NHS Capital Spending

Jim Shannon Excerpts

Wednesday 4th March 2026 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a real pleasure to serve under your chairship, Mr Western. I thank the hon. Member for Carshalton and Wallington (Bobby Dean) for setting the scene incredibly well. Of course, I want to give a Northern Ireland perspective, but I want to put forward two areas where possible savings could be made, and I wonder whether the Minister has had a chance to look at that, collectively or individually.

The hon. Member for Carshalton and Wallington, who set the scene, had 1,000 petition signatures for this debate—well done to him for garnering that interest. Our hospitals are so important and their services are lifesaving, so in terms of our finances they are priority No. 1. It is absolutely no secret that NHS capital spending has a direct impact on patient flow, waiting times and staff morale, and also on the quality of care.

Each year, my colleagues and I listen to the Budget and assess how our block grant can benefit the people of Northern Ireland through our healthcare system. It is clear that we must invest heavily in our facilities as well as our day-to-day spending. In her spring Budget yesterday, I think the Chancellor said that an extra £380 million was coming to Northern Ireland in the block grant. That should hopefully go some way to helping balance the books.

Around two years ago in my constituency of Strangford, our minor injuries unit closed following the opening of an urgent care unit in Ulster hospital. It was one of the most modern acute hospital sites following more than £235 million in capital investment, including in the new emergency facilities, patient accommodation and surgical and research infrastructure. Rather than planning a completely new hospital, the Department of Health has focused on transforming the Ulster into the regional acute hub. That is the right strategy, aligned with wider NHS reconfiguration plans for Northern Ireland.

Furthermore, there are plans for a new maternity hospital at the Royal Victoria hospital in Belfast. That is one of Northern Ireland’s largest capital projects, with more than £100 million already invested. Further investment is also planned for the surgical hubs, elective facilities and rapid diagnostic centres. I am pleased that hospitals in Northern Ireland have witnessed increased capital investment but, in comparison to St Helier hospital, as the hon. Member for Carshalton and Wallington described, it is clear that some hospitals are still struggling drastically, and he underlined that point incredibly well. More needs to be done to ensure that they are fit for purpose.

I have two points on savings, which I put to the Health Minister back home, Mike Nesbitt. A level of middle management has been created, which is not always necessary. I am not saying that people should lose their jobs; I am just looking at how it can be done in a good way to ensure value for money. The second point is about agency staff. Back home—and I understand it is the same over here—agency staff are sometimes employed rather than full-time nurses. That is never cost-effective, because it is better to pay a nurse a good wage than it is to employ agency staff. Those are two thoughts that might be helpful.

NHS capital spending is not a luxury; it is a necessity. It is the foundation of safe buildings, modern equipment, efficient services and dignified patient care. Without sustained investment, we will continue to see rising waiting lists, staff burnout and crumbling infrastructure. The Minister is always very responsive, and we are glad to have her in her place. The hon. Member for Carshalton and Wallington is asking for the Government to commit to sustained strategic capital investment that will secure the future of our NHS and deliver the standard of care that patients and staff both deserve. Those two ideas to save money are worth looking at as well.

[Matt Western (in the Chair)]

I call Josh Taylor—sorry, I got that wrong; I call Luke Taylor.

North Middlesex Hospital Accident and Emergency Services: Cancer Patients

Jim Shannon Excerpts

Tuesday 3rd March 2026 Westminster Hall

[Kate Osamor (Edmonton and Winchmore Hill) (Lab/Co-op)]

I beg to move,

That this House has considered the experience of cancer patients with accident and emergency services at North Middlesex Hospital.

It is a pleasure to serve under your chairship, Dr Murrison. I thank you and the House for granting me the opportunity to speak about the urgent care pathway for cancer patients at North Middlesex university hospital, and to discuss the potential for dedicated funding for an oncology assessment unit.

In Edmonton and Winchmore Hill, as in many constituencies across the country, too many people with cancer are being let down. In the UK, cancer mortality rates are significantly higher than in comparable countries, and the survival rate is lower. I am glad that the Government have recognised the issue and are taking steps to address it, most significantly through the national cancer plan. I welcome the plan’s ambition to diagnose more cancers early, to ensure that treatment starts more quickly and to improve survival.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady on securing the debate. She is right to illustrate this important issue at her local hospital, which is replicated wherever we might be the United Kingdom. Indeed, people back home are waiting 12 hours for admission or discharge. Those who attend A&E should be treated within four hours, but that is not happening. Does the hon. Lady agree that strengthening community-based cancer services is essential to protect patients, ease pressure on emergency departments and ensure that people with cancer get the right care in the right place at the right time?

