NHS: Winter Preparedness

James Naish Excerpts

Monday 15th December 2025 Commons Chamber

[Wes Streeting]

This Labour Government are investing more in the NHS—£26 billion, rising to £29 billion over the spending review period. Urgent and emergency care is improving. Ambulance response times are improving year on year. I recognise that there are particular challenges with the West Midlands ambulance service. We are going as hard and fast as we can to repair the damage done by 14 years of Conservative Government. We are able to do that only because people chose to vote Labour at the last general election.

[James Naish (Rushcliffe) (Lab)]

At a Hanukkah event in Nottingham last night, I spoke to a medical undergraduate who welcomes the Government’s commitment to halving competition, and the offer that was put to the BMA. Lots of medical professionals, be they hospital doctors, GPs or allied health professionals, are struggling to find work. Will the Secretary of State outline how this offer, and the Government’s other work, would have helped those individuals?

[Wes Streeting]

This is the futility of the BMA’s position. The steps that we were proposing to take—both increasing the number of specialty places and bringing forward emergency legislation to deal with UK prioritisation—would have reduced the competition ratio from around 4:1 today to less than 2:1. That would have kicked in during the current round. We would have been able to bring forward emergency legislation and a new application round in the spring. The BMA has rejected that approach, and we will not proceed on that basis.

It is for the BMA to explain what its dispute is all about. We were told that it was all about jobs. What it seems to be about in substance is that the BMA wants a 26% pay rise, in addition to a 28.9% pay rise. I think the BMA is missing a degree of perspective about not just the state of the public finances but the pressures on other parts of the NHS and the public sector. The Government are committed to improving, consistently and year on year, the pay, terms and conditions of staff, and, crucially, the conditions in which patients are seen and treated. We cannot fix it all at once.

In fact, when this and previous Governments have floated the idea of raising extra money, BMA committees have sometimes been among the first to complain about the prospect of higher taxes, including on pensions, and other issues. It seems that their view is that everybody else should pay higher taxes for their higher salaries, and no one else matters. For me, those Agenda for Change staff who have been left behind are the first priority.

Budget Resolutions

James Naish Excerpts

Tuesday 2nd December 2025 Commons Chamber

[Wes Streeting]

Let me say two things in response. I am almost certain that my hon. Friends will be delighted that he has intervened in defence of their plight at the hands of the Labour Whips, but he knows as well as I do that the Whip was removed from some of my hon. Friends not because of the substance of the issue they were raising but because we never, ever accept people voting against a King’s or Queen’s Speech. [Interruption.] That was the issue. He asked me a fair question, and he has got an honest answer. He should take it on the chin.

The hon. Member also asked why many people in our country believe that the two-child cap was right. It is because our Conservative predecessors peddled the myth and the lie that people in receipt of welfare are on the take, and are just looking for handouts, rather than help. We Labour Members take a different view; we recognise, as I have set out, that so many people affected by the two-child cap are in work and in poverty. That is one of the many scandals of the damage that more than a decade of Conservative rule did. The Conservatives broke the link between a hard day’s work and a fair day’s pay. In addition to the measures that we are taking on child poverty to remove the two-child limit, we are also increasing the national minimum wage. We are increasing it even higher for young people. We are doing this because this is the party of work, the party that wants to make work pay, and the party that is genuinely committed to waging war on poverty.

Just as we must win the argument for lifting children out of poverty, we must win the argument for the founding principles of our NHS. Having left the NHS in the worst crisis in its history, the right now argues that it is unaffordable and should be abandoned. The NHS was broken, but it is not beaten, and Labour is already breathing new life into our health service. Waiting lists are falling for the first time in 15 years. Ambulances are arriving 10 minutes faster in stroke, sepsis and heart attack cases.

Patient satisfaction with GPs is up from 60% to 74%, and nearly 200,000 more patients were given a cancer diagnosis or the all-clear on time.

With Labour, the NHS is on the road to recovery. That is in no small part because the Chancellor is reversing 14 years of austerity and investing in our NHS. We promised an extra 2 million appointments; we have delivered 5 million. We promised to recruit an extra 1,000 GPs; we have recruited 2,500. We promised to end the 8 am scramble; we have widened the window that patients have to request appointments and have made booking available online. A lot done and a lot more to do.

