Sojan Joseph
MP for Ashford · Labour · United Kingdom
“I agree with the hon. Member that people with power, especially those with political platforms, have used it to spread misinformation about vaccination. Some medical professionals working in our hospitals and the NHS—doctors and nurses—are also against vaccines. Can the hon. Member explain how we can tackle that issue?”
“This morning, I visited the Churchill school in Hawkinge and had a good interaction with the young children. Most of their questions were about protecting nature, and they repeatedly asked how we can support them to plant more trees.”
“As the chair of the APPG on adult social care, I pay tribute to unpaid carers for the enormous contribution they make to their families, their communities and wider society. I often have meetings with them, and as part of my job before I became an MP—I worked in the NHS—I had a lot of contact with carers.”
“I would appreciate it if the Minister would respond to that point, and if the Government would consider something to support carers, while not putting any more administrative burden on the NHS, where we are focusing on providing more support on the frontline.”
“It is good to see you in the Chair, Ms Lewell. I strongly believe that public health is very important to our health system because it focuses on prevention, so that people do not end up in A&E or in hospital beds. Unfortunately, over the last 10 or 15 years we have seen the opposite.”
“I worked as a nurse on the frontline in mental health services, and what we saw was money being diverted to create more senior leadership, more groups, more meetings and more management, while we were missing the people who actually did the work on the frontline.”
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“I strongly support the argument that clinical staff, even if they progress into a senior role, should carry out some sort of clinical practice. Does the hon. Lady agree that that is what went wrong over the past few years, especially when NHS England was created? Many senior clinicians who were moved into management posts had no contact with clinical areas. That is what this Government are trying to fix by abolishing NHS England.”
“Healthwatch is thematically looking at patient feedback differently from the way that system does, and that is something I fear may be lost.”
“It also could be issues to do with not being able to find a dentist, for example; the system will treat that as an individual incident of helping someone who is trying to find a dentist or not, but Healthwatch could use that insight to petition and push for national change around the commissioning of a service like dentistry. A topic like administration of care, which Healthwatch, National Voices and the King’s Fund have all worked on together, is invisible from the way that the system perceives performance at the moment, but because we listen thematically to patient experience, we can push for a much greater focus on things like the basics of communication and keeping patients up to date on what is happening with their care, which really matter.”
“Jacob Lant: The issue is that the system—the NHS provider, the commissioner or whoever is picking up the individual complaint—will treat that as an individual incident to look into. Healthwatch may support the individual to raise that complaint or that individual piece of feedback, but the collective learning across that is more important, and it is pulling out the themes that are consistent across multiple bits of feedback, both positive and negative, that makes the difference. We see that evidence and insight from Healthwatch making a difference in local and national policy. It might not feel like that to the individual patient, but things like the creation of a single patient record exist in part because of a lot of campaigning by local healthwatch on the issue of people having to repeatedly tell clinicians about their experiences.”
“Q Mr Lant, I am trying to understand a bit more about the patient experience and improvement in care that Healthwatch brings. My understanding is that when a patient raises a complaint with the local provider, it usually gets investigated by a local service manager or a matron, but when somebody is not confident about raising a complaint with the local provider, they go to Healthwatch, and that complaint usually filters down for the same local service manager or matron to investigate it—we have seen that happening. Patient experience is not being improved without local accountability or local change. Can you explain why you are concerned about abolishing Healthwatch and bringing more accountability to local ICBs or local authorities, which may improve patient experience and patient care?”
“They perceive that we do that already, and when they come up against the healthcare service, they realise that it does not happen; they do not realise that it is not a personal thing to them, but a systemic problem. It is about getting patients to understand the systemic nature of the lack of data sharing at the moment.”
“Dr Dickson: You are talking about transfer of care between services and about a weekend being an important flashpoint, but I think that that transfer of care does not happen appropriately even during the week. It is getting better, with electronic systems, but it is still not necessarily working for the full benefit of patients, especially if they access multiple services. The value of the single patient record is to make that safe, but the question is, will it do that? Can it do that? Is it safe to do that? Will the patient’s data be protected? That is what we are we are worried about. I think that is what patients worry about.”
