Postural Tachycardia Syndrome

Desmond Swayne Excerpts

Tuesday 14th October 2025 Westminster Hall

[Rachel Taylor (North Warwickshire and Bedworth) (Lab)]

I thank my hon. Friend for raising awareness of this very important condition. It is, as always, an honour to serve under your chairmanship, Sir Desmond. I am here because, like everyone else, I have had several of my constituents raise the problem of diagnosis taking far too long, the crippling impact that this condition can have on their lives and the difficulty that they face in accessing healthcare. As chair of the all-party parliamentary group for sport and physical activity, I particularly want to raise the impact that PoTS has on people’s ability to continue to play the sport that they love. It may be that, because they are not being diagnosed, they think it is something that will impact their ability to continue their ordinary, everyday life. It is not right that diagnosis takes on average seven years. We must put more effort into and more emphasis on diagnosis and treatment.

[Sir Desmond Swayne (in the Chair)]

Order. Interventions should be shorter.

[Cat Smith]

That intervention was an important one; sport was not included in my speech, but as someone who has PoTS and has run three London marathons, I can say that people can have PoTS and be sporty—it is just a lot harder.

Eating Disorders: Prevention of Deaths

Desmond Swayne Excerpts

Tuesday 2nd September 2025 Westminster Hall

[Several hon. Members rose—]

[Sir Desmond Swayne (in the Chair)]

Order. There will be a formal time limit of one and a half minutes, and I will not be able to call everyone.

[Danny Kruger (East Wiltshire) (Con)]

I will be quick, in that case. I express my appreciation to the hon. Member for Isle of Wight West (Mr Quigley) for a very important speech; I am grateful to him. I particularly welcome the points made by him and the hon. Member for Carlisle (Ms Minns) about the need for better understanding and collaboration in the system, and I echo his call for the national register of deaths to reflect deaths from eating disorders.

I pay tribute to the Cotswold House unit, run by the Oxford Health NHS Foundation Trust in Marlborough in my constituency, which is a really important in-patient and out-patient unit working with adults. I echo the points, which I think are shared across the Chamber, about the value of NHS units as opposed to operations run by private equity companies, whose work I have real concerns about.

I want to add a couple of points to those made by hon. Members about the very legitimate campaigns of the organisations to which we are all indebted for their work. First, the point about early intervention has been made and I will not repeat it, but we clearly need to invest in more understanding both at GP level and among communities and families, and support people while they are still at home. Secondly, we must ensure we have a better and more adequate transition from children’s to adult services, which is a real issue I have come across in casework.

My final point is about the importance of step-down provision. It is not enough just to get people back to a healthy weight and then leave them to themselves; they need proper support for many months—

[Sir Desmond Swayne (in the Chair)]

Order.

--- Later in debate ---

[Liz Twist (Blaydon and Consett) (Lab)]

It is a pleasure to serve under your chairship, Sir Desmond. I thank my hon. Friend the Member for Isle of Wight West (Mr Quigley) for organising this important debate.

I come to this debate through my work with the all-party parliamentary group on suicide and self-harm prevention. There is a clear link with eating disorders, which has been drawn to my attention by the charity Eating Distress North East. Up to a third of people with eating disorders have made suicide attempts, and they are 18 times more likely to die by suicide. Measures to prevent this are really important and must be a priority. The suicide prevention strategy does highlight the need to tackle issues for eating disorders, but I know that lots of organisations in the field would like to see more done in that area.

I want to talk about the role of online harms, which are really problematic. Attention has been drawn to particular sites, and I know that the Government will want to work with Ofcom to make regulations effective for these people, but it is also about the impact of less harmful content. We need greater agency for people to control what they see. Saying that they are not interested is not sufficient. AI, of course, presents new issues.

Eating disorders are devastating and on the rise. Eating Distress North East recorded 78% more referrals in 2024-25—

[Sir Desmond Swayne (in the Chair)]

Order. I call the spokesman for the Liberal Democrats.

Terminally Ill Adults (End of Life) Bill

Desmond Swayne Excerpts

Report stage
Friday 13th June 2025 Commons Chamber

[Dame Caroline Dinenage]

I certainly will read that report. The hon. Member makes an excellent point. Palliative care is really important and needs to be improved. In many cases it makes such a difference, but it is not the solution for everybody. There are the most heartbreaking cases—I have met people in these situations in my constituency—where that form of palliative care would not have made the difference. That is why I support the Bill, and that begins with new clause 13.

