Lee Pitcher debates involving the Department of Health and Social Care during the 2024 Parliament

Youth Mental Health Support

Lee Pitcher Excerpts
Wednesday 3rd June 2026

(1 week ago)

Westminster Hall
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Anna Dixon Portrait Anna Dixon
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I have great respect for the Academy of Medical Royal Colleges and my hon. Friend’s work to highlight the harms of social media and its addictive nature. I agree with him, and we must do all we can to protect children from these impacts and to hold tech companies to account when they continue to exploit young people through addictive algorithms and expose them to harm and abuse. I therefore fully support the measures in the Online Safety Act 2023 and the Government’s consultation to go further to protect our children from online harms.

I urge the Minister to call this out as a public health emergency, and to work closely with colleagues in the Department for Science, Innovation and Technology and urge them to act boldly and decisively to put the wellbeing of children and young people above the financial interests of tech companies.

Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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My hon. Friend is making a great speech. I would like to raise awareness of paediatric acute-onset neuropsychiatric syndrome and paediatric autoimmune neuropsychiatric disorders associated with streptococcus, conditions caused by an abnormal immune response that results in brain inflammation and leads to obsessive compulsive disorder, anxiety, children feeling pressures that they have never felt before and unbelievable overnight behaviour changes.

There is little awareness about these conditions, but they lead to poor mental health. Some of the children from the PANS PANDAS UK board came to Westminster not too long ago. They talked to us about the conditions, and one of those young lads made a heartfelt plea for us to get behind him, as he had considered taking his life because of PANS/PANDAS, and the conditions are not recognised or diagnosed. Would my hon. Friend join me in encouraging the Minister to think about PANS/PANDAS in any conversations she has around mental health?

Anna Dixon Portrait Anna Dixon
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I am sure that the Minister will have heard my hon. Friend’s remarks and will take on board the information and testimony that he has provided.

Our young people deserve to be given the best chance to grow up healthy and happy. Sadly, too many are not given that chance. That requires action across Government to ensure timely access to NHS services, a thriving youth sector in every community and a safer online environment so that kids can spend more time enjoying life in the real world rather than the virtual one. The Tories tore down the social infrastructure that supported young people in dealing with mental health issues. The safety net was cut and our children fell through the gaps. It falls to Labour to repair it and I look forward to hearing the Minister’s response.

Community Pharmacies

Lee Pitcher Excerpts
Tuesday 2nd June 2026

(1 week, 1 day ago)

Westminster Hall
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Rachel Gilmour Portrait Rachel Gilmour
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As a rural MP myself, I certainly have a grasp of what my hon. Friend addresses, and I shall come to that in a minute.

Analysis conducted by the Independent Pharmacies Association shows that an average pharmacy dispensing around 10,000 items a month will face a shortfall of approximately £56,000, even after the settlement. Without a commitment to continued above-inflation funding increases year on year, patients will face an acceleration of service reductions and closures. Those closures will fall hardest on communities such as mine and that of my hon. Friend, as I will explain.

My constituents have lived with these difficulties. At a cursory glance, there are 16 pharmacies across Tiverton and Minehead, serving a population of approximately 91,200. On average, they dispense 113,000 prescriptions every month because they are busy, essential, community institutions. Yet a survey of 3,000 people in Tiverton, conducted by a local GP surgery, found that 30% of respondents were unable to find a pharmacy. That should simply not be the case in 21st-century Britain. It cuts to the heart of a fundamental truth about rural healthcare and much more that successive Governments have neglected to confront.

Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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I recently visited Weldricks pharmacy in Rossington and saw the amazing work done by the team there. My constituency is in quite a rural area and provision is patchy. Does the hon. Member agree that it would be good to map all community pharmacies, understand where there are gaps, and make targeted interventions? That would ensure provision for the number of people living in that area.

Rachel Gilmour Portrait Rachel Gilmour
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I agree that a strategic approach is always best. The distances, the limited public transport and the dispersed nature of rural populations mean that the closure of a single pharmacy can represent a genuine healthcare crisis for thousands of people. I see that directly in my constituency; the loss of a fully fledged pharmacy with all its associated services in Bishops Lydeard in March 2024 was a blow to the community. In its place there is now a dispensary, but solely for patients of the surgery. The same thing happened in Norton Fitzwarren. Transport woes, which so often hold back my constituents, sever a vital link to the health service.

Jhoots, the previous provider of pharmacy services in parts of Tiverton and Minehead, had operated poorly for some time. Constituents lamented the missing medicines, unexpected closures and queues stretching down the street. Under the new stewardship of Allied Pharmacies, things have improved markedly. That is a testament to what good management and proper investment can achieve.

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Danny Chambers Portrait Dr Chambers
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Yes, the good ones.

There has been a general consensus that pharmacies are often overlooked as a source of care for those in the community. I have visited many pharmacies in my Winchester constituency: there is Eric, who runs Springvale pharmacy up in Kings Worthy; there is Colden Common pharmacy in Colden Common; and there is the Wellbeing pharmacy on Winchester High Street, which gives me my flu jab every year. The people there actually make having a flu jab a lot of fun; we always have a great laugh. I never thought having a vaccine would be something I would look forward to, but I love going in and seeing them.

We know about the 8 am rush for GP appointments, so the fact that a high street service exists where one can drop in for advice and consultations is absolutely brilliant. Pharmacies allow us to siphon off some of the pressures on GP services, but—as pharmacists have been telling me repeatedly since well before I was elected—pharmacies are currently under immense pressure.

Adding to that pressure is the increase in national insurance contributions, which has saddled pharmacies and GP surgeries with additional costs. As a consequence, many local pharmacies have had to limit opening times and staff numbers. In Alresford in my constituency, the hard-working staff at Wessex Pharmacies have had to close shop on Saturday afternoons. That service will be sorely missed, particularly by those who are in full-time education or work during the week and who relied on being able to pick up their prescriptions at the weekend.

