Junior Doctors’ Foundation Programme

Danny Chambers Excerpts

Wednesday 22nd April 2026 Westminster Hall

[Dr Danny Chambers (Winchester) (LD)]

It is an honour to serve under your chairship, Mrs Barker. I congratulate the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley) for another insightful speech; this time I will avoid comparing the anatomy of human and dog ear canals—we have covered that already.

We always rightly start these speeches by paying tribute to NHS staff, doctors, nurses and everyone involved in patient care, especially given the pressures on them as a result of sheer patient numbers and working in systems that can make the job even more stressful and pressurised than it already is. They are caring for severely injured or very ill people at the toughest moments of their lives. The emotional burden of caring for people who could be dying is difficult in itself, but resident doctors work in a system that adds extra pressures and conditions that can add stress alongside that. We cannot pay enough tribute to them for even surviving in those areas.

One of the best books highlighting the plight of resident doctors that I have read is Adam Kay’s “This is Going to Hurt”. It did a lot to help the public to understand just how difficult it is for a doctor to not know where their training place is going to be. It is where they are going to be forced to live and work for several years—a place where they may not have any friends or family; they might be taken away from family and spouses. They might have dependants and children. It is really difficult to plan a career, especially such a difficult and challenging career, when working with that level of uncertainty. I lived with medical students when I was a student at Liverpool University and have followed their careers since. The challenges that the hon. Member set out have been reflected in their lives and careers.

I support the Government’s ambition to increase medical school placements. That is important. We have a recognised workforce shortage in the NHS, so that is an obvious thing to do, but we must ensure that we do not carry on falling into the same trap. The previous Government, under Boris Johnson, said that they would increase medical school placements—and they did, but without providing the infrastructure for training resident doctors who want to go on to specialised training. That obvious bottleneck was going to filter through. No mechanism was put in place to ensure that the NHS would have the capacity to train those extra medical students when they finished their F1 and F2.

In Winchester I speak to many resident doctors, and even to their parents. Those resident doctors have gone through university, sometimes getting themselves in a fair amount of student loan debt, and are working hard on their F1 and F2. The stress of not knowing whether they will get a training placement is overwhelming, frustrating and for us, as a society, ridiculous because we are short of doctors. How have we ended up in a situation where we are training students and resident doctors, but cannot give them the further training places to continue? I urge the Government to ensure that any training places will filter all the way through for the rest of that person’s career.

We know that the last Government not only thought it sounded good for winning votes to say that they would increase medical school placements, but said that they would build 40 new hospitals, though there was absolutely no funding—putting votes before a genuine long-term plan for the NHS. We then come up against a brick wall of reality. People working in the NHS end up suffering and the people who rely on the NHS—everyone—end up not getting the service that they voted for.

The Liberal Democrats welcome the Minister’s statement about increasing training numbers, especially for people from more disadvantaged backgrounds. It is important that we look at the diversity of the professions. Certainly within the veterinary profession, socioeconomic diversity is not what it should be; it does not reflect society. A profession—whether the medical profession or another—offers a better service to society if it better reflects it. I once heard someone say that talent is everywhere, but opportunity is not. It is the job of all professions to ensure that we get the people with the talent enrolled on courses so that they can have fulfilling careers and offer much back to society.

The statement is a really good first step, but it is a bit vague. The Minister writes about underserved parts of the UK seeing new medical spaces; how many will there be, and how will that be delivered? Will current medical schools increase their capacity? Will new teaching hospitals open to support it? The target is to place

“up to 25% of students at participating medical schools…to local foundation training places”.

How many medical schools have indicated that they want to participate? That will be fundamental to how this policy gets delivered.

To reiterate what the hon. Member for Bury St Edmunds and Stowmarket said, we need to treat medical students and resident doctors like people; they are not just numbers. Working conditions are as important as pay, and to improve working conditions we need to double down on improving social care to avoid delayed discharge and corridor care. The doctors delivering treatment will feel that they are doing a better job, and will not feel under pressure as a result of being unable to deliver the care that they want and that patients deserve.

We also need to ensure that we have a happy, resilient, passionate and excited workforce going forward. The Minister has been asked constructive questions. I ask him not to repeat the previous Government’s mistakes of talking about increasing hospital numbers and medical students, while creating a whole generation of doctors who cannot go on to serve their communities and have a fulfilling career.

NHS Federated Data Platform

Danny Chambers Excerpts

Thursday 16th April 2026 Westminster Hall

[Dr Danny Chambers (Winchester) (LD)]

It is an honour to serve under your chairpersonship, Dame Siobhain. I thank my hon. Friend the Member for Newton Abbot (Martin Wrigley) for his tenacity and expertise in this subject. He has done a huge amount of research, and made an absolutely excellent speech.

At a moment of rising global instability, it is extraordinary that we are prepared to trust the health of our citizens and the functioning of our NHS to a US corporation that does not share our values or interests. Outsourcing the storage, handling and analysis of NHS data to a foreign company, rather than securing the national and economic benefits of this work being done by a British or UK-led organisation, is yet another example of our unnecessary reliance on others to keep our vital infrastructure running. Doctors and the public have made it clear that they do not trust this company. Fewer than half of NHS trusts have begun using this technology, in large part because of the concern from patients and clinicians. If, as the Health Secretary says, the federated data platform is

“absolutely critical to the future of the NHS”,

placing it in the hands of a company that staff and patients do not trust risks undermining that future from the outset.

