Draft Health and Social Care Act 2008 (Regulated Activities) (Amendment) Regulations 2026

Helen Maguire Excerpts

Wednesday 15th April 2026 General Committees

[Helen Maguire (Epsom and Ewell) (LD)]

I first want to express my condolences to all those affected by the Manchester Arena attack.

The Lib Dems support bringing providers under CQC regulation, as the draft regulations would do, but we need to be careful about the impact on smaller organisations, as the shadow Minister says.

I reiterate concerns raised by mountain rescue teams about the impacts that the draft regulations will have on their ability to provide services at temporary sporting events in remote locations, such as fell races or mountain bike events. They have emphatically said to us that they will cease providing rescue cover at those events if the regulations are applied. Will the Minister meet mountain rescue representatives and consider their calls to amend the legislation to provide an exemption on rescue cover? Because of those concerns, the Lib Dems will abstain today.

Oral Answers to Questions

Helen Maguire Excerpts

Tuesday 14th April 2026 Commons Chamber

[Mr Speaker]

Order. At this rate, you will stop MPs getting in.

[Helen Maguire (Epsom and Ewell) (LD)]

T5. In Epsom and Ewell, many residents face a daily battle to get a GP appointment. There are numerous potential housing developments on the horizon, and the rising population is set to put even more pressure on already stretched GP services. The Liberal Democrats would require developers to build new GP surgeries, ready for when residents move in. Can the Government explain what they are doing to support GPs in my constituency, so that they can manage the surge in patient demand from day one of a development being completed, rather than leaving communities to pay the price later?

[Stephen Kinnock]

As I said to the hon. Member for North Shropshire (Helen Morgan), we are looking at the way that section 106 and CIL are used. I certainly look forward to working with councils across the country, but as my right hon. Friend the Secretary of State has said, when people go to the ballot box on 7 May, they should think very carefully about how much more effective it is when councils work in partnership with this Labour Government.

Health and Social Care

Helen Maguire Excerpts

Monday 16th March 2026 Written Corrections

[Dr Ahmed]

I can certainly commit to the hon. Lady that mental health spending will go up every single year. It went up by £688 million in cash terms this year.

NHS Capital Spending

The following extract is from the Westminster Hall debate on NHS Capital Spending on 4 March 2026.

[Helen Maguire]

The Minister is making an important point about the vital need for capital funding in the NHS. I and a number of colleagues are here in the Chamber because St Helier hospital is falling apart, and unfortunately patients are being affected, but the hospital build programme has been delayed another three years. There has been lots of goodwill in the debate, but we are looking for additional investment in the A&E. I hope the Minister will take that away, and that there might be something about it in a statement soon.

[Karin Smyth]

The Chancellor has made her key decision to put us back on track, announcing in the Budget that capital health spending would increase by £15.2 billion by the end of the spending review period in 2029-30.

[Official Report, 4 March 2026; Vol. 781, c. 387WH.]

Written correction submitted by the Minister for Secondary Care, the hon. Member for Bristol South (Karin Smyth):

GP Contract

Helen Maguire Excerpts

Monday 16th March 2026 Commons Chamber

[Madam Deputy Speaker]

I call the Liberal Democrat spokesperson.

[Helen Maguire (Epsom and Ewell) (LD)]

I welcome the fact that the Government have adopted our policy of seeing clinically urgent patients on the same day, but patient safety has been put at risk by increasing workloads, according to members of the Royal College of General Practitioners. One in five patients has been forced to wait at least two weeks for an appointment. Although the Government’s funding of 1,600 new GPs is welcome, it is insufficient to deliver the required shift to community care. The Health Foundation says that an additional 6,500 GPs will be needed by 2031, and the Liberal Democrats would provide 8,000. What is the Minister doing to address the shortfall? Residents in Epsom and Ewell, who already struggle to get a GP appointment, are concerned that increased housing will make it even harder. What is the Minister doing to ensure that there is funding for GP buildings, as well as GPs?

I welcome the Government’s focus on the obesity crisis, but it does not fix the root cause. Aside from the junk food ban, what steps are the Government taking to encourage children and young people to create active and healthy habits for life from an early age?