In addition, shorter opening times mean that if a patient sees their GP later in the day, the required prescription is delayed by a day if the paperwork is not registered in time. For a patient with an urgent need for medication, that extra day can be extremely frustrating and worrying.

Although we really do welcome the recent 10% increase in Government funding to community pharmacies, it is worth pointing out that that is giving with one hand and taking with the other. In the wake of rising costs for energy, staff and medicines, this funding increase was the first in 10 years, so it was sorely needed, but unfortunately, it did little to alleviate the extreme pressures heaped on community pharmacies in the Budget.

That point comes into focus when we consider the rise in drug costs: a 20% to 30% rise for things like paracetamol and hay fever medications, and an elevenfold rise in the cost of cancer drugs since February, while the funding provided to community pharmacies has dropped by more than 20% in real terms since 2015. That is why we are calling on the Government to invest in pharmacies in smaller towns, particularly in villages and rural areas such as mine in the Meon valley. In places such as Bishop’s Waltham and Colden Common, people need access to a community pharmacy, and not only for convenience: Conservative-run Hampshire county council has cut vital bus services to the nearest big towns, which means that people without a vehicle, especially older people, absolutely rely on local pharmacies for their medication.

We are also calling for a new, long-term, sustainable model for pharmacies and an expansion of Pharmacy First to give patients more accessible routine services so that we can free up GPs’ time. We want an exemption for pharmacies from the national insurance contributions increase so that funds can be spent on patients and vital medications.

I come to my final, key point. I have spoken to many pharmacists since I was elected and before that, and I have had very long, in-depth conversations with them. I have also attended events in Parliament organised by the Royal College of Pharmacy and the National Pharmacy Association and I have discussed their issues with the NHS pharmacy contract. Given my professional background, I am used to sourcing, dispensing and prescribing drugs. However, the contract is so complicated that, despite my extensive conversations with those organisations, I do not fully understand it. The key message that comes out is that it costs pharmacists to dispense NHS medication in many cases, and that NHS medication is sometimes being subsidised by other sales in shops. I even met two pharmacists who said that their personal finances are subsidising some NHS dispensation. That is clearly not tenable in the long run.

Lee Pitcher Portrait Lee Pitcher
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Standardisation and consistency in services are really important. A person in my constituency of Doncaster East and the Isle of Axholme is living with poor mental health. His pharmacy has stopped doing nomads, and it is too far for them to travel to the next pharmacy, where those are not paid for. Does the hon. Gentleman agree that consistency in how we support pharmacies is massively important to help people such as my resident?

Danny Chambers Portrait Dr Chambers
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I completely agree. All businesses need predictability and stability. It appears that, week to week, pharmacists are trying to work out how to source drugs with changing prices, and there is an NHS contract that is not meeting their needs.

When we talk about community healthcare and provision, it is important to remember that having good, well-run pharmacies means that people are being kept out of GP practices and that they are less likely to turn up at A&E. That is even better value for money for the NHS and, ultimately, for the taxpayer. There is no downside from a Government point of view to investing and heavily supporting community pharmacy, because the savings made upstream will be hugely significant. At the moment, we are treating people with conditions that should be treated in the community with the most expensive part of the NHS, in A&E and hospital, when they could quite possibly have avoided going there in the first place.

Audiology Services: Doncaster

Lee Pitcher Excerpts
Monday 18th May 2026

(3 weeks, 2 days ago)

Commons Chamber
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Sally Jameson Portrait Sally Jameson
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That goes to show that this is a widespread issue. This is happening not just in Doncaster, but further afield, and thousands upon thousands of people have been impacted. At one stage, the audiology service at Doncaster royal infirmary temporarily shut down. While some of the emergency cases and children’s cases were reallocated to neighbouring services, a lot of people were left with pretty much nothing. They were totally uncertain about when, or even if, they would receive an appointment.

The impact on the hard-of-hearing community in my area has been truly devastating. Waiting lists have grown well into the thousands, and many people have felt isolated and forgotten. During this difficult period, the integrated care board and the Doncaster and Bassetlaw hospital trust have worked to improve the service, but as my hon. Friend the Member for Bassetlaw (Jo White) has pointed out, that took a lot of time. Alongside campaigners Maggie and Paul, who formed the Doncaster Audiology Action Group, and my hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher), we held regular meetings with the NHS to press for action. With the support of the fantastic Healthwatch team, an audiology action event was held last month, giving residents the opportunity to access information about the service and receive basic hearing aid repairs, as well as to speak directly to stakeholders and support services.

There is still a long way to go; the waiting list is still too long. Constituents contact me, and there are times when I can contact the hospital and we manage to speed up treatment, but not in all cases. Eighteen months on, improvements are beginning to show. I take this opportunity to pay tribute to the dedicated audiology team at Doncaster royal infirmary, who have worked tirelessly to try to turn the service around. However, this experience has shown me just how important audiology services are, yet how often they are overlooked.

Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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I agree with my hon. Friend that the audiology action day was phenomenal, and that those in the audiology services at Doncaster royal infirmary are doing everything they can to improve the service that they offer my constituents, who are their patients. I have been exploring other opportunities; for example, I have been working with Specsavers in Thorne, to see whether there are services available on the high street that we can maximise and use. Does my hon. Friend agree that we need to work with the integrated care board, and either use high-street shops that can provide patients with services much closer to home, or introduce pop-up services, maybe in isolated rural areas, like mine in the Isle of Axholme?

Sally Jameson Portrait Sally Jameson
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I completely agree with my hon. Friend. As he knows, some appointments were outsourced during this period, but if we are honest, it was not enough. The waiting list is still far too long, and too many people have been waiting four or five years, so part of our collective ask as MPs for these areas is that the Minister continues to press the ICB to look at what resource is available for outsourcing more to the high street—at least in the short term—so that we can clear the backlog and get the waiting list back under control in a more effective way.

