Oral Answers to Questions

David Reed Excerpts

Tuesday 20th October 2026 Commons Chamber

[David Reed (Exmouth and Exeter East) (Con)]

8. What assessment her Department has made of the adequacy of access to NHS dentists.

[The Parliamentary Under-Secretary of State for Health and Social Care (Mr James Frith)]

This Government have been working to rebuild the NHS dental service since we came to office. The latest data shows that 37.6 million courses of dental treatment were delivered last year—nearly 3 million more than at the time of the general election.

[David Reed]

Access to NHS dentistry is a major problem in my constituency, with 86% of the respondents to my dentistry survey being unable to access one. Some told me that they still travel back to their old NHS dentist after moving home and, in one case, someone took a trip of more than 130 miles because no local practice would take them as a patient. Unlike GP surgeries, NHS dentists have no catchment areas. Will the Minister please look at whether that is making it harder for local people to get an appointment?

[Mr Frith]

The hon. Member raises an important point—that is a theme in the work I am doing. Last year, 81% of those who wanted to get an NHS dentist were able to, but I recognise that too often people have to have an existing relationship with an NHS dentist to access that. Since the general election, the Government’s effort to tackle dental deserts has seen us ringfence £4 billion for NHS dentistry. Huge amounts have been done, but there is even more to do, and he has the Government’s and my attention on this matter.

Bone and Joint Health

David Reed Excerpts

Tuesday 13th October 2026 Commons Chamber

[David Reed (Exmouth and Exeter East) (Con)]

It is a real pleasure to lead this evening’s debate during Bone and Joint Week, raising awareness of an issue that affects millions of people, but receives nowhere near the attention it deserves. I start by thanking Arthritis UK and the Arthritis and Musculoskeletal Alliance, known as ARMA, for their work raising awareness of these conditions, for the information they have provided ahead of this debate and for the parliamentary event they put on today.

Musculoskeletal conditions or MSK conditions affect our bones and joints and the muscles and tissues that hold them together. They include arthritis, osteoporosis, chronic back pain and joint injuries. For some, these conditions are manageable. For others, they are utterly debilitating, leaving people struggling to walk, to work or to carry out basic everyday tasks.

More than 20 million people in the UK live with an MSK condition. Some 10 million have arthritis, including an estimated 15,000 people in my constituency. Such conditions are the single biggest cause of pain and disability in this country, accounting for around one in seven GP consultations, yet I fear that we underestimate their seriousness, perhaps because they are rarely immediately life-threatening. While they may not kill people, however, they can slowly rob them of their mobility, independence, ability to work and quality of life.

I want to explain why this issue matters to me personally. Six years ago this month, my life changed significantly, although I did not know it at the time. It is something that I have avoided talking about publicly, and if I am honest, I have struggled to accept it. However, I believe we should draw on personal experience in this place, particularly when it might help improve our country.

In October 2020, I was an extremely fit and physically robust former regular Royal Marine with multiple operational tours behind me. I was also competing at the highest level of wingsuit skydiving as a member of the Team GB squad. I can see Members thinking that those activities and MSK injuries are natural bedfellows, and they are probably right, but nothing prepared me for the debilitating consequences of what happened that October.

On a grey and windy day in Devon, I decided to go parachuting, which was a near weekly occurrence. As a reservist member of the Royal Navy parachute display team, I needed to keep current for the following season. I had completed around 700 jumps, and I was not frightened—this was like any other day—but I had something far more dangerous: complacency. The winds were strong and the parachute centre had restricted jumping to experienced parachutists only. I was practising precision landings and convinced myself that it would be good training. I also chose to wear trainers, rather than my usual military boots that provided ankle support. The plane took off and we climbed to 15,000 feet. The green light came on and I jumped.

Everything went to plan until the landing. Rather than landing in the middle of a muddy field away from obstacles, I decided to land closer to where I would be picked up. It was a lazy decision, and it was a stupid one. As I approached the ground, gusting winds caught my parachute, lifted me and slammed me into the side of an aircraft hangar. My left foot took the initial impact, before the rest of my body smashed into the building. My parachute went over the roof, leaving me dangling from the hangar. Fortunately, I remained conscious, managed to release my harness and fell the remaining 5 feet or so to the ground. I remember lying there in shock, checking everything was still attached. Then came the searing pain in my left ankle. My wife came and picked me up and drove me straight to accident and emergency. After examinations and scans, I was told that I had suffered a severe sprain. I was advised to get the ankle moving and seek physiotherapy, because timely NHS support was unlikely to be available. Having had little experience of the NHS, I trusted that advice.