[Kate Osamor]

I thank the hon. Member for his intervention; later in my speech I will discuss the work the community is doing.

Faster diagnosis and quicker treatment are vital to improving outcomes for cancer patients. However, I am concerned that the Government are placing less emphasis on other critical aspects of the care that cancer patients receive. The case of North Middlesex hospital in my Edmonton and Winchmore Hill constituency, which I am very proud to represent, is evidence of that. On the one hand, since 2023, North Middlesex hospital has received two new radiotherapy machines, which should help to ensure that cancer patients receive treatment more quickly and limit the number of hospital visits they need to make. But on the other hand, the hospital is under-resourced in other important areas, which is having a negative impact on patients’ experiences.

I have particular concerns about the experience of cancer patients in the accident and emergency department. From talking to my constituents and their families, I know that oncology patients who are admitted to the hospital are often assessed in the emergency department, but it does not have the physical space or isolation capacity required to safely manage immunocompromised individuals. Despite an acute oncology service that works extremely hard to prioritise those patients, the North Middlesex hospital emergency department often struggles to provide appropriate private triage areas or guarantee a rapid review for vulnerable cancer patients, because of high patient volumes and infection-control pressures. Over recent years, this has caused a number of my constituents to be put in an environment that is unsuitable for their condition, and caused a great deal of upset and discomfort.

I have been in correspondence with one of my constituents, Mrs Mary Thorn, regarding the experience of her late husband, Mr Jack Thorn, at North Middlesex hospital, and Mrs Thorn has given me permission to discuss the experience of her late husband at the hospital. Mr Thorn was diagnosed with cancer in July 2022, and in January 2023 he began chemotherapy treatment. Following the conclusion of the first type of chemotherapy treatment, Mr Thorn was told multiple times that he needed to be admitted back into hospital. However, upon arriving at hospital, rather than being admitted straight into the cancer ward, he was made to sit in the A&E waiting room to be triaged. On one occasion, he was made to wait for 15 hours. Because of the immunosuppressive treatment that many cancer patients undergo, they are at a heightened risk of infection, meaning that staying in A&E wards for extended periods risks worsening their condition.

Since my correspondence with Mrs Thorn, I have heard from several other constituents who have suffered similar ordeals. One of my constituents, who has now sadly passed away, went to the North Middlesex emergency department following a concerning reaction to the immunotherapy treatment she was receiving for her cancer. She arrived at the hospital on a Saturday and was not moved into a side room until the Monday, meaning that she was forced to sleep in a chair for two days while very unwell. During this time she could not shower, had no privacy and was unable to return home to collect any belongings or change clothing.

Since hearing of Mr Thorn’s experience, I have engaged closely with the North Middlesex hospital and the Royal Free London NHS foundation trust, which now manages the hospital. The trust has been taking steps to improve the experience of oncology patients at North Middlesex hospital through efforts to reduce waiting times and speed up the pathway for them. Those steps include the creation of the same-day emergency care hub and the emergency ambulatory care unit, which provide a safer and more appropriate environment for patients, away from the emergency department.

Despite those measures, North Middlesex hospital has not been provided with the necessary resources for the triage of patients who require isolation. The trust proposes an initiative to establish an oncology assessment unit for patients who require minimal intervention, to bypass the emergency department, but this has been prevented from progressing further, after some promising initial steps. This was due to there being no available funds in existing budgets and the lack of external funding to hire the additional specialist staff required to establish the oncology assessment unit.

The situation highlights the urgent need for targeted investment. Without dedicated support, the trust will not be able to guarantee the safer, specialist-led pathway for cancer patients that clinicians have repeatedly recommended. The experiences of Mr Thorn and my other constituents demonstrate the human impact of the gap in provision, and the response of the trust makes it clear that local efforts alone cannot solve the issue. If the Government are serious about putting cancer patients “front and centre”, as the Secretary of State for Health and Social Care has previously stated, they must do more to support stretched and under-resourced hospitals such as the North Middlesex, as well as its dedicated and hard-working staff—not only to protect the dignity and wellbeing of cancer patients, but to improve outcomes and survival rates.

I have three requests that I would like the Minister to consider. First, will the Department consider taking steps to ensure that North Middlesex hospital is granted the funding it needs to establish an oncology assessment unit, so that patients who experience treatment-related complications can be assessed properly in an appropriate environment, avoiding the risks associated with overcrowded emergency departments? Secondly, will the Minister consider carrying out a wider assessment of the safety and suitability of the settings in which immunocompromised oncology patients are placed when they are admitted to hospitals across the country, and how that may affect outcomes for cancer patients? Lastly, how will the proposals in the 10-year health plan for England on shifting from hospital to community care affect the experience of those suffering from cancer, to prevent them from having to attend A&E in the first place?

