Helen Maguire
MP for Epsom and Ewell · Liberal Democrat · United Kingdom
“That is why we support increased funding to the EA to ensure that it can enforce environmental standards and hold operators to account where sites cause harm to local communities, as in Epsom. The Government must also commit to an independent review into the entire waste crime system.”
“There are four systemic failures: planning by Surrey county council; enforcement by Epsom and Ewell borough council; the environment, whether dust, noise or the potential contamination of water, which is the responsibility of the Environment Agency; and accountability, because there is no single lead on this and one agency passes the buck…”
“Despite that, permissions continue to be granted, undermining confidence that local views and feedback carry any meaningful weight at all. Let us talk about enforcement. There are many planning conditions that could have been regulated, such as the operating hours.”
“Instead of action, the response has included more inspections, more monitoring, more meetings, revised management plans, additional planning conditions and permit reviews—and still nothing changes. The same complaints continue. How many complaints are needed to trigger change? How many reports need to be conducted?”
“It is a pleasure to serve under your chairship, Dr Murrison. I thank the hon. Member for Blackpool North and Fleetwood (Lorraine Beavers) for securing this very important debate. I must emphasise that this is a nationwide issue: it affects not just working-class constituencies but leafy Surrey, including Epsom and Ewell.”
“Then there is the impact of heavy vehicles: lorries regularly exceed the speed limit of 30 mph on roads that are simply not designed for them. Tests cannot fully capture the human impact and the unintended disruption to daily lives, for years.”
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“One dentist in Epsom and Ewell shared his distressing experiences with patients. He described how, in desperation, his patient had resorted to using a pair of pliers to extract teeth, filing down the sharp edges of a broken tooth, and even purchasing temporary dental cement to try to fill an open cavity. This is a not too uncommon story that we hear among our constituents. In a recent survey looking into why people resort to DIY dentistry, 36% of participants said that their pain was so severe they acted out of immediacy, 33% cited the high costs of private care, and 30% said it was the inability to get an NHS appointment. This is a national disgrace. We must fix it now. The Labour Government have failed to take meaningful action.”
“Research conducted by the British Dental Association and the Daily Mirror found that 96% of dentists in England are refusing to take on new NHS patients—we heard that today. This dental desert is leaving millions without access to dental care, with dire consequences. There is a significant correlation between lower availability of NHS dental care and higher demand on already stretched accident and emergency departments. Tooth decay is now the most common reason for hospital admission in children aged between six and 10 years. Between 2018 and 2024, over 100,000 children were admitted to hospital due to rotting teeth. This is utterly unacceptable. Our children deserve better. A 2023 poll found that one in five people who failed to get an NHS dentist appointment turned to DIY dentistry.”
“The phrases “dental desert” and “DIY dentistry” are becoming so normalised that it is easy to forget the human cost behind those terms. In 2025, over 5 million children did not see a dentist at all. Some 60% of adults have also not seen a dentist in at least the two years prior to June 2025. Barriers to accessing NHS dental care remain higher than ever, with workforce shortages, limited NHS capacity and geographical isolation creating an unjust postcode lottery. Those challenges are often most acute in rural, coastal and deprived communities, as we have heard. The Darzi report found that these communities particularly lack access to NHS dentistry. Across much of rural England, including nearly the whole south-west and much of the east of England, there are fewer than 46 dentists per 100,000 people.”
“I therefore urge the Minister to take forward the Liberal Democrats’ proposals to introduce a guarantee that 100% of patients will be able to start treatment within 62 days from urgent referral; to recruit more cancer nurses so that every patient has a dedicated specialist supporting them throughout their treatment; and to expand the Medicines and Healthcare products Regulatory Agency’s capacity to halve the time for new treatments to reach the patients who desperately need them. I think of the two people who will have lost their lives to secondary breast cancer in the 90 minutes of this debate. For them, and all the secondary breast cancer patients past, present and future, I implore the Minister to consider many of the calls raised by me and my colleagues here today.”
