Allied Health Professionals

Cat Eccles Excerpts

Thursday 23rd April 2026 Commons Chamber

[Cat Eccles (Stourbridge) (Lab)]

I thank my hon. Friend the Member for Thurrock (Jen Craft) for her opening speech and my hon. Friend the Member for Dudley (Sonia Kumar) for securing this long-overdue debate.

As we have heard, allied health professionals make up the third largest clinical workforce in the NHS, yet sadly, time and again, we only hear about the health service in terms of doctors and nurses. Just last week, the Government announced a welcome package of measures to widen access to healthcare careers for people from disadvantaged backgrounds. It promised 2,000 new nursing apprenticeships and support for 2,000 young people from deprived communities to apply to medical school.

Those commitments really matter, but for AHPs, there was nothing—not a single initiative, not a single pathway, not even a mention. That omission is not an oversight; it is a pattern. For decades, successive Governments have failed to recognise the value of and to invest in this vital part of the NHS workforce. That is especially relevant given the increase in workforce required to deliver on the Department for Education’s SEND reforms. We need more speech and language therapists, physiotherapists and occupational therapists, so why do we not make it easier for more people to access those careers?

Before entering Parliament at the last election, I spent more than 20 years in the NHS as an operating department practitioner, and I am proud to be the first ODP here in Parliament. In fact, my time working in the NHS is in large part what politicised me and drove me to want to make the changes that are desperately needed to highlight and improve the profession. ODPs are unique within the healthcare workforce. At the point of graduation, they are the only professionals fully qualified to work across every area of perioperative practice: anaesthetics, surgery and post-anaesthetic care. My speech will focus on that profession.

As of March 2026, there were 17,906 ODPs registered with the HCPC. They are highly skilled and highly committed, with strong retention rates across the NHS. Many go on to hold senior clinical leadership roles, not just in the operating department, and they play a crucial role in patient safety, service efficiency and the successful running of our theatres. My profession plays a critical role in keeping the NHS functioning and in safeguarding patient safety every single day.

Given the recent reviews into maternity care, I want to highlight the importance of ODPs for maternal and neonatal safety. Nearly half of births are now done by caesarean section and ODPs are involved in every single one, playing a key role in the perinatal period. I therefore commend the College of Operating Department Practitioners for its recent contribution to NHS Resolution’s maternity (perinatal) incentive scheme safety actions. Given the importance of operating department practitioners to the NHS, they should be properly recognised, valued and supported; instead, too often they are forgotten, and that neglect has real consequences.

An area of serious concern is the eligibility of operating department practitioners to supply and administer medicines within their scope of practice using patient group directions, known as PGDs. That is holding the profession back and creates a perverse situation in clinical settings, where an ODP must seek the supervision of a nurse or doctor to administer certain medications. For example, post surgery, it is common for patients to experience post-operative nausea and vomiting. There is a suite of antiemetics that can be given without a prescription under a PGD, but an ODP caring for the nauseous patient cannot give relief without input from a nurse or doctor, thus delaying treatment and putting unnecessary pressure on colleagues. Another example is ODPs working in endoscopy units, where sedatives are routinely administered under a PGD. The ability to administer vaccines is also impacted: during the pandemic, ODPs were unable to support the vaccination effort due to the use of PGDs, yet bizarrely, a healthcare assistant could carry out that role. ODPs are being prevented from making a valuable contribution to public health and system resilience.

The Department recently carried out a consultation on expanding the supply and administration of medicines to ODPs, as well as to physiotherapists, paramedics and diagnostic radiographers, and we must move at pace to level the playing field to benefit both healthcare professionals and their patients. I ask the Minister to commit to adding ODPs to schedule 16 of the Human Medicines Regulations 2012 and to outline when that change is likely to be implemented.

Another example is the introduction of the graduate guarantee scheme for newly qualified nurses. While well-intentioned, its narrow focus has had the unintended consequence of some newly qualified ODPs finding themselves displaced and unable to secure posts with NHS operating departments. That is not just unfair to those professionals; it is short-sighted and risks wasting vital skills at a time when our health service can least afford it.

A review of band 5 nursing roles is under way, yet no equivalent review is taking place for operating department practitioners or other AHPs. This selective approach risks unpicking the harmonised pay structures established under “Agenda for Change” in 2004. The Royal College of Nursing has long pushed for a separate pay spine for nursing, but that would be absolutely the wrong move, breaking the concept of “one NHS team” and creating two-tier employment, particularly in operating departments.

