Gregory Stafford
MP for Farnham and Bordon · Conservative · United Kingdom
“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.”
“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…”
“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.”
“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.”
“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.”
“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…”
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“Q I reiterate that I am a member of the all-party parliamentary group on patient safety. Dr Benneyworth and I have had many conversations about this issue. I have two questions. The first is about the safe space. We have seen written evidence, and we have heard when others have attended the Health and Social Care Committee, about the fact that if HSSIB is placed inside the CQC, you could have the farcical situation of one set of CQC lawyers, who are representing HSSIB, suing or attempting to sue another set of CQC lawyers, who are looking out for the CQC situation, because they are trying to get information out of part of their own system. Is that parody or is it a possibility and real problem? Dr Benneyworth: It is a problem and something that potentially could happen. I hope that we would work effectively to try to avoid that.”
“Q Just so that I am clear, you have internal protocols that would raise stuff if you saw something criminal, and if you were investigating something and potentially could not share the information, that would not prevent any of the multitude of other regulators that we have out there from investigating on their own something similar. Your investigation would not preclude them from being able to investigate as well. Dr Benneyworth: No.”
“There is no other body that is like us and can do the same type of investigations in this country, and we are internationally looked at. In fact, I am doing a podcast with Canada tomorrow. Numerous countries are looking at us and saying, “We want the same thing.” There is a handful of investigators like us in Finland and Norway, and they have excellent safety outcomes for their patients, but the rest of the world is looking at us and trying to learn from us, and I am frequently asked to speak internationally about this.”
“Q Dr Dash, in her evidence, said that—I am slightly paraphrasing, so I hope I have not got this wrong—NHS England has a number of investigatory bodies that it has established recently, and that although they were not perfect, they were much better, and they could be doing this job. What is your response to that? Dr Benneyworth: NHS England has an investigations unit that commissions regional and national investigations, sometimes from private organisations. We work very closely with the NHS England patient safety team. As I said, we have supported their work in rolling out local investigations around the patient safety incident response framework. We have been instrumental in supporting the training and education around that. We are the only safety investigator with protected disclosure.”
“As I said in response to an earlier question, it depends entirely on whether the provisions of the Bill are used to set a small number of priorities and let NHS organisations get on with delivering them, or whether they are used more regularly to intervene more directly in our day-to-day operations. A lot comes down to how the regime is operated.”
“Having recently moved from a senior leadership, board-level role in an NHS trust to two roles as chief executive in a foundation trust, I do not feel that in the day-to-day relationship with the centre and with our local and regional representatives there is an enormous difference in how we balance quality, finance and performance now. Those foundation trust freedoms were most relevant when we were in a system in which expenditure on health could grow and we were not trying to recover from the challenges that we have had recently. Day to day, the relationship between NHS trusts and foundation trusts feels quite consistent now, so I am not sure that the changes proposed in the Bill will necessarily make a huge difference.”
“Q This question is to the Royal Berkshire. In response to my colleague, you talked about the benefits of your council of governors. As a foundation trust, you have significant autonomy. The Bill will allow the Government to cap your day-to-day spend, strip away your FT status and make governance changes. What impact will that have on how your boards can carry out their duties? James Blythe: With a lot of foundation trusts, as the NHS has moved into a period of increasingly tight financial control and as we have needed to recover from the covid pandemic, far closer working has been required between all NHS providers and the centre, to manage both the financial implications and the pandemic’s implications for patient access and patient quality.”
“I cannot speak appropriately, in my role as chair of Healthwatch, about Government policy. It is not my job to do that; it is the Government’s job. If you want to ask me a question on a purely personal basis so I can step outside of that role, I will be happy to answer, but I always have to draw a very distinct line on anything that I say. Everything so far has been said in my formal position as chair of Healthwatch as opposed to any personal views, because I certainly do not want to comment on Government policy.”