At this Budget, we announced the next steps on the road to recovery: 250 new neighbourhood health centres with the first ones in Birmingham, Barrow, Truro and Southall, and £300 million more to invest in technology to modernise healthcare. Next year, we will receive recommendations from Baroness Casey on laying the foundations to build a national care service.

The NHS does not just face an existential political challenge from the Conservatives and Reform UK; it faces a sustainability challenge.

[James Naish (Rushcliffe) (Lab)]

I appreciate the announcement about the 250 new neighbourhood health centres, but I am concerned for my constituency—a more affluent constituency that has health centres that were built in the ’60s. They are genuinely falling apart and need significant investment to ensure that GPs can continue to deliver outstanding service to my constituents. Could the Secretary of State provide some reassurance, or agree to meet me to discuss how we can ensure that deprivation is not the only aspect considered in that excellent initiative?

[Wes Streeting]

My hon. Friend is absolutely right. Of course, we want to ensure that investment is deprivation linked. We want to reverse the damage the Conservatives did when they pursued what I would characterise as the Royal Tunbridge Wells strategy, when our former Prime Minister, the right hon. Member for Richmond and Northallerton (Rishi Sunak), declared with pride to Conservative party activists that he had taken funding from the poorest communities in the country and funnelled it to the richest. There could be no shorter or clearer exposition of Conservative party values and politics in action than that claim.

To my hon. Friend’s point, he is absolutely right that within many affluent communities there are also pockets of deprivation, and we have to ensure that the NHS is there for everyone in every part of the country. We are dealing with enormous undercapitalisation in the NHS, totalling some £37 billion as identified by the noble Lord Darzi. It will take time to address that challenge, but I think my hon. Friend’s constituents know from his assiduous hard work and visible campaigning as a constituency MP that he will ensure that their needs and interests are not forgotten or overlooked by this Government.

Of course, as we improve the health of our health service, we also need to address the health of our nation. Children in England face some of the poorest health outcomes in Europe. Obesity in four and five-year-olds is reaching record levels—a health time bomb that leaves them at greater risk from cancer and heart disease later in life. What kind of start in life are we giving our children, and if we allow it to continue, what kind of future are we leaving to them? Our children will lead shorter, less healthy lives; our NHS will buckle under a tidal wave of chronic conditions; and our economy will suffer because businesses will be denied the potential of the next generation.

This Labour Government are tackling the sickness in our society. Whether it is the extension of the soft drinks industry levy, free school meals, a warm home discount that reaches millions more, the generational ban on smoking, Awaab’s law, cutting pollution and cleaning up the air that our children breathe, we are combating the drivers of ill health in children’s lives: poor diets, damp homes, dirty air and a lack of opportunity. In short, we are tackling poverty, because every child deserves a healthy start in life, and prevention is better than cure.

The leader of Reform, the hon. Member for Clacton, says we should instead be educating people to make healthier choices—I assume that he will not be leading from the front on that campaign. But we know that Reform and the Conservatives oppose our agenda to improve public health. They oppose our investment in the NHS. They should just be honest and admit that they now oppose the NHS itself. [Interruption.] Conservative Members do not like it, but I challenge them to dispute a single claim I just read. Let me repeat the charge sheet for their benefit: they oppose our investment in the NHS. Have they not opposed every budget spending review since Labour came to office? [Interruption.] Honestly, from a sedentary position, the hon. Member for Kingswinford and South Staffordshire (Mike Wood), who does not want to intervene because I think he knows he is leading with his chin on this, wants to suggest that somehow the Conservative party left a legacy that they could be proud of. They inherited the shortest waiting times and the highest patient satisfaction in history. They left us the longest waiting lists and lowest patient satisfaction on record. No wonder so few of them have turned up to defend that shoddy record.

The Conservatives oppose our public health agenda, do they not? I thought this was an area where we had built consensus, but not under their present leadership. I have already quoted what their leader, the right hon. Member for North West Essex (Mrs Badenoch), has said. Maybe they were not listening—the country certainly is not. I would have thought, though, that their own side would at least listen to what she said. She says she wants a debate about charging for healthcare. I do not know whether they have heard that or whether they stand by it. Maybe we could just see a simple show of hands—how many of her own side want to see charging for healthcare in the NHS? Not a single hand has gone up. That does not bode well for the future of the Leader of the Opposition, but let’s leave the Conservative party to revel in its irrelevance.

