Eating Disorders Awareness Week

Helen Morgan Excerpts

Thursday 26th February 2026 Westminster Hall

[Helen Morgan (North Shropshire) (LD)]

It is a pleasure to serve with you in the Chair, Ms Vaz. I thank my hon. Friend the Member for Bath (Wera Hobhouse) for securing this debate and for her dogged campaigning, her tireless work as chair of the APPG on eating disorders and her excellent opening speech.

I welcome Eating Disorders Awareness Week, and the important role that it plays in drawing attention to one of the deadliest and most harrowing conditions. I recognise and draw attention to the eating disorder charity Beat, which offers invaluable support for those with eating disorders, and the carers and healthcare professionals who provide support that, in many cases, can be lifesaving.

Anyone with personal experience of eating disorders will know just how devastating they can be. They rob young people of the formative years of their life, put immense strain on families and carers, and have long-lasting physical and psychological impacts. I was shocked to learn that hospital admissions for eating disorders have doubled in the last decade. A development as stark as that demands robust action and investment. At the same time, over half of the country’s integrated care boards have cut children’s eating disorder services. Children and young people cannot be allowed to slip through the net because of underfunded services.

The National Audit of Eating Disorders found huge disparities in the levels of support available for children compared with adults who have eating disorders. Adult community teams face an 89% higher demand than teams that support children and young people, with adults waiting twice as long for assessment and over 10 times as long for treatment. For a condition that progresses devastatingly quickly, early intervention is crucial.

The Liberal Democrats welcome NHS England’s recent guidance on improving the design of eating disorder services and community-based support, but that support cannot fulfil its potential without investment and a meaningful strategy to tackle the problem. I add the calls of my party to those from the Members who have made excellent speeches in today’s debate.

In Shropshire, I was pleased to see recent improvements in waiting times for children and young people awaiting treatment for eating disorders, with 96% of patients seen within four weeks. That has come from a fairly low standard, so it is a huge improvement, and I congratulate everybody involved. However, a quarter of children and young people referred to mental health services as a whole did not receive contact within the four-week waiting standard, and 19% were not seen within 18 weeks. Those waiting times are unacceptable. Urgent mental health problems are exactly that: urgent. Time is of the essence when tackling an eating disorder, and delays in assessment and treatment carry serious dangers.

I know from constituents who have gone through the process of trying to access treatment for their children just how difficult it can be to get support on time, because services are underfunded, waiting lists are long and resources are stretched. I have heard from parents of daughters whose condition was not deemed serious enough for them to be referred to an eating disorder clinic, despite their having a dangerously low weight and BMI—they were told, essentially, that she needed to be thinner. I do not need to explain just how problematic it is to imply that someone’s condition must get significantly worse before they can be seen.

One mother’s tale of struggling to get support for her daughter is too harrowing to report in this debate, but her cry for help speaks volumes:

“Please help us…I am scared and desperate.”

When patients do access treatment, gain some weight and are discharged, many are not given the continued mental health support they need to prevent relapses of the condition. That cannot go on.

We must not underestimate the impact of eating disorders on entire families. Patients require around-the-clock care in many cases to ensure that they receive the support and nutrition they urgently need. One self-employed single mother who wrote to me about the delays and failures she had encountered when seeking support for her daughters had to forgo her income to care for them. We need far better support for unpaid family carers struggling to support their loved ones with eating disorders, and we must ensure they have the training and advice they need to be able to provide the help that is so urgent.

The Government’s primary course of action for easing this burden should be to provide patients with the support they need, when they need it. That is why the Liberal Democrats are calling for proper investment in community mental health services, prevention and specialist support for eating disorders. We are campaigning to establish mental health hubs for young people in every community and to have a dedicated mental health professional in every primary and secondary school and regular mental health check-ups for the most vulnerable.

Our Opposition day debate on Tuesday called for action to ensure that cinema-style age classification ratings are applied to social media sites to prevent children from being subjected to the worrying proliferation of harmful content promoting eating disorders, which, as we have heard, can be so pernicious and damaging. I urge other parties in this place to put aside the politics of that and to support our calls—as many children’s charities do—to ensure that an appropriate safeguarding regime is put in place for children’s use of social media.

The Government must improve early access to mental health services so that cases can be caught early, before they become critical. Can the Minister commit to preserving the mental health investment standard and reinstating targets for the treatment of mental health issues, especially for young people, so that we can do that? The stories we hear from families and patients of their experiences of eating disorders are heartbreaking. We must treat these conditions with the urgency they deserve.

--- Later in debate ---

[Dr Ahmed]

My hon. Friend is absolutely right. Being proactive and following the evidence should be our north star when we are formulating policy; I know that is true of my right hon. Friend the Secretary of State for Science, Innovation and Technology.

The Royal College of Psychiatrists has been explicit about eating disorders and end-of-life care. Anorexia nervosa is not a terminal illness in its own right. The college’s guidance on medical emergencies in eating disorders was developed precisely to ensure that preventable deaths become a thing of the past. NHS England is clear that no patient with an eating disorder should routinely be placed in palliative care. Our focus must always be on treatment and recovery, and underpinned by the hope of recovery.

