House of Commons (24) - Commons Chamber (9) / Written Statements (7) / Westminster Hall (4) / Public Bill Committees (4)
(1 day, 13 hours ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
(1 day, 13 hours ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
(1 day, 13 hours ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered the potential merits of mandatory safeguarded 24/7 helipads at major trauma centres.
It is a pleasure, as always, to serve under your chairship, Sir Alec, and I say a big thank you to all the hon. Members for coming along today. I particularly thank the Minister, the right hon. Member for Kingston upon Hull North and Cottingham (Dame Diana Johnson), who has kindly agreed to step in and answer the debate, the subject of which is not her direct responsibility.
What always unites us is the fact that we come together on things that we see as good and necessary, and I am sure that everyone here would say the same. I thank the Backbench Business Committee for allowing us to debate this important issue relating to our urgent and emergency care system—hospital helipads, the barriers that can prevent them from being used when needed, and the case for a strategic national policy. The Minister already knows that I have three asks, but the main one is to have a strategic national policy. I welcome the Government’s 10-year health plan, and I hope that such a policy will be part of it.
Perran Moon (Camborne and Redruth) (Ind)
Cornwall Air Ambulance undertook almost 1,000 missions last year, many in my Camborne, Redruth and Hayle constituency. The front helipad directly outside the emergency department at Treliske hospital, which is the only general hospital in Cornwall, was closed in March 2023 and patients have since faced longer transfers, despite assurances that the rear helipad would be upgraded. Does the hon. Member agree that the Government must accelerate a permanent solution so that lives are not put at risk by avoidable delays?
The hon. Gentleman is right to underline that issue. I understand that he has a very dispersed community, and an air ambulance in that location can shorten journey times—I will mention this in my speech in relation to an issue back home. A journey that maybe takes an hour and a half by road can be done in 15 minutes in an air ambulance. That 15 minutes can save lives. An hour and a half in an ambulance fighting to save the person in the back sometimes just does not work.
I thank the Members who are here to support this debate. I also thank the all-party parliamentary group for air ambulances for bringing this important issue to Parliament in the past, and I am happy we can have this debate today for them. I acknowledge the work of Air Ambulances UK, which provides the APPG’s secretariat, the HELP Appeal and the University of Liverpool’s flight science and technology group in developing the evidence underpinning this work, alongside the UK’s 21 air ambulance charities and the wider group of stakeholders who have contributed their expertise and support. I also thank Air Ambulance Northern Ireland for what it does. I can vouch for the air ambulances and the lives that they have saved. As I will explain later, I know people who live today because of AANI and the quick response of staff.
When someone is critically ill or seriously injured and needs specialist hospital care, can we be confident that the receiving hospital has the facilities they need that will be available when required? The same question applies during a major incident, as we have seen on several occasions this summer in my constituency and across this great United Kingdom of Great Britain and Northern Ireland, when hospitals needed to respond to a sudden surge in demand. For too many hospitals, that cannot be taken for granted.
Air ambulances across the UK play a vital role alongside the NHS in bringing specialist clinical teams to patients and helping transport them to the hospitals that are best equipped to treat them. That relates to an ask I have of the Minster, and I have shared that ask with other Members of the same mind. Across the United Kingdom, air ambulance charities attend an average 137 missions each day. For 365 days of the year, that is what they do. An estimated 23,248 helicopter missions take place annually, at an average cost of £4,748 per mission. That gives us an idea of the work they do, but there is also a cost factor, which is an important part of the debate. Those 137 missions, 365 days a year, represent around £110 million in annual costs.
Behind those figures are patients, families, clinicians and crews working in extremely difficult circumstances, but it is also important to recognise how these services are funded, and that is part of this debate. The UK’s 21 air ambulance charities operate independently of the NHS and receive no day-to-day Government funding, but the people of this great United Kingdom of Great Britain and Northern Ireland are incredibly generous. The charities rely on some £200 million in public donations each year to provide lifesaving pre-hospital care.
Despite that fact, public understanding of the independence of air ambulance charities remains limited. Research done in 2025 by Air Ambulances UK found that 53% of the public did not know that these charities operate independently of the NHS. However, they still depend on reliable NHS infrastructure, including hospital helipads, to transfer patients to the care they need. Their ability to deliver a consistent service is therefore affected by NHS infrastructure and operational arrangements beyond their direct control.
This is the thrust of the debate: when a helipad is unavailable, has restricted operating hours or cannot operate safely, additional challenges can arise in getting patients to the right place at the right time for treatment to save their lives. In some cases, staffing arrangements or restrictions outside normal operating hours can limit access even when a helipad already exists. This is an urgent and emergency care issue that requires co-ordinated leadership from the Government and the NHS.
I want to be clear that this is not a call for every hospital to have a 24/7 on-site helipad. I recognise that in Northern Ireland. I was asked by one of the officials whether we want a helipad in every hospital. No, we do not, but we want one at the Royal Victoria hospital in Belfast because that is the No.1 accident and emergency hospital. It has the surgeons, doctors and care available, and from a regional point of view, that is what I am after. Decisions must reflect clinical evidence and operational requirements. We need national leadership and a consistent policy framework to support safe, reliable, 24/7 on-site hospital helipad access whenever there is a clear clinical and operational need, which must be informed by evidence.
I will focus on three practical areas: a national policy and implementation framework, or road map, to address inconsistent provision and establish a data-led approach to safe, reliable, 24/7 on-site access; clearer NHS standards and stronger planning safeguards; and a national emergency hospital helipad infrastructure contingency fund to support urgent infrastructure needs that cannot be met through charitable funding alone.
The APPG for air ambulances has launched a report, and I have no doubt that the Minister has had a chance to look at its recommendations. I commend the APPG members, some of whom are present, for what they have done in outlining the case for safeguarded, 24/7 on-site hospital helipads at major trauma centres and specialist hospitals.
Some hospitals need infrastructure improvements, and hon. Members will speak to that. Others face restrictions in operating hours, while some require further assessment of their clinical and operational needs. Although solutions may differ for the helipads in each hospital, they should be considered within a consistent national framework. One thing we hope to come from this debate is a national framework within the NHS 10-year plan, which I very much welcome—indeed, everyone in the Chamber does. Although the report provides an initial assessment of major trauma centres and specialist hospitals, the need for a national approach extends well beyond those sites.
Air Ambulances UK’s assessment of 47 major hospital sites, updated on 10 September 2026—about six weeks ago —illustrates the scale of the issue. Six sites, or 13%, require priority action, while 16 sites, or 34%, require further action or monitoring, and 25 sites, or 53%, were assessed as being in a good position. That means that 22 of the 47 sites assessed were identified as requiring priority action, further action or monitoring. That is the target that we hope to achieve. The wider picture should be considered as the national policy develops. Air Ambulances UK’s 2026 public survey found that 83% of respondents supported a national policy to ensure that major hospitals can receive air ambulance patients at any time via an on-site helipad.
I will tell the story about my introduction to Air Ambulance NI and the wonderful people who work there. I live in a village called Portaferry at the bottom of the Ards peninsula, where the AANI service is the thin line between life and death. If a child in Portaferry suffers a critical trauma or a sudden, life-threatening medical emergency, a blue-light ambulance land journey to the Royal Belfast hospital for sick children takes well over an hour, done safely and in the best road conditions, with no cars in front or behind. In a paediatric emergency, when every single second dictates a child’s survival and long-term recovery, a 60-minute delay on a winding rural road is a luxury that those families simply do not have. I know some of the families in the Ards peninsula whose children’s lives have been saved by the presence and response of Air Ambulance NI. When it comes to transferring a vulnerable child to the regional trauma centre in less than 15 minutes, they can do it—an ambulance on the road cannot.
We cannot allow this lifeline to be taken for granted. Securing robust, long-term funding for the air ambulance service is not a bureaucratic policy debate or something that will divide us in this Chamber. It is a moral imperative to protect the lives of our children in the most rural corners of Strangford. It is not just somebody being injured on a farm or having a road traffic accident; that can happen, but it could be a boating accident where the air ambulance comes to the rescue. Some of the air ambulance team are in the Gallery, and I thank them for all their information and comments.
I will refer next to Bristol. Given Bristol royal infirmary’s role as a regional paediatric major trauma centre and a specialist children’s hospital, the case for operating its helipad 24 hours a day, 365 days a year, should be properly assessed against clinical and operational need. That is important for all of us in the United Kingdom of Great Britain and Northern Ireland. Any policy must recognise the particular needs of major trauma centres and specialist hospitals while taking a broader view of the hospital helipad network across the United Kingdom.
Many other hospitals have helipads that support emergency transfers and wider patient pathways. A national policy must recognise their contribution and ensure that their operational requirements are not overlooked. The framework should provide a consistent way to assess clinical and operational need, taking account of each hospital’s role, local circumstances and the consequences of restricted access. That means identifying where clinical and operational need justifies 24/7 access and understanding the barriers that prevent it, whether that relates to infrastructure, restricted operating hours, staffing or out-of-hours arrangements. Sometimes, it can be about planning issues relating to the safety of the helicopter coming to the helipad in the hospital. That may impact on the situation.
Decisions should be based on robust data. That would allow the Government and NHS partners to prioritise action proportionately, rather than adopting a blanket requirement for every hospital. The policy should identify where new infrastructure is required, where existing facilities need improvements, where operating arrangements create barriers, and where facilities need stronger protection from surrounding development, as I was saying. In England, the NHS 10-year health plan and the medium-term planning framework of 2026-27 to 2028-29 set out ambitions to improve care, reduce delays, strengthen productivity and support more integrated services. I welcome that—it is good news, and how could anybody not welcome it? That is the sort of programme and strategy that we want, but the new hospital programme and the UK’s 10-year infrastructure strategy also provide a wider context for modernising and planning resilient infrastructure.
Tessa Munt (Wells and Mendip Hills) (LD)
Thank you for chairing this debate, Sir Alec. I benefit from Dorset and Somerset Air Ambulance and the Great Western Air Ambulance. They are both fantastic, but they have raised concerns with me about existing helipads that they may not be able to use in future. Will the Minister—I ask him through the hon. Member for Strangford— consider whether there needs to be some protection and development of the town and country planning direction 2002 so that flight paths are protected from development and infrastructure? It is not just the new hospitals that we need to be concerned about; we need to make absolutely certain that existing helipads can be accessed by the air ambulances.
The hon. Lady is right; that is the thrust of my contribution. I know that others will make contributions on that issue, including my colleague on my left, the hon. Member for North Cornwall (Ben Maguire).
Helipad provision should be considered as part of delivering on wider ambitions. Reliable access could support more direct transfers to appropriate special care, help to avoid unnecessary additional road journeys and ensure that hospital infrastructure reflects clinical and operational needs. As the hon. Lady mentioned, being operational means that helicopters need a free and safe path to where the helipads are. That is particularly relevant for major trauma networks, but also for the wider network of hospitals that receive air ambulance patients and contribute to emergency care.
I am conscious that other Members want to speak, and I want to ensure they have ample time to do so. I have three asks of the Minister. Will the Government commit to working with NHS partners and Air Ambulances UK to develop a national policy and implementation roadmap for hospital helipads, using clinical and operational evidence to identify where safe, reliable, 24/7 on-site access is needed, and address the inconsistencies in provision that we unfortunately have across the United Kingdom? We all know that the purpose of this debate is to come up with solutions, so we look to the Minister to help us to achieve our collective goals.
The Bristol example demonstrates that having a helipad does not necessarily mean that patients can access it at all times. Improvement is needed. Operational arrangements must be considered alongside the physical infrastructure. Where 24/7 on-site access is clinically and operationally necessary, we should expect the practical arrangements required to deliver it, including staffing, safe operating procedures and out-of-hours availability. That would help to ensure that the presence of a helipad translates into reliable access where patients need it.
There is also a need to protect existing and planned helipads from surrounding developments that could compromise safe operations. The planning around helipads and the flight paths for helicopters is an integral part of that. The Government should work with NHS England and the Ministry of Housing, Communities and Local Government to review whether current planning arrangements provide sufficient protection and whether stronger safeguards are needed. That should include considerations to change the town and country planning direction 2002. That is not the Minister’s responsibility; as so often happens, other Departments need to feed into this issue.
This is not about preventing development; it is about making sure that development can proceed in a way that does not impact unfavourably on air ambulances and helipads. It is about ensuring that planning decisions properly consider the operational requirements of hospital helipads and their role in supporting emergency care. Planning authorities and Departments should help to protect those facilities and provide greater certainty for hospitals that are planning for the future.
My second ask is: will the Government work with the NHS and MHCLG to establish clear expectations for hospital helipad provision and availability in the NHS estates standards and commissioning arrangements? That includes addressing staffing, restricted operating hours and out-of-hours barriers where 24/7 on-site access is clinically and operationally necessary, and strengthening planning safeguards to protect existing and planned helipads.
The Helicopter Emergency Landing Pads Appeal provides charitable funding for the vast majority of local hospital helipad projects and has made a vital contribution to developing and improving infrastructure. However, charitable funding cannot be expected to meet every urgent or emerging requirement. Charities should not be left to address every infrastructure gap through fundraising alone. The Government must—hopefully they will—consider establishing a national emergency hospital helipad infrastructure contingency fund, which would enable air ambulances to make the health delivered in the NHS even better. The funding could help projects that address barriers to safe, reliable, 24/7 on-site access where that access is clinically and operationally necessary. The fund should complement the HELP Appeal’s work, not replace charitable investment.