In fact, I was probably one of the few people who paid any attention to what the shadow Health Secretary, the right hon. Member for Daventry (Stuart Andrew), said at the Conservative party conference. I noticed that he did not mention a single policy. I say to the Conservatives: if we are doing such a bad job, why would they not do anything differently? Would they cut the £26 billion this Labour Government are investing in the NHS, and if not, if they oppose this Budget, how would they pay for it? The Conservatives seem to think that the British people are so stupid that they will forget which party wrecked the NHS and led it to the worst crisis in its history.

To conclude, this is a Government who are cutting waiting lists, giving children a healthier start in life and lifting 500,000 children out of poverty. In doing so, we are restating the case for universal healthcare that is publicly owned, publicly funded and free at the point of use. We are showing that progress is possible after 14 years of decline, that things can get better. Abolishing the two-child limit is not a handout, it is a hand up. Our country cannot prosper while 6 million people languish on waiting lists, 4.5 million children grow up in poverty and 1 million young people are not in education, employment or training. But if we protect people’s health, give them the opportunities to put their talents to use and give them a strong foundation, they will build a good life for themselves and a better Britain for all, and we can fulfil the lost promise that tomorrow will be better than today.

--- Later in debate ---

[Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)]

This was a Budget for young people. We are lifting the two-child benefit cap, bringing half a million children out of poverty; alongside free school meals, breakfast clubs, childcare and uniforms, we are reducing child poverty more than any Government ever. Our youth guarantee will make sure that every young person can access college, apprenticeships or job support, and SMEs will no longer have to pay towards apprenticeship training for under-25s, which is vital in Cornwall.

This was a Budget to tackle the cost of living, with measures to increase the minimum wage, cut household energy bills, freeze rail fares and prescriptions, extend the bus fare cap, and increase the state pension. It was also a Budget for growth. Our economy grew 50% more than the OBR expected in March. The Government have held fast to the decision to strongly invest in our infrastructure and worked to crowd in private investment and encourage companies to grow and list in the UK. I was pleased to hear the Chancellor confirm major investment in Truro neighbourhood health centre, which will be in the initial wave of centres to be upgraded and refurbished.

This was a Budget for Cornwall. The Kernow industrial growth fund is to be given £30 million over the next two years to invest in Cornwall’s economic potential. It reflects the fact that Cornwall has an important part to play in the UK’s industrial strategy. The Government have recently announced the critical minerals strategy and provided backing and investment for it. That is a brilliant example of a key industry vital to our national security being backed to the hilt by this Government. I hope they will do the same for the floating offshore wind.

Another key industry vital to national security is farming. The Government made a concession on inheritance tax by enabling automatic transfer of the £1 million allowance between spouses and civil partners. That will relieve pressure somewhat for older farmers who did not have time to plan. The Treasury says that few farmers and estates will be affected, but perception is everything when it comes to investment. I know that the Government have put a record amount of investment into farming.

I sit on the Environment, Food and Rural Affairs Committee, and it is clear that as a country we need to set a firm direction of travel on food security. Since Brexit we have diverged, particularly in England, from other places on the way we treat food production. I hope that the publication of various reports, including that of Minette Batters, will help to provide more certainty, and that the new incarnation of sustainable farming incentives will encourage farmers to invest.

[James Naish]

Although the new measures for farmers announced by the Chancellor have been welcomed by the industry, as Labour MPs we were advocating not for reduced revenue but for ensuring that the wrong farmers were not hit. Does my hon. Friend therefore share my view that Labour Members have fought hard for farmers and that our voices should be listened to moving forward?

[Jayne Kirkham]

It is important that we look very closely at the measures, as we in the Environment, Food and Rural Affairs Committee said in our report. Family farms are obviously very important and we need to consider them deeply when thinking about food security.

This is a long game. Fixing what is broken will be a hard path, but this Budget keeps us on that course without deviation. We are moving towards growth and the systematic rebuilding of our public services step by step. We are focusing on making life less of a daily struggle and on pulling our children out of poverty so that they can thrive now and take all the opportunities that this Government will offer them as they grow.