We also share concerns about the accurate recordings of deaths where eating disorders may have been a contributing factor. The hon. Member for Bath outlined some of her frustrations regarding correspondence with the Ministry of Justice and I would be happy to take up that call on her behalf to make sure that she gets the correspondence that she is entitled to. The statutory medical examiner and coroner system provides a clear framework to ensure that deaths are properly investigated and recorded so that lessons are identified and patient safety is strengthened.

Although it is for the coroner to exercise independent judicial discretion to determine what is recorded as the medical cause of death, I can reassure hon. Members that the coroner’s office has been undergoing training to ensure that the recording of deaths associated with eating disorders is done more accurately and proactively. Accurate recording matters, and we will continue to work with our partners, including colleagues in the Ministry of Justice and clinicians, to ensure that not only are the statistics captured, but the learning underpinning those statistics is reflected in genuine improvements to care.

Eating disorders are serious and complex mental illnesses that can affect anyone at any age and in any community or family. They require timely treatment, skilled professionals and sustained support thereafter.

[Helen Morgan]

The Minister is probably about to draw his remarks to a close, but can I press him again on the mental health investment standard, which should ensure that the proportion of NHS spending on mental health goes up every year? In the last year for which we have numbers, it had gone up as a proportion of ICB spend, but had fallen as a proportion of overall NHS spend. Can the Minister commit that the Department will not be abandoning that standard, and that we will see mental health spending go up each year?

[Dr Ahmed]

I can certainly commit to the hon. Lady that mental health spending in real terms will go up every single year. It went up by £688 million in real terms this year. The good nature of this debate permits me to push back only gently against the hon. Member for Sleaford and North Hykeham, who talked about spending in the NHS, but I do feel I need to push back a little: one of the reasons why that percentage in statistical terms is lower, but the spend in real terms is higher is because we had to spend so much more money—the record £26 billion that was afforded in additional spend by the Chancellor in the Budget—in other parts of the health service to compensate for the decay and decline in the NHS over the last 14 years. But the hon. Member for North Shropshire (Helen Morgan) has my commitment to the overall philosophy that mental health spending will increase year on year.

As I was saying, eating disorders are serious and complex; over and above skilled professionals, they also require compassion, understanding and collective responsibility. Through the 10-year health plan, we are shifting care closer to home; strengthening early intervention; expanding the workforce where necessary, such as with community mental health workers; improving standards and investing in the community services that make recovery possible. We are also equipping staff with the right training, protecting young people online—while continuing to improve and explore the mechanisms through which we can do that—and working with experts and those with lived experience to ensure that the reform we are choosing to pursue delivers real and lasting change.

We know that the policy framework alone is never enough. Change also depends on the voices of campaigners, including many who join us here today, clinicians, families and those who have shared their lived experience. I can assure everyone that their advocacy continues to shape this Government’s approach, and it will continue to do so.

To those living with an eating disorder, and to the families supporting them, I want to say this: “You are not invisible. You are not alone.” This Government are committed to building a system that responds with urgency, expertise and compassion. Our task—across this House and beyond it—is to ensure that when someone reaches out for help, the system we create is ready to respond with urgency, expertise and, crucially, hope. I once again thank hon. Members for contributing to this debate and I look forward to continuing this work with colleagues from across the House.

Oral Answers to Questions

Helen Morgan Excerpts

Tuesday 24th February 2026 Commons Chamber

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

Last year in Shropshire, which is a fairly typical rural area, 158,000 patients waited more than a month for a GP appointment. That is not surprising, given that, like many other rural areas, we have 50 fewer qualified GPs than we did a decade ago. Meanwhile, already busy GPs are trying to develop integrated neighbourhood teams, but they report that they have not received any dedicated Government funding, and still do not have the model neighbourhood framework. Will the Secretary of State act to ensure that GPs have the resources and guidance that they need to develop those neighbourhood health teams, and ensure that everyone can access an appointment within seven days, or 24 hours if it is urgent, particularly in rural areas, where provision is poor?

[Wes Streeting]

We have 2,000 more GPs now than when Labour came into office, but the hon. Lady is right to say that we need to ensure that that provision and increased capacity are reflected throughout the country. Because general practices serving more deprived areas receive 10% less funding per needs-adjusted patient than those in wealthier parts of the country, we are reviewing and reforming the Carr-Hill formula to ensure that we can direct the right funding to the areas in greatest need, recognising that amid our rural communities, there is obviously not just plenty of affluence, but enormous pockets of disadvantage and deprivation. Whoever people are and whatever their background, the support and care that they need must be received in the right place and at the right time.

--- Later in debate ---

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

Everyone in this House knows that NHS dentistry was allowed to fall apart under the Conservatives, resulting in DIY tooth extractions, people being forced to go to A&E because they are in pain, and children suffering in every corner of the country. Last year, 38,000 children in Shropshire did not see a dentist. In Surrey, that number was 100,000 and in Sussex it was 133,000. That is a disgrace. The Government promised an extra 700,000 urgent appointments to fight this crisis, but that promise looks set to have been broken in the previous year. Will the Minister today highlight in black and white how many extra urgent appointments were actually delivered last year, rather than simply commissioned?