We must uphold the fundamental principle of equal pay for equal work. Anything less would be a serious step backwards for fairness, morale and workforce cohesion in the NHS. Will the Minister therefore commit to ensuring that any review of band 5 roles includes AHPs so that parity and equity are properly protected?

I know that in a recent letter to the College of Operating Department Practitioners, the Minister stated that

“any review of the national profiles for ODPs would need to be supported by the NHS Staff Council, with the Job Evaluation Group—an established group of the Council—responsible for undertaking that review.”

That absolutely explains the process, but it cannot excuse the delay. It is vital that this work is taken forward promptly and with a clear timetable.

At the same time, ODPs and AHPs more broadly are still waiting for the publication of the NHS workforce plan. That plan, unlike those that came before it, must finally include meaningful, measurable commitments to the third-largest clinical workforce in the NHS, rather than relegating it to the margins once again. ODPs and AHPs more widely are not asking for special treatment; they are asking for recognition, fairness and a clear strategy that reflects the reality of how the NHS actually operates. As the third-largest clinical workforce, they are central to patient safety, service delivery and the long-term sustainability of the health service.

I would like to put on the record my concerns about abolishing the role of the chief AHP in NHS England. While the current chief nursing officer is a strong and passionate advocate of AHPs, I believe that we need the representation and oversight that a chief AHP can provide.

Finally, I would like to highlight the removal of NHS bursaries for allied health professionals. I was lucky enough to train with a bursary, receiving around £500 a month during my two years of training. While the recent introduction of apprenticeships has negated some of the costs of going to university, these places are limited and dependent on NHS trust training budgets. Getting into an excess of £30,000 of debt for a starting salary barely above the minimum wage does not incentivise prospective students to get into these professions.

After decades of being overlooked, warm words are no longer enough. What we need now is action: fair pay structures that are protected, sensible regulation that makes full use of professional skills, clear career pathways and a workforce plan that treats AHPs as integral to the future of the NHS. The message from ODPs and AHPs is clear: they want to contribute, lead and be part of the solution to the pressures facing our health service. It is time for the Government to act and give this vital workforce the recognition and support they have long deserved.

Domestic Abuse-related Deaths: NHS Prevention

Cat Eccles Excerpts

Tuesday 20th January 2026 Westminster Hall

[Cat Eccles (Stourbridge) (Lab)]

It is a pleasure to serve under your chairship, Sir John. I congratulate my hon. Friend the Member for Stroud (Dr Opher) on securing this important debate.

Too often, domestic abuse is framed solely as a criminal justice issue when, in reality, it is one of the most urgent public health crises that we face. The NHS encounters victims and perpetrators far more frequently than any other service, yet the system consistently misses opportunities to save lives. As the British Medical Journal highlighted, fewer than 24% of domestic abuse crimes are reported to the police, meaning that the health service—not law enforcement—is the front line.

A recent review of domestic abuse-related deaths revealed that 89% of domestic homicide reviews contained at least one recommendation for the NHS—recommendations that occur again and again across cases, showing a pattern of missed signs, inconsistent responses and staff who suspect something is wrong but lack the training, systems or confidence to act on that.

NHS staff are uniquely placed to intervene in suspected domestic abuse. In my own career as an operating department practitioner working in theatres, I can recall many instances when we treated patients with what looked like run-of-the-mill injuries, but all was not as it seemed. A young woman came in for manipulation under anaesthesia of her nose after breaking it in a fall, but she became inconsolable when we told her that she could go home after the operation. “Can I not stay overnight?” she cried. As I talked to her more, we discovered that she was being abused at home by her partner.

I also want to highlight honour-based abuse; sadly, I encountered that many times in my career—from extreme female genital mutilation, to the woman undergoing an endoscopy for severe oesophageal pain, which turned out to be from her family poisoning her with battery acid, stripping the lining of her oesophagus and stomach.

Those suspicions are not always explored, despite clinical teams being highly skilled, compassionate professionals. The opportunity to intervene can easily be lost. Mandatory standardised domestic abuse training is essential. Experts estimate that delivering consistent training across the NHS would cost just £2.6 million per year, which is a tiny fraction of the entire NHS budget but has the big potential to save lives.

We also know that poor co-ordination between agencies is repeatedly cited in death reviews, with 35% of them calling for multi-agency working. The Domestic Abuse Commissioner has stressed that domestic abuse deaths require accountability across entire systems—particularly the NHS, which must implement lessons from domestic abuse-related death reviews and participate fully in the new national oversight mechanism.

