← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Gregory Stafford

MP for Farnham and Bordon · Conservative · United Kingdom

IN THEIR OWN WORDS

As I have mentioned before, the spanking new dental surgery in Haslemere hospital has sat entirely unused since it was built, and, as far as I am aware, there are no plans to use it.

HEALTH BILL (SEVENTEENTH SITTING) · 2026-07-16 · READ IN HANSARD

My first point can be summarised as: “Don’t repeat a mistake to find out whether it was a mistake.” Thousands of children have already received puberty blockers through the former Tavistock pathway, and my view is that, before exposing a whole new cohort, the Government should complete the long-promised data linkage study to establish wha…

HEALTH BILL (SEVENTEENTH SITTING) · 2026-07-16 · READ IN HANSARD

I declare that I am a member of the all-party parliamentary group on patient safety. Patient safety cannot be something that is discussed only after a tragedy has occurred. It requires a culture of accountability, transparency, and most importantly, action.

HEALTH BILL (SEVENTEENTH SITTING) · 2026-07-16 · READ IN HANSARD

That is a complete contradiction of the ban. Thirdly, clinical equipoise does not exist in the evidence if the evidence already points to significant risk and uncertain benefit. The Cass review concluded that the evidence base for puberty blockers is weak and that concerns remain over bone health, fertility and neurodevelopment.

HEALTH BILL (SEVENTEENTH SITTING) · 2026-07-16 · READ IN HANSARD

Such a process and principle are closely connected with new clause 98 and the Government response to the Hughes report on those harmed by sodium valproate and pelvic mesh. Those are deeply serious issues involving people who have suffered life-changing consequences and have spent years seeking recognition and redress.

HEALTH BILL (SEVENTEENTH SITTING) · 2026-07-16 · READ IN HANSARD

When the Secretary of State appeared before the Health and Social Care Committee last week, I questioned him on that issue directly. While he confirmed that the Department remains committed to meeting that 2030 target, which was first established by the previous Conservative Government, no plan—or indication of when a plan would come—was…

HEALTH BILL (SIXTEENTH SITTING) · 2026-07-16 · READ IN HANSARD

The complete record

Every one of 601 lines we hold for Gregory Stafford, in date order, each linked to its source. Free to read, in full, without an account. Page 12 of 13.