Over the following months I worked hard at rehabilitation. Gradually, I regained strength, but I remained in considerable pain. I took the classic Royal Marine approach: crack on and hope it gets better. Having served alongside men who lost limbs in Afghanistan, I considered myself lucky, and I certainly was not going to complain about a sore ankle, but six months later, something was clearly wrong.

My physiotherapist recommended an MRI scan, which I paid for privately—again, I was advised that the NHS process would take too long—and, when the results came back, I had to catch my breath: my ankle had been broken the entire time. The fracture had been missed at A&E and I had spent six months rehabilitating an injury that had never been properly diagnosed.

I was advised to see a private consultant—again, because of the time it would take to access specialist help through the NHS. This is where I was incredibly fortunate. By complete chance, the consultant whom I went to see happened to be ex-forces himself. Having discussed my injury and background, he suggested that I see him through his NHS practice, where he could continue to oversee my treatment, and I am enormously grateful to him for doing so. After months of uncertainty, pain and frustration, I finally felt that someone understood the problem and could help me to work out what came next. I want to make an important point here: my experience has left me deeply frustrated with parts of the NHS and particularly with the difficulties in accessing timely diagnosis and treatment, but it has also shown me that there are some outstanding people working within it who go above and beyond for their patients.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Gentleman for raising this issue. I spoke to him this morning to ensure that it would be okay for me to intervene in the debate.

Arthritis UK has said that there is an “escalating musculoskeletal health crisis”. In Northern Ireland, some 550, 000 people—nearly a third of the population—are now living with arthritis or a similar condition. Those living in chronic pain face long, painful waits—the very thing the hon. Gentleman referred to—with some reporting having to wait for up to eight years for a rheumatology appointment. Many are unable to work or live independently as a result, and almost 80% report that their mental health has deteriorated significantly, so it is not just a physical problem. Does the hon. Gentleman agree that while more must be done to reduce waiting lists, we must also ensure that, in the interim, patients living with chronic pain have timely access to appropriate mental health support?

[David Reed]

I will come on to the points that the hon. Gentleman has made, but he is completely right. We must look at these problems in the round, because this is an issue of not just physical but mental health. People who were once fit lose that fitness, both physically and mentally, and then they become a bigger burden on the state.

Let me return to the subject of the surgeon who helped me out. I have been fortunate to benefit from that care, but I recognise that I was lucky. At the time, I had the means to access private treatment, and through that process happened to find a consultant who could help me back into the NHS system. That should not be a matter of luck, and it certainly should not depend on someone’s ability to pay.

Six years on, despite the excellent care that I now receive, I am left with osteoarthritis that can, at times, be severely debilitating. I can no longer run. I avoid activities that cause my arthritis to flare up, and I face the prospect of eventually having the bones in my ankle surgically fused. For the first few years I held on to the hope that I would recover and return to the active life that I once had, but I have now accepted that it is likely that I will not. That is difficult when physical fitness and independence have been such an important part of one’s life. At times, it has been an incredibly lonely journey. My current NHS consultant gives me hope that advances in medical technology may offer better options, but because I limp, other bones and joints are now beginning to suffer. I know that I am likely to place increasing demands on the NHS in the decades ahead.

My experience has shown me a health service that can be brilliant at dealing with life-threatening emergencies, but pretty poor when it comes to conditions considered less serious, even when they fundamentally change someone’s life. I was fortunate enough to be able to afford private care, but millions of people cannot. They are left waiting, living with pain and sometimes watching manageable conditions develop into lifelong disabilities. That brings me to the wider purpose of this debate. People living with musculoskeletal conditions are about one and a half times more likely to experience mental health problems, and I understand why. When pain becomes part of everyday life and you can no longer do the things that you enjoy, it takes a toll. However, there is another dimension that we must urgently address in the House: the economic cost of doing nothing.

In 2024 alone, 26.5 million working days were lost to musculoskeletal conditions. Arthritis UK estimates that working days lost to osteoarthritis and rheumatoid arthritis cost £2.58 billion in 2017, with the figure projected to reach £3.43 billion by 2030. About 646,000 working-age people claiming sickness or disability benefits cite a musculoskeletal condition as their primary reason. I am not suggesting that they can all return to work, or that every disability is preventable, but I do believe that too many people deteriorate when early intervention might have kept them healthy, independent and economically active.

