Thirlwall Inquiry: Final Report and Recommendations

Debate between Helen Morgan and Yvette Cooper

Tuesday 15th September 2026 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

I send my heartfelt sympathies and those of my party to all the families who have been so cruelly harmed. I thank Lady Justice Thirlwall for her inquiry and the Secretary of State for early sight of the report.

Lady Justice Thirlwall’s final report is a dispiriting and, at times, shocking account of repeated mistakes and failures by organisations and individuals. The conviction of Lucy Letby for these murders and attempted murders sets this investigation apart from others, but while the situation is incredibly distressing, it is also distressingly familiar—a failure to investigate abnormal levels of death or harm; a failure to act on concerns raised and whistleblowing; a failure to follow established protocols for investigating deaths; and a management instinct to cover up failure, and to put the reputation of the hospital above the safety of the babies in it.

The importance of stronger whistleblowing mechanisms could not be clearer. There should be a duty of candour for management, as well as medical staff. Will the Government accept my amendments to the Health Bill, requiring boards to call in investigators when they receive reports of malpractice, and giving coroners and medical examiners stronger powers to whistleblow? The review makes it explicit that there must be an external body, such as HSSIB, to investigate trusts. Will the Government now drop the measures in the Health Bill that risk patient safety? Surely the Secretary of State will accept the amendments that we and others have put forward to prevent the abolition of HSSIB, protect Healthwatch and put patient safety first, including through the restoration of the National Guardian’s Office.

I am beyond angry that once again we are discussing the recommendations for action following an NHS scandal. It is like groundhog day—we are stuck in an endless cycle of expressing horror and doing nothing, with the reports and recommendations from multiple scandals gathering dust on a shelf in the Department of Health and Social Care. The Thirlwall inquiry cites a “lack of political will” as one of the causes of this cycle. We have a new Secretary of State. Will she promise us that she will be the one to find the will to end this? The families who have suffered such unimaginable loss deserve nothing less.

[Yvette Cooper]

I thank the hon. Member for her comments, her tribute to the families and her recognition of how much they have endured. She is right to highlight the importance of the duty of candour. One of the most shocking findings of the inquiry was that an “exercise in spin” was put above patient safety, including the safety of some of the most vulnerable patients of all, newborn babies, which is truly shocking. Boards are already responsible for ensuring that they follow the duty of candour. The inquiry found crucial breaches of the board’s duty of candour and responsibilities in a series of areas, including the responsibility to provide information to the reviews done, and safeguarding responsibilities that should have been clear. We will look further at the responsibility framework, the regulation of managers and clinicians, and the leadership’s responsibilities to ensure that what should happen takes place.

The hon. Lady will know that the local guardians remain; that is extremely important. On HSSIB, I agree with her that that role needs to continue. It is the intention for that role to continue as part of the CQC, but I have undertaken to look again at those arrangements to ensure that they meet the expectations of the inquiry’s report.

Fundamentally, the point that the hon. Lady makes is about the anger and sense of deep frustration and injustice about the fact that we are here again, discussing some of the same issues. For me, that is about two things. The first is patient safety, which has been discussed time and again when we have these kinds of recommendations. The second is the sense of the sidelining of maternity and neonatal care, which have been seen as a side issue in too many places, rather than being central. We have to put the cradle back at the heart of the NHS. We have always talked about the NHS being there from cradle to grave. The very start of a child’s life, and the very start of a family’s life, is one of the most important moments, and we have to make sure that our NHS keeps that at the centre of what it does.

Summer Health and Resilience

Debate between Helen Morgan and Yvette Cooper

Wednesday 9th September 2026 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

I welcome the Secretary of State and the shadow Secretary of State, the right hon. Member for East Hampshire (Damian Hinds), to their places—I have to say that I was not expecting to be the continuity figure in the health portfolio.

