over the next three years. I heard the call from hon. Members for much more integration between community mental health services, GPs and other healthcare bodies.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  15. At present, the hon. Gentleman will have to ask my colleague the mental health Minister about the specifics, but my understanding is that the prevalence review will be a wider piece of work that will be partly informed by the ADHD taskforce report. It would be better to respond to them as a combination rather than as individual reports. The House will know that on 4 December 2025 the Secretary of State announced the launch of the independent review into prevalence and support for mental health conditions, ADHD and autism. It will bring together the most respected researchers, clinicians and voluntary organisations in the country, alongside, crucially, people with lived experience, who will be directly engaged to scrutinise the evidence and support the development of recommendations.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  16. I thank my hon. Friend for her very valid point. It is important to mention that we expect that the prevalence review will align with the review that the Department for Work and Pensions is carrying out on employability and other issues affecting disability. NHS England is working with ICBs that are trialling innovative ways of delivering ADHD services and is using this information to support systems to tackle ADHD waiting lists and provide support to address people’s needs. I understand that it is increasingly clear to patients and staff that the current highly specialist ADHD assessment model needs to evolve quickly. Moving to a more generalist service model could improve care and reduce waiting lists. That was one of the taskforce’s key recommendations.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  17. I hope that the actions I have set out today, including the prevalence review and how it will dovetail with other reviews and other Departments, will provide some reassurance to my hon. Friend and other colleagues that we are taking these matters extremely seriously, and with a parity of esteem with any physical health condition or issue. I hope that all hon. Members’ constituents start to feel that progress very soon.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  18. As the hon. Gentleman will know, I have a lot of things in my purview, but prisons are not one of them. However, his point is well made. We expect that such sub-groups would be investigated and interrogated during the prevalence review. I do have only two minutes, Ms Vaz, so I will move on quickly and not test your patience. In the longer term, we recognise the need to understand the factors behind the rising demand for services. We recognise that ADHD and autism frequently co-occur, which is why it will be important for the prevalence review to look at the conditions holistically as well as individually. I acknowledge the impact that delays in accessing assessments and diagnosis are having on people, and I thank my hon. Friend the Member for Sefton Central for tabling this important and timely debate.

    ADHD DIAGNOSIS · 2026-01-20 · READ IN HANSARD

  19. I gently say to him, in the context of this convivial and constructive debate, that when we came into office we had an impact assessment by virtue of the Darzi review, which highlighted in stark terms the difficulties that the NHS in its totality is under after 14 years—the difficulties that we inherited. I also point out that our real-terms investment of £26 billion is an increase to the NHS budget that will translate into, among many other things, a new national cancer plan. That will examine not only the process of getting the best treatments to patients, but improving communication, improving pathways, and instilling better and more bespoke mental wellbeing support into some of those pathways.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  20. I offer him my deep appreciation, as well as a meeting with the Minister for Care and end-of-life care officials, so that we can engage him around the palliative care and end-of-life care modern service framework that was recently announced, which we hope to publish in the spring. The Government are also transforming the current mental health system, ensuring that people get access to the right care at the right time in the right place. That is why we are increasing our investment in mental health support by £688 million in cash terms. The hon. Member for Hinckley and Bosworth (Dr Evans), who spoke for the official Opposition, talked about impact assessments.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  21. It also includes references to mental health, wellbeing and support for those with palliative care and end-of-life care needs. Of course, there are many examples of voluntary initiatives, such as grief or bereavement cafés, or the Good Grief community, which aims to support people at the end of their life and their families through a programme of events and courses, and the provision of resources that often include pre-bereavement advice and support. I know that my hon. Friend the Member for Altrincham and Sale West feels passionately about mental health support for those with palliative care and end-of-life care needs, and that he has been supporting Mike’s campaign for improved mental health services and support.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  22. The Government are determined to shift more healthcare out of hospitals into the community to ensure that patients receive personalised care in the most appropriate setting. Palliative care and end-of-life care services, including those provided by hospices, have a big role to play in that shift. Palliative care services are included in the list of services that an integrated care board must commission, promoting a more consistent national approach and supporting commissioners to prioritise palliative care and end-of-life care. To support that process, NHS England has published statutory guidance stating that ICBs must work to ensure that there is sufficient provision of care services to meet the needs of their local population.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  23. It is a pleasure to serve under your chairmanship, Sir Jeremy, and I start by sincerely thanking my hon. Friend the Member for Altrincham and Sale West (Mr Rand) for securing this debate. I also welcome Mike and his family to the Public Gallery, and pay tribute to Mike for all his efforts. My hon. Friend raises an important issue that can affect so many people—all people perhaps, at some point—about ensuring that when someone is diagnosed with a terminal illness, they can receive the mental and emotional support that they need in the place that they need it. We want to be a society where every person receives high-quality, compassionate and personalised care from diagnosis through to the end of life.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  24. On staffing, I am pleased to say that almost 7,000 extra mental health workers have been recruited since July 2024, against our target of 8,500 by the end of this Parliament. We are also expanding talking therapies, and we have committed to continuing that expansion over the coming years. More adults already benefit from better access to those therapies, and the aim is for over 900,000 people to complete a course of treatment with improved effectiveness and quality of services by March 2029. Anyone who develops a common mental health condition, such as anxiety or depression, in any context, including terminal illness, can self-refer to talking therapies. [ Interruption. ]