  1. The Domestic Abuse Commissioner has shown that only 6% of police-recorded domestic abuse cases result in a conviction, and only one in five victims feel confident reporting abuse. That demands competence and delivery, not the constant structural upheaval we are going to see in both the justice and health systems. We made good strides in this area and I genuinely believe that the current Ministers in the Department are doing their level best to move it forwards. I think we all agree that there is much more to do, but where the Government are making those strides, we as the Conservatives will support them full-throatedly. I close with three questions to the Minister.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  2. The justice system must also command public confidence, which is why the early release scheme for serious offenders, including rapists and murderers, is so damaging. It sends entirely the wrong signal to victims and undermines trust in the institutions meant to protect them. We as the Conservatives will continue to oppose that policy. Under the previous Conservative Government, we introduced a statutory definition of domestic abuse through the Domestic Abuse Act 2021, recognised children as victims in their own right, published violence against women and girls strategies, and invested significantly in victims’ services, mental health and suicide prevention, but we are honest enough to say that legislation alone is not enough.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  3. NICE guidance clearly sets out how NHS staff should respond to domestic abuse, but guidance alone does not save lives. Women’s Aid’s 2025 report found that just over half of referrals into community-based domestic abuse services were rejected—nearly a quarter because services could not even contact the victim. When support is reduced to just phone lines and signposting, women unfortunately fall through the cracks. Detection is really important. Accident and emergency is where the physical signs of this abuse are seen but, as the hon. Member for Stroud mentioned, primary care is often the first point of contact. We must use the expertise of GPs and other primary care services and give them the time to effectively identify, intervene and support those victims. The NHS cannot act alone.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  4. I want to briefly speak about a young woman who lived in my constituency, Skye Nicholls, who died in 2023 at the age of just 22 after nearly two years of coercive control and abuse by her ex-partner. I have spoken to her family and friends, who are campaigning for mandatory psychological injury assessments following a police report of domestic abuse. One of them told me that, too often, the focus remains on visible injuries while psychological abuse is underestimated or dismissed, even though its effects often last far longer than physical harm. For family and friends, mental health support is frequently fragmented or absent, despite them often being the first to spot the warning signs. Prevention does not begin at the point of crisis; it begins with early, trauma-informed intervention.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  5. Yet, at precisely the moment when that learning must be embedded, the Government are reorganising the NHS, abolishing NHS England and cutting integrated care board budgets. Standing Together has warned that these changes risk weakening domestic abuse and sexual violence protection work at the local level, including in training, co-ordination and follow through. A system that is being restructured, distracted and under financial pressure cannot deliver the prevention we all want. In Surrey, the police receive around 19 domestic abuse calls every day—domestic abuse is now more prevalent than shoplifting—so these systematic failures play out in real time in our communities.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  6. The Government’s freedom from violence and abuse strategy is welcome but its impact will be undermined by persistent failures in delivery. Training remains inconsistent, referral pathways are unclear and staff lack the time and capacity to act. The evidence is clear. As mentioned by the hon. Member for Richmond Park (Sarah Olney), in June 2025, Standing Together Against Domestic Abuse looked at domestic abuse-related death reviews published in 2024 and found that 89% contained at least one recommendation for healthcare professionals or the wider health system. Time and again, as the hon. Member for Stroud mentioned, opportunities for intervention within the NHS were missed.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  7. Unfortunately, there is a growing gap nationally between ministerial intent, which is welcome, and the frontline reality. The Office for National Statistics found that 6% of women aged 16 and over were victims of domestic abuse, and the police recorded more than 1.35 million domestic abuse-related crimes and incidents last year. The consequences are often fatal. There were 108 domestic homicide victims that year, 83 of whom were women. Among adult female homicide victims, six in 10 deaths were the result of domestic homicide, almost all at the hands of a male partner or ex-partner. Domestic abuse is also a significant driver of suicide, as we have heard: between 2020 and 2024, 98 suspected suicides, including of children, followed domestic abuse. This is not a marginal issue; it is systemic.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  8. Abuse happens across this country, and none of us is untouched by it. In my Farnham and Bordon constituency, I think of the horrendous case of Alan Jermey, who strangled his partner Kirsty Wilson to death and set her alight as their two small children slept upstairs. Cases like that bring this issue home to all of us. The Minister will know that the NHS has more contact with victims and perpetrators of domestic abuse than any other public service, which puts it in a unique position to intervene early. It also gives it a responsibility to deliver. The Department has set out ambitious plans around alcohol harm, neighbourhood health services and better access to support, and those ambitions are welcome, but ambition must be judged against outcomes.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  9. Member for Stourbridge (Cat Eccles) for the experience she brought to her speech. Her discussion of honour-based violence, alongside the hon. Member for Leeds Central and Headingley (Alex Sobel), was very prescient. I also thank the hon. Member for Bolton North East (Kirith Entwistle) for telling us about her experiences. We were all interested to hear more about the IRIS system she mentioned in her constituency. As ever, I welcome the hon. Member for Strangford (Jim Shannon) giving us a perspective from Northern Ireland. Sir John, despite the fact that you have not spoken in this debate, it is worth noting your campaign on Holly’s law, which would implement a mandatory register of abuse against domestic animals, because that abuse is often a precursor to or goes alongside the abuse of humans. Thank you for your work on that.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  10. It is a pleasure to serve under your chairmanship, Sir John. I congratulate the hon. Member for Stroud (Dr Opher) on securing this important debate and his characteristically well-informed speech. His passion and knowledge as a GP bring a real benefit to this Chamber. I also congratulate the hon. Member for Lowestoft (Jess Asato) on her appointment as the Government’s adviser on violence against women and girls, and her excellent and impassioned speech. I am sure her ideas will be of great benefit to the Department and the Government as a whole. This is a necessary debate, but it is also uncomfortable. The figures before us describe not merely a system under strain, but a system that is unfortunately failing too many women and children. If we are serious about change, we must be honest about responsibility and delivery. I thank the hon.

    DOMESTIC ABUSE-RELATED DEATHS: NHS PREVENTION · 2026-01-20 · READ IN HANSARD

  11. 10. What plans her Department has to tackle the special educational needs and disabilities funding shortfall identified in the Office for Budget Responsibility’s “Economic and fiscal outlook” of November 2025.

    SEND FUNDING SHORTFALL · 2026-01-19 · READ IN HANSARD

  12. In Surrey, the high needs block deficit is forecast to rise to £165 million by 2027. Although Conservative-run Surrey county council has earmarked £144 million in reserves to ease that pressure, that cannot be a long-term solution. Can the Minister confirm whether and when Surrey’s safety valve agreement will be extended?

