(2 days, 2 hours ago)
Commons ChamberI am afraid that I will be drawing on a lot of personal experiences, but I scrapped at least nine further examples. I absolutely agree with the hon. Gentleman.
The next thing I want to impress on the Health Secretary is that it should be mandatary to teach cardiopulmonary resuscitation, or CPR, for babies before they are discharged, particularly if they have been in a neonatal intensive care unit. During most pregnancies, we study what to do if our baby needs CPR, but we all know, even if we have had a baby before, the difference between the pregnancy course and how things are once we have held that baby in our arms. It is so different.
I praise Addenbrooke’s hospital, because it forced my husband to do a CPR course before I was discharged, as my daughter had to go into NICU for a brief period. When we came home, only about two weeks after she had been born, and when she finally reached her due date, she suddenly stopped breathing. It happened out of nowhere. We were sitting in bed. I remember screaming for my husband, and I think of the poor person on the phone when we dialled 999. I am normally quite good in an emergency, but not then. I lost the plot. I was screaming down the phone, “My baby’s dying! My baby’s dying! You have to save her.” Because my husband had done that CPR course, he was able to save this tiny baby’s life; it took them too long to get an ambulance to us. Her temperature had fallen below 34°C by the time the ambulance arrived. He saved her life at a time when I could not. I was not in a place where I could save my baby. Yet we let people go home from hospital without being retaught CPR, once they know what it is to hold a baby. I genuinely believe that it would save so many lives if we did what Addenbrooke’s did and forced people to spend 20 minutes doing a CPR course before they went home.
The next issue I will touch on is maternal death, because as my right hon. Friend the Member for Godalming and Ash said, the numbers are rising. The leading direct cause of maternal death in this country is blood clots, but no friend who is pregnant or has gone through a pregnancy will say that that is the No. 1 cause. Instead, they will talk about diabetes, bleeding out during birth and all sorts of other things. I have gone back and looked through all three of my NHS trust books—I kept mine, although people are not meant to keep them after birth, because the NHS does not like them having all that evidence that they could use if there were ever an issue—and there is nothing about blood clots. NHS staff do not provide education about blood clots to women when they are pregnant, yet they are the No. 1 cause of maternal death.
The Royal College of Obstetricians and Gynaecologists is responsible for guidance, which is meant to be republished every few years, on how to prevent, diagnose and treat blood clots, but it has not updated that guidance since 2015. That means midwives and obstetricians have had no updated guidelines on how to handle the most common cause of death in women in pregnancy and after birth. Reviews were missed in 2018, 2021 and 2024. I have started to fight with the college to get it to do something about this, but even now, it says that it will not get updated guidance out until at least 2027. How many more women will die before then? I have met representatives from Thrombosis UK, and there would be no negative outcome from giving all women anticoagulants throughout their pregnancy; it poses no risk to them.
Unfortunately, last year, I was one of the people affected by this. I have had a real few years of it. I went to the doctor and said, “There is something wrong me with me. My only symptom is a slight catch in my chest.” I was not grabbing my chest and screaming, like everyone else does. I was dismissed, sent home, and told that there was nothing wrong with me. A lady wrote to me and said that she went to the doctor three times, worried about blood clots. She knew there was something not right in her leg, but each time, she was told she just needed to do some yoga and get moving. On the fourth time, the blood clots were finally diagnosed. In my case, I went back to the doctor and said, “There is something really wrong.” Luckily, the doctor did a D-dimer test, and then rang me to say that I needed to go to Addenbrooke’s immediately. The doctors found five clots that had passed through my heart and into my lungs. I was lucky to be alive. Addenbrooke’s said that I clearly had an exceptional doctor. I am so grateful to Dr Laura Stephens for saving my life.