“Just 30% of respondents said that they saw a cancer nurse specialist regularly and only 13% of respondents who had previously had breast cancer felt that they had been given enough information to recognise the signs and symptoms of secondary breast cancer. Those figures show a healthcare system that is creaking under the strain after years of neglect by the previous Conservative Government. They highlight that professionals lack the time and capacity to effectively diagnose, offer follow-up care and share sufficient information, for which patients ultimately pay the price. Every patient must get the care and support they need, when and where they need it. We must support the specialist cancer workforce, as well as GPs, to deliver the standard of care they would like and we expect.”
“But to achieve those ambitions in full, we must be bolder and do so much more. The Liberal Democrats are clear: quality and speed of treatment are vital to increase the survival rates for secondary breast cancer. The results of the research conducted by Breast Cancer Now in 2019 are damning. They make the lack of quality and the poor speed of treatment and care undeniable. They showed that 23% of respondents had to see their GP three or more times before they were diagnosed, and 53% of respondents said that they had not been given enough information about clinical trials by healthcare professionals.”
“Nevertheless, 13 years after data collection on secondary breast cancer became mandatory for all NHS trusts, the true number of people living with this disease remains unknown. It is estimated that the number is around 61,000. However, the lack of accurate data makes thousands of people who are in need of care invisible to the healthcare system. That is simply unacceptable. Those people count and we must count them. Collecting and publishing this data is essential. Without it, how can the NHS accurately assess the scale of need and appropriately plan services to ensure that support is available where required? The Government’s commitment within the national cancer plan to define and count all secondary cancers, beginning with breast cancer, and the target to meet all cancer wait-time standards by 2029, are steps in the right direction.”
“It is a pleasure to serve under your chairmanship, Mr Betts. I thank both my hon. Friend the Member for Wokingham (Clive Jones) and the hon. Member for City of Durham (Mary Kelly Foy) for securing this important debate, and for sharing their experience with cancer. I also thank the hon. Member for West Lancashire (Ashley Dalton) for her frankness and openness in describing her own experience. Secondary breast cancer is now the leading cause of death in the UK for women between 40 and 49. Each month, around 1,000 people lose their lives to secondary breast cancer. That is one person every 45 minutes, so two lives will be lost to this disease in the short span of this debate. Secondary breast cancer is incurable; treatment can slow down the disease, but it cannot cure it.”
“For patients of all ages with rare cancer types, schemes such as these are the only way to access potentially life-extending treatment. Has the Minister spoken to cancer charities about the real-life effects that the changes will have? We should be making it easier for patients to access life-extending drugs, not harder. Will the Minister confirm that patients will not be denied lifesaving drugs as a result of these changes?”
“I was deeply shocked to hear about the change in HMRC’s policy. It is extremely worrying that pharmaceutical companies must now pay VAT on drugs available through compassionate use and early-access schemes. In April, HMRC told the pharma industry that it would pause enforcing VAT bills while the Government considered measures to support the industry in supplying patients who desperately need these drugs. The changes have been mired in uncertainty and misunderstanding, and there has been poor communication from HMRC from the start. The Government must ensure that they create a workable long-term solution for the pharmaceutical industry to support these patients who are in desperate need. Patients must not lose access to medicines as a result and HMRC must communicate with pharma and patients effectively.”
“As he mentioned, we need to discuss and debate the differences that we have, and if we protest we must do so peacefully, because we absolutely do have more in common than that which divides us.”
“I am sorry not to have known Jo, because she seems like someone who I would have got on incredibly well with. I am delighted that I have got to know her sister, the hon. Member for Spen Valley (Kim Leadbeater), and that we have worked cross-party on a number of issues. I know that Jo would have campaigned on similar issues, such as violence against women and girls. Recently, we had some awful protests in Epsom; they were about women’s safety, but they were hijacked by the far-right. Rather than being peaceful, the protests were violent and protesters attacked a property that housed vulnerable adults. They were trying to find immigrants. Does the hon. Member agree that today more than ever we must come together?”
