Unpaid Carers

James Frith Excerpts

Thursday 15th October 2026 Westminster Hall

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

It is a pleasure to serve under your chairmanship, Mrs Barker. I begin by congratulating the hon. Member for Mid Sussex (Alison Bennett) on securing this important debate. I also thank Members from across the House for their thoughtful contributions.

Addressing me, the hon. Member for Mid Sussex gave a roll call of some of the welcome policy announcements that we have seen already. I know that an appetite is maintained for more, and we will get into that, but it was great to hear recognition of our action plan, of the announcement of a champion for unpaid carers, of the Prime Minister’s relentless historical, current and future focus on social care and a national care service, of the minimum wage link to earnings in this sector and of the increase in allowances.

My right hon. Friend the Member for Hayes and Harlington (John McDonnell), joined by the hon. Member for Strangford (Jim Shannon) and my hon. Friend and constituency neighbour the Member for Heywood and Middleton North (Mrs Blundell), rightly raised a particular issue. Indeed, I think that, consistently, every single Member in the Chamber made the point that I will distil to the absolute, fundamental need for respite. We understand that too often caring is a relentless duty. It is unending love, and that love is real, but so is the toil and the demand on unpaid carers, whom we are here to speak to and appeal for today.

Unpaid carers make an extraordinary contribution to families, communities and our country. They are often the person holding everything together. They provide unwavering support to the person or people they care for, often while balancing employment, education, parenting and their own health needs. This Government are acting now to ensure that unpaid carers receive the right support, at the right time. The cross-Government unpaid carers action plan brings together work from across health, social care, education, employment and the benefits system. It is an improved recognition of unpaid carers that strengthens the way support is offered to help carers reach their full potential and live their own fulfilling lives.

The Secretary of State for Health and Social Care announced this summer—to great cheer from those of us in the audience—her intention to appoint an unpaid carers champion who will bring the commitments in the action plan to life and bring our responsibility to bear. Our carers champion will work across Government, the health and social care sector and carers organisations to provide advice and challenge on where we can go further.

The Government are making carers more visible, empowering their voices in care planning, joining up services and reducing the practical burdens they face. A new “my carer” section in the NHS app will give carers clearer routes, clearer information and relevant support, and will help to streamline the tasks that they undertake on behalf of the people they care for.

[Valerie Vaz in the Chair]

Our task is simple: carers have to be recognised as partners in care, with their own needs and ambitions. We understand that caring can affect household finances and a person’s ability to remain in work. The Government raised the carer’s allowance weekly earnings limit by a record amount in April 2025 and again in 2026-27. A public consultation on employment rights for unpaid carers and parents of seriously ill children closed on 1 September. We expect to conclude the review this winter with a full consultation, and we will respond to it with findings and a road map for potential reforms.

Members rightly raised the availability of practical support, including short breaks and respite—every Member referred to the need for that. A postcode lottery occurs too frequently. I am sorry to say that, because of the legacy of the last Government, that will take some time to rectify, but we are making progress in redressing the patchiness of public services left by the last lot.

This Government have brought in the better care fund, which provides a framework of more than £9 billion for integrated care boards, in a bid to patch up the patchiness left by the last Government. We speak frequently in this Chamber and the main Chamber about the need to ensure a universal service. It is for us as MPs as well as for the Government to ensure that there is better joined-up care and that funding can be used for carer support and respite, including short breaks and the peer support that we know is needed.

A fellow champion of carers—the heavyweight champion of Harlow, my hon. Friend the Member for Harlow (Chris Vince)—made the interesting point that there should be a young carers lead in all schools. I have been a school governor. The best schools and school leadership teams know the circumstances of our children, and we have a Government who not only understand the need for breakfast clubs, but recognise the importance of both the breakfast and the club. I hope that my hon. Friend’s idea will grow and go out into the governor world as a suitable idea. I do not think it is necessarily for the Government to mandate that, but it is a terrific idea. In developing those plans, perhaps he and friends will make representations to the champion that we will appoint so that young carers in particular get the support that they need. It is sad to think that there are undiscovered young carers. That is very poignant. The need for respite is very real, and so is the cost in terms of the childhood they are missing out on.

We must also recognise the effect of sustained care responsibilities on mental health, and provide mental health support, such as through the talking therapy service, the self-referral system, the NHS app, increased evidence-based talking therapies and digital interventions, and earlier support in schools.

My hon. Friend the Member for Amber Valley (Linsey Farnsworth) raised the issue of dementia. Today is the second consecutive day that she and I have spoken about the issue. I repeat my commitment that she will be involved in the first-ever modern service framework on dementia and frailty, which is to come. I look forward to working with her on that.

My hon. Friend the Member for Scarborough and Whitby (Alison Hume) always has nice things to say to colleagues and friends across the House. Support for unpaid caring is inseparable from the future of adult social care across all ages. My hon. Friend the Member for Cannock Chase (Josh Newbury) rightly talked about the need for a distinct older care service, as carers will get older and need care themselves.

At its best, social care is transformational, and our long-term ambition is to have a national care service that is person-centred, sees the person and their circumstances, integrates with health services and is preventive, giving people greater choice, control, dignity and independence. We are committed to building that service, but it must be informed by the undoubtedly exemplary work we will see from Baroness Casey. We will build on the consensus she is seeking from the public as she asks what they want, need and expect from the system. I look forward to seeing that work, which will address difficult questions about who should get support, what families can reasonably expect and who is responsible.

The hon. Member for Solihull West and Shirley (Dr Shastri-Hurst) asked who is responsible; that is a good question. I will ensure that the changes to NHS England and the forthcoming plans are in the purview of the work that Baroness Casey is undertaking. As to a commitment on tax and borrowing, he mistakes the level at which I currently sit in Government—I will gladly answer his question if they ever dare to give me responsibility for such things—but it is a good question.

In the meantime, greater investment is already coming, alongside better workforce support, digitisation, a stronger voice for people receiving care, and closer integration across services through the unpaid carers action plan, the appointment of an unpaid carers champion, improvements on carer ID through the NHS app, stronger financial employment support, better education support for young carers, more access to mental health services and more effective local planning. We are taking practical steps now; it is a Labour Government doing this.

The hon. Member for Mid Sussex asked about identifying young carers—I recently raised the poignant issue of undiscovered young carers. This is a collaborative job. It falls to the local authority and to school leadership, and it must fall to integrated care boards to work with their colleagues in local government and local education to ensure that all children’s contexts are understood and known.

We are listening to carers, who must challenge services where support falls short. Unpaid carers enable millions of people to live with dignity, independence, love and connection. Their contribution must not be taken for granted. They get and deserve our recognition, our respect and reliable support. This Government are determined to turn that commitment into lasting change.

Bone and Joint Health

James Frith Excerpts

Tuesday 13th October 2026 Commons Chamber

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

I start by congratulating the hon. Member for Exmouth and Exeter East (David Reed) not just on bringing this debate on bone and joint health to the Floor of the House during Bone and Joint Week, but on sharing his personal insights and testimony. I thank him for his service and give him an assurance that I am very happy to talk about veterans, about the specifics and about his insights into how we can deliver on the armed forces covenant. I signed Bury’s first armed forces covenant when I was an armed forces champion, and although it was not the service level that he was accustomed to, I take very seriously our need as a country to pay our respects to the men and women who have put themselves in harm’s way or given the ultimate sacrifice in service to their country, so I thank the hon. Gentleman.

