Health Bill

Josh Fenton-Glynn Excerpts

Report stage
Monday 7th September 2026 Commons Chamber

[Daniel Francis]

I completely agree with my hon. Friend. As I will come on to, there is an inconsistent set of data across the country. This inconsistency is not just between ICBs but, in the case of my constituency and that of my hon. Friend the Member for Eltham and Chislehurst (Clive Efford), between neighbouring London boroughs, which may have the same ICB but different frameworks.

I also welcome the support for the amendment from the Children’s Commissioner, who has said:

“Across the country, children wait far too long for the right equipment that is essential for daily life. In recent research on children experiencing delayed discharge from hospital, the office was told that delays in getting equipment, and having equipment serviced, had led to children being stuck in hospital, away from family, friends and school.”

This postcode lottery is not just cross-country—I know of a number of ICBs in which there are significant issues—but within ICBs. In my part of south-east London, one patient can be discharged, while another, in the same hospital with the same condition, living on the opposite side of the road, cannot be discharged. That difference arises because a borough boundary runs down the road. There are different contractual arrangements between different London boroughs in the same ICB. I know at first hand that pupils in the same school class, and in the same ICB, can have completely different service standards for their wheelchairs because one lives in one London borough while another lives in the neighbouring borough.

I will speak briefly to new clause 85, tabled by my hon. Friend the Member for Thurrock (Jen Craft). Like me, she is the parent of a disabled child. We have fought these issues for many years, both as parents and on behalf of our constituents. In my case, I know that when Ofsted found that there were systemic failings in our SEND provision, we could hold our local authority to account, but we could not properly hold our ICB to account. The judgment was issued against the council, not the ICB.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

I thank my hon. Friend for his powerful speech, and for bringing his personal experience to the Chamber. I am sure that he will agree with me that the ‘H’ in EHCP stands for health; we need to see the health service doing its part. Does he agree?

--- Later in debate ---

[Jen Craft]

I do agree. The hon. Gentleman has made a very good point about the impact of childhood illness, not only on the child but on the family. I also agree that support for families is crucial. They are part of the care team for children when they are unwell, and that acknowledgment needs to be strengthened and acted on.

As I was saying, the statutory duty to deliver EHCPs sits solely with local authorities. In practice, that means that councils are the only bodies that can be held legally responsible for providing the service that a disabled child needs to access education, including health services such as occupational or speech and language therapy. Health bodies are not subject to the same requirement, and I know from my work as a member of the Health and Social Care Committee and a constituency MP, and as a parent of a disabled child, that that too often means that they are not at the table when it comes to delivering services for children with special educational needs and disabilities. There is a fundamental lack of accountability in the system. That, in practice, can force local authorities or families to procure privately, which can drive shortages in the NHS workforce or can mean that provision is substandard or non-existent.

My constituent’s son Haider, for example, has an EHCP which outlines his need for speech and language therapy to gain full access to education. Despite his mother Qaila’s relentless efforts, that support was not delivered for months. Qaila tells me that she has been forced to watch while Haider has become withdrawn, anxious and isolated. My constituent Elizabeth has a similar story. She has been fighting to get occupational and physical therapy for her son William, but significant delays in securing assessments from healthcare professionals have resulted in inaccurate, unhelpful support arrangements.

[Josh Fenton-Glynn]

I thank my hon. Friend for making such a powerful speech, and for all the work that she does in this regard. These long waiting times are particularly difficult when children are involved, because a child's life is so attenuated. If a parent is waiting for 18 months, that amounts to one and a half or two school years. Does my hon. Friend agree that the key to prevention is to ensure that these matters are dealt with as quickly as possible?

[Jen Craft]

I completely agree with my hon. Friend. Owing to the lack of early intervention for my constituent Elizabeth and her son William, he has missed countless hours and days and weeks of schooling at a critical point in his development.

At a drop-in that I hosted last week, I met a woman called Annika. Her daughter Winnie has cerebral palsy, and her EHCP clearly states that she requires a physiotherapist, but the family have been forced to arrange that for themselves. Countless other families are in the same position. I think that every single Member in this House will have encountered similar constituency cases, and it is just not good enough.

Vaccination Rates: England

Josh Fenton-Glynn Excerpts

Thursday 3rd September 2026 Westminster Hall

[Josh Fenton-Glynn (Calder Valley) (Lab)]

It is an honour to serve under your chairship, Mrs Barker. I thank my Health and Social Care Committee colleagues for bringing forward this debate.