“People are suffering due to the cost of living crisis, and taxes are at an all-time high. The delayed investment decisions are paralysing planning for defence businesses, which are stuck in limbo. Could the Minister explain what he is doing to use innovative mechanisms such as defence bonds and the rearmament bank to support the defence sector without placing additional burdens on the taxpayer?”
“Research from the Royal National Institute of Blind People found that 58% of those with visual impairments reported that it was impossible to use ticket vending machines, and I have tabled new clause 38 to ensure a minimum number of accessible ticket machines. Does the hon. Lady agree that it is incredibly important to ensure that railways are accessible for everyone?”
“On passenger experience, will my hon. Friend extend my thanks to the Minister and Lord Hendy—I have made them aware of my intention to mention this today—for taking forward new clause 36 via operational arrangements, which will permit a bereaved family member of the armed forces to a fare exemption on Remembrance Sunday?”
“Post covid, the number of trains from Epsom and Ewell was halved. My new clause 37 would ensure that there is community consultation on the frequency of train services. Does my hon. Friend agree that the sensible thing to do would be to consult the community?”
“Epsom and St Helier hospitals need urgent funding now, not just patchwork repairs. In 2024, 600 operations were cancelled due to ventilation issues and the situation is only going to get worse, so will the Minister address the backlog of hospital repairs now to ensure that patients and staff have safe and modern facilities in Epsom and Saint Helier hospitals?”
“T6. There has been an exponential rise in the use of e-scooters, which are incredibly dangerous—some can reach speeds of up to 17 mph. The police have told me that at the moment they are having to adapt existing powers and that there is a lack of central guidance. Will the Minister outline whether more central guidance is forthcoming on the apprehension of individuals using e-scooters?”
“The hon. Gentleman is talking about the small business protections Bill. Small and independent businesses are the backbone of the economy in my constituency. Many of them are really struggling at the moment, and they are not seeing much else in the King’s Speech. They are struggling with the increase in national insurance costs and the cost of living. Does the hon. Gentleman agree that more needs to be done to support small businesses?”
“I did indeed make that point in a Delegated Legislation Committee. Our key concern is that rescue cover is not exempt, and mountain rescue teams have therefore said that they will not be able to provide cover at many events, including fell races and mountain biking events, that outdoor enthusiasts like me enjoy. We should be encouraging individuals to participate in these events, and at the moment, they are not going to take place.”
“I have a constituent who had a history of rapid births. She wanted the safety net and support of a home birth team alongside the community team, as recommended, but she was unable to have both teams involved. Does my hon. Friend agree that it is difficult to have confidence in a safe birth if the right medical support simply is not there?”
“I have two quick questions. First, was the decision not to give Mandelson DV the view of the head of security in the FCDO, or only that of Olly Robbins? Secondly, what information did the Prime Minister know after sacking Peter Mandelson that made him change the appointment process so that “now an appointment cannot be announced until after security vetting is passed”? It seems odd to me that this decision was made if the Prime Minister did not know that Peter Mandelson had failed the vetting process, so what key information did the Prime Minister know then that made him review the appointment process?”
“I first want to express my condolences to all those affected by the Manchester Arena attack. The Lib Dems support bringing providers under CQC regulation, as the draft regulations would do, but we need to be careful about the impact on smaller organisations, as the shadow Minister says. I reiterate concerns raised by mountain rescue teams about the impacts that the draft regulations will have on their ability to provide services at temporary sporting events in remote locations, such as fell races or mountain bike events. They have emphatically said to us that they will cease providing rescue cover at those events if the regulations are applied. Will the Minister meet mountain rescue representatives and consider their calls to amend the legislation to provide an exemption on rescue cover?”