“Within those seven days, the GP practice should get a discharge letter that says what has happened; if appropriate, we then take over the prescribing. If the information comes and is good quality—if the data is good and timely—the things you mentioned do not happen; they happen when neither of those things are the case. In my experience, information that comes out of A&E is often difficult to understand. A&E might make a diagnosis that it works with, but by the time that gets to the ward it can be different, so the A&E information we act on could be very different from what the patient is discharged with. Timely and good-quality information is therefore really important, and that GP record then becomes the centre of the patient’s care.”
“Q I want to touch on the single patient record. I declare that I used to work in mental health services. In my experience, mental health patients often navigate between A&E, GPs and mental health services during weekends. Often the clinicians do not know what medication they are on, or what kind of contact patients had on the Friday or Saturday. Also, during the discharge process, getting medication from the GP can be delayed until the discharge notification gets to the GP. Yes, there are concerns about who will own this data, but do you not think that the single patient record will bring a huge benefit for patient safety and continuity of care? Kay Keane: In the example you gave, the hospital should be giving seven days-worth of medication to the patient. That is clearly its responsibility.”
“The CQC physically goes into clinical areas to see the difference, and has the power to take action against those responsible, so is it not a good change that more accountability will sit with the providers, and the CQC—or local authorities and ICBs—can take action against them? Professor Croisdale-Appleby: Forgive me; you asked several questions. Which would you like me to start with?”
“Q Sarah, you mentioned that the patient should be the centre of all this. I do not think that anybody disagrees—including any politicians—that making these changes is in the best interest of the patients. However, many changes have happened over the decades, but data for the last 10 years shows that patient safety incidents and complaints are steadily going up, so those changes have not made any impact on patient care, safety or experience. We need to do something here. After each incident, there is a recommendation or an action plan, but clinical staff or patients do not have much involvement with those and do not see any difference. Healthwatch helpfully finds the issues, but it may not actually go back and see what changes are made following its recommendations.”
“That might be a slightly separate issue, but considering that there are so many complaints and that patients are not wanting to complain because they are scared, I do not think that streamlining is the right way. We need an independent voice that will focus solely on the patient voice, which I think we are completely losing at the moment.”
“I am not sure that it necessarily takes it closer to that simply by embedding it—as a colleague asked earlier—within the formal structure. There is a danger in that that the patient voice is often a spiky voice. As a former chair of hospitals and so on, I know that patients do not always say things that are convenient. That point about independence is vital. If I may, sir, I take slight issue with your term “streamlining” and would try to take that apart into the different components that might comprise it. Sarah Tilsed: I cannot comment too much on the CQC, but on the point about a rise in complaints but nothing seems to be happening, we are finding that patients do not want to complain any more because they are finding that they are getting a worse service of care.”
“I asked whether it is not a good change to streamline these bodies so that fewer of them have powers to take action like the CQC? Professor Croisdale-Appleby: There is always a danger, if I may say so, in the use of the word “streamline”. We have to think what is lost in the streamlining process. I do not want to repeat what I have said and waste your time, but one thing that is important is whether there is a golden thread running through seeking out and listening to patients’ views, putting those together in a coherent form, making recommendations for improvement—that is what we do all the time at Healthwatch—and then holding people accountable for that. I remember Penny Dash saying that one of the points of the Bill is to bring this closer to those who commission and those who deliver.”
“I am keen to look at that and delighted that the Department of Health and Social Care and NHS England are, I think, very interested in having that conversation with me. At the moment, it certainly seems that there is a variable response across the system to inappropriate access. Looking ahead to the SPR, we need to look at that make improvements, so that the public can have faith that, given the harm that it can cause them, it will be taken very seriously if anyone does access their records inappropriately. There are technical, cultural and system aspects to think about here. The SPR is definitely an opportunity to do that, and I am very keen to work with other stakeholders on that.”
“There are some technical solutions. Again, the SPR is an opportunity to look at that across the system, because systems vary greatly in the sophistication of their audit function, for example. Even when there is an audit function, if someone has legitimate access through their role as a doctor or a nurse, it can be difficult to know whether their access in any particular case is legitimate. These are not common occurrences, but it is extremely distressing for patients if their confidentiality is breached for any reason. It is not simply a matter of technical controls. We need to look at how we build stronger, more effective deterrents across the system by having effective sanctions when incidents do occur.”
