Domestic Abuse-related Deaths: NHS Prevention

Amanda Martin Excerpts

Tuesday 20th January 2026 Westminster Hall

[Dr Simon Opher (Stroud) (Lab)]

I beg to move,

That this House has considered the role of the NHS in preventing domestic homicides and domestic abuse-related deaths.

It is a pleasure to serve under you, Sir John. I am grateful to the Backbench Business Committee for giving me the opportunity to open a debate on the role of the NHS in preventing domestic abuse and dealing with it when it presents to the NHS. I thank my hon. Friend the Member for Lowestoft (Jess Asato), who, since we secured this debate, has been appointed as the violence against women and girls adviser to the Department of Health and Social Care. I think we shall hear from her later. I also place on the record my thanks to Standing Together Against Domestic Abuse, IRISi, Respect and, from my own constituency, Stroud Women’s Refuge, which have really helped me with this speech. I declare an interest: I am a working GP and sometimes need to deal with these issues.

On average, five people a week die as a result of domestic abuse in this country. Now, there are actually more suicides related to domestic abuse than homicides. Behind each of those statistics is a life lost and a family devastated. In far too many cases, there has been repeated contact with health services and there have been moments when the health service could have intervened. The NHS is the most consistent point of contact for people living with abuse. Each year, about half a million people seek support from the NHS in relation to domestic abuse and 85% of them ask at least five times before they receive effective support. That is not because clinicians do not care. It is really about recognition of domestic abuse and getting referral services that are easy to understand and well known in practice. If we are serious about preventing domestic abuse, we must be serious about the role of the NHS—not just in primary care, but across all mental health services, across maternity services, through emergency departments and through community care. It has to go right across the NHS and not just primary care. This is really a debate about making sure that we do not miss chances and that we provide meaningful intervention when people present with signs of domestic abuse.

The Government have committed to delivering on our promise to halve violence against women and girls by 2029, and I welcome the comprehensive strategy to tackle that. For too long, support services have been unable to support victims and survivors effectively. They have been without sufficient resources and, in too many cases, women and girls have not been able to access the support they need. Therefore I welcome the Government’s supporting victims through the largest ever investment of £550 million in victim support over the next three years and an additional £5 million each year from the Department of Health and Social Care.

I would like to say a few things about how GPs specifically are often the first port of call, and how presentation to GPs is incredibly important for recognition of this issue. I shall quote from Killed Women, an organisation for bereaved families of women who have been killed by men in the UK. It says about one woman:

“She had gone to the GP a few days before her death as she couldn’t take any more. She was only offered antidepressants. On the day of her murder when I spoke to her, she said they are not helping and she had had enough. She said the GP knew her situation but yet again she was failed there.”

That shows that simply giving out antidepressants is not the right strategy. We need to build support around women subjected to domestic abuse. Often, they present with mental health issues and will not give any details of their abuse. One thing that I teach GPs in training is that there is something called a hidden agenda. Women particularly will present to the GP but they will not say that they are being abused; they will have other symptoms. We must recognise that presentation straightaway, and there are ways we can recognise it. Sometimes the woman in question will present with a partner and not feel comfortable talking about the situation. I often ask the partner to leave the consultation and I speak to the woman individually, which can be an effective way to find out exactly what is happening. We need to be aware that women in this situation are often nervous and walking on eggshells. We also have to recognise that often there are physical injuries, often of different ages. We sometimes see women presenting in sunglasses to cover up a black eye, for example. The health profession must recognise all those symptoms.

As I have said before, there are very high rates of mental health problems. Women who are being abused often present with symptoms of depression caused by domestic abuse, so we need to ask those women whether anything is going on at home. Female survivors of domestic abuse are three times more likely to develop mental illness. There are also other high risk periods, such as when women are pregnant and they often have poor outcomes in those situations. We must also be aware, across the health service, that women might disclose domestic abuse. Health visitors are in an ideal situation to hear about that type of thing and must be aware of that potentiality.

In A&E, women often present with overdose, and underneath that there is domestic abuse. Midwives are often presented with this, as are mental health workers, and even gynaecology services as well as social services. Often women present to the health service with different symptoms, but that is a cry for help, which we must recognise.