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  25. As part of that process, we wish to open around 85 mental health emergency departments, reducing pressure on busy A&E services, which are the last places that people with mental health needs should be, and ensuring that people have the right support they need in a calm, compassionate environment. We will also use new integrated health organisations to break down barriers between services, which I also think is really important in the context of this debate, and to ensure integrated and holistic care, addressing both physical and mental healthcare needs, with more freedom to determine how best to meet the needs of those local populations. That will build on the work that has already begun to bring down waiting lists. As I said, we are investing an extra £688 million this year to transform mental health services.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  26. The mental health investment standard is something that we expect ICBs to meet. I will gently push back on what the hon. Gentleman is saying because, as we have been so succinctly reminded in this debate, investing in mental wellbeing is about more than just headline figures. For instance, we need psychology in oncology, in children’s health, and in other forms of cancer care. The provision of such services is not always recorded in the way that the hon. Gentleman would wish it to be recorded, but there are still formats and sub-types of mental health support. The Government are also keen to press ahead with our 10-year plan, and we are setting out ambitious plans to boost mental health support across the country while delivering the shift from hospital to community.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  27. I am grateful for your direction, Sir Jeremy. I need one minute to conclude my remarks, and I will then pass on to my hon. Friend the Member for Altrincham and Sale West.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  28. Thank you, Sir Jeremy. Can I reassure all Members participating in this debate of the Government’s commitment to deliver on the issues that have been raised? We will work constructively with everyone, including patients and their families, as we develop the framework that Members have already outlined. We will also work with other mental health partners, local authorities and charities so that everyone can be assured that the Government are playing their part in delivering a better standard of access to care for not only palliative care but mental health care in that context.