Thirdly, will the Government consider establishing a national emergency hospital helipad infrastructure contingency fund to support urgent, evidence-based infrastructure requirements, including essential upgrades or new facilities, where safe and reliable 24/7 on-site access is clinically and operationally necessary, but where charitable funding cannot meet the need? The Government do not need to start this work from scratch; the APPG has done much of the hard work already. Its report and recommendations have established an initial national picture of provision at major trauma centres and specialist hospitals, and have identified areas requiring further action. The Government’s next stage can build on that evidence and help to form a broader national approach that also considers other hospitals with helipads.
Lots of the spade work has been done. Air Ambulances UK represents and supports the UK’s 21 air ambulance charities. The HELP Appeal also brings considerable experience of supporting hospital helipad projects and understanding infrastructure funding requirements. Both should be involved alongside NHS organisations. They all want to do the same thing and have the same objective, so we should bring them all together—they are all singing from the same hymn sheet. I believe that there is an opportunity to do this collectively. They should be involved alongside the relevant Government Departments to ensure that the resulting policy is evidence-led, proportionate and capable of being implemented and monitored. The objective should be a practical framework that recognises the difference between hospitals, identifies where action is needed and ensures that the contribution of the wider hospital helipad network is not overlooked.
While major trauma centres and specialist hospitals are a clear priority, the wider network of hospitals with helipads must not be overlooked either. The UK’s 21 air ambulance charities provided lifesaving care through public donations, but their ability to transfer patients depends on NHS infrastructure, which they do not control. There is a wider emergency care issue that requires Government and NHS leadership, and we need a data-led national policy to identify where safe, reliable, 24/7 on-site access is clinically and operationally necessary. It needs to address the gaps in provision, strengthen the NHS standards and planning safeguards, and support urgent infrastructure needs where charitable funding cannot meet the need.
In conclusion, this sector has provided substantial evidence and stands ready to help. I thank the Minister for all that she does for health and the campaigns that she has led over the years, which I have been honoured to support. I urge her to work with the NHS, Air Ambulances UK and the HELP Appeal to turn this debate into a practical, sustainable policy and implementation roadmap. I look forward to hearing other Members’ speeches and the Minister’s response.
Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)
It is a pleasure to serve under your chairship, Sir Alec. I congratulate the hon. Member for Strangford (Jim Shannon) on securing this debate. I am grateful to be able to speak today.
As the Member of Parliament for Truro and Falmouth, I know at first hand how indispensable our air ambulance services are to rural and coastal communities across Cornwall and the south-west. The reason I came to Cornwall was because I was married to a naval pilot who came to fly search and rescue planes for the Navy there. I remember one incident when I took my newly born baby to the crew room to eat broken biscuits with the crew. I went to the bathroom and when I came back, the baby was lying in the middle of the floor on his own—they had all gone out for a shout. That was quite a thing. Of course, that is no longer part of the Navy’s job, and the hon. Member for Strangford talked about the charities that do this amazing work now.
The coastal and rural nature of Truro and Falmouth gives my constituency its beauty, but also makes it dangerous when someone injures themselves. When a critical incident occurs in Cornwall, whether it is on a rural road, a cliff path or one of our farms, the speed with which a patient can get to specialist clinical care can absolutely be the difference between life and death. Earlier this year, I wrote to the Secretary of State about fuel resilience and operational safeguards for our air ambulance charities. The basis of that message remains the same today: our air ambulances are an essential component of NHS emergency care pathways, and their operational needs must be treated with the seriousness and national policy support that they deserve.
Cornwall Air Ambulance is so well supported by the local population—it does a fantastic job—and now has two helicopters that have been fundraised by the local population, because we realise how crucial it is to our communities. That is why I strongly support the call in this debate for a consistent national policy to establish safeguarded 24/7 on-site helipad access at major trauma centres and specialist hospitals across the UK. In Cornwall, we have seen considerable local progress and investment in the Royal Cornwall hospital at Treliske. However, key challenges still remain locally, in ensuring that outstanding infrastructure works and the access routes at Treliske are concluded without delay, and in ensuring that operational access and refuelling, both on site and at bases such as Cornwall Airport Newquay, are fully supported and future-proofed.
When 83% of the public expect major hospitals to be able to receive air ambulance patients at any time via an on-site helipad, we cannot rely on a patchwork of local arrangements or leave critical infrastructure recommendations unfulfilled due to administrative transitions in trusts, for example, or highways authorities. A national policy will provide much-needed clarity on safeguarding helipads from surrounding planning developments, standardise how 24/7 clinical need is assessed and help to unlock target funding when charitable support needs national backing. That would have a lifesaving impact in Cornwall’s rural and coastal communities. This is about equality of access, removing unnecessary transfer delays and ensuring that wherever someone falls critically ill in our country, the air ambulance crew can land safely on site, 24 hours a day, seven days a week. To conclude, I urge the delivery of a consistent national policy to safeguard vital landing sites and ensure that our air ambulance crews can continue saving lives across Truro and Falmouth, Cornwall, the south-west and the entire country.
Ben Maguire (North Cornwall) (LD)
It is a pleasure to serve under your chairmanship, Sir Alec. I congratulate the hon. Member for Strangford (Jim Shannon) on securing this vital debate.
The Cornwall Air Ambulance is a vital service for many of my North Cornwall constituents, many of whom live over 50 miles from their closest major hospital, and I am extremely proud that it is headquartered in my constituency—it was great to see its second helicopter recently. The air ambulance is critical to accessing uneven terrain that ambulances simply cannot drive over or reaching the most remote areas, ensuring that nobody is locked out of lifesaving care because of where they live. That is particularly vital in my North Cornwall constituency, with our vast moorland, rocky cliff lines and many remote villages. It is essential that we ensure that our emergency services are equipped to manage the rurality of our region, ensuring that urgent lifesaving care is not based on a lottery postcode.
The Cornwall Air Ambulance is on the frontline of getting people who may otherwise be stranded for hours to hospital for lifesaving treatment. It is also equipped with medical equipment and personnel who can save lives at the scene of an emergency. Cornwall’s Air Ambulance chairman David Richards has described the air ambulances as “flying doctor services”, offering far more than just transportation. I want to briefly highlight two cases that demonstrate the invaluable service that Cornwall’s Air Ambulance provides.
In my North Cornwall constituency, 15-year-old Lewie received lifesaving care from the Cornwall Air Ambulance after falling from a cliff in Bude and becoming trapped in an inaccessible cove in the cold water. Lewie was hypothermic and drifting in and out of consciousness. He had suffered severe injuries, tearing two ligaments in his wrist, breaking his hand in three places, his thumb, right elbow and right ankle, shattering the left side of his pelvis, breaking two of the seven plates in his neck, five of the 12 plates in his back and several ribs, suffered a punctured lung and lost half a kidney. Lewie credits the Cornwall Air Ambulance with saving his life that day, stating:
“I wouldn’t be here without them”.
After Lewie was winched to the clifftop by the coastguard, critical care paramedics onboard the air ambulance helicopter were able to administer pain relief, apply a pelvic binder and transfer him safely into the helicopter. While flying to the hospital they gave him high-flow oxygen and intravenous fluids because he had low blood pressure, reduced oxygen saturation and a weak pulse. Lewie’s story demonstrates just how effective the Cornwall Air Ambulance is at not only transporting critical patients to the hospital but ensuring that they make it to the hospital in a stable condition.
Three-year-old Mia became unresponsive amid a sudden seizure while on a family holiday in Cornwall. A helicopter with two critical care paramedics and a doctor was able to land in a nearby field. Mia received lifesaving treatment on the roadside because her condition had worsened and she had suffered a second prolonged seizure while her family tried to rush her to the hospital. Mia’s mother Carissa later said:
“I believe that Cornwall Air Ambulance saved Mia’s life that day and I don’t know what we would have done without them…You really don’t know how much Cornwall Air Ambulance do and how much they are needed until it is you that needs them.”
Representatives of Cornwall Air Ambulance have told us that they are deeply concerned about the delays to the works to aid access to the rear helipad at Royal Cornwall hospital, Treliske, in Truro. The delay has severely affected the service that Cornwall Air Ambulance can provide to people across Cornwall who rely on its lifesaving work. With the Treliske A&E helipad closed, landings now take place at the rear helipad and require a transfer by road of around 400 metres to the emergency department. That obviously introduces delays and safety risks in what are often life-critical situations for patients being flown in from across the region. It entirely undermines the strength and efficiency of our brilliant air ambulance service.
Additionally, increasing traffic and footfall around the site, including from nearby housing developments and additional car parking, will continue to place more and more pressure on the already constrained route. I and my Cornish MP colleagues, including the two in the Chamber for this debate—the hon. Members for Truro and Falmouth (Jayne Kirkham) and for Camborne and Redruth (Perran Moon)—have argued that there is a strong case for targeted transport interventions to ensure that patient transfers are as swift and as safe as possible. We have called for measures to be implemented that could provide secure, reliable access for ambulance transfers, including a safe road crossing from the helipad to the hospital.
Cornwall Air Ambulance has stated that the prolonged delays and more complex routes for transporting patients have imposed operational challenges on clinical teams, creating an additional burden that teams delivering critical urgent care should not have to face. It has said that improved collaboration between the NHS and regional air ambulance charities could help to create a more seamless process, increasing resilience to challenges through shared resourcing and more cohesive long-term planning.
Will the Minister please commit to call for more systematic and formalised collaboration between NHS teams and air ambulances, to ensure more cohesive and seamless care for patients arriving at hospital via air ambulance? Will she commission a report into the collaborative frameworks of the nation’s air ambulance charities and their work with the NHS? Such a report should engage with regional charities and air ambulances across the UK to explore potential partnership structures. Finally, will the Minister please work with Cornwall Air Ambulance, Cornwall council and others to ensure that a safe crossing can be installed between the helipad and Treliske hospital?
On behalf of my constituents, I place on record my thanks and admiration for the whole team at Cornwall Air Ambulance, including the tireless clinical staff and the incredible volunteers and fundraisers. It is an incredible service that, quite unbelievably, does not receive any Government funding.
Josh Newbury (Cannock Chase) (Lab)
It is a pleasure to serve under your chairmanship, Sir Alec. I congratulate the hon. Member for Strangford (Jim Shannon), who represents a beautiful part of Ulster, on securing the debate. I thank him for doing so and for his keen interest in debates that I have secured in the past. I have one in Westminster Hall next Tuesday on train services; I hope to see him there.
When somebody is seriously injured, every minute matters. For people living in or visiting the most rural parts of my Cannock Chase constituency, getting to the right hospital can already mean a long journey. Air ambulances do an incredible job: they bring expert care to the people who need it most, often in the most frightening circumstances imaginable.
My husband’s family have personal experience of this because, 20 years ago, when my niece was just a year old, she came down with a nasty pneumonia infection. It got to the point where she was in a critical condition and doctors said she needed to get to A&E as quickly as possible. I think there was some trouble on the roads that night, so she was taken by air ambulance from Evesham in Worcestershire all the way to the Royal Stoke university hospital. She had to be in hospital for a few weeks after that, such was the severity of that infection, but the air ambulance undoubtedly saved her life that day, and she lives to tell the tale as a brilliant 21-year-old.
In January, I went to the Cosford airbase, headquarters of the Midlands Air Ambulance Charity. I met its CEO, Hanna Sebright, and one of my constituency predecessors who is working with them. I heard about the challenges that the sector faces. Air Ambulances UK’s review has identified significant gaps in hospital helipad provision across the country. Royal Stoke, which serves many of my constituents, has been given an amber rating, meaning that further action is needed. New Cross hospital in Wolverhampton has been given a red rating, meaning that priority action is required. That is genuinely concerning for patients.
New Cross does not currently have a hospital helipad, which means a patient who needs urgent specialist care might face a long journey by road, or air ambulance crews might need to fly them further to another hospital, as was the case for my niece. Every extra minute matters, so the longer a crew spend getting from one hospital to another, the longer they may be unavailable to help the next person who needs them.
We have seen a similar problem at Birmingham children’s hospital, which provides specialist major trauma care for children right across the west midlands, including Staffordshire. There is no helipad at the hospital, meaning that children brought in by air ambulance need a further road transfer, just like that described by the hon. Member for North Cornwall (Ben Maguire), typically adding 10 to 15 minutes to the journey. That is despite the fact that the hospital sits right next to Queen Elizabeth hospital Birmingham, which has a helipad.
For families facing what might be the most frightening day of their lives, those are precious minutes. In some cases, crews from Staffordshire might need to consider flying a child to Alder Hey children’s hospital in Liverpool, because that often offers a quicker route to getting the care they need. I am very concerned about that. These are hospitals that people across my region and in the wider west midlands rely on at the worst moments of their lives.
Where a helicopter cannot land directly, patients might need to be transferred. As we have heard, that can have disastrous consequences. For someone with, for example, a serious head injury, major trauma or another life-threatening condition, this is the time we should be doing everything we can to save their life. I think about my constituents in our rural villages who are already likely to be further away from emergency services. They deserve the same confidence as anyone that, if the worst happens, everything possible is being done to get them the right treatment quickly.
I know how strongly people in Cannock Chase feel about access to healthcare. We have lost our minor injuries unit, so local people know what it means when a service they once relied on is no longer there. That is one reason why I am really pleased to see this Government’s focus on improving access to healthcare, including through neighbourhood health centres, because bringing services closer to people’s homes really matters. I welcome that ambition.