What do we need to do to support those women? One thing I am delighted about is the concept of steps to safety. The Department of Health and Social Care will roll out a domestic abuse and sexual violence referral service across integrated care boards, giving GPs the tools and ability to identify and refer victim-survivors to support. What is important is that it is a simple service with one number. If it is not simple, it will not be used by health services, and that is incredibly important. It is also important that we make use of existing resources. I visited the sexual abuse centre at Gloucestershire Royal hospital recently. It is a fantastic resource with really well-trained staff who are available 24/7.

It is really important, particularly in practices, to have a safeguarding or domestic abuse lead who is totally up to date with what is available, because quite often services change and GPs themselves are not on top of that. So that is important as well. Can I also stress the importance of women’s refuges? In Stroud we have a fantastic refuge. It does not advertise itself, for obvious reasons, and the people working there are simply amazing, supporting women who have difficulties, and often their children as well. It is inspiring to see the work they do, and it is important that those services are available immediately if women feel in danger.

Can I also make a plea for support for the perpetrators of abuse? It is usually men that perpetrate abuse and they often abuse at least five times, so it is important to catch them the first time and institute really good treatment and management for them. There are often drugs, alcohol or mental health issues behind their problems, so we must deal with that before they continue to abuse. Although that is controversial, I think that is incredibly important as well.

What do we need for the whole of our health strategy? We need things to be co-ordinated. There is a suggestion that we have domestic abuse co-ordinators for a group of GP practices. As I said, I think we need to have leads in general practice, with one person leading who can keep up to date and keep reminding the other members of staff that that is really important. When we are training in primary care, it is important to train everyone. For example, the receptionists in primary care are often aware of the people coming in. They need training to detect domestic abuse so that they can inform the doctors. It is a whole team approach, with pharmacists, nurses and physiotherapists also needing to be trained and aware of the signs and symptoms of domestic abuse.

That training should be essential for everyone, but I want to step back from mandatory training. Many people in the health service find that irksome and a tick-box exercise. I do not want domestic abuse training to simply be a tick box where someone goes on an hour-long course every year and that is it. We need a more integrated approach and it needs to be part of an appraisal process so that every doctor, nurse and healthcare worker is aware and trained in domestic abuse—but without it being made mandatory so that it does not simply become a course that people must go on, but is instead properly integrated into the service.

Last of all—and this seems incredible in this day and age—we need to share data between all of the health services, for example, A&E, GPs and mental health. We often do not get any information from mental health. It is important that we get that data sharing up to speed because domestic abuse can present in many different situations in the NHS and it is important that everyone is aware of the risks. In terms of funding, the £5 million a year from the Department of Health and Social Care is a good first step, but we need quite a lot more than that to bring this service to the fore.

In conclusion, if we are serious about preventing domestic abuse and the deaths that so often follow it, then the NHS must be properly equipped to play its full role. There are three points that I would like to make. The first is on funding, and around training and investing in services that will really help in domestic abuse. Those steps to safety are key because it must be simple for women to access those services. It is also important that wherever a woman presents to the NHS, that the person they present to is trained to detect domestic abuse and aware of what is available for that woman. Finally, we must have a comprehensive whole-health plan for the NHS and tackling domestic abuse and violence against women and girls. That must cover primary care, mental health, maternity and accident and emergency services—and I would like it to be published by 2027 at the latest.

[Amanda Martin (Portsmouth North) (Lab)]

It is a pleasure to serve under your chairmanship, Sir John. I thank my hon. Friend for securing this debate. At the beginning of this debate my hon. Friend mentioned suicide. As we are talking about NHS services, and when we have women trying to take their own lives, I wanted to highlight the devastating impact of the deaths of two people from Portsmouth who took their own lives because of coercive control. Does my hon. Friend agree that all of the agencies across the NHS, our wider health service and our police need to be joined up to stop the loss of lives and that that is a public health issue?

[Dr Opher]

I know that my hon. Friend is invested in trying to help women subject to domestic abuse. Coercive control is very important as it often stops women presenting to healthcare workers. As I have said before, one key thing as a clinician is that we have to be brave and ask the man to step out so that it is possible to have a proper conversation. They can often resist that and can get violent as well. It is important that we take a brave view on this to protect women in general.