[Stephen Kinnock]

On buildings, we have the £102 million primary care utilisation fund, which will be very important in refurbishing GP practices. We are committed to delivering 120 new neighbourhood health centres by the end of this Parliament, and 250 by 2035.

The hon. Lady asks about GP numbers. In our manifesto, we pledged to bring back the family doctor, and that is precisely what we are doing. We said that we would deliver 1,000 new GPs to the frontline, but we are delivering 2,000, so we have smashed through our manifesto pledge. There will be more to come, because we are making the practice-level reimbursement scheme more flexible so that it does not apply only to GPs who have just come out of training; we are now enabling practices to hire more experienced GPs. That will also help with under-employment. Many GPs across the country practise only three days a week, and this is an opportunity to boost that to four or even five days a week.

Disability Equipment Provision

Helen Maguire Excerpts

Wednesday 11th March 2026 Westminster Hall

[Helen Maguire (Epsom and Ewell) (LD)]

I thank the hon. Member for Aberdeenshire North and Moray East (Seamus Logan) for securing this debate. I also thank you for your chairmanship today, Mr Betts.

There are fantastic organisations in Epsom and Ewell that support my disabled constituents, including Mid Surrey Mencap, which I met last year. Its work is profound, but without the right equipment, organisations can only do so much. A lack of equipment often leaves people reliant on family members to manually help them with essential tasks, including going to the toilet and washing. From grab rails to shower seats, equipment can mean the difference between dependence and independence.

The report on this issue from the APPG for access to disability equipment revealed that staff shortages, supply chain delays and inconsistent local authority processes cause widespread delays to equipment provision. It is clear that we need structural change, and the NHS reform Bill provides an opportunity to deliver a co-ordinated, national approach on disability equipment. Will the Minister commit to using that legislation to deliver this?

It is widely recognised that access to wheelchairs varies significantly across the country, and demand is skyrocketing. In September 2025, the charity Whizz Kidz was forced to close its wheelchair waiting list for the first time in its 35-year history because of high demand. Moreover, the average wait time between being discharged from hospital after life-altering injuries and being assessed for a wheelchair is 10 months. Although the Liberal Democrats welcome NHS England’s wheelchair quality framework, I am concerned that with ICBs facing cuts and reorganisation, a framework may not have the impact necessary to deliver change.

What makes matters worse is that equipment wastage in the NHS is huge, and we only need to go to the local tip to see it. In July, I wrote to the Minister for Secondary Care following concerns from a constituent about NHS equipment wastage. In her response, she highlighted the Design for Life road map, which includes a framework for decontamination infrastructure across NHS trusts to enable the safe sterilisation and reuse of medical equipment. I find it shocking that disabled people are waiting months or even years for equipment, while other patients are forced to throw away useful equipment that could be reused once they have recovered. Will the Minister confirm how much equipment has been diverted from waste since the road map was published over a year ago?

The debate has reinforced a simple but vital truth: everyone deserves to live independently and with dignity. After the Conservatives left social care in disarray, the Liberal Democrats are committed to ensuring that people with disabilities have access to suitable housing, meaningful employment and the opportunity to enjoy the activities that make life fulfilling. I ask the Minister to make the simple commitment that specialised services and disabled equipment will no longer be treated as an afterthought but as an essential part of enabling people to live full and independent lives, and to work if they can do so, and that more equipment is reused.

Type 1 Diabetes: Infant Testing

Helen Maguire Excerpts

Monday 9th March 2026 Westminster Hall

[Helen Maguire (Epsom and Ewell) (LD)]

It is an absolute pleasure to serve under your chairship, Sir Alec, and to have the opportunity to debate this incredibly important issue.

As a mum, I cannot begin to imagine the pain of Lyla Story’s family after she died last May from undiagnosed type 1 diabetes, less than 24 hours after a doctor diagnosed her with acute tonsillitis. It is an absolute tragedy that Lyla’s life was cut so short, and it is clear that change must happen. Every child must get the care that they need, when and where they need it. Every child should expect the best possible opportunities to grow up healthy and to exercise, play and eat well.

Charities such as Diabetes UK have been instrumental in raising awareness of the common symptoms known as the four Ts, to which many hon. Members have alluded today: “toilet”, “thirsty”, “tired” and “thinner”. However, children are too often rushed into intensive care and hours later face a diagnosis of type 1 diabetes and diabetic ketoacidosis. DKA can mean a coma, organ failure and a traumatic hospital stay. If it is not treated quickly, it can be fatal.