However, we also need to think about what happens when someone needs emergency treatment that cannot be provided locally. Our neighbourhood services must be backed up by hospitals that can receive patients quickly day or night. A helipad that cannot be used around the clock can leave a gap in that journey, and when an emergency happens at 2 am, a patient cannot wait until the hospital’s facilities are fully up and running.
I appreciate that not every hospital has the same needs. We have heard very different cases from across the country, but we should have a clear understanding of which hospitals need helipads, which need improvements to their helipads, and which have facilities that cannot be used at all hours. We also need to make sure that recommendations are followed through. If an assessment identifies a problem, there should be a plan to address it, rather than the same concerns appearing in report after report, which we have seen for many years.
I too have a few questions for the Minister, which echo some of what she has already heard this debate. Will the Government look at a clearer national approach to hospital helipads, so that hospitals and the NHS trusts that look after them know what is expected of them when it comes to access around the clock? Will the Minister work with relevant trusts to look at the concerns raised around Royal Stoke and New Cross, and make sure that any necessary improvements are properly considered? Will the Government look at how essential helipad improvements might be funded where charities cannot meet the full cost?
Nobody wants to think about the moment in which a family member is seriously injured and an air ambulance has to be called, but those moments do happen. When they do, people need to know the system is ready for them. For my constituents in Cannock Chase, particularly those living in rural communities—or those in trouble in the forest itself—this is about knowing that that distance will not count against them when they need urgent care.
We are right to focus on bringing more healthcare closer to home, but we must also make sure that, when people need specialist and emergency treatment, there is a clear and reliable route to get them there. Thanks to air ambulances, that is often the case—they often step in and do incredible things for our constituents. If they can save someone’s life, we should be doing everything we reasonably can to make sure that a hospital is ready for them when they arrive.
Marie Goldman (Chelmsford) (LD)
It is a pleasure to serve under your chairmanship, Sir Alec. I thank the hon. Member for Strangford (Jim Shannon) for securing this important debate, which is very timely because exactly this issue is affecting my local hospital. I want to tell Members about it, but I first want to set the scene by reiterating some of the things that other hon. Members across the House have already said. When someone is critically injured, every single minute—in fact, every single second—counts. Air ambulances, with an average journey time across the country of 17 minutes, can get patients seen by specialist doctors and nurses as quickly as possible. That is why it is critical that major trauma centres have helipads that are open 24/7.
Tessa Munt
I went out with the South Western ambulance service to a cycle accident in my constituency, where a young man had fallen off on a road and was unconscious. When the air ambulance came, the doctors on board were able to stabilise him. I then went with him in the ambulance to the hospital in Bath. Air ambulances can sometimes stop the progression of injuries as well as take people to hospital. They are brilliant.
Marie Goldman
My hon. Friend makes an important point. Air ambulances have specialist expertise on board, so they do not just provide transportation; they provide lifesaving interventions along the way.
The advantage of the speed of an air ambulance can be completely lost if it cannot land on top of a hospital. Broomfield hospital, run by the Mid and South Essex foundation trust, is the main hospital that serves my Chelmsford constituency—it is not in my constituency, but it is just outside it—and it has a helipad. I pay huge tribute to Essex and Herts Air Ambulance; the crews and the communities that fund it are doing absolutely phenomenal work. However, when I met representatives from the air ambulance, they told me that every day when they do their briefing to the crews, they hold their breath a little bit and roll their eyes, because they know the answer to the question, “Will Broomfield’s helipad be open for long today?” is usually no.
Frustratingly, I have tried to persuade Mid and South Essex foundation trust to work with Essex and Herts Air Ambulance, Air Ambulances UK and the HELP Appeal to implement a solution—which does exist; it is just about getting the will for it—but I have met with so much reluctance from the hospital trust to do that or even to have meetings and listen to the problem. I get pushback and pushback, and it is incredibly frustrating. That is one of the reasons why we need to have national leadership on this issue. Although we can individually try to influence it, sometimes we just get pushback.
I know that hospitals and hospital leaders are under lots of constraints, but the solution seems so obvious when we already have a helipad at Broomfield hospital. Yes, it needs upgrading, but there is a solution for that, and yes, it needs to be staffed, but there is a solution for that. Getting pushback from the hospital itself is incredibly frustrating. I should say that Broomfield hospital is a major trauma centre, and its helipad is listed in the APPG report as one that needs to be open 24/7—but it is not. The hospital also has a specialist burns unit, so it is part of the national asset list. Of course, with burns, like so many other things, the speed of treatment is incredibly important.
When Essex and Herts Air Ambulance helicopters cannot land on top of the hospital, they have to go elsewhere. Their alternative landing site is Chelmer Valley high school, which is a few minutes down the road. There is a lot of traffic around the hospital a lot of the time, which adds to journey times, but landing there also means that an ordinary ambulance has to come to meet the helicopter. That takes up the time not just of an air ambulance, but of an ordinary road-based ambulance.
There were 12 or maybe even 14 road-based ambulances queuing up at the A&E department at Broomfield hospital just a few days ago. Members will know that we are not awash with loads of ambulances. If an ambulance’s time is being taken up unnecessarily—or necessarily, as it turns out, but it should not be the case—by having to meet an air ambulance, then it is not available to do other work. That ambulance transfer is also estimated to cost anywhere between £200 and £600 per journey. That is crazy. We are throwing away money when, if we just got the helipad at Broomfield open 24/7, it would be so much better.
Burns patients sometimes do not even end up coming to Chelmsford; they end up going to Thames Valley instead, which I find ridiculous. We also need to think about national security and the assets that are around London. Broomfield is not very far from our capital city. If there were a major incident in London, Broomfield hospital, just outside Chelmsford, would surely be one of the centres asked to respond, so having its helipad open would make so much sense.
Other hospitals in the east of England—I am an east of England MP—are also in the report, such as Addenbrooke’s, which has a red rating because it has serious problems with 24/7 access. It is the only major trauma centre for more than 6 million people, and yet new building on its own campus is set to make its helipad inoperable. How mad is that? We have invested in a helipad, and then we are saying, “Oh no, let’s just build some more houses around it and stop it operating.” That does not make any sense whatsoever. We have invested public funds in this, and we are wasting them.
The scale of the problem is set out in the APPG report and by the hon. Member for Strangford, so I will not go through all of it. I know that others have highlighted rural issues, but this is not only a rural problem: none of the three London hospitals assessed has 24/7 helipad access. My word, what are we doing? Why does this access matter for patients? It matters a lot: a Kent, Surrey and Sussex study identified five extra survivors for every 100 patients treated at a hospital with a 24/7 helipad. That is a pretty good case for doing something about it, surely.
We have talked about planning and the Government’s position, but we need central data so that we understand exactly what is going on. The APPG has actually done loads of the hard work, as has Air Ambulances UK. I want to massively thank the air ambulance crews, and the public for funding them. Members across the House have said that this should not be a matter of charitable funding alone. We do, but should not, rely on the charitable sector to step in all the time for these sorts of things. Yes, the sector can help, but it should be helped by Government as well.
Air ambulances are obviously experiencing the increase in fuel prices, which is massively putting up their costs. London Air Ambulance’s fuel costs have gone up by 116%. That is huge and so difficult; think of the extra fundraising that needs to be done to cover it. We need to step in and make sure that all the fuel being used is taking patients directly to hospital, not elsewhere. What would the Liberal Democrats do? We would integrate air ambulances into the NHS emergency response through a national commissioning framework, while keeping their charitable fundraising status. That would expose and fix exactly the problems that I have mentioned. Of course, we also need to end ambulance handover delays, but helipad access is a very specific problem.
I have some questions for the Minister. Will the Government collect and publish 24/7 helipad data for every trauma centre? Will hospital helipads be safeguarded in planning, like aerodromes are? Specifically, what is being done to keep Addenbrooke’s helipad operational? That is a really important question for the east of England in particular. Will the Minister help me get the helipad at Broomfield hospital open 24/7 as well? If she or one of her colleagues would be willing to meet me on that subject, I would be very grateful. Will the Government also publish how many air ambulances are at risk of closure or of cutting services because of the challenges they face?
I want us to recognise that hospital helipads are absolute lifelines. Survival should not depend on whether a helipad happens to be open at that time of day, or on where people live, and yet that is what is happening at the moment. Patients—our constituents—deserve better.
It is a great pleasure to see you in the Chair, Sir Alec, and to be speaking on behalf of the official Opposition in this debate called by everybody’s friend, the hon. Member for Strangford (Jim Shannon)—the Member of Parliament above all others for whom the term “indefatigable” could have been coined. It is a very important debate, and I commend him on the clarity of the three asks that he has put to the Government; we look forward to hearing the Minister’s response.
On an average day, air ambulances undertake 137 missions. We have heard in the debate about the great work of air ambulances across the country. The hon. Member specifically mentioned their work at Strangford lough at the end of the Ards peninsula. It is a part of the world that he knows I know well and is a very good illustration of the importance of being able to move people quickly when the roads are slow to pass.
In my constituency of East Hampshire, we are very lucky to have a fantastic team at the Hampshire and Isle of Wight air ambulance, which can reach almost anyone in Hampshire or on the island within 10 minutes from take-off from its new airbase and headquarters at Southampton airport. They have flown 907 missions so far this year. In the single month of August, their doctors, pilots and paramedics responded to 250 missions. During the August bank holiday weekend, the teams were deployed eight times a day on average, coming to the rescue in the aftermath of car crashes, cardiac arrests and accidental injuries.
I know all Members join me in commending the work and generosity of air ambulance charities and their supporters. The supporters are very important. As a number of colleagues have mentioned, air ambulances are not part of the national health service; they are charities. Yet, as the hon. Member for Strangford highlighted, most people do not know that they are independent from the NHS. I hope that this debate plays a part in addressing that lack of awareness.
Fundraising is a vital activity for air ambulances. It costs the Hampshire and Isle of Wight service £17,750 a day to keep their vital service operational. They are particularly creative fundraisers—from the clothes recycling points and the charity lottery to “brew for the crew” coffee mornings and the “dash in the dark” and many corporate and commemorative fundraising initiatives. I commend everyone involved with the Hampshire service and with air ambulance charities right across the country for their amazing—indeed, in many cases, lifesaving—efforts.
In code red cases, where there is a medical emergency such as cardiac arrest or internal haemorrhaging, the minutes saved by air ambulances can really make the difference between life and death. When a patient has suffered skeletal head, chest or abdominal injuries and local hospital facilities are not sufficient, air ambulances can fly the injured to major trauma centres that would take a long time to reach by road. Of course, for this to work, hospitals need suitable helipads for crews to take off and land, and here lies the issue that we are discussing today.
Research from the all-party parliamentary group for air ambulances—I thank those who support that group, some of whom are with us today—highlights that access to safeguarded on-site hospital helipads is inconsistent across the country. More than a third lack either 24/7 access or an operational helipad. When helicopter transfers are not possible, it then costs hundreds of pounds in secondary ambulance transfers, with delays to care leading to longer hospital stays and more intensive treatment.
In 2019, Health Ministers allocated £10 million to nine ambulance charities supporting air ambulance services to move towards 24/7 operations and improve seven airbase facilities. During the pandemic, we provided £6 million of emergency funding to air ambulance charities to help them with the pressures they were then facing.
Members often speak about postcode lotteries and it is a phrase that has come up again today. Given the nature of the incidents that air ambulances respond to, patchwork coverage really can make the difference between life and death. It is one of the most sharply important postcode lotteries to address. Since taking office, what have the Government done to reduce unwarranted variation in emergency care by place? Specifically, what are they doing to provide the reliable infrastructure that air ambulances need?
A written question was posed to the Minister in the other place asking whether the Government had considered a contingency fund to secure future helipad provision. The response was that a fund was not under consideration and NHS organisations must consider competing priorities within available resources. Can the Minister confirm that the Department of Health and Social Care underspent its capital departmental expenditure limit by some hundreds of millions of pounds in the last financial year? Was any of the underspend considered for helipad projects?
We talk about prioritising within available resources, but overall, people working in the health service note that available resources are reducing. Integrated care boards are pencilling in cuts to services and NHS trusts are planning to axe many jobs. Yesterday’s Budget deepened the cuts to the NHS to around £1 billion of capital cuts over the next four years. Can the Minister tell us what the impact of that will be? Which programmes will be cut and, specifically on the subject of this debate, what are the implications for helipad capital?
To ensure that no good deed goes unpunished, this Government decided to reward air ambulance charities with a new jobs tax. For every employee on average earnings, air ambulance charities, alongside others of course, must pay an extra £900 to HMRC. Is the Minister willing to raise the plight of air ambulances with Treasury Ministers? Does she think it is wrong that money that has effectively come from charitable donations should have to be diverted to help pay for the cost of the previous Chancellor’s mismanagement of the public finances?
As colleagues have noted, air ambulances are also suffering the consequences of soaring energy prices. The cost of aviation fuel surged more than 80% this spring, adding tens of thousands of pounds to air ambulance charities’ annual fuel bills. Earlier this summer, my right hon. Friend the Member for Louth and Horncastle (Victoria Atkins) wrote to the Government asking Ministers to ensure that air ambulances are included in fuel resilience planning and recognised in NHS emergency services fuel access arrangements. Can the Minister update Members on actions taken by her Department since receiving that correspondence?