To conclude, if we get those three things right—funding, recognition, and a comprehensive and integrated care service—we can move forward to a service that repeatedly sees and recognises abuse and immediately steps in to stop it. That is the shift I am calling for in this debate, and it is one that could save many lives.

Resident Doctors: Industrial Action

Amanda Martin Excerpts

Wednesday 10th December 2025 Commons Chamber

[Wes Streeting]

I congratulate my hon. Friend on all his campaigning to secure investment in his constituency. One thing I can assure everyone in our country is that NHS leaders, frontline staff and I will do everything we can to mitigate harm during these strikes; I am afraid what I cannot do is guarantee that there will be no harm. That is the thing that keeps me awake at night at the moment, and that is the thing that the BMA should keep foremost in their minds when deciding whether or not, even at this late stage, to take up the offer to postpone strikes until January and take the mandate extension.

[Amanda Martin (Portsmouth North) (Lab)]

As a proud trade unionist, I know that trade unions are there to represent their members’ interests and views, yet by pushing ahead with this strike action, the BMA appears set to ignore its members. The offer on the table is real and comes from a Government who are listening and making positive change. Would the Secretary of State urge the BMA to take stock, think again about patients and its colleagues, and pause action while its members are consulted on the new terms? It has nothing to lose from pausing, yet the NHS and the population have so much to lose.

[Wes Streeting]

I completely agree with my hon. Friend. The BMA has put the offer to its members in neutral terms, but the fact is that it is now going to run a hasty survey over the next few days in order to give us what will still be less than 48 hours’ notice of whether or not these strikes will go ahead. If it took up the mandate extension, it could run a referendum properly and give its members more time to consider and discuss the offer in the workplace and with their families and reps. I do not see how more participation in the conversation and in the ballot could possibly be a bad thing.

As I have made clear to resident doctors, there are no downsides for the BMA in this. In fact, the only person who risks having a downside is me if, even after accepting the mandate extension, the deal is rejected and the doctors go out on strike again in January. This is not even a win-win scenario; this is a potential win-lose scenario, so I do not know why the BMA would not take it up.

This is a great offer for doctors. I know there will still be more to do, whether that is the implementation of the 10-point plan that Jim Mackey has come up with, my offer to work with the BMA trust by trust and employer by employer to see progress, or any of the other things we can do together. If we work together, we can get more done together. If we are working as partners rather than adversaries, we will all enjoy it a lot more and we will make more progress, and that is the opportunity that is available.

International Men’s Day

Amanda Martin Excerpts

Thursday 20th November 2025 Commons Chamber

[Amanda Martin (Portsmouth North) (Lab)]

I congratulate my hon. Friend the Member for Cannock Chase (Josh Newbury) on securing this important debate and on his eloquent and brave words to open the conversation.

As he said, today is a chance to celebrate the men and boys in our lives, acknowledge the challenges that many face, and recognise the positive roles they play in our families, workplaces and communities, so let me begin with my own. I want to celebrate my dad, Terry, my brother, Lee, and my partner, Robin, who are all fantastic role models, brilliant men and hugely important to me, our family and friends. I also want to celebrate my fabulous nephews, the young dad, Luke, and Frankie who turned 10 this month, as well as my male friends and colleagues in this place. Finally, I want to take a moment to celebrate my three beautiful sons. I say to them, “As you make your way in this changing world, you make me proud every day with your openness, your kindness, your humour, and your love and respect for each other and for those around you. I love you boys.”

Every man in my life has faced challenges, be it school or workplace bullying, health conditions, disability, bereavement from illness or suicide, or loneliness. The difference is that they had each other and, crucially, they felt able to talk and to ask for help, but too many men do not. The statistics are stark: one in five men does not live to 65, more than 5,000 men die by suicide each year, nearly 1 million men are unemployed, and paternity leave is a class issue and works against the self-employed.

These numbers are not abstract. They are real lives: young men lost in education, and fathers struggling to balance work and family, including some going through break-ups and separation from their kids. They are veterans adjusting to civil life, older men being pushed out of the labour market, and men of all ages wrestling with health worries but determined not to be a burden.

It is partly because of these realities that colleagues, partners and I have established a Labour group for men and boys. Our purpose is simple: to ensure that this Government build policies and politics that better represent men and boys and, in doing so, to improve outcomes for everyone. We believe in a modern, positive vision of masculinity that strengthens rather than undermines gender equality.