    TERMINAL ILLNESS: MENTAL HEALTH SUPPORT · 2025-12-03 · READ IN HANSARD

  29. That includes the introduction of a reasonable adjustment digital flag, which enables the recording of key information about a citizen or a patient, including that a person is autistic, and the reasonable adjustment needs to ensure support can be tailored appropriately.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  30. Within health and social care, all NHS organisations and publicly funded social care providers are expected to meet the accessible information standard, which details the approach to supporting the information and communication needs of people with disability, impairment or sensory loss. NHS England published a revised standard in June this year to ensure that the communication needs of people with a disability, impairment or sensory loss are met within health and care provision. We are also taking steps in the health and care system to improve the accessibility of services for autistic people more broadly. For example, there is work underway in NHS England to make sure that staff in health settings know that they need to make reasonable adjustments for people.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  31. The UKHSA collaborates closely with the voluntary and community sector, including organisations working with and representing autistic people. That close collaboration has allowed it to gain rapid feedback from those organisations regarding the efficacy of communication and guidance materials so that they can be adapted as required, in real time, to communicate with all members of our society and not just some. More broadly, the Government recognise the importance of accessible communications and have published guidance on that for all Government Departments.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  32. Friend also alluded to, we have recently concluded participation in Exercise Pegasus, the largest ever simulation of a pandemic in UK history. Exercise Pegasus gives us an opportunity to examine our preparedness, capabilities and response arrangements, and we will continue to learn as we plan for phase 4 of the exercise in 2026. The Government have committed to communicating the findings and lessons, and a post-exercise report will be delivered in due course. I recognise the concerns raised about accessible communications during the pandemic, and hear loudly my hon. Friend’s reflections. The UK Health Security Agency was established in 2021 and is responsible for preventing, preparing and responding to infectious diseases and other environmental hazards.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  33. Module 10 of the inquiry is focusing on the impact of the pandemic on society in more detail and will carefully consider the findings in due course. It is clearly critical that the UK is prepared for a future pandemic, and that is rightly a top priority for the Government. The Department’s new strategic approach to pandemic preparedness continues to recognise the disproportionate and unintended impacts that pandemics can have on vulnerable people and groups. The Department is therefore committed to publishing a new pandemic preparedness strategy, which will be published next year and will show how the unequal impacts of pandemics on social health and healthcare are considered in all areas of preparedness and response. As my hon.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  34. Friend also highlighted, we recognise that there is a lot of further work to do to ensure that the impact of inequalities and vulnerabilities in pandemic decision making is fully anticipated and planned for. The inquiry recently published module 2 of its report, focusing on UK decision making and political governance. The report highlights that considerable numbers of people suffered from the social, economic and cultural consequences of steps taken to combat the pandemic, such as lockdown, including the impacts of social isolation, loneliness and declining mental health, and of course the chopping and changing of advice—which was sometimes necessary, but perhaps, on reflection, sometimes unnecessary.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  35. I want to provide reassurance that the Government remain committed to learning the lessons from the pandemic, to help us to prepare better in future. As my hon. Friend the Member for Ipswich alluded to, the Government have acknowledged the disproportionate impact that the pandemic had on vulnerable groups in the United Kingdom. Module 1 of the UK covid-19 inquiry was published in July last year and focused on the UK’s resilience and preparedness for the pandemic. The Government’s response, published in January this year, sets out the changes we have made to ensure that we reduce the potential unequal impacts of events on particular groups or individuals in any future pandemics. However, as my hon.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  36. It is important that we learn from those experiences and ensure we do better in future. In 2020, the Department of Health and Social Care commissioned research into the impact of the pandemic on autistic people and their families. The report, published in May ’21, made several key recommendations that chime with the issues my hon. Friend so eloquently raised today. It included findings about access to education for autistic children during lockdown; lack of respite and support for family members and carers; the impact of the pandemic on the mental health of autistic people and the challenges they face accessing healthcare in the round; and, as highlighted in this debate, the need for clear communication and transparency of decision making to help autistic people to follow advice and guidance appropriately.