[Stephen Kinnock]

As I have just pointed out to the hon. Member for Waveney Valley (Adrian Ramsay), we have broadened the definition, because the clinical definition of “urgent” was simply not in line with the common-sense interpretation. People removing their own teeth in DIY dentistry were not fitting into the classification of “urgent”. We have changed that categorisation. As a result of that, I am pleased to confirm that we have delivered 1.8 million additional appointments and treatments this year compared with the same period last year—April to October 2025. We will continue to work on that basis of embedding urgent care into the contract, as I announced on 16 December, in the 2026 reforms that we are carrying out.

Pharmacy First: Withholding Payments

Helen Morgan Excerpts

Thursday 12th February 2026 Commons Chamber

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

Pharmacists play a crucial role in supporting the health service by reducing the pressure on overcrowded hospitals and GP surgeries. They also play a crucial role in local communities by providing access to treatment when appointments remain hard to come by elsewhere. But pressure on pharmacists is severe and has been getting worse, as shown by closures in my constituency and across the country. Those closures hit hardest in rural and coastal areas and in the most deprived areas, where they are most needed. This vital service needs to be supported and not undermined so that our constituents can rely on being able to access the medicines and treatment they need.

Has the Minister considered a new late payment mechanism to ensure that if contractors miss the deadline, they can still receive compensation for the work they have undertaken, especially in the interim as pharmacists adapt to the changes that have been introduced? What discussions has he had with NHSBSA to resolve the technical difficulties being experienced?

[Dr Ahmed]

I can assure the hon. Lady of our commitment to an effective primary care system up and down the country, in both rural and coastal communities. My hon. Friend the Minister for Care, whose portfolio includes pharmacy, takes his responsibilities seriously and is exploring all avenues to ensure equity of access and funding, including through the Carr-Hill formula.

The hon. Lady asks what mitigations can be employed to ensure that payments are made in extraordinary circumstances. I can assure her that I have had those discussions with my officials this morning, and they reassured me that there will be a degree of flexibility, particularly in circumstances outwith the control of individual pharmacies.

Medical Training (Prioritisation) Bill

Helen Morgan Excerpts

Committee of the whole House
Tuesday 27th January 2026 Commons Chamber

[The First Deputy Chairman]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

The amendments in my name raise concerns about the Bill’s impact on fairness, transparency and the smooth functioning of the NHS, notwithstanding the Liberal Democrats’ overall support for the Bill.

Clause 7(1) would allow Ministers to change who is eligible for prioritisation through the negative procedure, meaning that such changes could be made unilaterally, without meaningful scrutiny. In practice, that hands the Secretary of State the power to redraw the boundaries of opportunity, and to decide who gets prioritised for medical training places, without Parliament ever having a say. That is unacceptable for a decision that affects people’s lives and careers, as well as the future capability of our health service. While I do not doubt the intentions of the Secretary of State and the Front Bench team, it opens the door to the risk of political whim or prejudice influencing who gets access to career-defining opportunities in the future. That is why the Liberal Democrats have tabled amendments 2 to 5 to reverse this, and to ensure that any changes must be subject to full parliamentary consent.

On the timing of the Bill’s implementation, the Government intend to apply the new prioritisation rules midway through the 2026 specialty recruitment cycle. Let us reflect on what that means in practice. Doctors already working in the NHS have entered this cycle under one set of rules. They have paid for exams, secured visas, arranged travel, uprooted their families and committed themselves to the NHS. To change the rules halfway through the process would not only be potentially destabilising for services, but very unfair to those individuals, many of whom are plugging urgent staffing gaps right now.

We already face real workforce pressures, so the last thing our NHS needs is a wave of dedicated doctors forced out by uncertainty, or pushed to leave the country because the Government moved the goalposts after applications had already begun. For this reason, we believe that the Bill should come into force from 2027. We must protect frontline services and protect the integrity of the applications process. To address the problem directly, we have tabled amendments 6 and 7 to safeguard those already in the 2026 application cycle, ensuring that they are not deprioritised, because that is a simple matter of fairness.

We have also tabled amendments to improve the transparency and long-term impact of the Bill. Across the NHS, we face severe shortages, not just in general practice but in radiology, oncology, mental health services and many other specialities.

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

Last year, research by the Royal College of Radiologists found that 76% of English cancer centres had patient safety concerns due to workforce shortages. While we welcome the Government’s recent commitment to ending the postcode lottery of cancer care, does my hon. Friend agree that the Government need to publish an assessment of the Bill’s impact on doctor numbers, broken down by speciality, to ensure that cancer treatment is not delayed because of staff shortages?

[Helen Morgan]

I thank my hon. Friend for her point, which I agree with fully. That is why we have tabled new clause 1. It will require the Government to publish a report on the Bill’s impact on the number of applicants to foundation and speciality training programmes and, crucially, to break that down by speciality. If applications fall as a result of these changes, the Government would be required to assess the impact on the total number of fully qualified doctors entering the NHS. This report would be produced annually after three years, allowing time for a full training cycle to complete. It is a sensible safeguard, one that ensures that we do not inadvertently exacerbate the very workforce shortages that we are trying to address. To return to the core principle that is at stake, we are not opposed to the Bill’s objective. We support the principle of prioritising those who have trained in the UK, but that principle must be implemented fairly, transparently and with proper oversight.