Let us consider someone working in construction, hospitality or healthcare. They develop a back problem or knee injury but cannot access timely treatment, so they carry on through the pain. Eventually, they cannot carry on. They fall out of work, their health deteriorates and they become increasingly dependent on public services. The taxpayer potentially picks up the bill several times over through NHS treatment, welfare payments and lost tax revenue, and the individual pays an even greater price. We focus too much on the immediate cost of treatment, without considering the potentially much greater cost of failing to treat someone early. Surely that is economically illiterate. If timely physiotherapy, imaging or specialist intervention can prevent lifelong disability or someone losing their job, we should see it as an investment, not simply another NHS cost.

However, it is not all doom and gloom, and there is reason for optimism. In my constituency, the Royal Devon University healthcare NHS foundation trust held its first MSK community appointment day in Exmouth. More than 100 people attended, accessing clinical assessments, rehabilitation advice and community support together. Patients particularly valued being listened to, and early results suggested fewer unnecessary follow-ups. One pilot does not provide all the answers, but it does show what can happen when services are organised differently and patients receive joined-up support.

That brings me to my questions for the Minister. First, where is the national leadership on MSK health? The previous Government recognised MSK as one of six major conditions in their major conditions strategy, yet we have not received a firm commitment that the current Government will develop a dedicated modern service framework. Will the Minister commit to establishing such a framework, with clear accountability and measurable outcomes? Will the Minister also commit to a national approach, with clear responsibility and measurable outcomes, and meet the Arthritis and Musculoskeletal Alliance to discuss it? I thank the shadow Health Minister, my hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson), for tabling an amendment to the recent Health Bill that calls for just such a framework.

Secondly, what more can be done to improve early diagnosis and timely access to rehabilitation to prevent avoidable deterioration while patients wait? Thirdly, will the Government work across the Department of Health and Social Care, the Department for Work and Pensions, and the Treasury to properly assess the economic case for early intervention?

Lastly, as a veteran, I want to raise veteran issues. MSK injuries are a major reason for medical discharge from the armed forces, and their consequences can follow people long after they leave service. Will the Minister work with Defence colleagues to improve access to rehabilitation for veterans, and examine whether the armed forces covenant properly addresses their long-term MSK needs? It cannot make sense for any one part of Government to save money by delaying treatment, only for another part to spend considerably more in dealing with the consequences.

I will finish where I began. Six years ago, I was able to soldier. I could run for miles, jump out of aircraft and represent my country in sports. Today, I have to think about every physical activity and the associated cost in pain. I do not share that to seek sympathy; I share it because I understand how profoundly an MSK condition can alter someone’s life. Millions of people across this country are living with far worse circumstances than mine.

Infants, Parents and Carers Bill

David Reed Excerpts

2nd reading
Friday 4th September 2026 Commons Chamber

[Jess Brown-Fuller (Chichester) (LD)]

I refer Members to my entry in the Register of Members’ Financial Interests as the chair of the all-party parliamentary group on infant feeding and inequalities, and I also sit on the advisory board for the 1001 Critical Days Foundation. I thank the right hon. Member for New Forest West (Sir Desmond Swayne) for bringing the Bill to the House and giving us all an opportunity to wax lyrical about babies. We get fewer emails from babies than other constituents we represent, which is why it is so important that the Members who have chosen to be here are taking the opportunity to speak up for the voiceless.

Let me take this opportunity to welcome a new baby into my family. I have a new nephew—my first nephew. His name is Raven and he was born eight days ago; he was born with a thick shock of jet black hair, so he clearly knew what his name was going to be. He is wonderful and we all love him dearly already, including my two children, who are delighted to have a cousin to steer down the wrong path.

As the 1001 Critical Days Foundation has made clear through its campaigning and work on the Bill, a baby’s development until the age of two is vital. Failing to provide adequate support for parents and babies at this time can leave individuals and families chasing their tails in the future, trying to make up for issues that occurred during this crucial period. Investment in infants’ health and care pays dividends for society, improving health and educational outcomes, and reducing inequality. It is for that reason that I absolutely support what the Bill is trying to achieve: putting support in the early years on a statutory footing and ensuring a health check of early years support by the Secretary of State at regular intervals.

As the Chair of the Education Committee said, there is an old adage: “It takes a village.” But if a new parent cannot access services in their local area, how are they meant to find their village? I was lucky when I had my children—the first one nearly 12 years ago—to find my village. I attended a weekly breastfeeding support group called Milk, where we could talk freely and openly about the challenges, understand why our babies’ poo was a funny colour, and get advice about combination feeding, introducing solids or returning to work.