Myalgic Encephalomyelitis

James Naish Excerpts

Wednesday 19th November 2025 Westminster Hall

[Jo Platt (Leigh and Atherton) (Lab/Co-op)]

It is an honour to serve under your chairship, Mr Mundell. I declare my interest as chair of both the all-party parliamentary group on myalgic encephalomyelitis and the all-party parliamentary group on long covid. I thank the hon. Member for Wells and Mendip Hills (Tessa Munt) for bringing this important debate to the House; we work together on the APPG on ME.

ME and related conditions such as long covid are among the most devastating illnesses of our time, yet they remain some of the most poorly understood and most neglected. Unless we confront this misunderstanding head on, we will never deliver the change that patients so desperately need.

This issue is personal to me. In 2020, I contracted long covid. The infection was mild, but the aftermath was devastating, and it changed my life forever. With long covid, I developed ME, so I know the exhaustion, isolation and gaslighting that patients face. I cannot know for sure why I improved, but I believe that one reason was early recognition. I give a big shout-out to my friend Shelley Guest, who saw that my symptoms mirrored her own. She gave me books; she shouted at me, and told me to pace myself. I am forever grateful to her.

That raises a critical question: if diagnosed and supported early enough, could ME’s symptoms be managed to the point of recovery or partial recovery? My journey is not over yet. That is why research and recognition are not optional; they are essential.

[James Naish (Rushcliffe) (Lab)]

I thank my hon. Friend for her work chairing the two all-party groups. My constituent Janet contacted me about her son Richard, who was diagnosed with chronic fatigue syndrome six months ago. He is still waiting for a proper referral. Does my hon. Friend agree that an early pathway is vital, and would she encourage the Minister to outline what form that might take?

[Jo Platt]

I agree, and I recognise every single one of those issues. As chair of the APPG, I hear about the harrowing cases of what people are struggling with on the pathway to healthcare. It is simply not good enough.

Jhoots Pharmacy

James Naish Excerpts

Wednesday 15th October 2025 Commons Chamber

[Stephen Kinnock]

This is absolutely urgent, as the hon. Member rightly says. I have commissioned officials to work on this matter at pace. We can clearly see that this is a matter of national significance simply by the number of colleagues in the Chamber. I can give the hon. Member that assurance, and I would be happy to update him once I have a better sense of the exact timeframe and deadlines. We will be insisting that things happen as a matter of urgency.

[James Naish (Rushcliffe) (Lab)]

Over the recess I met the Singh family, who run two pharmacies in my constituency. The family were clear that, despite improved funding, they are still struggling with overly complex funding formulas, delayed payments, high energy prices and drug shortages, among other challenges. However, the positive initiatives of Pharmacy First and the independent prescribing pathfinder programme offer a ray of hope. Will the Minister commit to continuing to invest time and energy in expanding those programmes and meet my pharmacies from Rushcliffe to discuss them further?

[Stephen Kinnock]

We remain absolutely committed to the independent prescribing service and are working on the plans and strategy to make that a reality. We continue to support Pharmacy First, but sadly take-up of it has not been as good as we would have liked it to be. The way it was structured and incentivised has not enabled it to realise its full potential, and we are working on that as well. A number of errors were made by the previous Government, who did not set Pharmacy First up to succeed to the extent that it should have done.

Defibrillators

James Naish Excerpts

Tuesday 2nd September 2025 Westminster Hall

[James Naish (Rushcliffe) (Lab)]

It is a pleasure to serve under your chairship, Mr Stringer. I congratulate my hon. Friend the Member for Bishop Auckland (Sam Rushworth) on securing this important debate.

I pay tribute to Dylan Rich, a Rushcliffe constituent who tragically passed away aged 17 from a cardiac arrest, during a game between West Bridgford Colts and Boston United in Nottinghamshire in 2021. He was an extremely talented footballer, and his family and friends have dedicated themselves to creating a positive legacy from his tragic early death, notably through the Dylan Rich Legacy, a registered charity that provides funding for charitable projects that, among other things, promote access to sport for young people in Nottinghamshire.