Men feel that their identity has been shaken by rapid change and feel that so much of life is out of their control. They mistrust politics and politicians, and in that vacuum toxic, dominance-based narratives can gain ground, so it is important that we as a Government have their back. We need to offer hope, be inclusive and offer a story of what British manhood should be built on: pride, purpose, belonging and trust.

Supporting men and boys is not a zero-sum game. It is about listening, acting and rebuilding trust. This Labour Government are already taking action. We have abolished exploitative zero-hours contracts, raised the minimum wage and launched England’s first ever men’s health strategy. We are reforming apprenticeships, delivering pride in place investments and strengthening communities. The Government must take responsibility—

[Jim Dickson (Dartford) (Lab)]

I thank my hon. Friend for her excellent speech. I have heard her talk glowingly about her boys to me and to others, and she is doing them real justice in her speech. I believe she is absolutely right to welcome the men’s health strategy, which was published yesterday; it is a fantastic document and road map for us.

Does my hon. Friend agree—especially given that her boys are still growing up and in early manhood—that young men are particularly prey to the problems of gambling, particularly online gambling and rapid turnover gambling, and that it is really welcome that the men’s health strategy contains proposals to tackle the real problem of men and gambling from the grassroots upwards?

[Amanda Martin]

I absolutely agree with my hon. Friend. Online safety is also crucial in protecting boys from harmful content, misogyny and gambling promotions, which he mentions.

The measures that this Government have taken are a start. We know that we need to do more to restore trust, dignity, opportunity and a sense of belonging, where too many men have been forgotten and ignored, so that men see and feel the changes in their everyday lives.

I want to highlight the work I have been doing with tradespeople through my tool theft campaign—Members may have heard of it! Tool theft disproportionately affects male workers, many of them self-employed or running small businesses. Losing tools is not an inconvenience; it can mean lost wages, contracts, reputations, and indeed lives. I launched the campaign after hearing countless stories of livelihoods being destroyed, and I thank everyone who has shared their experience. Their voices matter, and they are part of what we celebrate today.

When it comes to fatherhood, let me give a small nod to every tired dad out there, with a dad joke. Madam Deputy Speaker, what do you call a woman who sets fire to all her bills? Bernadette! Yeah, my boys will probably roll their eyes at that, but beneath the joke lies something very serious. The Dad Shift campaign is showing how many fathers want to be present in the first precious weeks but simply cannot afford it. Strengthening paternity leave is not just about fairness for dads; it is about giving the best starts, helping families to build resilience and shaping the kind of society we want to be here in Britain.

I want to leave Members with a quote from a brilliant book, “The Boy, the Mole, the Fox and the Horse”, which captures the courage I see in so many men every day:

“‘What is the bravest thing you’ve ever said?’ asked the boy.

‘Help,’ said the horse.

‘Asking for help isn’t giving up,’ said the horse. ‘It’s refusing to give up.’”

That is the bravery we celebrate today.

Baby Loss

Amanda Martin Excerpts

Monday 13th October 2025 Commons Chamber

[Amanda Martin (Portsmouth North) (Lab)]

I rise to speak about baby loss on behalf of those affected—those who I know and love, and those who I do not know. This tragedy touches far too many families in Portsmouth North and across our country. We have heard today how each year in England and Wales, tragically, around 2,500 babies are stillborn and a further 1,600 die within their first year of life. Behind every statistic is a grieving family—mother, father, grandparents, aunties, uncles, cousins and siblings—whose world is changed for ever.

Around 2,000 babies are born in Portsmouth each year. While outcomes have improved, we still see the deep inequalities that drive baby loss, and babies born in our most deprived communities are twice as likely to die before their first birthday than those in our wealthiest communities. Many of our maternity teams are working tirelessly to change that. At my hospital, the Queen Alexandra hospital, the maternity service has earned a UNICEF baby-friendly gold award, a national HSJ digital award and an NHS parliamentary award for innovation and compassionate care—proof that the possibility of dedication and excellence can and does exist.