[Jim Shannon]

I was trying to intervene before the hon. Member for Exmouth and Exeter East (David Reed) sat down. While one door closed when he had his injury, another door opened. The door that opened was to be an MP coming here to represent his constituents, so he has an opportunity to speak up for all those who have such injuries, and that is a voice he has now.

[Mr Frith]

As ever, the hon. Member sees the upside—the glass half full—of all life’s experiences.

I thank and pay tribute to the charities, clinicians, researchers, carers and campaigners who support patients and refuse to let these conditions be overlooked. Bone and joint conditions are too often overlooked or dismissed as an inevitable part of ageing or frailty, but they are not; nor should we accept them as such. Arthritis, osteoporosis, fragility fractures and other musculoskeletal conditions can mean relentless pain, lost mobility, lost confidence, lost work and lost independence.

In 2024, almost one in five adults in England reported a long-term MSK condition. This is not a niche issue; it is a national challenge. Our task is clear: diagnose earlier, treat faster, prevent more illness, and help people remain active and independent. The Government’s 10-year health plan is built around three decisive shifts: hospital to community, analogue to digital and sickness to prevention. For people with MSK conditions, that means simpler access and the ability to refer themselves through the NHS app to services, including physiotherapy, pain management and orthopaedics.

The hon. Member for Exmouth and Exeter East sought advice on how we educate sooner and inform sooner, but the work we are doing with the single patient record, the new iteration of the NHS app and the development of NHS online—or the digital doctor, as I am calling it internally—is about providing that useful information in a timely manner. It should be as accessible as we have become accustomed to for information we consume online, whether through retail or consumer habits. That is the level of expectation we should have for services such as this, which can give future patients the certainty and knowledge they need, when otherwise they may endure pain while waiting to access services at a later point. That is an important distinction.

On osteoporosis, we are acting before the fracture, not merely after it. This March, the Government invested £2.6 million in 20 new DEXA scanners across England, following £1.9 million for 13 scanners last year. Earlier scans mean earlier treatment and fewer painful life-changing fractures, especially for older people and women. Patients must also benefit from effective medicines. Since 2022, the National Institute for Health and Care Excellence has recommended Eladynos and Evenity for osteoporosis in post-menopausal women—an important distinction within the debate—both of which strengthen bones and reduce fracture risk. The UK National Screening Committee is reviewing the case for screening women for osteoporosis. Its consultation closed last week, and we will consider its independent recommendation carefully when it reports.

We must be frank: community waiting lists for MSK remain the longest of any community service. Every delay can mean more pain, less mobility and a greater risk that somebody leaves work or loses independence. I agree with the hon. Gentleman’s point about having a cross-departmental approach to ensure that support is timely to prevent people going off work and losing their income, identity, self-esteem and worth, and everything that we understand comes with a forced departure from work. That is why the Getting It Right First Time MSK community delivery programme is backed by about £6 million in 2026-27. It is redesigning services, improving referrals and connecting patients to wider support. The first cohort saw waits of over 18 weeks fall by about 20% in participating systems. That is real progress and we must spread it.

We are also expanding MSK physical activity hubs. They use the skills of the leisure and fitness workforce to improve mobility, reduce pain and fatigue, and help people stay in or return to work. The principle is simple: care should come to people, not force people to navigate the maze. Throughout neighbourhood health, community MSK services, physiotherapy and occupational therapy will support recovery, protect mobility and manage long-term conditions closer to home. We have set a clear national ambition that by 2028-29, at least 80% of community health services activity should take place within 18 weeks. National guidance will define a consistent core offer and bear down on unacceptable variation or postcode lottery.

General practice is often the front door. We are increasing capacity so that patients are seen sooner and urgent cases are directed to the right care on the same day. Elective recovery matters. We remain committed to meeting the constitutional standard by March 2029: 92% of patients treated within 18 weeks. For bone and joint conditions, that means stronger links between primary, community and hospital care, and faster access to specialist advice.

Women’s health must be central to this argument as well, not peripheral. Menopause-related hormonal changes raise the risk of osteoporosis and frailty. The renewed women’s health strategy therefore focuses on earlier recognition, easier access, better treatment and practical support at work.

Bone and joint health is an inequalities issue as well. Chronic MSK conditions are a major cause of poor health and work limitation, often occurring alongside mental ill health—as the hon. Member for Exmouth and Exeter East described—and obesity, which is often concentrated in poorer communities. A postcode must not determine whether pain is relieved, mobility restored or independence protected. Reducing delays and unwarranted variation is not an optional extra; it is a matter of principle and fairness.

In conclusion, let us reject the idea that these conditions are simply to be endured. Pain is not inevitable. Disability is not inevitable. A life-changing fracture is not always inevitable. Earlier identification, effective treatment, rehabilitation and prevention all change lives and save the NHS the greater cost of acting too late.

I again thank the hon. Member for his service and for securing this debate, and all those working through Bone and Joint Week. The Government will work with the NHS, local government, clinicians, charities and patients to turn ambition into action: fewer fractures, shorter waits, better mobility and more people living independently for longer.

Question put and agreed to.

Vascular Sector Reform

James Frith Excerpts

Thursday 10th September 2026 Westminster Hall

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

It is a genuine pleasure to serve under your chairship, Dr Huq, and to join you again in Parliament. We worked together before and it is an honour to be here today.

As is customary, I would like to thank the hon. Member for Strangford (Jim Shannon) for securing this important debate and for his insights. Some of us were wondering if he would write one of his famous letters of congratulations and courtesy to himself; we hope that somebody else will step up and show him the same courtesy that he affords us all by being so generous in his support of colleagues across the House.

I also thank my hon. Friend the Member for Glasgow South West (Dr Ahmed), who spoke so well and with such insight, for the leadership and expertise that he showed in pulling together the Government’s ambitions for not just the 10-year plan but, as has been mentioned, the cardiovascular framework. I am of course minded to listen to anything further that he says. On his point about Scotland, he is right that I also have responsibility for the devolved nations in a seemingly ever-growing brief—he will have sympathy with me over that. I am happy to have those conversations to ensure that we learn from the Scots and that the successes here can be transported north of the non-border to which he rightly referred.

The report published by the APPG earlier this year sets out suggested actions for improving vascular care. The Opposition spokesperson, the hon. Member for Solihull West and Shirley (Dr Shastri-Hurst), is right that there is much in this debate on which we agree. The calls to action include reducing waiting times, reforming commissioning, accelerating innovation, and establishing a national foot care pathway and community-based foot protection services in every local system. I commend the APPG for focusing their challenges on structural reforms and system changes, and not on simply making a new request for funding.

We can all agree with the improvements the actions intend to deliver, which are,

“earlier diagnosis, reduced travel and access barriers for patients, and relieving pressure on acute services by preventing deterioration and avoidable hospital admissions.”

That is crucial. At the election, I was pleased to stand for a party that wanted, when in government, to bring its power and might to bear on the biggest killers. The Government very much intend to deliver those improvements through the core shifts set out in the 10-year plan for the NHS.