In addition, Dylan’s family and friends have raised money for the installation of defibrillators in the local area and for fantastic related charities such as Cardiac Risk in the Young. I am sure the whole Chamber will join me in paying tribute to their important work.

Despite that very high profile, tragic death in Rushcliffe, data from 2024 suggests that over 60% of my—admittedly rural—constituency is still not within a three to five-minute walk of a defibrillator. I acknowledge the work of the last Government on this matter, but I think everyone here would agree that our ambitions must go further and faster if we want to improve survival rates.

As so many Members have said—we have clearly read the same briefing note—every minute without a defibrillator being used reduces a cardiac arrest victim’s chance of survival by 10%. In other words, a lack of access to a defibrillator means a high chance of death, longer stays in hospital or more complex care needs in the long run. Greater accessibility and the quicker use of defibrillators will therefore save the NHS in long-term medical care costs.

I want to put on the record my support for the Heart Restart Tax campaign, which many Members have talked about. We already exempt from VAT defibrillators bought by the NHS and some small charities, but a cricket club, football club or small business in my constituency should not be discouraged from taking the same lifesaving action. This is a classic example of a small policy change that could go a long way. Many other examples have been mentioned, and I hope that the Minister, on behalf of the Government, has listened closely to what Members have said in reiterating the importance of such small policy changes.

[Several hon. Members rose—]

Terminally Ill Adults (End of Life) Bill

James Naish Excerpts

Report stage
Friday 13th June 2025 Commons Chamber

Ministers would not be able to respond to future developments or clarify borderline scenarios without coming back to the House with further primary legislation. The amendment could also limit future Ministers’ ability to clarify how the system should work in real-world and evolving situations. Good regulation should be responsive and proportionate, not fixed to a point in time.

[James Naish (Rushcliffe) (Lab)]

Will my hon. and learned Friend give way?

Covid: Fifth Anniversary

James Naish Excerpts

Thursday 12th June 2025 Commons Chamber

[James Naish (Rushcliffe) (Lab)]

My wife was an obs and gynae doctor, and she still is. She was one of those people on the frontline whom the shadow Secretary of State describes. Does he agree that there needs to be a study into the long-term impact on the wellbeing of staff who were on the frontline dealing with these traumatic situations, so as to understand the impacts on health and productivity within the NHS?

[Edward Argar]

That is important, because people up and down this country still live with the impacts of the pandemic through long covid and mental health challenges. We see that huge impact still today on individuals and the NHS. We must remember how the country came together in the face of unprecedented events, about which we learned more every day. We had to adapt our approach to that changing knowledge. I am grateful to all Members from all parts of this Chamber for what they did.

A few Members in the Chamber were in the House at the time, and they will remember the work of Jon Ashworth, which I recognise in particular. He was in this place at that time, and I remember his cross-party approach to so much that was done. I pay tribute to the emergency services, to councillors and to the people of this country, particularly those who worked in health and social care and those who lost someone.

It was a traumatic time for the whole country. There are lessons that must be learned about planning for future pandemics and supporting those with long covid. The hon. Member for Honiton and Sidmouth (Richard Foord) was right—like so many, I have constituents who lost loved ones and family members who were affected by the vaccine, as has been recognised by a coroner. They have been dignified and courteous, but they call for the Government to review the vaccine damage payment scheme. I hope that the Minister will take that suggestion in the spirit in which it is intended.

We owe it to this country to make sure that we are better prepared for any future pandemic. We owe it to those who lost loved ones and those who suffered in so many different ways: those with long covid, those with mental ill health, kids who were unable to attend school, domestic abuse sufferers and those who still suffer today. It is right that we remember, reflect and debate, as we do now, in order to learn.

As a former Health Minister, I have memories that continue to surface. We will all of us live with our memories of that time till the end of our days. The least we can do is to ensure that this House and this country always remember and reflect carefully on what we can do better next time.

Breast Cancer Screening: Bassetlaw

James Naish Excerpts

Monday 9th June 2025 Commons Chamber

[Jo White]

I welcome the hon. Member’s contribution. Women in Bassetlaw have to travel all the way to Sheffield once they have been diagnosed to have treatment and radiotherapy. That is a long journey and it would be better if the cancer could be treated in Bassetlaw. I wait to hear how that can be achieved in future years, because it is so important for people to be treated close to home.