Without proper audiology care, lives can be fundamentally changed. People become isolated from their families, their communities, and society as a whole. I have had people get in touch with me who have stopped going to family events because they cannot hear the conversation properly—they end up sitting in a room, not enjoying themselves and unable to participate in conversations. That is incredibly isolating, and in a world where we talk a lot more about loneliness, particularly following the covid pandemic, that needs extra scrutiny. Just by clearing the waiting list and getting people appointments, we can really change lives. Hearing loss also affects confidence and wellbeing. I have heard from constituents who have been worried about keeping their job because they cannot hear properly on the telephone. This impacts all age groups, and those at all stages of life. This experience has shown me personally just how important audiology is.

--- Later in debate ---
Sally Jameson Portrait Sally Jameson
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My hon. Friend is completely right. In a world in which we focus a lot on how we can treat and slow the progress of dementia and Alzheimer’s, this is something we really need to look at. That is key, and it is worrying and disappointing to us all that our constituents will be more susceptible to this issue because they do not have the service that might be available in other areas.

Lee Pitcher Portrait Lee Pitcher
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My hon. Friend the Member for Bassetlaw (Jo White) mentioned dementia. This is Dementia Action Week. The ability to hear is so important, not just for the obvious reasons, but in the broader context of dementia. This is about dignity and being able to enjoy precious moments. The Alzheimer’s Society has a regular “singing for the brain” event at Cantley community centre, and it is a beautiful way to bring people together. The ability to hear, converse and grasp that music is so important. Does my hon. Friend the Member for Doncaster Central (Sally Jameson) agree, in Dementia Action Week, that we must continue to fight for audiology services for that reason? What a wonderful way to show that we care—doing something in this place to help all those people who will live with dementia in the coming years.

Sally Jameson Portrait Sally Jameson
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I completely agree with my hon. Friend. I reassure him that I will not attend the Alzheimer’s Society’s “singing for the brain” event in Cantley, as that would be devastating for everyone who had to hear it. It is important that we start to raise awareness of the knock-on effects that poor audiology services can have on wider society, and on people’s health generally.

I ask the Minister to consider the following important points. First, will she ensure that the NHS 10-year plan includes greater investment in training audiologists across the country, so that areas like Doncaster never again face such severe staff shortages? But this is not just about investment; it is also about raising awareness. Many young people would not even consider audiology as a career, and would not even be aware that it exists. Part of this is making sure that the workforce plan reaches out to young people, and informs them about the different jobs available in the NHS, as opposed to just the traditional ones that everyone thinks about. We need to do more of that locally, and I know my hon. Friends here will that that point into schools and colleges. We have a new university technical college, specialising in medical science, opening in Doncaster in the not-too-distant future. I will definitely be banging the drum on this, along with my hon. Friends, to make sure that audiology is included, so that people understand from an early age that it is a good career, available to them.

Secondly, will the Minister carefully consider the recommendations of the Kingdon review, including the recommendation on the introduction of a single professional register for audiologists, improved governance for audiology services and reform of how children’s audiology services are delivered? It is so important that we get audiology right at the earliest possible stage, because when these problems are missed, it can be truly damaging later in life. It is so important that we capture young people who require support, and also that lessons are learned from audiology failures, so that we do not find this happening again. Whether in Doncaster or in other parts of the country, it is important to look at that. Potentially under-resourced or at-risk NHS diagnostic and children’s services should also be highlighted, so that immediate action is taken to make sure that services do not fall below standard.

If the situation in Doncaster and Bassetlaw shows us anything, it is that audiology can no longer be treated as a Cinderella service in our NHS. If we are really going to move to prevention as opposed to cure, it is really important that this becomes a recognised priority, so that deaf and hard-of-hearing people receive not only the support they need, but the quality of life that they deserve. I hope that this debate is just the start of an important conversation that needs to take place here in Westminster and across the country.

National Suicide Prevention Standard

Lee Pitcher Excerpts
Tuesday 14th April 2026

(1 month, 3 weeks ago)

Westminster Hall
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Liz Twist Portrait Liz Twist
- Hansard - - - Excerpts

I thank my hon. Friend for that question. Certainly I agree that we must do all that we can. I hope that, in this debate today, we will be able to take steps forward to implement the standard.

I want briefly to touch on the work that the British Standards Institution does. It plays a vital role in workplace standards of all kinds in this country. The BSI is 125 years old this year. I am sure the Minister will join me in congratulating the BSI on that achievement, and the enormous contribution it has made to businesses and the everyday life of people throughout the United Kingdom since 1901.

British standards have helped with everything from saving lives with medical devices to air raid shelters during the war, crash helmets and now addressing suicide. I thank colleagues from the BSI for being here in the Public Gallery today to raise awareness of their organisation’s hard work, particularly on the new standard BS 30480: “Suicide and the Workplace”. I know that the BSI has a positive impact on society through its work. As chair of the APPG on suicide and self-harm prevention, I am pleased to have supported work on that standard. I am also delighted that the House has endorsed the standard and is seeking to adopt it following internal consultation.

The publication of the world’s first standard on suicide and the workplace represents a significant milestone in supporting mental health and wellbeing at work across the UK and beyond. The BSI, acting as convenor, brought together many leading individuals and organisations to develop it. The standard itself calls for assigning a named senior leader to take responsibility for the organisation’s suicide prevention strategy and provide targeted training so that line managers are confident in spotting warning signs.

Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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My hon. Friend is a true champion for mental health and has been quite an inspiration to me since I have been in Parliament. The standard is an amazing step forward for mental health in the workplace and is hugely welcome. It will save lives and help people in their everyday lives who experience suicide happening around them. Does my hon. Friend agree that we need to be proactive and open up channels of communication really early to prevent suicide? We should encourage things such as mental first aid training in the workplace, which is really important.

