Underperforming NHS Trusts: Government Oversight

Lola McEvoy Excerpts

Wednesday 14th October 2026 Westminster Hall

[Lola McEvoy (Darlington) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Stuart. I commend the hon. Member for Chelmsford (Marie Goldman) for securing the debate, which is about—politely—underperforming trusts. This is Breast Cancer Awareness Month, and I will be talking about the breast cancer failings at my local trust, County Durham and Darlington NHS foundation trust.

In April 2025, the trust began going through the case files of women who had been patients of its breast services between 2023 and 2025. Of the 538 women whose cases have been reviewed, 321 experienced some form of harm: 77 suffered significant harm, 20 underwent unnecessary mastectomies, and the trust has confirmed that one woman has died, and it is currently investigating the situation. Let me take a moment to reflect on that. The women in this room know how much pain we are deemed to have to endure and put up with. But to hear that women put their trust in our NHS at a time of great stress and anxiety and had their breasts removed unnecessarily is truly abhorrent.

The trust has rightly changed leadership and is now undertaking a further review of the treatment given to women by the breast services from 2015 onwards. The cases of a further 4,500 women need to be reviewed by specialists. The current rate of review—538 cases a year—means that, without further resource to fund more specialists to review the cases, the process could go well into the 2030s. Recent Health Service Journal modelling estimates that the work could cost the trust £4.5 million. The trust does not get any financial support for that work, which I find counterintuitive, as the victims need answers and justice, and the trust must learn the lessons from what went wrong while also carrying on its vital duties.

Campaigners are calling for a public inquiry—I support them and understand why—but I fear that it will take years and years for answers to be found and lessons to be learned. The Prime Minister recently agreed and said in a BBC interview:

“Of course there needs to be the fullest possible inquiry…we will ensure that those affected have all of the answers that they need”.

He said that there are different routes to the truth but, without additional resources, how can the trust be expected to keep other services running effectively while conducting the inquiry? It will inevitably go into debt and probably be bailed out by the Department of Health and Social Care—that is, the taxpayer.

Given that the Health Bill, which is focused on abolishing NHS England and giving direct powers back to the Secretary of State, is going through the House, we have the legislative opportunity to change the culture from fearing and fighting for scrutiny to funding and facilitating it. Our trust needs to provide the answers and support the affected patients in a timely and compassionate manner, and to improve and change services to gather the information necessary to do that. We all in this House agree that patients across the country deserve better.