I pay tribute to Mrs Thorn for her tireless advocacy on this matter, with me and my office, with the North Middlesex hospital and with the wider Royal Free London foundation trust, to push for improvements in oncology care following the death of her husband Mr Jack Thorn. Her constant advocacy in the face of such devastating loss is truly commendable.

Eating Disorders Awareness Week

Jim Shannon Excerpts

Thursday 26th February 2026 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is, as always, a special pleasure to serve under your chairship, Ms Vaz. You always seem to do the Thursday afternoon debates and, by and large, I seem to be here too—but that is by the way. Some might say, “Well, where else would you find him?” But there we are.

It is a real pleasure to follow the hon. Member for Bath (Wera Hobhouse). In the time the hon. Lady has been here, she has been very much a hard advocate on this issue. Every one of us recognises her commitment and leadership on this matter. I put on the record my thanks to her for what she has done, what she continues to do and, indeed, if God spares her, what she will do in the future as well. It is really important.

[Valerie Vaz (in the Chair)]

Order. Can I ask the hon. Gentleman to speak up a little? I think people in the Public Gallery cannot really hear.

[Jim Shannon]

Of course. I do not think I need to do the introduction again; I will leave it at that.

I want to tell a story—the hon. Member for Bath already knows it—about one of my constituents. I was elected in 2010, and in 2012 two of my constituents, a mum and a dad, came to see me about their daughter. They were both police officers and I knew them extremely well; I knew them through a friendship we had outside the police, but also because they were officers I would contact as an elected representative. Their daughter— I am not going to mention her name, nor theirs—had severe bulimia. She was a lovely looking young girl, by the way, and very bright, but she had a real problem.

This is the true story of that family’s journey. They came to me worried sick about what was going to happen with their daughter, what they could do and what could be done. Along with them, I approached the Health Minister in Northern Ireland at that time—Edwin Poots, my party colleague—and told him the story. We did not have anything in Northern Ireland to address issues relating to eating disorders, so we had to come here to do that. I remember meeting the parents in Central Lobby in 2012, and them telling me that the Minister in Northern Ireland, Edwin Poots, had been able to transfer that young lady to St Thomas’ hospital—just across the river—to get the help that that young lady needed.

It is a transformational story, because by doing that, they saved that young girl’s life—and they did not just save her life. I know her well. One day, I was canvassing down in Millisle at the edge of my constituency. I knocked on the door and there she was, with two young children. That intervention by the Health Minister in Northern Ireland helped to save her life and to give her a life for the future. It is an example of what can be done if everyone works together to ensure that things go the right way. I will also say unashamedly that, while it was down to the NHS intervention, the prayers of God’s people undoubtedly saved that young girl’s life as well.

I want to discuss the situation in Northern Ireland. I gave that example because it shows how we worked in Northern Ireland and with the health service here to give that young lady the support to start her life, which ultimately led to her husband and then her children. Official figures show that people referred for eating disorder support in some areas face significant waiting times, with people experiencing delays as part of broader pressures on mental health services.

The hon. Member for Bath referred in her speech to mental health issues; those are some of the things we have to try to overcome collectively. In addition, mental health waiting times have been deemed unacceptable, and there has been a failure to publish comprehensive waiting-time data. I do not think there are many debates where the issue of data is as important as it is in health. The data tells us the direction we need to go in and gives us the evidence to put together a programme of response, and to find a better way of doing things. There has been a failure to publish waiting time data for child and adolescent mental health services, which is critical in supporting young people—more often than not, it is young people who suffer.

I also want to raise the impact of social media on people who suffer with eating disorders. In the last year we have seen a drastic rise in advertising related to weight-loss jabs. It is fair to say that they are easy to get and use, they are somewhat affordable, and they offer a quick fix or change. Although the premise of weight-loss injections is good, and the intention is to get people to a healthy weight, for those with eating disorders they have the potential to undermine awareness of healthy nutrition, exercise and mental health support. It is important that they are not seen as another way to try to get that perfect body, if I can use that terminology.