At that group, we also learnt about developmental leaps, which I do not remember a midwife or a health visitor ever telling me about when my child was born. I could not understand why I put to bed a lovely calm child, and then a demon woke up and was so hard to soothe for three or four days. When I went to that group, the parents who were a month or two ahead of me said, “Are you sure they are not having a developmental leap? It could be that they are learning new things, and that is why they are struggling to sleep, or they are unregulated, or their pattern has moved around.” It was so helpful.

There was an area for the older children to play. We all enjoyed a cup of tea, something that was also mentioned by the hon. Member for Sherwood Forest (Michelle Welsh). We weighed our babies, and we talked about the various methods we all adopted to remember what side we last fed our baby on. The women I met at that group are still my friends today, and they have made my life as a mother better, more supported and brighter. We also went to a baby movers group every Friday morning, where we shook our beanbags, threw scarves over our children and sang songs that still randomly appear in my head when I cannot sleep at 11 o’clock at night.

[David Reed (Exmouth and Exeter East) (Con)]

The hon. Lady had a fantastic Adjournment debate nearly a year ago on breastfeeding support. My wife and I are now 384 days into having our first child. We have an organisation in Exmouth called Bosom Buddies, which is run by a fantastic lady called Jodie Wilkerson. She pretty much does it for free, and is constantly trying to get funding. I remember a point that the hon. Lady raised in that debate about breastfeeding support being a postcode lottery. Does she agree that as the Bill goes through the House, the Government need to look at supporting those organisations, which have given so much support to my wife, the hon. Lady and so many women around the country?

[Jess Brown-Fuller]

I thank the hon. Gentleman for his intervention, and for supporting that Adjournment debate. Every community should have a Jodie; mine was a Julie, and she was constantly chasing funding to keep Milk alive. When my daughter was born, five years after my son, that Milk group, which I had relied on so heavily, was now being run out of a broom cupboard. It was by appointment only, and parents could not take their older children along. The whole thing had just crumbled, so I feared for those coming after me who would not be able to find their village.

Six months after my daughter was born, the pandemic hit. Her 12-month health visitor review was done on Zoom, and my daughter was not even in the room with me. The baby movers classes that I had loved so much with my son ceased to exist, so I ended up running them on Facebook Live—I would message everybody at 10 o’clock and say, “I’m going to go live in half an hour, and we’re all going to shake our beanbag together in our own lounges.” The local children and family centre in Chichester never reopened in the same way after the pandemic, and the children and family centre in Selsey—a coastal community in my constituency—is now permanently closed.

The clearest example of the effectiveness of early support and intervention, as cited by many hon. Members across the House today, was Sure Start. Last May, that service was described in a study by the Institute for Fiscal Studies as having had an “overwhelmingly positive” effect, with the benefit estimated to be over £2 in societal value for every £1 spent. However, when budgets were tightened during austerity, it was services such as Sure Start that were cut to the bone. The provisions in this Bill are so important because they add statutory foundations, assessments and accountability to protect infant support services for the future.

This Bill should allow Parliament to recognise the importance of services such as feeding support, to ensure that provision is maintained and services are improved. The impact is stark, especially when it comes to infant feeding. Through the work of the APPG for infant feeding and inequalities, I had the privilege of hosting the World Breastfeeding Trends Initiative in Parliament last year for the launch of its 2024 report, which was looking at breastfeeding in the UK against metrics measuring other countries. The key takeaway from that report is that the UK has some of the lowest breastfeeding rates in the world. Importantly, however, the data also shows that the majority of mothers do set out to breastfeed; despite this, by six to eight weeks, around 70% of babies in the UK receive some formula, and by six months, only 1% of babies are exclusively breastfed. The majority of mothers who stopped breastfeeding early wanted to breastfeed for longer, but did not receive the help they needed to resolve the problems they were facing.

In my constituency of Chichester, most of the support—as cited by the hon. Member for Exmouth and Exeter East (David Reed)—is run on a voluntary basis. There is now a brilliant support group that runs out of the Graylingwell chapel, and it is run by retired midwives who give up their time and run the group for free. I know what a lifeline that has been for so many mothers, but at the point when those midwives choose not to do that any more, the service will disappear, because it is not on a statutory footing. Many of the midwives in my local maternity unit at St Richard’s run support groups in their spare time on their days off.

Oral Answers to Questions

David Reed Excerpts

Tuesday 9th June 2026 Commons Chamber

[James Murray]

It does sound concerning that that decision has been taken. I urge all councils to work with their local integrated care boards and other parts of the NHS system to ensure that healthcare of that kind is provided in areas where people can access it, as part of our plan to make certain that healthcare is available throughout the country.