The average woman has no idea that blood clots are the No. 1 maternal killer. Some 25% of those deaths happen in the first 12 weeks of pregnancy, during which women probably do not go to the doctor, because they have done a pregnancy test and know that they are pregnant. The Department of Health and Social Care needs to do a mass awareness campaign. GPs need to be aware of the risks, and obstetricians and midwives need to be taught about not just “normal” birth, but all births. Tomorrow is World Thrombosis Day. I am calling for maternal blood clot prevention to be a priority in the new national strategy, because we can prevent them; almost all deaths of women from blood clots could have been prevented.
It may seem odd, but I briefly want to talk about a real cruelty that has been inflicted on mothers. The former Prime Minister apologised for the horrendous forced adoption scandal that took place in this country, but some babies never left those mother-and-baby homes. ITV found that 200 infants from eight homes were buried in mass plots in 10 cemeteries across the UK. As part of this work, will the Health Secretary ensure that the Government force local authorities, churches and charities to open up their records? The mums who were forced into those cruel mother-and-baby centres, and then lost their baby or had a stillbirth, do not know to this day where their baby is buried, and the graves are unmarked.
Chris Vince (Harlow) (Lab/Co-op)
I thank the hon. Lady for her speech. Without giving too much away—my wife would not forgive me—some of the experiences that she has spoken about resonate with me, and remind me of the birth of my son a year ago. On historical forced adoption, I was on the Select Committee that discussed the issue, and I am proud that the previous Prime Minister gave that apology. I found it shocking that when those mothers tried to get the records about their children, they were treated appallingly. As the hon. Lady will be aware, one of them was a Parliamentary Private Secretary to a former Prime Minister, but she was treated like a child when she was asking for her own information. Does the hon. Lady agree that that is not acceptable and should not have been allowed to happen, and that there should be an apology?
I thank the hon. Gentleman. Our little ones must be very close in age; I hope that his is doing very well. The Prime Minister said, “We are sorry,” but opening up the records would show that we meant it. It would release those mothers from the shame that was forced on them, and allow them to finally find their baby, name them, and lay them to rest.
Often in this place, we talk about what should be done, or what we could do, so I will end very briefly on a positive note. We cannot undo a family’s heartache, or the loss that they will carry for all their lives, but what drives most of us to come here is a determination to stop the same thing happening to someone else. I made that promise to my best friend in 2022, when she lost her baby Siena at nine months. I took my promise and secured £1.8 million in funding from the then Conservative Health Secretary to roll out a new technology designed to reduce stillbirths and premature births. The Tommy’s app—or Siena app—is a clinical decision support tool that accurately assesses women’s chance of having a premature birth, or developing complications with the placenta that can lead to stillbirth, and it is proven that it is saving lives. The trial began in 2024 and is running in 26 NHS maternity units, involving 39,000 women a year.
My request to the Health Secretary is to roll out the app across every single hospital. We have proven that it works. It essentially gives midwives an artificial intelligence equivalent. It gives them all the information that they may not know or understand about someone because they come from a different heritage, have a different background or have a complicated medical history. This tool can save lives, and can save more families from the heartache that too many suffer.
We must do better. We are failing women on too many accounts. Almost all of us in this room can probably share a trauma, or a time when something went wrong in the NHS because we were not listened to, and we must do more. I thank everyone for their frankness, and for sharing their stories this evening, and I thank the Health Secretary for agreeing to meet me in a few days; I am really grateful.
(1 month ago)
Commons ChamberI take very seriously the importance of patient voice in local health services, and in ensuring that that local patient voice can be heard. That is why I have said that we will look further at the provisions around Healthwatch and what happens in local areas to ensure that there is proper accountability and strong patient voice. We will do that before those issues are discussed in the House of Lords, because I take them seriously. On the overall reforms, we know that the current system has not been working, that there has been too much duplication and that there is a legacy from the damaging 2012 reforms. What we want to see now is a much more streamlined and effective system that gets support to the frontline.
Chris Vince (Harlow) (Lab/Co-op)
I put on record my thanks to NHS and care staff across Harlow for their work during a very difficult summer, particularly those at the Princess Alexandra hospital. The Secretary of State will know from talking to my right hon. Friend the Member for Ilford North (Wes Streeting) how much I lobby on behalf of the Princess Alexandra. I am delighted that it is in wave 2 of the new hospital programme, but may I emphasise the hospital’s ageing estate and the need for emergency funding moving forward, before we complete the new hospital project?