The Government rightly have high ambitions for the health service: reduced ambulance times, shorter hospital waits, faster discharges. We of course share those ambitions, but there is a huge gulf between where the NHS is now on some of those key performance indicators and where we all want it to be. The National Audit Office estimates that 1.2 million patients waited between 12 and 24 hours in A&E last year. NHS waiting lists have been climbing, with the number of trauma and orthopaedic cases with a decision to admit higher than at the time of the change of Government.
Charities providing critical medical transport are having to cope with the weight of the extra taxes from the Government on top of those pressures from high energy prices. In this debate, Members from across the House have called on the Government to act by putting forward a clear framework and road map for hospital helipads, establishing clear standards for NHS estates and exploring options for financial support so air ambulances can afford to stay in the air and keep saving lives. Again, I commend the hon. Member for Strangford for the clarity with which he set out his three asks.
I urge the Minister to listen to air ambulance charities, their supporters and all those who are delivering high-quality emergency care. We look forward to her response.
As always, it is a pleasure to serve under your chairmanship, Sir Alec.
I am grateful to the hon. Member for Strangford (Jim Shannon) for securing the debate—he must contribute to more debates than any parliamentarian I have ever come across—and for giving us the opportunity to discuss the important role that hospital helipads play in supporting urgent and specialist care. My hon. Friend the Minister for Secondary Care, who has responsibility for this policy area, is always happy to meet Members, in particular the hon. Member for Strangford, and I know she will look at Hansard to read the contributions of other right hon. and hon. Members.
The hon. Member for Strangford is a long-standing supporter of air ambulance services. He has regularly talked about their importance, particularly for rural and coastal communities, where the geography can make it harder to reach patients quickly. In his excellent opening speech, he paid tribute to the important and vital work of the air ambulance service in Northern Ireland. I too recognise its invaluable work.
I also recognise the work of the air ambulance charities around and across the United Kingdom, which provide a vital service helping seriously ill or injured people. Across England, air ambulance charities carry out more than 50,000 missions each year. I am very grateful to everyone who works and volunteers in the sector, and to the communities that support them. As a Yorkshire MP, I have to give a shout-out to my local air ambulance—Yorkshire Air Ambulance—for its brilliant work.
I thank all Members who contributed to the debate. My hon. Friend the Member for Camborne and Redruth (Perran Moon) asked about the Royal Cornwall hospital. Although decisions on capital investment are a matter for local NHS systems, I understand that work is under way to look at options to improve the air ambulance access at the hospital. I also understand that the hospital is investigating alternative options so that coastguard helicopters can land safely.
My hon. Friend the Member for Truro and Falmouth (Jayne Kirkham) talked about the necessity of the service in rural and coastal areas. She and a number of other Members raised fuel resilience. We routinely engage with air ambulance charities on contingency planning, and as part of that we have addressed fuel resilience. The Government will continue to work with fuel suppliers to make sure that essential services are supported.
The hon. Member for North Cornwall (Ben Maguire) said that Cornwall Air Ambulance is based in his constituency. He brought the whole debate to life when he talked about 15-year-old Lewie, who suffered horrific injuries, and about how the service saved his life. He also talked about how important the service was when three-year-old Mia had a seizure. I send my best wishes to them both—I am sure all Members would like to do the same—and I hope they have made good recoveries.
My hon. Friend the Member for Cannock Chase (Josh Newbury) gave the example of a family member—I think it was his niece—who needed an air ambulance. I was pleased to hear that she is now 21, and hopefully she is in good health. There were some very good contributions to the debate. I heard what the hon. Member for Chelmsford (Marie Goldman) said about Essex & Herts Air Ambulance, and the issues with the local hospital. I will relay those points to the Minister for Secondary Care.
I recognise the concerns raised by hon. Members and the all-party parliamentary group for air ambulances. The points are well made. In June, the APPG published its report making the case for safeguarded 24/7 on-site hospital helipads at major trauma centres and specialist hospitals, which is a very good piece of work.
We all accept that getting seriously ill or injured patients to the hospital quickly matters. Air ambulance teams work alongside NHS ambulance service and hospitals to provide specialist care at the scene and help patients to reach specialist treatment quickly. We also need to think about what happens when the aircraft reaches the hospital. If direct landing is not available, a patient may need an onward transfer by road ambulance, which can add time to the journey and place additional demand on ambulance vehicles and crews.
Alternative landing sites are an important part of resilience when a hospital helipad is unavailable, so clear local arrangements are needed to minimise delays. Hospital helipads therefore have an important role to play, but the current picture is not the same everywhere. Helipad provision has developed locally, over many years. There has not been a single national approach setting out where helipads should be provided, what the provision should look like and how it should be funded.
Currently, responsibility for hospital helipads sits with local NHS organisations, working with planning, aviation and local authority partners. Decisions about investment, including improvements to allow night-time operation, are generally made locally, as part of a wider NHS estates and capital planning programme. But I recognise the arguments made today that we need to look again at whether those arrangements remain right for the future.
NHS England has identified challenges, including changing aircraft and aviation standards, secondary ambulance transfers, and differences in landing infrastructure. Work has also started to strengthen safety arrangements. Following the tragic incident at Derriford hospital, NHS England worked with His Majesty’s Coastguard, the Department for Transport and the Civil Aviation Authority to strengthen assurance. Sites are now required to have a named accountable manager, a site-specific risk assessment and a helipad operating manual. Chief executives have been asked to confirm that appropriate safety standards are being met.
NHS England continues to work with the air ambulance sector and regularly meets the DFT and Air Ambulances UK. It also takes part, when needed, in the onshore surface landing group, which brings together organisations including the Civil Aviation Authority, the DFT and the devolved nations.
I want to be clear about what we are doing next. I am pleased to announce that the Minister for Secondary Care has instructed the Department of Health and Social Care and NHS England to scope a strategic review of air ambulance resilience, including hospital helipads and landing sites. That work is starting, and I do not want to pre-empt what it may find or any recommendations that it may come up with. It will give us the opportunity to look at current landing facilities, onward transfers, future clinical and aircraft requirements, and the condition of existing infrastructure.
The hon. Member for Strangford rightly recognised that different hospitals have different clinical needs, geography, landing arrangements and planning constraints, and that the same solution will not be right for every site. I agree that any future approach needs to be proportionate and informed by clinical and operational need.
Let me turn to the concerns, raised by a number of hon. Members and the APPG, about the impact of the planning system—
I want to clarify one wee matter. First, I very much welcome the national review that the Minister has described. On some occasions, there are issues with planning. Will the national review be able to address specific issues and ensure that, where there may be planning objections, there can be an arrangement to ensure that helicopters can safely access helipads? We would not want to see planning holding that up.
I will set out the position on planning. The Government share the concerns about the potential impact of new developments on the operation of hospital helipads. That is why our new national planning policy framework, published in August, makes it clear that existing public services should not face unreasonable restrictions on their operation because of development that takes place around them.
The framework is clear that where a new development could be affected by an existing activity nearby, the impacts should be identified and suitable steps taken to address them. It also gives substantial weight to the benefits of new or improved public service infrastructure, including healthcare facilities. Work is happening on that now, and I am sure that if the hon. Gentleman wants to discuss it further, we will be able to facilitate that.
Work is happening on aviation standards, too. The CAA’s civil aviation publication 1264 provides guidance on the design and operation of hospital helicopter landing sites. This matters, because safe access depends not just on having a landing site but on whether an aircraft can use it safely. The guidance is not currently mandatory, but the DFT and the Civil Aviation Authority are working towards the formal regulation of hospital landing sites, which is currently expected around 2028.
NHS England and the DFT are also working to build a clearer picture of which hospital landing sites comply with the existing guidance. Currently, helicopter operators make their own decisions about where they can safely land. That can depend on things such as the aircraft being used, the weather and the obstacles around a landing site. The DFT is working with NHS England, the CAA, the air ambulance sector and His Majesty’s Coastguard on those issues. There is obviously much more work to do, and I absolutely recognise the concerns raised in the debate and through the APPG report.
The Opposition spokesperson, the right hon. Member for East Hampshire (Damian Hinds), asked about capital spend in previous years, and I will have to write to him about that. On his comment about announcements in the Budget, our contribution to the defence investment plan, including at the extended level set out yesterday, will avoid impact on frontline NHS services, patient safety, investment in technology and the delivery of the new hospital programme.
Ben Maguire
I am pleased to hear about the review the Minister has announced. Can she give us any sense of a timeline for when that review might conclude?
I am not the Minister for this policy area, but I will ask my hon. Friend the Minister for Secondary Care what information might be available about timescales. I understand Members’ interest as to when the review might conclude.
We have had a useful debate and I am very grateful to the hon. Member for Strangford for bringing the debate before the House. I again thank the APPG’s members and the air ambulance sector for all their continued excellent work.
I thank all right hon. and hon. Members for their contributions.
The hon. Member for Camborne and Redruth (Perran Moon) set the ball going with his contribution. He referred to the 600,000 people in and around his constituency and the need to have the helicopter and air ambulance available. The Minister was kindly in her positive response to that intervention.
The hon. Member for Wells and Mendip Hills (Tessa Munt) referred to safe routes for air ambulances coming into helipads. She rightly set the marker down in raising the impact of future development. Again, the Minister responded to that point, and we thank her for that.
I thank the hon. Member for Truro and Falmouth (Jayne Kirkham) for her contribution. She shared personal knowledge of how her local air ambulance is an essential part of the NHS, and spoke about quality of access, planning and development.
The hon. Member for North Cornwall (Ben Maguire) referred to the air ambulance headquarters in his constituency. He is doing extremely well for the air ambulance. He spoke of access to uneven terrain, clifftops and dispersed moorland, and described it as the “flying doctor service”. That is what it is.
The hon. Gentleman also gave two supreme examples of how the air ambulance saved young 15-year-old Lewie and three-year-old Mia. My goodness, if we ever need a story to illustrate the case, it is the examples Members give from their constituents. Those are lives saved. I could give similar examples of my own constituents —all Members probably could—because we all know people who are alive and walking around the streets in our constituencies today, still with their families. I thank the hon. Gentleman for that. He also referred to better NHS and air ambulance co-ordination, with partnership structures in place. All those things are incredibly helpful.
The hon. Member for Cannock Chase (Josh Newbury) shared examples from his own life, including the supreme example of his niece, who is alive and well today because of the air ambulance. Examples like that convince us all of why we are here and the importance of these debates. He also referred to country roads, how different hospitals have different needs, how we need clearer approval for helipads and how trusts need to work together with the air ambulance.
The hon. Member for Chelmsford (Marie Goldman) shared the problems she is having with her own trust. She said that the NHS should work better with the air ambulance. I always say that it is our job to find solutions, and the hon. Lady referred to solutions. Helicopters need helipads. It can often be a problem for an ambulance to reach an incident safely by road, but there would be no need for that if there were a helipad. The hon. Lady gave the figures for that too.
The shadow Minister, the right hon. Member for East Hampshire (Damian Hinds), is always very kind with his comments. We are all here for the same purpose: to try to help our people. His air ambulance service has flown 907 missions this year, including eight times in one day. My goodness, them guys are on overtime, if there is any in the air ambulance, though there probably is not. The right hon. Gentleman illustrated the cost of running the service in his constituency. We need a plan for helipad funding in the next year. To be fair, the Minister gave the shadow Minister some of the answers he sought. We appreciate that. He also requested a clear standard and financial support.
I will move on to my conclusion, Sir Alec. I am mindful that although I have 14 minutes to speak, usually we only get two minutes to wind up no matter how long is left, so you have been very kind. I thank the Minister incredibly much for her positive response. I do not want to give her a big head, but she always tries to encourage us all. We come here as MPs to fight battles on behalf of our constituents. That is the job that they task us with. I am always at peace whenever a Minister gives us some of the answers that we sought, and today, the right hon. Lady did that.
The Minister referred to the importance of air ambulance charities across England, and the 50,000 missions flown each year. She also referred to fuel resilience for air ambulances, and the ongoing discussions among air ambulances and the NHS. On air ambulance access to helipads and the national approach, work has started to address some of the outstanding improvements. The Minister then gave us the one that we really hoped for: the national review of air ambulance services, their resilience and helipads. We thank her for that.
The Minister referred to the new planning policy framework, and the hon. Member for North Cornwall sought the timescale; although not responsible for that, I know that the Minister will seek to get a timescale. Whenever I go to a meeting, whether it be with the roads service or hospitals, they always tell me what they are going to do and I say, “When will it happen?” That is the question. Today, we ask, “When will it happen?” but we have been very privileged to have had such a responsive Minister. I thank all right hon. and hon. Members for their contributions. As always, I thank the civil servants who keep the Ministers right, and I thank the Hansard Reporters for their patience with this boy from Northern Ireland who speaks at 100 miles an hour.
Question put and agreed to.
Resolved,
That this House has considered the potential merits of mandatory safeguarded 24/7 helipads at major trauma centres.
(1 day, 13 hours ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Vikki Slade (Mid Dorset and North Poole) (LD)
I beg to move,
That this House has considered the role and effectiveness of Ofcom.
It is a pleasure to serve under your chairship, Sir Desmond. Ofcom’s mission is to make communications work for everybody. According to the Ofcom website, it helps people to get the most from their post, mobile, broadband, landline and online services, as well as
“keeping an eye on TV and radio.”
Yet as our methods of communication have broadened and the pace of technological change has increased, I have become increasingly concerned that Parliament has repeatedly given Ofcom new responsibilities without first asking whether it has the powers, resources or institutional culture necessary to fulfil those it already had.