For patients with vascular disease, that will mean fewer trips to hospital as we shift care closer to home and into the community. It will mean better use of digital technology—my hon. Friend the Member for Glasgow South West referred to the innovation part of my title, and there is more to come on that—to identify vascular disease, monitor its progression and, finally, stop it from developing or worsening.

In preparation for this debate, I have been encouraged—mercifully, I am pleased to say—to use my remarks reflect the call to action from the APPG.

[Dr Ahmed]

The Minister is making a powerful case that to govern is to make decisions. Does he agree that when it comes to the NHS, while we talk a lot about money, input and investment, today we are ultimately talking about reform, taking different decisions and showing leadership? Does he agree that, given the situation in Scotland and my constituency of Glasgow South West, where there is more money and more staff, it is quite obvious that it is political will that ultimately makes the difference?

[Mr Frith]

I concur fully with my hon. Friend’s point. I noted his earlier remark about the commissioning of outcomes, and I think that one of the developing themes adjoining my own thinking and my brief is the need to get better at commissioning outcomes, considering whole populations, communities and places, and determining how we spend our money based on outcomes, not just activity. My hon. Friend makes a very powerful point with his question.

The hon. Member for Strangford and other members of the APPG feel strongly about the establishment of a national foot attack pathway. The Government’s ambition for integrated care boards to act as strategic commissioners focused on the needs of local populations is very much determined to assist that. The prevalence of vascular disease is not evenly distributed, as the hon. Member for North Shropshire (Helen Morgan) mentioned. ICBs are expected to use their nationally supported local commissioning power and their local data and intelligence, which includes user feedback and outcomes data, to develop a deep understanding of local need as well as local plans to develop and deliver.

[Jim Shannon]

I thank the Minister very much for that response; it is incredibly helpful. There seems to be a postcode lottery, where those who need care get it in some places but not in others. Does the Minister feel that his policy will ensure deliverability across all postcodes, not just in single places?

[Mr Frith]

That is a very fair and right challenge. This is not about endorsing patchwork provision; it is about understanding that, whether because of the physiological, social, environmental or behavioural differences that exist, care is not evenly distributed. We should have standards that we expect nationally, but we should also commission and empower local ICBs to commission, and we should hold them accountable through the frameworks and the work that we do in the Department.

[Helen Morgan]

I agree with the Minister that services should be locally commissioned, particularly where there is a high prevalence of a certain type of disease or condition, because it allows for the shaping of those services to local circumstances. There is evidence, is there not, that local commissioning has not given us a consistent level of service across the country. What steps are the Government taking to ensure that that does not become more entrenched as we empower ICBs even more through the Health Bill?

[Mr Frith]

I hope that my further remarks will address that very point; I am happy to pick it up with the hon. Member in due course if they do not satisfy.

ICBs will use national modern service frameworks set by the Government and guidance to create the right services for their areas. That means local systems coming together to create neighbourhood services that reform the health and care system and are rooted in the needs of people and communities.

On the issue of maximum waiting times for vascular disease, this Government recognise that it is imperative that any patient requiring a vascular assessment receives that in a timeframe that reflects their condition and enables the best possible health outcome. The Government are committed to making progress on NHS waiting times, including returning by March ’29 to the NHS constitutional standard of 92% of elective care patients’ waiting times from referral to treatment being within 18 weeks. Of course, that includes those patients waiting for vascular services.

The NHS met the first interim target of 65% in March ’26, and we are now focused on driving improvements to achieve our second interim target of 70% by 2027. To help support the commitment to reduce waiting times, the podiatry workforce pipeline is currently being strengthened through NHS England’s focus programme for small and vulnerable professions, with the NHS workforce plan to be published shortly.

The health service also has clear guidance on what is required in delivering services for people with vascular disease or at risk of developing it. In March ’26, NHS England published guidance on standardising community health services. That guidance identifies podiatry, diabetes and tissue viability, and wound care as core components of ICB-funded community provision. People who need urgent wound assessment—for example, those with suspected infection, rapid deterioration, or diabetic foot ulcer—should be seen within 24 hours. The guidance also makes it clear that routine assessments should occur within five to seven working days, with data collected on healing and complications. The purpose and goal of community health services must be to support people as well as to avoid their needing to be admitted to hospital and, critically, the need for amputations.

[Jim Shannon]

I thank the Minister for his generosity in giving us a chance to ask questions. One of the areas that the APPG and we elected representatives have identified is that there are areas of deprivation where levels of vascular ill health and amputations are higher. What can be done to reduce that in areas of deprivation? I know I have them in my area. I am sure the hon. Member for Glasgow South West (Dr Ahmed) and others have them in theirs. I would like a focus on that, please, if the Minister does not mind.

[Mr Frith]

The hon. Member is absolutely right. We have to keep ICBs and their commissioning powers accountable to local jurisdictions. I will say a bit more on that in due course, but we are on the same page.

To facilitate faster assessments we also need to speed up and make earlier diagnoses, which is why the Government plan to open four new community diagnostic centres during ’26-27. That expanding capacity will help meet our March ’29 target that no more than 1% of patients should wait over six weeks for a diagnostic test.

On reforming commissioning to reward outcomes, as set out in the 10-year health plan, we want to develop new ways to pay healthcare providers based on clinical practice that maximises productivity and outcome, as my hon. Friend the Member for Glasgow South West mentioned. Under the best practice tariffs, providers receive payment when they follow agreed standards of care. On the adoption of proven innovation, the APPG report rightly identifies the importance of the NHS being able to quickly adopt new innovations.

As part of my responsibility to oversee further development and enhancement of the use and usability of the NHS app, one development coming through the House at the moment is the creation of the single patient record. The future exciting development of NHS online, or digital doctor, as I might yet call it, is about the digitisation of our NHS service—embracing innovation, personalising healthcare and responsive to individual need—as well as the innovator passport, delivered through a phased approach to accelerate access to and adoption of technologies.

The APPG’s report says that preventing vascular disease and its deterioration should be at the centre of the system, and I agree. Identifying people with vascular diseases and providing care centred on their needs is critical to ensuring vascular disease does not progress to the point where somebody needs incredibly serious interventions, such as a leg needing to be amputated. In this modern era, such amputations are wholly avoidable and should be prevented.

The distinction between the APPG’s report and the Government’s most recent announcement of the MSF has been mentioned. I was delighted to join the British Heart Foundation yesterday at the celebration event for the MSF ahead of the delivery plan later in the year. It is a reasonable challenge to ensure that we distinguish between conditions, a point made by the Opposition spokesperson, the hon. Member for Solihull West and Shirley. It was a point made to me—and a point I thought was likely to be raised with me—by stroke and diabetes charities at the event yesterday. We are on the same page on that. He made an excellent point and challenge on the distinction that is needed.

As hon. Members will know, prevention is at the heart of the Government’s health agenda—the prevention of health conditions and the prevention of them worsening. The cardiovascular disease modern service framework, which was published in July, sets a clear direction for how health and care systems should accelerate progress on the Government’s ambition to reduce premature mortality from heart disease and stroke by a quarter within a decade.