“Q On the streamlining point, you have articulated very clearly why you think it is inappropriate, as have members of this Committee, and most of the evidence we have received suggests that it is not appropriate. What do you think is the reasoning behind the Government’s real push for this, when the evidence against it is so clearly strong? Is it simply that they want to save money, in your opinion, or is there an alternative motive? Professor Croisdale-Appleby: If we talk about money— I will be quantitative here—Healthwatch England currently costs £3 million per year and the network receives £25 million per year. To people like me, £3 million and £25 million is a lot of money, but in the greater scheme of things it is not a significant amount, particularly when you think what is being produced for it.”
“Q Ms Higson, given that you are a director of transformation, and that this is, in a wider sense, a transformation of the NHS, if you had the money, resources and political capital that the current Government have, would you do this or would you do something else? Maria Higson: Any time we go through an NHS reorganisation, it is distracting—that is the reality of such situations. It is unfortunate that, over the past 15 months, this has been a large distraction for people who are genuinely trying to deliver the three shifts—prevention, digital and neighbourhoods. It is true that it has been a distraction. I am not sure that this Committee is the right space to go into these, as I am aware that we are here to discuss the Bill, but there are probably opportunities to go further on some elements, which may help us in future.”
“Q Can you give a couple of examples? Maria Higson: To take one example, I would love to see an NHS where we step away from short-term activity metrics, and towards outcomes—that is mentioned in the Bill. The constant firefight on activities is quite challenging, so how can we move that dialogue to ensure genuine transformation? That is an example of where we could potentially go further than the Bill suggests, but I am conscious that I am supposed to comment on the Bill, not give my own random thoughts.”
“How many additional dentists, hygienists and therapists are required to meet demand? What is the plan to ensure that dental deserts do not become a permanent feature of our healthcare system? Patients deserve these answers not in the future, but today.”
“We should also acknowledge the previous efforts of the Conservative Government, including the dental recovery plan, which did attempt to address these issues through recruitment incentives, training expansion and support of overseas qualified dentists. I accept that some measures had limited uptake, but they were at least an attempt to respond to a growing crisis. The question now is whether this Government build on what works or continue to drift without clear direction. Patients do not care which Government designed which contract or which plan; they care about seeing a dentist when they need one. I end with three straightforward questions that I asked the Minister in yesterday’s debate, but to which I did not get an answer. When will we see a fully funded and credible NHS dental workforce plan?”
“That facility could serve patients across the West Sussex border, given the natural geography of where people access care. Instead, it sits idle. I think everyone in this Chamber agrees with prevention in principle, and with the need to move away from a purely treatment-based model. The challenge is delivery. Likewise, workforce expansion is essential, but announcements without a credible plan do not translate into appointments. Ultimately, what is required is straightforward in principle, but urgent in practice: a properly funded and credible workforce plan, contract reform that rewards prevention and complexity rather than volume, and a serious strategy to address dental deserts that reflects real geography and need.”
“That is not just a frustration for clinicians—it is lost capacity in a system that is already under extreme pressure. However, rather than addressing the structural incentives that contribute to this, the Government’s response has been piecemeal. The consequences of all this are not evenly distributed; rural and coastal communities are particularly badly affected, with some having as few as 10 NHS dental practices per 100,000 people. These so-called dental deserts are not accidental, but the predictable outcome of a system that does not align funding, workforce planning and local need. There is a striking example of underused capacity in my local area. In Haslemere, the hospital contains a fully equipped dental suite that remains unused despite clear local demand.”
“In practice, the additional appointments that have been rolled out amount in many cases to only a small increase in urgent capacity. According to the British Dental Association, they are equivalent to a couple of extra slots per dentist per month. At the same time, the long-promised NHS workforce plan has still not been published and, without it, there is no credible road map for how capacity will be met. Warm words about recruitment are no substitute for a clear and funded strategy that tells practices and patients what the future looks like. We also need to recognise inefficiencies within the current system. In some practices, around one in seven NHS appointments is missed, costing individual surgeries tens of thousands of pounds a year.”