In preparation for this debate, I spoke with Citizens Advice, which raised concerns that Ofcom’s principal duty to further the interests of citizens, in relation to communications, and consumers, in relation to markets, creates a bias against intervention, meaning that action to protect consumers is often delayed, limited or treated as a last resort. I will focus on four areas: broadcasters, scam calls and messages, broadband infrastructure, and—I apologise, as this is the third parliamentary debate on this in a week—Royal Mail. Although those areas appear different, they all point to the same question: does Ofcom have the powers, appetite and focus to fulfil the role that Parliament expects it to?
As we know, UK broadcasters are rightly respected around the world. Although the media landscape has become more complex, any organisation wishing to operate on television or radio must be subject to Ofcom regulation. The Ofcom broadcasting code is not optional, and it exists to protect the public from harm. Section 2 of the code covers harmful and offensive material, and section 3 covers content likely to incite crime or disorder. Those sections are crucial. We have all seen what happens when dis and misinformation published online or on TV spills over into violence in our communities. Just last year, Ofcom found that GB News breached the code by broadcasting discriminatory misinformation that linked LGBT people with paedophilia, yet only a year later, we see further investigations being made into similar GB News content that makes highly offensive claims about LGBT people. The fact that such behaviour is occurring again, on the same channel, so soon after regulatory action raises serious questions about whether that intervention was effective in the first place.
Section 5 of the code covers impartiality and accuracy. Constituents regularly raise issues on that, and, I will be honest, those are not related just to GB News. Some people believe that the BBC has a left-wing bias, while others believe that it has become increasingly right wing— some might say that that suggests the BBC has got it about right. I have found myself shouting at the TV, particularly during certain programmes, asking why the outrageous comments made by one commentator or another have not been shown. I am regularly asked why the activities of certain parties that have only a handful of MPs seem to get disproportionate coverage, and whether the media are now more interested in ratings than in impartiality on current affairs.
But I am afraid that allegations made against public sector broadcasters such as the BBC pale into insignificance when compared with the regulation of GB News. A recent investigation, involving experienced journalists and specialists in the field, reviewed GB News’s output and found repeated examples of content that they considered inconsistent with the Ofcom code, yet in many cases, no regulatory action had followed. A former Ofcom director of standards said:
“This was a test case for how Ofcom regulates broadcasters on due impartiality. It has failed that test.”
He went on to say:
“It now appears that Ofcom has abandoned any pretence that meaningful regulation of broadcast content is still being maintained.”
That criticism deserves to be taken seriously.
In 2024, Ofcom investigated GB News’s use of politicians as presenters, and concluded that politicians presenting news
“risks undermining the integrity and credibility of regulated broadcast news.”
In its response, it warned that repeated breaches could ultimately lead to sanctions, including fines or the loss of a broadcast licence. And yet today, the hon. Member for Clacton (Nigel Farage), who has been notified that I intend to refer to him, is advertised by GB News on its website as a presenter offering viewers the latest news, opinion and analysis. That appears to conflict with rule 5.3, which states:
“No politician may be used as a newsreader, interviewer or reporter in any news programmes”,
and rule 5.9, which says that
“presenters must not use the advantage of regular appearances to promote their views in a way that compromises the requirement for due impartiality.”
The hon. Member is also a shareholder in the channel and has received significant payments from it—this is all in the public domain. Even the channel’s founding chairman, Andrew Neil, has publicly questioned why Ofcom permits the arrangement. So I ask the Minister: what discussions has she had with Ofcom about the effectiveness of the broadcasting code, and will she consider launching a review into whether sitting MPs or political party leaders should be permitted to present news and current affairs programmes at all?
I realise that this is a slight jump in tone, but the same questions about enforcement arise when we look at scams. I welcome the recent fine imposed on a telecoms provider for failing to prevent the misuse of telephone numbers, and I recognise the work that Ofcom has done to block scam messages in transit. However, my constituents continue to suffer due to the failure of Ofcom to enforce. Melchior from Broadstone receives scam calls from people claiming to be police officers, using genuine police station telephone numbers. Neil from Canford Heath reports receiving up to five scam calls every day from people pretending to be from Government bodies. Judith lost thousands of pounds to rogue traders before a kindly neighbour intervened to help her. Another constituent, Paul, lost more than £60,000 to a romance fraud, where he believed he was communicating with Kate Beckinsale before he sadly died.
My constituents are rightly asking why ID spoofing remains so prevalent when the technology exists to verify and authenticate communications. Five years ago, Ministers pointed to developments in the United States—in fact, it was the right hon. Member for Maldon (Sir John Whittingdale) who wrote to my constituent saying that they intended to look at systems in America and bring them over here—yet residents continue to lose money and there does not seem to be any progress. Can the Minister explain what progress has been made through the migration to digital telephony, which concludes in January, what evidence exists that scam tracing is now improving, and how Ofcom intends to enforce protections more effectively in the years ahead?
That brings me to the issue of connectivity. Although Ofcom’s figures show considerable improvements in gigabit broadband, the headline statistics mark the reality in rural and coastal communities. The most vulnerable of our residents are often the most digitally disconnected. Some are unwilling or unable to use broadband and internet, and it is important that we do not leave them behind, but when someone chooses to be digitally connected, they cannot be priced out of the market simply because they live in a rural area. People in rural communities such as mine are isolated when the wind blows or because their property is in a small hamlet, or even because, as I heard this week, it is the “last property” in the line in a village.
According to Ofcom’s data, gigabit-capable broadband is now available in 88% of homes and businesses, with 4 million premises still without coverage. I recognise the significant improvement since 2020, but in some areas, properties have been dropped from the edge of a gigabit scheme, with the alternatives being simply laughable. Residents living on rural lanes between Wimborne and Sturminster Marshall were missed out of the scheme and told that they can get a voucher from Building Digital UK to spend on a commercial connection. That left them with two problems. The vouchers have been suspended in Dorset for at least the last two years, and even when they are available, no commercial provider will provide internet to six properties if the UK Government-sponsored provider does not feel that it is viable either.
In Pamphill and Shapwick, the local church warden has just been quoted £4,000 plus VAT by BT Openreach to install broadband because they need a pole—a pole that will serve only one building because it is the last building before the river. The irony is that there is already a pole there, but BT’s failure to maintain its infrastructure means that it has decided to pass the cost on to the customer, which in this case is a church with about 20 people in the congregation.
What is Ofcom doing to make sure that small rural communities can get the broadband availability they need? These small communities often do not have a bus, mobile service or even a village shop, so when they need help, the only option they have is the internet.
The hon. Lady has outlined some of the problems that her constituents are having with BT. I want to be kind to BT if I can, but I have to be honest as well: BT falls short. An organisation that does exceptionally well is Fibrus. Over the last couple of years, although it has had almost 200 complaints, it has genuinely sorted out 199 of them—I am not making that up—and it is doing its darndest to sort out the outstanding one. BT unfortunately falls short every time. The hon. Lady is right to highlight that and I will highlight it as well.
Vikki Slade
I will share a similar tale of the failure to sort out a problem. In August, the village of Bloxworth, which has only about 80 houses and has poor mobile signal, no bus and no shop, was cut off completely when a tree took down their BT Openreach infrastructure. Despite allegedly having a 48-hour service standard, the repair took more than a week to complete. Residents were not even contacted and were later told that they should have been contacted by their individual provider, which is ridiculous. When the water goes down, the water board is responsible and when the electric goes down, it is the infrastructure provider—Scottish and Southern Energy in our area—that is responsible, not OVO or Octopus or whoever provides the electricity. In a data age, with resilience being much of the Government’s focus, it is utterly ridiculous that the main provider of infrastructure is allowed to pass on the responsibility and not communicate. It is somewhat ironic that when the communication goes down, there is radio silence.
Ms Julie Minns (Carlisle) (Lab)
The hon. Lady makes a powerful point about villages. In my constituency, a number of villages do not have a shop or a bus, and so on, but they did have the public switched telephone network. Ofcom has overseen the switch-off of that old copper network infrastructure, but it has not placed an obligation on Openreach to communicate with the people who are losing their telephony. Does she agree that it is not too late in the day for Ofcom to put Openreach on the hook for communicating with people who are about to lose their copper network?
Vikki Slade
I am glad that the hon. Lady intervened because that is apparently the root of the problem with my church. BT Openreach sent out an installer who was able to deal only with copper, but that is all being turned off in January, so he went away again. They came back and said, “You need someone with fibre,” and then they came back and said, “Oh, the pole’s not good enough. You need to replace the pole, but you have to pay for it.” The requirement to have fibre is because of the BT Openreach plan to turn off the PSTN and go on to the Voice over Internet Protocol, yet BT Openreach demands that the customers pay the costs because it has not prepared for that. You could not make it up.
Are we still on track to turn the PSTN off in January, and what consideration has been given to those people who are still on the emergency systems? What will be done to make sure that BT Openreach is not passing on unfair costs to people who did not ask for that change in the first place? On resilience, what are the Minister and her team doing with Ofcom to ensure that the issue of communication is included in the plan for national resilience, and how is Ofcom holding the telephone companies to account when they pass on the costs?
I could not possibly complete a debate about Ofcom without mentioning the post. I am aware that there have been two recent debates on the subject and I would be here for as long as it takes my residents to get their post if I shared every story with the Minister, but I must repeat the comments made by the right hon. Member for Birmingham Hodge Hill and Solihull North (Liam Byrne) at the end of Monday’s debate. As chair of the Business, Innovation, Science and Trade Committee, he talked about giving Ofcom until November to show that it is improving its performance.
My residents tell me time and again about the length of time between their deliveries and how, miraculously, when someone on their street goes down to the delivery office to challenge the missing mail, bundles turn up in elastic bands. It is simply not credible that they all turned up on that very day. When I write to Royal Mail about this, I, and I am sure hon. Members alike, get a templated reply that basically feels like gaslighting. It never answers the question. I know, because I have spent a couple of shifts down at the sorting office, that local sorting offices have to tell their regional offices which frames did not get delivered. They have to report when vehicles break down or staff do not turn up for shifts. Royal Mail has the data about why that post is not being delivered; it just chooses not to share it with us or its customers. My question is, is it sharing it with Ofcom?
Dave Robertson (Lichfield) (Lab)
The hon. Member is making a really important speech about many of the ways in which Ofcom’s regulation touches everybody’s lives, especially through Royal Mail—I am sure she will be aware that I am doing some work in this space. A number of other Labour MPs and I spoke to Ofcom at a meeting just last week where we asked what other powers it needs. Fines are clearly not working: the fines that Ofcom is levying on Royal Mail are not leading to any improvement. I was really disappointed at the response, which was that Ofcom has not really thought about what other powers it needs. Does the hon. Member agree with me, and with the Business Committee, that Ofcom really needs to think about what other powers it needs to regulate the market more effectively? It is failing to, currently.
Vikki Slade
The hon. Member is absolutely spot on. We know that the Minister is raising our concerns, but we need Ofcom to have the right powers, and we need to know what powers the Minister is seeking to give Ofcom if the situation persists.
I have to share one other example to do with the post. I recently had a problem in the village of Sturminster Marshall, where they had no post for two weeks and a flood was blamed. I surveyed them all; I had 159 replies, and 149 of them shared their horror stories about Royal Mail. Royal Mail blamed the flood, but the flood happened at the end of the two weeks for which they had been waiting. If Royal Mail will not be accountable to us and tell us the truth, and if it is hoping that we will not notice, that prompts the question of what other things it is saying that could be misinterpreted.
I cannot let a Royal Mail comment go by without speaking on behalf of my constituents in Strangford, who have problems with mail delivery on a daily basis. Some of that delayed post unfortunately includes hospital appointments, bank statements and things that they have to action. Does the hon. Lady agree that Ofcom’s capacity to effectively oversee Royal Mail needs to be reassessed? It is very clear from the examples that she and other Members have given that it is just not up to the job.
Vikki Slade
The hon. Member comes to my point about whether Ofcom is fit for purpose and needs to be broken up. He mentions the fines for people getting their bills late and missed hospital appointments, yet there is no real compensation scheme for customers. My train is 15 minutes late on a weekly basis—I am sure you will agree, Sir Desmond, as I think you use the same line. I do not think that there has been a week in the past year where I have not arrived home at least 15 minutes late at least once, but there is delay repay. If someone’s post is weeks late, they cannot go down and get any sort of claim from the local delivery office. Perhaps if there was, Royal Mail would take a little bit more action.
Finally, today Ofcom released its recommendations for the most effective way to implement the social media ban. We know that that will be complicated and controversial. We know that it is the biggest issue of our time, really. Yet the job has been given to Ofcom. With everything that we have talked about, it is not lost on me that we are adding another very complicated and controversial thing when there is no evidence that Ofcom is able to manage.
Under the new Prime Minister, a new Minister for AI has been created, recognising the importance of dividing up some of these jobs to groups who can focus on the big issues of our time. Perhaps this should be a watershed moment for Ofcom too. Throughout the debate, I have raised four very different issue: broadcast impartiality, scams, broadband access and Royal Mail. They all point to the same concern. Ofcom is increasingly being asked to regulate some of the most powerful organisations in our society while protecting some of the most vulnerable people. Yet again and again, constituents encounter a regulator that appears reactive rather than proactive, cautious rather than assertive and too often willing to accept poor outcomes for consumers.
