← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Sonia Kumar

MP for Dudley · Labour · United Kingdom

IN THEIR OWN WORDS

GMB union members at Glen Dimplex in my constituency have been on strike for five weeks over proposed workload changes. This week, after showing remarkable grit, they secured a return to the status quo while negotiations continue.

BUSINESS OF THE HOUSE · 2026-07-16 · READ IN HANSARD

I am delighted that the midlands metro tram line will connect Dudley with the rest of the west midlands. However, the construction has caused disruption to local businesses such as the Dubliner’s, and repeated delays have exacerbated that.

TOPICAL QUESTIONS · 2026-07-16 · READ IN HANSARD

Does my hon. Friend agree that among the geopolitical military strategy and the diplomatic negotiations surrounding the conflict, we must not lose sight of the millions of innocent civilians across the region who are trapped in the middle of violence, displaced from their homes, hungry and without access to healthcare, while grieving love…

IRAN CONFLICT: CEASEFIRE · 2026-07-09 · READ IN HANSARD

Black Country Day is on 14 July, and we have a lot to celebrate. The Black Country was the heart of the industrial revolution, we have Dudley castle and the Wren’s Nest nature reserve, where people can pick up a fossil—and, of course, we can celebrate the people of the Black Country. Will my right hon.

BUSINESS OF THE HOUSE · 2026-07-09 · READ IN HANSARD

The UK’s green economy is worth more than £100 billion a year, and nearly half a trillion pounds in investment is in the pipeline. What steps is the Minister taking to ensure that the contracts that his Department provides prioritise British firms and British jobs, so that we can prove our national capabilities and secure our energy?

TOPICAL QUESTIONS · 2026-07-07 · READ IN HANSARD

Modern warfare has evolved from traditional mass troops to online cyber-attacks and drone-enabled conflict. We have seen that with the attacks on M&S and Jaguar Land Rover, and last September I saw it at first hand when I visited a drone factory in Ukraine.

DEFENCE INVESTMENT PLAN · 2026-06-30 · READ IN HANSARD

The complete record

Every one of 323 lines we hold for Sonia Kumar, in date order, each linked to its source. Free to read, in full, without an account. Page 5 of 7.

  1. The number of children with education, health and care plans has risen significantly, reflecting the growing need for specialist support. We must confront the fact that too many families and schools feel that they have to fight the system just to get the right support for their children. My constituent Catherine Beaman has had to set up her own SEND support group in Sedgley, as there is no wraparound service. That simply is not right. While funding is increasing and reforms are under way, families want to feel that our children will get the support they deserve. I ask the Government to move faster and more efficiently to improve the system. I believe that an early diagnosis is key for our children to get the best start in life, but support is required throughout an individual’s lifetime.

    SEND EDUCATION SUPPORT · 2025-02-25 · READ IN HANSARD

  2. It is a pleasure to serve under your chairmanship, Mr Twigg. I am grateful to my hon. Friend the Member for Suffolk Coastal (Jenny Riddell-Carpenter) for securing this important debate. This issue resonates deeply with families in Dudley and across the nation. We all know that too many families are navigating a SEND system that is too difficult. Assessments are taking too long, support is inconsistent, and local authorities are under huge pressure to meet the increasing demand. Schools are struggling with managing children with no diagnosis and supporting those with a diagnosis. In the 2024 autumn Budget, £1 billion of specifically allocated SEND funding was announced. That investment is vital to tackle the challenges that parents and schools face every day. Dudley is no exception to the issues that have been raised.

    SEND EDUCATION SUPPORT · 2025-02-25 · READ IN HANSARD

  3. Gaza’s healthcare system has been devastated, and many civilians are in desperate need of treatment and specialist care, which is not available in Gaza itself. Will the Minister ensure that the Government continue to raise with Israel the importance of allowing safe passage out of Gaza for those children in need of urgent medical treatment? Will they consider additional evacuation routes for critically unwell children?

    TOPICAL QUESTIONS · 2025-02-25 · READ IN HANSARD

  4. Will the Minister update the House on progress on the industrial strategy for the automotive industry? How will that support supply chains in places like Dudley and across the west midlands?