Preventing domestic abuse deaths also means understanding the complexities of coercive control—something that survivors, including the domestic abuse campaigner from my constituency, Samantha Billingham, have worked tirelessly to highlight. Coercive control is often invisible, yet it is one of the clearest predictors of escalation to serious harm and homicide. If professionals do not understand coercive control they cannot identify the danger. That is why social workers must receive mandatory specialist training in coercive control: they are often the first professionals to see patterns emerging across family, mental health, housing and safeguarding contexts, but too often their training does not equip them to recognise or challenge the dynamics of manipulation, isolation, surveillance or financial control that underpin domestic homicide.

The NHS must also embed specialist domestic abuse support directly into clinical settings. The Government’s upcoming measures, including the Steps to Safety initiative, aim to ensure that every part of England has dedicated NHS referral services for victims and specialist support workers linked to GP practices. These reforms are welcome, but they must be implemented at pace and be fully resourced if they are to prevent future deaths. Domestic abuse deaths are preventable when we train our workforce properly, when agencies work together, when we treat domestic abuse as a health issue, not just a crime issue, and when we equip professionals to understand the controlling patterns that escalate into lethal danger. It is the responsibility of all of us and the NHS to ensure that no victim is left unseen, unsupported and unheard.

Oral Answers to Questions

Cat Eccles Excerpts

Tuesday 22nd July 2025 Commons Chamber

[Wes Streeting]

It is not the case that none of the money is going to Cumbria. We are taking action to deal with the persistent overrunning and over-spending of NHS budgets, which was an intolerable situation that we had to get a grip on. We are investing £26 billion more in the NHS, and that will rise over the course of this Parliament. We will make sure that every part of the country gets its fair share, not least through the deprivation-linked funding that I mentioned. I know that it is bumpy for ICBs as we get them back to balance, but believe me it will be worth it in the end when we have a sustainable NHS that is fit for the future.

[Cat Eccles (Stourbridge) (Lab)]

In 2020, a consultation was carried out to give prescribing rights to operating department practitioners, but despite positive discussions with the Department we are no further forwards and OPDs and allied health professionals are being held back. Does the Secretary of State agree that expanding their roles within scope of practice will improve efficiency, patient care and professional development?

[Wes Streeting]

We are keen to address these sorts of issues through our workforce planning and to ensure that staff are working to the top of their licensing capability, always within the training provided. That way we can get the best possible value for taxpayer money and, most importantly of all, the best outcomes for patients.

Terminally Ill Adults (End of Life) Bill

Cat Eccles Excerpts

Report stage
Friday 13th June 2025 Commons Chamber

[Kim Leadbeater]

I am going to make some progress.

However, it is most likely that these products are already licensed for other purposes. They could well be regulated through the Medicines and Healthcare products Regulatory Agency and within the Human Medicines Regulations 2012 for the purposes of the Bill, but it is important that time is given—

[Cat Eccles (Stourbridge) (Lab)]

Will my hon. Friend give way?

[Kim Leadbeater]

I will.

[Cat Eccles]

As an operating department practitioner with more than 20 years of experience, I emphasise that controlling and administering drugs is already a key part of every healthcare professional’s practice. Medicines management is at the front and centre of everything we do when handling drugs. Does my hon. Friend agree that the safeguards added to this Bill, along with the existing frameworks, are more than adequate to deal with this?

[Kim Leadbeater]

I thank my hon. Friend for sharing her expertise, along with other colleagues with medical backgrounds who have worked with me on this amendment.

Duchenne Muscular Dystrophy

Cat Eccles Excerpts

Thursday 12th June 2025 Commons Chamber

[Chris McDonald]

I do agree. I recognise the figures from the Oxford university hospitals NHS foundation trust. It is quoting around £2,000 per lad treated, which I understand is very similar to other areas of the country. I see that as quite a small amount of money for the 35 lives that could be saved.

Despite, as we have heard, givinostat being available for more than seven months, there has been a very inconsistent approach across the UK. A very small number of ambulant people living with DMD have so far received the treatment, and no non-ambulant boys have been treated with it yet.

[Cat Eccles (Stourbridge) (Lab)]

I, too, thank my hon. Friend for securing this important debate. I met a family in my constituency whose son is suffering with Duchenne. He is at that key stage right now where he still has his mobility, but he is starting to lose it. Does my hon. Friend agree that, as the campaign says, time is muscle? If we act now, we can prevent further deterioration of his mobility.