I ask the Minister to commit to a formal review of Ofcom’s powers, duties and enforcement framework, including whether its current structure is fit for purpose. If consumers cannot rely on the regulator to challenge broadcasters, tackle scams, secure connectivity or hold Royal Mail to account, it is not enough to ask whether they are doing their job. Parliament must also ask whether it has given Ofcom the tools to do it.
Ms Julie Minns (Carlisle) (Lab)
It is a pleasure to serve under your chairmanship, Sir Desmond, I think for the second time this week. I thank the hon. Member for Mid Dorset and North Poole (Vikki Slade) for securing this important debate. She made a critical point in her final remarks about the effectiveness of Ofcom and whether we are overdue a review. It is 26 years since Ofcom was set up, and the changes in modern communication that we have seen in that time have been profound. It is a very valid point.
Before entering Parliament, I worked in mobile telecommunications for 13 years. During that time, I saw how Government policy and regulatory frameworks shape competition, investment and consumer choices and outcomes. One lesson that I took from that experience is that spectrum policy matters enormously. Spectrum is not simply a technical issue for regulators. It is one of the most powerful tools available to support competition, investment and innovation in mobile.
Back in 2000—I am that old—the UK’s 3G spectrum auction demonstrated that point very clearly. Competition sat at the heart of the then Labour Government’s policy. The result was a highly competitive mobile 3G market that encouraged substantial investment in infrastructure, rapid innovation and major benefits for consumers. Over time, and I am afraid to say particularly due to the decisions taken in the early 2010s by Conservative Ministers, that competitive landscape shifted. Spectrum holdings that were held for the use of mobile data became increasingly less equal, and the opportunities to strengthen genuine infrastructure competition were missed. As a result, some of the benefits that came from a competitive 3G market were lost.
Much is said about competition in telecommunications, and rightly so. Consumers can choose from a wide range of broadband and mobile providers. That competition helps drive innovation, service quality and value for money. However, we should not confuse retail competition with infrastructure competition. True competition depends not only on the number of brands selling services, but on competition between the networks that underpin those services. Without effective infrastructure competition, consumers might appear to have plenty of choice, but what they do not have is plenty of coverage—certainly not in rural areas such as my constituency.
Spectrum sits at the heart of that challenge. It is a finite national asset, on which every mobile call, message and wireless data connection depends, and the way it is allocated has a profound impact on investment coverage and long-term market structure. Ofcom, therefore, has a critical responsibility to ensure that spectrum policy promotes genuine competition, supports investment and delivers benefits to consumers in every part of the country, including rural and hard-to-reach communities. Spectrum policy should strengthen rather than simply reinforce the position of the operators that already hold significant advantages in low-frequency spectrum in particular, which is critical for delivering rural and indoor coverage.
However, I do not believe that responsibility rests solely with Ofcom. Spectrum is one of the most valuable public assets this country possesses. Decisions about how it is used shape competition, investment, innovation and coverage for decades. Those decisions should be informed by a clear national strategy set by Government. We have long-term strategies for transport, energy and digital infrastructure. There is a strong case for a clear, long-term spectrum strategy that sets out how spectrum allocation will support economic growth, innovation, network resilience and genuine infrastructure competition.
Infrastructure competition is not, on its own, enough. We must also look at the resilience of our mobile networks, because mobile connectivity is now an essential service. People rely on it to access banking, public services, transport information, employment and emergency assistance. Businesses rely on it to operate, communicate and serve their customers. When networks fail, the consequences are no longer merely inconvenient. Outages can disrupt livelihoods, affect public confidence and leave people unable to access services on which they depend. That makes Ofcom’s work on network resilience critical. Mobile operators must be expected to maintain robust infrastructure, communicate clearly with customers when problems occur and learn lessons when failures happen.
Resilience should not be treated as an aspiration; it should be a core obligation. However, currently, it is left simply to Ofcom guidance. Reliable mobile connectivity is now part of our critical national infrastructure. It underpins growth, services and everyday life, and the public rightly expect networks to be dependable. I ask the Minister: is guidance on something as critical as mobile resilience sufficient? Should Ofcom not instead require the mobile networks to have back-up power to their mobile masts? That does not have to be permanent back-up; it could be a fleet of electricity generators that can be taken to masts in the event of power outages. I do not believe guidance is sufficient.
My second question is: do the Government believe that citizens and consumers, which Ofcom has a dual duty towards, would benefit from a clearer national spectrum strategy from Government working alongside Ofcom? Thirdly, does the current regulatory framework provide sufficient tools to promote infrastructure competition? Ultimately, consumers need more than a choice of provider; they need confidence that the networks on which they depend deliver the coverage they need, that they are resilient and reliable, and that Government, regulators and industries are working towards a clear, long-term plan to fully utilise one of the most important assets our country has.
Claire Young (Thornbury and Yate) (LD)
It is a pleasure to serve under your chairship, Sir Desmond. I thank my hon. Friend the Member for Mid Dorset and North Poole (Vikki Slade) for securing this timely debate.
I want to focus on Ofcom’s role as the regulator of postal services. That is a different aspect from its work ensuring that news is impartial or keeping our young people safe online, and therein perhaps lies the problem—it is being asked to be a jack of all trades and, as a result, it is the master of none. Earlier this week, I spoke about the effectiveness of Ofcom during a debate in the Chamber on Royal Mail, and I have come here today to reaffirm that argument.
Since 2022, Ofcom has fined Royal Mail £5.6 million, then £10.5 million, then £21 million for failing to meet its targets. In the year to March 2026, only 75.7% of first-class mail arrived the next working day, against the target of 93%. Ofcom opened an investigation into that failure on 1 June. Nearly five months later, we are still waiting for the outcome. Meanwhile, the targets themselves have been lowered, to 90% for first class and 95% for second class, and second-class deliveries have moved to alternate weekdays. The public are being asked to accept a reduced service, measured against easier targets, from a company that has not even managed to meet the old ones in years.
In May, the Business and Trade Committee concluded that Ofcom is failing as a statutory regulator, and that its approach has for years failed to deliver the step change in performance that the public deserve. Part of the problem is that fines are simply not a deterrent. The law allows Ofcom to fine postal services up to 10% of turnover, but its largest penalty is a small fraction of that, and every penny goes to the Treasury. Nothing reaches my constituent who missed a hospital appointment because the letter arrived a day after the actual appointment. Where is their opportunity for recourse?
At the moment, Royal Mail’s own complaints process is aimed at the sender of the mail and is all about compensating them for the cost of postage by giving them books of stamps; it does nothing to compensate recipients of mail for the consequential losses from that mail not arriving on time, which can be significant. Aside from missed appointments, there can be financial issues, and we had an example where someone had received a court summons too late, which obviously had very serious consequences.
If a constituent makes a complaint to Royal Mail and they are not happy with the outcome, they cannot go to Ofcom and make a complaint about the individual case. We have been told that Ofcom will not look into local cases and will look only at the picture across the country as a whole. We need a regulator with teeth, legally binding penalties that can actually change a business’s behaviour, automatic compensation and a proper complaints system. A regulator ready to use its powers could solve this problem.
I have raised this issue in questions and letters to Ministers, but each time the response is essentially a regurgitated, “This is a matter for Ofcom.” However, Ofcom’s powers are set by this Parliament, and I do not believe they are working, so Ministers have a responsibility to intervene. Either Ofcom’s postal powers and its approach must be fundamentally reset or its responsibility for postal regulation should move to a dedicated independent regulator that will take it seriously.
Surely, that is what Ministers must now be considering. If the Minister stands here today and again tells us that Ofcom is an independent regulator, and Royal Mail a private company, so nothing can be done, it will be utterly embarrassing. Where are the Government’s teeth? Are they seriously taking the same lacklustre approach as Ofcom?
I have two direct questions for the Minister. First, do the Government accept the Select Committee’s conclusion that Ofcom is not effectively regulating Royal Mail’s performance? Secondly, will the Government commit to a review of Ofcom’s postal powers, including whether those powers would be better held by an independent postal regulator? Too much time has been spent bringing Royal Mail’s failures to Ministers’ attention. They have heard enough. Will they now act?
It is a genuine pleasure to follow three excellent speeches, with which mine will overlap to some extent.
Ofcom’s role is vast. It has grown exponentially since it was set up in 2003, and it now has in its clutches online harms and the whole minefield of regulating social media, but my focus today will be on broadcasting. Parliament decided that—uniquely—broadcast news should be impartial, and it is more important than ever that the airwaves provide a vital counterbalance to the partisan, clickbait world out there online.
Arguably, nowhere can Ofcom’s ineffectiveness be seen more than in that most glaringly obviously anomalous broadcaster of them all, GB News—the telly wing of the Reform party. Some of these criticisms apply similarly to its close bedfellow, Talk TV and radio.
The Communications Act 2003 laid down the law, quite literally, on impartiality in “news in whatever form”—those are the actual words used. Sections 319 and 320 set out the Ofcom broadcasting code. However, GB News and Talk TV and radio flout these rules daily, and they make no pretence at all of objectivity. This question has already been raised by the hon. Member for Mid Dorset and North Poole (Vikki Slade): what other channel would platform a serving MP and party leader—the hon. Member for Clacton (Nigel Farage), who has been emailed—with a regular show? That would not happen anywhere else. Other hosts include ex-MEPs from what used to be called the Brexit party and a Reform MP, the hon. Member for Ashfield (Lee Anderson), who has also been emailed. It is all part of a one-sidedly right-wing roster; Jacob Rees-Mogg is as leftie as it gets.
On the rare occasions when airtime is afforded to someone from the other side, they are set up as a punchbag to be pilloried. Let us remember how Gary Lineker was pulled up for his tweets. BBC directors general have always insisted that their presenters leave their politics at the door, but there is no such rule for GB News. In fact, to have right-wing politics appears to be a prerequisite to be a presenter. Look at the subject matter: rape gangs, small boats and Muslims—the Reform party’s greatest hits.
Section 2 of the Ofcom broadcasting code spells out the duty to protect the public from “harmful and/or offensive material”, section 3.2 explicitly forbids “hate speech”, and section 3.3 stipulates:
“Material which contains abusive or derogatory treatment of individuals, groups, religions or communities, must not be included in”
broadcast television and radio services, yet all those occur daily on these Ofcom-regulated services, in contravention of the rules.
Manifold examples exist. Some have already been mentioned. In January, GB News host Josh Howie said that
“the full inclusion of LGBTQ+ persons…includes paedos”.
What! Ofcom received 70,000 complaints and ruled that GB News had breached its broadcasting code, but after an on-air apology there was no further action. In June, right-wing influencer Based and Bougie claimed on the channel that gay men are “more prone” to “sexual deviancy” and “child sexual assault”. Ofcom received 3,000 complaints and opened a formal standards investigation to which there is no conclusion yet. In July, Caroline Farrow, a well-known anti-gay rights and anti-abortion activist, stated that pride
“is not about gay rights”
but has become about celebrating “bestiality” and “paedophiles”. Ofcom received 12,000 complaints, and we are still waiting. Those are not examples of rogue guests; they are people invited for their extreme views in the age of clickbait.
The story is the same with presenters. On Talk radio last year, Mike Graham stated of dinghies that we should
“destroy them, set fire to them, flamethrow them, do whatever you want with them.”
There is no published Ofcom action. It has twice upheld complaints against that anchor, but there are no published financial penalties or statutory sanctions. This August, Talk radio presenter Kevin O’Sullivan spoke of the
“infestation of thousands and thousands of illegal migrants in our country”.
Ofcom decided after assessing it that there was no breach.
We know that similar remarks have been made by Reform politicians after ITV’s secret filming led to resignations. In normal life, public figures who make or are associated with inflammatory or hateful remarks face professional, social and organisational consequences; with Ofcom, don’t hold your breath. In fact, as its remit has expanded, Ofcom’s published investigations have shrunk; there are fewer and fewer, and long delays. In 2019 there were 142 editorial cases, but by 2025 there were just 36, and decisions in recent years have been glacially slow.
How can Ofcom justify this steep decline and abject lack of urgency, accountability and transparency? Why do these channels feel so able to act with impunity? There is a clear pattern, and unless Ofcom imposes meaningful sanctions to prevent recurrence, it is just going to happen again and again. Clearly, Ofcom is not doing its job. It is not feared and breaches just seem blatant.
Ofcom was once an arm’s length regulator, but it has turned into a curious mixture of free-speech warrior, drum-banger for those lot and passive complaints handler. It often says, “People didn’t complain in the official form, so we are not doing anything about it.” It has defended at all costs channels that style themselves as disruptors but are actually echo chambers lazily putting out the same old content.
In April 2022, Boris Johnson, as Prime Minister, was interviewed by a husband-and-wife couple of his Back-Bench MPs. It all looked very cosy, but Ofcom took no action. Even when Ofcom found that an interview with the Chancellor on the same show—they had a regular show at the time—breached its due impartiality rules, as the programme had failed to present an appropriately wide range of alternative perspectives, no fine was issued. What is the point when broadcasters know that there will be no consequences?
What is Ofcom’s answer to all this? We had the new chair, Sir Ian Cheshire, before the Digital, Culture, Media and Sport Committee the other day, and he said that Ofcom’s critics should
“set up a left-wing version of GB News.”
What? That fails to understand the problem. I must say that Stewart Purvis and Chris Banatvala, the original founders of Ofcom, did not like the way they were named in that response. Sir Ian said, “Stewart and Chris should make their own left-wing show,” but they have never been political. They just want the truth—they want proper journalism—and they had genuine criticisms. Parliament did not legislate for due impartiality to be achieved by balancing one unbalanced broadcaster with another—one partisan with another—so that response smacks of ignorance and arrogance.