    PLANT OXFORD SITE · 2025-02-24 · READ IN HANSARD

  5. Thirdly, we should provide substantial and ringfenced funding for local health systems to scale up successful CVD risk management programmes. That is essential for us to move forward, and should include cardiovascular rehabilitation and prescription of gym memberships in the community, to ensure that those who need care have structured, long-term support with an emphasis on healthier lifestyles. We owe it to our communities, to the NHS, and most of all to the thousands of people living with cardiovascular disease to change now. Let us not wait for more lives to be lost.

    CARDIOVASCULAR DISEASE: PREVENTION · 2025-02-13 · READ IN HANSARD

  6. An AHP myself, I could talk about AHPs all day but I want to present some recommendations for steps that the Government could take to make a big difference. First, a multidisciplinary team is important. We should ensure that AHPs are at the centre when making policy decisions and announcements, not just for cardiovascular conditions but for all conditions; they are not just tackled by doctors. Secondly, we should ensure that diagnosis and check-ups are being done in general practice. Along with GPs, we should look at first contact practitioners, podiatrists, paramedics and physiotherapists, who also work in primary healthcare; and pharmacists, who can do the simple checks to check blood pressure early on.

    CARDIOVASCULAR DISEASE: PREVENTION · 2025-02-13 · READ IN HANSARD

  7. I check blood pressure and carotid pulse, perform auscultation, check for neurological conditions, and conduct vascular exams and cranial nerve testing of the face. Physiotherapists are involved not only in assessments but in rehabilitation at places such as Action Heart in Dudley, which is inundated with referrals, and where patients get excellent care through cardiovascular rehabilitation and preventive programmes. My podiatry colleagues check for peripheral vascular disease and diabetic foot, and are a fountain of knowledge. My occupational therapist, and speech and language therapist colleagues do exceptional work with stroke patients. My radiology colleagues help with diagnosing these conditions. My paramedic colleagues manage these patients in acute care when they need it the most.

    CARDIOVASCULAR DISEASE: PREVENTION · 2025-02-13 · READ IN HANSARD

  8. Prevention and early intervention are critical to combating cardiovascular disease. We know that obesity, high blood pressure and smoking are risk factors. In Dudley, 30% of adults are living with obesity—higher than the national average—and 16% are smokers still. I welcome the Government’s initiatives to tackle smoking and encourage weight loss, and I believe that addressing and diagnosing cardiovascular conditions will help our population to live healthier lives. It is not just our fantastic doctors who are experts in cardiovascular care but our allied health professionals. AHPs have a big role in diagnosing and managing cardiovascular diseases. As a physiotherapist by trade, I screen for cardiovascular conditions, which can masquerade as musculoskeletal conditions.

    CARDIOVASCULAR DISEASE: PREVENTION · 2025-02-13 · READ IN HANSARD

  9. I thank the hon. Member for Strangford (Jim Shannon) for securing this important debate. Cardiovascular disease is a phrase heard far too often in family circles, large communities and even on the national scale. Cardiovascular disease is responsible for one in four deaths in the UK, and causes misery to many families. In Dudley alone, 10,000 people are living with heart conditions and circulatory diseases. Across the Black Country integrated care system, 11,000 people are waiting for cardiac treatment; nearly 5,000 have already waited longer than the NHS target. Those numbers translate into our everyday lives—in strokes, peripheral arterial disease, diabetes and heart conditions. Every delay means more emergencies and, tragically, more preventable deaths. We must act now.

    CARDIOVASCULAR DISEASE: PREVENTION · 2025-02-13 · READ IN HANSARD

  10. Last weekend, I went to see Dudley Town FC draw 1-1 at home against Lichfield City. Unfortunately, that “home game” was not within the constituency. In fact, Dudley has not had a stadium in the constituency for decades, despite being established in 1888. Will the Leader of the House provide Government time for a debate on grassroots football and how we can bring clubs like mine back home where they belong?

    BUSINESS OF THE HOUSE · 2025-02-13 · READ IN HANSARD

  11. Organisations such as Gordon Moody in my constituency provide essential and invaluable residential treatment for individuals suffering from severe gambling addiction, as well as mental health services and advice about how to detangle addiction. How are the Government supporting those organisations in their efforts to prevent gambling-related suicide, and does the Minister agree that an expansion of Government-backed rehabilitation services, especially those focused on children, is essential?