“It is often suggested that we simply have a workforce shortage, but the issue is not that we do not have enough dentists; it is that, understandably, too few are willing to work within a contract that no longer makes sense. The 2006 NHS dental contract, introduced under the last Labour Government, is based on units of dental activity. It pays the same whether a dentist carries out one filling or six, rewards volume rather than complexity, and actively discourages preventive care. That contract is central to why the system is struggling. The Government came into office promising a dental rescue plan, including urgent appointments, contract reform, workforce expansion and a greater focus on prevention. Those commitments were clear and repeated, yet delivery has not matched the rhetoric.”
“I am sure the same is true vice versa, because dentistry does not respect administrative lines, and access to care either exists or it does not. Let us be clear about the scale of the problem. Oral health is not a luxury issue; as my hon. Friend the Member for Bognor Regis and Littlehampton (Alison Griffiths) set out so clearly and passionately, it is fundamental to dignity, confidence, employability and overall health, yet access to NHS dentistry has become a postcode lottery. Nearly 14 million people are struggling to access care, and in many areas more than 70% of practices are not accepting new NHS patients, including children. As far as I can tell, not a single dentist in my constituency of Farnham and Bordon is accepting new NHS patients.”
“It is a pleasure to serve under your chairmanship, Sir Desmond. I thank the hon. Member for Chichester (Jess Brown-Fuller) for securing this important debate, and for outlining the issues that her constituents—and, indeed, many constituents across the country—are facing. It is something of an irony that I find myself speaking on NHS dentistry for the second time in as many days, having co-sponsored yesterday’s Backbench Business debate on precisely this issue, but if anything, that underlines the scale of the issue we are dealing with. The hon. Member for Chichester will know that West Sussex borders my constituency, which spans Surrey and Hampshire. Many of my constituents in Haslemere and the surrounding villages routinely access services across that boundary, and would regard West Sussex as part of their natural health economy.”
“4. What diplomatic steps she is taking with international partners to help prevent the sale of Russian oil to companies in China, Turkey and India.”
“While diplomatic pressure on China, India and Turkey is essential, we must also do more militarily to disrupt the shadow fleet carrying Putin’s oil. I pay tribute to our armed forces who, this weekend, boarded a Russia-linked tanker in UK waters under new Government powers. Since those powers were announced in March, 184 sanctioned shadow fleet vessels have made 238 journeys through UK waters, including 94 journeys into territorial waters, without a single interdiction until now. What is the Department doing with the Ministry of Defence and international partners to ensure that this is a sustained approach, rather than a one-off?”
“We must be clear about what is driving this problem. It is often said that it is simply a workforce problem, but that is only part of the truth. As the Policy Exchange report “Pulling Teeth” sets out, there are over 37,000 dentists in England, yet only around 10,500 full-time equivalent NHS dentists. There is not a shortage of dentists but a shortage of dentists who are willing to work under the NHS contract.”
“I thank my fellow sponsors of this debate: the hon. Members for Yeovil (Adam Dance) and for Waveney Valley (Adrian Ramsay), and the hon. Member for Sunderland Central (Lewis Atkinson), who is not in his place. Oral health is fundamental to dignity, confidence, employability and overall health. The ability to see a dentist when needed should never be treated as a luxury within a universal healthcare system, yet that is precisely what has happened. The consequences of that are not abstract but real, painful and increasingly visible. Tooth decay remains the leading cause of hospital admissions for children aged five to nine—though clearly poor parenting holds a lot of blame. A growing number of people are turning to so-called DIY dentistry because they have no other option. That alone should give this House pause for thought.”
“In parts of rural England, there are as few as 10 NHS dental practices per 100,000 people. These so-called dental deserts are not random but the predictable outcome of a system that fails to align funding with need.”
“This Government came into office promising action, yet nearly two years on, the gap between promise and reality is difficult to ignore. The roll-out of additional appointments was delayed, and even where appointments have been delivered, the British Dental Association has noted that they amount to only around two extra urgent slots per dentist per month. That is not transformation; it is marginal adjustment. At the same time, the long-promised NHS workforce plan remains unpublished. The ambition to expand access depends entirely on having enough clinicians willing and able to deliver NHS care. Without a credible workforce strategy, the objectives of reform remain difficult to assess, let alone achieve. As has been mentioned, that pressure is not evenly distributed.”