Social media can be toxic enough, and I worry very much about the young girl who is struggling with the likes of anorexia or bulimia, who idolises the “perfect body” achieved through weight jabs and so on, and who almost dies trying to get there. Is there any control over who can access weight-loss jobs? Can we get a better idea of their intentions, or of some of their problems? Many advertisements do not adequately convey the medical risks, the contradictions or the need for supervision, leaving vulnerable users to try treatments unsafely. Those with eating disorders may misinterpret ads as offering a safe method to lose weight quite quickly, thereby increasing the risk of physical and mental health complications.

Eating Disorders Awareness Week, which the hon. Member for Bath has kindly given us the chance to participate in with this debate, reminds us that behind every statistic is a person. I gave the example of the young person I knew, and their success story; there are many other successes, but sometimes, with sadness, we recall those people who do not make it. In Northern Ireland, long waiting times, limited specialist services and rising demand mean that too many people are not getting help when they need it most. At the same time, toxic social media content and the relentless pressure to conform to unrealistic body ideals are fuelling anxiety, low self-esteem and harmful behaviours, particularly among young people.

Throughout the time I have got to know him, the Minister has always been very responsive to our requests in these debates. There is a lot of pressure across all of the United Kingdom in respect of anorexia and bulimia. Has the Minister had a chance, in the short time he has been in post, to have a discussion with the Health Minister back in Northern Ireland, Mike Nesbitt, about how we can better work together to try to address these issues? I am conscious that most of the treatment probably happens here; some of it can be done in Northern Ireland, but services there cannot catch and keep up with the level of problems. I look forward to hearing the Minister’s commitment to ensuring that those who are struggling can access the support they need, both here and further afield in my own Northern Ireland.

Pharmacy First: Withholding Payments

Jim Shannon Excerpts

Thursday 12th February 2026 Commons Chamber

[Dr Ahmed]

I can reassure the hon. Member that my hon. Friend the Minister for Care is looking at funding and primary care provision in the round in coastal and poorer communities, and I would be delighted to take back his representations about Pharmacy First in rural settings.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his answers. I want to give a helpful suggestion from a Northern Ireland perspective. He will agree that a rural pharmacy will find it more difficult to meet the ever increasing threshold, and that the point of these payments is to take pressure off GPs, not to provide a back-door way of underpaying earned compensation. In Northern Ireland, we have a slightly different system that involves payment per consultation, which I ask the Minister to consider. Perhaps that would be more appropriate, and would give pharmacies, GPs and their patients what they are looking for.

[Dr Ahmed]

I am always grateful for the hon. Gentleman’s wise counsel. He will know that I have regular meetings with my counterparts in the devolved nations. I am well aware of some of the remuneration schemes in Northern Ireland, and I am following them with interest.

Hughes Report: Second Anniversary

Jim Shannon Excerpts

Wednesday 11th February 2026 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a real pleasure to serve under your chairship, Dr Allin-Khan. I thank the hon. Member for Chesham and Amersham (Sarah Green) for giving us the opportunity to contribute, and allowing me to mention Northern Ireland and what is happening there. It is a pleasure to see the Minister in her place, and I thank her for all she does.

The Hughes report was for England only, but the ripple effect is UK-wide. As of February 2026, Northern Ireland victims remain in limbo. The Northern Ireland Department of Health has stated that its approach will be informed by the final position of the UK Government—right here—but their final position has not been determined. Because nothing has been done here, nothing happens in Northern Ireland, so we are being affected. I know that the Minister will be responsive, but I ask her to give us some indication of the timescale.

Patients continue to contact me and Members of the Legislative Assembly in an attempt to see the adoption of the report’s recommendation, and the phrasing is that families feel abandoned by the lack of progress and financial compensation. I can understand that the Department of Health (NI) needs guidance from Westminster; the UK as a whole is waiting to see what implementation and redress will look like. While financial payments are stalled, some progress has been made on the non-financial report, with the continued operation of specialist mesh centres and improved clinical guidelines for prescribing valproates. That is welcome but—to put it simply—it is not enough.

[Carla Lockhart (Upper Bann) (DUP)]

Women have been left in lifelong pain; children have been born with preventable disabilities; families have endured financial and emotional stress; many women have lost their jobs, their homes and even their marriages. Does my hon. Friend agree that, although financial and non-financial support are important, to prevent such issues in the future it is also important that the dots are joined up early and that early warning signs are not buried in bureaucracy?

[Jim Shannon]

I thank my hon. Friend for her intervention. A specially accredited unit operates at Belfast city hospital, featuring a multidisciplinary team to treat mesh-related problems. If complex removal surgery is required, there is also the option to perform it locally, so we are doing our best in Northern Ireland to address the issue. Even so, advocacy groups such as Sling the Mesh Northern Ireland have expressed concerns over the conflict of interest in requiring the original implanting surgeon to sign off on referrals for outside treatment. All those factors must be taken into consideration, which was the very point my hon. Friend made.