“Q I was listening to Dr Byrne’s concerns about confidentiality and trust. I want to declare that I have worked in the NHS in the mental health sector for many years. I worked in one of the biggest mental health trusts, Kent and Medway mental health NHS trust. We use an electronic patient record called Rio. As Dr Cocker said, before anyone is given access to the record, they have to have training on information governance and data protection, and access is given based on their role. That system creates an audit trail, so patients can request to see how many people have accessed their information in the last month or two—there are facilities on the system to check that. Is staff training and raising awareness among patients important for creating trust and confidentiality? Dr Byrne: Those things are very important, yes.”
“It affected households; farmers, whose livelihoods depend on a steady supply of water; and vulnerable individuals in care homes, where continuity of basic services is critical to wellbeing and safety. The wider economic impact must also be recognised. Hotels, restaurants and pubs across parts of the county were forced to close, losing vital income during what should have been a busy period coinciding with the school half-term holidays.”
“That is the absolute minimum any water company should guarantee, but all too often South East Water is not meeting that minimum expectation. The repeated disruptions are not only inconvenient but deeply distressing for residents, who should be able to rely on water. The impact of these repeated failures is evident from the Consumer Council for Water report last week, which showed that trust in South East Water had been “materially weakened”. More than half of those surveyed now store bottled water at home in case of future incidents. The most recent incident occurred during a short period of hot weather, when the consequences of shortages can be especially acute.”
“In April, around 6,000 customers experienced water supply problems, which South East Water said were “caused by a burst water main.” At the end of May, as we know, customers had to cope for 11 days with interruptions to their water supply. On that most recent occasion, around 22,000 customers across Kent, including roughly 4,000 in my constituency, were impacted. Last week, during an urgent question secured by the right hon. Member for Herne Bay and Sandwich (Sir Roger Gale), I spoke about how, like many of my constituents, I have lost all faith in South East Water due to its repeated failures. Access to clean, reliable water is not a luxury; it is a fundamental expectation. When people turn on their taps, they should be able to rely on a consistent supply of water.”
“I beg to move, That this House has considered water supply in Kent. It is a pleasure to see you in the Chair this afternoon, Mr Twigg. I am grateful to colleagues for coming to the debate, but it is disappointing that we are having to have it at all, after the fourth incident—and the third major one—disrupting the supply of water to South East Water customers in six months. Between November and December, approximately 24,000 customers experienced low water pressure or little to no water supply. When supplies were restored, a boil water notice was issued. In January, about 30,000 customers again had to put up with little or no water supply.”
“This Government have taken strong action by nationalising the steel industry to protect it for future generations. They have also addressed the failure of rail privatisation by bringing rail companies back into public ownership. Given the steps they have already taken on water, which include passing the Water (Special Measures) Act 2025 and giving the Environment Agency more powers to monitor water companies, what consideration have the Government given to taking failing water companies into public ownership?”
“While I welcome the proposed Broad Oak reservoir, South East Water is not expected to submit a planning application until 2028 at the earliest. That will take time to deliver, and even if it is in place, further action will still be required to safeguard supply. In last week’s urgent question, the Minister mentioned that the Government are looking at desalination plants as part of the longer-term answer to water supply challenges. Those could provide a reliable source of clean drinking water that is independent of rainfall, particularly during prolonged dry periods. I would welcome further details on the role the Government see for desalination within a balanced, long-term strategy for Kent’s water supply. I would like to ask the Minister one final question.”
“Building on the proposals set out in the water White Paper, will the Minister update the House on what action the Government are taking to deliver a water system that the people of Kent can depend on? Climate change makes this challenge more urgent. Last week, the Environmental Audit Committee took evidence on the impact of extreme heat, and we heard that we are likely to see more frequent heatwaves and periods of extreme temperatures. Kent and the south-east of England will be particularly exposed, which will have implications for water supply. Hotter weather increases demand, while dry summers reduce availability. As the Environment Agency has pointed out, Kent is already marked by exceptionally low rainfall.”