“My right hon. Friend is precisely right. The BDA is absolutely right to call for those two things; they are what the Government should be working towards. As my right hon. Friend said, the contract started in 2006 under the last Labour Government and was based on units of dental activity, and it is fundamentally misaligned with clinical reality. For example, it pays the same whether a dentist does one filling or six. Essentially, it rewards volume, not complexity, and it actively discourages preventive care. We also had covid. We have to remember that around 4 million adults struggled to access dental care before covid, and that figure has now risen to nearly 14 million. Of course, covid alone did not create the crisis, but it did significantly accelerate and expose it, and we are still dealing with the aftermath.”
“How many additional dentists, hygienists and therapists are required to meet demand? What is the Government’s plan to ensure that dental deserts do not become a permanent feature of our healthcare system? Unless we answer those questions honestly, the Government are not reforming NHS dentistry; they are supervising its managed decline.”
“Incremental change will not fix this. We need a credible workforce plan, genuine contract reform that rewards prevention, and a strategy for dental deserts that goes beyond short-term fixes. We need a system that aligns capacity with need, rather than relying on historical allocations drawn up nearly two decades ago. More fundamental proposals are also on the table, including models that would extend coverage and give patients greater choice and control. Whether or not every element of that is agreed by the House, what is clear is that the status quo is failing too many people for us simply to continue as we are. I have a lot of respect for the Minister—I am not entirely sure it is mutually given—and I have some questions for him. When will we see a fully funded and credible NHS dental workforce plan?”
“Following chemotherapy, radiotherapy and surgery, she now faces severe and ongoing oral health complications, yet access to appropriate NHS dental follow-up has been extremely limited, forcing reliance on expensive private care. Those are not isolated cases; they are emblematic of a system that is failing those who need it most. We must also recognise the financial and operational pressures facing dental practices. Rising national insurance contributions, increased wage costs and high levels of missed appointments all add further strain. In some practices, missed appointments alone cost tens of thousands of pounds a year. In Haslemere in my constituency, the local hospital has a fully equipped dental suite that is, unfortunately, entirely unused despite clear local demand. That is not inefficiency; it is systemic failure.”
“My hon. Friend hits the nail on the head, and as in so many healthcare cases, rural constituencies, and rural and coastal constituencies, are often hit the hardest. In my view, that is where the Government should be spending their efforts and money, in order to ensure that we get the same level of service in those areas as in large urban population centres. That brings me neatly to my constituency, where the consequences are very real. One family contacted me about their daughter, who lives with a long-term eating disorder and developed a serious dental infection. Despite seeking help, they faced delays, long waiting lists and limited access to specialist care, with treatment stretching close to a year. Another constituent raised the case of his wife, a head and neck cancer patient.”
“We are losing over 1,000 jobs a month in our oil and gas industry, and despite what the Secretary of State has just said, we are not seeing a similar uptick in green jobs. Skilled workers are losing their jobs in oil and gas, and are actually leaving the country. The Government’s actions are making the United Kingdom poorer and less secure, and we are waving goodbye to highly skilled jobs. How can the Secretary of State honestly tell this House that there is a transition going on?”
“At my constituency surgery on Friday, Mr De Mesquita spoke to me about his concerns that Report Fraud was not passing on to local police forces information about victims of identity fraud. Given that those victims are often vulnerable and likely to be victims of other crimes, will the Minister let us know what he is doing to ensure that Report Fraud is passing on to local police forces the details of victims of such crimes?”
“Although I accept the hon. Gentleman’s wider point, given that we are about to have a national grooming gang inquiry that Opposition Members had to drag the Government, kicking and screaming, to do, would it not be helpful for that inquiry to have the data? Surely sunlight is the best disinfectant on this issue?”
“I have asked this question both as a member of the Health and Social Care Committee and on the Floor of the House to the Secretary of State’s predecessor. Given that the new Secretary of State is a numbers man, I hope that he can answer it where his predecessor could not. How much in redundancy payments will this measure cost the British taxpayer, and can he confirm that no person currently employed by NHS England will be fired, paid a redundancy fee, and then rehired by the Department of Health and Social Care?”