Between 1998 and 2018, some 11,000 vaginal mesh implants were performed in Northern Ireland. Other Department of Health figures indicate that nearly 7,000 procedures occurred between 2005 and 2015 alone. With conservative estimates suggesting that between 5% and 10% of those patients experienced significant problems, the scale of the issue is clear.

For children affected, while the UK-wide estimate is roughly 20,000, specific Northern Ireland figures often have to be extrapolated. Reports for the Republic of Ireland, for instance, estimate that there are some 1,250 children affected there; those significant numbers down south are separate from Northern Ireland figures, but based on similar prescribing patterns. As of 2023, the Patient Safety Commissioner noted that even now, across the UK, an average of three babies a month are born having been exposed to the drug.

I will not take an extra minute for the intervention, Dr Allin-Khan, because I recognise that others need time to speak.

All those people, including the 600 members of Sling the Mesh NI, are awaiting action. On this, the second anniversary of the report, the stagnation of action is not acceptable. I take this opportunity to speak on their behalf, as well as on behalf of my and my hon. Friend’s constituents in Northern Ireland: I ask that we stop waiting and start moving on the compensation, providing help for those who are suffering this very minute, even as this debate takes place.

My request for the Minister is that we hurry the process, so that we in Northern Ireland can fall in behind what happens here in Westminster. Let us not see a third anniversary without fulfilment of the recommendations and of our word in this place.

Rural GPs: Funding

Jim Shannon Excerpts

Wednesday 11th February 2026 Westminster Hall

[Esther McVey]

The hon. Lady raises a very relevant point, and I agree wholeheartedly. People in lots of areas in my constituency cannot get to a GP and are bereft of a GP surgery.

Until now, we have had a measure of rurality, but this Government have instructed the National Institute for Health and Care Research to review the funding model and examine how working-class areas could benefit under a new model based on deprivation rather than workload.

[Jim Shannon (Strangford) (DUP)]

I congratulate the right hon. Lady on bringing this subject to Westminster Hall. I am always glad to come along and support her, because she leads great and very pertinent debates. I am a resident of a rural area, and the pressure that my local GPs are under has to be seen to be believed: only three practices cover the whole Ards peninsula, which has a growing population. Does the right hon. Lady agree that funding must be available to give surgeries the potential to have physio rooms, nutrition advice and perhaps even pharmacies that provide first-stop medical advice? The cost of such facilities needs to be met by Government, because there will be savings in the long term.

[Esther McVey]

It is always good to have my hon. Friend—and I do call him my hon. Friend—intervene on me. He makes very good points. It is also important that a local GP chooses, and can see what their local constituents require and what is best for their health outcomes.

The move to a new model based on deprivation rather than workload is, at best, an act of ignorance that fails to acknowledge the significant challenges of running GP practices in rural areas; at worst, it represents yet another example of Labour’s assault on rural life. Measuring pressures on GPs solely through the lens of deprivation would ignore the complex, distinct demands faced by rural practices. Rural communities have older populations. In 2019, the House of Lords Rural Economy Select Committee found that the average age in rural areas was almost six years higher than in urban areas, and a quarter of the rural population were over the age of 65.

Brain Tumour Survival Rates

Jim Shannon Excerpts

Monday 9th February 2026 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

May I say what a pleasure it is to follow the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley), and thank him for his knowledge of the subject matter, and the way that he portrays it with such empathy and understanding? I also thank the hon. Member for Mitcham and Morden (Dame Siobhain McDonagh) who set the scene incredibly well, as she always does. She has that deep personal belief, with her sister—a journey that we have often heard about in this House, and we sympathise with her. I thank the hon. Member for Witney (Charlie Maynard) for his contribution, including for speaking about his sister. Finally, I thank the Backbench Business Committee for selecting this topic.

It is always a pleasure to see the Minister in his place. I wish him well, and we look forward to his response to the debate. In the short time that we have known him, he has shown an aptitude in responding to those of us who ask questions, which we appreciate. I look forward to how he can encourage us all at the end of the debate.

I would like to give a Northern Ireland perspective. I always try to do that, as it adds to the flavour of the debate, and gives an opinion from Northern Ireland where health is devolved but where the issues are the same; they do not stop at the Irish sea, at Hadrian’s wall or at Cardiff—they are everywhere in this great United Kingdom of Great Britain and Northern Ireland.