My hon. Friend the Member for Broxtowe (Juliet Campbell) talked about irregularity and different areas having different levels of heart failure, which she said was four times more likely in the area she represents. I would be very happy to have conversations about how we can embrace that insight and intervene. Prevention is fundamental to the Government’s efforts around an annual heart failure review, improving access to rapid diagnosis and embedding heart failure support in cardiac rehabilitation, as well as the wider Government goal to reduce premature mortality by a quarter within the next decade.

Central to the cardiovascular disease modern service framework is a holistic approach with a strong focus on reducing inequalities. The principles apply here, too: the missing millions; the need for healthy intervention and to understand the difference between the physiological, behavioural, environmental and social; an appreciation that living standards and the cost of living have as much impact as any knowledge of what to eat and when; and looking after each other. It is about commissioning for outputs, not just diktat, which means recognising that several conditions and risk factors share common causes and contribute to most heart attacks and strokes. Members have described them in their speeches: high blood pressure, smoking, diabetes, high cholesterol, unhealthy diet and lack of exercise.

At its core, the framework is about a fundamental shift towards proactive, whole-person, preventive care that is located in communities and neighbourhoods and makes better use of hybrid, traditional, in-person and digital models to increase uptake and treatment. Podiatry and related foot-health services align with the shift towards local community hub delivery. The framework’s approach is backed by wider Government, including the creation of the first smoke-free generation, which began under the Conservative Government.

[Dr Ahmed]

I will be quick, because I know the Minister wants to wind up and I am sure he has plenty of things to do. He is talking powerfully about the digital offering that the Labour Government are providing to patients today in England and, more importantly, our ambitions for the digital offer in the future. This will seem like science fiction to many of my constituents in Glasgow South West, where we have no NHS app and very little digital connectivity in the healthcare system. Will the Minister please take the learning and markers of quality—particularly the digital quality markers—that he is describing in the modern service framework to our friends and colleagues in the Scottish Government? My constituents cannot wait any longer.

[Mr Frith]

In the humblest of terms, I would be very happy to visit and speak to my Scottish counterparts to ensure that they take that opportunity, and that any development, whether on compatibility, operability, the learnings from the NHS app in how we then develop NHS Online—that sounds a bit too much like building a website; we have to be more ambitious and describe it as what it is, which is the digitalisation of our NHS—helps to ensure that our brothers and sisters in Scotland get the same level of digital access that we expect to deliver across the NHS in England.

[Jim Shannon]

The hon. Member for Glasgow South West (Dr Ahmed) has nabbed my request—it is not about green cheese, by the way, Minister. My request is that the kindness the Minister has extended in respect of the hon. Gentleman and the Scottish health service is also extended to us in Northern Ireland, because expertise gained here can be shared so that we can all benefit.

[Mr Frith]

I will take any excuse I can to come to Northern Ireland, and I hope my private office has noted that.

In closing, our approach to improving the treatment of vascular diseases is closely aligned with the reforms in the APPG report and the APPG’s ambitions. I know that, of course, there will be other areas in which the APPG, and the hon. Member for Strangford, will rightly continue to push for further progress. I thank hon. Members for their contributions, and I thank the APPG for its important work and report. I look forward to continued dialogue on this issue to improve the NHS, especially services for vascular disease.

Sudden Cardiac Death: Young People

James Frith Excerpts

Tuesday 1st September 2026 Commons Chamber

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

I am honoured to be standing at the Dispatch Box as the new Minister for Health Innovation. Let me start by thanking NHS staff for their heroic shifts over the summer months. I also thank the hon. Member for Mid Buckinghamshire (Greg Smith) for bringing this debate forward and speaking with such deep conviction. I am humbled that this is the subject of my first outing in this new role, and I thank him and other Members for their work in this important area. I know that the hon. Gentleman, through his work on the APPG, already met a previous Minister, my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson), in July.

Reading about it and then listening to the hon. Gentleman’s account again in this debate, we agree that Adam’s death was an absolute tragedy. As a dad, I cannot begin to imagine what Adam’s mum and dad continue to go through, and I pay tribute to them. It goes without saying that I would of course be happy to meet with the hon. Gentleman and Adam’s parents to discuss what more we can do to change the system, to go through the seven requests in detail, and to help save other parents from the same heartbreaking loss that they have endured.

I am determined that the benefits of innovation are felt first and fastest by patients and families, as quickly and safely as possible. That means accelerating the adoption of technology, digital services and the Government’s single patient record, and better integration between our national platforms, so that relevant information about known conditions, family associations and medical history can follow the person across services, professionals and organisations.

[Tim Roca (Macclesfield) (Lab)]

In January 2023, Mia Jennings died suddenly from a cardiac event. She was a swimming instructor, star apprentice, and, by all accounts, a wonderful young lady. Since her passing, her family have made incredible efforts to raise money for CRY—over £50,000—bringing screening directly to communities across Macclesfield. Will the Minister join me in commending Mia’s family for their extraordinary efforts in her memory?

[Mr Frith]

I never fail to be impressed by the sheer determination of humans who have endured the worst of losses to turn such loss into a positive contribution. Without hesitation, I pay tribute to Mia’s family for their fundraising efforts.

Done properly, innovation can support more joined-up care and personalised services, and faster sharing and implementation of new guidance and learning.

Let me now turn to some of the specific points raised by the hon. Member for Mid Buckinghamshire. NHS England has made changes to the call script in response to new advice from Resuscitation Council UK, issued in November 2023. That advice was given just two months before Adam’s death. It is tragic that it had not yet come into force by the time that Adam stepped on to that pitch. As healthcare professionals, Adam’s mum and dad will know that those changes would have given him a much better chance of survival, as callers now receive advice to begin life support, as well as the certainty of using a defibrillator on a teenager.

The hon. Gentleman raised a number of important points about the NHS pathways system. The challenge we face in improving the sensitivity of cardiac arrest identification is to do so in a way that does not generate false positives. Ongoing performance monitoring of NHS pathways finds that the system accepts over-triage; this is an intentional safety feature of triage systems. As the hon. Gentleman knows, at a time when many ambulance services are under such significant strain, the management of stretched resources is paramount.

The hon. Gentleman is right in saying that NHS England works with the NHS pathways clinical team, ambulance services and specialist organisations, including Resuscitation Council UK, to review data and emerging evidence and to see where we can do better.

[Michelle Scrogham (Barrow and Furness) (Lab)]

I am grateful for the opportunity to intervene during this important debate. This is an issue that I care about deeply, both because of the impact on young people in Barrow and Furness, and because I have the privilege of serving as chair for the APPG on cardiac risk in the young. I came to be chair of the APPG after learning about the tragic loss of two Barrow and Furness residents, Wilson Shepherd and Vicky Parker. Wilson and Vicky died only two weeks apart and a few miles away from each other in 2023, and both deaths should have been preventable. I pay tribute to their mums, Lesley Mease and Donna Parker, for their tireless campaigning. Will the Government commit to developing a national strategy for the prevention of sudden cardiac death in young people in places like Barrow and Furness and across the country, bringing together screening with experts on cardiac pathology and inherited cardiac conditions and on the identification and investigation of blackouts?

[Mr Frith]

I thank my hon. Friend for her intervention. I would be very happy to discuss those requests in person. I also pay tribute to the families of Wilson and Vicky. The impact of more and more defibs being available is incredibly important, and I am very happy to speak in more detail on that issue.