This is the central issue: we hold doctors and nurses to the highest ethical standards, and rightly so. We expect them to protect confidentiality, to act with integrity and to put patients first. So why are we asking them to use a system they do not trust and stake their professional reputations on it?

Palantir is not a neutral contractor. It is a company that is deeply embedded within the political ecosystem of Donald Trump, a convicted felon whose Administration has repeatedly undermined the international rule of law. It is a company that has worked hand in glove with US Immigration and Customs Enforcement, whose behaviour is morally and legally outrageous and whose agents have operated like masked vigilantes in the deportation of individuals. We are all aware of the tragedies that that rogue Trump organisation has left in its wake. Why are we allowing a Trump-aligned company to sit at the heart of Britain’s most precious public service? Why are we comfortable placing NHS data in the hands of a company whose values are so clearly at odds with those of the British public?

This is not a technical decision—this is a political choice. The NHS is not only one of our most important public services but one of the largest areas of public spending. Therefore, it is deeply concerning that Palantir’s contract for the federated data platform is so heavily redacted that it makes scrutiny almost impossible.

[Iqbal Mohamed]

Health inequality in the NHS for people of ethnic minorities is a challenge that we need to address. The New Orleans police department and the Los Angeles police department both terminated Palantir-powered predictive policing due to the system’s reinforcing racial bias and creating feedback loops to overpoliced communities that were affected. Does the hon. Member agree not only that the company and its leaders are unethical but that the systems it supplies are unethical and racist?

[Dr Chambers]

That is an important point. Amnesty International, whose representatives I believe are present, and others including voices within the NHS have been raising serious concerns about the potential misuse or inappropriate sharing of sensitive data. The Government must come clean about how the contract was awarded in the first place and what steps they will be taking to bring it to an end.

We should be building NHS data processing capacity here in the United Kingdom, strengthening our resilience, backing our own expertise and building sovereignty in a more dangerous world. Instead, we are exporting control of one of our most valuable national assets. I ask the Government today to use the break clause, stand with NHS staff, protect patient trust and keep Donald Trump and his allies out of our NHS.

[Dame Siobhain McDonagh (in the Chair)]

I call the Government spokesperson—[Interruption.] I call the Opposition spokesperson.

Women’s Health Strategy

Danny Chambers Excerpts

Thursday 16th April 2026 Commons Chamber

[Madam Deputy Speaker (Caroline Nokes)]

I call the Liberal Democrat spokesperson.

[Dr Danny Chambers (Winchester) (LD)]

The Liberal Democrats welcome the strategy, and its specific recognition of the socioeconomic and racial disparities in women’s healthcare, which it is important to put front and centre. We also appreciate the specific recognition of endometriosis and similar conditions. My partner, Emma, suffers from endometriosis, and on many occasions I have seen her unable to stand up or barely get off the sofa, having been told for years that her symptoms are completely normal and that there is nothing wrong with her. Given that at least one in 10 women suffer from endometriosis and there are over 500,000 people on gynaecology waiting lists, clearly her experience is not unique.

The picture around maternity safety is deeply troubling. Maternal mortality has increased by over 20% in the past 15 years, and there have recently been some high-profile media discussions about women and babies being let down, sometimes with devastating consequences. That is why the Liberal Democrats have been calling for one-to-one midwifery care and specialist doctors on every unit.

I welcome the Government’s specific commitment on treatments for morning sickness. My hon. Friend the Member for Lewes (James MacCleary) has campaigned on that issue for a long time, and it is right that we end the postcode lottery for these medicines. The condition can be debilitating for some people, and it is not fair that women have different experiences simply because of where they live.

Given that this is not the first women’s health strategy to be brought to this place—the previous Government brought one through in 2022—and the fact that many women we speak to do not feel that there has been any meaningful change, a lot of people are saying that we cannot just keep announcing strategies while women are waiting for basic care. Given the failure of the last Government to deliver meaningful change, can we have reassurances that this will not simply be another strategy announcement and that women will feel a difference in the care that they receive?

[Karin Smyth]

I thank the Liberal Democrat representative for his comments—frankly, that is the way it is done.

Let me turn to some of the issues that the hon. Gentleman raised. May I take the opportunity to mention endometriosis in particular? There have long been campaigns on that issue in this place from many women and men such as him talking not on behalf of their partners, but for them about the suffering. That is all very welcome.

I commend the work of Sir David Amess, a former Member of the House whose plaque is behind us, and of my right hon. Friend the Member for Redcar (Anna Turley) in chairing the all-party parliamentary group on endometriosis. When in opposition in 2017 or 2018, I had a member of staff—I hope she does not mind my saying so—who opened my eyes to this issue. Persistence works. We have got to where we are by supporting women’s voices across the country, and that is front and centre in this strategy.

On the hon. Gentleman’s wider point, I am sure that when he gets all the way through the strategy, he will see that there is a list of 102 actions—if I remember rightly—with dates aligned to them. I am sure that all hon. Members will look at that. I notice that my friend Baroness Merron is in the Gallery; she will be keeping everybody’s feet to the fire, including the Secretary of State’s, to deliver on this work. That list is in the strategy, and we wanted to set it out very clearly. We are waiting for the roll-out of NHS Online during the summer, and seeing how that works will be a litmus test for us, so I very much welcome the hon. Gentleman’s challenging us on that.