In Northern Ireland, 2,043 cases of malignant and non-invasive brain tumours were diagnosed between 2017 and 2021, averaging some 409 cases per year. At the end of 2021 there were 5,465 people living with a brain tumour, with diagnosis occurring between 1997 and 2021. That gives us an idea of the perspective and magnitude of brain cancer. During that period, some 53.2% of brain tumour cases were among women, which has been illustrated by the examples shared by those with personal knowledge of this issue. As we know, cancer is no respecter of colour, creed or class, and the increase in incidence means that so many more families are grieving or worried, and so much more must be done not only to support families who are going through cancer, but to carry out research and find a cure. Last week, I attended an event in the House on cancer, and I was encouraged when the lady I spoke to told me that 60% of people diagnosed now survive cancer. That is a wonderful figure, but unfortunately the numbers are not as good in relation to brain cancer.

Brain tumours are the biggest cancer killer of children and adults under 40. In the UK, some 16,000 people are diagnosed each year with a brain tumour and the incidence of brain tumours is significantly higher in Northern Ireland. Some of the figures in Northern Ireland and Wales are incredibly worrying, compared with England and Scotland. Brain tumour cases in Northern Ireland are projected to increase by some 36% by 2035, with glioblastoma being the most common and malignant adult brain tumour, accounting for some 70% of all new diagnoses. Given that projected increase by 2035, which is not too far away, what discussions will the Minister have with the relevant Minister, Mike Nesbitt, in Northern Ireland to ensure that we can combat this terrible disease together? That is the outcome that I seek from this debate.

GBM has the worst outcome for patients, as those tumours are resistant to therapy. Despite such treatments as surgery, radiotherapy and chemotherapy, unfortunately GBM tumours regrow, leading to patient relapse and death after 15 months, which is incredibly worrying. Although the picture is dark, with sadness there is always hope. Brain tumour survival rates in Northern Ireland show that for malignant cases there was a one-year survival rate of 49.9% between 2017 and 2021—a significant increase from 37.4% between 1997 and 2001, which is really good news. Non-invasive tumour survival is high, with 88.3% of people surviving for five years.

There is much work being done in Northern Ireland to combat the darkness and bring light, such as through rapid diagnosis. This major project, launched in late 2025, uses rapid nanopore sequencing to reduce brain tumour diagnosis times from weeks to just hours. The technology reads tumour DNA almost immediately, helping clinicians to choose treatments faster. It is one of the incredible advances that have been made in cancer diagnosis; we are responding better than we have in the past.

While not a cure in itself, this research is giving people more time and a choice. Researchers have also identified existing FDA-approved drugs that could potentially be repurposed to treat brain tumours, specifically targeting how genes change as cancer progresses. All these steps bring forward something that every cancer sufferer and their loved ones need: hope.

May I plug, as I always do, Queen’s University, Belfast, and its wonderful work at the forefront of cancer diagnosis and cures? It gives me great pleasure to mention Queen’s University, because it shows that Northern Ireland is actively engaged in trying to find the cure. It has developed partnerships with big business, has students from all over the world and is always trying to find the cure. The adverts on television and elsewhere always encourage people to donate to cancer research so that the ultimate cure can be found. It will be a great day when that ultimate cure is found, and Queen’s University is leading the way.

Funding for cancer research based at Queen’s University is bringing a dividend. We can and must allow the university to do more research and development to find the ultimate cure—the cure for cancer. More funding means more work, which means more breakthroughs and more hope, and I think we can all agree that this House and this great nation of the United Kingdom of Great Britain and Northern Ireland will certainly do better with the light of more hope.

Medical Training (Prioritisation) Bill

Jim Shannon Excerpts

2nd reading
Tuesday 27th January 2026 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

As others will know, I have raised this matter a number of times in the Chamber. In Wales, for example, the health service pays students’ fees and trains them, and students then have an obligation to stay with the Welsh health service for a period of time. One of my constituents, whom I know well, did just that. She went there, received training and stayed there. What happened, of course, is that she met someone in Wales who she fell in love with, and now she wants to stay there, so we will lose her in Northern Ireland. The point I want to make is this: if paying the fees retains the staff in Wales, should we not also do that in Northern Ireland, Scotland and England? We could do so in this Bill.

[Lewis Atkinson]

There is some merit in the hon. Gentleman’s proposal, not just for medical training but across the clinical workforce. As Members have acknowledged, we pay significant sums of public money training clinical staff, but the graduates incur significant student debt. If a UK-trained undergraduate student decides to work abroad, the UK taxpayer will have invested a significant amount in their training, and that is then lost. It strikes me that there is an opportunity for the Government to think about the sort of incentive that the hon. Gentleman describes as part of wider workforce planning.