“This lack of resilience in our water infrastructure is particularly concerning, given the need for more housing in my constituency and across the county. During the Conservative Government’s last year in power, planning applications were at their lowest point for a decade. As we look to fix this problem, it is important that housebuilding takes place with natural resources such as water in mind. That includes ensuring that water companies and housing developers make the necessary investment in infrastructure. What action can the Government take to give councils, such as Ashford and Folkestone and Hythe in my constituency, and other planning authorities confidence that all water companies make that investment, to ensure that current needs are met and that future growth, including the demand for affordable housing, can be supported?”
“Each time an incident occurs, a different reason is given, whether that is a plant failure, severe weather, a burst water main or increased demand during hot weather. Those explanations do not change the underlying reality: for years the company has prioritised shareholders’ interests over those of its customers, and has failed to make the necessary investment in its infrastructure. After years of under-investment, South East Water’s ageing and leaking infrastructure is struggling to cope. That cannot be allowed to continue. After all, if my constituents have poor service from their telephone provider, they can change their network, but because water companies have a monopoly, South East Water’s customers have no choice but to put up with this failing company.”
“I know that is something that the Water Minister has raised with the company, but it is simply not good enough for constituents to be left wondering what is happening to their water supply, or when it will be restored. South East Water’s communication with Members of Parliament also needs to improve. During the recent meningitis outbreak, alongside daily updates from the UK Health Security Agency, MPs were offered regular virtual meetings to answer questions. Although South East Water sent out daily email updates, the information I received from constituents often contradicted what the company was saying. It took direct contact from my office to request a virtual briefing before one was arranged. Of course, the most important lesson to be learned is how to prevent future water supply disruption in the first place.”
“After my office intervened on her behalf, we were informed that water would be delivered later that day, by which time the constituent had confirmed that her supply had already been restored. The issue of people on the priority services register being left waiting for water was raised in the House during previous outages, but it continues to arise. In any evaluation that takes place, consideration needs to be given to the location of water distribution stations. Those living in rural areas, elderly residents or those without access to a car cannot travel far to collect bottled water. Provision must reflect need. Communication is another persistent failure. Constituents received little or no information, and updates were often inconsistent.”
“It is important to have a robust evaluation of the measures put in place to assess what was effective and, more importantly, what needs improving. According to the company, it used tankers to supply more than 2 million litres of water to its network. More than a week after taps started running dry, I was still being contacted by constituents experiencing supply issues. The company needs to explain why it took so long to restore supply during this and other recent disruptions. South East Water reported distributing more than 1 million litres of bottled water to customers. However, one constituent on the priority services register did not receive water at her property.”
“Friend the Minister set out what actions the Government are taking to strengthen compensation arrangements for customers and what is being done to ensure that those affected by serious outages receive proper support and redress? I want to recognise those who did their best during very difficult circumstances, including staff from local authorities, other agencies and the health and social care sector, as well as South East Water’s employees on the ground. I would also like to pay tribute to the Water Minister and her officials for the way they actively engaged during the latest incident. In the conversations the Government had with South East Water, did the company give any assurances that lessons would be learned?”
“I absolutely agree. There are many farmers in my constituency, and I have heard about the challenges they face when there are water shortages and they do not know when the water will come back—even the uncertainty is difficult for them. For businesses, loss of trade is not simply a temporary inconvenience; it can have lasting repercussions. Taken together, South East Water’s failures highlight a pattern of underperformance that is no longer acceptable and that demands urgent attention and accountability. I welcome the confirmation from Ofwat that the recent incident will be part of its ongoing investigation into South East Water, but can my hon.”
“I thank the Minister for all her work, and all my colleagues, who are united on this issue. I thank the local authorities that reached out to raise their concerns, including the leader of Ashford borough council, who is here to raise his concerns with us all. Many issues and impacts can be measured, but, as the shadow Minister, the hon. Member for Epping Forest (Dr Hudson), mentioned, when things like this happen, the mental health impact is not measurable, and it is important that all parliamentarians think about that. This is not a small matter for those with small children or animals. Once again, I thank everyone for their contributions. We need to continue putting pressure on the water company to improve its service. Question put and agreed to. Resolved, That this House has considered water supply in Kent.”
“The Northern Ireland defence sector already makes a substantial contribution to the local economy, supporting well-paid, highly skilled jobs right across the region, with at least 900 jobs directly supported. Does the Minister agree that, as well as benefiting national security, this new investment will benefit the wider economy, including in my Ashford constituency?”