“T5. In Epsom and Ewell, many residents face a daily battle to get a GP appointment. There are numerous potential housing developments on the horizon, and the rising population is set to put even more pressure on already stretched GP services. The Liberal Democrats would require developers to build new GP surgeries, ready for when residents move in. Can the Government explain what they are doing to support GPs in my constituency, so that they can manage the surge in patient demand from day one of a development being completed, rather than leaving communities to pay the price later?”
“I appreciate that the Prime Minister and the Secretary of State for Defence have offered warm words of support, but frankly what we need right now is for our heroes—our British veterans—to get the support they need. Some are not going to live for much longer. We need a one-year rapid review right now, so they can get the justice they deserve. It has been far too long. Does the hon. Lady agree that this is a matter of immediate urgency?”
“I, too, pay tribute to the incredible amount of work done by Susie Boniface, and to Members across the House for this really important work. I was utterly astounded when I read the report and understood that, even though the reports were not available until much later, the evidence has been there since 1957. We have known for that length of time that there were elevated readings; I read that they were double the backgrounds levels, and the hon. Lady said they were seven times those levels. We knew that people had been exposed yet for one reason or another, whether through cover-up or the lack of a good filing system, that information has not come to light.”
“I totally feel the Minister’s empathy in this important speech. On collaboration, veterans have asked for a meeting with the Prime Minister, which has not yet been forthcoming. I wonder whether the Minister might be able to push a little further to try to get that meeting, because I know how important it is for the nuclear test veterans.”
“We know that Trump’s illegal war in Iran has driven up global oil prices. To give an example, just yesterday I visited Edward Thomas & Son, a coach company in Epsom and Ewell. Last Thursday, it was forced to accept an unpriced oil delivery for its regular order of white diesel at £31,082 for 18,000 litres. In February, the same order was £23,614. That is almost a 30% increase. Ninety per cent of its work is helping children get to school, go on school trips and so on. Does the hon. Member not agree that this is just unacceptable? These are people trying to go about their day-to-day lives and just get to school.”
“I am very glad that the hon. Member was able to provide support to his constituent in that really awful case. In Surrey, we have some of the busiest roads and they are absolutely littered with potholes. Longmead Road has over 30 potholes, and there is a secondary school on that road called Blenheim high school. A huge number of students cycle to that school, so this is frankly an accident waiting to happen. Does the hon. Member agree that, as well as fixing the potholes, having a central highways team to answer to councillors and residents might be a good way forward, so that we can better identify where all the potholes are?”
“What is the Minister doing to ensure that there is funding for GP buildings, as well as GPs? I welcome the Government’s focus on the obesity crisis, but it does not fix the root cause. Aside from the junk food ban, what steps are the Government taking to encourage children and young people to create active and healthy habits for life from an early age?”
“I welcome the fact that the Government have adopted our policy of seeing clinically urgent patients on the same day, but patient safety has been put at risk by increasing workloads, according to members of the Royal College of General Practitioners. One in five patients has been forced to wait at least two weeks for an appointment. Although the Government’s funding of 1,600 new GPs is welcome, it is insufficient to deliver the required shift to community care. The Health Foundation says that an additional 6,500 GPs will be needed by 2031, and the Liberal Democrats would provide 8,000. What is the Minister doing to address the shortfall? Residents in Epsom and Ewell, who already struggle to get a GP appointment, are concerned that increased housing will make it even harder.”
“I ask the Minister to make the simple commitment that specialised services and disabled equipment will no longer be treated as an afterthought but as an essential part of enabling people to live full and independent lives, and to work if they can do so, and that more equipment is reused.”
“I find it shocking that disabled people are waiting months or even years for equipment, while other patients are forced to throw away useful equipment that could be reused once they have recovered. Will the Minister confirm how much equipment has been diverted from waste since the road map was published over a year ago? The debate has reinforced a simple but vital truth: everyone deserves to live independently and with dignity. After the Conservatives left social care in disarray, the Liberal Democrats are committed to ensuring that people with disabilities have access to suitable housing, meaningful employment and the opportunity to enjoy the activities that make life fulfilling.”
