Prevention of Drug Deaths

Leigh Ingham Excerpts

Thursday 27th March 2025 Westminster Hall

[Leigh Ingham (Stafford) (Lab)]

It is a pleasure to serve under your chairmanship, Dr Murrison. I thank the hon. Member for Strangford (Jim Shannon) for securing this debate, as the prevention of drug-related deaths affects many in all our constituencies across the country.

Drug misuse is a complex problem with many causes and impacts, but one thing is clear: the current rates of death are completely unacceptable. In 2022, there were 7,912 alcohol-specific deaths. In 2023, 5,448 deaths related to drug poisoning were registered in England and Wales. That is the highest number since records began and a tragedy that has to stop. We cannot allow this crisis to continue unchecked.

In last week’s business questions, I spoke about how important community services are in supporting people with substance misuse issues. One example that stands out in my constituency of Stafford, Eccleshall and the villages is Chase Recovery, a truly innovative, community-based, peer-led rehabilitation programme. I recently had the privilege of visiting and saw at first hand the incredible impact the programme is having on the lives of those seeking recovery from substance misuse. It is not just a treatment programme but a lifeline for those who need it most. It offers a holistic, supportive environment where individuals can recover, rebuild their lives and develop new skills and confidence. Truly, I could not describe it as anything more than a really welcoming and supportive community.

During my visit I had the pleasure of meeting Paul and Cara, who run the organisation. They are incredibly passionate people who lead the programme with incredible dedication. Their drive and commitment to helping others is truly inspiring. They are making a difference every single day, and I have no doubt that the work they are doing is helping people to achieve long-term recovery and to rebuild their lives in a meaningful way.

Programmes like Chase Recovery prove how community- based, peer-led services can play a vital role in sustainable, long-term recovery, but those programmes need support from the Government to ensure that they can continue their vital work and reach even more people in need. It only takes one helping hand to change someone’s life. I encourage the Minister to outline what the Government are doing not only on prevention but on community-led treatment.

[Dr Andrew Murrison (in the Chair)]

That was commendably brief.

Tobacco and Vapes Bill

Leigh Ingham Excerpts

Report stage
Wednesday 26th March 2025 Commons Chamber

My challenge to the Government is the following. There will, no doubt, be challenges in the High Court from the tobacco industry, with its vested interests. If it turns out that these provisions are struck down in Northern Ireland, will the Government tonight at least commit to overriding that in future legislation?

[Leigh Ingham (Stafford) (Lab)]

I rise today in support of this legislation. Young people vaping is not the biggest issue that comes up in surgeries, but it is one of the biggest issues that comes up when I walk through town or visit a school, and even when I talk to young people themselves. It is an urgent crisis—not just vaping, but smoking. There are around 760 cancer deaths in the areas around Stafford, Eccleshall and the villages every year, and data suggests that in the next five years more than 1,100 of my constituents will have had lung cancer-related issues.

This legislation shows that this Labour Government care about the children of this country. We care about who they are, and who they will become; we want them to live longer, be happier, and never have the chance to pick up a £5 vape or a cheap pack of tobacco that could set them on the path of addiction for the rest of their lives.

I wish to take a moment to acknowledge the former Prime Minister, the right hon. Member for Richmond and Northallerton (Rishi Sunak), for starting a version of this Bill and bringing it forward despite significant opposition in his own party. I know that he did it out of concern for the future of the children of this country and I commend him for it.

Today, some will talk about choice when they oppose this Bill. In my work as an MP, I have spoken to people whose lives have been devastated by this addiction. I ask whether those who speak about choice truly believe that, once addiction has taken hold, a person has the same freedom of choice that they once did. This is not about taking choice away; it is about giving people freedom from addiction before it ever appears.

For me, the Bill is also about something so much deeper. It is about time—time with family and time with friends. How many of us have lost loved ones to cancer? I lost my grandfather to cancer, and my mum has had lung cancer. My mum was entirely fit at the time she was diagnosed with lung cancer—she used to do a Joe Wicks workout every morning. As she came from a place in the north where people suffer from lung-related illnesses, she was part of a pilot scheme to scan smokers and previous smokers for issues. Her cancer was caught early, while she had no symptoms. My family know how lucky we are. We were lucky that the cancer, which would have continued to grow in her body, was caught then and there. In fact, the cancer was so small that after it was taken away, she needed no further treatment; just a lobe of her lung was removed. My family could not be more grateful that she was part of that scheme, that she is still doing Joe Wicks exercises in the morning, and that she is still around to play with her grandchildren.