    SEND FUNDING SHORTFALL · 2026-01-19 · READ IN HANSARD

  13. Part of the trial is to ask the child participants the Avon longitudinal study of parents and carers romantic relationships questionnaire. Is the Minister as concerned as I am that children under the age of 13 will be asked sexually explicit questions?

    PUBERTY SUPPRESSANTS · 2026-01-13 · READ IN HANSARD

  14. Labour’s new targets risk collapsing trust in the planning system, rather than restoring it. Councils that claim to stand up for local people must actually do so when it matters. We will not build the homes we need by riding roughshod over communities, overwhelming infrastructure and eroding faith in our local democracy. We need a planning system that is credible, balanced and rooted in reality—one that builds homes in the right places and at the right pace, with the infrastructure alongside them. If we fail to do that, we will not just fail to meet the housing need, we will leave communities paying the price for decades to come.

    HOUSING DEVELOPMENT: CUMULATIVE IMPACTS · 2025-12-17 · READ IN HANSARD

  15. Where councils cannot demonstrate a five-year housing land supply, the Planning Inspectorate almost invariably sides with the developers, regardless of the strength of local objection. In those circumstances, residents rely on their local authority to defend them robustly. I was deeply concerned when a controversial development in Haslemere was approved on appeal, despite well-documented objections and its location within the Surrey hills national landscape. What compounded that concern was the response of the Liberal Democrat leadership of Waverley borough council, which wrote to residents telling them to “move on” before all reasonable avenues to challenge the decision had been explored. That is simply unacceptable. When residents are fighting for their community, “move on” is not leadership; it is surrender.

    HOUSING DEVELOPMENT: CUMULATIVE IMPACTS · 2025-12-17 · READ IN HANSARD

  16. Around 57% of the district lies within the South Downs national park, which means the remaining land outside the park is absorbing an ever-greater concentration of development. Places like Liphook in my constituency are being stretched to breaking point, and even towns that are ripe for development, such as Whitehill and Bordon, are under pressure because housing development is accelerating faster than services can keep up. Protected countryside on one side, relentless development on the other—that is not planning; it is pressure cooking our communities. If we are serious about meeting housing need, targets must be fair, realistic and aligned with local capacity. Growth should go where infrastructure already exists, not where it is weakest. There is also a serious issue of public confidence.

    HOUSING DEVELOPMENT: CUMULATIVE IMPACTS · 2025-12-17 · READ IN HANSARD

  17. We are being asked to build the homes first and hope that the roads, schools and GP surgeries turn up later. What makes matters worse is the sheer imbalance in where this pressure is being applied, as has already been mentioned in this debate. In London, housing targets have been significantly reduced, in some cases by around half, despite London facing the greatest housing demand in the country. Cities are best placed to absorb growth—higher density, established public transport, major hospitals and universities, and the ability to scale infrastructure alongside development. By contrast, market towns and rural districts are being told to carry a disproportionate burden. That does not fix the problem; it just shifts it on to communities that are least able to cope. Take East Hampshire.

    HOUSING DEVELOPMENT: CUMULATIVE IMPACTS · 2025-12-17 · READ IN HANSARD

  18. In my constituency, which spans East Hampshire and Waverley councils, housing targets have more than doubled under the Government’s planning framework. Councils are left with a stark choice: rewrite their local plans at speed or have them overridden by the system. In East Hampshire, the annual requirement has jumped from around 570 homes a year to well over 1,100. In Waverley, it has risen from over 700 to nearly 1,500 homes a year. That is not gentle growth; it is a near doubling of development in a predominantly rural or semi-rural area. The consequences are entirely predictable. Schools are already full. GP practices are struggling to recruit. Hospitals are under strain. Roads designed for villages and market towns are now expected to function like urban arteries. Yet the infrastructure is simply not there.

    HOUSING DEVELOPMENT: CUMULATIVE IMPACTS · 2025-12-17 · READ IN HANSARD

  19. It is a pleasure to serve under your chairmanship, Mr Twigg. I am grateful to my right hon. Friend the Member for East Hampshire (Damian Hinds), my constituency neighbour, for securing this debate. Housing and planning are among the issues I hear about most from my constituents across Farnham, Bordon, Haslemere, Liphook and the surrounding villages. I do not hear about it in the abstract or as a theory, but in the very practical terms of pressure on schools, GP surgeries, roads and the character of their towns and villages. As my right hon. Friend said, this debate is not really about whether we need more homes. Of course we do; it is about where, how and at what cost. Targets that ignore local reality do not solve the housing problem; they export it.