One thing we learned during the pandemic was just how much we all rely on each other. Vaccines were a huge part of helping us get back to seeing our families and taking part in our communities. We got through that period because we recognised that looking after each other meant looking after ourselves.

At the same time, we saw a growth of misinformation online. Many of us spent more time online during the pandemic and, too often, social media algorithms pushed people towards content that reinforces fear rather than answers questions. There is a fundamental problem with misinformation, which is that science is evolving and lives in the grey area; it is much easier to be wrong with certainty.

Diseases that once killed and disabled huge swathes of our population have been brought under control because of generations of vaccines. That is something we should never take for granted. Vaccines do not cause autism; they cause healthy children. Yet we are seeing a worrying decline in the uptake of vaccines, which is the reason for this debate.

In England, less than 84% of children have received both doses of the MMR vaccine, well below the 95% target that gives us the best protection. The consequences are not theoretical—we are experiencing them now. The growth of misinformation and the anti-vax movement puts children’s lives at risk.

The majority of measles cases since the start of this year—61%—have been in children under 10. Most of those children were unvaccinated. Tragically, two children have died—of a preventable disease for which there is a safe and effective vaccine. That is two families suffering an unimaginable loss.

The irony with vaccines is that the lives saved never make the headlines—the children who do not get sick, the hospital admissions we do not have. The families who never experience that terrible loss will never know that it was vaccines that spared them from it.

At the core of this debate are trust and responsibility. The Government have a responsibility to champion the benefits of vaccines and to set out a clear path to 95%. We have a responsibility to take up those vaccines, but the Government must act. If social media companies do not stop the harmful content we have talked about, we must act to make sure they do.

I once again thank my fellow Health and Social Care Committee members for bringing forward this debate. We need to make sure we have a clear plan and clear action so that we can solve this problem.

National Maternity and Neonatal Investigation

Josh Fenton-Glynn Excerpts

Tuesday 30th June 2026 Commons Chamber

[James Murray]

The hon. Gentleman raises an important point about ensuring the right levels of staff and training, and about ensuring that the right structures are in place. I know from seeing Baroness Amos’s report, and from the recommendations in Donna Ockenden’s report last week, that those questions will be central to the work of the taskforce in developing the national action plan. As I have said a few times today, it is not the case that there are simply one or two levers that we need to pull, or actions that we need to take, to bring about change; however, the issues that the hon. Gentleman mentions are clearly central to what we need to do.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

I echo what was said by my colleague from the Health and Social Care Committee, the hon. Member for Oxford West and Abingdon (Layla Moran). Baroness Amos pointed to workforce challenges and their impact on care and safety, and she noted that 67% of midwives reported burnout. Meanwhile, a General Medical Council survey found that 63% of obstetrics and gynaecology trainees had a high or very high workload. That is higher than the 42% average. The workforce plan has to address those problems—but will it?

[James Murray]

My hon. Friend asks a question about staffing, and ensuring not only that we have the right levels of staffing, but that people in the service have the right responsibilities, so that we do not have members of staff suffering from burnout or having a workload that they cannot cope with. Those are critical issues that the taskforce will consider in its development of the national action plan.

Nottingham Maternity and Neonatal Services

Josh Fenton-Glynn Excerpts

Wednesday 24th June 2026 Commons Chamber

[James Murray]

I thank the hon. Gentleman for drawing my attention to that report. We will certainly ensure that any reports containing relevant recommendations are considered as part of the taskforce’s work, because one of the changes that I want to make sure we achieve is to not have so many different reports with hundreds of recommendations that then do not become a plan of action. That is a cycle we are seeking to break through the taskforce’s work by producing a plan of action by the end of the year.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

In her remarks this morning, Donna Ockenden noted that maternal deaths are at a 20-year high, and total clinical negligence costs are greater than the money spent on maternity services. That should give us pause for thought. It is a national emergency, one that is causing unimaginable pain. The failure of the regulation is stark, so will my right hon. Friend confirm that we will tackle the culture of defensiveness across medical regulators that has caused such harm?

[James Murray]

My hon. Friend is absolutely right to point to regulatory failure, which has been drawn out very strongly by Donna Ockenden’s report. For me, what is completely unacceptable is that in their response to what has happened in Nottingham, they have sought to protect their own. That is something we must change, because it is only through effective regulation that we can have true accountability, and it is only through true accountability that we can get action and change.