I hate to say I told you so, but when Lord Michael Grade did his pre-appointment hearing for chair of Ofcom—I have been on the Committee for that long—I said that his outspoken opinions on the BBC and other culture war issues meant that he was politically partisan. He went through and served his term, and now we have this other one, who is described by the Financial Times as a “City grandee”. He is on £120,000 a year for a three-day week—not bad, is it, to get work like that? He told the pre-appointment hearing that he would take these criticisms seriously, and that he would make it his priority, but like all these regulators, once he got his feet under the table, he appears to have gone native. He is reinforcing Dame Melanie Dawes, the chief executive officer—who is apparently on half a million pounds and is reportedly connected to The Daily Telegraph—whose usual standard answer is, “I do not accept that.” That was the answer that we got the other week, sadly.
Sir Ian said he would look at the blurred distinction between news and current affairs, which is how GB News gets around the requirements. He said that he would make it an immediate priority. He made all these solemn promises to the Committee, but none of it has happened. In fact, the remarks suggest that he does not understand the regulatory framework that he is responsible for overseeing. He said that he would look into politicians presenting shows. I had to say back to him that if a leftie GB News happened and it was as unbalanced as the real thing, I would be the first to complain.
This is not about left and right; it is about right and wrong. Andrew Neil, whom the hon. Member for Mid Dorset and North Poole mentioned, resigned from GB News, describing it as the “biggest mistake” of his 50-year career, because of its descent into bizarre conspiracy theories and its love for the nuttier end of politics. He is no leftie, but he is a journalist, and journalism seems to have been lost in all this lazy opinion stuff that is pumped out.
Ofcom—what is it good for? It is supposed to be a communications watchdog, but it feels overly reactive, ultimately pointless and toothless. Why does this matter? Like everyone in the Chamber, I have been deluged by correspondence from constituents who want a social media ban, so it is all the more important that Ofcom effectively regulates the broadcast world. This is not Fleet Street; these are public service broadcasters. Ofcom should create a safe space for the young online and offline, because the two coalesce and overlap to a great extent. Young people get their news from feeds. Our news media environment has changed—it is far beyond the “One”, the “Six O’Clock” and the “News at Ten”. When Ofcom was first conceived in 2003, social media was not even a glimmer in anybody’s eye. Nobody would have imagined it. The internet still made a noise—that sort of funny sound. In the years since we have seen the influence of traditional broadcasters disrupted by online news and the two things are intertwined.
Ofcom must pull its socks up. There is no incompatibility between freedom of expression and impartiality, but the Ofcom-created rule seems to have been fabricated by some of the right-wing elements within it: under the spurious divide between news and current affairs, a politician cannot read out the news but they can front a current affairs show. In the Boris Johnson era, that divide seems to have been retrofitted on top of the Communications Act in order to green-light GB News, Talk radio and their ilk. They are not public service broadcasters by any stretch of the imagination.
For Ofcom to effectively function, there must be rules and consequences when the rules are broken. Ofwat has abjectly failed because it allows the cowboys of Thames Water to leave a burst water pipe through the summer in my seat, put in place a hosepipe ban for the rest of us, and put a fee on our bills. Ofsted was named in a coroner’s report as a factor in the suicide of a headteacher. Ofcom too is a regulator with which we can find a multitude of faults—maybe its brief has become too big. Presumably my hon. Friend the Minister will know more, but it is probably unfashionable for Governments to create more players on the regulatory playing field. Even so, the world has changed and regulation must keep up. In the meantime, it would appear that the woefully inadequate Ofcom is a regulator that is simply not regulating.
It is a pleasure to serve under your chairmanship, Sir Desmond. I congratulate my hon. Friend the Member for Mid Dorset and North Poole (Vikki Slade) on securing this important debate. We have heard some very good speeches that demonstrate the sprawling remit of Ofcom. As has been eloquently demonstrated by everyone who has spoken in the debate, the size of that remit is, to a large extent, the reason Ofcom is not proving very effective as a regulator. Whether we are talking about Royal Mail, broadband access, the landline switchover, online safety or broadcasting standards, too many people feel that they are being let down. Too often Ofcom appears slow to act, reluctant to use the powers available to it, and unable to provide the robust enforcement that the public expect.
I want to focus most of my comments on one of Ofcom’s largest failings: its failure to protect children from online harms. By Ofcom’s own admission last week, there has been no significant change in the severity or frequency of instances in which children encounter harmful content since the children’s safety duties came into force in July 2025.
Each hon. Member in this debate has heard deeply distressing accounts from constituents, including parents, carers and young people, about the damage caused by content that young people should not have seen online. It is striking that young people themselves often understand the problem better than those who regulate it. In evidence given to Ofcom for its report on the Online Safety Act, one 16-year-old said:
“we need the algorithms to recognise how dangerous these things are, because it only pushes things for them to go viral, it doesn’t consider the safety.”
That young person has identified the heart of the problem: left unregulated, social media companies will continue to prioritise engagement and profit through addictive algorithms. That is why we Liberal Democrats called for a parliamentary review within the first six months of the Act, and why the Government must urgently implement film-style age ratings for harmful social media platforms, which should consider not only the content but the risks posed by addictive algorithms, in order to better protect children online.
I am conscious that Ofcom today announced its recommendations for age verification ahead of the under-16s social media ban, as referenced by my hon. Friend the Member for Mid Dorset and North Poole. Although Ofcom has set out options including banking-based checks, photo ID or digital ID, it has made it clear that the onus is on social network providers to come up with their own solutions and comply.
Keeping young people safe online is essential and we cannot do that if we expose their personal information to big US tech platforms. Leaving social media companies free to choose their own methods incentivises the most intrusive checks, undermining trust in much-needed online safety regulations. As I will set out, the problem with Ofcom allowing social media companies to choose how they comply is that Ofcom does not appear to have the resource to audit companies where risk is identified and then actively enforce high standards. We cannot squander the opportunity to make the internet safer through poor implementation. Ofcom must go back to the drawing board and ensure that age verification is effective, proportionate and privacy preserving, because the reality is simple: social media tech giants do not care about our children’s safety; they only care about how they can profit from them. If we do not act, they certainly will not.
The response to the Grok scandal last year illustrates that perfectly. When Elon Musk’s AI tool, Grok, was used to generate sexualised images of children and women, we Liberal Democrats called for an immediate temporary business disruption order to shut down the site and protect victims. Instead, Ofcom’s investigation dragged on—amazingly, it remains ongoing to this day—while the material continued to circulate. Action was taken only when public outrage forced the platform itself to act. That raises an important question: if Ofcom was unwilling to use its strongest powers in that case, when will it use them? I am not confident that Ofcom has learnt from the incident or that it would use a business disruption order if a similar incident occurred again.
Under the Online Safety Act, Ofcom has the power to impose financial penalties of up to £18 million, or 10% of global turnover. Ofcom publishes press releases announcing headline fines against non-compliant platforms, but it does not publish data showing how much of those fines is actually collected. It was only during a recent Digital, Culture, Media and Sport Committee session that Dame Melanie Dawes, chief executive of Ofcom, revealed that of the 11 fines issued since March last year for breaching the Act, only two have been paid. If nine out of 11 fines remain unpaid, that raises serious questions about Ofcom’s effectiveness and suggests that fines are not acting as a meaningful deterrent.
That is why we Liberal Democrats believe that Ofcom should publish clear data not just on how many fines are issued, but on how many have actually been collected and how long enforcement really takes. Parliament and the public deserve to know whether these powers are working in practice. When platforms facilitate the creation or circulation of illegal material, including child sexual abuse material, Ofcom must use all its powers to stop that material from spreading and immediately issue a business disruption order to shut down the platform.
Those concerns about enforcement extend to broadcasting regulation, as my hon. Friend the Member for Mid Dorset and North Poole and the hon. Member for Ealing Central and Acton (Dr Huq) laid out. When MPs and members of the public write to Ofcom flagging systemic breaches of the broadcasting code, including racist language, disinformation and partial coverage, they are routinely met with a refusal to open a formal investigation. That was also the case when my hon. Friend the Member for Frome and East Somerset (Anna Sabine) —the Liberal Democrat spokesperson for Digital, Culture, Media and Sport—asked for an investigation into coverage by GB News, a broadcaster that is repeatedly let off the hook despite clear breaches of the broadcasting code.
As the hon. Member for Ealing Central and Acton said, the chair of Ofcom, while giving evidence to the DCMS Committee last week, suggested that a left-leaning alternative could combat GB News—you couldn’t make it up. That is such a problematic statement, which not only acknowledges that GB News is not politically impartial, but reveals that Ofcom does not believe that the solution is to regulate properly. If a broadcaster is failing to meet standards of due impartiality, the regulator’s job is not to hope that another broadcaster can balance them out; the regulator’s job is actually to regulate. We cannot let GB News propaganda turn our Britain into a version of Trump’s America, but I fear that is the way we seem to be going.
Misinformation and partial news must be tackled, so either the Government rules are not fit for purpose or Ofcom is not properly enforcing them. At a time when misinformation spreads rapidly with alarming consequences, and trust in our political system is increasingly fragile, effective and impartial regulation has never been more important.
In conclusion, we Liberal Democrats have serious concerns about Ofcom’s ability to enforce its regimes overseeing the Online Safety Act and the broadcasting code, as well as a number of other examples that been referenced, such as Royal Mail, broadband and the landline switchover. We believe that the Government must take those concerns seriously and assess options to increase Ofcom’s effectiveness.
I am very happy to echo the call from my hon. Friend the Member for Mid Dorset and North Poole for a review. We think that options could include splitting Ofcom into two regulators: one to regulate online and broadcasting content, and the other to regulate communications infrastructure. They could also include the creation of a new online crime agency to effectively tackle illegal content and activity online, which we have been calling for. The public deserve a regulator that acts swiftly, enforces consistently, puts safety first and instils trust in the public.
Rebecca Paul (Reigate) (Con)
It is always a pleasure to serve under your chairmanship, Sir Desmond. I congratulate the hon. Member for Mid Dorset and North Poole (Vikki Slade) on securing today’s debate. This is a really important topic, and it is clear how passionate she is about it. I really enjoyed her speech and I would love to see her on GB News, creating some of the balance that she was talking about. In fact, a number of Members here would contribute to that important balance, so I look forward to seeing them all on there at some point.
Before I get into some of the detail that has been raised today in compelling contributions, it is important to recognise Ofcom’s extraordinarily broad remit. From broadcasting and telecommunications to postal services and online safety, it regulates communication services that impact British consumers every day. Independent regulation in all those spheres is important. It is right that we should take this opportunity to consider whether Ofcom is delivering on its statutory duties and is well placed to take on the additional responsibilities allocated to it, particularly given how important they are. Across Ofcom’s considerable remit, we often hear the same concerns: the regulator is too slow to act, too reluctant to intervene and too often unable to secure meaningful improvements. We have heard that across the board today.
Broadcasting is the area of regulation that Ofcom is best known for. Ofcom’s broadcasting code requires that news be reported with due accuracy and presented with due impartiality, and significant mistakes should normally be acknowledged and corrected promptly. It also makes it clear that, save in exceptional circumstances, politicians must not act as newsreaders, interviewers or reporters in news programmes. Those are important safeguards. The public should be able to trust that the news on their screens is being reported accurately and without editorial bias.
That said, there is a really important nuance: “due impartiality” was never intended to mean the rigid allocation of equal airtime for every point of view. Ofcom’s rules recognise different programme formats and the importance of context. The exchange of different opinions and political views is both legitimate and healthy when done in line with the code. But rather unsurprisingly, Ofcom finds itself walking a fine line. The regulator must be robust when rules are broken, but without becoming so restrictive that broadcasters shy away from difficult subjects or controversial opinions, and those rules must always be applied consistently, regardless of a broadcaster’s political outlook. The perception that the rules are enforced inconsistently can be as damaging to public confidence as a lack of enforcement.
Ofcom says that it closed nearly 66,000 broadcasting complaints last year and found breaches in 14 cases, following 25 investigations. Those figures demonstrate activity, but tell us much less about whether the final decisions were fair or effective. Interestingly, I can find no record of Ofcom issuing fines where politicians have been involved in reading the news, despite the code’s clear position on that and some high-profile examples. I therefore ask the Minister, bearing in mind the regulator’s operational independence, whether the Government are satisfied with its regulatory performance in respect of broadcast. Are they satisfied that Ofcom, in performing its duties, strikes the right balance between impartiality, accuracy and freedom of expression?
I turn now to online safety. Ofcom’s responsibilities are growing rapidly, particularly when it comes to protecting children from online harms. That is an immensely important area. We will all be aware that Ofcom has reported under section 63 of the Online Safety Act 2023 that it found no statistically significant reduction in the proportion of children encountering harmful content during the first nine months after the new children’s safety duties took effect. This is an early measure, and we know that some platforms have introduced stronger age checks since; none the less, that initial report is disappointing and concerning. I hope the Minister will update us today on her view on the recommendations in the report and what further actions the Government are considering, if any.
