Resident Doctors: Industrial Action
Connor Rand Excerpts(1 week, 4 days ago)
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Mr Connor Rand (Altrincham and Sale West) (Lab)
We all know how vital resident doctors are to the functioning of our national health service. In the light of that, will the Secretary of State join me in once again urging the BMA resident doctors committee to get back around the table to engage in serious talks and to take up his offer to meet in the interests of all NHS staff and patients, so that we can rebuild the national health service in the way the public expect?
Wes Streeting
Quite aside from the fact that I offered to meet the entire resident doctors committee back in January, although it has never taken me up on that offer—I would definitely be outnumbered in that meeting— I can reassure the House, in all seriousness, that I met its co-chairs on Tuesday afternoon, immediately after the publication of the ballot result. I followed up in writing yesterday morning to reaffirm what I said in person, which was to express our willingness to meet immediately, without preconditions, to avert this strike action. That offer remains, and I am very happy to meet them on that basis.
Infant Feeding
Connor Rand Excerpts(2 weeks, 6 days ago)
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Jess Brown-Fuller
I thank the hon. Member for his intervention. He is right that Northern Ireland scored the highest in the report card format on the World Breastfeeding Trends Initiative, which I will come to. In comparison, England scored a paltry less than 50, which was very much due to scoring zero on infant feeding and HIV.
Mr Connor Rand (Altrincham and Sale West) (Lab)
I thank the hon. Member for securing this Adjournment debate on such an important topic. She spoke of some of the difficulties she had at the start of her breastfeeding journey, which my partner Catherine also experienced. When my partner had those difficulties, she accessed a breastfeeding support clinic in my constituency at Meadway health centre, which was a huge source of support and benefit to her. Does the hon. Member agree that it is important to protect and support access to such services, ensuring they are there for every woman who wishes to breastfeed?
Jess Brown-Fuller
It is as if the hon. Member has lifted my words directly off the page in a timely manner. The reason I managed to carry on was that I attended a peer support group in my local church hall every Monday morning, aptly called Milk. It was not about the professional support that I had while I was there—although that was great, and I give a shout-out to the wonderful Julie who supported all the mums—it was meeting the other mums who were going through the same things and the ability to ask each other questions and offer advice, as well as the amazing trained peer supporters, who were volunteers. I give a quick shout-out to Holly, who showed us that we could and would survive those difficult first few months and come out the other side, just like she had.
Department of Health and Social Care
Connor Rand Excerpts(3 weeks, 6 days ago)
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Mr Connor Rand (Altrincham and Sale West) (Lab)
Fourteen years of Conservative Government left our national health service on its knees, with waiting lists at record highs, patient satisfaction at record lows and millions living in pain and fear, suffering without the treatment they need.
Turning that around is a mammoth challenge, but thanks to this Government, the green shoots of recovery are there. In my local NHS trust, waiting lists have fallen now for four months in a row. We promised an extra 2 million appointments in our first year, and we have delivered 3.6 million. We have hired an extra 1,700 GPs over the past year and provided much-needed extra investment, including for the Village surgery in Timperley, in my constituency.
However, there is still so much further to go, and the spending review and the settlement it gives the Department is a recognition of that. In delivering a £29 billion increase in annual NHS day-to-day spending over the next four years, the Chancellor has acknowledged the mountain there still is to climb to ensure that our health service is there for us when we need it. Accepting the scale of the challenge and putting forward the money needed to meet it separates this Government from the Opposition parties, which either want to abandon our national health service entirely or forget their record and wish away its problems.
The difficult decisions that this Government have taken have given us the space for record investment, and I am pleased that the Government also acknowledge that that must come with much-needed reform. We have seen it with the scrapping of NHS England and the efficiency savings that will generate, and we have seen it with the £10 billion investment in NHS technology over the next four years.
As part of that effort, may I suggest that, following my conversations with the Secretary of State on this topic, the future of Altrincham Hospital in my constituency is considered very carefully? We lost our minor injuries unit because of the Conservatives’ failure on NHS staffing, and the temporary skin cancer diagnostic hub that occupies its space must be turned into a permanent diagnostic centre.
To conclude, we finally have a spending review settlement that recognises the scale of the challenges facing our national health service, and we finally have a Government who are serious about fixing the problems it faces. Residents across Altrincham and Sale West are already feeling the benefit of that, with more to come. We have saved the national health service before and, thanks to this Government, we are going to do it all over again.
Care Settings: Right to Maintain Contact
Connor Rand Excerpts(3 weeks, 6 days ago)
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Dan Carden
I am sure my hon. Friend’s constituent will be grateful—as am I—that she has come to add her voice to this campaign. Families are still living with the trauma of that separation, yet even now, people in care settings are still being denied essential human contact.
In those early days, we all understood the need for swift and serious measures to protect public health. But not enough was done to balance that need against the harm of isolation on mental health and wellbeing. Somewhere along the way something vital was lost: the right to connection; the right to love; and the right not to die alone. Let us remember what that meant in real human terms. Elderly people were confined to their rooms in care homes, with no familiar face and no hand to hold. Sick and disabled people were denied a trusted advocate when they needed them the most.