Medical Training (Prioritisation) Bill

Helen Morgan Excerpts

2nd reading
Tuesday 27th January 2026 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

I am pleased to welcome this Bill, broadly. It seeks to prioritise graduates from UK and Irish medical schools for foundation and specialty training places. On this point, the Liberal Democrats support the Government, but we have some concerns about how that will be delivered, and about the real-world consequences for our NHS, patients and the doctors who keep our health service going.

Taxpayers invest around £4 billion every year in training young doctors, yet far too many are left competing for too few posts. In 2025, around 12,000 UK-trained doctors competed with 21,000 international doctors for just 9,500 specialty training positions. Many highly skilled young doctors, who were ready to serve in the NHS, were left without a pathway into specialist practice. That is clearly unfair and unsustainable. It is hardly surprising that so many doctors decide to leave the country altogether and seek opportunities elsewhere, where their training and wellbeing are valued. This is a tragedy for them and a tragedy for patients, so prioritisation is right, fair and long overdue.

However, reorganising a queue does not shorten it or make it move any faster. The reality is clear: the NHS has a deep workforce shortage, with crises in some specialties, and this Bill alone cannot solve it. A detailed long-term workforce plan, which ensures that training provides the skill mix that the NHS needs for the future, is required as soon as possible. I look forward to the Minister confirming when that will be delivered.

Shortly before Christmas, the Government committed to 4,000 additional specialty training places in their negotiations with the British Medical Association, including 1,000 that were brought forward, but following the collapse of those negotiations, it remains unclear whether those places will materialise. Patients cannot wait for certainty, and neither can exhausted staff. Will the Minister confirm those places, and go further by addressing other issues that have prevented doctors from working in the NHS, such as restrictive rotas, workplace violence and inflexible working? Dealing with such issues might prevent doctors who have secured specialty training places from moving abroad once their training is completed, ensuring that taxpayers’ money is not wasted, and that doctors with local, relevant experience remain in the NHS.

I turn to the details of the Bill. We have concerns about clause 7(1), which allows Ministers to change eligibility for prioritisation through the negative procedure. That will enable sweeping changes, without proper parliamentary scrutiny, to who can access training places. Given the scale and sensitivity of the NHS workforce pressures, such decisions must not be made behind closed doors, or at the whim of a future Health Secretary with less desirable motives than the current one. That is why the Liberal Democrats have tabled amendments that would require Parliament to approve any future changes through the positive procedure.

We are also troubled by the Government’s decision to apply the new rules part of the way through the 2026 specialty recruitment cycle. The Bill allows for prioritisation at the offer stage for medical specialty training places in 2026. I would like the Minister to clarify in her closing remarks whether this means that international doctors already working in our NHS—who have paid for exams, secured visas and maybe uprooted their life and their family—will suddenly be pushed to the back of the queue, mid-cycle. These doctors keep our hospitals running today. They entered the system in good faith, and it seems unfair to change the rules midway through the process.

I would also be grateful if, in the Minister’s closing remarks, she outlined the expected impact on NHS service provision if people who are deprioritised during the application process decide to leave en masse. Will she give my constituents in North Shropshire reassurance that patient safety and patient outcomes will not be impacted? The Liberal Democrats would prefer implementation to begin in 2027, at the interview stage; that would protect both fairness and patient safety.

Would the Minister elaborate on the impact of the Bill on universities that offer medical degrees elsewhere in the world? I think we have all been contacted by Queen Mary, University of London; the implications for the university may be serious if graduates, who have always been considered UK graduates, undertaking NHS training, and a UK medical qualification registered by the General Medical Council, suddenly have their expectations changed.

As I have mentioned, retention is just as critical as recruitment, but unfortunately it is outside the scope of this limited Bill. In the year to September 2023, 10.7% of NHS staff—about 154,000 people—left their role. Burnout is rife, morale is low and too many staff are working in buildings that are crumbling around them. We have been contacted by GP trainers who are worried that the doctors they are training plan to leave for Australia or Canada as soon as they qualify. The promised workforce plan must address this problem.

International comparisons lay bare the scale of the problem. England has just 3.2 doctors per 1,000 people, which is well below the OECD and EU average of 3.9. We would need 40,000 more doctors to meet that benchmark. Prioritising UK graduates is sensible, but it will not on its own deliver the workforce that patients urgently need. That is why the Liberal Democrats have tabled an amendment requiring a specialty by specialty workforce assessment. Shortages are acute in general practice, radiology, cancer care, mental health and more, and transparency is essential if training places are to be directed at where the need is greatest.

It is neither right nor remotely sustainable that, at a time when patients struggle to see a GP, qualified GPs are unemployed, yet that is happening now, with vacancy freezes and financial pressure creating an NHS in which shortages sit alongside unemployment. The Government’s decision to raise national insurance has only exacerbated the problem, forcing some practices into lay-offs or closure. In my North Shropshire constituency, several GP practices have told me that they cannot take on additional doctors because they are constrained by the outdated physical space in which they operate. The Liberal Democrats would fund 8,000 more GPs, ensuring that every patient could see a GP within seven days, or 24 hours if the need was urgent, because we cannot fix the NHS without fixing the front door.