    GAMBLING HARMS · 2025-02-05 · READ IN HANSARD

  12. My constituency has a proud industrial heritage, with manufacturing still worth £1 billion a year to the local economy from sectors that account for nearly 10% of the UK’s total economic output. What steps have the Government taken to promote the growth of the manufacturing sector and ensure that towns like Dudley continue to build on their industrial traditions?

    TOPICAL QUESTIONS · 2025-01-21 · READ IN HANSARD

  13. I call on the Government to enact bold, decisive measures to transform our food system and environment. This is not just about health; it is about fairness, opportunity and creating a future in which no child’s potential is limited by the circumstances of where they were born. Let us grab the opportunity to address obesity comprehensively by putting health, equality and wellbeing at the heart of our policies.

    OBESITY: FOOD AND DIET · 2025-01-20 · READ IN HANSARD

  14. The Government should adopt a comprehensive food strategy with independent oversight from the Food Standards Agency. Targets should be set for reducing the availability of products with high levels of fat, sugar or salt, and increasing the number of healthier food options. Local authorities should be empowered with greater planning and licensing control to limit the proliferation of fast-food outlets and promote healthier eating. Parliament has a responsibility to lead on this issue. We must move away from the medicalised paradigm that isolates obesity as an individual issue, and focus on the societal structure that underpins it. Policies must address the root causes of inequality, which drive the disproportionate impact of obesity on lower-income families.

    OBESITY: FOOD AND DIET · 2025-01-20 · READ IN HANSARD

  15. To address this multifaceted crisis, we must adopt a systematic, whole-society approach. We need key interventions to help us to deal with our obesity public health problem. We must make changes such as expanding the healthy start scheme and increasing the value of payments to reflect rising food costs; perhaps looking again at the advertising ban and considering whether we should go further; incentivising businesses to reformulate products to reduce salt, sugar and fat content; supporting after-school activities hubs to increase physical activity among children; strengthening school food standards to ensure that children have access to nutritional food; creating and maintaining safe, accessible green spaces, thus encouraging outdoor activity, reducing sedentary behaviour and improving mental health; and designing urban environments that prioritise active travel such as walking and cycling through better infrastructure—for instance, cycle lanes and pedestrian zones.

    OBESITY: FOOD AND DIET · 2025-01-20 · READ IN HANSARD

  16. The further statistics are alarming. In England, two thirds of adults live with obesity or are overweight, and 29% are severely obese. Among children, the situation is equally troubling. The weight of one in five children entering primary school is above a healthy level, and by the time they leave, the figure rises to one in three. This is compounded by societal changes and challenges: the high cost of living and of healthy food; the prevalence of products high in fat, sugar or salt; and environments saturated with fast-food outlets and inadequate green spaces. The financial costs are staggering. Obesity-related illnesses currently cost the NHS £6.5 billion a year, a figure projected to rise to £9.7 billion by 2050. Across the economy, the broader impact, including loss of productivity, has been estimated to be £98 billion each year.

    OBESITY: FOOD AND DIET · 2025-01-20 · READ IN HANSARD

  17. To me, it says that we are failing those on the lowest incomes. As a physiotherapist, I have worked with families grappling with the challenges of facing childhood obesity. I have seen the emotional toll on children who are bullied or excluded, and the frustration of parents who have no access to affordable, healthy food or safe spaces for their children to play in. Medical practitioners are also witnessing the impact on people’s mental health. Obesity is not merely about calories in and calories out; the medical journal The Lancet has rightly described it as a “complex adaptive system”. There is a battle to be had against obesity on so many levels. It starts with Government policies on housing and education and behaviour relating to diet and exercise. There are also biological factors at play, including genetics, age and ethnicity.

    OBESITY: FOOD AND DIET · 2025-01-20 · READ IN HANSARD

  18. I thank my hon. Friend the Member for Stroud (Dr Opher) for securing this important debate. The growing prevalence of obesity is a public emergency. It is profoundly affecting not only individuals’ lives, but the economic and social fabric of our nation. Let me clearly state that this is not a debate about willpower or individual choice; it is about the systems, environments and inequalities that shape those choices. What does it say about our country when children in areas of deprivation are twice as likely to experience obesity as their peers in wealthier communities, when children in the least well-off families eat significantly fewer fruit and vegetables, or when families with the lowest incomes are more than twice as likely to consume diets that are high in sugar, salt and fat?