[James Naish (Rushcliffe) (Lab)]

I thank my hon. Friend for introducing this debate. She has mentioned several women whom I know personally, having worked with them, and she is absolutely right that they are incredible. I particularly send my sympathy to Lynn and her family. We know that barriers to improving breast cancer screening rates include not only awareness but accessibility; it is about people living in rural areas being able to get to where treatment and screening can take place. Does my hon. Friend agree that the Government need to think not only about treatment but about the way in which people access that treatment when they are in rural areas like mine and hers?

[Jo White]

I thank my hon. Friend for his contribution and I agree with him. In Bassetlaw, we have a single unit, but there are mobile units in rural areas that might encourage a better take-up rate.

The misconception that only women can get breast cancer is far too common. Almost 400 men get breast cancer every year, including my constituent Danny Emmerson from Worksop, who found some lumps in his armpits while he was sitting watching TV. He went to his GP to get checked and was quickly diagnosed with breast cancer. I thank Danny for joining my campaign to raise awareness that men get breast cancer too.

My ask today is that everyone in the Chamber, man or woman, checks themselves, and encourages their wives, partners, daughters, granddaughters, sisters and all the women in their lives to attend their breast cancer screening appointments. This debate is not the end of my campaign. On 29 June, I will be running the Race for Life in my constituency and visiting the Bassetlaw Princess Diana mammography unit to help tell the story of how easy it is for people to get their breasts screened.

I welcome the fact that my hon. Friends the Members for Doncaster Central (Sally Jameson) and for Doncaster East and the Isle of Axholme (Lee Pitcher) are in their places. The data for Doncaster and Bassetlaw hospitals covers all of our constituencies. While I understand that we can presume that there are lower attendance levels by those who live in our more deprived wards, will the Minister provide advice on what more the Department can do to ensure that we can get hospital-specific data for breast cancer screening uptake?

Dementia Care

James Naish Excerpts

Tuesday 3rd June 2025 Commons Chamber

[Dr Chambers]

Yes, I agree that empowering people to live as independently as possible is hugely important.

For me, there was guilt—for many years actually. I felt guilty about the moments of resentment at how my job and career were affected, and for losing patience when faced with the anger of someone you are trying to care for. I remember that my dad did not really understand that all we were trying to do was help. I want to mention the very insightful piece of advice from the right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke) not to argue with people who have dementia. I wish I had understood when we were caring for my father that there was no need to correct his current understanding of the world. My grandfather was born in 1870, and my father kept asking where he was. We tried to explain that he would have been aged 130 if he had still been alive, but I wonder why we had those discussions. That was a hugely important and emotive piece of advice.

[James Naish (Rushcliffe) (Lab)]

When I led a district council, one thing we tried to do was take initiatives to make us more dementia-friendly. There is some excellent training run by the Alzheimer’s Society. Does the hon. Member agree that all MPs’ offices should be seeking to take such initiatives so that we can be compassionate in the way that he describes?

[Dr Chambers]

I completely agree with what the hon. Member has just suggested. There is no way that we can approach dementia without a huge amount of compassion and empathy.

Ambulance Response Times

James Naish Excerpts

Thursday 6th March 2025 Westminster Hall

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

I beg to move,

That this House has considered ambulance service response times.

It is a pleasure to serve with you in the Chair, Ms Jardine. I thank the Backbench Business Committee for scheduling this important debate.

Unacceptable ambulance response times have become endemic in the UK, leaving people in pain and distress and costing lives. An estimated 50,000 people died last year after long A&E waits, according to Office for National Statistics data. One of those was Jim�s wife in Street. She was suffering from aggressive liver and bowel cancer and had to wait seven hours in agony for an ambulance in February last year. When the ambulance arrived, Jim and his wife were told that the crew were not trained to take her downstairs, so they were left to wait for another crew. When they arrived, several hours later, Jim�s wife was too ill to be moved and was told that the journey would kill her. She died shortly after.