Ehlers-Danlos Syndrome and Craniocervical Instability

Danny Chambers Excerpts

Thursday 26th March 2026 Westminster Hall

[Dr Danny Chambers (Winchester) (LD)]

It is an honour to serve under your chairship, Ms Furniss. I thank the hon. Member for Cannock Chase (Josh Newbury) for securing this important debate. Many people have to come watch in the Public Gallery, and I do not underestimate how much effort that will have taken some of them. We really do appreciate them being here today. We have heard from everyone the frustration of having a relatively rare disease with non-specific clinical signs, meaning that so many patients have been waiting years and years, in awful situations, even to get a diagnosis. What we are equally upset about is that once they have a diagnosis, the support is not available to ensure that they live the most fulfilled life possible or even, in many cases, get the most basic care that they require. On that note, I commend the hard work of EDS UK in supporting and providing training for clinicians and healthcare professionals and campaigning for standardised guidance, improved NHS services and clinical pathways to meet the needs of EDS patients.

The lack of national policy has left a postcode lottery for EDS patients across the country. This is another NHS area suffering the frustratingly long diagnostic delays and lack of joined-up, multidisciplinary care that we see for certain conditions. That means that people are battling with the unexplained symptoms and pain of EDS all through childhood, and that those patients have often been told repeatedly that their tests are normal and their symptoms must be psychosomatic. It means waiting decades for an overarching diagnosis for multiple complaints and being stuck in a system that incorrectly believes that EDS is a very rare condition rather than a realistic possibility. I was interested to hear my friend the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley) acknowledge that he probably has treated patients with this disease, having not recognised it, which is something that we are all guilty of sometimes with rarer diseases.

Diagnosis is only the first step. Care is too often fragmented or non-existent, and patients struggle to get a GP appointment in the usual 8 am scramble. As a result of fragmented care, those with EDS are left to manage their own symptoms, unable to access a holistic and collaborative point of care. For many, a huge part of the burden of living with EDS comes from the lack of awareness of the condition. Unlike the situation for more visible disabilities, employers, schools and even friends and family are too often unaware of the debilitating and changing nature of this condition. Negotiating accommodations or seeking disability benefits for a condition that is little understood and largely invisible presents a huge challenge.

People with EDS and those around them need clear guidance on the nature of the condition. A constituent of mine in Winchester, Dr Emma Reinhold, worked as a GP in the local community, where she became increasingly aware of EDS, with its commonly associated conditions, and how they were overlooked. That led to her development of the EDS toolkit, written in conjunction with the Royal College of General Practitioners and funded by EDS UK. That toolkit is incredible and has been shared all over the world. I first heard about it when I was knocking on doors and she popped her head out of her upstairs window to say hello. We spoke about the toolkit for about 20 minutes—me on the street and her up in her bedroom. She had been a GP in Winchester for many years and then she became seriously unwell with EDS, which was why she was at home. That was at the age of just 42. Like so many others, she had to stop working; eventually, she had no option but to take ill health retirement, so the NHS lost another GP far too soon.

One patient who Dr Reinhold told me about—I think it was through that window conversation—was a woman who was in her 70s when she finally got the diagnosis that she had been looking for over many years to explain her symptoms. This is a genetic condition that she had had since birth, but it took 70 years to ensure that she got the answers that she deserved and appropriate support for her many symptoms.

Emma’s open access toolkit on EDS—for anyone who is interested, it is worth googling—ought to be promoted enthusiastically by the Government as a means of promoting greater awareness on the part of all medical professionals, as well as better understanding and sensitivity on the part of everyone, so that we can ensure that all those with EDS and other hidden disabilities remain welcomed and cared for in education, the workplace and their day-to-day lives. Dr Reinhold explains that we need a co-ordinated, holistic approach to multisystem conditions such as EDS, rather than the current disjointed care that facilitates diagnosis falling into gaps between specialists, who do not always have the collective training to spot connections between apparently unrelated symptoms.

Patients need national leadership, so we urge the Government to address the policy gap by working towards joined-up, multidisciplinary care across primary and secondary services, as well as supporting and promoting the existing training for staff, to ensure that those with EDS can access the care that they deserve. EDS and HSD must be integrated into NHS service specifications and long-term condition strategies as a matter of urgency.

The Liberal Democrats want everyone with a chronic illness, including EDS, to have a named GP. That would improve their quality of care and allow better join-up between the range of services that they can access. We must champion the work of the Overlapping Illness Alliance and EDS UK to raise awareness of these often hidden conditions so that those in need of support are able to access it.

Before the last general election, Ministers from the former Government offered to meet EDS UK, and then the election was called so the meeting never happened. Will the Minister commit to meeting EDS UK and patients, including Dr Reinhold, to better understand what would be helpful to improve their outcomes?

Endometriosis Services

Danny Chambers Excerpts

Tuesday 24th March 2026 Westminster Hall

[Liz Jarvis (Eastleigh) (LD)]

It is a pleasure to serve under your chairship, Mr Dowd. I am grateful to the hon. Member for Ipswich (Jack Abbott) for securing this important debate. I welcome to the House all the women in the Public Gallery.