However, such excellence should not be a postcode lottery; it should be national and available for all. We have the knowledge to prevent many of these tragedies. We have had inquiries that have produced recommendations and actions about early, informed and accessible antenatal care, tackling health in pregnancy, supporting maternal mental health, accountability, transparency, openness and addressing inequalities, and listening to women and families about their experiences, to ensure that their birth choice is right for mum and baby, free from pressure and prejudice. Services must be properly funded, staffed and joined up.

When nothing can be done and a loss occurs, compassionate bereavement support is vital. Parents tell me that small acts of care, including a quiet room, a midwife who listens, a support group for all the family, the use of language—that it is a baby loss, not a miscarriage —and the opportunity to talk and be heard, can all make a difference. However, like maternity provision, bereavement support varies widely and too many families are left to cope alone, often in silence.

This week, as we mark Baby Loss Awareness Week, we must stand with every parent who lights a candle, remembers a name or holds in their heart the baby they never got to take home or who was not physically in their lives forever, but who will always be a part of their family. To those families, I know we all say, “You are not alone, your babies are not forgotten and your courage gives meaning to this work and to our debate.”

As a Government, we must work with local NHS leaders, public health teams and charities. We cannot talk about breaking down barriers to opportunity if we do not do that in our maternity services. Baby loss is not inevitable, but it is a challenge that we, as a Government, can and must meet. With compassion, we must have action.

Down’s Syndrome Regression Disorder

Amanda Martin Excerpts

Tuesday 8th July 2025 Westminster Hall

[Amanda Martin (Portsmouth North) (Lab)]

It is a pleasure to serve under your chairmanship, Sir Jeremy. I thank my hon. Friend the Member for Thurrock (Jen Craft) for securing the debate, and for her opening words on Down’s syndrome regression disorder.

As we have heard, Down’s syndrome regression disorder is a little known but deeply distressing condition that affects between 1% and 2% of young people with Down’s syndrome, typically between the ages of 10 and 30. It is sudden and life altering. Young people who have developed essential social, motor and communication skills can rapidly lose those abilities, sometimes in a matter of weeks or even days.

One of the greatest challenges facing families is the lack of awareness. It is often misdiagnosed as early-onset Alzheimer’s, late-onset autism or schizophrenia. Without accurate diagnosis, access to the right treatment is often delayed, leaving families to navigate a terrifying and bewildering situation on their own.

I would like to share the story of one of my constituents, whose son Ewan experienced not just one but two severe episodes of this regression. Each time, his descent was sudden. He became consumed by paranoia, withdrew from his life, took to his bed and suffered significant mental health distress. His personality changed dramatically: once a happy, sociable young man, he became fearful and was convinced that Government agents were following him. His family described feeling shocked, heartbroken and completely unprepared. Despite persistent efforts, they struggled to get timely support. They battled to ensure that they were included in care decisions, and had to fight hard for regular reviews from the specialist.

While Ewan has since made a remarkable recovery—I pay tribute to him, and I am proud to say that he has just celebrated one year of work experience, part time at Lidl—and he is now once again his warm, bubbly self, his family’s ordeal has left a permanent impact. They now view his happiness as their priority, recognising his enduring vulnerability.

Research into DSRD remains limited. Though the condition has been recognised since as far back as 1946, there is still no national diagnostic pathway, no agreed treatment protocol and very little professional training. However, 80% of those who receive appropriate and timely treatment show significant improvement. To get there, we need to raise awareness. We must improve diagnostic clarity and ensure that support services are properly resourced and accessible, and that families are listened to, because they know their young people best.

Today, along with colleagues, I am calling for greater clinical awareness of DSRD across health and social care; the development of UK-wide diagnostic and treatment guidelines; and investment in further research to better understand this condition and its triggers. For the families affected, timely intervention can mean the difference between recovery and long-term suffering. I hope that this debate will be a step towards giving young people like Ewan and their families the understanding, support and hope that they deserve.

Male Suicide in Rotherham

Amanda Martin Excerpts

Monday 24th March 2025 Commons Chamber

[Jake Richards]

I am grateful to the hon. Member, who has a remarkable ability to bring that important issue into any debate or intervention he makes. He is the most vociferous campaigner on that cause. I support him in that, and I know the Minister will also be listening.