I welcome my hon. Friend’s determination and enthusiasm. While he managed to refer to the hospital twice, I think he only managed to refer to Harlow once, so he may be slipping. I am delighted that the hospital is included in wave 2 of the new hospital programme. Obviously, there is considerable work under way to ensure that the project stays on track and that the planning is in place. This is part of our commitment to upgrade, to increase the capital investment in our NHS and to ensure that there are facilities for the staff who work in the NHS and, most of all, for patients in Harlow. I thank, through him, the NHS staff who work in his constituency,
(3 months, 2 weeks ago)
Commons ChamberI beg to move,
That this House has considered the diagnosis and treatment of Paediatric Acute-onset Neuropsychiatric Syndrome (PANS) and Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS).
It is a pleasure to open this debate, and I am grateful to colleagues who have attended, despite the immense heat. I welcome the members of the PANS PANDAS UK youth board, and the families impacted by these conditions who are here to watch the debate from the Gallery, and I am grateful to the Doorkeepers for their accommodation in that regard. The heat has meant that many families who were planning to attend, as well as the PANS PANDA UK team, have not been able to travel down, and I know how understandably disappointed they are, but I am pleased to still have the opportunity to speak about this condition on behalf of the thousands of children, young people and families who want to know that their voices are being heard.
PANS, which stands for paediatric acute-onset neuropsychiatric syndrome, and PANDAS, which stands for paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections—you can understand why we say PANS and PANDAS—are post-infectious conditions that affect the brain. They are recognised by NHS England as clinical syndromes.
PANS is a condition in children and young people that can result from an initial mild infection, such as chickenpox or even covid. PANDAS is a specific sort of PANS that stems from a strep infection. While the initial infections might be mild, in some cases they trigger a misdirected immune response and/or a brain inflammation that causes the rapid onset of severe symptoms. I want to emphasise that rapidness; children can go from being healthy and thriving to experiencing obsessive compulsive behaviours, tics, extreme anxiety, eating restrictions and profound neurological symptoms almost overnight.
PANS PANDAS UK currently supports around 8,000 families, but we know that that number is likely to be just the tip of the iceberg. In reality, there are likely to be children and families affected in every one of our constituencies. Looking at Members in the Chamber today, I am sure that many have been contacted by a constituent who is struggling to get support for their children. Constituents get in touch with their Member of Parliament, and that is often why we become engaged in these issues. That was the case for me. I first became aware of PANS and PANDAS when constituents reached out to me for support for their daughter, who was struggling to get a diagnosis and the medication that she needed.
I want to emphasise the key point that early diagnosis and treatment are crucial. When the conditions are identified early, outcomes are significantly better, and in some cases a simple course of antibiotics can alleviate symptoms. However, people are very much experiencing the opposite to that. They are experiencing delay, confusion and inconsistency. Research from PANS PANDAS UK suggests that over 53% of affected families wait more than a year for diagnosis, and 37% wait for more than two years.
Chris Vince (Harlow) (Lab/Co-op)
I thank the hon. Lady for bringing this important issue to the House. The Government are introducing guidelines on this in the autumn. Does she welcome the publication of those guidelines, and does she hope that they will get rid of the inconsistencies and postcode lottery that she is describing?
As always, the hon. Gentleman is ahead of the game; I was going to mention this. I am very much looking forward to the guidance, but we need to ensure that it is understood and shared.
(3 months, 3 weeks ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Chris Vince (Harlow) (Lab/Co-op)
It is a pleasure to serve under your chairship, Mr Mundell. I thank my hon. Friend the Member for Sunderland Central (Lewis Atkinson) for opening and framing the debate. I also thank the right hon. Member for Melton and Syston (Edward Argar) for sharing Harvey’s story with us. It was really powerful, and I hope that Harvey’s memory will live on for us through this debate.
