Postural Tachycardia Syndrome

Debate between Andy McDonald and Cat Smith
Tuesday 14th October 2025

(4 weeks, 2 days ago)

Westminster Hall
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Cat Smith Portrait Cat Smith
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I thank the hon. Gentleman for his intervention; I recognise that a lot of hon. Members are here for this debate, more than I have ever seen for a 30-minute debate before. Hopefully, next time I make an application, I might be granted a bit more time. I am happy to take early interventions from colleagues, if anyone wants to make them.

Andy McDonald Portrait Andy McDonald (Middlesbrough and Thornaby East) (Lab)
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My constituent has contacted me about his daughter, who lives with PoTS and faces exhausting weekly travel for costly private IV treatment due to the lack of local NHS provision. They have now found support in York, but it is still far from home. Does my hon. Friend agree that the absence of national clinical guidelines and clear care pathways leaves too many families in that position, and that the Government should do more to ensure consistent and accessible care for people with PoTS, wherever they live?

Cat Smith Portrait Cat Smith
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I agree with my hon. Friend; I will address that point later in my speech.

Elections Bill (Instruction)

Debate between Andy McDonald and Cat Smith
Cat Smith Portrait Cat Smith
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I find myself in agreement with my fellow Bill Committee member; I hope that the usual channels will find time for extra evidence sessions so that the Committee can be informed on the different types of electoral systems.

Andy McDonald Portrait Andy McDonald (Middlesbrough) (Lab)
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On PCC elections, is my hon. Friend as staggered as I am to learn that the Conservative party’s PCC for Cleveland, Steve Turner, who was elected earlier this year, was sacked in the early 2000s for systematic theft of merchandise from his then employer, Safeway supermarket, at its Norton store? Does she agree that it is totally untenable for someone who was engaged in such criminal behaviour to hold the position of PCC and that he must resign from his role with immediate effect?

Cat Smith Portrait Cat Smith
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I am as staggered as my hon. Friend to learn that the Conservative party’s PCC for Cleveland was sacked for theft from a Safeway supermarket. I would certainly agree that it is totally untenable for a criminal to hold the position of PCC, and if what my hon. Friend has shared with the House tonight is true, I would expect a resignation and some kind of by-election for that PCC role with immediate effect.

Turning back to the instruction, the supplementary vote system has been used to elect the Mayor of London since 2000, so it is certainly not a new system of voting. The instruction on the Order Paper suggests that it is somehow something that has come to light since the Bill has been published, but if we have been using this system of voting for the London Mayor for well over two decades, it seems inconsistent for the Government not to have been able to see fit to put this in the Bill before this late stage.

The Minister said that this measure was in his party’s manifesto, and indeed the 2017 manifesto stated:

“We will retain the first past the post system of voting for parliamentary elections and extend this system to police and crime commissioner…elections.”

However, if he reads his party’s 2019 manifesto, as I have done, he will not see it anywhere there. So this was not in the last manifesto and it has not been in the Bill since the beginning. Is this not just another example of Tory arrogance and some kind of apparent allergy to scrutiny and accountability? This Bill has been utterly chaotic and it seems increasingly likely that we are going to get a new Minister on the Bill Committee, although we do not yet know who it will be, and a new Government Whip mid-Committee. To top it all off, we are now not entirely sure whether the Bill sits within the Cabinet Office or the newly renamed “Department for Levelling Up”. So let me level with the Minister tonight: this instruction motion stinks of gerrymandering and we will vote against it.