No child or parent should have to face that terrifying reality when the tools are at our fingertips. NICE guidance is clear: health professionals should know the signs and symptoms of type 1 diabetes, and any child suspected to have the condition should be referred on the same day to a multidisciplinary paediatric diabetes team to confirm the diagnosis and provide immediate care.

The Liberal Democrats believe that early diagnosis of long-term health conditions is essential, offering the best opportunity for those suffering from type 1 diabetes to live healthy, long and fulfilling lives. I welcome the Minister to her place; will she confirm what steps have been taken to ensure that medical professionals are confident in identifying type 1 diabetes in children to avoid a traumatic late diagnosis? Research shows that patients who see the same clinician for most of their care have fewer hospital admissions and lower mortality rates. I therefore implore the Minister to take forward the Liberal Democrat proposal to guarantee a named GP to all those with type 1 diabetes to help improve their long-term care once a diagnosis is achieved.

Another key issue with type 1 diabetes is that we do not know the exact cause of the disease. It is essential that the Government drive research so that we can establish the evidence needed for a viable and effective national screening programme. I urge the National Screening Committee to take on board all new evidence as it emerges, not least from the ongoing study of screening children aged three to 13, which is funded by the National Institute for Health and Care Research.

The Government must also take steps to facilitate medical research in the UK to make progress on paediatric type 1 diabetes testing and other conditions. Will the Minister consult the Chancellor about whether she will consider reversing the employer national insurance contributions hike to support the life sciences sector and boost research and development funding to end this information desert?

The Liberal Democrats are clear that no child should die because of a missed or late diagnosis. The UK needs to be a world leader on research, diagnostics and patient experience. I think of Lyla and the many other children whose lives could have been saved, and I ask the Minister to pay attention to the many calls in this debate to ensure that no family spends a lifetime grieving.

[Sir Alec Shelbrooke (in the Chair)]

I call the shadow Minister.

NHS Capital Spending

Helen Maguire Excerpts

Wednesday 4th March 2026 Westminster Hall

[The Minister for Secondary Care (Karin Smyth)]

It is a pleasure to serve under your chairmanship, Mr Western. I thank colleagues for their kind remarks about my hon. Friend the Member for West Lancashire (Ashley Dalton). We will miss her. She has set a great example, not only by continuing while undergoing cancer treatment but, as hon. Members have said, by recognising that sometimes we need to look after ourselves and prioritise our constituents. No doubt she will be doing that very well, and I look forward to her contributions from the Back Benches.

I congratulate the hon. Member for Carshalton and Wallington (Bobby Dean) on securing this important and timely debate. I hope that my name came up occasionally when he was perusing previous debates on this issue, because I am one of the few Members of Parliament over the past 10 years who has banged on quite a lot about capital. I am delighted to be the Minister, because the sound management of that capital is absolutely crucial to the provision of healthcare for all our constituents. I agree that it does not get enough airtime, and the hon. Gentleman made an excellent speech outlining most of the issues. We have heard a lot of contributions today, and I will try to do justice to this very wide-ranging debate.

Let me remind hon. Members of the problem. I have with me Lord Darzi’s report, which said:

“The NHS has been starved of capital and the capital budget was repeatedly raided to plug holes in day-to-day spending…Some £4.3 billion was raided from capital budgets between 2014-2015 and 2018-2019”.

It said:

“The result has been crumbling buildings”

and

“services were disrupted at 13 hospitals a day in 2022-2023. The backlog maintenance bill now stands at more than £11.6 billion”.

The report also said that the NHS was “in the foothills” of the digital transformation that the rest of the country—indeed, the rest of the world—was undergoing. There was also a shortfall in capital investment.

I kind of admire the hon. Member for Hinckley and Bosworth (Dr Evans) for defending that situation—it is a tough gig—but we all see what happened in our constituencies. I am very proud of the capital investment under the last Labour Government, and I will come back to PFI in a moment.