How many more precious moments with families will this Bill provide? That is the only question that I am here to answer. Truly, the children of the future may never know how their lives were changed by this Bill—just as I do not really know how my life was changed by the seatbelt Bill introduced years before I was born—because they will never have picked up the smoking habit in the first place. They will live longer, live healthier, and have more time with the people whom they love. Let this be the generation that ends youth addiction before it begins.

[Robin Swann (South Antrim) (UUP)]

I echo the words of the hon. and learned Member for North Antrim (Jim Allister) with regard to the importance of this Bill applying to all four nations: I want it to cover the entirety of the United Kingdom. Some 2,200 people in Northern Ireland die every year from a smoking-related illness. One in four of our cancer cases is related to smoking. The consultation carried out by the previous Government on their legislation, which was specifically about creating a smokefree generation, found that 62.5% of the UK population were supportive. In Northern Ireland, however, 79% were in favour of bringing forward this legislation.

Back in May 2024, when I was a Northern Ireland Health Minister, I introduced the original legislative consent motion, which received all-party support across the Northern Ireland Assembly, and yes, as the hon. and learned Member for North Antrim has mentioned, there were concerns over the applicability of the measure owing to EU regulations and legislation. There was a concern that the law would remain undelivered in Northern Ireland. At that stage, I engaged with the then UK Government, and have now engaged with this Government to seek assurances that this lifesaving, life-changing legislation will apply equally and favourably to all parts of our United Kingdom. I look forward to the Minister being able to give me those reassurances. I have signed new clause 3, because I accepted those reassurances as Health Minister but would appreciate reinforcement in this legislation.

Much has been said about the entrapment of our young people—whether previously with regard to tobacco, or now with vaping and vaping products and how they are being marketed and presented. One of the most harrowing reports that I have read recently was regarding Alder Hey children’s hospital, which has now opened a clinic for children addicted to nicotine. They became hooked because of vaping. Twelve children between the ages of 11 and 15 have had to seek medical help to cut down and deal with their nicotine addiction. Twelve children between the ages of 11 and 15 are receiving treatment in a children’s hospital due to the evil promotion and enhancement of not just vaping but nicotine. We are looking to save money within our national health service, but we are already encouraging and enabling these young people to become addicted to a dangerous drug. We should be doing everything we can in this place for young people.

According to reports about the Alder Hey clinic, children as young as eight are vaping regularly. Some reportedly cannot get out of bed in the morning before they take their first puff. That is a disgrace. I encourage anyone in this Chamber who in any way opposes the Bill or thinks that this is not the right thing to do to seriously consider how vaping is impacting our young people across this United Kingdom.

I finish by asking the Minister to reassure this House, not just with words but with action. Can she assure those of us from Northern Ireland who have supported the legislation and worked hard to make sure that it had a four-nations approach that the guidance, support and legal enforcement in the Bill is equally applicable to us in Northern Ireland?

Rare Cancers Bill

Leigh Ingham Excerpts

2nd reading
Friday 14th March 2025 Commons Chamber

[Leigh Ingham (Stafford) (Lab)]

I am proud to share the Benches with all the hon. Members here. The advocacy that we have heard has been incredibly moving. My constituents Rosalind, Rob, Mark and Michelle asked me to speak today; they support the Bill, as do I.

Patients with rare cancers face incredible challenges, including delayed diagnoses, limited treatment options and a lack of research investment that often leaves them feeling forgotten. This Bill will change that narrative. It is a call to action for greater investment, better access to clinical trials and a stronger commitment to research that will ultimately save lives. Barriers and bureaucracy must not stand in the way of innovation. That is why I support the measures in the Bill that call for a comprehensive review of how we approve treatment for rare cancers. My hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh) said that more powerfully than I ever will.

The Bill is about fairness, dignity and hope. It has significant support from hon. Members across the House, not just as politicians but as people who understand the value of every life. I hope that we all get to vote for it today.

Department of Health and Social Care

Leigh Ingham Excerpts

Wednesday 5th March 2025 Commons Chamber

[Sir Geoffrey Clifton-Brown]

I thank the Chair of the Health and Social Care Committee for her endorsements of the worthy work that all these individuals have put into the health service.