[Amanda Hack]

In the summer, I went to Glenfield hospital to talk to staff about the amazing genetic testing done there. Something that strikes me through all the conversations I have had as the former chair of the APPG is how much work could be done in A&E to strengthen that pathway. What can the Minister tell us about looking at ECGs after people have been tested in A&E, which could go back to cardiologists?

--- Later in debate ---

[Mr Frith]

I thank my hon. Friend for her intervention; I hope I will cover and do justice to those important points.

NHS pathways also give providers call-level CPR data to support local reviews and improve quality, as well as reviewing data and emerging evidence to see where we must do better. They send quarterly reports to the national clinical assurance group, which is made up of senior clinicians drawn from royal colleges, professional bodies and urgent and emergency care services. These professionals can and often do submit constructive feedback on the way that pathways are run.

At present, NHS clinical staff are trained in CPR, but from April 2027, this will be extended to all NHS staff, including those in A&E. The roll-out of this training will take time, but it will hugely increase the number of people in the country with valuable lifesaving knowledge.

Finally, when it comes to recognising cardiac arrest, I can confirm that the Care Quality Commission does assess call handlers’ skill as part of its inspections. We know that no human system is perfect, and I am all too aware that a list or accounts like this can risk sounding defensive, so let me repeat my openness to sitting with the hon. Member for Mid Buckinghamshire, Adam’s parents and other colleagues to see how and where we can do better and go further.

Turning to the hon. Member’s points about genetics, I am hugely optimistic about the potential of genomics and life sciences over the next 10 years. The NHS clinical genetics services deliver a comprehensive clinical genetics and genetic counselling service for individuals with a family history of genetic conditions, including cardiac conditions. They provide a detailed review of family history that can direct the diagnosis, risk assessment and lifelong clinical management of patients of all ages and their families who have, or are at risk of having, a genomic condition.

The current specification for the clinical genetics services was published more than a decade go under the previous Government and is no longer fit for purpose, not least because this is one of the most innovative fields in healthcare. Today, specialist clinical services simply do not have the capacity or infrastructure to contact family members proactively, except where a particularly high risk has already been identified. For me and my work, it is a clear example of why innovation must help connect our public services.

NHS England’s genomics programme, working with the genomics clinical reference group, has done a review of the 17 regional NHS clinical genetics services. This has shone a light on the challenges to be addressed for this service to match the Government’s expectations.

I am unable to confirm a specific date for the hon. Member for Mid Buckinghamshire, but suffice to say, there is much more to be done before expectations are met by service. On his point about the UK National Screening Committee, it is true that the draft recommendations, which have been consulted on, did not find that the current scientific evidence—

[Madam Deputy Speaker (Caroline Nokes)]

Order.

Oral Answers to Questions

James Frith Excerpts

Tuesday 13th January 2026 Commons Chamber

[Mr Speaker]

Ahem! I am getting a bad throat because of the Secretary of State.

[Mr James Frith (Bury North) (Lab)]

T4.  Following my recent meeting with Bury’s child and adolescent mental health services, can I ask the Secretary of State whether he has considered the merits of separating neurodiversity services from core CAMHS mental health provision? Will he meet me and Bury’s health leaders to discuss this approach, given the rising number of referrals in the system, the long waiting times, the workforce pressures and the growing risk of overmedicalisation?

[Stephen Kinnock]

My hon. Friend is right that NHS mental health, ADHD and autism services have never fully met the needs of the population in a tailored, personalised or timely way. The independent review into prevalence and support for mental health conditions, autism and ADHD will explore the current challenges facing clinical services. My hon. Friend the Minister for mental health is currently overseas on departmental business, but I am sure that he would be delighted to meet my hon. Friend on his return.

Acquired Brain Injury Action Plan

James Frith Excerpts

Thursday 4th December 2025 Westminster Hall

[Sir John Hayes]

I was hoping it might. Lateral policymaking is not easy in Government, because of the way Government works and ministerial responsibilities are exercised. It is a challenge, therefore, to get that sort of approach adopted by a Government of any colour or persuasion.

[Mr James Frith (Bury North) (Lab)]

The right hon. Gentleman is making a typically thoughtful contribution, and I congratulate him on securing this debate. I also thank Clare Harrison, a constituent of mine, from the Brain Injury Group for bringing this important matter to my attention.

The right hon. Gentleman makes a point about the Government’s role, and as he mentioned, sporting injuries populate such issues. Among those affected are former professional footballers, who are four times more likely to develop a neurodegenerative disease, support for which is patchy. For female former professional footballers, that support is non-existent. Will he join me in encouraging the Minister to consider the creation of an independent, football-funded body, alongside any wider action plan that his APPG is advocating for?

[Sir John Hayes]

I am grateful for the hon. Gentleman’s contribution. He makes a valuable point and an interesting suggestion that I will reflect on. He is certainly right that more can be done to affect brain injury in the first place. I have spoken a bit about its effects, but he is right to speak at greater length than I did about its causes. In the area of sport, of course, he is right that we now know that heading a football does all kinds of damage that no one imagined a generation or two ago. His suggestion is well made and worthy of further consideration.

Around 350,000 people a year are admitted to hospital with acquired brain injury—that is one every 90 seconds. About 125,000 of those are admitted following a traumatic brain injury, around 43,000 with brain tumours and others following strokes. I pay tribute to Lincolnshire brain tumour support group, of which I am president, and to Headway, which I will say more about in due course. The end result of those admissions is that about 1.3 million people are living with the consequences of acquired brain injury every day. They and their families, loved ones and friends, and the communities of which they are part, are dealing with the effects.

According to our all-party group’s latest report, the cost to the UK economy through healthcare, social care, lost productivity and wider public services is £43 billion annually, which equates to 1.3% of GDP. Of that, £20 billion is accounted for within the NHS and social care budget for acute long-term care, £21.5 billion is attributed to lost productivity, £1.5 billion is spent in the criminal justice system and the Department for Education—yet another Government Department that needs to be involved in the consideration of this issue in the lateral way I mentioned—and about £1.9 billion is spent on benefits. Leaving aside the human cost and the visceral effects brain injury can have on affected individuals and those who care for them, this has a considerable effect on Government, the Exchequer and the public purse.

Those ramifications only scratch the surface of the wider social cost. The real cost is in lives disrupted, plans abandoned and ambitions jettisoned as a result of brain injury; in parents seeing a child’s personality change overnight and carers stretched to their limits, with little or no respite, because symptoms are dismissed as being mild or imperceptible or attributed to some other cause entirely. Although less obvious, those effects are just as devastating. When those costs are added to the ones I have described, the all-party group estimates that the real cost of acquired brain injury is £91.5 billion. That is about half of what the NHS spends every year. It is extraordinary that this issue is not given greater consideration. I am delighted that this debate gives us a chance to do so, at least for this short time. I thank all colleagues across the House who have been part of these efforts.

We have argued for what we call a right to rehab. Putting aside the substantial financial cost, the physical and emotional costs are still higher. The estimates do not include many of the costs associated with homelessness, addiction, mental health services and psychiatric stays. The cost to the NHS and welfare of lengthy treatment and recovery is huge and rises quickly during spells in hospital before one even receives community support and longer-term social care provision. Much of this could be prevented, and many of the costs could be reduced, if we had the right to rehab.