Liz Twist Portrait Liz Twist
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I absolutely agree with my hon. Friend. Indeed, the whole purpose of this debate is to encourage us to be proactive and work with other organisations and employers to ensure that the standard is implemented and lives are saved.

Additionally, the standard encourages businesses to collaborate with workers to help design individual safety plans that outline coping strategies and emergency contacts at times when they need help or support. I was glad to work with the BSI on the standard. It represents the outcome of a huge amount of work involving employers, and mental health and suicide prevention organisations such as Samaritans, trade unions and BSI staff, some of whom are in the Public Gallery today. I was especially pleased that Mr Speaker granted permission to help launch BS 30480 in Speaker’s House last November.

I pay tribute to Professor Ann John, director of the National Centre for Suicide Prevention, who chaired the BSI committee, and within that, Marcus Long, who led the communications group, and Peter Kelly, who led the drafting panel. I also thank the BSI staff I have worked with over the past few months—Jane Packer, Lachean Humphreys and Robert Jervis-Gibbons—for their leadership on the standard. It has been a great pleasure working with all of them, but now we have to make sure that the standard is rolled out by employers. There has been a great deal of enthusiasm from employers to date, with 11,500 downloads of the standard so far.

How can the Government promote the standard? I believe the standard will help many workplaces across the UK, and I am sure the Government will work with me and the BSI to promote it to businesses. For example, Heathrow airport has publicly spoken about its adoption of the standard, and so has the Inclusion Education, in a recent BSI webinar in which I took part. Can we please encourage more to follow their lead? I believe we need the Government’s help to do this.

As we have heard, the standard offers clear guidance for organisations of all sizes and sectors, including public bodies, charities, social enterprises, businesses and commercial enterprises. I hope the Government can actively promote it, especially within high-risk, male-dominated industries, by leveraging their new and existing partnerships, such as the upcoming three-year collaboration with the Premier League, aimed at improving men’s health, literacy and suicide prevention. Furthermore, the Department of Health and Social Care could work with the Health and Safety Executive to ensure that workplace first aid and safety guidance emphasises the importance of managing risks to mental health using the standard. I am pleased the Government mentioned the standard in the men’s health strategy earlier this year, and that was significant. That is a good starting point for ensuring that employers start to implement the standard. The focus of today’s debate is how the Government can help with that task and help BS 30480 contribute to the national suicide prevention strategy.

April is Stress Awareness Month in workplaces, and I hope the Minister will agree to some actions today, maybe on behalf of his colleagues in the Department for Business and Trade. First, will his Department help to promote this important standard with business, public sector bodies and throughout Government? Secondly, will he commit to jointly organising and attending a roundtable with me, the BSI, the Department for Business and Trade, key UK businesses, SMEs and the unions to discuss the roll-out of the standard across UK workplaces. Thirdly, will he say how the Government will ensure that small and medium-sized enterprises can access the trauma-informed training required to implement the standard effectively?

We want to ensure that the standard not only raises awareness, but gives organisations the tools they need to reduce risk, intervene effectively and encourage conversations, breaking down the myths and the stigma that talking about suicide causes people to feel. With help from the Government and colleagues in this place, we can all work together to achieve our ambition of seeing fewer people die by suicide.

Type 1 Diabetes: Infant Testing

Lee Pitcher Excerpts
Monday 9th March 2026

(3 months ago)

Westminster Hall
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Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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It is a pleasure to serve under your chairship, Sir Alec. I congratulate the hon. Member for South Northamptonshire (Sarah Bool) on securing time to introduce the ten-minute rule Bill. If she wishes me to be part of her team, I am more than happy to do so.

First, let me express how utterly inspirational it is to see a family who have suffered so much heartache turn that grief into something that should mean no one else ever needs to lose a child in similar circumstances. Knowing about the debate, a parent in my constituency of Doncaster East and the Isle of Axholme shared with me the experience of their child, who became acutely unwell with symptoms that, at first, appeared to be nothing more than a stomach bug. When they arrived at A&E, an astute and brilliant nurse carried out a simple finger-prick test for glucose that showed dangerously high blood glucose levels, and the child was rushed to emergency treatment for DKA.

The family were later told that, without that quick check and the treatment that followed, the outcome could have been far worse. The child spent several days in hospital recovering, and is now beginning to adapt to life with type 1 diabetes. Five months on, I have to say that he is doing exceptionally well. I have met him in the past; he does so much in the community, and he manages his condition like an absolute star.

That account underlines why this issue matters. The early symptoms of type 1 diabetes can look very similar to other common childhood illnesses; vomiting, dehydration and a child becoming increasingly unwell may not immediately point to diabetes, but they could be signs of a serious and fast-moving underlying condition. That is why I ask the Minister to find every way possible to raise awareness of type 1 diabetes through all levels, using all the levers of Government.

I am conscious of time, so I will jump to the fact that we need to ensure that this basic pin-prick test can be used consistently and in a planned way. That reasonable and proportionate step could spare families the trauma of seeing their child become critically unwell before they are diagnosed, or families having to endure the very worst. Around Christmas, I read an article in which Lyla’s dad mentioned that Lyla would definitely have got a sticker—

Ageing and End-of-life Care

Lee Pitcher Excerpts
Thursday 30th October 2025

(7 months, 1 week ago)

Commons Chamber
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Jim Shannon Portrait Jim Shannon
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I thank the right hon. Member for his intervention and for the wisdom that he brings to all the debates he participates in. The Minister is listening, and he is a good Minister, so I know he will come back with the response we hope to have.

How often have we listened to family members who are past themselves with exhaustion and guilt about how they are caring for their loved one and who feel unprepared and yet unwilling to let them go into nursing care? With more support, their lives would be easier and their loved one’s life happier. This knowledge is why I was not surprised to learn that almost £12 billion of public funds was spent on healthcare for people in their last year of life, 81% of which was spent in hospital, with only 11% spent on primary and community care.