That is pertinent to my next point about the importance of the medical workforce reflecting our wider society, particularly the working class communities of the north-east of England. I want to ensure that a young person doing well at a state school in Sunderland has as much encouragement and access as anyone else in the country to study medicine and, crucially, progress through the ranks to the highest grades. We have heard some talk of international medical schools, but I can absolutely assure Members that there are not state school-educated kids in Sunderland thinking that they will pay privately to study in Grenada or anywhere else.

As the Secretary of State rightly pointed out, there have been welcome improvements on diversity in the NHS, but we often fail to consider socioeconomic background in that. The first line of the NHS constitution states:

“The NHS belongs to the people.”

But sometimes it can feel like it is staffed by a pretty unrepresentative slice of the people, particularly in medical roles.

In that spirit, I recognise the excellent work of the University of Sunderland medical school, which has placed widening access at the heart of its mission. Building on a 100-year history of wider clinical training, the school opened in 2019, shortly before the covid-19 pandemic—a period that starkly exposed our over-reliance on overseas recruitment and underlined the importance of growing our own workforce. By 2022, 47% of the University of Sunderland’s intake were local students, and it now ranks sixth in the UK for student satisfaction.

However, it is no good universities like Sunderland in my constituency doing excellent work on widening participation at recruitment stage if when we get to foundation training and specialty training those students are disadvantaged in competition. In my view, the Bill will help to ensure that talent nurtured by institutions like the University of Sunderland is retained and prioritised for the benefit of our NHS.

I highlight that medical schools such as Sunderland are increasingly placing a huge emphasis on training their medical students in a multidisciplinary environment alongside the trainee nurses and trainee pharmacists of the day, so that they are prepared to work in the multidisciplinary environment that our NHS rightly demands. I am not sure that all international undergraduate courses are always so advanced, so it is right to prioritise this UK-based training approach for the multidisciplinary ethos of the NHS in the future.

Other Members have mentioned the wide variation in specialist training fill rates, and GP recruitment has been mentioned as part of that. It is also worth saying that the national statistics about specialty training mask significant regional variations. The GP specialty training fill rate has been as low as 62% in the north-east of England, and as we have heard, over 73% of applicants for GP specialty training in 2023 were international. That has a disproportionate effect in regions like mine. My constituents want to have the confidence that there will be a stable GP workforce as part of our community for the long term. I cannot tell them in all candour that the status quo delivers that, so we must make changes of the type that the Bill sets out.

I hope that by introducing effective, regulated training pathways, the Bill will improve retention and strengthen workforce planning in our communities, including in areas such as women’s health, where training provision has not kept pace with rising demand. When I look at the shape of the NHS elective waiting list, it is no coincidence that some of the trickiest waiting time problems are in specialties such as gynae, where we have had recruitment and training challenges in recent years.

To close my remarks, I re-emphasise the link between capacity and demand, which I hope the Minister will touch on in advance of the workforce plan. Will she also say a little about the medical training review and the phase 1 report for NHS England and how the Government will work with that?

Dementia Support: Hampshire

Jim Shannon Excerpts

Wednesday 21st January 2026 Westminster Hall

[Liz Jarvis (Eastleigh) (LD)]

I beg to move,

That this House has considered dementia support in Hampshire.

It is a pleasure to serve under your chairship, Ms Lewell. We all know someone who has been impacted by dementia. My much-loved mum died in 2024 after a seven-year struggle with Alzheimer’s, so I know first hand what it is like to have to fight for the care and support that dementia sufferers need.

One in three people born today will develop dementia in their lifetime. Across Hampshire, more than 22,000 people are currently living with dementia. If national trends continue, that number is expected to rise to more than 31,000 by 2040. Dementia already places high pressure on families, the NHS and social care, and without decisive action that will only intensify. It is vital that we get the system right.

According to Dementia UK, 1,323 are living with dementia in Eastleigh, which is approximately 1.41% of the local population—higher than the national average.

[Jim Shannon (Strangford) (DUP)]

This is a massive issue for each and every one of us. The hon. Lady has referred to figures in her constituency, but given Northern Ireland’s ageing population, the figures there are expected to almost double, rising from 22,000 to 43,000 by 2040. That poses major challenges for health and social care. Does she agree that to be forewarned is to be forearmed, and that the Government must make preparations to deal with the growing numbers by implementing changes to the system right now?