We need to be honest: the NHS is now in permacrisis, as outlined by the National Audit Office report. The hallmarks of peak winter pressure in the past—overcrowded A&Es, queuing ambulances and soaring 999 calls—are now a feature year round. This summer was particularly difficult due to record temperatures across the UK, with over 33 NHS trusts reporting temperatures well above the 28° limit set by NHS England, and we can all agree that is not acceptable. It is inhumane not just for patients but for staff—42° is unbearable. A constituent of mine suffered in his final days in a desperately hot setting in Royal Shrewsbury hospital until managers worked with my team to ensure that he was made more comfortable. We do not want to be dealing with cases like that every year. We need hospitals that can withstand the heat, and the Lib Dems have been calling for a new NHS rapid adaptation unit to urgently heatproof the most heat-affected hospitals and care homes.

Turning to corridor care, the percentage of people waiting 12 hours or more in A&E has tripled since before the covid-19 pandemic. Analysis suggests that people waiting this long are twice as likely to die within 30 days of leaving A&E, compared with those who wait just two hours. It is abundantly clear that policies to deal with A&E are not working. Spend is increasing, as outlined in the report, while outcomes are decreasing. We are pumping money into emergency departments with no proportionate improvement.

The Lib Dems have outlined our plan to end 12-hour waits in a year by investing more in step-down care and support for people to leave hospital and go into social care. The Health Bill will reduce co-operation between local authorities and integrated care boards, risking those improvements in social care. Although we welcome the cross-party talks on social care, I hope that the Secretary of State will look at this issue as the Health Bill makes its way through the Lords. Will she listen to our plans, change her approach and commit to ending the ongoing A&E scandal?

[Yvette Cooper]

I thank the hon. Member for her questions, and for drawing on her expertise and interest in this area. On capital funding, that is exactly why we are allocating £32 million as part of the capital fund that we have set out specifically to deal with repairs and safety issues that have become acute across the NHS estate as a result of more than a decade of capital underfunding of the NHS. Ara Darzi made it clear in his report that this has had a huge impact on patients and staff, but also on the NHS’s productivity, because we have facilities that cannot be used because of that capital underfunding.

That £32 million will be targeted at measures to improve cooling systems, but I have asked the NHS to look further, as part of the second wave of funding, at other areas across the country where there will be particular needs as a result of buildings needing to deal with extreme heat, which they were never designed for. As a result of the announcements I have made today, £1.5 billion is now going into improvements to existing facilities, to upgrade them and ensure that they reach the right quality and standards.

On the hon. Member’s point about corridor care, nobody should have to be seen or treated in a corridor, or have to wait for a long time at one of the most distressing times of all, when they need emergency care and support. I have seen some phenomenal examples and have discussed the work that hospitals such as Watford have done to eliminate their corridor care challenges. We have introduced reporting and publication of those statistics for the first time, exactly to ensure that we have that priority. But I pay tribute to the work done by A&E teams to improve performance, despite the huge increase in demand that they saw in July—they are doing a really important job.

Arctic Security

Debate between Helen Morgan and Yvette Cooper

Monday 19th January 2026 Commons Chamber

[Yvette Cooper]

The Prime Minister has already discussed this issue with President Trump and made clear our position, and we are working through diplomacy and continued different avenues to stress the importance of respecting sovereignty, collective security, and the fact that tariffs benefit no one and are completely wrong in this situation.

[Helen Morgan (North Shropshire) (LD)]

The Secretary of State has rightly outlined the importance of co-operation with our allies over this serious issue, but as we have seen, there is not a consistent approach on retaliatory tariffs. Can she describe to the House the discussions that the UK Government had with our European allies before ruling out retaliatory tariffs?

[Yvette Cooper]

The UK is continuing to hold discussions with European allies, exactly as I have been doing today with the Danish Foreign Minister, and as the Prime Minister has been doing throughout the weekend. He also made clear our strong view to President Trump and the US that we need to prevent these tariffs in the first place, and that we need to take action together to make sure that that happens.