Access to a 24/7 palliative care advice and support telephone line has been recommended as a minimum service requirement for nearly two decades, but research shows that very little has happened, which underlines the issue that the right hon. Member for New Forest East (Sir Julian Lewis) raised. Only seven of the 42 integrated care boards in England said they have a dedicated 24/7 single point of access to palliative and end-of-life care advice, guidance and onward referral to other services, when needed—those are all important factors.

Despite the introduction of a new legal duty for ICBs to commission palliative care services in the Health and Care Act 2022, the urgency and importance of ensuring that everyone has the best possible care and support at the end of life has yet to be recognised as a national priority. I hope the Minister will be able to provide assurance on this, because that is what Marie Curie wants, it is what Sue Ryder wants, and it is what every mum, dad and family member wants as well.

Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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The day I get to intervene on such an amazing Member is a remarkable day. I live in a very rural area where there are places with real socioeconomic deprivation. I know for a fact that there is huge inequality in those kinds of areas when it comes to palliative care. Does he agree that the Minister and the Government need to look at how to reduce that inequality over the next 10 years?

GP Services: Melton and Syston

Lee Pitcher Excerpts
Thursday 30th October 2025

(7 months, 1 week ago)

Commons Chamber
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Zubir Ahmed Portrait Dr Ahmed
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As a medical practitioner, I can assure the right hon. Member that he is ageing well, and I am sure he has many more years of service to give.

I will now take on some of the challenges that the right hon. Member said faced GP services in Melton Mowbray and Syston. He is knowledgeable—possibly more knowledgeable than me—about the Carr-Hill formula. I can assure him that my hon. Friend the Minister for Care, whose portfolio this comes under, is very engaged in reforming the Carr-Hill formula. I am sure he would be pleased to give an update on how he is getting on with that. The right hon. Member wishes for a meeting with the Minister of State, and I would be delighted to arrange that for him—I am afraid I cannot confirm the location, but I can certainly arrange the meeting.

When asked about their top priority for the NHS, the public overwhelmingly call for us to fix general practice and access to it. That is at the heart of what people care about in this country, and it is what they need first and foremost from their health service. General practice remains the front door to our NHS, delivering vital care to millions across this country, yet we all know the challenges faced by both patients and GPs—the right hon. Member alluded to many of them in his excellent speech: access to appointments, capacity and workforce pressures, to name but a few. The Government are absolutely committed to tackling these issues, to ensure that everyone receives the care they deserve.

Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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On the subject of capacity, one of the biggest concerns that is raised with me when new houses are proposed for a particular area of Doncaster East and the Isle of Axholme is access to appointments in the future. Can the Minister reassure me and my residents that discussions take place between his Department and the Ministry of Housing, Communities and Local Government on forecasting future appointments, to ensure that everyone gets the support that they require?

Zubir Ahmed Portrait Dr Ahmed
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That relates to the point made by the right hon. Member for Melton and Syston about section 106 funding. It would definitely be in the spirit of mission-driven government to work collaboratively across Departments—in this case, the Department of Health and Social Care and the Ministry of Housing, Communities and Local Government—to ensure that, as we build the millions of homes that we wish to in the lifetime of this Parliament, we do not neglect the services required to make those homes happy and fulfilling for the communities who live in them.

Timely access to GP appointments is at the heart of a strong and responsive healthcare system. To deliver more appointments, we must have more GPs. That is why, in October 2024, we took decisive action, investing £160 million in the additional roles reimbursement scheme, or ARRS. This targeted funding has enabled the recruitment of over 2,500 new GPs across England, directly increasing appointment availability and improving care for thousands of patients. Our new £102 million primary care utilisation and modernisation fund will create additional clinical space in over 1,000 GP practices. That will enable them to deliver over 8.3 million more appointments, further expanding appointment capacity and enhancing patient care. In our newly published medium-term planning framework, we have also set an ambitious new target for practices to deliver all urgent appointments on the same day, helping to ensure that patients who need urgent care will be prioritised.

This Government have invested an additional £1.1 billion in general practice—the largest such investment in over a decade. This 8.9% boost to GP contract funding for 2025-26 surpasses the overall NHS budget growth, marking a generational uplift in funding, and it means that we are beginning to reverse a decade of a dwindling share of NHS resources going to general practice.

We are not just investing but reforming contracts, giving GPs streamlined targets, incentivising improved continuity of care for those who would most benefit—usually people with chronic illness—and, crucially, requiring practices to make it possible for patients to go online to request an appointment throughout the duration of core opening hours. That will also free up time for patients who might require an in-person visit or a phone call.

I turn to the GP-patient ratio in Melton and Syston. As a result of our investment, primary care networks in Melton and Syston have recruited an additional 64 GPs through the additional roles reimbursement scheme, bringing patients in the right hon. Member’s constituency the care they need. Today, the median number of doctors in general practice per 10,000 registered patients in Melton and Syston is 6.2 full-time equivalents, which is above the England median of 5.6 full-time equivalents.

I reassure the House that we are listening to patients in the right hon. Member’s constituency and trying our best to respond to their needs. For the first time, more patients are contacting their GP online than by phone. That is why, from 1 October, we extended access to GP online services throughout core hours—8 am to 6.30 pm—making it easier for patients to reach their practice in their preferred way. That is a huge step in delivering our manifesto commitment to ending the 8 am scramble, which has long been a barrier to care up and down the country.

Most importantly, practices already using online systems have gone on to see bigger improvements. If I may talk about London for a moment, one London GP surgery reduced its waits from 14 days to just three, with 95% of patients seen within a week. I turn to digital health, which is transforming access in healthcare in Melton and Syston. Patients can now access their GP through the NHS app. They can use it to book appointments, order prescriptions and even receive rapid online consultations, with AI-supported triage ensuring that urgent cases are prioritised within hours.