    OBESITY: FOOD AND DIET · 2025-01-20 · READ IN HANSARD

  19. I welcome the news of a ceasefire deal after 15 months of devastation, destruction and loss of life. The release of hostages is vital, ensuring their safety and swift return to their families. There has been unimaginable suffering, and the ceasefire must be a turning point. It is imperative that the UK leverages our diplomatic influence to ensure stability while urgently stepping up humanitarian aid in Gaza; food, medicine and fuel must reach those who desperately need them without delay. Can the Secretary of State tell the House what diplomatic contributions the UK will make to ensure the ceasefire’s stability when we move towards the latter and more fragile stages of a multi-stage agreement?

    MIDDLE EAST · 2025-01-16 · READ IN HANSARD

  20. Successive Governments have attempted to reverse the trend by introducing grant funding for high street improvements, business improvement districts, empty shop strategies and business rate relief—the list goes on—but many of those measures were required only because of mistakes in development policy over the past 14 years. Council budgets have been eroded, forcing councils to make impossible decisions, and the previous Government’s levelling-up funding seems contradictory in hindsight. Ultimately, it is local people who are suffering. Luckily, many councils have learned from those mistakes and proactively avoided developments that undermine the viability of high streets, but the rise of internet shopping has continued to drive shoppers from our historic towns, and long-standing traders in Dudley have suffered.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  21. I beg to move, That this House has considered the matter of parking in town centres. It is a pleasure to serve under your chairmanship, Ms Furniss. I rise to voice concerns about increased parking fees. Local authorities across the country are trying to claw their way out of financial difficulties by increasing parking fees and in my constituency, Dudley council has implemented such changes, which have been subject to much debate. Our high streets and leisure centres are the heart of our communities. They provide social and economic value for residents in Dudley and across the UK, but in recent years we have seen too many once-thriving high streets fail.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  22. I agree with the hon. Gentleman—I will call him my hon. Friend. Extending parking discounts beyond an hour would mean that people who want to get a coffee are not charged £1.80 for one hour’s parking, which is what has been implemented in my constituency. They would spend more time in the town centre, and that would increase footfall.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  23. I agree 100% with my hon. Friend, whose opinions I really respect. Parking charges have become a cash cow. It is absolutely absurd that councils across the country, including Dudley council, have implemented them. We need to think about how to drive footfall, not reduce it, in our town centres. I feel like we are robbing Peter so Paul can cut a ribbon. Clearly, there is a fair balance to be struck between generating revenue through parking charges and ensuring the vibrancy and accessibility of town centres, but too many authorities are not getting that balance right.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  24. Bruno Coppola, manager of the Churchill shopping centre in Dudley, has shared concerns with me about the impact that the charges have on local businesses. Many traders have faced challenges for many years, including with covid-19.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  25. Yes, I do, and a long-standing trader in my constituency, Christine Bosworth, also agrees. She has been operating for the last 13 years in a craft shop and she shared with me some really poignant points that I would like to share. Christine said that there has been a really big drop in footfall in the constituency and in the town centre, and that it is an “eye-opener” that there now is a lack of accessibility to the town centre. The nearest car park is unusable and too expensive, while cheaper options are too far away for elderly and disabled people to use. Traders tied into long leases face mounting pressures to ensure that people can access the town centre. Changes have been made without proper consultation and risk further eroding the vibrancy of our historic town centre.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  26. An hour’s free parking is one of the proposals that I have put forward to the leader of my local council. If somebody wants to grab a coffee in the town centre, they do not want to pay a parking charge, then get their coffee and leave. That is only driving business out. As I was saying, Bruno and a number of traders around the town centre told me that it is not just Dudley town centre that is being affected; the same thing is happening in many other town centres across the country. The additional problem with my town centre is disruption from the ongoing construction work around the main transport area, which is affecting the bus service and the tram line, so more people are being forced to use their cars.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  27. It is crucial that we consider the long-term impact of these charges for traders and local small and medium-sized enterprises; they are the backbone of the economy. On a recent walk around Dudley town centre, I counted up to 35 empty shops. A staggering amount of those shops struggled due to austerity measures, the pandemic and the cost of living crisis.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  28. I agree with my hon. Friend, because town centre accessibility is really quite difficult. We do not have a tram system or any local trains; we only have a bus service, which can be ad hoc at times. Consequently, I welcome the new consultation period that Richard Parker, our Labour mayor, has suggested. This is not the time to increase parking charges, because, as has been said before, parking remains a critical lifeline for many high streets, especially for those customers on low incomes in Dudley and elsewhere. Rising parking charges are pushing customers away from Dudley town centre and into out-of-town retail parks such as Merry Hill, which have free parking, and encouraging them to shop online.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  29. If the parking charges are to continue, they should be reinvested into the community and businesses alike, providing a sustainable model for traders where businesses and residents reap the benefits. Each town will need its own unique solution depending on its size and needs. The implementation of those solutions must be relative to the scale of the problem of each town, and the voice of the community should be at the heart of all decisions. A thorough consultation should be conducted prior to the implementation of any charges made to a town centre. Let us treat car parking not as a peripheral issue, but as an integral component of a broader strategy for future town planning and revitalising our town centres.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  30. For instance, students from low-income backgrounds who rely on their cars to get to the a learning or development centre will be forced to reconsider studies if the cost of parking becomes too burdensome. Those are students who want to upskill and contribute to the local economy, yet they face the prospect of being priced out of an education by those parking charges. In addition, the students and local residents who visit the leisure centre for their health and wellbeing will also feel the pinch. Many use the facilities regularly; I spoke to an 80-year-old member of the leisure centre who said it was a vital lifeline for socialising and community connection. The proposed charges would essentially double the cost of membership for every daily user, impacting the very fabric of our community.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  31. I agree with my hon. Friend. The contractors need to look at what they are doing in the town centres and where that money is going—back into the economy, local businesses and to residents. The future of the high street relies on the ability to adapt and offer a range of experiences that draw people in—not just through retail but through leisure and community activities such as health, alongside the accessibility of services. I asked my council to reconsider its approach to parking charges. It is important that we strike the right balance that allows for continued access and vibrancy of our towns, which underpin our businesses. In Dudley, the proposed increase in parking charges hurts not just traders but local residents who rely on car access due to the lack of alternative public transport options.