NHS staff are the backbone of our health service, and they deserve better working conditions and a fair career path. We will continue fighting for an independent pay review body, for safe and modern buildings, for flexible working from day one, and for practical support, such as reduced parking charges, so that staff are not penalised for simply turning up to care for us. We will always stand up for our NHS and the people who make it work. While we support this Bill, we will push to ensure that its implementation strengthens our health service as much as possible.

Oral Answers to Questions

Helen Morgan Excerpts

Tuesday 13th January 2026 Commons Chamber

[Mr Speaker]

Order. The question is about waiting lists, and I am sorry but we have got to stick to it. [Interruption.] Order. Mr Logan, I was very good in bringing you in, especially with health being devolved, so please let us not change the question before us. Helen Morgan will be a good example.

[Helen Morgan (North Shropshire) (LD)]

I always am, Mr Speaker; thank you very much. Recently, I have heard from Candice, who was interrupted while changing her stoma bag behind a curtain on the emergency ward; Lynne, who waited 17 hours for an ambulance after breaking several ribs; and Sandra, who has bladder cancer and spent 31 hours on a plastic chair in the “fit to sit” area. They all want to share their stories so others do not have to suffer like they did, in pain for hours and hours. Will the Secretary of State commit to ending the waits and back the Liberal Democrat call, welcomed by the Royal College of Emergency Medicine this morning, for a guarantee that no patient will have to wait for more than 12 hours in A&E?

[Wes Streeting]

We are striving towards meeting those standards, which were met so successfully under the last Labour Government. This Labour Government are having to pull out every stop to repair the enormous damage done by our predecessors. The Liberal Democrat spokesperson is right: safety, of course, is paramount, but so is dignity. When she describes those patients’ stories in those terms, it underscores the fact that behind the two words “corridor care” are countless stories of indignity and treatment in conditions that neither we, nor they as patients, nor staff want to see those people treated in. We are determined to put an end to it.

--- Later in debate ---

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

The social care crisis is piling pressure on hospitals, with beds taken up by patients who are fit enough to be discharged. It is also piling pressure on local councils such as Shropshire, where 80% of the budget goes to social care, yet the Government are shifting funding from counties to cities and dragging their heels on the social care crisis. Will the Secretary of State take action by reinstating the cross-party talks on social care as a priority, because we need to fix social care if we are going to fix councils, care and the NHS?

[Wes Streeting]

Cross-party working on social care has never been un-instated. I know there is much more to do, but we have been in government for 18 months and we have put in £4 billion of investment, legislated for the first ever fair pay agreements with £500 million committed to that, made significant additional investment in the disabled facilities grant and, in building the workforce plan for the future, we have commissioned Baroness Casey to do her work. She will be reporting soon and we look forward to taking that work forward.

Puberty Suppressants Trial

Helen Morgan Excerpts

Wednesday 17th December 2025 Commons Chamber

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I call the Liberal Democrat spokesperson; you have one minute.

[Helen Morgan (North Shropshire) (LD)]

I hope that everyone in this House can agree that medical treatment should always follow the evidence on safety and effectiveness. It is right that expert clinicians are building this evidence base and therefore right that the Government are seeking to run this trial, because it should be led by evidence and not by ideology.

Given that the numbers on the trial will be very small and the waiting list for talking therapies, which are so important for children and their parents, is very long, with hundreds of thousands waiting, can the Secretary of State explain how he will increase access to NHS talking therapies so people can get the help they need and deserve? In a field with so little research, will he confirm if the pathways trial will look at international best practice in order to take learnings from abroad?

Transgender People: Provision of Healthcare

Helen Morgan Excerpts

Tuesday 16th December 2025 Westminster Hall

[Helen Morgan (North Shropshire) (LD)]

It is a pleasure to serve under your chairmanship, Mr Turner. I thank the hon. Member for North Warwickshire and Bedworth (Rachel Taylor) for securing this important debate on healthcare for transgender people and the excellent opening speech she made.

As Liberal Democrats, we believe that everyone should have the freedom to live their lives as who they are, with their fundamental rights protected. Nobody’s health or life chances should be limited or determined because of their sexual orientation or gender identity.

Liberal Democrats strongly support better specialist healthcare services for people who are struggling with their gender identity. These individuals are often the most vulnerable and marginalised in our society, and it is key that they get the support they need from both the Government and healthcare services to ensure they are protected.

I will start with young people. The old system—a single clinic with a shockingly long waiting list, rated “inadequate” by the Care Quality Commission—was clearly failing vulnerable people at a very difficult point in their lives. Before the gender identity development scheme closed, more than 5,000 young people were stuck on that list. They were left waiting for a first appointment for almost three years on average.