Much work has been done on this subject, including by Headway, which I mentioned earlier, and the United Kingdom Acquired Brain Injury Forum. A report from earlier this year, commissioned by the APPG, urged the Government to invest in specialist neuro-rehabilitation to save long-term societal costs. The report called for brain injury to be treated on a par with cancer and dementia. A statutory right to rehab in every region means that specialist neuro-rehabilitation services after an acquired brain injury would be put in place.

None of the failures that we see today in response to brain injuries is inevitable. The Ministry of Defence already guarantees the right to rehabilitation for military personnel, so we have a precedent. We want to build on that precedent, across Government, for those affected by brain injury.

We know from the MOD the results of having that right for rehabilitation—shorter recovery times, better outcomes, restored lives and improved prospects. The same approach is being piloted by the National Rehabilitation Centre, where every £43,000 invested in rehab yields savings of up to £680,000. That is a remarkable 16:1 return on investment.

Now is the time to extend the entitlement adopted by the MOD much more widely. We must establish a national neuro-rehabilitation framework that guarantees that access to specialist care is not a lottery, but a certain path to recovery. In doing so, money would certainly be saved, but life chances would be improved immeasurably, too. High-quality rehabilitation reduces the risk of homelessness, addiction and a drift into lawlessness. It allows people to contribute, return to work and rebuild lives and relationships—to begin to stand tall again.

Now is the time for the Government to act. I have every confidence that the Minister will rise to her feet at the summation of this debate and tell us that she has not only thoroughly studied the all-party group’s report—daily, perhaps—but that she is ready to respond in the way that we invite.

I pay tribute to the hon. Member for Rhondda and Ogmore (Chris Bryant), who chaired the APPG before I did—I was his vice-chairman for many years. He drove the original version of the report, which was republished more recently. It is an outstanding piece of work. We all know that APPGs vary, but this one is focused on the subject for which it is responsible and is determined to make its voice heard, because of the all-party support it attracts and because of the salience and significance of this subject.

Given the number of people affected by brain injury, the comparatively low cost of effective interventions, such as rehabilitation and community support, and the ongoing lack of support services, there continues to be a strong need for a proper strategy to be put in place.

I spoke earlier about a lateral approach. We are calling for a national strategy on brain injury. Around 60% of prisoners report having an acquired brain injury. We discussed that at a recent APPG meeting, where we heard from experts in the field. I have served as a Minister in multiple Departments—I will not list them all—and I know that cross-departmental working is tough, and the Minister will know that too, but it can be done. It requires structures to be created that facilitate Ministers to come together. The Cabinet Office might be able to play a part. I served in the Cabinet Office and its purpose, in a sense, is to deal with those issues that could otherwise fall between the cracks and departmental silos. However it is done, we need a national strategy.

As far back as 2001, the Health Committee published a report on head injury, issuing 28 recommendations that included, as a matter of urgency, finding ways of improving methods of data collection on incidence, prevalence and severity. In 2005, the national service framework for long-term neurological conditions was launched; it contained many good ideas, but had no mandate and no funding. In 2010, the National Audit Office published a report, “Major Trauma Care in England”, which highlighted the need for improvement in major trauma care. That led to the establishment—you may remember it, Dame Siobhain—of trauma networks, with a centralised and specialised approach to trauma care and service across the country.

The excellent work of the APPG for acquired brain injury, which was reformed in 2017, showed that there was a strong case for a cross-party commitment to action. I have already spoken about the 2018 report, which called for a national reconsideration of rehabilitation and the collation of reliable statistics, given the problems with data collection and analysis that prevail.

To be fair to the previous Government, our report was well received by Ministers. Indeed, they responded to what we had called for by committing to publish a strategy on acquired head injury in 2021. The following year, there was a call for evidence to inform the development of such a strategy. The previous Government said that they were going to do it, committed to the principle and welcomed the work that we were doing. However, we then, of course, had the inconvenience of an election—one of the aspects of democracy that sometimes gets in the way of these sorts of things. Therefore, the work was not brought to a conclusion.

Earlier this year, the current Government announced their intention to develop an “action-oriented, and accountable” ABI action plan

“with input from NHS England and other Government departments”.

It was due to be published “this year”—well, the year is running out, Minister. However, there are still a couple of sitting weeks left: a statement could be brought to the House and perhaps a document could be published that responds to the calls that we have made. We have the work that the previous Government and this Government have done. There has been no party politics; over time, Ministers have recognised the challenge—the scale of the problem—and the reasons for addressing it, which I have set out.

We can hope that this Minister, who I know is dutiful and diligent, will rise to exactly that challenge. I do not know whether I am flattering her, Dame Siobhain—I am doing my best.

NHS 10-Year Plan

James Frith Excerpts

Thursday 3rd July 2025 Commons Chamber

[Wes Streeting]

The NHS leadership are absolutely determined to work with us to reduce waste, inefficiency and bureaucracy. We have in Sir Jim Mackey an outstanding chief executive of the NHS, and he and his team are working closely with Ministers to make sure we achieve that goal.

As for the funding model, I just do not know where the Reform party stands from one day of the week to the next. I heard the leader of the hon. Member’s party on the radio this morning doing the dance of the seven veils. He is normally very good at being a straight-talking politician—that is how he likes to present himself—but I cannot follow what the hon. Member for Clacton (Nigel Farage) thinks about this issue. Does he support a taxpayer-funded universal NHS free at the point of use? [Hon. Members: “No!”] I do not think he does. Does he support the European-style insurance system? I think he probably does—it is the only European thing he has ever supported, by the way. We are in no doubt: the NHS needs reform, but it needs the Reform party like a hole in the head.

[Mr James Frith (Bury North) (Lab)]

I commend not only my right hon. Friend and his team on today’s 10-year plan but also the leadership and Budget of our right hon. Friend the Chancellor, who made today and the next 10 years of our NHS possible. For too long, the NHS has been stuck in crisis mode. My right hon. Friend the Secretary of State will remember taking an important call while in my constituency, and he will know that life expectancy in Bury North can vary by seven years in wards just one mile apart. In East ward, Redvales and Moorside, where he took that call, child poverty rates now reach 42%. Can I ask him to ensure that those wards get a healthy share of the new funding for working-class communities, so that we can start to close the health gaps and give every child the chance of a long, healthy life?

Hughes Report: First Anniversary

James Frith Excerpts

Thursday 27th March 2025 Westminster Hall

[Mr James Frith (Bury North) (Lab)]

It is a pleasure to serve under your chairmanship, Ms Furniss. I congratulate my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson) on securing this important debate.

My remarks will principally focus on mesh and the experience of my constituent Bev, but it is disappointing that the issue of sodium valproate and its risks to women of childbearing age and their children, which had seemingly been resolved in an earlier Parliament in which I served, is anything but resolved. Sometimes, our Parliament and our politics are too much process and not enough progress—too much rhetoric and not enough record. I hope for a full resolution for the women and child victims of this historic injustice, on which I spoke and worked at length between 2017 and 2019. I send my solidarity to the victims in the Public Gallery today.