The Department of Health and Social Care is one of the highest spending Departments in the UK, with a total departmental expenditure limit standing at a huge £210.1 billion. I am not sure anybody believes that the NHS is working at optimal productivity. NHS England is the largest quango with the highest budget in Whitehall; however, when allocating funds, it is also one of the few Departments that is making life and death decisions that affect the lives of literally millions of patients and their families. I think it does, therefore, deserve the highest level of scrutiny, which is part of what we are doing today.

Before even getting on to the figures, the NAO confirmed that the level of productivity in the NHS has dropped by around 23% since the pandemic. I simply say that unless that is sorted, any reform that the Government announce will be sucked into the black hole of the NHS without commensurate value for money or results.

[Leigh Ingham (Stafford) (Lab)]

rose—

[Sir Geoffrey Clifton-Brown]

I do not want to give way to too many people; otherwise, you will reprimand me for taking too long, Madam Deputy Speaker. However, I am, of course, happy to give way to the hon. Lady.

[Leigh Ingham]

On that point specifically, I was at my local hospital—County hospital, in Stafford—a couple of weeks ago, where I noticed that staff were still using paper to make notes on patients. One of the biggest barriers to the NHS being more efficient is the inability to have effective digital systems. Does the hon. Gentleman agree that the investment that has been announced in the move from analogue to digital in the NHS is long overdue?

[Sir Geoffrey Clifton-Brown]

I agree entirely with the hon. Lady. She has obviously been reading my speech— I will cover the announcement later in my speech, at which point she will hear exactly what it says.

As I say, the NAO has confirmed that productivity levels have dropped by 23%. I welcome the Government’s commitment to a 10-year plan for the NHS. We have also repeatedly warned that, with an ageing and increasingly sick population, the NHS will struggle to cope with the ever-increasing multiple complex demands of our population.

I wish to split this speech into three sections: how productivity could be improved in the NHS; funding; and, as the hon. Member for Stafford alluded to, technical advancements and a shift into community care.

The Department of Health and Social Care’s day-to-day spending—RDEL—is set to increase by £10.9 billion—from £187.9 billion to the main estimate as produced today of £198.5 billion. The capital spending is, however, set to decrease by around £1 billion, from £12.5 billion to £11.5 billion—a decrease of 8%. That is worrying as it shows that more and more funds are being redirected from long-term investment—for example, in the new hospitals to which the previous Government had committed themselves. I welcome the new Treasury guidelines that have stopped the practice of the past few years of redirecting up to £1 billion from capital spending to day-to-day spending. That should help to make more money available.

The NHS estate, as we all know from our constituencies, is in desperate need of investment, and our capital investment programme is running behind schedule. The problems with reinforced autoclaved aerated concrete have only added to the necessity of upgrading our hospitals, and I hope the Minister will listen to this plea.

The latest NAO report on the DHSC annual report and accounts shows that local systems, such as integrated care boards and NHS providers, reported a year-end overspend of £1.4 billion. This has nearly doubled from £621 million in 2022-23. This was despite an extra £4.5 billion of additional funding during 2023-24, which was to support pay deals for non-medical staff, mitigate any impacts from industrial action and provide money to address the costs of new pay arrangements for doctors and dentists.

What I do not think is acceptable is the glacial pace of agreeing priorities and approving final budgets for the local systems. In November, our Committee was shocked to hear that, in the past two years, those local systems—ICBs and others—had not had their financial plans approved by the Department until June and May respectively. That is up to three months after the start of the financial year. How can our poor local systems plan efficiently when these final allocations and guidance are so late? If the Department’s own accounts were finalised much sooner, our local systems would be able to have the money allocated in a more timely way, making wastage and inefficient spending less likely.

I welcome the Secretary of State’s prognosis that the NHS is far too big and complicated. There should be a shift towards allowing NHS trusts more control of their own budgets, as clarified in the 2025-26 priorities and operational planning guidance published in January. Moving more funds directly to NHS trusts, ICBs and local systems will improve accountability and give them a level of flexibility about how their funds should be better spent, rather than just focusing on targets and directives. For example, if they were to run a surplus because they had run their operation so well, they could reinvest the money in desperately needed capital projects rather than returning it to Whitehall. That must also go hand in hand with a need to improve productivity. Between 1996 and 2019, the NHS averaged a measly 0.6% a year increase in productivity.