    HOUSING DEVELOPMENT: CUMULATIVE IMPACTS · 2025-12-17 · READ IN HANSARD

  20. T2. The Justice Secretary’s plan to slash jury trials without any guarantee that the backlog of cases will fall has not survived first contact with Labour Back Benchers. The backlash has forced No. 10 to reassure Labour Members that legislation will not be introduced until October next year, but the Justice Secretary’s team insist that it will come in February. They cannot both be right. Can the Justice Secretary confirm at the Dispatch Box when the legislation is coming forward?

    TOPICAL QUESTIONS · 2025-12-16 · READ IN HANSARD

  21. When Labour published the strategic defence review, the independent authors wrote in The Telegraph that the commitment to spending 3% of GDP on defence was “vital” to establishing the affordability of that review. Now the Government’s own service chiefs are voicing their concern over funding. Is the Minister really telling us that he has no idea in what year they will reach 3% and no plan for how they are going to get there?

    DEFENCE INVESTMENT PLAN · 2025-12-15 · READ IN HANSARD

  22. These strikes will have a massive effect on my constituents in Farnham and Bordon. I am already getting emails from constituents who are concerned about the fact that their operations will be cancelled. The BMA is being entirely irrational and it holds the lion’s share of the blame for this situation, but the Secretary of State also has to take some responsibility for what is going on. If he gives the doctors a 29% pay rise with no strings attached, it is absolutely no surprise that they come back for more. I welcome the 4,000 extra places. I would like to press him on exactly where those 4,000 places will come. Would it not be better to have published that in the workforce plan, which is continually delayed by his Department? When will that workforce plan actually come about?

    RESIDENT DOCTORS: INDUSTRIAL ACTION · 2025-12-10 · READ IN HANSARD

  23. It is a pleasure to serve under your chairmanship, Sir Edward. I apologise for the fact that I may not be here for the wind-ups because of the business in the main Chamber. I begin by restating my firm opposition to the introduction of mandatory digital ID. I opposed it in this Chamber only a month ago, and the public response has been remarkable. The clip of my speech on social media has now been viewed more than 2.5 million times—not because of any great oratory on my part, but because people across the country are deeply worried about the direction the Government are taking. They are worried about privacy, freedom and the steady expansion of state power without consent.

    DIGITAL ID · 2025-12-08 · READ IN HANSARD

  24. When trust in Government is already scraping the floor, the worst thing Ministers can do is force through more mandatory digital ID for adults or children, something the public neither asked for nor consented to. Nearly 3 million people have signed the petition and more than two thirds of my constituents oppose it. Digital ID will not fix illegal migration, but it will supercharge state intrusion. The public deserve clarity, honesty and, above all, consent.

    DIGITAL ID · 2025-12-08 · READ IN HANSARD

  25. It even warned that children could lose their article 24 right to health if families disengaged from GP registration. However, Ministers insist that the NHS number is not sensitive data. The General Medical Council has already rejected that argument. All patient information attracts the common-law duty of confidentiality. There is no such thing as a harmless identifier. Practically speaking, the Department for Education’s own research warned that mandating NHS numbers would require significant investment, long-term planning and phased roll-out. None of that groundwork has happened. Pilots are under way before Parliament has approved the principle.

    DIGITAL ID · 2025-12-08 · READ IN HANSARD

  26. There is no clear plan to prevent accidental disclosures that could put vulnerable children at risk, for example by revealing the address of a family fleeing domestic abuse or exposing confidential adoption records. Those are not theoretical concerns; they have occurred in practice. We have seen the warnings from Wales, where NHS numbers were extracted centrally and sent to local authorities with no direct care relationship with the children concerned. The 2024 consultation was highly critical. The British Medical Association, the Royal College of General Practitioners and children’s organisations all warned that such policies risked pushing marginalised families away from healthcare entirely. Wales’s own child’s rights impact assessment warned of possible breaches of articles 12 and 16 of the UN convention on the rights of the child.