Jim told me again today how that experience still makes him angry, yet he recognises the perilous state that the NHS is in, caused largely by the last Conservative Government. Like Jim, many people have lost faith in health services after the NHS was stretched and left grossly underfunded as a result of the last Conservative Government�s neglect.

We know that this is having a devastating impact on patients, but it is also impacting the incredibly hard-working medical staff. The 2023 NHS staff survey showed that 39% of ambulance staff respondents often or always felt burnt out. The number is higher for control room staff, at 44%, and higher still for ambulance technicians and paramedics, at 45%. I am sure that Members across the House will join me in thanking and paying tribute to everyone working in the ambulance service whose hard work, dedication and commitment to patient safety is second to none.

Most people in Somerset will sadly know of someone who has faced a heartbreakingly long wait for an ambulance. The family of an 89-year-old Somerton resident told me how they faced a 10-hour wait, stuck in agony on the floor, as no ambulances could come to help them. Another resident told me about their ordeal of having to prop their mother up on the toilet after she had had a fall. They then had to spend 13 long hours waiting for an ambulance to arrive. I am sure other Members will have similar heartbreaking examples.

It is important to understand the context of these examples, so I will briefly outline the NHS targets: seven minutes for category 1 calls, for which 90% of ambulances should arrive within 15 minutes; 18 minutes for category 2 calls, for which 90% of ambulances should arrive within 40 minutes; while 90% of ambulances for category 3 and 4 calls should arrive within two and three hours respectively.

Those targets remain unmet in the south-west, where we have the worst-performing ambulance service in the country. In January 2025, South Western Ambulance Service failed to meet the targets for category 1 and 2 calls. The average time it took to respond to a category 2 call was 51 minutes and 45 seconds�nearly three times slower than the NHS target. This has serious repercussions for people�s health. In every minute that a stroke is left untreated, nearly 2 million brain cells die, and lifesaving treatments such as clot-busting drugs need to be delivered quickly, often within four and a half hours.

I have heard from many constituents across Glastonbury and Somerton who are deeply concerned by the delays in stroke treatment due to ambulance waiting times. These fears are compounded by the planned closure of Yeovil district hospital�s hyper-acute services. The reconfiguration of services will mean that all patients who have suffered a serious life-threatening stroke will be taken to hyper-acute stroke units in Dorchester or Taunton to receive care.

As much as these new cutting-edge services and facilities are welcome in the south-west, the fact remains that if stroke patients or any patient needing emergency treatment gets to hospital too late, the results will be catastrophic without improvements to the ambulance service, and all the best equipment, drugs and treatment by clinicians will have minimal impact on patient outcomes. I have spoken about the impact of these changes on stroke care in this place before. I do not feel it necessary to go into detail again today, suffice to say that ambulance delays only increase the pressure on stroke services. The Liberal Democrats have demanded that localised data on ambulance delays is published, so rural areas like Somerset that are underperforming can receive focused and appropriate support. I would welcome the Minister�s comments on that.

Lengthy delays are made all the worse when we consider the impact of drawn-out handover times, meaning ambulance crews are unable to head back out on to the road to pick up more patients. The Darzi review laid bare just how dire the situation has become. In 2024, around 800 working days each day were lost due to handover delays. Incredibly, that is the full-time equivalent of nearly 14,000 paramedics over a year. In addition, ambulances across England collectively spent 112 years waiting outside hospitals to hand over patients in 2023-24.

[James Naish (Rushcliffe) (Lab)]

I was in my local hospital, Queen�s medical centre in Nottingham, where they are currently trialling 45-minute handovers, to make sure that paramedics get back on the road as quickly as possible, while also making sure that patients are safely handed over into the target speciality care they need. Does the hon. Member welcome that sort of trial, given the challenges she describes?

[Sarah Dyke]

I thank the hon. Gentleman for his intervention. I will come to that point a little later.

With the stark realities facing people in an emergency and the distressing sight of ambulances backed up at hospitals now commonplace, leaving my constituents in Glastonbury and Somerton in despair, it is time to properly address these failures. The NHS standard contract states that handovers between ambulance and emergency departments should be 100% within 60 minutes, 95% within 30 minutes and 65% within 15 minutes, but these targets are left unmet. Between October 2023 and June 2024, 3.7 million handovers took an average of 35 minutes and one second, resulting in over 900,000 hours lost. It is even worse in the south-west. In January 2025, over half the handovers took over 30 minutes, which is nearly 30% higher than the England average.