I want to finish with the action I will take as the local MP. First, I pledge to continue to support the brilliant services we already have. I remember attending my first Andy’s Man Club in Maltby during the general election campaign. I must admit I was slightly cynical. I had seen the marketing, but questioned how effective or useful that informal meeting would be. I was blown away. Over the course of a few hours, a group of blokes spoke about their weeks, and their problems, over a cup of tea. Some of the chat was mundane: they were finding their work more boring, or they had had a good weekend with the family. Others were dealing with the most impossible trauma that put all else—in particular my election campaign—into stark perspective. Afterwards, everyone walked away ready to face the week, however big the challenges ahead. I have since met so many men who use that service. One of the first things I did once elected was to bring Andy’s Man Club to Parliament. I promise to continue to champion its work, and the work of many others.

I also regularly meet local health practitioners in Rotherham to hear their strategies to bring down the rate of men ending their own lives locally. The work of Rotherham health and wellbeing board, and the South Yorkshire integrated care system is hugely commendable, not least the emphasis on improving data and evidence to ensure effective and timely interventions, and providing tailored, targeted support to priority groups and effective bereavement support to those affected by men taking their own lives. Those plans sit within strategies to tackle loneliness, health inequality and domestic abuse. I have committed to holding regular meetings with all GP practices in my constituency, and other support groups, to help tackle male suicide.

We will hear from the Minister shortly about the Government’s national efforts, and from conversations with him I have no doubt that he grasps the severity of this crisis and the urgency with which this Government must confront it. Rest assured, I will be challenging the Government every step of the way to be ambitious in this agenda, and to ensure that policies will work for every town and village in Rotherham. Locally, I will be setting up my Rotherham taskforce to hold authorities to account, working with men and women who are on the front line confronting this issue. We will lead the ongoing awareness campaign and ensure that professionals, and local and national Government, treat this issue with the seriousness it deserves. I am grateful for the opportunity to speak about this important issue, and I hope that by doing so we begin more conversations across our borough. Together, we can bring about meaningful change, and save lives.

[Amanda Martin (Portsmouth North) (Lab)]

rose—

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I believe the hon. Lady has permission from the hon. Member for Rother Valley (Jake Richards) to make a brief contribution.

[Amanda Martin (Portsmouth North) (Lab)]

Thank you, Madam Deputy Speaker, and I thank my hon. Friend for securing this debate.

We have heard that male mental health is an issue that deserves our full attention. In my constituency of Portsmouth, suicide is the leading cause of death among males aged between 20 to 49. Each year 24 people in Portsmouth take their own lives, and 78% of them are men. Compared with the national average, Portsmouth has higher rates of divorce, homelessness and alcohol-related admissions, which are all contributing factors to poor mental health and suicide. Despite those heartbreaking statistics, we lack enough dedicated local charities. National charities such as the Samaritans and Andy’s Man Club provide critical support but lack local initiatives. However, groups such as SPEAK and Man Mind, and fabulous individuals, help men to have spaces to talk and mental health walks. However, those alone are not enough and we need more funding.









My constituency is home to many veterans, a group in dire need of improved mental health support. Yet in reports on suicide prevention action from 2022 to 2025, veterans are not even listed as a high-risk group. That is unacceptable. Portsmouth has a proud military history and we must do what we can.

The construction industry is the backbone of our nation, and suicide rates in that group are four times higher than the national average. One of the biggest barriers to male mental health support is stigma and the culture of silence.

As the mum of three lads, or should I say young men, it is heartbreaking for me to know that they have had first-hand experience in their friendship groups of male suicide. Fortunately, not all those attempts were successful, but some were. That has had a lasting impact on the young men’s outlook and their friendships, and has been devastating for those around them.

It is time for the Government to take bold steps to tackle the crisis. We need targeted funding for male mental health services, in combination with stronger support for at-risk groups, whether they are veterans, construction workers or young men. We must create safe spaces for men to open up, and we must ensure that no man feels that suicide is his only option, because it is not.

Hospice Funding

Amanda Martin Excerpts

Thursday 19th December 2024 Commons Chamber

[Karin Smyth]

I have scribbled my own note—the right hon. Gentleman says that he “agrees”— but the issue is that his Government did nothing over 14 years to support or make a change. That is why the announcement we are making is so important. I reiterate my earlier point, which I will repeat every time I am at the Dispatch Box: the Conservatives have not read the Darzi report; if they do not agree with the diagnosis, they cannot agree with the solution. That is their fundamental problem.