Reversing that trend and repairing and rebuilding our healthcare estate is a vital part of our ambition to create an NHS fit for the future. That is why we are prioritising the estate to support that task. First, we are prioritising core and safety technology equipment and—this is an important measure introduced by the Chancellor—changing the rules on capital to stop capital-revenue transfer. We are also incentivising the system and streamlining the processes; the hon. Member for Hinckley and Bosworth tells us how terrible the processes were, but his party was in government. We have taken control and used Government to good effect to start streamlining those processes. Part of that is about moving towards making one team of NHS England and the Department of Health—I hope hon. Members will support us in that. We are also building the capacity and capability of the staff in order to develop and do the work we need them to do. That capacity has been completely depleted over the last 14 years.

We have put a lot of information into the system to move things quickly, and I think we are all seeing the benefits of that in our constituencies. We will bring forward a capital plan in the spring to make all of that clearer for the system and for hon. Members.

[Helen Maguire (Epsom and Ewell) (LD)]

The Minister is making an important point about the vital need for capital funding in the NHS. I and a number of colleagues are here in the Chamber because St Helier hospital is falling apart, and unfortunately patients are being affected, but the hospital build programme has been delayed another three years. There has been lots of goodwill in the debate, but we are looking for additional investment in the A&E. I hope the Minister will take that away, and that there might be something about it in a statement soon.

[Karin Smyth]

The Chancellor has made her key decision to put us back on track, announcing in the Budget that capital health spending would increase by £15.2 billion by the end of the spending review period in 2029-30. That funding will be used as intended; in previous years, as we heard, capital funding was diverted to cover day-to-day costs. We have tightened the Treasury rules; we have changed them, because that is what Government can do—who knew! As a result, capital funding will now be fully focused on repairing, upgrading and expanding NHS buildings and facilities to support long-term productivity. This settlement represents record levels of capital investment into healthcare, and it will support the three shifts set out in the 10-year health plan: moving care out of hospitals into the community, replacing outdated systems with modern digital services and focusing on preventing illness rather than just treating it.

Of course, rebuilding NHS infrastructure cannot happen overnight. I assure hon. Members that the Government do understand that long-term certainty over capital funding is needed for the NHS to move from these short-term fixes to more strategic investment. That is another key decision made by the Chancellor. That is why, through the 2025 spending review, we have delivered a four-year capital health settlement, extending to 2029-30. That is backed by a further five years of certainty for estates maintenance funding. I am genuinely grateful to hon. Members for recognising that that is a massive change that we have engineered into the system, and I think we are all seeing the benefit.

That change means there is a £30 billion commitment in capital funding over five years to support the day-to-day maintenance and repair of the estate, with a further five years of funding certainty, as set out in the 10-year plan. For the first time, NHS trusts have also been given multi-year operational capital allocations, with clear funding set out until 2029-30, and indicative funding for a further five years. This is an unprecedented opportunity for local health systems to plan with confidence over a nine-year period, and I continue to encourage all Members to engage with their integrated care boards, which will be prioritising schemes over that period.

Within the £30 billion, the estates safety fund will continue, providing £6.75 billion of investment over the next nine years to target the most critical building repairs, alongside £2 billion to continue supporting NHS England’s RAAC programme across the spending review. Additionally, £21 billion in operational capital over the five-year spending review will empower NHS organisations to invest in local priorities, including hospital infrastructure. It will take time to build up capacity and capability, but this marks the beginning of our rebuilding of an NHS that is fit for the future.

I also assure Members that this Government recognise the pressures faced across the system and are committed to bringing performance standards back to what patients expect. That is why we are investing to expand hospital and emergency care capacity, helping to reduce waiting times and improve care for patients. Over the next four years, there is £1.9 billion for urgent emergency care to support A&E departments, as well as to support ambulance services in reducing handover times.

There is also £1.5 billion for diagnostics, including funding to expand the hours of community diagnostic centres, shifting care from hospital to the community. The hon. Member for Hinckley and Bosworth noted that those centres were started under the previous Government, but we have ensured they have expanded hours and that there are more of them. Crucially, they are not built as add-ons, but are fundamental to the pathways experienced by patients in the system and ensure we have good value for taxpayers’ money.