I have also heard from many women in my constituency who have lived with the devastating impact of endometriosis. It is shocking that so many have had to endure years of pain, uncertainty, dismissal and a lack of access to timely diagnosis and specialist endometriosis services. According to the charity Endometriosis UK, it takes on average nine years and four months to receive a diagnosis of endometriosis in the UK—nearly a decade of a woman’s life blighted by debilitating pain, missed employment and educational opportunities, declining mental health, difficulties with fertility, and being told far too often that what they are experiencing is normal.

We know that one in 10 women are affected, yet awareness remains far too low among the public and healthcare professionals. The economic cost alone is estimated at £11 billion a year. Behind the statistics, however, are real people, real families and real suffering. My constituent Lucy, who is a teacher, told me that she has been suffering tremendously every month, unable to work on the first day of her cycle due to the pain and side effects. Every single month she has been left unable to stand, doubled over in pain, and with dizziness and vomiting. After nine years of debilitating pain, fertility issues, being refused treatment and being told that some people just suffer, she has finally had a laparoscopy, which revealed that she has endometriosis. She is hoping that she can now grow her family, but it should never have taken so long for a diagnosis.

[Dr Danny Chambers (Winchester) (LD)]

I can reiterate that point; my partner Emma has severe endometriosis. She is regularly crippled—barely able to get off the sofa and in absolute agony. She has been told for years that this is normal and that there is nothing wrong. She had to fight repeatedly to get the diagnostic surgery that she needed, which confirmed that she has endometriosis. It is a very common story, and it is completely outrageous that people are told that crippling pain, meaning that they cannot get off the sofa, is just a normal cycle.

[Liz Jarvis]

I thank my hon. Friend for his important point. Women should not have to fight to get the treatment they need. I have also heard from Kelly, who told me:

“Every month I am in debilitating pain and it is soul destroying. I cannot take days off work every month and there is nothing I can do but suffer. It affects my work, relationships and is ruining my life.”

Then there is Lucy, who has worked in the NHS for 20 years and is now a clinical nurse specialist for endometriosis. She told me:

“I grew up during a time when endometriosis was never mentioned. I was told that periods are painful, so the monthly debilitating pain and heavy periods I experienced were normalised.”

She was finally diagnosed with endometriosis in her mid-30s.

Women should not have to put up with the pain of this debilitating disease, and I urge the Government to take urgent action to tackle the postcode lottery for endometriosis care, address gynaecological waiting lists, improve training and awareness among healthcare professionals, and ensure full implementation of NICE guidelines, with clear referral pathways, so that no woman has to suffer for years without answers or support.

I am sure the Minister agrees that addressing delays in diagnosis, gaps in care and inequalities in access are of the utmost importance. More broadly, this debate highlights a wider crisis in women’s healthcare—from the scandal of unsafe maternity units to the nearly 750,000 women currently on gynaecology waiting lists, over 30% of whom have waited for more than a year from referral to treatment. It must be addressed, because women are being failed and society suffers as a result.

I hope the Minister also agrees that access to mental healthcare should be expanded for women with endometriosis. Dismissed symptoms and diagnosis delays left 98% of respondents to an Endometriosis UK survey reporting an impact on their mental health, and 63% of respondents describing that impact as significant. I hope that the Minister will consider expanding mental healthcare provision to give the countless women dealing with the psychological toll of endometriosis the support that they need. We need a system that is fit for purpose, which validates women, takes their symptoms seriously and provides timely, compassionate and effective care. I do not think that that is too much to ask.

Alongside investment in the workforce, improved access to GPs, continuity of care and a step change in research to address painful conditions that women have suffered from for far too long without remedy, are all absolutely essential.

Ultimately, this debate is about delivering better outcomes and proper support for those affected by endometriosis. I hope that the Government will tackle this issue, showing clear leadership and transparency, to ensure that every woman with endometriosis has access to the right care at the right time.

Tobacco and Vapes Bill

Danny Chambers Excerpts

Consideration of Lords amendments
Monday 23rd March 2026 Commons Chamber

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I call the Liberal Democrat spokesperson.

[Dr Danny Chambers (Winchester) (LD)]

I also welcome the hon. Member for Washington and Gateshead South (Mrs Hodgson) to her position as Minister for Public Health. I had the privilege to serve on the Bill Committee, as other hon. Members did—indeed, I see some familiar faces in the Chamber. One of the things that struck me most was when the chief medical officer gave his evidence: he said that the Bill was not only the most significant piece of public health legislation in 30 years, but probably the single of piece of legislation that will most help to address inequality. Inequality is multifactorial, but one of the main factors in the difference in life expectancy between certain wealthier areas and certain more deprived areas is the rate of smoking. This Bill will have a huge impact, especially on the communities for which we are really trying to improve life expectancy.

I am very pleased that the Government accepted so many amendments in the Lords. Some of the amendments that the Liberal Democrats are really keen on are regarding fixed penalty notices and require all the money from those fines to go to local public health initiatives, as directed by local authorities. We know that public health is so important, yet funding for such organisations is usually extremely limited, given the pressures on local authorities. Without the Lords amendments on fixed penalty notices, the money would go straight back to the Exchequer. We fundamentally believe that if we are serious about making a meaningful difference to people’s lives, that money must be used in local smoking-cessation initiatives.