For teenagers going through what are often incredibly difficult experiences, three years is an eternity. I have met parents in my constituency surgeries who are visibly distressed by the additional pressure and interminable wait for help for their children or teenagers. We must try to do better for these families. Liberal Democrats have consistently campaigned for action to tackle appallingly long wait times across the NHS, whether it is for cancer treatment or mental health, and it is right that we do so for gender identity services, too.

Trans people should not face a delay in receiving healthcare just because they are trans, and the current situation of waiting years is simply unacceptable. That is why change is needed, and why Liberal Democrats have long pressed the Government to establish new specialist services and recruit and retain more specialist clinicians—so that trans people can access the appropriate, individually-focused and high-quality healthcare that they need.

The NHS’s move to create multiple new regional services is therefore welcome, but only three are open now—in London, the north-west and the south-west—leaving those who have already been stuck on waiting lists for years to wait even longer. There is no indication yet of when the other centres will open.

I hope the Government will show far more urgency in getting these centres up and running properly, or more people will be denied the critical care they need as they languish on long waiting lists. I urge the Minister to take this opportunity to put forward a solid timeline on delivery for the future centres.

Moving on to adults, we are concerned that the current waiting list for adults trans people attempting to access gender identity clinics in the UK is on average five years, and there are some reports of much longer averages of 12 years in England or even longer, as the hon. Member for North Warwickshire and Bedworth highlighted. That is unacceptable for people in distress.

Trans adults have significantly higher rates of mental health conditions, such as autism, dementia and learning disabilities, so timely help is really important. Furthermore, many patients report discrimination, misgendering or the refusal of standard services. Surveys reveal that 40% of trans individuals experience negative healthcare interactions and 21% say their needs were ignored. We have heard about the devastating impact that can have on these real people.

I welcome the commissioning of the Levy review into healthcare for trans adults. Will the Minister clarify when we might expect it to conclude and report back? I hope it will cover both the quality of healthcare and its timeliness. We believe that trans people have the right to be seen by a specialist within 18 weeks, as set out in the NHS constitution, and that they deserve further support while on an NHS waiting list, such as mental-health support and gender-affirming care. Therefore, I welcome the fact that the NHS has doubled investment, opened new clinics and initiated wellbeing pilots offering digital mental health and community support while patients wait, but there is still much more to do.

It is critical in our modern and inclusive society that no one should wait longer or suffer inappropriate care just because of their sexual orientation or gender identity. I urge the Minister to ensure that all UK citizens are provided with adequate care, support and protection by increasing the availability and quality of specialist gender services across the country.

NHS: Winter Preparedness

Helen Morgan Excerpts

Monday 15th December 2025 Commons Chamber

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

It is obvious already that this year is going to be very difficult for the NHS, with many A&E departments already overwhelmed, hospital wards full and too many patients looking at spending their Christmas on a corridor. Indeed, corridor care has been common throughout this year and even trusts that have seen improvement in other areas, such as Shrewsbury and Telford in my constituency, are struggling to make real progress in urgent and emergency care. In July this year, one in five people who arrived at an A&E in Shropshire had to wait more than 12 hours, and that was before the double whammy of a record winter flu epidemic and an irresponsible doctors’ strike.

Will the Prime Minister chair regular Cobra meetings to address this emergency? Will the Minister agree to make flu vaccines available to far more people and roll out an emergency vaccination scheme in communities to reach people who have been missed? Finally, will the Government support Liberal Democrat calls for a dedicated winter crisis unit, providing the locum doctors and social care support needed to discharge patients and free up hospital beds?

[Wes Streeting]

We are doing much of what the Liberal Democrat spokesperson asks; the hon. Lady is absolutely right that we need to focus on delayed discharge and demand management, and the system is doing all of those things. It is challenging in the NHS. The House will know of our determination to end corridor care. We have certainly ended the nomenclature of “temporary escalation spaces”, which makes corridor care sound like it is both normal and acceptable in the NHS, neither of which is true. I will stop short of asking the Prime Minister to chair Cobra meetings. That would not be the right mechanism or response, but of course he and I meet regularly to discuss winter pressures, and I will keep him apprised of the situation.

Budget Resolutions

Helen Morgan Excerpts

Tuesday 2nd December 2025 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

The NHS continues to face a historic crisis after years of mismanagement by the last Conservative Government. Their dire legacy is still felt across the country, with hospitals crumbling and dental deserts across England—not least in my constituency—as well as a mental health crisis and many people struggling to access their GP, waiting hours for an ambulance or suffering in crammed hospital corridors. The British people deserve better.

The Liberal Democrats welcome efforts to bring down the sky-high waiting lists left by the previous Government, and there have been green shoots of recovery across the country. In the Shrewsbury and Telford hospital trust, which serves my constituents, performance against the 28-day faster diagnosis standard has reached 80.1%—the highest on record. I thank all the hard-working hospital staff there and across the country, who are working tirelessly at the moment to improve the situation.

There are some welcome announcements in the Budget. The prescription price freeze is clearly the right thing to do, and we strongly support protecting victims of the infected blood scandal and their families from inheritance tax. It is an unacceptable injustice for bereaved families to lose out just because their loved ones died waiting for compensation. We also support the lifting of the two-child benefit cap, because it is the type of investment that will reap savings in the future and correct a moral injury.