    PARKING: TOWN CENTRES · 2025-01-14 · READ IN HANSARD

  32. Additionally, we must work with educators to ensure that we have the digital literacy to safely navigate the changing landscape. While technology brings tremendous benefits to our lives, its misuse should not disproportionately affect women and girls. Legislation like that recently announced by the Government is a vital step forward, but it must be accompanied by systemic change and cultural awareness to ensure that all individuals, including all women and girls, can live free from fear and abuse, online and offline.

    VIOLENCE AGAINST WOMEN AND GIRLS · 2025-01-09 · READ IN HANSARD

  33. I welcome the Government’s recent announcement on criminalising the creation of explicit deepfakes without consent. However, legislation is not enough. Ofcom’s report underscores the need for a co-ordinated response involving Government, tech companies and civil society to tackle the issue. Developing tools to detect and remove harmful content is absolutely vital, as is ensuring that law enforcement agencies act swiftly to get the images removed. Education is equally important. Many victims are unaware of the risks, and public awareness campaigns can play a vital role in empowering individuals to recognise and report harmful content. Education is not just for the victims, but for young people, young men and men in society.

    VIOLENCE AGAINST WOMEN AND GIRLS · 2025-01-09 · READ IN HANSARD

  34. In deepfakes and synthetic media, a person’s likeness is manipulated to create false and often explicit content, which is weaponised. It is disproportionately women and girls who are affected. Our 2023 report found that 98% of deepfake videos are pornographic, and 99% of victims are women. The recent Ofcom report sheds further light on the scale of the problem. Alarmingly, one in seven adults reports having seen sexual deepfakes. Even more troublingly, 17% of adults thought that deepfakes depicted someone under the age of 18. Those figures expose the harrowing reach of this technology and its potential harm to women, girls and young children. The report also highlights a critical gap in awareness. Nine per cent of adults say that they are not confident that they could identify a deepfake.