Health Bill

Josh Fenton-Glynn Excerpts

2nd reading
Monday 1st June 2026 Commons Chamber

[Jen Craft (Thurrock) (Lab)]

The NHS is at a critical juncture in its existence. In order to survive, it needs radical change in how it is run. I welcome the measures in the Bill to keep the NHS around for generations to come, but there are opportunities for the Bill to go further.

I will briefly touch on the situation in my constituency, where an acute care trust has been under-delivering for decades. It constantly gets terrible CQC ratings, whether they relate to how it is run, specific departments or access to services such as A&E. During a recent inspection, two of the inspectors had to stop the work that they were carrying out to point out that there was a deterioration in a patient that had not been noticed by the medical staff on duty. The previous Secretary of State, my right hon. Friend the Member for Ilford North (Wes Streeting), placed the trust into an intervention programme, naming it as one of five trusts across the country that were “challenged”, which means it will be subject to significant NHS intervention.

I strongly welcome the measures in the Bill, particularly those that put a clear emphasis on accountability and preventing historic patterns of underperformance and that allow the Secretary of State to deauthorise failing foundation trusts, taking away some of their independence and bringing them under the control of the Secretary of State. Ongoing interventions have not delivered the healthcare that my constituents need, so this might be the final measure that ticks the trust into working, benefiting from the wealth of expertise and experience within the Department of Health and Social Care.

I believe that the Bill can go further in the area of special educational needs and disabilities, delivering for children with disabilities or extra educational needs. There is a systemic problem that is not related to individual instances in specific trusts or areas of the country. Far too often, health is not at the table when it comes to commissioning services for disabled children or meeting the needs of children with additional needs, so there is an onus on local authorities, who have a statutory duty to provide services that it is not in their gift to provide. We hear from local authorities, schools, academy trusts, parents and sometimes even children that the absence of health in these discussions is critical.

The crucial role that the Department of Health and Social Care can play in delivering the SEND White Paper relates to the “Experts at Hand” model. These experts provide an early intervention model, so that all children who exhibit an additional educational need can access expert advice from a panel of people who make up part of the allied health professions. We know that there is a huge shortage in this workforce and, again, it is in the gift of DHSC to remedy that. The Bill could go further to create a change in the commissioning and the development of a workforce strategy, moving the responsibility from NHS England to the Secretary of State. The Bill should mention allied health professionals and paediatric allied health professionals, which would put them on an equal footing with normal clinical staff.

Another way in which the Bill could go slightly further is by putting a duty of partnership and a duty of commissioning on ICBs around SEND services, particularly paediatric services. As I said, there is currently a statutory duty on LAs. We have heard time and again that a similar statutory duty on ICBs would help delivery.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

My hon. Friend is making some powerful points. I hear again and again from parents that while different commissioning bodies argue about who is responsible, children fall through the cracks. Does she agree that we must urge the Secretary of State to go further and ensure that these children do not fall through the cracks?

[Jen Craft]

My hon. Friend is completely right.

One of the biggest issues with delivering care for children in the SEND system and for disabled children more widely is the lack of join-up between the various services that they should be able to access. The single point of access in this Bill is a great way to deliver on the health aspect of that. I hear from my constituents who parent children with chronic or complex medical needs, and they find it extremely frustrating that they are the one nexus holding all the information about their child’s healthcare and what they need. They are quite often battling a number of healthcare bureaucracies to get their child the healthcare and support that they need.

I believe that with a few tweaks, this Bill could be truly revolutionary in delivering the healthcare and support that disabled children and children with extra educational needs require and in taking the onus and the stress away from their parents.

--- Later in debate ---

[Josh Fenton-Glynn (Calder Valley) (Lab)]

This Bill has to be set in the proper context of the mess that we are clearing up from the previous Government. The Darzi report laid bare the crisis in the NHS. We must learn from that Government’s disastrous reorganisation, because we cannot afford to make those mistakes. I approach the Bill as a critical supporter of the changes that we have made and that we seek to make.

I have not always given my right hon. Friend the Member for Ilford North (Wes Streeting) the easiest time, but I pay tribute to his leadership, both on this Bill and in the NHS more generally. Waiting lists are down, treatment is up and we are seeing a real shift to the priorities that we need—from sickness to prevention, from analogue to digital, and from hospital to community. We have seen an overall reduction in NHS waiting lists of more than half a million since July 2024.

I welcome the new Secretary of State to his place. He has a famed eye for detail, which this job demands, and I hope that his background in local government means that he will take seriously the need to get to grips with social care.