I want to speak to the experiences of the victims and survivors of all these appalling scandals, but I will particularly speak about my constituent, Bev. These victims and survivors have been courageous campaigners in bringing these issues to the forefront, turning personal trauma into activism. These women, who were never told of the risks and trusted the advice of medical professionals, now live with life-changing consequences.

Bev endured years of crippling pain before the mesh was eventually “dissected”—that is her word—out of her body. She walked into my office, sunken by the immobility of this pernicious scandal and its effect on her. She is physically weighed down by the legacy and trauma of the pain she has experienced, yet she remains infectiously good company, and I am proud to stand up and speak for her.

Bev should not have needed this surgery, as she never needed this device, which should never have harmed her. The loss of mobility and continence, and the permanent nerve damage that Bev suffered, are compounded by the years of missed time with her family. She gave up her career, indeed her vocation, as a midwife. She has to navigate life with emotional and psychological trauma that she should never have endured.

Bev, you are not alone. The attendance in this Chamber and the Public Gallery are testament to how many people are in our thoughts today. These victims demand redress from this new Government.

Auditory Verbal Therapy

James Frith Excerpts

Tuesday 21st January 2025 Westminster Hall

[Mr James Frith (Bury North) (Lab)]

It is pleasure to speak under your chairmanship, Mr Western. I congratulate my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson) on securing this important debate and on her contribution to ensuring that this profound therapy is better heard, better known and more available to choose for a great many in our society.

When there is so much to resolve, so much to fix and sort out, it feels like smaller causes struggle to be heard or seen. Our politics seems too busy to care about even more causes; it is all just too much. Alternatively, it can be said that the last Parliament did good things for the deaf community, so to expect new money for new causes is a stretch too far, naive even. We must believe in better. Each Parliament has the opportunity to help the underserved, and there are always issues that, with the right political heat and weight, can be transformed. Such issues have long been on the roll of Government successes, whatever the political weather. Think of the long-standing injustices, new medicines on the NHS, or social equalities we have addressed.

The missions of this Government delivered their enormous parliamentary majority and a mandate to renew, reform and transform. Auditory verbal therapy takes the Government’s vital missions for health, for children, for the smashing of barriers to opportunity, and for growth, and it brings them to life. This cause gives the missions cause to blossom. There may not be a better example of a cause that, for such a fraction of an investment, can be transformational.

I know what we are asking for will not be green-lit today, but I know what we need. Former Health Secretaries I have met have spoken of the “whiteboard moment”, when we get the issue on to the whiteboard. That is the goal. It is the moment when the Minister asks their civil service teams to make something possible—to draft a plan to take us from where we are to where we need to be. It is a pilot, a tester, a starter for 10, where the Government do not just take our word for it, but see for themselves.

Should there be concern among our deaf community, let me say that this is not about undermining the celebrated protected status of British Sign Language. We celebrate BSL as a language—a unique cultural identity—and the last Parliament’s recognition of BSL in law was a landmark achievement. The argument for auditory verbal therapy is an argument for choice—choice for the child, their family and their future—and ensuring that families have the knowledge and support to choose the best path for them. It is not about competing choices, but having access to all of them. The demand is that these families’ cause is heard, and the majority of the country agrees. In a recent YouGov poll, 85% of UK adults believed that auditory verbal therapy should be available to all children via publicly funded services such as the NHS.

The first years of a child’s life are critical. It is when their brains are most receptive to language and communication. For deaf children, early intervention is essential. Auditory verbal therapy enables deaf children to develop listening and spoken language skills and equips them to thrive alongside their hearing peers. With AVT, 97% of deaf children without additional needs achieve age-appropriate spoken language within two years. That is the transformation we seek. It is not a big ask, but it has giant implications for the impact that AVT can have if we can reach that whiteboard moment and have civil service teams working with experts to bring this therapy into NHS early years programmes. It is preventive healthcare at its best: cost-effective, compassionate and life-changing.

For someone who learns that their child is deaf, navigating this new world is disorientating and complex, and they will feel unsure. It is also the moment where we should ensure that parents learn that there is a therapy that could help their child to communicate on a par with their hearing peers. The option of AVT should be as freely considered as learning to sign, and traditional or developing means.

Withholding this therapy after people have learned of its existence cannot remain the position, yet learning of AVT only to be told that it is unavailable, unaffordable or simply not an option where someone lives is the reality for far too many families. With only 33 certified auditory verbal therapists across the UK, access to AVT is exclusive and rare. Most families will never hear of it. By removing the barriers, we can give parents and their children the opportunity to decide for themselves. That means training more therapists—supported by Government bursaries—to meet growing demand, building regional hubs, expanding telepractice services so that no family is left behind, and raising public awareness to ensure that families know that AVT is an option.

If the heart of the argument does not move us, the head can. This therapy means economic growth and a sound investment in families’ futures and ours. This cause is transformational for not just them but the economy. For £2 million annually—a fraction, or a rounding error, when it comes to the NHS budget—we could ensure that thousands of deaf children access AVT. According to independent economic analysis, this investment would unlock £11.7 billion in benefits over 50 years, and here is how. We would reduce education costs, as early intervention means less reliance on one-to-one support, saving £3.4 billion. We would increase employment, with confident, independent deaf adults contributing £1 billion to economy. And we would improve quality of life, with thriving, independent individuals generate £4 billion in societal benefits. Without early intervention, the costs are far greater. Delayed support leads to unfulfilled promise or potential, higher unemployment, mental health challenges and long-term reliance on public services.

The new Government have wasted no time identifying waste to be cut from their spending. The Cabinet Office has pledged to reduce the £7 billion per year spent on consultants. Official analysis found that total spending on consultancy in 2022-23 was £1.2 billion, with the Department of Health and Social Care among the highest spenders, at £281 million. I share this Government’s instincts: the money saved must now transform the lives of those accessing AVT. Does the Minister agree?

For just £2 million a year, we can train more specialists in order to remove the barriers to opportunity, expand access through the NHS and ensure that every family makes informed decisions. We are not asking for those decisions today, but for a commitment to start this journey and to draft a plan that takes us from this underserved system to one that provides choice and opportunity for every deaf child and their family. With parents given every option to choose for them, their children are given the best chance to thrive. When all deaf children thrive, our society is stronger, more inclusive and more prosperous. This underserved issue can benefit from the Government’s mission to transform. As the campaign says, “Hear Us Now.”

--- Later in debate ---

[The Minister for Care (Stephen Kinnock)]

It is a great pleasure to serve under your chairship, Mr Western. I thank my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson) for securing this vitally important debate, and for her powerful and moving contribution to our discussion.

I would also like to break with protocol and welcome Sam to Parliament today. He is clearly a remarkable young man, and an inspiration to us all—thank you for being here, Sam. Like the shadow Minister, the hon. Member for Hinckley and Bosworth (Dr Evans), I thank hon. Members for their excellent contributions today. We have had a range of contributions, including from the shadow Minister, and from the hon. Members for North Shropshire (Helen Morgan) and for Strangford (Jim Shannon), and my hon. Friends the Members for Bury North (Mr Frith), for Bolton North East (Kirith Entwistle), for Derby South (Baggy Shanker) and for Bolton South and Walkden (Yasmin Qureshi). I think that may be all, but huge apologies if I have missed anybody. All their contributions were excellent and very well put.