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  37. It is a pleasure to serve under your chairmanship, Mr Vickers. I am grateful to my hon. Friend the Member for Ipswich (Jack Abbott) for raising this important topic. Having known him for the last 14 months, I know how passionately he feels about the national health service in his area, particularly the mental health service provision in his area. His constituents can be rightly proud of his doughty advocacy on their behalf. My hon. Friend spoke about his constituent’s campaign to improve support for autistic people following his very difficult experiences during the covid-19 pandemic. I also place on the record my commendation of Ivan for his tireless work to ensure that autistic people will receive the right form of support. We have heard today of the challenges that autistic people faced during the pandemic.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  38. Whether through Exercise Pegasus, looking at how we can better co-create guidance with vulnerable groups, using better guidance tailored for specific communities, using digital flags on health records, or indeed better mandatory training, I give my hon. Friend the Member for Ipswich this assurance: no longer will disabled people or people with specific or additional needs be treated as an afterthought. They will be at the forefront of our minds when planning future pandemic training and preparedness—and when executing that preparedness, should we be so unfortunate as to suffer another pandemic. He has my assurance, and I am once again grateful to him for securing this debate. Question put and agreed to.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  39. I understand that his constituent Ivan contributed to the inquiry, and I personally thank him and others for sharing their valuable insights and experiences, despite all the trauma that they have been through. The Government are carefully considering the Committee’s recommendations on the next autism strategy and support for autistic people, and we will respond formally in due course. I end by reiterating my thanks to my hon. Friend and his constituent Ivan. I also thank my hon. Friend the Member for Harlow (Chris Vince) and the hon. Members for Westmorland and Lonsdale (Tim Farron), for Strangford (Jim Shannon), for Upper Bann (Carla Lockhart) and for Birmingham Perry Barr (Ayoub Khan) for their contributions.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  40. We have been rolling out the Oliver McGowan mandatory training on learning disability and autism to support Care Quality Commission-registered providers to meet their statutory requirements and ensure that their staff receive specific training on learning disability and autism. NHS England has been rolling out additional training services across its mental health services, and has published guidance for mental health services on meeting the needs of autistic adults and guidance on adaptations of NHS talking therapies specifically designed for autistic people. I am sure that my hon. Friend is aware that the House of Lords special inquiry Committee on the Autism Act 2009 published its report and recommendations for Government on 23 November.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  41. That includes strengthening joined-up care between health and social care, so that people experience more integrated, person-centred care, including through the development of neighbourhood health services. I have also heard about the impact of the pandemic on autistic people’s mental health and wellbeing. We know that autistic people are, sadly, disproportionately impacted by mental ill health and face challenges in accessing services in relation to their mental health. We are taking steps to address that, including raising awareness and understanding of autism within health and social care systems.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  42. Our 10-year health plan sets out an ambitious reform agenda to transform the NHS and rightly make it fit for the future. That future must at its core include early intervention and support for autistic people and those with specific needs. We are working with the Department for Education on reforms to the special educational needs and disabilities system, ensuring that joined-up support is available across education and health, including for autistic children and young people. We are also taking steps to improve access to adult social care services for those who need them. To build consensus on plans for a national care service, Baroness Casey is chairing an independent commission to shape the medium and long-term landscape reforms needed, and we have been putting the core foundations in place to facilitate that.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  43. I will have to go back and check that particular sub-group of flagging and get back to my hon. Friend, but I think the point he makes is that, wherever possible, we should be identifying those groups that have specific communication needs, by virtue of either their own personal health or social needs, or the needs of those they are looking after. He makes a very valid point and I will be delighted to write to him with a more detailed response than I can give at the moment. More broadly, I have heard concerns about support for autistic people. I reassure my hon. Friend the Member for Ipswich that we are committed to supporting autistic people, who should have the right support in place, tailored to their individual needs.