    DIGITAL ID · 2025-12-08 · READ IN HANSARD

  27. I am afraid I will not; sorry. I want to raise a specific issue that was touched on by my hon. Friend the Member for Keighley and Ilkley (Robbie Moore), but that is often missed in this debate: the provisions in the Children’s Wellbeing and Schools Bill that would mandate the NHS number as a single unique identifier for every child in England—namely ID cards, but on the sly. Ministers have confirmed in the House that that identifier will become mandatory. Wigan is already piloting multi-agency data sharing using it, but Members of this elected Chamber have not been given the evidence, the governance frameworks or the risk assessments that would justify such a change. The Government have produced no credible reassurance that the NHS number will not become a gateway to expanded datasets or new intrusive linkages.

    DIGITAL ID · 2025-12-08 · READ IN HANSARD

  28. On Tuesday, my hon. Friend the Member for West Suffolk (Nick Timothy) raised with the Foreign Secretary concerns expressed by the United States, Dutch, Swiss and Swedish Governments regarding the reported presence of data cables running beneath Royal Mint Court. I note that the Cabinet Office has since denied the reports to the press. Will the Minister now provide the clarity that his colleague at the Foreign Office could not, and give a clear yes or no answer to this House as to whether any such cables run beneath or in the vicinity of the site?

    PROPOSED CHINESE EMBASSY · 2025-12-04 · READ IN HANSARD

  29. To describe this situation as a “dog’s dinner” is offensive to the makers of Pedigree Chum. The deferral of the elections in Hampshire will delay major strategic infrastructure planning, such as the Wrecclesham bypass in my constituency, and deprive the people of Hampshire of an excellent mayor in Donna Jones. Most importantly, though, it is an affront to democracy. As the Minister will know, my seat is a cross-border Hampshire and Surrey seat, so I have three questions for her. First, will the unitary authority elections in Surrey go ahead as planned next year? Secondly, will the Hampshire unitary authority elections also go ahead rapidly? Finally, will we get a mayor for Surrey?

    LOCAL ELECTIONS · 2025-12-04 · READ IN HANSARD

  30. I am grateful to my hon. Friend for mentioning the Farnham Herald . The Tindle group also includes the Haslemere Herald , the Liphook Herald and the Bordon Herald . Does he agree that local papers keep politicians honest, weigh behind the key issues that matter to our local communities and deliver real journalism, whether that be sport or news. Week after week, quality journalists, who live and breathe their own towns and know their areas, are working for the people in those areas.

    LOCAL MEDIA · 2025-12-03 · READ IN HANSARD

  31. I thank the hon. Gentleman for outlining the Government’s supposed intention for the Bill, but is he aware that Amanda Spielman, the former Ofsted chief inspector, said that this Bill was “very likely” to have a detrimental effect on children’s education?

    CHILDREN’S WELLBEING AND SCHOOLS BILL · 2025-12-01 · READ IN HANSARD

  32. On the point about branded school uniforms, headteachers in my constituency have often bulk bought school uniforms through a supplier, so it can be more cost-effective to buy the uniform through the branded supplier than to buy it on the high street. Surely what the hon. Gentleman suggests could have a perverse outcome. Does he not think that if branded items can be bought at a cheaper cost, they would be better than buying off the peg?

    CHILDREN’S WELLBEING AND SCHOOLS BILL · 2025-12-01 · READ IN HANSARD

  33. I am grateful to my hon. Friend for outlining the situations in which his constituents find themselves, as mine do in many cases. Is he as concerned as I am that mandatory registration for home education essentially risks treating every parent as a potential safeguarding concern, rather than recognising the fact that they are doing their absolute best for their children? They absolutely want to comply with the law and should not be treated as criminals in the first instance.

    CHILDREN’S WELLBEING AND SCHOOLS BILL · 2025-12-01 · READ IN HANSARD

  34. Some weeks ago we had a debate in this Chamber about a petition signed by over 3 million people who oppose a national identity card scheme. Does the hon. Gentleman agree that if those people knew the details in the Bill, they would be equally shocked and concerned?

    CHILDREN’S WELLBEING AND SCHOOLS BILL · 2025-12-01 · READ IN HANSARD

  35. There has been cross-party and cross-charity campaigning for this strategy, so I welcome the fact that the Minister has announced it. However, hospices across the country and especially in my constituency are telling me that their biggest problem is the national insurance rise. For example, a children’s hospice that covers my constituency tells me that the £90,000 extra it has to pay in national insurance could have funded three nurses. What discussions has the Minister had with the Chancellor ahead of tomorrow’s Budget to ensure that hospices, and indeed other health and social care organisations, are exempt from any national insurance rises, either in the past or in the future?