The GP patient survey shows that in the right hon. Member’s integrated care board area of Leicester, Leicestershire, and Rutland, the percentage of patients using online GP services has increased from 65% to 73% over the past year. The ICB operates virtual wards as part of its “home first” strategy. It uses secure remote monitoring, which saved 11,000 bed days across Leicestershire in 2024 and enables patients in Melton and Syston to recover safely at home.

The Government have approved a spending review settlement that will bring care closer to the community, shift the NHS from sickness to prevention and from analogue to digital, and ensure that the NHS is more people-centred. We will provide additional funding by 2028-29 to bring back the family doctor by training thousands more GPs, delivering millions of appointments more over the spending review period, and building further on the 2,500 GPs already recruited.

Patient satisfaction needs to be our guiding star. As a result of all our efforts, 8 million more appointments have been delivered this year compared to last, and it is making a difference to patients’ lives. According to the latest health insights survey, 73.1% of patients reported a good overall experience. That is up from 67.4% in July 2024, and reverses years of patient dissatisfaction.

I understand that the development of a new primary care facility in the right hon. Member’s constituency has been a matter of local concern for some time. I am grateful to him for bringing it to the Government’s attention. I have been informed that Leicester, Leicestershire and Rutland ICB is working with Melton borough council to explore options to improve access and extend service capacity for Melton residents. I very much take on his suggestion that it could be a location for a health centre under the Secretary of State’s new programme of neighbourhood health centres; I will certainly pass that on to the Secretary of State.

The ICB is working with Latham House to increase the ways in which the practice can support local residents. Proposals include a new digital suite at the main site, and an approved redevelopment of a property owned by the practice on Sherrard Street to extend clinical services. The ICB and Melton borough council will continue to meet to discuss progress. The ICB will revisit the scheme’s progression in the fourth quarter of 2026-27 to allow more certainty about developer contribution, the impact of new registrations and staffing availability.

Let me talk briefly about industrial action. The Government are firmly committed to supporting general practice, and we want to continue engaging constructively with colleagues in the profession as we shape the future of general practice together. Since coming into office just over a year ago, this Government have made significant strides in supporting general practice, and we are asking our colleagues in general practice not to close the door on patients, but to work with the Government to rebuild the NHS for the benefit of patients in the right hon. Member’s constituency, and indeed the country.

In conclusion, everything that this Government have done since the election has been geared towards saving the NHS and giving it back to the people, primarily through the lens of community and largely through general practice. We are placing power back into the hands of patients—where it rightly belongs—because this is their health service and it must work for them. Ensuring that every patient has access to the care they need is not just a priority; it is a guiding star for this Government. The Government are committed to delivering on that promise. I end by associating myself with the remarks of the right hon. Member about the hard-working staff in GP practices up and down our constituencies, and the quality of care that they provide. I know how hard it is to work in difficult circumstances, and it is this Government’s job to make the working lives of those staff easier, more valuable and more fulfilling. I look forward to working constructively with the right hon. Member, to the benefit of patients and citizens up and down Melton and Syston.

Question put and agreed to.

Suicide Prevention

Lee Pitcher Excerpts
Thursday 11th September 2025

(8 months, 4 weeks ago)

Commons Chamber
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Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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I beg to move,

That this House has considered suicide prevention.

Before I begin, I want to share for the benefit of anyone watching or anyone in this Chamber who may ever need it that help is available: 24/7 crisis mental health support can be accessed by calling NHS 111 and selecting option 2, or by calling the Samaritans, whose badge I proudly wear today, on 116 123. I cannot thank the Backbench Business Committee enough for granting this debate in the main Chamber. The Committee’s recognition of just how important it is for this issue to be heard here is in itself hugely symbolic.

Let me start with the worker who was on stand-by, who in the early hours of the morning was called to deal with the death of a man from suicide, who was found in the trees, alone on some open land. That worker, having dealt with the immediate response, then reflected and thought about the true impact of managing that situation. He failed to sleep for the rest of the week, and never once slept well again when on his stand-by duties.

To the family of John, he was a massive West Ham fan who loved Motörhead and the genius of Pink Floyd. His mum, who found him that day, experienced that thing no parents should ever have to endure: their baby, who they once cradled, leaving this world before them.

That worker on stand-by, that cousin of John, that is me. We got that call about John as we prepared to go to another family member’s funeral—that chilling call that no one ever wants to receive. John had decided he could no longer go on living with his demons, and felt that the only way to gain peace was to end his life. Right now, as we speak today, there are many other Johns out there making a similar choice. Like our John, they will be someone’s son, dad, brother, uncle, cousin, friend or colleague.

From that day on, we vowed as a family that the best thing we could do in John’s memory was to ensure that we helped show people a different path, so that that dreaded call could never happen to anyone else. Whether it is by raising funds through marathons, maximising our use of social media to highlight support or, for me, securing this debate, we are all doing everything we can for John. While none of this can bring John back to his gorgeous sister Jacqui, who is watching this in Australia, or to my auntie and uncle, there will be some comfort that his personal fight may prevent others’ pain in the future.

Today, using the privilege of being elected to this place, I will use my voice to try to make a difference. I have shared my story, because I want everyone to remember how common, unfortunately, these situations are; so many of us will tragically get that heartbreaking call about a family member, friend or colleague at some stage in our lives. I am also sharing this because, just by raising the subject in this place, we give suicide prevention a national platform, from which we can strive to share best practice and find new ways to take action to make a difference and save lives.

Compared with other leading causes of death, suicide remains poorly understood. The stigma that still clings to it stops people reaching out and isolates the families left behind. Breaking that stigma requires us to talk openly and honestly in places such as this Chamber. As I am sure you agree, Madam Deputy Speaker, there are not many subjects on which simply having a debate has the potential to save lives, but today we have that opportunity, and my hope is that hon. Members will use it as a chance to shift perceptions and push back stigma, and perhaps it will be heard by someone who needs it.