    PANDEMICS: SUPPORT FOR PEOPLE WITH AUTISM · 2025-12-02 · READ IN HANSARD

  44. In doing so, he has ensured that more Members and citizens of our nation will now look, acknowledge and see below the line, so that together we can ensure that more children do not continue to suffer in silence. Question put and agreed to .

    CHILDREN OF ALCOHOLICS · 2025-11-26 · READ IN HANSARD

  45. That is why our strategy is based on Best Start family hubs and the Families First Partnership programme, so that we can make sure that parents in alcohol treatment services also receive vital parenting and family support. The Department for Education has released statutory guidance called “Working Together to Safeguard Children”, and I want to pick out one line from it: “Nothing is more important than children’s welfare.” That could not be more true. Everything we are doing across Government is aimed at improving children’s health and protecting child welfare, so that every child can thrive in a loving, safe and stable home. Let me end by speaking directly about the hon. Member for Mid Norfolk. Today he has spoken not only in this place, but to the nation.

    CHILDREN OF ALCOHOLICS · 2025-11-26 · READ IN HANSARD

  46. But treatment alone is not enough to improve outcomes for children. The evidence suggests that alcohol treatment, combined with support to help parents raise their kids, can increase the likelihood of recovery from alcohol dependency, reduce the risk of child neglect or abuse and, crucially, keep families together. I am grateful for the opportunity to respond to this debate. It has given me the chance to outline how the Government are laser-focused on improving outcomes for children from all kinds of backgrounds who find themselves in these situations—children who, through no fault of their own, were born to parents who suffer from alcohol problems. I hope I have demonstrated that our approach is based not on stigmatising, but on keeping families together.

    CHILDREN OF ALCOHOLICS · 2025-11-26 · READ IN HANSARD

  47. Fourthly, we plan to publish guidance on how treatment providers can better support and improve service provision for women. We will work with local commissioners to ensure that they consider in their drug and alcohol treatment commissioning plans the specific needs of pregnant women and parents. We are also continuing to invest in improvements to local alcohol treatment services, which faced significant cuts followed by a decade of disinvestment. Just last week, the Government announced an investment of £13.4 billion—a 5.6% cash increase—over the next three years in local authorities’ vital public health work through the consolidated public health grant. That includes the overall £1 billion of drug and alcohol treatment and recovery improvement grants over the next three years.

    CHILDREN OF ALCOHOLICS · 2025-11-26 · READ IN HANSARD

  48. That is why the Government are committed to reducing stigma, improving the quality of treatment and making support available to every woman who needs it. First, we are piloting local approaches to reduce stigma among doctors, nurses and other healthcare professionals. Secondly, we will soon publish the UK’s first clinical guidelines for alcohol treatment that include advice for supporting pregnant women and parents to stop or safely slow down their alcohol use. Thirdly, the Department of Health and Social Care and NHS England are finalising the co-occurring mental health and substance use delivery framework, which will outline the commitments that we are making to improve integration of alcohol and drug treatment with mental health services at a national level.

    CHILDREN OF ALCOHOLICS · 2025-11-26 · READ IN HANSARD

  49. That is why the UK chief medical officer’s guideline is that if a woman is pregnant or thinks she might become pregnant, the safest approach is not to drink at all. It is a genuine tragedy that pregnant women and mothers with alcohol problems are sometimes the most stigmatised and harshly judged people in our society. That means it is incredibly difficult for those women to speak out about their issues and to let services know that they have children, which prevents women, children and families from getting the help they deserve. We cannot forget that many women who drink during pregnancy come from homes where their own parents were dependent on alcohol and are often at the sharpest end of not only inequality, but complex and multiple other needs. Many of them were victims of trauma and abuse in their own childhood.

    CHILDREN OF ALCOHOLICS · 2025-11-26 · READ IN HANSARD

  50. To help identify vulnerable children and families affected by parental alcohol problems who need a helping hand, my Department will support local authorities with an additional range of resources, including local prevalence and treatment data, and child safeguarding guidance for alcohol and drug treatment services. We are doing this for children and their families, but we must also target our support to make a sustainable difference to pregnant women with alcohol problems. Timely and effective treatment is key, because drinking in pregnancy leads to long-term harm for babies—for example, foetal alcohol spectrum disorder, which has already been highlighted in this debate. Unfortunately, the more that women drink, the greater the risk.

    CHILDREN OF ALCOHOLICS · 2025-11-26 · READ IN HANSARD