    PALLIATIVE CARE STRATEGY · 2025-11-25 · READ IN HANSARD

  36. Too many people remain undiagnosed, too many are diagnosed too late, too many do not receive the basic standard of care to which they are entitled and too many end up in hospital when their deterioration could have been prevented. We have the data. We have the clinical consensus. We have the pathways. We do not lack knowledge; we lack resolve. People living with COPD deserve timely, high-quality care and the support that they need to live fuller, healthier lives. It is within our gift to deliver that; let us not fail them.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  37. I call on the Minister to take urgent action, first by implementing a national strategy to raise awareness, strengthen early diagnosis and reduce risk factors such as smoking and air pollution; secondly, by ensuring that all COPD patients have timely access to treatment, pulmonary rehabilitation, and integrated health and social care support for patients and carers; and, thirdly, by committing to increasing research investment, and to introducing innovative treatments and transparent data-driven accountability to improve outcomes and reduce avoidable hospitalisations. We cannot keep treating COPD as a winter crisis when it is, in truth, a year-round emergency. The time to act is now. The evidence is clear.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  38. It highlights the importance of timely pulmonary rehabilitation and early intervention, so I welcome the Government’s rolling it out. Finally, tackling smoking remains fundamental. Between 2022 and 2023, there were around 400,000 hospital admissions attributable to smoking, and 16% of all respiratory admissions were smoking-related. Between 75% and 85% of COPD deaths remain linked to smoking, yet only around half of COPD inpatient services report having a dedicated tobacco dependency adviser. What are the Government going to do to improve that situation?

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  39. In 2021, our respiratory medicine report, published by Dr Martin Allen during the pandemic—it was, therefore, focused on the immediate problems—raised a number of issues. For example, pulmonary rehabilitation remains one of the most effective treatments available for COPD. Of those who complete the programme, 90% report better quality of life or improved exercise capacity. The long-term plan proposes expanding access by 2028. If achieved, that could prevent half a million exacerbations and avoid 80,000 admissions. As 2028 is not that far away, will the Minister update on progress towards those targets? The NHS RightCare pathway provides a comprehensive framework for improving diagnosis, management and treatment.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  40. We need a realistic plan to address the continuing backlog in elective and non-emergency care, and a targeted approach to address persistent gaps in respiratory services. The national respiratory audit programme—formerly the national asthma and COPD audit programme—was launched in 2018 and is led by the Royal College of Physicians. It has been invaluable in identifying gaps and variations in care. As part of the programme, NHS England developed a best practice tariff for COPD, which is met when 60% of COPD patients admitted for an exacerbation receive specialist input after 24 hours and when all COPD patients receive a discharge bundle. I have mentioned it before in the House, but one of my proudest career moments was working for the Getting It Right First Time programme.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  41. These are people who are already struggling, and they should not have to fight the system as well as the disease. Around 420,000 people in the UK may have had their working lives cut short by COPD. More than half of respondents to the Asthma and Lung UK survey said that their mental health had worsened since diagnosis, so we can and must do better. The NHS long-term plan includes commitments on respiratory disease, including for early detection and improved access to pulmonary rehabilitation. I would be grateful if the Minister updated the House on progress towards those commitments. This November, waiting lists continue to rise. We need a credible strategy to ensure that the NHS can manage the winter safely while maintaining high-quality care.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  42. When diagnosis fails, costs rise, outcomes worsen and patients suffer the price of delay. As the hon. Member for Surrey Heath (Dr Pinkerton) has rightly pointed out, late diagnosis is not the only driver of pressure. Asthma and Lung UK, formerly the British Lung Foundation, found that patients who received the five fundamentals of COPD care experienced fewer flare-ups and were better equipped to manage their symptoms, yet more than three quarters of respondents said that they were missing at least one part of that basic care. Those with the most recent diagnoses were the least likely to receive the full package, so the situation is getting worse, not better. Asthma and Lung UK notes that many people must effectively learn to navigate the NHS themselves to access the care that they need. That is not acceptable.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  43. There was a 51% reduction in diagnoses in 2020 compared with the year before, meaning that around 46,000 people missed out on a diagnosis in that year alone, and around 92,000 over the course of the pandemic. As the hon. Member for Blaydon and Consett (Liz Twist) said, late diagnosis means more advanced disease and higher mortality, more frequent exacerbations and quicker deterioration in quality of life. Those flare-ups can cause permanent lung damage and require long hospital stays. COPD is now the second largest cause of emergency hospital admissions, rising three times faster than general admissions. The pressure on the NHS is enormous: an estimated £3.9 billion a year, including £1.4 billion for exacerbations alone. Lost productivity costs £1.7 billion, and reduced quality of life accounts for a further £2.2 billion.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  44. Before the pandemic, around 70% of people diagnosed with COPD said they faced barriers to accessing that diagnosis, and 14% were initially misdiagnosed—often told that they had a chest infection or a lingering cough. Some were simply sent away after raising concerns with their GP. However, the pandemic made a serious problem worse: Government figures demonstrate that already inadequate diagnosis rates plummeted, and they show little sign of recovering. As the hon. Member for Strangford mentioned, spirometry—the gold-standard diagnostic test—which has not returned to pre-pandemic levels, continues to be a problem. The consequences of that pause are stark.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  45. I am fortunate to have a relatively low rate of COPD in my constituency, at about 1.46%, but that figure masks the variation within my constituency. Those differences are reflected across the country: rates are significantly higher in the north of England, and in the 10% most deprived areas the prevalence is nearly double. People living in the poorest areas are five times more likely to die from COPD than those in the wealthiest. Research from Asthma and Lung UK shows that the poorest 10% of households are more than two and a half times more likely to have COPD than someone from the most affluent 10%. As the hon. Member for Strangford rightly highlighted, this is, in every sense, a disease that tracks inequality. Where someone lives should never decide how long they live, yet for COPD far too often it does.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  46. It is a pleasure to serve under your chairmanship, Mr Efford. I am grateful to the hon. Member for Strangford (Jim Shannon) for securing this debate the day after World Chronic Obstructive Pulmonary Disease day. He gave an excellent speech, although I think he was being characteristically modest when he mentioned his dancing ability—I am sure he is much better than he claims. As we have heard, COPD is a group of conditions that too often goes unnoticed until it is dangerously advanced. More than 1.7 million people across the UK have a COPD diagnosis. However, NICE estimates that around 600,000 more are living with the condition undiagnosed, and indeed this afternoon we heard figures that are even higher than that.