[Chris McDonald]

Yes, my hon. Friend is absolutely right about that. Time is muscle, as she says. Sadly, because the drug is currently only available, in the areas where it is available, to lads who are ambulant, the waiting time has meant that some lads out there who would have qualified for the drug now no longer do so. That is, frankly, heartbreaking. Of course, the use of one’s legs is not the only thing people are concerned about. We need to be able to use our arms to be able to dress ourselves, feed ourselves and brush our teeth, and givinostat could help with that.

It is very disheartening that while coping with all of this, families, parents and carers and so on are having to fight for access to the drug on a trust by trust basis. They have done that with the support of all the Members in the Chamber tonight. I am very grateful for the fact that they have turned up, because I know families are watching.

I also want to mention some Members who have approached me who would have loved to have been here but cannot be due to other commitments in the House. My hon. Friend the Member for Newcastle upon Tyne East and Wallsend (Mary Glindon) has campaigned on this subject for many years and chaired the all-party parliamentary group. A constituent of my hon. Friend the Member for Basingstoke (Luke Murphy), who has the disease, visited Parliament on Monday and was so pleased to see on the Annunciator that we were having this debate. My hon. Friends the Members for Bury North (Mr Frith) and for Bury South (Christian Wakeford) worked together to ensure that Manchester university NHS foundation trust does now provide the drug to their constituents. William from Codicote, a constituent of my hon. Friend the Member for Stevenage (Kevin Bonavia), is living with Duchenne. The hon. Member for Chester South and Eddisbury (Aphra Brandreth) has been supporting Mr and Mrs Binns, whose son Jack has Duchenne. They do not yet have access to givinostat and are trying to get it. I have also had representations from my hon. Friend the Member for Beckenham and Penge (Liam Conlon), the hon. Member for Westmorland and Lonsdale (Tim Farron) and my hon. Friend the Member for Altrincham and Sale West (Mr Rand).

We can see that there is broad support across all parties in the House, with Members working with their constituents to try to secure this drug which is free of charge—free of charge—to the NHS. We have heard that provision is very patchy across England. There is some central co-ordination in Scotland, but no lad in Northern Ireland can access the treatment.

Income Tax (Charge)

Cat Eccles Excerpts

Tuesday 5th November 2024 Commons Chamber

[Cat Eccles (Stourbridge) (Lab)]

Thank you, Madam Deputy Speaker. May I congratulate my hon. Friends the Members for Broxtowe (Juliet Campbell), and for Sunderland Central (Lewis Atkinson), and the hon. Member for Yeovil (Adam Dance) on their excellent maiden speeches?

To be here in this place representing my home town and the community that I hold dear is an honour beyond words. Stourbridge has a history of electing female MPs and I am proud to be part of this latest cohort—we are the largest number of women in Parliament ever. I wish to pay tribute to my predecessor, Suzanne Webb, who represented the constituency from 2019. She was a vehement supporter of the Justice for Ryan campaign, as was Margot James before her. I will continue to work with the Passey family to get justice for Ryan. I hope that the stricter laws around knife crime that this Government will introduce will ensure that no family has to go through the same ordeal. Before 2010, Stourbridge was represented by Lynda Waltho and formerly Debra Shipley. They are two fantastic Labour women, who were a great support to me during my campaign.

I am Black Country through and through, growing up in Halesowen and later moving to Stourbridge. The town itself was first mentioned in 1255, named after the bridge that crosses over the River Stour. Legend has it that King Charles II hid there from the Roundheads after being defeated in Worcester in 1651.

Since the 1600s, Stourbridge has given its name to glass production; the rich local resources of coal and fire-clay made it the perfect location for the industry. This summer, Stourbridge hosted its last international glass festival, which featured contemporary work by glass makers from all over the world. Stourbridge has long produced sporting, musical and artistic talent, from England football star Jude Bellingham, to Ned’s Atomic Dustbin, Pop Will Eat Itself and Robert Plant. One of my priorities during this Parliament is to promote and protect our varied history, heritage, music and arts, and I am already working towards keeping our own glass festival at home in Stourbridge, and celebrating home-grown music with a local festival.

Across the constituency, there is a rich industrial history to discover, with the sky once black by day and red by night from the many factories. Wollaston produced the Stourbridge Lion—the first locomotive to run on a commercial line in the USA. Round Oak Steelworks in Brierley Hill provided employment for thousands of local people and was a world centre for iron making during the industrial revolution. Netherton was the home of Hingley and Sons whose most famous product was the anchor of the RMS Titanic. Lye was famous for the manufacture of nails, anvils, crucibles and fire bricks— the Stourbridge name can still be found embossed in many old bricks.