Enforcement in the online sphere can be incredibly challenging. Giving evidence to the Digital, Culture, Media and Sport Committee earlier this month, Ofcom’s chief executive said that only two out of 11 online safety fines had been paid. In the case of 4chan, it was fined £520,000 in March for breaches, including failing to introduce effective age checks to stop children accessing pornography. Its US lawyer responded to demands for payment with an image of an AI-generated hamster. Unfortunately, that example shows how difficult it can be to enforce against overseas entities, putting Ofcom in an extremely difficult position. I would be grateful if the Minister gave her views on the type of enforcement action that should be taken in these difficult cases, such as last-resort business disruption powers, and whether she would like to see those powers used more.
Let me turn to social media restrictions for under-16s, an area where the Government have done the right thing, albeit belatedly and following huge pressure from the Opposition and the public. Ofcom is expected to oversee compliance here and has acknowledged the challenges posed by circumvention, including through VPNs, and told the Digital, Culture, Media and Sport Committee that it will need additional resources for the task. I hope the Minister can respond to that directly by outlining what assessment the Government have made of Ofcom’s staffing, technical expertise and current enforcement capacity. What lessons are being learned from Ofcom’s work on existing online safety duties, and what measurable outcomes will the House be able to refer to in 12 months from now to ultimately judge how effectively Ofcom has discharged this important new function?
I mentioned Ofcom’s extremely broad remit at the outset, and it would be entirely remiss of me, in my capacity as the Member for Reigate, not to acknowledge its responsibility as the regulator for postal deliveries. Royal Mail is ultimately responsible for running its network, but it is painfully clear to my constituents that repeated fines from Ofcom have done very little to secure the reliable service that we should all expect. I recall a Government Member decrying Ofcom as “utterly toothless” on postal services when we considered this issue earlier in the year. He is certainly not alone in taking that view, as we have heard many times over in Members’ contributions today. When the Minister speaks, I hope we will hear about how we can ensure that sanctions from Ofcom meaningfully translate into more letters arriving on time. Otherwise, really, what is the point?
Before I finish, I want to draw attention to the Public Accounts Committee report of 11 September, which identified the critical role that regulators such as Ofcom play in ensuring that vulnerable customers and those struggling financially are better supported. Its report specifically recommends that regulators need to do more to ensure take-up of discounted social tariffs and other support for consumers on lower incomes. Fewer than 9% of eligible broadband customers are on social tariffs and only a third of customers are aware that they even exist. More urgency from Ofcom could create scope for a more joined-up approach that would avoid customers in vulnerable circumstances having to repeat personal information to multiple service providers. I would be very interested to hear the Minister’s thoughts about the recommendations in that report.
That final point brings me back to the purpose of today’s debate. Whether it is ensuring impartial news, children’s safety online, reliable postal deliveries or affordable broadband, Ofcom’s effectiveness has real consequences for the people we represent. Its operational independence is important, but that independence must go hand in hand with accountability. As we continue to expand the regulator’s responsibilities, I hope that the Minister can explain how the Government can measure its success and what more can be done to ensure that Ofcom delivers the improvements that the public rightly expect.
It is a pleasure to serve under your chairship once again this week, Sir Desmond. I congratulate the hon. Member for Mid Dorset and North Poole (Vikki Slade) on securing this important debate on the role and effectiveness of Ofcom. I also welcome the shadow Secretary of State to her place, the hon. Member for Reigate (Rebecca Paul). I do not think we have faced each other across the Chamber, so it is great to see her here today.
The range of issues raised today shows how important Ofcom’s work is to people’s everyday lives, whether that means getting a phone signal, staying connected, having a broadband connection that works, knowing that their children are safer when they pick up a phone or go online, or, of course, having their post delivered. Ofcom’s decisions affect people all across our country. As the UK’s independent regulator for the communication industries, Ofcom’s principal duty is to further the interests of citizens and consumers, promoting competition where appropriate. Ofcom helps to ensure that people can access reliable communication services, that broadcasters meet appropriate standards and, increasingly, that people, particularly children, are protected from online harm.
Given that Ofcom’s responsibilities have never been wider or more significant, it is understandable that today’s debate has covered a number of topics, and I will attempt to speak to each of them in turn. I am pleased to be responding to this debate on behalf of the Minister for Creative Industries, Media and Online Safety, and I will relay the issues raised in this debate to him directly.
As the shadow Minister rightly pointed out, broadcasting is probably what Ofcom is most well known for, and that is where I will begin. Broadcasting regulation has existed in the UK for 100 years. Since its creation in 2003, Ofcom has had the vital role of regulating the UK’s broadcast media, helping to ensure that TV and radio audiences are protected from harmful material. Through legislation, Parliament requires Ofcom to draft and keep up to date the broadcasting code, which sets out clear rules and guidance including the protection of children and ensuring that the broadcast of news remains accurate and impartial. Through the Government’s media Green Paper, we are considering how to ensure that Ofcom continues to have the right powers to protect audiences and regulate TV services into the future. All Ofcom-licensed broadcasters are subject to the broadcasting code and are Ofcom-regulated. When it comes to news, that means that news in whatever form is reported with due accuracy and presented with due impartiality. When broadcasters may have breached the broadcasting code, we of course expect Ofcom to investigate promptly without fear or favour.
I am sure that hon. Members will not expect me to comment on ongoing cases, but a question was raised about politicians presenting television programmes. Ofcom’s broadcasting code sets out that politicians may not
“be used as a newsreader, interviewer or reporter in any news programmes unless, exceptionally, it is editorially justified.”
The Government have expressed concerns about the blurring of fact and polemic and about politicians presenting programmes that could reasonably be interpreted as news or current affairs. There is a clear rationale for strengthening these rules. We are currently considering a range of options to tackle this issue and will set out more information and a decision in due course.
I will take away the point that a couple of Members made about communication regarding complaints to Ofcom. A number of people gave examples of Members of Parliament writing to Ofcom and not feeling that they got an acceptable letter or communication back. I will certainly take that to the Media Minister.
My hon. Friend the Member for Ealing Central and Acton (Dr Huq) spoke about prominence measures—[Interruption.] I thought she was going to intervene; I am about to answer some of her questions. Our “Watch this space” Green Paper sets out two distinct prominence regimes to safeguard UK media online. The first is prominence for trustworthy news. In an era of infinite online information, quality journalism is vital to holding power, including the Government, to account. We want social media platforms to make reporting from high-quality news providers easy to discover. This is not about censorship; it is about defending a free, pluralistic press across the political spectrum. We have not finalised the criteria for trustworthy news and will continue to engage with the sector as we develop proposals.
The second is prominence for wider public service media content on video sharing platforms. From children’s programmes to culture, that content reflects our national story. Our preference remains for sector-led, voluntary agreements on fair commercial terms. The consultation closed on 31 August. Officials are currently analysing the responses, and no final decisions have been made on the regulators.
A number of Members spoke about postal services. Under the Postal Services Act 2011, Ofcom is an independent regulator responsible for postal services. That includes regulating Royal Mail as the UK’s designated universal service provider, and mandates that major parcel companies including Amazon Logistics, DPD, DHL, Evri, Parcelforce and Yodel must have clear complaints procedures, accessible contact channels, defined timelines and trained staff. The Government do not have a role in its regulatory decisions on postal services.
The Government have been clear that Royal Mail’s performance has been unacceptable for too long. The Minister for the Future of Work was in the Chamber earlier this week during a debate on Royal Mail performance —indeed, I think an hon. Member said that there have been three such debates this week. We value Ofcom’s role as the independent regulator, but that independence must go hand in hand with accountability for the outcomes it delivers. Business Ministers recently met the regulator, and they agreed that more needs to be done to tackle persistent service issues. Ofcom is currently concluding its investigation into the company’s 2025-26 performance. We will continue to press Ofcom and Royal Mail to ensure that our constituents receive the service they are entitled to.
A number of questions were put to me on additional powers for Ofcom. The Government expect Ofcom to use the full range of its existing tools to secure better outcomes for postal services. The Secretary of State reaffirmed the importance of Ofcom’s role as the independent regulator in an appearance at the Business, Innovation Science and Trade Committee on 20 October. He was clear that the Government would be pragmatically considering any future requests for additional powers where they are needed.
Vikki Slade
Can the Minister confirm whether those powers might include compensation and a formal complaints system? It seems quite ridiculous that when someone’s mail is not going anywhere, the only thing they might get is more stamps.
The hon. Lady makes an incredibly interesting point, and I will certainly reflect that to the relevant Department. She will appreciate that I cannot be drawn on even the creative policy ideas that she puts to me today, but she has put that on the record, and I will make sure that the relevant Department hears about it.
Online safety is one of the defining issues of our time. The internet has changed how we live, learn and connect, often for the better, but there are clear challenges and dangers that come alongside that. I would like to quote the Secretary of State on this issue:
“This is not the first time in history that new forms of technology have upended society. But what is unique to this moment is that that technology has been developed almost exclusively in the private sphere – so I want to be clear that there is a central role for government in shaping that technology for good.”
Through the Online Safety Act, Parliament gave Ofcom the responsibility of delivering that, and it is right that this House asks how it is progressing. The Government have asked Ofcom to publish a clear enforcement strategy and present it to Parliament so that its priorities and outcomes can be properly scrutinised. Additionally, Sir Ian Cheshire, the Ofcom chair, is reviewing Ofcom’s enforcement capability, and we will consider his findings carefully. If more changes are needed, we will not hesitate to act.
Ofcom’s role will grow further with our decision to ban social media companies from offering their services to under-16s—a decision shaped by the more than 116,000 responses to our consultation. Enforcing both the Act and the ban must be Ofcom’s top priority, including robust action against circumvention. The first social media regulations will be laid before Parliament by the end of the year. I am sure that the Media Minister would be happy to meet hon. Members to discuss this further, and particularly the hon. Member for Mid Dorset and North Poole, who raised a number of points on this. I will ask him to reach out to every Member who has attended the debate, and, if Members would like to, I am sure he would be happy to meet them.
Moving on to issues around telecoms, there was a specific question on the closure of the PSTN. That is on track for 31 January 2027. Hon. Members spoke about the difficulties that some of their constituents face in getting a reliable broadband connection, and they are right to raise that. National coverage matters, and I have seen that in my area of Barnsley. Ofcom’s regulatory regime has facilitated significant investment and growth in the fixed telecoms market. As of January 2026, gigabit broadband coverage stands at 88%. Ofcom’s telecoms access review, published in March this year, provides a stable regulatory framework for the coming years, and continues to support competition and investment across the sector. This infrastructure is critical to households and businesses alike and underpins the delivery of essential public services.
The hon. Member for Mid Dorset and North Poole raised a number of concerning issues in her constituency around connectivity, particularly around rural broadband. I will ask officials to look into the specific points she raised. The Government are committed to ensuring at least 99% gigabit broadband coverage by 2032, including in rural areas.
I am grateful to and have a lot of time for the Minister—she has helped me sort many constituency issues. The issue of broadband is not just a rural thing. In my seat, Ealing Central and Acton, which is in London in zones 2 and 3, we have appalling broadband. We have been told that fast fibre will be rolled out, and it would be great if the Minister looked into that. Also, is the distinction between news and current affairs being looked at? It is something that seems to have been invented in the last 10 years for GB News.
I will reflect my hon. Friend’s second question to the Media Minister, but she is absolutely right that broadband is not just a rural issue. When I was the shadow Media Minister, I did a visit to central London that explained some of the issues around broadband connectivity. We want the whole of the UK to be connected.
The hon. Member for Mid Dorset and North Poole raised the issue of scam calls and texts. I have seen tragic and difficult cases of that in my area of Barnsley. Ofcom’s work to tackle scam calls and fraudulent text messages is an important part of its consumer protection role. It has introduced measures to block calls originating from abroad from using UK mobile numbers and to disrupt scam mobile messages. Those will come into effect in 2027. Alongside the Government’s 2025 telecoms fraud charter and wider fraud strategy, those measures will help to protect consumers. Of course, criminals continue to adapt their tactics, and we expect Ofcom to continue using its powers effectively as the threat evolves. The hon. Lady gave a specific example from the USA; I will raise that with the Media Minister and ask officials to write to her.
My hon. Friend the Member for Carlisle (Ms Minns) spoke in detail and with great experience about the issue of spectrum. Spectrum policy should not be considered in isolation from the Government’s wider objectives for growth, resilience and national capability. The Government sets the strategic direction for spectrum principally through the statement of strategic priorities, while Ofcom independently carries out its statutory functions. Our approach is clear: spectrum management should support investment, competition and innovation while helping to ensure the connectivity and services that the UK relies on are resilient. We keep both our approach to spectrum and the wider regulatory framework under review to ensure that they remain fit for a rapidly changing communications market. My hon. Friend asked a number of other questions; I will make sure she gets a letter from the Media Minister—he is going to be busy following this debate.
It has been a pleasure to speak on behalf of the Government on this important issue. In conclusion, Ofcom’s responsibilities have never been broader or more important. From supporting growth and investment to promoting competition, protecting consumers, strengthening network resilience and implementing online safety regulation, it occupies a central place in the UK’s regulatory landscape. I am grateful to hon. Members for their contributions to this important debate and to the hon. Member for Mid Dorset and North Poole for securing it.
Vikki Slade
We have done very well to debate for an hour and 15 minutes with so few of us in the room. The passion that has been shown and the scope of issues with Ofcom shows how important this matter is. I remain concerned about the capacity of Ofcom to deliver on such a wide range of services and I hope that when the Minister reviews this debate, she will think about extending powers in the media Green Paper and potentially giving a separate role to the postal regulator. I would like to thank everybody for their fantastic speeches.
Question put and agreed to.
Resolved,
That this House has considered the role and effectiveness of Ofcom.