As the mental health spokesperson for the Liberal Democrats, I am acutely aware of the benefits of the Lords amendments that support those with long-term mental health conditions, who have higher rates of smoking than the general public. We know that going cold turkey is simply unrealistic and can even be dangerous. The exemption on vape vending machines in secure mental health hospitals ensures that people are supported professionally in quitting in a sustainable and maintained way that will not further damage their mental health.

I welcome the Lords amendments on regulating filters, which have cross-party support. Not only are filters an environmental issue, but they provide a false perception of safety to smokers. Ensuring that there is awareness of the lack of protection that these filters provide and of smoking as a whole is imperative if we are to ensure that people can make informed decisions about their health and wellbeing.

I am very pleased to support this Bill as it goes through Parliament; it is momentous and significant. We really appreciate the Government’s accepting the Liberal Democrat Lords amendments, which will slightly improve how the Bill will be delivered. We are very pleased that this will be a strong and impactful Bill. We hope that it will deliver meaningful change on public health for generations to come and that we will have a smokefree generation growing up.

[Tristan Osborne (Chatham and Aylesford) (Lab)]

I welcome the Minister to her new position and thank her predecessors for all the excellent work that they did in getting this legislation through Committee and in their representations in the House of Lords.

As has rightly been said by Members across this Chamber, this is a seminal piece of legislation that puts Britain at the forefront of smoking cessation. It is a Bill that will be modelled in other nations around the world and that reflects the changing nature of tobacco use in the United Kingdom. I remember that when I was growing up in the 2000s—not that many years ago some might say—smoking was a real problem in schools. Among under-18s in particular, 50% of cohorts were smoking. I am a former schoolteacher, and if we fast-forward to today, that figure has dramatically reduced. However, we see new technologies such as vapes and chewable tobacco taking the place of smoking.

I welcome many of the measures in this Bill and the fact that we are the cheerleaders taking it forward. I also welcome the cross-party consensus in accepting many of the Lords amendments and in accepting proposals from representative groups outside the House. Those proposals include the ban and restrictions on filters, which are evolving as I speak; in many cases around the world, filters are quickly changing, so they still remain a problem.

I accept some of the changes regarding vending machines. One of the big things discussed in Committee was vending machines in mental health and other health institutions as smoking-cessation tools. It is welcome that, as a result of the debate in Committee, we have accepted that vaping remains a smoking-cessation tool. Broadly speaking, until evidence is presented that shows otherwise, vapes are a far healthier product than cigarettes, so they continue to have a place in smoking cessation.

I thank the Government for accepting Lords amendments on the issuing of fines of up to £2,500 by local authorities and the ringfencing of that money for those councils. We know that councils do outstanding work in challenging illegal tobacco. My council in Medway in Kent has one of the most successful track records in identifying illegal tobacco and challenging those who market the product, but we know that that is just the tip of the iceberg. These products contain significant quantities of dangerous chemicals and other types of product that can be severely damaging to people’s health.

I also want to mention restrictions on advertising. We know that there is gamification around tobacco products. We know that tobacco companies have sought to advertise specifically to young people so that they become addicted at ever younger ages. That is not a new technique; it has been happening for generations. I am glad that the Government have accepted Lords amendments on advertising to ensure that we restrict it on television and in other marketing efforts.

This Bill and all the amendments tabled by Members across this Chamber and in the other place, reflecting the views of different organisations in civil society, are broadly speaking extremely sensible, and I am glad that the House is not dividing on the Lords amendments tonight.

Lastly, I pay tribute to all the people working in our health services, who have been the most clear advocates for this Bill. They are the people who have been at the coalface every single day dealing with the consequences of tobacco, be they lung conditions, heart disease or concurrent conditions. It is because of their work over many years that we are here today with this Bill and these Lords amendments.

--- Later in debate ---

[Jack Rankin]

I absolutely recognise that. We should make sure that these products are available to adult smokers—children should never start. However, I am afraid that the heavy-handed nature of this Bill risks sending the broad message to the general public that vapes are bad, which is not a message that we want to send to existing adult smokers. That point was ably made earlier by some of the hon. Gentleman’s friends on the Labour Benches. I believe that we would be doing a disservice to, and setting back, the public health aims of the Bill by advancing it as it stands.

Lords amendment 72 rightly protects the advertisement of vapes and nicotine products as part of a public health campaign, but this demonstrates the great irony of the Bill. The Government know that vapes and nicotine products are an effective quit aid and actively promote them for that purpose, but at the same time they are bringing in measures that will reduce their availability and attractiveness to adult smokers.

If Ministers will not listen to Members of this House and peers in the other place, I had hoped that they might at least listen to the hundreds of high street businesses that took the time to write to them. I share those businesses’ concerns about the extra pressures the Bill will place on corner shops, convenience stores and hospitality businesses, and how it will change the face of our high streets. That is where the real impact of the Bill will be felt. Those businesses are already under immense pressure from high energy costs, increasing national insurance contributions, the Employment Rights Act 2025 and changes to business rates—I will admit that the Government are nothing if not consistent. Corner shops and convenience stores now face losing custom due to the generational ban, alongside further compliance burdens through advertising restrictions and licensing schemes. The ban alone is expected to cause 7,680 store closures, to cost 70,000 jobs and to cost retailers £6.52 billion. Those are not my numbers; they are from the Government’s own impact assessment.