    VIOLENCE AGAINST WOMEN AND GIRLS · 2025-01-09 · READ IN HANSARD

  35. I thank all those who have contributed to this powerful debate. Violence against women and girls is a grave issue that urgently demands our attention and action. It is a distressing reality that countless women and girls across the UK continue to live in fear and face unacceptable violence. However, the digital era has led to a new arena for abuse, with the rise of online emotional abuse, emotional blackmail, harassment, pressure and coercion to send sexual images, sexual abuse, sexual exploitation, and technologies such as deepfakes presenting urgent challenges. Perpetrators are exploiting digital technology to escalate abuse online to the real world. Most worryingly, abuse is now faceless. I will highlight online abuse in this debate.

    VIOLENCE AGAINST WOMEN AND GIRLS · 2025-01-09 · READ IN HANSARD

  36. Along with ultrasounds, guiding injections and prescribing, the scope of physiotherapists has expanded year on year, to a point where they are now specialising and moving their practice on to do simple surgeries, such as carpal tunnel releases. I look not only from a diagnostic point of view but at the importance of managing MSK conditions, including in respect of rehabilitation.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  37. Most people do not know the work of a first-contact practitioner, which is a new service in which physiotherapists work with GPs to diagnose, assess and refer to secondary care, if needed. I was part of that vital service at Dudley Group hospitals, so I declare my interest as working on the bank there. MSK physiotherapists work not only across hospitals and primary care but also in tertiary care. They work in fracture clinics, rheumatology, pain management and A&E. Not many people realise what we do. MSK physiotherapists are the specialists and experts in musculoskeletal diagnosis. That could include referring people for X-rays to look for suspicion of fractures or for MRI scans to look for sinister pathology, a differential diagnosis, masqueraders that look like Pancoast tumours, metastases or spinal or multi-joint cysts.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  38. I beg to move, That this House has considered the diagnosis and management of musculoskeletal conditions. I am grateful for the opportunity to have this debate. As chair of the all-party parliamentary group on osteoporosis and bone health, and as an advanced practice physiotherapist and first-contact practitioner, musculoskeletal health is my speciality. I am here to discuss the provisions needed to improve the diagnosis and management of MSK conditions. My experience as an advanced practice physiotherapist is very much autonomous. I do not think many people know that physiotherapists work from paediatrics all the way to elderly care—from nursery all the way to palliative care.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  39. I agree with the hon. Gentleman. I have worked in paediatrics where many patients get diagnosed late and suffer with late onset. That affects their whole life from the beginning, including their ability to get involved with physical activity and to build relationships, or their mental health and sleeping patterns. Getting an early diagnosis is one of the solutions I want to put forward. I would like the Minister to consider involving physiotherapists from early on, at nursery stage, to find out why we are not picking up MSK conditions from a really young age so that we can provide health and wellbeing from day one.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  40. MSK issues are one of the most common reasons to visit GPs, accounting for about 20% to 30% of appointments. Will the Minister meet me to discuss more of the solutions that I think need to be put forward to manage MSK issues? Would he be happy to visit my constituency to look at our fracture liaison service? I hope we will continue to fund that and that the service will be rolled out nationally.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  41. If somebody has shoulder, knee or back pain, there should be a one-stop shop where they can be assessed appropriately, and they can then move on and get the right care at the right time. We also need to put community care services on high streets and in places of worship. There are people who are not getting access, and there are massive health inequalities, so how do we promote care and health in difficult-to-reach communities? I would love to see care being put into places of worship and other locations people do not normally think of. I very much welcome the fact that the Government are already moving away from hospital care. We also need to increase the number of first-contact practitioner places. A consultation with an FCP physio is £30 cheaper than the traditional GP-led pathway.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  42. In the same way that people do continuous professional development, they should learn what looking after their body entails, and that should be translated into health policy. We also need to increase the scope of physiotherapists’ practice. At the moment, they do not do DEXA scans, but they look at bone health in every other way. We look at X-rays, and work in fracture clinics, rehabilitation and trauma orthopaedics, but we do not look at the full picture of bone health. Will the Minister consider inputting that in future? We need to increase the roll-out of community appointment days. We must provide same-day services for patients, including assessments, advice, health promotion and rehabilitation, and the community and volunteer sectors should provide support in a non-medicalised environment.