“On the point of accountability and scrutiny, the Government are looking to abolish HSSIB or bring it into the CQC, they are getting rid of Healthwatch—which serves my constituents so well—in places such as Surrey and Hampshire, and they are getting rid of governors from the boards of foundation trusts. That does seem to suggest that they have not really thought the accountability point through. Would not this be the occasion for the new Secretary of State to stamp his mark on this Bill by conceding that some of the changes in the Bill are not what was intended, and to take this opportunity to give confidence back to the public that they will have the accountability and scrutiny that they deserve?”
“On the Secretary of State’s watch, the courts backlog has reached record levels, yet his answer is to weaken one of the oldest rights in our justice system: trial by jury. The backlog was not caused by juries and it will not be solved by scrapping juries. The Bar Council says there is very little evidence for the Government’s approach, while the Institute for Government estimates that it would save at most about 2% of court time, and even that may be generous. Why will the Government not drop this ill-judged proposal and focus instead on the serious reforms needed to cut the backlog and speed up justice for victims?”
“Given that the leader of the Liberal Democrats is frequently vocal on questions of standards, rules and propriety in public life, could you advise me on whether it is consistent with the expectations of this House that such a convention appears not to have been observed on this occasion, and in light of the fact that this concern relates directly to Members across the House—”
“On a point of order, Mr Speaker. I seek your guidance on a long-established convention of this House that Members notify other Members when they intend to visit another Member’s constituency in an official or political capacity. Over the weekend, the leader of the Liberal Democrats, the right hon. Member for Kingston and Surbiton (Ed Davey), together with two of his parliamentary colleagues and a Member from the Labour party, undertook engagements in the Farnham and Tilford parts of my constituency. No notification of any of these visits was received by my office.”
“The Secretary of State talks about deregulation, but does he not accept that adding 330 pages-worth of regulation in the Employment Rights Act 2025, at a cost of a billion pounds to the economy, is having the opposite effect? Youth unemployment in my constituency has gone up by 28% in just one year.”
“The stories the hon. Lady is telling about the poor connectivity in her constituency echo what I experience in mine, where we have some of the worst full-fibre broadband certainly in the south-east, and potentially in the country, despite being only an hour away from London. I recently surveyed my constituents about mobile coverage and, contrary to popular opinion, more than two thirds were willing to have more masts in their area because of the change with people working from home and in how people do business. Does the hon. Lady agree that we need to look forward and ensure that we have connectivity in our areas, rather than looking back to a time when people were operating very differently?”
“I agree with my right hon. Friends the Members for New Forest West (Sir Desmond Swayne) and for Tonbridge (Tom Tugendhat) that there seems to be a complete lack of understanding from those on the Government Benches of the absolute disaster they are presiding over when it comes to the economy and, most importantly, growth. The evidence is hard to ignore. The hon. Member for Exeter (Steve Race) talked about a battle of ideas—”
“A regulating for growth Bill. It is like asking a vegetarian how they would like their steak cooked. The reality is that this is not the way to get growth. At a recent hospitality roundtable in my constituency, one publican told me that there is now “no incentive to hire someone under 25”. That should concern every single Member of this House, but Labour Members simply parrot the Government’s talking points. They are totally detached from what is going on in the real world. The unemployment rate is now close to one in six among 16 to 24-year-olds, and I cannot believe that Labour Members are not being told this by their constituents. For many young people, their first job is the foundation for everything that follows—skills, confidence, independence and ambition—but too many are now finding the door closed.”
“This is the reality behind the rhetoric that comes from the Government: young people unable to get a foothold in work, businesses pausing recruitment, families feeling the squeeze in their bills, and high streets losing momentum. The reason is not difficult to identify, and businesses across the country are telling us the same thing: Labour has increased the cost of employment, raised taxes and layered on regulation that is undermining confidence. The Employment Rights Act alone introduced more than 330 pages of additional obligations on employers. The Government’s own assessment acknowledged a cost of around £1 billion a year. Both the Federation of Small Businesses and the Institute of Directors warned that the legislation would reduce hiring and investment, which is exactly what we are seeing. What is the Government’s response?”