[Dr Chambers]

The hon. Gentleman raises legitimate points about the pressures facing small businesses at the moment, but does he not agree that there must be better ways of supporting small businesses than facilitating children to get cancer?

[Jack Rankin]

I am not suggesting that at all, sir. I am suggesting that the generational smoking ban that applies to smoking adults—I have never met a smoking adult who did not know that smoking was bad for them—is an illiberal policy that will create two tiers of adults. There is absolutely nothing wrong with people making decisions that we individually might think are bad for them. The evidence suggests the same, but people should be perfectly able to make those decisions should they choose to do so.

As legitimate businesses struggle, less scrupulous operators will inevitably fill the gap. The rapid growth of seemingly dodgy vape shops is a real concern for my constituents in Windsor, and it will be a concern for the constituents of Members right across the House. On the high street in Windsor, there are eight such shops. This is not a response to the demand for vapes, so we should ask whether fraud, money laundering or organised crime are taking place. We already have much evidence to say that they are. During a mystery shopper exercise in Windsor and Sunninghill, I witnessed the sale of illicit tobacco in three shops—it was alarmingly easy to obtain. The price difference explains why: a pack of illicit cigarettes can cost as little as £3.50, compared with £16.75 at retail. If such activity is taking place openly today, that raises the question of what else might be happening behind the scenes, and where this activity will go under the Bill.

The Bill risks turbocharging an already thriving black market. Tobacco receipts are down by £414 million, or 10%, in the last six months alone, and have fallen nearly 30% over the past decade, far outpacing the decline in smoking rates. More than one in four cigarettes consumed in Britain are now illicit, amounting to about 2 billion cigarettes each year, and the international evidence, including from Australia, should serve as a warning. Members who are sceptical should spend time with their local trading standards office to see the reality for themselves. That is why hundreds of retailers backed an amendment, tabled by Lord Murray of Blidworth, that would have replaced the generational ban with a minimum age of sale of 21. That would have been more enforceable and less costly. Naturally, that amendment was rejected.

Hospitality businesses have voiced real concerns about provisions in the Bill. That sector is so important to the economy in Windsor, and it is already struggling: since the 2024 Budget, job losses in the sector have made up around 50% of job losses overall. UKHospitality has said that many businesses have no capacity to absorb additional costs. Labour has hiked alcohol duty, is banning smoking and is considering health warnings on alcohol. Labour hates fun—it is no wonder that landlords are barring MPs from their pubs.

Amendments tabled in the other place by Lord Sharpe of Epsom would have protected our beer gardens from being designated as smokefree and allowed the advertising of products that do not contain tobacco in age-gated venues, in a similar way to the amendments that I tabled in the Commons. Those amendments would have gone some way towards reassuring pubs and venues that the Government are not completely set on destroying them. Again, those amendments were rejected—or am I to understand that the Government have U-turned on that?

Before I conclude, I will briefly raise one further concern regarding the powers granted to Ministers to prohibit cigarette filters in future. The justification for this measure remains unclear, and it is yet another example of the broad and—I would argue—excessive powers that this Bill contains, including the host of Henry VIII powers it grants. Through this Bill, the Government have teed themselves up to bring in further puritan measures in the coming years without needing to consult this House. Any such steps will simply exacerbate the growth of the black market and the decline in duties collected.

Smoking rates are falling naturally, but this Bill may well reverse that trend, as it limits access to quit aids. It will likely mean less revenue for the Treasury as the black market grows, and it will cost our high street businesses billions. The amendment process has done little to address, or even acknowledge, those concerns. However, I will end on a more positive note by saying that I welcome Lords amendment 80, which requires a review of the Bill within four to seven years of its implementation. I believe that review will vindicate me in many of the concerns I have raised today and provide a future Government with the opportunity to address or, indeed, repeal those aspects of the Bill that prove most unworkable—not that I believe this Bill will get that far. It will not survive a change in Government, which will happen at the next opportunity afforded to the Great British people.

Dementia Support: Hampshire

Danny Chambers Excerpts

Wednesday 21st January 2026 Westminster Hall

[Liz Jarvis]

Of course, I absolutely agree with my hon. Friend. There is too much confusion and delay around accessing assessments for dementia patients and their carers, and too much focus placed on ticking boxes rather than determining the most cost-effective options available to families.

Hospital discharge is another major pressure point, as up to one in four beds are currently filled by someone with dementia. I have been contacted by families whose loved ones have spent weeks in hospital only to face discharge into home environments with minimal support. My constituent Nicola told me that the consultant and occupational therapist caring for her father said that he should not be discharged because of his high risk of falls, but that their hands were tied by the county council. She said that the family were told to supervise, rather than to provide care, and to wait for carers to arrive. That meant her father would be left at risk of falls and accidents, or left sitting in soiled clothing, because no one was allowed to intervene. Family carers should not have to go through such endless battles, facing constant uncertainty about support and being stretched to the limit just to get their loved ones the care they deserve.