I am afraid, though, that overall this Budget does not meet the moment. The Government are treading water on their spending commitments, and hundreds of millions of pounds are set to be drained from services to fund a medicines price hike. From the Office for Budget Responsibility’s report, it is not clear whether frontline NHS services will be raided to pay higher prices for branded medicines at the behest of President Trump, on top of the billions already anticipated in the spending review. No. 10’s briefing suggests that the money will come from the NHS budget, yet we have just heard from the Secretary of State that it will not. A statement to this House to clarify the details would be most welcome.

Yesterday we learned that the Government have capitulated to the US Government and will increase spending on medicines by 0.3% of GDP—more than the value derived from some trade deals—or from about 9.5% of the NHS budget to 12%. We desperately need to understand how that will be paid for; I hope it will not be by cutting frontline services. The Secretary of State has previously said that he would not allow the NHS to be ripped off by drug companies, and I hope the Minister will confirm that position.

The life sciences sector is vital to the UK. Rather than defunding vital NHS services, the Liberal Democrats urge the Government to take real actions to strengthen it by implementing a new, bespoke customs union with the EU to slash red tape, along with a major boost to research and development funding so that new drugs can be brought online as quickly as possible. NHS spending should be targeted at where our health service really needs it: ending the crisis in GP services so that everyone has a right to see a GP in seven days, or in 24 hours if it is urgent; guaranteeing that 100% of patients are treated for cancer within 62 days of an urgent referral; and ending unacceptable and degrading corridor care. I urge the Government to adopt these proposals without delay in order to protect patients and prevent trust in our NHS from being irreparably broken.

One of the most visible symptoms of decline is our crumbling hospitals and the degrading scenes that became commonplace under the Conservatives. Those patients falsely promised a new hospital by the Conservatives will continue to be bitterly disappointed. We all know that the 40 new hospitals promised to patients did not number 40, that they were not necessarily new, that they were not all hospitals, and that there was no plan to fund them. However, this Government have chosen not to pledge new investment, which means that the maintenance backlog will continue to balloon at eye-watering levels, having climbed from £13.8 billion in 2023-24 to an astonishing £15.9 billion in 2024-25.

The Chancellor should have guaranteed that no patient, doctor or nurse faces the indignity of substandard, broken and, frankly, unsafe estates. We appreciate that there is pressure on the public finances, but holding back on these improvements is a false economy when a fortune is being spent papering over the cracks to keep substandard buildings that should be condemned limping on. The repair backlog at the sites of new hospitals is set to reach nearly £6 billion by the time construction is due to start. The Liberal Democrats will continue to champion investment in our crumbling NHS buildings in order to protect patients, hard-working NHS staff and the taxpayer.

[Dr Andrew Murrison (South West Wiltshire) (Con)]

The hon. Lady is outlining an extensive programme of capital expenditure on the national health service. Between last year and this year, we have had the largest set of Budget increases in the history of this country, but are the Liberal Democrats proposing that we should tax the British public even further to pay for the kind of thing that she has just described?

[Helen Morgan]

If the right hon. Gentleman had listened to our leader’s response to the Budget, he would understand that the Liberal Democrats do not propose to tax the British taxpayer further. We would sign a customs union deal with the EU and create £25 billion in extra tax revenue every year without going back to the British taxpayer.

The crisis in our NHS is perhaps most acute in our community services. For all the welcome promises on shifting care from hospital to community and treatment to prevention, the truth is that local health services are on their knees, with record waits to see a GP. Liberal Democrats have championed new investment and we welcome the Government’s announcement on neighbourhood health centres, but unless we see health centres in every community, with investment to ensure that everyone can see a GP within a week as a legal right, and the restoration of public health funding, this risks being an expensive failure.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

On neighbourhood health plans, St Dunstan’s House health and wellbeing centre and West Mendip primary care network are seeking to put together a preventive approach to crime, social and mental health issues in the Glastonbury area. Does my hon. Friend agree that this innovative, community-based project should be included in the second wave of neighbourhood health scheme applications?

[Helen Morgan]

We would all welcome that kind of innovative, community-led approach to improve local health services across the country.

The commitment to set up 250 neighbourhood health centres in communities by 2025 is clearly a welcome step, but there are 543 constituencies in England, so many communities will remain under-served. For example, my own constituency of North Shropshire is part of the pilot for neighbourhood health centres, for which we are grateful, but the numbers indicate that there may be only one neighbourhood health centre, although the constituency has five market towns, spread over a large distance and with different catchment areas. It is not one neighbourhood. Investment in our general practices is essential to ensure that people can continue to access primary care when they need it.

Neighbourhood health is not just about buildings—it is about how teams operate—but when so many local practices are constrained by the physical space in which they must work, buildings are an important part of the puzzle. There is a danger that rural and coastal communities continue to remain under-served and isolated, unable to access services that may be many miles away and only reachable by private car.

[Steff Aquarone (North Norfolk) (LD)]

My hon. Friend and I both represent rural constituencies that face similar challenges. Businesses in North Norfolk already face extra struggles to stay afloat, including training and retaining staff, finding affordable premises, and even things as simple as getting a strong and reliable phone and internet connection. Does she share my frustration that rather than tackling those problems, last week’s Budget has just lumbered rural businesses with more tax, more costs and more stress for the future?