Since the pandemic, productivity has now fallen by 23%. In March 2024, the Conservative Government announced that the NHS would receive £3.4 billion of capital investment for digital improvements between 2025-26 and 2027-28, which begins to address the point that the hon. Member for Stafford mentioned. As part of that investment, NHS England committed to achieving ambitious average productivity improvements of 2% per year through to 2029-30. However, those digital improvements, presaged by that additional £3.4 billion, have not yet been fully actioned.

Women’s Health

Leigh Ingham Excerpts

Thursday 27th February 2025 Westminster Hall

[Leigh Ingham (Stafford) (Lab)]

It is an honour to serve under your chairship, Dr Huq. I extend my thanks to my hon. Friend the Member for Hastings and Rye (Helena Dollimore) for securing this debate on such an important issue. I know it is really close to her heart.

For far too long, women’s health concerns have been under-represented, underfunded and misunderstood. When reading the elective care reform plan, I was delighted to see that the Government are going to increase the funding available to improve capacity to tackle the waiting lists for gynaecological treatment, on which there are 260,000 women. The Government are taking sorely needed action to ensure that women across our country receive the care, respect and medical support they deserve.

My constituent Suzanne is a campaigner for women’s health and is director of the charity Bladder Health UK. She told me how woefully under-represented urogynaecology is in the medical sector. Suzanne told me that, similarly to what my hon. Friend the Member for Dudley (Sonia Kumar) said, there is currently no NHS guidance for chronic urinary tract infections, leading to a troubling gap between the lived experiences of women and the way their conditions are treated. Urologists often fail to refer patients with chronic UTIs to uro- gynaecologists, despite the need for multidisciplinary care. Organisations such as Bladder Health UK have highlighted the importance of ensuring that patients receive comprehensive, specialist-led treatments, and I hope that will be emphasised by the Government.

More widely, we need a cultural shift in the way we approach women’s health. There is a huge gap between research and study. Friends of mine have told me that they are left scouring the internet and American medical journals to find a cure for their chronic urinary tract infections, simply because GPs’ approach to UTIs is so severely lacking. It is tough to understand the true scale of the problem because of how absent the research is.

The Government have stated that women are leading in senior positions in the National Institute for Health and Care Research, which is a really promising step. However, that must be matched by a laser-focused commitment to women’s health. We need targeted research, better training for medical professionals and a system that listens to, and prioritises, women’s concerns. Women make an immense contribution to our society—in our social networks, our economy and our institutions—yet far too many are doing so while in chronic pain and discomfort. What could they achieve if they had not held back by a scandalously poor understanding of their medical needs? If we get this right for women, everybody will benefit.

Income Tax (Charge)

Leigh Ingham Excerpts

Tuesday 5th November 2024 Commons Chamber

[Leigh Ingham (Stafford) (Lab)]

I join my colleagues in welcoming the Budget and all it represents in making a real difference to the healthcare outcomes of my constituents in Stafford, Eccleshall and the villages. In a way, campaigning on rebuilding the NHS during the election was easy. I did not have to explain to my constituents that our health service is broken. The NHS is not something that happens off in the distance: it is a GP on the end of a phone, or the ambulance service that comes running the second 999 is called, or the kind nurse who sits with a grandparent in their hospital bed. It is the real beating heart of this country. My constituents feel the impact of the NHS every day of their lives, except now for many the phone call to the GP at 8 am takes 40 minutes, the ambulance arrives after several hours, with luck, and there are no beds available in hospitals. We see the impact of the last 14 years on our health service and the shameful legacy left by the Conservatives.

The Budget is the first step in delivering the change my constituents voted for. It represents a new chapter, a commitment to put health and community first and the beginning of rebuilding what has been lost. I know that the Minister for Care has recently stated that the Government are determined to shift more healthcare out of hospitals and into our communities. I wholeheartedly support that goal, especially when it comes to palliative and end of life care, which local hospices in Stafford faithfully provide. I recently met staff at Katharine House hospice in my constituency to discuss the importance of palliative care. I was very moved to see the care and empathy with which they provide services in our community.

The Budget is a reset for the NHS, allowing us to focus on preventing ill health in the first place and moving healthcare from hospital to community as we build an NHS fit for the future. I welcome it, as do my constituents.