“Moreover, the average wait time between being discharged from hospital after life-altering injuries and being assessed for a wheelchair is 10 months. Although the Liberal Democrats welcome NHS England’s wheelchair quality framework, I am concerned that with ICBs facing cuts and reorganisation, a framework may not have the impact necessary to deliver change. What makes matters worse is that equipment wastage in the NHS is huge, and we only need to go to the local tip to see it. In July, I wrote to the Minister for Secondary Care following concerns from a constituent about NHS equipment wastage. In her response, she highlighted the Design for Life road map, which includes a framework for decontamination infrastructure across NHS trusts to enable the safe sterilisation and reuse of medical equipment.”
“The report on this issue from the APPG for access to disability equipment revealed that staff shortages, supply chain delays and inconsistent local authority processes cause widespread delays to equipment provision. It is clear that we need structural change, and the NHS reform Bill provides an opportunity to deliver a co-ordinated, national approach on disability equipment. Will the Minister commit to using that legislation to deliver this? It is widely recognised that access to wheelchairs varies significantly across the country, and demand is skyrocketing. In September 2025, the charity Whizz Kidz was forced to close its wheelchair waiting list for the first time in its 35-year history because of high demand.”
“I thank the hon. Member for Aberdeenshire North and Moray East (Seamus Logan) for securing this debate. I also thank you for your chairmanship today, Mr Betts. There are fantastic organisations in Epsom and Ewell that support my disabled constituents, including Mid Surrey Mencap, which I met last year. Its work is profound, but without the right equipment, organisations can only do so much. A lack of equipment often leaves people reliant on family members to manually help them with essential tasks, including going to the toilet and washing. From grab rails to shower seats, equipment can mean the difference between dependence and independence.”
“My hon. Friend is eloquently explaining the serious financial situations that many potential unitary councils will be in. They will be saddled with such financial burdens that it will be difficult for them to deliver the services that local residents need. A three-year financial forecast for East Surrey has identified a potential £35 million deficit. The Whitehall funding settlement does not currently reflect the real cost pressures that such councils will experience. Does my hon. Friend agree that Labour needs to fix a broken funding system and not leave residents paying the price?”
“Removing jury trials is surely an erosion of the criminal justice system. As the hon. Gentleman has alluded to, one judge cannot provide the same scrutiny as 12 random jurors. If the need is to reduce the backlog, maybe we should consider using courtrooms 100% of the time to actually reduce the backlog in the first place.”
“I think of Lyla and the many other children whose lives could have been saved, and I ask the Minister to pay attention to the many calls in this debate to ensure that no family spends a lifetime grieving.”
“I urge the National Screening Committee to take on board all new evidence as it emerges, not least from the ongoing study of screening children aged three to 13, which is funded by the National Institute for Health and Care Research. The Government must also take steps to facilitate medical research in the UK to make progress on paediatric type 1 diabetes testing and other conditions. Will the Minister consult the Chancellor about whether she will consider reversing the employer national insurance contributions hike to support the life sciences sector and boost research and development funding to end this information desert? The Liberal Democrats are clear that no child should die because of a missed or late diagnosis. The UK needs to be a world leader on research, diagnostics and patient experience.”
“I welcome the Minister to her place; will she confirm what steps have been taken to ensure that medical professionals are confident in identifying type 1 diabetes in children to avoid a traumatic late diagnosis? Research shows that patients who see the same clinician for most of their care have fewer hospital admissions and lower mortality rates. I therefore implore the Minister to take forward the Liberal Democrat proposal to guarantee a named GP to all those with type 1 diabetes to help improve their long-term care once a diagnosis is achieved. Another key issue with type 1 diabetes is that we do not know the exact cause of the disease. It is essential that the Government drive research so that we can establish the evidence needed for a viable and effective national screening programme.”