We in the south-west face specific issues due to our rurality. Analysis by the Liberal Democrats revealed that waits for life-threatening calls were 45% longer in rural areas than in urban areas. The South Western Ambulance Service has responsibility for the provision of ambulance services across 10,000 square miles, covering an incredible 20% of mainland England. Rural regions have a lower capacity to divert ambulances to other hospitals during periods of significant pressure, largely due to the vast distances between emergency departments.

We may now see ambulance teams in Somerset adopt a �drop and go� policy, which involves leaving patients in certain areas in a hospital without an official handover to A&E staff. The nationally defined target for hospitals included in the NHS standard contract states that after 15 minutes of waiting, the patient in the ambulance becomes the responsibility of the hospital. If no formal handover to A&E happens within 45 minutes, the ambulance crews can just leave the patient within the department and get back on the road.

The South West Ambulance Service is moving towards this approach with hospitals from Swindon and Bristol to Cornwall and Plymouth. Although this policy might alleviate some of the pressure on ambulance crews, it would fail to ease the struggles that underfunded and overstretched A&E departments in Somerset are facing. Somerset has an ageing population: within the next decade, one in three people in Glastonbury and Somerton will be 65 or older. That may make it harder to quickly discharge patients, as some may also require onward social care provision. It is inevitable, therefore, that delayed discharge due to internal processes such as waiting for pharmacy diagnostics and therapy assessments, and a lack of capacity in adult social care, will lead to poorer ambulance service performance. The social care crisis has a devastating effect on the healthcare system.

Last year, Care England said that

�over 45% of hospital discharge delays are linked to social care�.

One in seven hospital beds are taken up by people who are medically fit to be discharged. For patients, delayed discharge can lead to an increased risk of hospital infections and the loss of mobility or cognitive function, and can make it harder for them to regain their independence. The problems in the healthcare system will never be fixed unless we urgently address the social care crisis. Only last week, social care providers felt the need to protest against Government inaction for the first time ever.

The Liberal Democrats have been campaigning to fix social care by introducing free personal care based on the model introduced in Scotland, so that provision is based on need, not ability to pay. We also welcome the cross-party commission to forge a long-term agreement on social care, but we believe it can be completed within a year, not three. We cannot afford to kick this can any further down the road, and I urge the Government to listen to the Liberal Democrats� calls.

We also need to solve the hospital bed shortage in the UK. The lack of available beds negatively impacts hospital flow. As a comparison, the OECD EU nations have about five beds per 1,000 people, whereas the UK has only 2.4. The Royal College of Physicians revealed that four out of five doctors were forced to provide corridor care in the past month due to a lack of hospital beds. According to the Royal College of Emergency Medicine, bed occupancy is at a staggering 93%. The Liberal Democrats want to bring that down to a safe 85% by increasing the number of staffed hospital beds.

We are waiting for the Government to publish the urgent and emergency care improvement plan soon, along with the 10-year health plan. It is vital that we urgently wrestle with the problems that the Conservatives left behind to ensure the safety of patients. Over the past seven years, the previous Conservative Government were forced to find an average of �376 million of emergency funding each year to tackle the NHS winter crises. Under the Liberal Democrat proposals, a new winter taskforce would instead manage a ringfenced fund of �1.5 billion over the next four years to build resilience in hospital wards, accident and emergency departments, ambulance services and patient discharging. That would allow integrated care boards and NHS trusts to plan their budgets more effectively to prevent winter crises, instead of just receiving emergency funding from the Government at the last minute.

We urgently need to give our healthcare services the ability to forward plan. They must not be forced to deal with crises on the fly as situations unfold. Somerset�s ambulance services, like all services across the country, desperately need and deserve support. Localised data must be published to help pinpoint specific improvements that can be made in rural areas. The Government have outlined their desire to improve urgent and emergency care�they accept that ambulance waiting times are unacceptable�but now is the time to act to achieve those objectives; otherwise, more people will suffer and sadly some lives will be lost. That must be part of a serious rethink about the way we fund social care; otherwise, we will never move towards a solution that works.