On 10 September every year we mark World Suicide Prevention Day. It is a chance to remember those we have lost, to stand with those who are struggling and to commit to doing all we can to reduce the number of lives lost. This year’s theme, set by the Samaritans, is interrupting suicidal thoughts, and that is what we must do in this Chamber—interrupt the silence, interrupt the stigma and push for change.

The statistics are stark. In 2023, 7,055 people across the UK lost their lives to suicide. It remains the leading cause of death for men under 50 and for men and women aged 20 to 34, and suicide among teenage girls and young women has nearly doubled in recent years. In Doncaster, where I live, suicide rates are above the national average; 121 lives were lost between 2021 and 2023. In the same period in North Lincolnshire, in which the Isle of Axholme lies, 41 lives were lost. Every life lost is a tragedy, but what those numbers do not show is the ripple effect. Every statistic represents a family and network of friends, colleagues and acquaintances who are all affected. Suicide may often happen alone, but it never happens in isolation.

However, suicide is not inevitable; it is preventable. Before I speak about the asks I have of the Minister and the Government, let me touch on the importance of mental health and building resilience in early life. Mental health problems often start to develop in our teenage years, and even if they do not reach crisis point until much later in life, we need to do something, which is why we cannot leave these conversations until it is too late. We need to start talking to children about mental health from an early age. This has to be done carefully and in an age-appropriate way, but just as we teach our children about eating well and staying active to look after their physical health, we should be helping them to build resilience and wellbeing for their mental health, whether that is through mindfulness, by learning how to manage stress or by knowing where to turn if they need help.

Just as importantly, we need to teach young people—again, at an appropriate time—that seeking help with suicidal thoughts is not a weakness and is not something they need to face alone. It is a medical issue and it needs medical intervention and support. There should be no more shame in reaching out for mental health support than there is in getting a prescription for insulin or picking up an inhaler.

If we can make those lessons part of growing up, we can give the next generation a far stronger chance of living a healthy, hopeful life. That is why it is so important that this Government are committed to putting a mental health professional in every school, helping to build that early resilience and understanding. That help is already in place for nearly 1 million pupils, and it will be there for every child during this Parliament. At this stage, I want to give a shout out for With Me in Mind for the amazing work it does in my area.

I will concentrate on three key areas where I would like the Government to take action. The first area is mandatory suicide prevention training for first responders and better mental health awareness across frontline services. Our police, fire and ambulance services are amazing, and their crews are often the first to respond when someone is in a suicidal crisis. In the year up to March 2025, fire and rescue services were called to more than 3,100 suicide attempts. East Midlands ambulance service alone responded to more than 20,000 incidents in 2024, and the North East ambulance service responded to more than 21,000 incidents—three times the number from just four years before.

The fact is that training on this matter is just not consistent, and we have an opportunity to do more. We know that training works. Evaluation shows that with suicide prevention knowledge, confidence and attitudes improve significantly after training. GPs who complete training are 20% more likely to identify people at risk. Equipping first responders with the skills to spot the signs, start a compassionate conversation and make an intervention will save lives.

The second area is better research into demographic gaps in suicide deaths. We know that the risks are not evenly shared; men are three times more likely to die by suicide than women, and men in deprived areas are five times more likely to do so. Too often, men are told to man up or tough it out, and they are less likely to seek help, confide or access services until it is too late. However, this is about not just how men are taught to act, but how people react to men seeking help. Research shows that nine in 10 men who died by suicide had been in touch with a statutory service in the year before their death, whether it was at A&E, through primary care or even through the criminal justice system, yet too many opportunities to help are missed. If we are serious about tackling the biggest killers, as the Government have promised, we need a clear, evidence-based programme of research into how suicide risk presents in men and how services can respond more effectively. Without that, the mental health strategy risks failing the very group it needs to help the most.

This is not just about a gender gap. People in the most deprived areas are twice as likely to die by suicide. Autistic people face three times the risk of their peers. Gay and bisexual adults face twice the risk. For trans people, the risk of a suicide attempt is four and a half times higher, and for trans youth the risk is nearly six times higher. There are huge differences in death by suicide across ethnic groups, across regions and between different kinds of employment and educational background. These differences need to be studied and understood, just as we would for any disease that affected different demographics in different areas. By studying the different demographics affected, we can learn about the causes, risk factors, preventive or protective factors and paths to recovery.

The third area is a rapid and ambitious roll-out of mental health hubs after next year’s pilots. These hubs could be transformative—local, community-based and accessible without referral or appointment. That is exactly the kind of frictionless support we need to offer. When someone is suicidal, every barrier is a potential barrier too far. No wrong doors, no delays—if someone asks for help, the system must help them. Alongside that, we must support the voluntary and community organisations that are already saving lives every single day, such as Samaritans, Mind, Andy’s Man Club, James’ Place, Men’s Sheds and local groups such as the Jackson Hope Foundation and the Shed on the Isle in my constituency. They provide the human connection that prevents suicide, but they are too often left to rely on their own fundraising. If we are serious about prevention, Government must partner with them, not leave them struggling for survival.

The Government have committed in their manifesto to tackling the biggest killers, including suicide, and to delivering the suicide prevention strategy. I urge Ministers to go faster and further; for some people listening today, time is already running short. Prevention is not just better than cure; for suicide, it is the only chance that some people will ever get. As I said, the theme for World Suicide Prevention Day is interrupting suicidal thoughts. It is the responsibility of each and every one of us to interrupt with training, with research, with services that open doors in every community. Suicide is not inevitable; it is preventable. With the right action, we can and we will save lives.

On Monday, I will be carrying the baton of hope, taking part in a relay across my constituency alongside many others to raise funds and awareness for suicide prevention. That baton is a symbol—a physical icon of mental health. It is a reminder that hope can be carried, shared and passed on to the next person. Our task in this House is to ensure that hope is met with action, so that fewer families face the grief of losing a loved one and more people find the support they need to live.