The ambition in the Government’s 10-year health plan is to move care from hospitals into the community, with greater access to neighbourhood health centres. That ambition is welcome but it will succeed only if dementia specialist support is embedded at its core. Neighbourhood health services must include dementia-inclusive multidisciplinary teams with access to specialist dementia nurses. Changes to the Hampshire carer support and dementia advice service have compounded those challenges. For 12 years, that service was delivered by Andover Mind, which provided advice, guidance and vital emotional support. It was changed with very little notice, as part of Hampshire county council’s ongoing savings programme, which is addressing a projected shortfall of £143 million for the coming year. Chronic underfunding of local government has meant that such non-statutory services are often cut back, despite being lifelines for so many people across the county.

[Dr Danny Chambers (Winchester) (LD)]

I can empathise with my hon. Friend’s experiences of caring for her mother. My father also died of dementia; we cared for him at home for many years. On a more positive note, I recently visited the St John’s dementia group in Winchester. It is a fantastic group with loads of activities—I joined them in singing “Sweet Caroline”, badly—and it provides vital support for those with dementia and for their carers by giving them some respite. Does my hon. Friend agree that we need to do all we can, at the local and national levels, to support such community groups, which provide light relief for people in very stressful, chronic situations?

[Liz Jarvis]

I absolutely agree with my hon. Friend. When my mum was first diagnosed with dementia, one of the most important things for her was going to Singing for the Brain sessions, where people are encouraged to remember old songs. That was brilliant for her, but obviously it is not enough. When the condition starts to progress, it becomes harder and harder, yet the care that is needed is often not available, as I am setting out.

Draft Medical Devices (Fees Amendment) Regulations 2026

Danny Chambers Excerpts

Wednesday 21st January 2026 General Committees

[Dr Danny Chambers (Winchester) (LD)]

I am very glad to be here to speak about medical devices and life sciences, because not only are they about solving many of the problems we are facing as a country, such as antimicrobial resistance in treating diseases, but they are a fantastic way of growing our economy. We welcome the fact that the Government acknowledged that the initial plans would have disproportionately affected small and medium-sized businesses. Like all SMEs around the country, they are struggling with everything from soaring energy prices to national insurance and Brexit red tape.

It is vital that we reach a balance, and the Minister spoke well on this. It is imperative that funding is sufficient for the MHRA to regulate the market effectively, and we do not want to deter medical technology companies from investing in the UK. That is why we have called continually for a bespoke customs union with the EU to slash red tape and for a major boost to research and development funding, all of which would hugely benefit the life sciences sector.

Will the Minister confirm that the Government are fully confident—with some sort of impact assessment or study to show this—that the adapted fee structure will not be overly punitive to business, and SMEs in particular, and will not end up inadvertently reducing the investment in and growth of medtech in the UK?

Community Audiology

Danny Chambers Excerpts

Thursday 18th December 2025 Westminster Hall

[Dr Danny Chambers (Winchester) (LD)]

It is a pleasure to serve under your chairship, Mr Vickers. This is an important debate, secured by the hon. Member for Uxbridge and South Ruislip (Danny Beales), but it is quite something to have to follow an eminent and experienced ENT surgeon, the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley), when speaking about hearing and hearing loss—especially as I am just a rudimentary vet.

It is quite common that people bring in a dog that they assume has hearing loss because it can no longer hear its name being called in the park, yet for some reason it can still hear a treat packet or a fridge being opened in another room. On comparative anatomy, the hon. Member for Bury St Edmunds and Stowmarket may be interested to hear that one reason why up to 20% of a caseload in a day of treating small animals can be on ear-related issues is that in humans the ear canal goes straight to the eardrum whereas in dogs it bends around 90° before it gets to the eardrum. Around that corner it is often quite warm and moist, and a lot of bacteria and yeast grow in those conditions.

[Peter Prinsley]

I am very interested in the story of dogs and the shape of a dog’s ear canal; that is such a helpful explanation. I was often brought dogs, particularly spaniels with big floppy ears, who had ear infections and blockages, and I was always puzzled why it was that the dogs got into such difficulties. The hon. Gentleman’s explanation of the right angle at the bottom of the ear canal is so helpful and I thank him for it.

[Dr Chambers]

I am honoured to have educated an ENT surgeon. Spaniels do have worse ear problems, given that there is a lack of airflow, and one thing that vets can get experienced at is taking a swab so that we are not using unnecessary antibiotics or inappropriate antibiotics. With a bit of experience, it is fairly easy to smell the difference between Malassezia yeast, pseudomonas bacterial infection or streptococcus intermedius—to anyone who thinks being a vet is glamorous, I say, “Spend a day sniffing ears to determine what type of microbes are down there, and it will change your mind.”

It is very interesting that many Members spoke today about the impact of hearing loss on dementia. We know that dementia is multifactorial—there is no single cause—but certainly my father had hearing loss for a long time, and he developed dementia. Hearing loss certainly affected his quality of life, dementia aside. He lost the confidence to go out to socialise and barely left the farm unless he had to. We are pretty sure that a significant factor in that was that he felt he could not hear what other people were saying. He could not perform business at the market as he used to, because markets are very noisy places.

The Father of the House touched on the fact that one in three adults have either deafness, tinnitus or some other type of hearing issue. What surprised me was that only 38% of people who suspect that they have hearing loss themselves have contacted a professional about it. I read that stat and was quite surprised, but I then realised that for years my partner Emma and other family members have often said, “Why do you have the TV so loud?”. I have also often noticed in a pub everyone else is talking, and I find it really hard to hear the conversation over any external noise, yet I have never gone along and had a hearing test. Quite clearly, I do not hear as well as everyone else in my vicinity, so I should probably get one. That could be a new year’s resolution for me—to go and work out whether I actually have some kind of hearing issues as well.