[Sir Desmond Swayne (New Forest West) (Con)]

On a point of order, Madam Deputy Speaker. I wonder if you can assist me as I am at a loss as to what amendment we are discussing.

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I have no doubt that if the right hon. Member gives the hon. Member for Gosport (Dame Caroline Dinenage) a moment, she will address it quickly, because even Members who are contributing do not have long.

Oral Answers to Questions

Desmond Swayne Excerpts

Tuesday 7th January 2025 Commons Chamber

[Stephen Kinnock]

We remain absolutely committed to the mental health investment standard. We have prioritised the expansion of NHS talking therapies and individual placement and support schemes, and provided £26 million of capital funding to open new mental health centres. However, we are not complacent on this issue. My hon. Friend spoke about autism assessments, which is a red light that is flashing on my dashboard. I would be happy to discuss that further with her.

[Sir Desmond Swayne (New Forest West) (Con)]

11. Whether his Department plans to improve integration of counsellors and psychotherapists into the mental health workforce.

[The Minister for Care (Stephen Kinnock)]

Counsellors and psychotherapists form an integral part of the NHS mental health workforce, delivering support to people with mental ill health across a range of settings in services for both children and young people and adults. We will publish a refreshed NHS long-term workforce plan to ensure that the NHS has the right people in the right places with the right skills to deliver the care that patients need.

[Sir Desmond Swayne]

Is there a plan to maintain service provision where psychotherapists and counsellors operating in the charity sector have been hit by eye-watering cost increases as a consequence of the national insurance increase?

[Stephen Kinnock]

As I have said in answers to previous questions, and as my right hon. Friend the Secretary of State has said, there is something of a pattern emerging here: Opposition Members say that they welcome the investment the Government have made, but oppose the revenue-raising measures and refuse to set out whether they would increase taxes or cut services. I still have not heard an answer on that from those Members.

Tobacco and Vapes Bill

Desmond Swayne Excerpts

2nd reading
Tuesday 26th November 2024 Commons Chamber

[The Secretary of State for Health and Social Care (Wes Streeting)]

I beg to move, That the Bill be now read a Second time.

Today, across the UK, 350 young people aged 25 and under will take up smoking. It is a decision that the vast majority will later regret. They will try to quit again and again, but most will not be able to break their addiction. They will suffer strokes, diabetes, heart disease, cancer, stillbirth, dementia or asthma as a direct result of smoking. For two in three of those young people, the habit they are beginning today will eventually kill them.

Smoking takes 80,000 lives a year and causes one in four deaths from cancer in England, a hospital admission almost every minute and 100 GP appointments an hour. It is the leading cause of sickness, disability and death in our country. And today, Members of this House can consign it to the history books.

The Bill before the House will raise the legal age of the purchase of tobacco by one year every year, creating the first smokefree generation and, eventually, a smokefree nation. The Bill will enable the Government to extend the current indoor smoking ban to certain outdoor settings, and we will consult on banning smoking outside schools and hospitals and in playgrounds, protecting children and vulnerable people from the harms of second-hand smoke.

The Bill will come down on the vaping industry like a ton of bricks, to prevent a new generation of children and young people from getting hooked on nicotine. Taken together, these measures add up to the most significant public health intervention in a generation. They are a giant leap in this Government’s mission to build a healthy society and, in doing so, they will help to build a more healthy economy too.

[Sir Desmond Swayne (New Forest West) (Con)]

Can the Secretary of State imagine the plight of a shop assistant, some decades hence, when a middle-aged or elderly person presents themselves seeking to buy a packet of cigarettes? Is that shop assistant really expected to demand their bone fides?

[Wes Streeting]

I can not only imagine it, but I recently experienced a similar situation. There I was in Barkingside Sainsbury’s one evening, only weeks ago, buying a bottle of wine to have with dinner and, to my surprise, I was asked for my ID. I am afraid it is just a burden that those of us with youthful vim and vigour in our early 40s have to bear, and it is a price I am willing to pay—for good moisturiser. However, there is a serious point. Along with many others that I am sure we will encounter during the passage of the Bill, this is one of the cynical arguments being deployed by the mendacious smoking lobby, which would have us believe that, decades hence, there will be people who are at the margins—one aged 41 and one aged 40, for example—being asked for ID on the sale of cigarettes. The point is that the Bill will create a smokefree generation. Young people growing up in our country today will not be smokers, because we will have stopped the start. We will do everything we can to support adults who are currently smoking, because the vast majority want to break the habit but struggle to do so.