“Like many of my constituents, I have lost all faith in South East Water after its repeated failures to deliver adequate standards for customers in my constituency and across Kent. The latest incident left around 4,000 of my constituents having to cope for days with no water entirely, an intermittent supply or low water pressure. South East Water’s failure to invest in infrastructure means that I have no confidence that it will be able to provide a basic standard of service. Moreover, it kept in place the hosepipe ban until February, and there was no preparedness for the coming hot weather, so there is a lack of understanding by the senior leadership within that organisation. What practical measures can the Government take to ensure that we will not suffer in the coming summer months?”
“In the event of an emergency on the line between London and the channel tunnel, Ashford International remains a designated location where passengers can safely disembark. Despite the absence of stopping services for over six years, Eurostar has until now maintained a contract to keep the facilities at Ashford available for emergency use. Importantly, the infrastructure remains fully operational, with international platforms, security arrangements and access routes enabling emergency services to reach trains quickly and passengers to be evacuated safely when necessary. However, that contract is due to expire later this year. I know the Minister may not be able to give much detail, but I hope he will take that matter up with his colleagues in the Department.”
“We saw a clear example of that over the recent bank holiday weekend when travellers experienced delays of around four hours at border checks, highlighting what can happen to these systems when they are under severe pressure. In that context, effective preparedness, co-ordination and communication are critical. Another key element of resilience in the region is the international rail service between mainland Europe and London, which passes through my constituency. Members will be aware that I have previously raised the economic and strategic importance of restoring international services to Ashford International, for which I will continue to campaign. Although trains do not currently stop at the station, it nevertheless plays a crucial contingency role.”
“It is a pleasure to see you in the Chair, Mrs Barker. Emergency preparedness in east Kent is essential because the area contains major strategic entry points to the UK, including the port of Dover and the channel tunnel. Those vital gateways for trade and travel handle a significant proportion of the nation’s freight and passenger movement. However, their importance also makes them particularly vulnerable to disruption, whether through accidents, severe weather, security incidents or operational pressures. The consequences of such disruption can extend far beyond the region, affecting national supply chains, businesses and the movement of essential goods.”
“I would like to hear from the Minister that the single record system will be implemented not just in other parts of the health system, but in mental health services.”
“For example, a patient from Manchester could be admitted in Kent, where the doctors and medical professionals will, in some cases, be unable to access that patient’s records for many days. That delays the treatment, so it will be a big step to have a single patient record. The other area I welcome is the abolishment of NHS England. During my time in the NHS, I saw layers and layers of management structures and scrutiny by different organisations, which caused lots of repetition, so I welcome the abolishment of NHS England. I would like to see that money go to the frontline, so that we can recruit many more nurses for hands-on patient care. Finally, I would like to raise the issue that many other colleagues have raised: parity of esteem for mental health services.”
“I particularly welcome the parts of the Bill that will amend the National Health Service Act to make provision for the establishment of a single patient record. Patients too often receive care that is not as co-ordinated as it could or should be, meaning that they must repeat their story each time they see a different medical professional. From my experience in mental health services, I know that mental health patients go to A&E, explain their story to the doctors there, explain the same story to a mental health worker, and then explain the same story the next day when they are admitted to a mental health ward. That is very challenging for professionals and patients. The single patient record can therefore be very useful. We also have patients coming from other parts of the country.”
“We have already seen the difference that a Labour Government can make in improving our NHS. That is the result of the difficult choice that this Labour Government made to prioritise investment in the NHS and our other public services, but I know from my 22 years working in our health service that investment on its own is not enough. That is why I am pleased that this Bill will reverse the legislation passed during the Conservative and Liberal Democrat coalition, which made NHS overly rigid and too prescriptive, increasing bureaucracy and weakening accountability. The Bill is an important part of delivering a reformed NHS by implementing the elements of the plan that require legislation.”
“Kent Fire and Rescue Service will shortly launch a consultation on its modernisation as a result of a shortfall in funding. As a former public sector worker, I recognise the importance of reforming our emergency services to ensure that they remain effective and efficient. It is equally vital that services respond to the evolving risks faced by local communities, particularly in rural areas. Will the Leader of the House find time for a debate on the importance of fire and rescue services, their funding, and the steps needed to protect provision in rural communities?”