There is £473 million for mental health services, including for people with learning disabilities and autism. I think we would all agree that the mental health estate needs recognition. There is more than £280 million for community care, supporting services closer to home, and more than £139 million for electives across the next two years. To move away from paper-based systems towards modern digital services, the autumn Budget confirmed £300 million in capital investment in technology, building on the combined revenue and capital investment announced at the spending review of up to £10 billion by 2028-29.

We are transforming healthcare by shifting care out of hospitals and into the community. Over the next four years, we are investing more than £400 million to upgrade primary care buildings and deliver neighbourhood health centres, as part of our commitment to those 250 neighbourhood health centres through the rebuild programme.

Oral Answers to Questions

Helen Maguire Excerpts

Tuesday 24th February 2026 Commons Chamber

[Karin Smyth]

I commend my hon. Friend for visiting her ambulance service, as many hon. Members do, to understand the pressures they are working under. It is a useful visit to understand those wider issues, as she says. She raised an important point about handover delays impacting staff as well as patients. Reducing these delays will ensure that staff are no longer stuck outside emergency departments. On the wider issue about the front door, NHS England’s model emergency department will set out core principles and pathways for high-performing emergency departments, which will improve patient experience and flow with lower waiting times and less overcrowding. We are committed to improving rest facilities to support staff wellbeing.

[Helen Maguire (Epsom and Ewell) (LD)]

In November, I joined a local ambulance crew and saw at first hand the great work they do for our community, but services are under huge strain. Will the Minister designate ambulance stations as critical infrastructure to protect them from closure and set up an emergency fund to support them?

[Karin Smyth]

I commend the hon. Member for going out with her crews. One of the reasons we have been so successful this year in improving the services is by looking at things such as where ambulances are located and how they operationalise their services. We will continue to work with NHS England on the best model for local constituencies.

Brain Tumour Survival Rates

Helen Maguire Excerpts

Monday 9th February 2026 Commons Chamber

[Helen Maguire (Epsom and Ewell) (LD)]

I congratulate my hon. Friend the Member for Witney (Charlie Maynard) and the hon. Member for Mitcham and Morden (Dame Siobhain McDonagh) on securing this really important debate in the Chamber, and I thank them for campaigning so tirelessly on this issue. I know how closely it affects families, including the family of my hon. Friend the Member for Witney. I was pleased to work with Georgie and Brain Cancer Justice on a letter to the Minister for public health and prevention, the hon. Member for West Lancashire (Ashley Dalton), regarding brain cancer vaccination trials before Christmas.

For brain cancer patients in the UK, no vaccine trials are running. The national cancer plan, published last week, committed to delivering up to 10,000 cancer vaccines. The ambition is that this kind of treatment will be more widely available by 2035. However, for many, that will be too late. Around 35 families every single day hear the news that a loved one has been diagnosed with a primary brain tumour, and many see that as a life sentence.

[Dame Siobhain McDonagh]

I have met Moderna, a leading company in developing cancer vaccines. I asked if it would give University College London a cancer vaccine for free for a trial on glioblastoma brain tumours, but it refused. Its excuse was that it could not make enough of the drug for 16 people. This is the rub: commercial companies do not get involved because there simply is not enough money in it, unless the Government intervene.

[Helen Maguire]

The hon. Lady brilliantly describes the real nub of the problem.

One of my constituents got in touch to tell me that in the space of a few months, four people that she knew received a brain tumour diagnosis. With symptoms ranging from seizures to changes in behaviour, the diagnosis process for brain tumours can be dramatic, lengthy and hard fought. That is why we urgently need improvements in diagnosis. The national cancer plan aims to make great strides in speeding up diagnosis, but I was disappointed that the Government did not take up the Liberal Democrats’ calls for 8,000 more GPs, to ensure that everyone can get seen quickly and be referred for treatment.

Once a referral is successful, the brain tumour should be treated. To see delays because of equipment shortages is a disgrace. The Government have pledged funding for 28 new radiotherapy machines, which is a step in the right direction, but the Liberal Democrats have long called for 200 new, fully staffed machines, so that we can end radiotherapy deserts and stop delays to vital treatment. Will the Minister set out when we can expect funding for more machines?