One of the reasons I want to speak in this debate is that I am a new father, who celebrated his first Father’s Day yesterday, and I know how important it is for all new parents to know that their baby is healthy. I am very proud that so many of my constituents in Harlow, which borders Broxbourne, feel so passionately about this issue and signed the petition. Spinal Muscular Atrophy UK and Muscular Dystrophy UK have asked for SMA to be included in the newborn screening programme, and I thank those charities for their work. As Members will know, this issue came to the fore at the beginning of this year when Jesy Nelson’s twin daughters were diagnosed with SMA, and I thank the then Health Secretary for meeting her. The petition was launched subsequently and led to this debate.
I recognise that the Government have started to roll out an in-service evaluation in NHS screening services in response to this petition, but I add my voice to those of the campaigners, the Members who have spoken in this debate and the many Harlow residents who signed the petition to urge the Government to go further and faster. The quoted 18 months for evaluation is just too long, and so many babies will not be diagnosed because of it.
As my hon. Friend the Member for Sunderland Central said, the sooner this treatment is administered, the less these young people will be impacted. I also welcome his comments about screening not becoming a postcode lottery. Both those points are really important. I hope the Minister heard the passionate words of Members from across the House, in particular those of my hon. Friend the Member for Portsmouth North (Amanda Martin), who is obviously hugely passionate that her constituents are not left out—I would feel the same if it was my constituency.
Having worked with children, particularly young people with lifelong disabilities and their parents, for pretty much all my life before I came to this place, I know that the trauma they face never really goes away. The more we can do to support them and their children, the better.
(4 months ago)
Commons ChamberI am in violent agreement with the hon. Gentleman, which is quite unusual. We are clear that patients should not be digitally excluded. The contract is clear that patients should always have the option of telephoning or visiting their practice in person. All online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a GP. In the past year, since April 2025, some 11.5 million more GP appointments have been delivered.
Chris Vince (Harlow) (Lab/Co-op)
I thank the staff at Princess Alexandra hospital in Harlow, particularly in the older persons assessment and liaison ward, where elderly patients are transferred from A&E and supported to either return home or transfer to different wards, another example of where Harlow is leading the way. How can we work together to support patients, like those on the OPAL ward, to access primary care if they are not confident in using some of the online tools that have been mentioned?
Once again, my hon. Friend has done a great job promoting Harlow, as we are all familiar with him doing in the House. We are improving GP access across the board. We have over 2,000 more GPs since July 2024 and we are launching a £102 million fund to build more clinical space in over 1,000 GP practices across England. A lot has been achieved, but a lot more needs to be done.
(4 months ago)
Commons Chamber
Chris Vince (Harlow) (Lab/Co-op)
As a new parent, this is hugely concerning to me and not something I was particularly aware of. Does my hon. Friend have any advice for new parents looking for support about what questions they should ask to ensure they are talking to experts and not so-called experts who, as the hon. Member for Strangford (Jim Shannon) said, are people without any qualifications at all?
Mr Rand
Yes, I will come to some of that. Whether parents are following advice or performing these duties themselves, it is important that they think about safe sleeping extremely seriously—that is what any parent should be doing. It is very important indeed to understand the qualifications and medical expertise of those providing advice.
In May, the BBC used undercover filming to expose two prominent figures in the infant sleep industry who were openly giving parents advice on safe sleep that could result in the death of their children. That is not just my opinion; the NHS clinicians who observed the BBC’s footage said that it was “horrifying”.
(5 months, 4 weeks ago)
Commons ChamberAs I said, part of this strategy is about educating girls and boys on health and bringing together all parts of education. We are keen to work in new ways with new media, and with influencers who are positive about women and women’s health, and we will continue to do so.