[Helen Morgan]

I share my hon. Friend’s frustration.

Perhaps the most glaring and alarming omission of all in this Budget is that the words “adult social care” do not appear. The sector is already stretched to breaking point and is now suffering from the Government’s 2024 hike in employer national insurance contributions, which is unfunded for most businesses operating in that sector. The pressure is clearly reflected in the Association of Directors of Adult Social Services’ 2025 spring survey, which found that three quarters of directors have only

“partial or no confidence that their budgets are sufficient to meet their legal duties for prevention and wellbeing.”

That is not only terrible for disabled and vulnerable people; it is a disaster for the NHS. One in seven hospital beds are taken by someone who should be discharged but for whom there is no appropriate social care package. The situation could not be more pressing.

We need the cross-party talks to move far more quickly. As we have heard, there has been only one meeting, back in September, and there are no current plans for further engagement. I ask Ministers to ask the Prime Minister to lead those talks and to treat them with the seriousness and urgency that they deserve. We also need a solution to provide the social care beds needed to stop a devastating winter crisis; 2028 is too late for that.

In addition to spiralling NIC costs, there is increasing demand and huge staff shortages in the sector. With an immigration policy that is clearly designed to disincentivise overseas workers in this area, there is no clear plan to ensure how those vacancies will be filled. In formulating their 10-year workforce plan, the Liberal Democrats urge the Government to introduce a funded and higher minimum wage for carers, and a new royal college of care workers to improve training and career progression and to give carers the recognition that they deserve.

When social care is not available, family carers must step in to fill the need. A fairer deal for family carers, such as guaranteeing more respite care and introducing paid carer’s leave, would enable many to continue caring for longer at home. We want to see more support for young carers in school by introducing a young carers pupil premium. These are simple but potentially transformational steps in supporting the millions of carers without whom our health service would collapse.

Winter is quickly closing in, and there are signs that the annual winter crisis could be even worse this year, having already become a year-round permacrisis. The Budget should have funded an emergency package to prevent A&Es collapsing this winter. Liberal Democrats have called for 1,000 extra hospital beds, emergency social care places to free up places in hospitals, a recruitment and retention drive to increase the number of out-of-hours GPs, and a qualified clinician in every A&E waiting room to protect patients who are at risk but stuck on trollies. Without those measures, there is a significant risk of another winter of harrowing scenes of corridor care and ambulances queuing outside hospitals, which should have no place in our society.

Let us take a step back and ask what this Budget really means for the NHS. The topic of today’s debate is investment and renewal, but this Budget means cost pressures are left unaddressed and reforms that are confused and disorientating. Inflation is forecast to run higher than the budget set by the Department of Health and Social Care back in March 2025 for the spending review. As a result, average real-terms growth in departmental budgets has shrunk by 0.1% since then.

The OBR notes that spending on branded medicines alone is expected to rise by 25%—an extra £3.3 billion—between 2025-26 and 2028-29. For context, that is equivalent to the budget for maternity care in England. Yesterday’s recent agreement confirms that it will be at least that sum, and possibly as much as another £6 billion a year, which is an eye-watering amount. Industrial action could add a further £1.2 billion by 2028-29. It is hard to see what would be left to repair our GP services, expand social care or take any of the other measures needed to lift the NHS off the floor.

On top of that, we have no clarity on the impact of the reorganisation of NHS England and ICBs. The Chair of the Public Accounts Committee has warned that the Department has removed

“a key piece of machinery without articulating a clear plan for what comes next”

and compared the reforms with those of HS2.

The 10-year plan sets out a vision that Liberal Democrats share, but it is missing any clear explanation of how it will be funded within the spending review settlement. Nowhere, across 170 pages, is there a credible costing or delivery plan. Five months on, we still have no idea whether the Government can deliver the essential reforms that they have promised. Unless the Government adopt a genuine “spend to save” approach, investing now to prevent greater costs and worse outcomes later, we are at risk of seeing only managed decline, mounting pressure and the continued loss of faith in the health service.

Rather than Labour’s unfair tax rises, we have set out a number of fair ways to fund our public services properly. Most importantly, this Government are refusing properly to fix our broken relationship with Europe. We are calling for a new EU-UK customs union, which could raise more than £25 billion a year. The Government would have plenty of time to put the deal in place by 2030, raising billions in extra tax revenue in a fair way after 2030. We have also called for a targeted windfall tax on the big banks, which would raise £30 billion in total by 2030.

Let me take this opportunity to say to the Government that if we are to rescue the NHS, they must tackle the crisis at its front door and at its back door. That means investing in public health and early access to community services, including GPs, pharmacists and dentists, so that fewer people need to go to hospital in the first place. It also means fixing the crisis in social care to stop so many people being stuck in hospital beds. Only these measures can bring down waiting lists, improve the quality of care and help people live longer, healthier lives. The NHS needs transformational change; the Government must wake up from their complacency, or it will be patients who pay the price.