Brain cancer has a more complex element; it does not occur in stages like other cancers, but is defined by grades. The grading system can also differ, depending on the type of brain tumour that the patient has. The national cancer plan has looked to offer some relief to patients by giving a commitment that a clinical nurse specialist or other named lead will support them through diagnosis and treatment to hopefully make the path clearer. I look forward to seeing how the Government intend to support this ambition by providing enough staff through the 10-year workforce plan. While we are waiting for that plan, will the Minister give some clarity on how he plans to implement the commitment to providing 5,000 learning and training opportunities per year for the first three years of the plan for people in cancer-critical roles?

It is important that I mention benign brain tumours. Just because they are not cancerous, it does not mean that people do not experience a life-changing impact from being diagnosed with them. Those living with benign brain tumours must also receive the right treatment, care and lifelong support.

I really hope that we are at a turning point in cancer care, especially for brain tumours, which kill more children and adults under the age of 40 than any other cancer. I am pleased to see many organisations, including Brain Tumour Research, welcome the national cancer plan, especially the proposed access to clinical trials and increased research. There is a lot of ambition in the plan that must be accounted for, so will the Minister confirm that the annual summary of progress for the national cancer plan will be presented in the House every year for proper scrutiny?

[Madam Deputy Speaker (Caroline Nokes)]

I call the shadow Minister.

National Cancer Plan

Helen Maguire Excerpts

Thursday 5th February 2026 Commons Chamber

[Madam Deputy Speaker (Judith Cummins)]

I call the Liberal Democrat spokesperson.

[Helen Maguire (Epsom and Ewell) (LD)]

I thank the Minister for advance sight of the statement and for her personal experience that has gone into this plan. After the Conservatives failed to invest in our NHS, it is no surprise that cancer survival in the UK is still around 10 to 15 years behind leading countries, with worse survival rates for some cancers than Romania and Poland. I am therefore pleased that this Government listened to my hon. Friend the Member for Wokingham (Clive Jones) and brought this national cancer plan to life, because cancer touches everyone.

One of my residents, a mum with a young family, discovered a lump in her breast. Despite attending the one stop breast clinic on four separate occasions, it took two horrendous years for her to be diagnosed with breast cancer. When she was finally diagnosed, the cancer was aggressive and required a mastectomy, chemotherapy and radiation therapy. That is why I welcome the Government’s target on meeting all cancer wait time standards by 2029, but the aim to halve the backlog in three years’ time is not ambitious enough. Will the Minister go further and back a Liberal Democrat plan to write into law a guarantee for all cancer patients to start treatment within 62 days from urgent referral?

The focus on ending delays in cancer care is a step forward, but funding 28 new radiotherapy machines is not enough when the treatment is so cost effective and successful. We need to end radiotherapy deserts, so will the Minister extend her ambition to 200 extra radiotherapy machines?

The Minister says that the plan will turn the NHS app into a gateway for cancer care, but how will she support older people and the digitally excluded? The plan promises to drive up productivity, end the postcode lottery, expand NHS diagnostic capacity, introduce personalised cancer plans and more. That is optimistic and will require more investment to increase NHS capacity, but without clear funding and capacity building plans, is it realistic?

Labour was right to put patients at the heart of this plan and incorporate the Liberal Democrat’s calls for a specialist cancer nurse for every patient. We costed for 3,000 extra cancer nurses; how many additional cancer nurses does the Minister believe are needed?

Finally, will the Minister confirm that the plan’s annual summary of progress will be reported in the House for Members to scrutinise?

[Ashley Dalton]

We listen to a lot of people on the need for a cancer plan. I want to take this opportunity to say that our friend Nathaniel Dye, who sadly died last week from stage 4 bowel cancer, challenged my right hon. Friend the Secretary of State to bring forward a cancer plan when we were in opposition. The Secretary of State made that commitment, and we have brought forward the plan 18 months after coming into government.

The hon. Lady mentions the NHS app, which we understand is not necessarily relevant for people who are digitally excluded. One reason we are bringing that forward is to open up capacity within the rest of the system, so that those who can use digital tools can do so. That will free up capacity for the one-to-one, face-to-face support that many people need, but every cancer patient will get support under this plan, whether that is through the app or through their named lead clinical specialist in their neighbourhood, who will support them throughout the process, including after treatment. We are working with NHS England to identify the appropriate number of people for the cancer workforce, and we will be able to announce more about that as the workforce plan develops.