Chris Vince (Harlow) (Lab/Co-op)
I thank the Minister for her statement, and for her ongoing commitment to ensuring that women’s health is at the heart of this Government’s agenda, which is hugely important. A bit like my hon. Friend the Member for Burnley (Oliver Ryan), I was shocked by the number of women from my constituency of Harlow who came forward to tell me about their terrible experiences of being gaslit, ignored and disrespected, particularly when it came to endometriosis and the pelvic mesh scandal. My constituent Belinda, when she was 36 years old, went to the GP complaining of head pains. She was told that it was nothing and was sent home. She had actually had a stroke. She was told by the GP that she could not possibly have had a stroke at the age of 36, which was obviously incorrect. What would the Minister say to women in my constituency who have long felt ignored, disrespected and gaslit because they are women?
Belinda’s story is shocking, and I hope that she is doing better. This strategy is, as I said, a total game changer. In particular, the renewal of this strategy, based on the previous strategy, sends a signal to the system that we will look at the experience of women and take it into account. We will look at the budgets and the return of money to the service to improve things. As my right hon. Friend the Secretary of State said yesterday, there is nothing quite like seeing chief executives and chief finance officers suddenly notice—perhaps they had not noticed it before; they are busy sometimes—women’s clear dissatisfaction with gynaecology. The strategy sends a positive signal to improve the service, and that puts power in the hands of women.
The other real game changer is the online service. As I said, women, wherever they live, be it in Harlow, Bristol, rural Lincolnshire or coastal areas like Thanet—I have heard from Members from so many places this afternoon—will have access to online specialist treatment. There will be a further roll-out of diagnostic services, to get that diagnostic record back into neighbourhood healthcare, so that people can be treated closer to home. Building an NHS around women, women’s needs, women’s experiences—that is the game changer promised by this Labour Government.
(6 months, 3 weeks ago)
Commons Chamber
Jack Rankin (Windsor) (Con)
I served on the Bill Committee, and the subsequent process of scrutiny of this Bill has been entirely as expected. I was disappointed, though not surprised, by a failure to engage critically with its contents and to listen to the real concerns, in particular those of the high street businesses and the hospitality industry, which it will impact on most. I disagree with this socialist Bill on principle. Although I have a lot of time for my hon. Friend the Member for Hinckley and Bosworth (Dr Evans), I am sorry to see my Front Benchers continuing to support the broad thrust of the Bill. It creates two tiers of adults and, at its core, is fundamentally illiberal.
However, I was willing to look beyond that and engage constructively with the Government to improve the legislation, which is why I tabled a series of common-sense amendments both in Committee and on Report. They would have allowed for the advertisement of smokefree products in venues that are already adult-only; required a consultation on the impact of advertising bans on retailers; and permitted the targeted advertisement of vapes and smokefree alternatives to existing adult smokers. Those proposals had some cross-party support in this House, and two of them were taken up by peers in the other place, notably Lord Udny-Lister and Lord Sharpe for the Opposition.
Throughout this process, I have engaged with the Minister and her predecessors through letters and written questions, and I genuinely thank her for her timely responses. However, it quickly became clear that there was little interest from the Government in improving this Bill, which is driven more by puritan ideology than by evidence or practicality. As a result, we have seen it forced through by the Labour Government and their little helpers, the illiberal Democrats in the other place, with no regard to implementation or unintended consequences. Today, we are likely again to wave through 100 Government amendments from the Lords with minimal scrutiny.
All parties will welcome the fact that smoking rates in this country have declined from 30% in the early 2000s to 10.4% today. The free market has played a key role in that, with companies creating less harmful, smokefree alternatives such as vapes and nicotine pouches. There has been a consistent failure to recognise what an important role such products have played in the decline of smoking, and I hold concerns that the tight restrictions in this Bill on flavours and advertising will stop adult smokers from making the switch.
Chris Vince (Harlow) (Lab/Co-op)
Although I disagree with much of what the hon. Gentleman is saying, I recognise the passion with which he speaks. Does he recognise that one issue with vape products is that a number of people who smoke vapes have not previously smoked cigarettes? That is a concern. Vapes are not just an alternative to smoking and a means to stop people smoking; young people are being drawn to vapes rather than cigarettes because of their colours. Does the hon. Gentleman recognise that that is an issue that needs to be addressed?