“Its passage will not only fulfil a clear Labour party manifesto commitment but, more importantly, help to safeguard our democratic system by making it more robust, transparent and accountable at a time of growing global instability. That is an objective that I hope Members across the House can support.”
“I also ask the Government to continue pressing for improved resilience and smarter traffic management on the M20, to avoid Operation Brock being regularly deployed during school holidays and other busy periods. To conclude, I want to mention one final piece of legislation that I am pleased to see return in the King’s Speech. Having recently served on its Bill Committee, I look forward to the Representation of the People Bill completing its passage through Parliament. The Bill will extend the franchise to 16 and 17-year-olds, strengthen the rules on political donations, and implement the Rycroft review’s recommendations to better protect our democracy from foreign interference.”
“I know that work has already started on this highly significant road-building scheme, which will provide a boost to the economy locally and across the rest of the country. It will strengthen connectivity to major ports, including Dover, and will improve resilience and reliability for road users. As we strive to enhance the reliability and resilience of that part of the road network, I hope that we can find a long-term solution to the repeated use of Operation Brock on the M20. Every time it is put in place, it causes disruption and delays for residents, local businesses and haulage firms. Decisions on its deployment rest with the Kent and Medway Resilience Forum, and I once again urge the forum to ensure that it is used only as an emergency measure.”
“It would make it quicker and more efficient for local businesses to trade with mainland Europe, and it would encourage inward investment by improving connectivity. It would also open up Kent, Sussex and the south-east to even more tourists. The Good Growth Foundation estimated last year that the return of international services could inject £2.7 billion into the UK economy over five years—a prize well worth pursuing. I therefore urge the Government to work actively with private operators, regulators and other stakeholders to ensure that Ashford International can be reopened in time for new cross-channel services to stop there. As a Kent MP, I warmly welcome the announcement in the King’s Speech that the Lower Thames crossing will be built at pace.”
“Following the Office of Rail and Road’s decision late last year to grant Virgin Rail access to the international depot in east London, I welcome Virgin’s public commitment that its cross-channel services will stop at Ashford International, provided that the station is reopened. Two other operators, FS Trenitalia and Gemini Trains, are also developing proposals to introduce international services between the UK and mainland Europe to provide greater competition on the line, and both have previously expressed a willingness to include Ashford International as a stop. The return of international services to Ashford would be transformative, because it would deliver a major boost to economic growth locally and across the wider south-east.”
“I am pleased to see the Government’s determination about how every child deserves the chance to succeed to the best of their ability and should not be held back by poverty or special educational needs. I also welcome what the King’s Speech said about further rebuilding our relationship with the European Union. In an increasingly unstable world, our long-term national interest is best served by closer co-operation with our European partners on defence, on trade and on strengthening our economy. In my constituency in particular, our trading relationship with Europe is critical to local prosperity. We must do everything we can to help businesses across Kent sell their goods and services to our largest and closest trading partners. That brings me to the vital issue of international rail connectivity and the future of Ashford International.”
“I thank the local hard-working frontline NHS staff. As we look to build on the many achievements of the last Session, it is important that the Government are bolder and faster in delivering the change that the people of Ashford, Hawkinge and the villages voted for at the last general election. Against that backdrop, I was pleased that in the King’s Speech the Government set out welcome measures to unblock the barriers to growth, protect households from the pressures of the cost of living and rebuild our public services. Through the King’s Speech, the Government continued to recognise the financial pressures that families are facing and reflected their determination to ensure that economic growth is felt in people’s day-to-day lives, not just in headline statistics.”
“I previously raised the case of a coffee shop at the William Harvey hospital in Ashford being converted into an emergency ward to treat accident and emergency patients. Steps have been taken to address corridor care at the hospital, including a share of the £29 million investment that East Kent hospitals NHS trust received to expand the same-day emergency care unit at the hospital. I equally welcome the recent announcement by the Department of Health and Social Care about the new intensive recovery programme. My fellow Labour colleagues and I have been pushing for an intensive strategy to provide help for hospitals in east Kent since we were elected. This is an opportunity for East Kent hospitals to receive the long awaited help they have been asking for and make improvements across the board.”