Clearly, there is a real problem that needs fixing. Over the past decade, the centre of health policy has increased: staffing across DHSC, NHS England and local commissioning bodies has doubled since 2013, from 20,000 to 40,000. The Lansley reforms were one of the most high-handed acts of sabotage that a Government have ever committed on the health service. They were meant to reduce bureaucracy, improve efficiency and save money, and they achieved none of those things.

Some concerns about the Bill came up in a recent sitting of the Health and Social Care Committee. I am curious as to how, in practice, the merger will be able to concurrently reduce headcount from NHSE, DHSC and ICBs by 50% without causing unintended consequences. I am concerned about that and want to see more detail on it, particularly given the scale of the changes that we are trying to make in the NHS. A report published in 2012 by the Institute for Government entitled “Never Again?”, which looked at the Lansley reforms, warned against making redundancies that are quickly undone as organisations recognise that essential roles have been lost and end up rehiring the same staff. The cost of redundancies under the Bill is estimated at about £1 billion. The cost of the Lansley redundancies was about half that, but one in five of those staff ended up being re-employed by the same organisation. The Select Committee heard before the recess that some areas of the NHS are under-managed, and I do not want clinicians to take on those roles.

Overall, I support the Bill, but we should be clear that a reorganisation of the centre at this scale is not simple. It has to be properly planned, co-ordinated and communicated. I welcome the new Secretary of State, but I hope that the Bill can make the changes we need.

Women’s Health Strategy

Josh Fenton-Glynn Excerpts

Thursday 16th April 2026 Commons Chamber

[Karin Smyth]

I really thank the hon. Gentleman for raising the sometimes taboo subject of stoma and stoma care and for highlighting the complexity of that for women. I send my best wishes to his wife. I did not get the name of her clinician, but I thank the hon. Gentleman for getting their name on the record; that matters when people are dealing with such an intimate sort of care.

Again, bringing voices forward is a key part of this work. The thing to bear in mind in the development of this strategy is that it is predicated on the 10-year plan and on bringing care closer to home. For example, people who have stoma and stoma care sometimes have quick questions and do not need to make an appointment to go and see somebody else, with lots of rapid appointments to and from a hospital, and all the parking, travelling and so on.

There are ways in which we can use online services and particularly neighbourhood services, where people are closer to home, to facilitate the management of care of things like stoma after people have come through or are in ongoing care. That is the sort of place where we have voices and experience informing local care, which will look different in different geographies depending on the other facilities available. I ask the hon. Gentleman to keep working with us on how that experience works out.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

I welcome this strategy, having worked on maternity and medical misogyny on the Health and Social Care Committee. I will bring up the thorny issue of sexual health. In a recent sitting of the Committee, we heard that a third of sexual health doctors are set to retire in the next three years and that there are only 14 training places. The key to ensuring that we are looking after women’s sexual health is to have a pathway for new doctors. Will the Minister look at that issue and at what we can do to resolve the training blockages?

[Karin Smyth]

Yes, of course. The retirement age is a constant issue that we need to look at across a number of professions, and I am happy to come back to my hon. Friend on that. As part of our workforce plan, we are looking in particular at retaining the expertise that we have, as well as at recruiting people into new roles.

GP Contract

Josh Fenton-Glynn Excerpts

Monday 16th March 2026 Commons Chamber

[Stephen Kinnock]

On buildings, we have the £102 million primary care utilisation fund, which will be very important in refurbishing GP practices. We are committed to delivering 120 new neighbourhood health centres by the end of this Parliament, and 250 by 2035.

The hon. Lady asks about GP numbers. In our manifesto, we pledged to bring back the family doctor, and that is precisely what we are doing. We said that we would deliver 1,000 new GPs to the frontline, but we are delivering 2,000, so we have smashed through our manifesto pledge. There will be more to come, because we are making the practice-level reimbursement scheme more flexible so that it does not apply only to GPs who have just come out of training; we are now enabling practices to hire more experienced GPs. That will also help with under-employment. Many GPs across the country practise only three days a week, and this is an opportunity to boost that to four or even five days a week.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

When this Government took office, the number of registered patients per GP in Calder Valley was much higher than the national average, with one GP surgery in Brighouse having 600 additional patients per GP. Given the new GP contracts and the new Carr-Hill formula, will the Minister confirm that the funding will help practices in my constituency to recruit the GPs they need, so that people can see a doctor when they need one?