Ahead of this debate, Val wrote to me. She told me how she was forced to watch her mother’s health decline through the pane of a glass window. Her mother lost weight, she lost the ability to walk and to feed herself, and in time she became deeply depressed and withdrawn. However, when visits were allowed again, Val saw a transformation. With regular contact, and with care and love from a family member, her mother began to return to herself. Val told me that:
“It wasn’t the dementia or covid that got her. It was loneliness, isolation and abandonment.”
Gemma also shared her story. She described how her mother was kept in solitary confinement-like conditions. When Gemma’s mum’s partner died suddenly, she had to break the news over a stuttering video call, with no family there to comfort her mother as the grief landed. Those stories represent a pattern of suffering that should never have been allowed and must never be repeated.
Mr Connor Rand (Altrincham and Sale West) (Lab)
I would like briefly to mention the case of the Priestman family in my constituency. Paul Priestman, a military veteran, suffered a stroke in 2019 and now requires care. That is being provided in a care home in Rochdale, many miles from the family home. The family have serious concerns about the quality of Paul’s care, but find they are routinely ignored by the care home. Does my hon. Friend agree that the stories he cites and this debate show that, rather than being viewed as essential to the wellbeing of the person in care, families are too often dismissed, ignored or considered an afterthought by care providers?
Dan Carden
My hon. Friend totally grasps the seriousness of the issue. It is why campaigners are fighting for a legal right—Gloria’s law—to maintain contact. That would put into law the right to at least one care supporter, a trusted loved one, to provide support and advocacy in all health and care settings, so that no one is ever alone when they need help the most. The campaign is supported by cross-party MPs; more than 100 organisations, including covid-bereaved groups from all four UK nations; charities; disabled rights groups; and bodies such as the National Care Forum.
In response to pressure, the previous Government amended Care Quality Commission regulations to make facilitating visits part of the fundamental standard of care. I pay tribute to the hon. Member for Faversham and Mid Kent (Helen Whately) who steered that through Government in the previous Parliament. The newly inserted regulation 9A requires that in-person visiting in care homes, hospitals and hospices and accompaniment to appointments should always be facilitated by providers in line with people’s needs and preferences. Only in exceptional circumstances should that be restricted.
Although that is a welcome step forward, it has fallen short. Just like the guidance that preceded it, regulation 9A lacks clarity, oversight and accountability. In practice, it is too often misunderstood, misapplied or outright ignored. This past winter, Rights for Residents received hundreds of calls from distressed families who were blocked from seeing their loved ones. Outbreaks of flu or norovirus were being used as justification to deny all access, in some cases for more than two weeks, despite regulation 9A being in place.
I will give a couple of examples. Tina’s mother, who has dementia, was in hospital being treated for pneumonia, when a blanket visiting ban was imposed due to an outbreak of norovirus. It took days of trying before Tina received any update on her mother’s welfare. Days later, she received a voicemail of her mum’s frail voice whispering, “Don’t give up on me, Tina.” Her mental and physical condition deteriorated rapidly during that time, which Tina believes was exacerbated by their separation.
Amanda’s mother, who lost mobility after a brain haemorrhage, depends on family support for personal care and emotional wellbeing. During another blanket ban, Amanda, despite quoting regulation 9A, was told that her mother’s right to contact was not worth the risk. By the time visits resumed, her mother had lost weight and become visibly withdrawn.
Many similar experiences have been reported to Care Rights UK’s advice line, from people denied access to their friends and family, including when the care provider was aware of regulation 9A, but still chose not to comply with it. For example, the charity recently supported someone living with dementia who had had visits stopped as part of a settling-in process in their care home. The provider failed to recognise the importance of maintaining support from familiar loved ones as a key part of dementia care.
To understand the scale of the problem, Rights for Residents ran a national survey between February and May this year. The results are deeply concerning. Four in 10 respondents had never even heard of regulation 9A. One in four reported care settings implementing complete visiting bans since April 2024. Even when family members were aware of and cited regulation 9A, in more than a third of cases that had no effect on visiting arrangements. Many care settings continue to regard regulation 9A as guidance only, which can be ignored without consequence. As Rights for Residents put it:
“These findings indicate that the introduction of CQC Regulation 9A has not been effective or sufficient in upholding the visiting rights of those using health and care settings, and that as a result, people are experiencing avoidable harm from unnecessary visiting bans.”
The conclusion is clear: without a clearly defined legal right to maintain contact, access will continue to be patchy, precarious and far too easy to deny. The postcode lottery of uneven implementation was unacceptable during the pandemic and is unacceptable now. I stress that this is not about unlimited access. Care supporters would be subject to the same appropriate safety precautions as staff. It is about protecting the principle that the connection with loved ones is not an optional extra, but essential to dignified care. No member of staff, no matter how professional or compassionate, can replace the bond between a parent and child, husband and wife, brother and sister, or with a lifelong friend or partner. Loved ones are more than companions. They are vital safeguards. They are the eyes and ears that notice what others might miss. They protect against neglect, spot subtle signs of distress and speak up when something is not right.