[David Reed (Exmouth and Exeter East) (Con)]

7. What assessment he has made of the adequacy of the provision of health services for men.

[The Secretary of State for Health and Social Care (James Murray)]

Too many men lead too much of their lives in poor health and face barriers to access to health services. We have published England’s first ever men’s health strategy to get men speaking about their physical and mental health, and we are getting on with implementing it. From partnering with the Premier League to investing in the men’s health community fund, we are meeting men where they are, and helping them to lead longer, healthier lives.

[David Reed]

The NHS itself says that prostate cancer often has no symptoms at first, and Prostate Cancer UK says most men with early prostate cancer have no symptoms at all. The Government’s TRANSFORM trial exists because current detection methods are recognised as inadequate. Why does Government messaging still point men towards early symptoms that they are unlikely to have, while cancers that could be cured are becoming cancers that cannot?

[James Murray]

Let me be really clear in my advice to any man who is worried about prostate cancer, whether he has symptoms or not: go and discuss it with your GP. Testing is available when GPs recommend it, and I would recommend to no man that he should worry about it in silence, sit at home and fret about what might be going on.

The wider, targeted screening programme to which the Government have agreed is based on the evidence from weighing up the benefits of screening versus the harm that it can cause. We know that, at present, if cancerous cells are identified and treatment follows—for example, removal of the prostate—it leads to permanent urinary incontinence in 20% of cases and in two thirds of cases to permanent erectile dysfunction.

Resident Doctors: Industrial Action

David Reed Excerpts

Thursday 26th March 2026 Commons Chamber

[Wes Streeting]

If the committee had ever taken me up on my offer to meet the entire committee, I might be able to answer the question, but since it has never done so, I do not know. It is for resident doctors to decide, based on what I have set out, if the committee’s rejection of this offer is reasonable.

Given the material benefits that the offer would bring to resident doctors in a matter of days—an additional 1,000 jobs and significant pay uplifts—and what that would mean for the next few years, I have to be clear that this is our best and final offer. We cannot go any further. If I may say so, we are at a point where the public would judge that we have gone as far as we can; I think quite a lot of people in the country who are watching would say that we have gone further than we should. I do not take that lightly. Resident doctors should not look a gift horse in the mouth, and I hope that they will make those representations to their committee.

[David Reed (Exmouth and Exeter East) (Con)]

I thank the Secretary of State for his robust view and position on the BMA. In reference to what was said by the Liberal Democrat spokesperson, the hon. Member for North Shropshire (Helen Morgan), on the inflationary pressures that we will feel as a result of the conflicts in the middle east, do the figures for the three-year deal use the inflationary projections from the Office for Budget Responsibility and the Bank of England? If not, given that this is all about pay, and that the BMA will always come back for more—I think it is being unreasonable at the moment—does the Secretary of State agree that we need new rules around minimum service levels if we want to have a reliable NHS in this new world?

[Wes Streeting]

Pay structure reform and future pay are linked to the DDRB, which is an independent pay review body; its recommendations are one of the things that the BMA wanted the deal to be shaped around. The Government’s position on minimum service levels has been clear.

The hon. Gentleman sets out an alternative position from the Conservative party. I think the BMA should look at that, and judge whether it would be better to do a deal with this Government and move forward constructively. Does it honestly think that if it hampers NHS progress, and goes on endless strikes over the coming years, it will have a better Government to work with at the end of this? I do not think so.

I ought to say one final thing, which we should take really seriously. I have been thinking about this issue in the context of the covid inquiry report, and where we are in terms of threats to this country, the war in Iran, and the war in Ukraine. This country was more exposed during the pandemic than it might have been if the NHS had been in better shape. This country faces some serious threats in the world, and the NHS is not in good enough shape. In that context, we have to start thinking about whether the actions of the BMA are tolerable.

Infant Feeding

David Reed Excerpts

Tuesday 1st July 2025 Commons Chamber

[David Reed (Exmouth and Exeter East) (Con)]

I thank the hon. Member for bringing this important issue to the Chamber. My wife and I are expecting our first in the coming weeks, so as hon. Members will expect, this is an important subject in which I am quickly upskilling myself. In my constituency, I have a similar group called Exmouth Bosom Buddies, which does a fantastic job that we know relieves pressure on the NHS. What more does the hon. Member think can be done to allow such groups to grow, thrive and flourish so that they can continue their vital work?

[Madam Deputy Speaker (Ms Nusrat Ghani)]

Before the hon. Member gets to her feet, I am just reminded of the midwifery-led Crowborough birthing unit, which helps the lovely mums in my constituency.