I also note the weight given to the importance of community audiology, especially when such a high percentage of hearing loss is age-related. Those people have no need to go to a hospital to get the initial assessment, and community audiology could free up hospital time for children and other people with more acute hearing issues that need to be investigated. Audiology is one of the worst performing diagnostic services in the NHS for speed of assessment, with 40% of patients waiting more than six weeks simply for the initial assessment. That is one reason respondents to the British and Irish Hearing Instrument Manufacturers Association are advocating for open self-referral and expanded community clinics simply to minimise those delays. Delivering audiology services in the community costs 15 to 20% less than from a hospital, so it is an economically sensible model as well.

We often call for more community-based services for a whole variety of medical issues to keep costs down. It should be the default for most people with age-related hearing loss. We also urge the Government to consider trialling hearing tests as part of routine health checks for people over 70 and at-risk groups and to investigate how best to support everyone, from GP surgeries to high street pharmacists and opticians, to deliver free earwax removal. They are already being successfully run by some GP practices with positive impacts on health outcomes, and the cost can be small, especially where GPs co-ordinate to pay for a service that covers a large area.

[Sir Edward Leigh]

The hon. Gentleman makes a good point that we often hear about national screening programmes. It has just occurred to me that if everybody over the age of 70 was sent a text message through the NHS, summoning them into a screening programme, we could make huge advances in this area, particularly with things such as dementia—because, as he made clear, many people are either embarrassed by hearing loss, or not aware that they have it.

[Dr Chambers]

I completely agree. As we approach the busiest and loudest time of the year and every shop and pub has music playing, which is fun for most people, it is a good time to urge people to go for a hearing test in the new year, as I will be doing. We urge the Government to look at supporting community-based services so that everyone can get the hearing assessment they need. People need information to be able to act, and if someone does not know their hearing status, they will not know what other problems they will be dealing with in the future.

Resident Doctors: Industrial Action

Danny Chambers Excerpts

Wednesday 10th December 2025 Commons Chamber

[Madam Deputy Speaker]

I call the Liberal Democrat spokesperson.

[Dr Danny Chambers (Winchester) (LD)]

I thank the Secretary of State for his statement. People will be hugely alarmed at the threat of more industrial action right before Christmas, and we cannot forget how we got here. We know that the previous Government under-resourced the NHS. It was overburdened, people felt underappreciated, and the whole system was being held together by the good will of the staff.

Having said that, the timing is terrible, because we have the worst winter flu outbreak in decades, right before Christmas. We have to urge the BMA to work constructively to resolve this dispute in a way that is fair for both patients and taxpayers. Given that resident doctors received a 29% pay rise last year, I think most of the public feel that pushing for another 28.9% this year is unaffordable and unreasonable.

The Secretary of State touched on resident doctors’ legitimate concerns. The previous Government increased medical school places without increasing the facilities to deliver the necessary specialist training placements, so this was a predictable bottleneck that we are now up against. Waiting lists are long, we need more doctors, and we have doctors who have been trained largely at the taxpayer’s expense struggling to find work. We very much welcome the extra 4,000 placements that were announced today, which are hugely necessary. Can we ensure that they will address the acute shortages in general practice and psychiatry? To put those 4,000 places in context, 10,000 doctors applied for 500 psychiatric training places last year, and the Secretary of State said that about 40,000 doctors have applied for 10,000 places this year. Is there work to try to increase places as quickly as possible in the next few months and years?

At Winchester hospital, one in five beds is taken up by people who do not have any social care packages. That is not good for them, because they are stuck in the hospital, and we want to get them home for Christmas, but it will also affect the flow through the hospital right now, during a winter flu crisis.

We welcome this action and urge the BMA to call off the strikes, but can we address the legitimate grievances that the Secretary of State has mentioned?

[Wes Streeting]

I thank the Liberal Democrat spokesperson for his support, as well as for the constructive challenge. He is absolutely right to describe the challenge that we inherited, and we are seeking to deal with it. We have taken a number of steps along the way. For example, we promised to recruit an additional 1,000 GPs to the frontline in our first year. We expanded the additional roles reimbursement scheme in order to do that, and we were actually able to recruit an extra 2,500. The international medical graduate dimension of the deal means that the extra speciality training places go even further.

Although I would never pretend that the steps we have taken in our first 18 months in office have solved everything all at once—there is no shortage of things to solve—I say to those BMA members considering how to cast their vote that we have delivered a 28.9% pay rise, have taken action on international medical graduates through urgent legislation, and have expanded speciality training places. This is real progress. It is meaningful change in people’s pockets and to their lives, working conditions, career progression and prospects. 

The BMA should please not let the perfect be the enemy of the good. We have a lot of fires to put out on a lot of fronts as a Government, and that does take time. We are committed—and I am personally committed—to working constructively with the BMA on things like workforce planning to address those issues, if it is willing to work with us. That is all I ask. It is all I ask from any part of the NHS workforce. It should work with us constructively, understand our constraints, work through the challenges with us, and we will all get to a better place and create a rising tide in the NHS that lifts all ships.