[Amanda Martin (Portsmouth North) (Lab)]

I welcome the announcement of additional funding, as will many families across the country. Although it is not in my constituency, Rowans Hospice is used by people in Pompey. Indeed, my nan Pearl and my very dear friend Fiona spent their last few weeks in the hospice’s care, and what a wonderful place it is. At a city council meeting this week, concerns were raised about the future of that amazing service. Will the Minister confirm that the Government are committed to ensuring that every person has access to high-quality end of life care?

[Karin Smyth]

That is absolutely what we want to do, and today’s announcement is a step towards it. As my hon. Friend highlights, hospices are very special places, but most people want to die at home with their loved ones, in the place they know well, and many parts of the sector will be able to use this money to help more people to die peacefully at home.

Winter Preparedness

Amanda Martin Excerpts

Wednesday 18th December 2024 Commons Chamber

[Karin Smyth]

As I said in my statement, we have begun plans to stabilise the workforce and the employment Bill is going through the House, so I do not agree with the hon. Lady on that point. We know that it will take a long time, and we will of course be working with colleagues to ensure that we do develop that national care service.

[Amanda Martin (Portsmouth North) (Lab)]

Let me begin by echoing the Minister’s words and thanking the fantastic NHS workers and those in the wraparound service who provide a vital service in Portsmouth all year round, but particularly in winter. Let me also thank all the Members who turned up for the joint NHS consultation with me and with the Under-Secretary of State for Education, my hon. Friend the Member for Portsmouth South (Stephen Morgan).

Unfortunately, owing to the scale of the damage done to the NHS by the last Government, our NHS providers have to make very difficult decisions at this time. Can the Minister reassure me and my constituents, that patient safety, and emergency services in particular, will be this Government’s first priority during the winter?

[Karin Smyth]

I am very pleased to reiterate that safety is the watchword for winter, as it is all year round, and to stress that that is why NHS England wrote about it today. I commend my hon. Friend for meeting her constituents locally, and I urge all Members to do the same. We are getting some fantastic ideas from staff and from patients about how to reform and change the system for the long term.

Tobacco and Vapes Bill

Amanda Martin Excerpts

2nd reading
Tuesday 26th November 2024 Commons Chamber

[Andrew Gwynne]

My hon. Friend is absolutely right. From the engagement that I have had with members across all parties in local government—elected members, officers and directors of public health—I know that they want these measures. They are up for introducing them, and for helping us to get them right.

The hon. Member for North Shropshire raised the issue of ID checks, as did a number of others. I gently say to those who expressed a degree of scepticism that most retailers already follow recommended practice and regularly ask customers for ID. We are stopping people from ever starting smoking, and 83% of smokers start before the age of 20. That means that someone who has never previously smoked is highly unlikely to want to take up smoking later in life. Our published modelling shows that smoking rates in England for 14 to 30-year-olds could be close to 0% as early as 2050 with the measures in this Bill.

[Amanda Martin (Portsmouth North) (Lab)]

As a former teacher, I hope that the Government are working across Departments. Will we work with the Department for Education to ensure that these conversations are had in our schools, right from the beginning, at primary level, and all the way through?

[Andrew Gwynne]

That is absolutely crucial. With this legislation, we have to make sure that we do not take our foot off the pedal when it comes to education and informing the next generation of children of the harms of smoking and vaping through our public health initiative.

Infected Blood Inquiry

Amanda Martin Excerpts

Tuesday 19th November 2024 Commons Chamber

[Amanda Martin (Portsmouth North) (Lab)]

We must always remember that at the heart of any public scandal, there are people. So many of my hon. Friends this afternoon have told tragic stories, but also stories of courage and humility. Alongside other brave, courageous victims and their families, Becca, Jess and their siblings have campaigned for justice for people infected and affected, in loving memory of their father, Joe. Like me, they welcome the decisiveness and commitment from this Government. With families like them in mind, I would like to ask the Minister to outline when he expects the second set of regulations to be laid before Parliament, how victims and their families can continue to be involved and informed of progress, and how claims can be made.

[Madam Deputy Speaker (Caroline Nokes)]

I call the shadow Minister.