To leave this matter to the discretion of individual managers, without clear legal underpinning, is to leave the most vulnerable at the mercy of arbitrary decisions that could severely impact their wellbeing. It is not only a matter of compassion; it is a matter of rights. We all have a right to a family life. That right should not disappear behind locked doors when someone requires care. That is why we are calling on the Government to guarantee the right of every person in a care setting to have at least one essential care supporter—not just guidance and not tinkering around the edges of regulation, but a right, protected in law. During the general election, my party, Labour, promised to make that change in government. That promise must now be delivered. It said:
“We will guarantee the rights of those in residential care to be able to see their families.”
The only way to guarantee that right is through the law.
The review of regulation 9A is due shortly and, from 30 June to 31 July, the covid inquiry will hear evidence on experiences of the care sector during the pandemic. As families relive the trauma of that period, the Government have the opportunity to show them that they have been heard, that lessons have been learned and that action will follow. If we truly believe in dignity and compassion in care, that cannot be delayed any further. We owe it to every family torn apart. We owe it to every patient or resident still facing the risk of being isolated. We owe it to every one of our constituents who fears that when the time comes, they too might be left without a loved one’s hand to hold. This change will cost the Government nothing, but for those it protects, it means everything.
Speech and Language Therapy
Connor Rand Excerpts(5 months, 3 weeks ago)
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Mr Connor Rand (Altrincham and Sale West) (Lab)
I echo the congratulations to my hon. Friend the Member for Lichfield (Dave Robertson) on introducing this important debate, and to all the campaigners who work tirelessly on this issue. I thank everyone who signed the petition, especially the 124 people in my constituency of Altrincham and Sale West: we contributed more signatures than any other constituency. That reflects the great number of conversations that I have had on this issue with local residents since being elected.
Other Members have spoken powerfully about the fundamental nature of communication to human life. It is clear that speech and language therapy can be transformational for those who experience it— approximately 76% of people who have had therapy say that it has materially improved their life—but it is a service that is far too hard to access. NHS England figures show that in September last year, over 64,000 children were on a waiting list for speech and language therapy, and 41% of them were waiting more than 18 weeks.
In my local NHS trust, there are about 154 speech and language therapists working full time. If we speak to any family with a relative affected by a communication or language difficulty, they will tell us that that simply is not enough. I have spoken to many school leaders locally, especially primary leaders, who are having to make stretched budgets stretch even further to fill in the gaps. The picture we face is stark and reflects the huge crises in our national health service and our special educational needs system.
In 2023, a report by the Royal College of Speech and Language Therapists identified significant failings over many years in planning for the speech and language workforce. Alongside significant cuts to early intervention services under the previous Government, those failings were reported as driving factors behind the waiting lists for therapy, which in turn piled pressure on other parts of the system and ultimately resulted in a demoralised workforce leaving the job they love and in the public going without the support they need. Ofsted, the Education Committee and the Care Quality Commission have all published similar reports, which should frankly have set alarm bells ringing in Government, but the truth is that not enough has been done.
Neither funding nor the numbers of speech and language therapists have kept up with the 64% increase in the number of children identified as having communication needs since 2015. Tragically, with adults, we have seen a steady decline in the amount of speech and language therapy received after a stroke, and effectively no dedicated adult service for those with long-term speech conditions. The challenge for this Government is that we must reverse these trends, not just because it is absolutely the right thing to do, but because improving access to speech and language therapy is essential to this Government’s missions for change, as my hon. Friend the Member for Hyndburn (Sarah Smith) outlined. Whether that is breaking down barriers to opportunity in education or getting the NHS back on its feet, giving people the support to communicate effectively is critical.
Given the impact that speech and language therapy can have on giving people the ability to return to work, it is hugely important to our national effort to boost economic growth. I know that some important steps have been taken, and taken quickly, by this Government, not least the record funding increases set out for the national health service in the Budget. I know that there is no ringfenced central funding for speech and language therapy and that service delivery is in the hands of the integrated care boards, but I would like to know from the Minister, if possible, what work the Government are doing with ICBs to ensure that that extra funding feeds through the system and is being felt by individuals affected by communication and speech issues.
If possible, I would also like the Minister to address how the Government will improve the planning for the whole speech and language therapy workforce and what provision there is for that in the NHS workforce plan, which I know the Department of Health and Social Care is currently looking to update. That is desperately needed across our national health service. Finally, I will be extremely grateful if the Minister sets out the progress in delivering early language support for every child pathfinder project, so education settings can increase their ability materially to support speech, language and communication development.
These are big challenges for the Government to address, but that is why Labour Members like me have been sent here. We were elected on a mandate of changing and rebuilding our public services, so that they can be there for those who need them. We should never lose sight of the role that restoring speech and language therapy provision must play in the driving missions of this Government.