(6 months, 4 weeks ago)
Commons ChamberPlease do pass on my thanks to the Laurie Pike and al-Shafa practices for the outstanding work they do. We are not really doing ringfencing; we are embedding prevention in the contract through the quality outcomes framework. Those incentives are the best way to give practices the flexibility they need while ensuring that they are clear about what we expect in terms of outcomes.
Issues such as cardiovascular disease and diabetes are part of the quality outcomes framework. It is also worth mentioning the Pharmacy First scheme, which is looking to move some of this work out of GPs and enabling pharmacists to operate at the top of their practice. That is another example of the shift from hospital to community, which is so important in enabling people to get the best possible care in the right place at the right time, as close as possible to their homes.
Chris Vince (Harlow) (Lab/Co-op)
I thank the Minister for his answers so far. One of the No. 1 issues that came up on the doorstep when I was canvassing across my constituency before the general election was same-day access to GPs. Although I recognise that there is still work to be done, I welcome the work the Labour Government and the Minister have done to improve GP access for constituents across Harlow. Does the Minister recognise that there is still more to be done? Will he touch a little on the importance that the shift from hospital to community will have for hospitals like mine, the Princess Alexandra hospital, and specifically the accident and emergency department?
My hon. Friend is right: avoiding preventable admissions is right at the heart of what we are trying to achieve. Of course, we have challenges with delayed discharge—something like 14% of patients in hospital beds are medically fit for discharge—and if we look at the flow of patients through hospital, we see that we can address a lot of the problems at that end of the process by preventing avoidable admissions in the first place. The advice and guidance element of the contract is therefore very important, because it is by improving co-ordination and teamwork between primary care and secondary care that we will ensure that the 1.3 million people who would have ended up on the electives waiting list or going into outpatient clinics no longer need to be there—they will be dealt with by the teamwork between consultant specialists and GPs. They will be helped, supported and cared for close to home, without having to go into hospital, which will have a positive knock-on effect right through the system.
(8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered the second anniversary of the Hughes Report.
Although it is a pleasure to open this debate under your chairship, Dr Allin-Khan, I do so with a sense of déjà vu, because we have been here before, on the anniversary last year and in debates on the Cumberlege review before that. The issue of redress for the victims is a well-trodden road.
I start by paying tribute to the many individuals who have campaigned tirelessly for justice and change, and to prevent their experience from happening to others. I thank the Patient Safety Commissioner, Professor Henrietta Hughes, for the work she put into her report. She is with us in the Gallery today, along with many campaigners. I put on the record my thanks to Baroness Cumberlege for her exceptional work, before the Hughes report, to give voice to victims during the two years she led the Cumberlege review. I pay tribute to her for her continuing commitment to the victims.
We are here today because, two years on from its publication, the Government have still not published an official response to the Hughes report. No redress scheme has been implemented and no timeline has been announced. We have repeatedly been told that the recommendations are being carefully considered, yet there is no date, no framework and no mechanism for justice in place. To be clear, the Patient Safety Commissioner did not decide one day to write the report; she was asked to pull it together and to look at the options for redress for those harmed by valproate and pelvic mesh. The report was commissioned by the Department of Health and Social Care in late 2022.
In her foreword to the report, Professor Hughes was clear that, in accepting the commission,
“the case for redress had already been made by the First Do No Harm review so my report would primarily focus on ‘how’ to provide redress rather than ‘why’…Secondly, patients must not be subjected to an emotional rollercoaster, meaning that commissioning this work would inevitably raise expectations and that it would be profoundly unfair to do so if the government had no intention of providing redress.”
Chris Vince (Harlow) (Lab/Co-op)
I thank the hon. Member for bringing this important debate to Westminster Hall. I secured a debate on the Cumberlege report 18 months ago; I said at the time that I hoped it would be the last time we debated this issue, yet here we are again. Does the hon. Member agree that the emotional impact on the women involved is hugely important? I was approached by a number of constituents in my constituency, including Debbie, who joined me for my debate. It is so important that the review’s recommendations are acted on.