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  43. We cannot expect paediatrics or care to be delivered well if we wait until the future, look back and say, “We should have done a better job when that person was younger.” If we looked at MSK conditions from day one—early in a child’s development and in their early years of support—there would not be a massive impact on society later in that person’s life because of having to do delayed diagnosis with multiple appointments and to look after their general wellbeing. We also need to embed into society notions of what good health looks like from day one. That includes keeping active, going to classes and going to rehabilitation. We need a bigger awareness campaign about what being well looks like. It should not just be that the person leaves school and that is it; it needs to be lifelong.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  44. We need to recognise the allied health professions in the NHS and build a workforce for MSK physios. That includes not just MSK physios but paramedics, podiatrists and every single person in the 14 allied health professions, all of which help to build resilience in the NHS, reduce waiting lists and build a healthier society. MSK assessments need to happen from day one in nursery.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  45. They affect whether they can get into bed and sleep well, as well as their sleep hygiene. Perhaps a person eats poorly because they cannot get out, so they put on lots of weight. A person’s emotions, self-esteem and ability to work can be affected. I do not believe there is a silver bullet or that if we manage MSK conditions it will just fix one part. It has to be effective in respect of all the facets of somebody’s general wellbeing. We cannot tackle waiting lists and return people to work without that, and we need a strong workforce to plough back into the economy. It is incredibly important for people to understand that it is about holistic management and how we can improve health literacy and self-efficacy for people with MSK conditions. I came to this debate to talk about solutions, as I am a solution-led person.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  46. With first-contact practitioners, we can save so many GP appointments. It is part of the long-term plan, which has been created to improve the impact on GP care and allied health professions that work in general practice. Working adults with MSK conditions are twice as likely to be economically inactive compared with those with long-term conditions. Of the people who are economically inactive due to ill health, 21% report having MSK conditions. It is about not just health but the economy and the wellbeing of the society that we are hopefully building together now that we are in government. It is really important that we look at this issue in a holistic way. MSK conditions affect not just affect somebody’s mental health but their relationships and how they build them.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  47. By 2035, two thirds of the population are expected to have two or more long-term conditions, which include MSK conditions. Versus Arthritis reports: “Arthritis and related musculoskeletal conditions affect 20.3 million people in the UK.” That means that one in six people has arthritis, which is a staggering amount. MSK conditions cost the NHS £5 billion a year, accounting for one in five GP appointments, 1.6 million hospital admissions and 30 million prescriptions a year. People with low confidence who feel that they cannot manage their conditions are more likely to attend hospital, while those who are most confident with long-term conditions have 38% fewer hospital admissions. That is what we can do for the economy, but this issue is also about first-contact practitioners, as I mentioned at the beginning.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  48. Of course. One of the things MSK physiotherapists look at is spinal fractures, 70% of which happen in the thoracic spine, generally in older women who have had poor bone health. It is essential to look after bone health from a really early age, while women are in their 40s, so that when they are older, in their 50s, 60s, 70s and 80s, they are on the right medication and doing bone health exercises to help for the future. For MSK conditions and osteoporosis, physiotherapists are essential. Spinal fractures are very often undiagnosed, and those who suffer spinal fractures as they get older are more likely then to have a hip fracture, after which the mortality rate becomes really high. My hon. Friend makes a very good point. Let me explain why MSK physiotherapists and MSK care are so important.

    MUSCULOSKELETAL CONDITIONS · 2024-12-17 · READ IN HANSARD

  49. Given that Russells Hall in Dudley ranks on the local index in the top 2% of areas with the greatest need and that nearly half of working-age residents rely on benefits, will the Minister confirm what steps the Government will be taking to target places like mine that are doubly disadvantaged?

    COMMUNITY WEALTH FUND: DUDLEY · 2024-11-28 · READ IN HANSARD

  50. Under-representation of women, minorities and those from disadvantaged backgrounds remains a barrier to unlocking the country’s true economic and technological potential on the global stage. Making apprenticeships and T-levels more accessible will attract a broader range of talent, enriching the STEM workforce and fostering innovation. In conclusion, we must make apprenticeships and T-levels more accessible to attract a broader range of talent, particularly in STEM, and further promote their uptake to diverse audiences. By fostering partnerships between educational institutions such as Dudley Tech and industry, we can create a more skilled environment for all.

    APPRENTICESHIPS AND T-LEVELS · 2024-11-20 · READ IN HANSARD