None Portrait Several hon. Members rose—
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Lee Pitcher Portrait Lee Pitcher
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We have felt a very different kind of emotion in the Chamber this afternoon, compared with what we normally feel. The stories that have been shared have been stripped back, quite raw and very emotional. It really brings home to me the extent of the risk we are talking about here.

Let me thank all hon. Members for their contributions and for their honesty. I thank the Minister, the shadow Minister and the Liberal Democrat spokesperson. These kinds of debates are never easy, but what I have heard just shows the depth of commitment across the House to tackling suicide. What also gives me hope are the amazing organisations and volunteers who are out there every day trying to support our most vulnerable when they need it the most.

Suicide is a huge problem. We all know that there are no quick or easy solutions, and every one of us came here to challenge things like this and to make a difference. What we have heard today gives me renewed hope that change is possible. If we get it right, we can make a massive difference that will save lives. So, to use the phrase used earlier today by my hon. Friend the Member for Blaydon and Consett (Liz Twist), we do hear you, we do see you and we want to be here for you.

Question put and agreed to.

Resolved,

That this House has considered suicide prevention.

Breast Cancer Screening: Bassetlaw

Lee Pitcher Excerpts
Monday 9th June 2025

(1 year ago)

Commons Chamber
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Jo White Portrait Jo White
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I agree with my hon. Friend. We have data, but we remain unsure where the lowest uptake is. I would like to go to the wards in my area where uptake is low and knock on doors to encourage women to go to their screenings, so it would helpful to have precise data from the two hospitals in the Doncaster and Bassetlaw hospitals trust.

Several organisations across Bassetlaw support people with cancer, and I wish to highlight the work of Aurora in Worksop, which offers support to people during and after cancer treatment. From exercise spaces to beauty treatments, emotional support or even just a cup of tea with a friendly face and a listening ear, organisations like Aurora in our constituencies are the unsung heroes for people going through the challenge that is cancer treatment.

Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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I congratulate my hon. Friend and neighbour on securing this important debate, and on the campaign that she is leading on women and men being screened for breast cancer early. Uptake is very low nationally, which is a problem in Doncaster East and the Isle of Axholme. Incredible work is done by organisations like Visit Bawtry. In October last year, over 70 organisations turned the town pink during Breast Cancer Awareness Month, raising £15,000 for breast cancer charities and, most importantly, amplifying the message that it is important to get early detection to save lives. Does my hon. Friend agree that efforts by grassroots organisations are vital, and that the Government must support them, as well as supporting improved screening access and public health messaging?

Jo White Portrait Jo White
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I thank my hon. Friend for his comments, and I agree with him. Bawtry is just across the border from my constituency, and it has a very strong community. When I go to through these towns, I see how many people come out on to the street to support one another, so I am sure that the campaign he mentions is very strong. I have come across many charities and organisations working on this issue in my constituency; they often involve people who have had breast cancer, and who want to educate other women and encourage them to be screened. They are very important to the work that we are doing.

Since the beginning of breast screening checks in 1988, there has been a cut-off age of 70. My campaign includes women who are above the age threshold for being invited in for screening. My nan was over 70 when she was diagnosed with breast cancer. Why do women over 70 have to rely on memory and a phone call to get their screening appointment? All women can get breast cancer; it does not discriminate by age or background.

I thank Bassetlaw women Sue Shaw and Barbara Baldwin, who are both over 70 and are now missing out. They argue that the cost of treatment for breast cancer far outweighs the costs of screening. Early prevention not only saves lives, but saves the NHS money. They are calling for the threshold to be eradicated—that is their ask and mine of the Minister. As we have heard, early diagnosis of breast cancer can save lives, and I am doing everything that I can locally to encourage women to attend their screenings when they are invited. My Bassetlaw message is: love your boobs, and get them checked.

Male Suicide in Rotherham

Lee Pitcher Excerpts
Monday 24th March 2025

(1 year, 2 months ago)

Commons Chamber
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Jake Richards Portrait Jake Richards (Rother Valley) (Lab)
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In Rotherham, male suicide is a silent tragedy on the rise. As the local MP, I receive too many calls or messages early in the morning or late at night, telling me about another husband, father, brother or friend who has died in these tragic circumstances. Each call haunts us and our communities, but it is nothing compared to the unimaginable sense of grief and agony suffered by family and friends. The growing phenomenon of male suicide is part of a wider storm we face: of worsening mental health and mental health provisions for men; of splintering communities and support networks; and of a society that too often makes some men feel that they are unable to open up or reach out for help, or indeed that they are themselves part of the problem.

Tonight I want to make the argument for further Government action, and also offer a call to arms to us all. We can all do more to check in on our neighbours, friends and colleagues, and to build safe spaces for men to talk, to feel valued and to know that it is okay not to feel okay and that there is help. We should never forget the tragedy of women taking their own lives, too, and the particular circumstances that only women face that might lead them towards doing so. That matter is worthy of its own debate, though much of what we discuss will of course be relevant.

The numbers for men are startling and worth stating bluntly: suicide is the biggest killer of men aged under 50. Men account for three out of four suicides in England and Wales. A hundred men end their lives each week across the country. In Rotherham, men account for 79% of suicides.

Lee Pitcher Portrait Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
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In Doncaster last year, 80% of those who died from suicide were men, and we of course have one of the largest numbers of veterans in the whole of Yorkshire and the Humber. Doncaster council has the armed forces covenant. Will my hon. Friend join me in promoting its work, particularly around the veteran-friendly suicide prevention training that makes a huge difference to all the people who take part in it?

Jake Richards Portrait Jake Richards
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My hon. Friend makes a good point. Just on Friday, I had the Defence Secretary, who is with us today, and the Veterans Minister in Dinnington to speak with veterans groups and organisations. Mental health provision was right at the top of the agenda, as it should be. Beyond each individual tragedy is a wider story. There is a specific challenge for policymakers in grappling with male suicide.