[Stephen Kinnock]

I am not able to pre-empt the Carr-Hill review, but we have had a system based on data that is often 25 years old. Of course, we know that the Conservatives have the Tunbridge Wells philosophy. We will always recall the former Prime Minister standing in front of Conservative party members and proudly proclaiming the fact that he had been taking money out of parts of the country that needed it most and pumping it into those parts of the country that were delivering his pork barrel politics.

National Cancer Plan

Josh Fenton-Glynn Excerpts

Thursday 5th February 2026 Commons Chamber

[Ashley Dalton]

I agree with the right hon. Member that prevention is absolutely key. We cannot prevent all cancers, but we can do much to prevent cancers from being caught late and to get to them when they are more treatable. We encourage all eligible people to access the tests and screening that are available to them. Through the new NHS app, each individual will be able to get a personalised risk factor to identify what they may be at risk of, and to nudge them towards which tests and screenings they should ask their GP for. That is something that we are looking to develop for all cancers, including prostate cancer. We are also expanding access to the life-extending prostate cancer drug abiraterone—I had to practise saying that; I can say mine, which is capecitabine. That will get thousands more men effective treatment earlier, which can significantly improve their chances of long-term survival. Through this plan, we intend to prevent and catch cancer early. Included in the plan is raising awareness of cancer across all communities to ensure that people access the screening and early tests that they are entitled to.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

This Tuesday would have been my brother Alex’s 54th birthday, but sadly we lost him to cancer last year. That is why I am really proud that this plan will revolutionise treatment, care and research into cancer, as well as focusing on rare cancers, such as the one that killed my brother. Although I pay tribute to the doctors and nurses who were responsible for looking after my brother, I think it is fair to say that sometimes people with cancer get treatment but not care. One of the most exciting things about this plan is the section on getting cancer treatment to fit around people’s lives, because Alex spent too long waiting for letters and being his own advocate—a professional patient. Will the Minister please explain what more we are going to do to ensure we not only treat the symptoms but care for the patient?

[Ashley Dalton]

I commend my hon. Friend for the campaigning that he has done in his brother’s name in the area of rare and less survivable cancers, including brain tumours. We are putting patients at the centre of this plan, which says not only that every patient will have a personalised cancer treatment plan, but that patients will be at the heart of deciding those plans. Alongside their clinicians, they will have a role to play in deciding what treatment works for them. I know personally what that means. When I got my diagnosis, the immediate suggestion was that I would have intravenous chemotherapy. I was able to engage with my oncologist and say, “I’m not sure that that works for my lifestyle. I want to be able to live my life.” We were able to work together to find the right treatment that fits in with my lifestyle, and which allows me to come to work and do this job. That is what we want for every single cancer patient in this country. Their treatment should be about not just keeping them alive, but extending and maintaining their quality of life.

Oral Answers to Questions

Josh Fenton-Glynn Excerpts

Tuesday 13th January 2026 Commons Chamber

[Karin Smyth]

Yes, because those issues are a result of the shocking staff morale as a result of the policies of the hon. Gentleman’s Government. As highlighted by Lord Darzi, staff morale, and issues around staff sickness and the huge increase in agency spending on their watch, are all signs of a system that is not functioning for patients or staff. We absolutely will bring forward measures to address those issues.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

When the Secretary of State was in front of the Health and Social Care Committee, he recognised that we will not solve the workforce problems in the NHS without solving the workforce problems in social care as well. There are 150,000 unfilled posts in social care—three times greater than in the wider economy. What are we going to do to help solve this problem?

[Karin Smyth]

My hon. Friend and the Secretary of State are right to address the fact that we need to look across the whole span, and at people moving between those workforces. As he will know, the fair pay agreement, with the £500 million increase to support it, is part of our work to ensure those issues are addressed across the piece.

Puberty Suppressants Trial

Josh Fenton-Glynn Excerpts

Wednesday 17th December 2025 Commons Chamber

[Madam Deputy Speaker (Ms Nusrat Ghani)]

Order. I ask colleagues to keep their questions short and the Secretary of State to keep his responses on point. I call Health and Social Care Committee member, Josh Fenton-Glynn.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

I hope we can all agree that the young people involved should not be used by anyone as a political football. Can my right hon. Friend please assure me that the process and trial will be clinically led, not defined by rhetoric—in this place or anywhere else?

[Wes Streeting]

I can certainly give my hon. Friend that assurance.