Business of the House

Debate between Bobby Dean and Caroline Nokes

Thursday 4th December 2025 Commons Chamber

[Madam Deputy Speaker (Caroline Nokes)]

I call the Liberal Democrat spokesperson.

[Bobby Dean (Carshalton and Wallington) (LD)]

I join the Leader of the House in his tributes to Sir John Stanley and Paul Barwell. He referred to the Christmas spirit getting going in and around the House, and I ask him to spare a thought for the Lib Dem staffers clutching coffees this morning after their Christmas party last night. I cannot confirm or deny whether I joined them.

Earlier this week, the Government announced a trade deal between the US and the UK on drug prices and medicines. Having reportedly rejected a price increase of £2.5 billion earlier this summer, the Government’s negotiators went back to the table and will apparently now pay £3 billion more instead. There is a live debate over how much the NHS should pay for drugs, which I respect. Big pharma has always wanted to drive up prices and has clearly not liked the purchasing power of the NHS, but the National Institute for Health and Care Excellence thresholds have not changed for some time, and there are some who argue that that means we are missing out on particular medicines. Others make the alternative argument that the opportunity cost of that spending in other areas of healthcare means that the thresholds should stay where they are.

Wherever we stand on that debate, two things are clear. First, this considered debate should not be settled by the bully-boy tactics of President Trump. He introduced 100% tariffs, breaking the World Trade Organisation rules on tariffs over this, and has come out with the explicit intention of putting Americans first. Secondly, the Government should explain how this huge price increase will be paid for. Daniel Elkeles, the chief executive of NHS Providers, says that

“it is not yet clear how it will be paid for”,

and there are fears among GPs, dentists and community pharmacists that they will be the ones who will suffer as a result of the increase in prices. Will the Leader of the House urge a Health Minister to come to the Dispatch Box to answer questions about the impact of this new deal?

Business of the House

Debate between Bobby Dean and Caroline Nokes

Thursday 20th November 2025 Commons Chamber

[Madam Deputy Speaker (Caroline Nokes)]

I call the Liberal Democrat spokesperson.

[Bobby Dean (Carshalton and Wallington) (LD)]

I join the Leader of the House in thanking Mr Speaker for the seriousness with which he is taking Chinese interference in our democracy. I represent many Hongkongers in my constituency, and they are deeply concerned about this issue.

It was a relief to hear confirmation that the Budget will be taking place on the Floor of the House next week. I am sure it is also a huge relief to advisers in the Treasury, who have just days before they start leaking the 2026 Budget. One thing that people will be looking out for in the Budget next week is the provisions that will be made for children with special educational needs and disabilities. I am fully aware that this is a crisis that was inherited by this Government, but it was not an unforeseen crisis. Eighteen months into this Government, we hear that their major reform plans have been pushed back again, which is a disappointment to us on the Liberal Democrat Benches. We are seeing councils go bankrupt, teachers in despair and families held in legal limbo—and ultimately, children being failed.

I appreciate that there are some really tricky issues to resolve—balancing legal entitlements on paper with quality provision in reality, and adjusting to a world with higher diagnosis rates—but there are some actions that the Government could take right away, in particular in relation to private placements. Those have trebled in the past decade, and they cost more than double a state placement—about £60,000. We know that private equity is really aggressive in this space; it is taking on institutions and eating up market share, and its profit margins are reportedly around 20%. In the Children’s Wellbeing and Schools Bill, the Government introduced the idea of profit caps on those who are being exploitative in the children’s social care sector. Will the Leader of the House ask the relevant Minister whether that can be extended to SEND schools?