[Liz Jarvis]

I absolutely agree with the hon. Member.

The average wait time for a dementia diagnosis in Eastleigh is 91.7 days, and post-diagnostic support is inconsistent and often inadequate. We must get to a position where dementia care is built around a clear, joined-up pathway that families can rely on from the very start and where a person can receive early diagnosis followed immediately by assessments, access to specialist advice, dementia-trained professionals and consistent points of contact, such as Admiral nurses. Drug treatments, where appropriate, home-based support, respite care and, where needed, smooth transitions into care homes, would all be part of one coherent system, not a maze of disconnected services. We need more support to stay at home and more support in the community, and family carers should be informed about available support and given greater access to regular respite. Diagnosis must be the gateway to timely, specialist and sustained support; too often it is not.

Domestic Abuse-related Deaths: NHS Prevention

Jim Shannon Excerpts

Tuesday 20th January 2026 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is always a pleasure to serve under your chairship, Sir John. I thank the hon. Member for Stroud (Dr Opher) for securing this debate, setting the scene incredibly well and giving us all an opportunity to participate.

As always, I want to give a Northern Ireland perspective of what is happening. Unfortunately, the things happening in Northern Ireland are replicated, as shown in what other Members have said and what others will say after me. In some ways, things in Northern Ireland are even worse—the numbers of women being killed are at such a high level in proportion to the rest of the United Kingdom, and outpace what is happening elsewhere.

The Minister, who I am always pleased to see in her place, has a special interest in Northern Ireland, and because of that she will be aware of the stats, which are incredibly worrying. In Northern Ireland, the Police Service recorded almost 30,000 domestic abuse incidents in the 2024 to 2025 period, translating to roughly 85 incidents daily. Almost 18,500 of those became crimes, although many incidents do go unreported. Call volumes, particularly around Christmas, highlight a consistent challenge for victims seeking help. There are about 15 incidents and 10 crimes per 1,000 people, which puts the stats into perspective. Although that is a decrease on the previous year, those numbers are still incredibly jarring.

One of the worst times of the year, as we all know as elected representatives, is Christmas and the new year. There is a strain on relationships, whether it is a combination of financial and emotional pressures, or everything just building up at that time of year. The Police Service of Northern Ireland received 1,407 calls in the period from 20 December 2025 to 2 January 2026, seeing a peak of 116 reports on new year’s day. There is pressure on the PSNI back home, and on the police here, to respond to quite difficult issues. I know the Minister always tries to be responsive to our requests, so has she had the opportunity to speak to the relevant police in Northern Ireland, to get an idea of what they are doing and how we can help each other?

In June, we had the absolutely heartbreaking murder of a young mother of two, who was pregnant with her third child; the ripples are still felt in our community. Young Sarah Montgomery’s murder simply should not have happened, and more has to be done in those cases. Sarah was the 27th women to be murdered in Northern Ireland since 2020, and the level of domestic abuse calls indicate that this remains a central problem.

In Northern Ireland, health and social care is a very important partner in the domestic and sexual abuse strategy for 2024 to 2031, which designates domestic abuse as “everyone’s business”—and it is everyone’s business. Health settings are often the only safe and trusted environment where a victim can disclose abuse, as the hon. Member for Stroud mentioned. When a victim goes into a health setting, people run to support to them, and there is nobody looking over their shoulder or listening to what is going on, and they may have an opportunity to disclose what has happened. It is really important to have that strategy in place, and we have it in Northern Ireland.

I will underline the particularly worrying trends from the Christmas and new year period. At that time of year, accident and emergency units are under incredible pressure. Back home, we have had problems with hospital wait times and ambulances queued outside hospitals, and the domestic abuse issue is clearly in the middle of that.

Roughly 30% of domestic abuse starts during pregnancy, so midwives and health visitors are trained to conduct routine inquiry and ask about safety at home. They do that, and it has enabled the issue to be raised incredibly. To catch abuse early, we need to empower those workers to report any concerns and ensure that support is offered. It is essential that NHS departments work together, but the pressure on workers to fulfil their calls and do their paperwork is immense. So I believe that time must be factored in for staff to be able to smoothly report any suspicions. We must know that, in these awful cases, the Government and their Departments have done all that they could.

I want to be clear: murder by domestic abuse can never be the fault of anyone other than the perpetrator. However, in our communities we must all ask ourselves, “Was there something more that we could have done?” I support a UK-wide review by the Minister to ascertain how we can know that we have done all we can, to our utmost and even a bit more.