“Thank you, Madam Deputy Speaker. The hon. Member for Exeter talked about a battle of ideas, but those on the Government Benches seem to be totally devoid of any ideas that will actually get this country moving again. The ITEM Club forecasts around 160,000 job losses this year alone, with manufacturing, retail and construction expected to be hit the hardest. Unemployment has risen month after month and now stands at 5.2%. His Majesty’s Revenue and Customs payroll data shows 110,000 fewer people in employment than when Labour took office. In my constituency of Farnham and Bordon, in Haslemere, Liphook and the surrounding villages, there has been a 28% increase in the number of young people claiming unemployment-related benefits in a single year.”
“I say to the Ministers on the Treasury Bench that we are not precious about it; take every single policy and enact it, because we want the best for Britain. We will support them in every way we can, if they pick up those policies. They include reducing regulatory burdens on businesses, cutting energy costs by removing unnecessary levies, restoring domestic energy security by renewing North sea licences, and properly cutting business rates for high streets and the hospitality sector. Jobs are not created through legislation, regulation or press releases; they are created when businesses are confident enough to invest, expand and hire. That requires lower costs, lower taxes, cheaper energy and a stable regulatory environment. Labour came in promising growth, but we have seen anything but.”
“At the same time, retail sales are falling and confidence is weakening across the sector, yet the Government still do not appear to grasp the impact of their decisions. In the King’s Speech, instead of backing enterprise, the Government are increasing the cost of employing people. Instead of reducing the burden, they are adding to it, and instead of restoring confidence, they are eroding it. Thirty-year gilt yields are at their highest level since the 1990s, and higher borrowing costs mean higher mortgages, higher debt interest and less capacity to fund public services. The Government are presiding over stagnation and apparently calling that a strategy. Good news: there is a different path, which we Conservatives laid out in our alternative King’s Speech.”
“My right hon. Friend is right. Per capita growth is down, and that is a shocking indictment on the Government. Across our high streets and the hospitality sector, the pressure is becoming severe. To give some local examples, John from Birdies café in Farnham told me that his business rates are rising from around £290 a month to approximately £1,600 a month, and his energy bills have increased from £300 or £400 to about £,3500. As a result, he has already let a member of staff go. Wey Hill in Haslemere is one of the areas most affected by business rates. The average increase in rateable values is 82%. That is entirely unsustainable for small shops—a butcher, a kitchen shop and a party shop. These are not enormous businesses.”
“It was meant to build stronger communities, not penalise them. The law may permit what is happening, but it was never intended to enable it. It is time we put that right.”
“I support my right hon. Friend’s proposed solutions. With that in mind, I ask the Minister three fairly straightforward questions. First, what progress has been made on reforming the CIL regulations? Secondly, will he issue clear guidance to ensure that councils do not exploit the rules to the detriment of ordinary homeowners? Thirdly, will those who have been wrongly charged be refunded? Under the current system, once development has commenced, there is effectively no right to appeal. It is a rigid and unforgiving mechanism. Most councils choose not to wield it in this way, but Waverley borough council has. The spirit of the law is being ignored, and the balance has been lost. My constituents are being treated not as residents to be supported, but as revenue to be extracted. This is not what the levy was designed to do.”
“A Farnham resident now faces a £25,000 charge, along with £5,000 in legal costs, following a change-of-use application for a granny annexe. These are not speculative, rapacious developers; they are people improving their homes, supporting their families and planning for their futures. The human cost is real and growing. As has been pointed out, last year my right hon. Friend the Member for Godalming and Ash and I met the Minister to discuss these issues. At the time, he appeared sympathetic, so I ask him today: what progress has been made? At that meeting, we urged the Minister to issue clear guidance to local authorities to prevent further harm while the regulations were reviewed. Unfortunately, that idea was not taken forward. I understand the concern about overreach, but what we are seeing now is not restraint; it is injustice.”