“However, children are too often rushed into intensive care and hours later face a diagnosis of type 1 diabetes and diabetic ketoacidosis. DKA can mean a coma, organ failure and a traumatic hospital stay. If it is not treated quickly, it can be fatal. No child or parent should have to face that terrifying reality when the tools are at our fingertips. NICE guidance is clear: health professionals should know the signs and symptoms of type 1 diabetes, and any child suspected to have the condition should be referred on the same day to a multidisciplinary paediatric diabetes team to confirm the diagnosis and provide immediate care. The Liberal Democrats believe that early diagnosis of long-term health conditions is essential, offering the best opportunity for those suffering from type 1 diabetes to live healthy, long and fulfilling lives.”
“It is an absolute pleasure to serve under your chairship, Sir Alec, and to have the opportunity to debate this incredibly important issue. As a mum, I cannot begin to imagine the pain of Lyla Story’s family after she died last May from undiagnosed type 1 diabetes, less than 24 hours after a doctor diagnosed her with acute tonsillitis. It is an absolute tragedy that Lyla’s life was cut so short, and it is clear that change must happen. Every child must get the care that they need, when and where they need it. Every child should expect the best possible opportunities to grow up healthy and to exercise, play and eat well. Charities such as Diabetes UK have been instrumental in raising awareness of the common symptoms known as the four Ts, to which many hon. Members have alluded today: “toilet”, “thirsty”, “tired” and “thinner”.”
“The Minister is making an important point about the vital need for capital funding in the NHS. I and a number of colleagues are here in the Chamber because St Helier hospital is falling apart, and unfortunately patients are being affected, but the hospital build programme has been delayed another three years. There has been lots of goodwill in the debate, but we are looking for additional investment in the A&E. I hope the Minister will take that away, and that there might be something about it in a statement soon.”
“On Sunday, I celebrated iftar at the local Epsom Islamic Centre. We enjoyed lots of wonderful food and a real community spirit. Unfortunately, last October the centre was the target of vandalism and abuse, which included words and devils spray-painted on the building. That hatred does not represent the majority of people in Epsom and Ewell, but we cannot ignore the fact that there are those in our country who seek to divide us. Does the hon. Member agree that we must support our communities in standing firm against hatred and violence in all its forms?”
“I apologise for being late for the debate; business was going more rapidly than I expected. Many of us strongly believe that it is important that children are educated as close to home as possible. Unfortunately, I have a piece of casework in my constituency where one child is doing a three-hour round trip every single day just to get to school, which is unacceptable. With the new changes, will there be an option to change that? It would be helpful if the Minister could expand on that.”
“Military operations with no clear objectives tend to fail, so can the Prime Minister explain how such a decision—which could lead to mission creep—was made when we have no understanding of Trump’s long-term military aim or post-conflict plan?”
“After the fall of the regime in Iraq, there was no long-term plan and civil society collapsed. In 2004, I was in Op Telic 4 in Iraq, retraining the Iraqi police service. One day I asked my lance corporal, “How do we know if the recruits are former Ba’athist regime supporters or not?” He said, “We don’t. We’ve no idea who we’re training.” The US has attacked Iran with no clear strategy, and now this Government have agreed that UK bases can be used for defensive attacks. I am seriously concerned about the potential for mission creep when there is no clear understanding of Trump’s military objectives. In deciding to allow the US to use UK bases for defensive actions, UK military and civilian lives have been put at risk.”
“As we consider voters, I am pleased to see changes to move the postal vote application deadline to three days earlier in the electoral timetable, and I hope that this helps our overseas electorate. Finally, this Bill makes progress, but it cannot be the end of the road for electoral reform.”
“Labour must do what is right and use this Bill to finally cap donations to political parties. Free and fair elections are central to our democracy, so I am pleased that the Minister listened to my concerns when I met her last week, and the strategy and policy statement will now be withdrawn. This will ensure the independence of the Electoral Commission. There is also the growing issue of disinformation, which this legislation fails to address. With the welcome change in voting age, even more of our electorate must now wade through online content and determine what is real and what is false. It is therefore imperative that we do not go into another election without robust, updated measures to tackle disinformation.”