My hon. Friend the Member for Washington and Gateshead South has done so much work to champion the interests of children with special educational needs and disabilities, including non-hearing children. I know that she also has an excellent partnership with Auditory Verbal UK, which I welcome to Parliament today. I would, of course, be happy to meet its representatives to follow up on all the points made in this debate.

This Government are committed to raising the healthiest generation of children ever. We will deliver on this ambition through the health and opportunity missions, and through the Government’s child poverty strategy. This is not about silos, with each Department delivering one part of a puzzle that does not fit together properly; this is about systemic, holistic change, and ensuring that we join up analysis, expertise and delivery across Government. Our mission-driven Government will drive long-lasting and sustainable change for children now and in the future. We will break down barriers to opportunity and ensure that every child has the best start in life. This includes all children and young people with special educational needs and disabilities, including non-hearing children.

We know that developing early communication skills is a key foundation for life, and there are serious knock-on consequences when that development is delayed. That is why we are committed to improving access to early interventions so that every child can find their voice. With the right support, children with hearing loss can develop effective communication skills, live fulfilling lives and enjoy the same opportunities as everyone else. The Government recognise the importance of the earliest days of an infant’s life. There is strong evidence that the 1,001 days from conception to the age of two set the foundations for our cognitive, emotional and physical development. That is why we are giving a £126 million boost for families to give every child the best start in life.

Thousands of families across England will be able to access family hubs, which will act as a one-stop shop for help with infant feeding advice, parenting classes and perinatal mental health support, among other things. Figures from the National Deaf Children’s Society show that there were more than 45,000 deaf children and young people in the UK in 2023. Between one and two babies in every 1,000 are born with permanent hearing loss in one or both ears. This number increases to about one in every 100 for babies who have spent more than 48 hours in intensive care. Early and effective support is crucial for these children and their families. Permanent hearing loss can significantly affect a baby’s development, so early and effective support is crucial for these children and their families.

It is vital that we intervene at birth. The NHS newborn hearing screening programme—the NHSP—aims to find babies who have hearing loss as early as possible so that the right support and advice can be offered right from the start. As we all know, language is linked to social, emotional and learning outcomes. From birth through to childhood, children and young people with hearing loss might need a range of therapies, such as speech, language and auditory verbal therapy. However, as we have heard today, those children are not always receiving the support that they need.

We recognise the important role of auditory verbal therapy as one of the therapies that can be useful for children with hearing loss. NHS audiology services, including the provision of therapies for children with hearing loss, are locally commissioned, and responsibility for meeting the needs of children with hearing loss lies with local NHS commissioners, because local systems are best placed to meet the needs of their own communities.

After 14 years of Tory neglect, incompetence and austerity, our NHS and care service are on their knees, but this Government are committed to properly funding the NHS, and we recently provided a £26 billion boost for health and social care in the autumn Budget. NHS England is responsible for determining allocations of financial resources. Each ICB will then commission the services they need for their local area, taking into account their annual budget, planning guidance and the wider needs of the population they cover. NHS England is supporting integrated care boards to make informed decisions about the provision of audiology services so they can provide consistent, high-quality and integrated care to non-hearing children.

In July 2016, NHS England published “Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups”. The framework supports NHS ICBs to make informed decisions to address inequalities in access and outcomes between hearing services.

[Mr Frith]

Does the Minister agree that, for all the good intentions of ICBs, our healthcare system is atomised, but that if they were to take instruction from guidance provided nationally, the pillar-to-post experience of a lot of families seeking auditory verbal therapy would end? Will he commit to updating the nine-year-old guidance to ICBs, or at least acknowledge that it needs updating, with a national pilot that proves the efficacy of AVT for families seeking that intervention?

[Stephen Kinnock]

My hon. Friend will know that one of the constant challenges in the system is getting the right balance between empowering those operating at the coalface—those who are close to the communities and know them best—to ensure they are delivering the best possible services, and ensuring consistency and coherence, both strategic and operational, across the entire system. It is safe to say that we are not always getting that balance right. One of the key objectives of the 10-year planning process that we are going through will be to address the so-called postcode lottery—variation between regions—across the whole range of health and care. Without that cross-cutting strategic look at the system, it will not be possible to get the balance right. I absolutely take the point, but one thing I will say is that we are crystal clear when we issue guidance to ICBs that they must take that guidance into account, and their performance is monitored on that basis.

NHS Backlog

James Frith Excerpts

Monday 6th January 2025 Commons Chamber

[Mr James Frith (Bury North) (Lab)]

A happy new year to you, Madam Deputy Speaker. If the House will indulge me briefly, may I begin by wishing my grandmother well? She had a fall last night and broke two of her ribs. She is doing okay, but at 98 she may need a little longer in hospital that I, her eldest grandson, might have needed—although that is not a given.

Tackling deep-rooted health inequalities in Bury North is my priority for this Parliament. The difference there of a mile between postcodes can mean a seven-year difference in life expectancy for men and a five-year difference for women. I wish to reach across the aisle and associate myself with the remarks of the good doctor, the hon. Member for Runnymede and Weybridge (Dr Spencer)—who spoke very well in the debate on assisted dying—on what I would call the democratic deficit for MPs in relation to ICBs and acting on health inequalities at a local level, well beyond what we might achieve through parliamentary questions or writing to and meeting Ministers. I am pleased that the Government will not allow the dire record and wasted years of Tory government to prevent Labour from doing what we do best in power: fixing and fast-forwarding the NHS.

In Bury North, a constituent I will call Jackie has rheumatoid arthritis. After a severe, debilitating flare-up she waited two days for a GP to call back. She spent eight hours waiting in two different hospitals before being admitted overnight, only to be discharged the next day and told to go to a third hospital, where no rheumatologists were in place. Her emergency appointment was 11 days later. She was left in tears and unable to speak, so her husband had to advocate for her to get the appointment she desperately needed.

NHS backlogs take a personal and punishing toll on people’s lives, including through lost income from lost jobs or, worse still, lost years with loved ones from late or missed cancer diagnoses. Today’s commitment from the Labour Government that 92% of NHS patients will wait no longer than 18 weeks for treatment by the end of this Parliament is an enormous, transformative ambition. If that figure, which is currently at 59%, improves to 65% by March next year, that will give comfort to those who rightly expect to feel the change that Labour will bring on their own doorsteps.

I also welcome the aim of ensuring that community diagnostic centres can operate 12 hours a day, seven days a week. Thanks to the Chancellor’s Budget, local doctors will be incentivised to consult specialists to explore alternatives to hospital treatment.

In Bury, where Fairfield general hospital has the second highest average wait times for elective surgery in the country, the new national standards for elective care are welcome. Incentives for trusts that improve wait times are welcome, but does the Minister agree that the focus should be on average wait times—affecting the maximum number of patients—rather than rewarding trusts that reduce the longest possible wait time for fewer patients? I understand the capacity demands that will come with that, but it is a hugely important distinction. Although reducing the longest wait times is important, focusing on that metric alone, and rewarding trusts for it, risks leaving many patients with painful and debilitating conditions and trusts ducking their responsibilities. This Government have made it clear that we will address that on our watch.