Linking all these places are the many miles of canal waterways. Once the highway for transporting goods, now it is a tranquil place to enjoy a walk in nature. The Black Country is no longer the heavy industrial power that it once was, but, with the right investment and opportunities provided by this Government, it can thrive once more with modern technology and green industries.

In last week’s Budget, Brierley Hill got a mention, as the Chancellor confirmed funding for the stalled West Midlands Metro extension. This is welcome news as we work towards a joined-up transport system along with West Midlands Mayor, Richard Parker. The constituency is also home to the Stourbridge shuttle—the shortest railway line in Europe—running between Stourbridge town and Stourbridge junction. This is where we can also find our most famous resident, George the station cat! George was the perfect mascot for the Save the Ticket Office campaign, which I ran with a local resident last year. More than 5,000 flyers were handed out at the station and Stourbridge had over 3,000 signatures for the Parliament petition—the highest constituency number in the country. I am honoured to be here to see the Passenger Railway Services (Public Ownership) Bill go through the House, which will not only improve reliability and efficiency, but protect our precious ticket offices.

Speaking of cats, it would be remiss of me not to mention Mimi, Penny and Hugo, who, along with my husband, John, help to keep me sane. I understand the value that a pet can add to our lives. I look forward to new animal welfare laws and the Renters’ Rights Bill that will allow tenants to keep a pet.

I am so proud to be making my maiden speech during this Budget debate on the NHS and public services. I welcome the £22.6 billion commitment to frontline NHS services to cut down waiting lists, invest in cancer treatments, and provide additional funding for social care. I am the very first operating department practitioner in Parliament—a milestone for our under-represented profession. We are trained specifically to work in operating theatres across the three key areas of the perioperative environment. We can be found passing instruments to the surgeon during an operation or assisting the anaesthetist with a patient’s airway. With more than 15,000 registered ODPs in the UK, it is likely that Members will have encountered one at some point.

My career in the NHS spans nearly 20 years. I have seen the best of our health service, but, sadly, I have also witnessed it crumble in front of my eyes. The impact of austerity on the NHS is what first politicised me. We saw procurement taken away from clinical staff, vacancies frozen, pay frozen, senior staff forced to reapply for their roles, older staff encouraged to take voluntary redundancy, and many more layers of middle management introduced, removing a lot of day-to-day decision making from clinicians.

During the pandemic, I worked on the frontline in emergency maternity theatres. The early days of lockdown were chaotic, with official advice changing by the day. We were given items that were not fit for purpose, face shields that fell off our faces and out-of-date masks. Sadly, we lost some colleagues along the way, including neonatologist Dr Vishna Rasiah and midwife Salaa Alam.

I hope that the contributions of ODPs during the pandemic will be recognised. So many stepped up and fulfilled roles in intensive therapy units, wards and emergency departments—a true demonstration of the flexibility and skill of our profession. I am pleased that the Government are appointing a covid corruption commissioner to investigate fully fraud, errors and underperforming contracts during the pandemic and to ensure that the country is fully prepared in the future. It is also an honour to be in this place as the covid inquiry is published, so that I can speak up for all the NHS staff whose voices were not heard.

Despite the difficulties at work, I was grateful to be able to maintain my daily routine, unlike so many who were forced to stay at home. When I was not on a shift, I was helping to run the Stourbridge covid support group, with over 100 volunteers who helped more than 200 shielding residents with shopping, prescriptions and friendly phone calls. We made over 10,000 face shields for care homes without PPE and raised over £8,000 for our local food bank. We provided Christmas food boxes for families receiving free school meals. The community really pulled together during this difficult time and many of our volunteers are still in touch with their clients.

When war broke out in Ukraine in February 2022, the community rallied again to help those less fortunate than ourselves. Large shipments of clothes, toys and sanitary products were transported to the Ukrainian border. I recently had the opportunity to visit Ukraine and see for myself what people there are dealing with. There is much to be done to ensure victory in Ukraine and I hope to play some small part in that. I welcome the Government’s commitment to providing unwavering support to Ukraine and to combat Russian aggression.

As we see global conflict heightening, I hope for peace everywhere and that the Government, along with world leaders, can influence change to keep everyone safe. I look forward to working with all colleagues in this House to bring about much needed change—not just for Stourbridge, but for our entire country and the wider world.

[Several hon. Members rose—]