    WORLD COPD DAY · 2025-11-20 · READ IN HANSARD

  47. Was the Irish Deputy Prime Minister Simon Harris wrong when he said that there were no new protections for veterans in the Northern Ireland Troubles Bill?

    NORTHERN IRELAND TROUBLES (LEGACY AND RECONCILIATION) ACT 2023 · 2025-11-19 · READ IN HANSARD

  48. What practical measures have been introduced to strengthen training and development for those nurses, particularly those who support patients with the most complex needs? Thirdly, will the Minister commit to working closely with charities such as Parkinson’s UK to ensure that the 10-year plan gives patients, carers and frontline staff the support they urgently need? Members on both sides of this Chamber share one goal: to get better diagnosis, better treatment and better support for people living with Parkinson’s. Action is what brings progress, and action is what our constituents need and deserve.

    PARKINSON’S DISEASE · 2025-11-17 · READ IN HANSARD

  49. In the Health and Social Care Committee, we often hear about artificial intelligence, remote monitoring and wearable devices, all of which have the potential to transform care through early intervention and better monitoring. The Government must look at those things as well. I will end with three clear questions. First, in May, the Minister committed to discussing support from the point of diagnosis with Parkinson’s Connect, the Parkinson’s UK programme designed to equip NHS professionals. Have those discussions taken place, and what actions will follow? Secondly, the Minister has said that Parkinson’s nurses are “worth their weight in gold” —[ Official Report, 1 May 2025; Vol. 766, c. 493WH.] and I agree.

    PARKINSON’S DISEASE · 2025-11-17 · READ IN HANSARD

  50. Despite their different sizes, some of their challenges are the same, including the increasing number of emergency admissions across all three ICBs. Those numbers lay bare the scale of need and the pressure on services, and underline the urgent requirement for earlier access to specialist care. I raised these concerns in May as the shadow Minister, but I sadly remain unconvinced that the current Government have identified Parkinson’s as a strategic priority. The new 10-year health plan imagines neighbourhood teams of doctors, nurses, pharmacists, physiotherapists and social workers. It is a positive vision, but it will work only if Parkinson’s specialists are part of those teams.

    PARKINSON’S DISEASE · 2025-11-17 · READ IN HANSARD