Summer Health and Resilience

Max Wilkinson Excerpts

Wednesday 9th September 2026 Commons Chamber

[Yvette Cooper]

My hon. Friend is right to raise this issue. It is an example of the way in which the under-investment over more than a decade—since 2009—has had an impact on both safety and performance, because it has meant that facilities cannot be effectively used. That is why we have the estate safety fund in place, and why we encourage local areas to prioritise what further capital improvements and other improvements they can make. I look forward to discussing this further with my hon. Friend.

[Max Wilkinson (Cheltenham) (LD)]

The Secretary of State’s mention of prevention was welcome: that means keeping people cool in their own homes. For those who live in a conservation area or a listed building, however, that is extremely difficult. So many people in my Cheltenham constituency and many other places like it have experienced temperatures way in excess of 35°C on their upper floors this summer, which is a particular problem for older people and for parents with young babies. Is it not time for the Secretary of State to get involved with Historic England and the Ministry of Housing, Communities and Local Government, and to lead a big conversation about sensible reform of conservation and listing rules so that the planning system does not stop people cooling their own homes?

Budget Resolutions

Max Wilkinson Excerpts

Tuesday 2nd December 2025 Commons Chamber

[Max Wilkinson (Cheltenham) (LD)]

Just this weekend, The Telegraph reported a secret plot to reverse Brexit by taking this country into a customs union with the EU. Sign me up for that, because we would generate plenty of investment and renewal if we did. If only that were the case. As everyone on the Government Benches and in this House knows, there is an alternative to some of the pain in the Budget. The Labour party knows that it does not really need to hike taxes on hard-pressed households or batter businesses. There is a better way.

Depending on which economist we ask, the impact of Brexit has been a hit to GDP of as low as 4% or as high as 8%. What is the Government’s answer? A deal with Europe amounting to a boost to GDP of about 0.3% and a trade deal with India amounting to about 0.13%. Let us not forget the deal with Trump’s America that might be worth something or not very much at all, yesterday, today or tomorrow, depending on how well the President’s Happy Meal is going down.

Those piddling trade deals are used as evidence for not pursuing closer integration with the economic bloc that covers 41% of our exports and 51% of our imports. Such freedoms we have gained: the freedom for Britain to punch itself in the mouth for ever while Reform and the Conservatives tell us that the pain we feel is the sweet taste of freedom champagne and liberty oysters. At least the Government now acknowledge that there is a problem, but the delusion continues while they argue that anything other than the obvious is the solution.

What is the result of that delusion? British businesses are mired in post-Brexit regulation. The cost of living is up, the size of the state has ballooned, much to the annoyance of the Conservatives who told us it would get smaller, tax is at record levels and our economy is more vulnerable to international shocks. We are all poorer, apart from the hon. Member for Clacton (Nigel Farage), who is not here but whose profitable grift continues.

[Madam Deputy Speaker (Caroline Nokes)]

Order. May I just point out that the hon. Member might like to withdraw the choice of word he used to describe the actions of the hon. Member for Clacton?

[Max Wilkinson]

He is making a lot of money on social media, Madam Deputy Speaker, and I am happy to clarify that.

To compound the problem, we have the sort of Budgets that this Government are giving the nation. Last year, they decided to make it more expensive for businesses to employ people. The Government also tell us that their No. 1 priority is growth but persist with needless and harmful trade barriers and increase the cost of employing people. That is at best absurd and at worst a dereliction of duty.

A short time ago, deep into the weeks of endless leaks and speculation, I met concerned local businesses. They wanted the Government to do something to ease the tax burden, to tread carefully when raising minimum wages—they did not say they were against them, though—and to make it easier for their businesses to grow. The opposite has happened. Despite the spin applied last week, here is the feedback. Edward Anderson, who runs three pubs in Cheltenham, tells me his combined business rates for the three premises will increase by £27,000 a year from April. Andrew Coates tells me that the rates across his three premises will rise by £34,500, on top of the impact of the minimum wage rises costing him £25,000. Why?

On occasion, those of us who ask the Government difficult questions about sensitive and divisive matters are shouted down and told we are ignoring the problem. On this matter, it is the Government who are ignoring the problem, and Ministers know it. Without properly dealing with the consequences of Brexit by striking a new trade deal with Europe—a customs union leading to single market access and stronger realignment in future—this country will continue in the slow lane. If this Government continue to be wilfully ignorant of the impact of their actions on the private sector, this country will continue in the slow lane. If the No. 1 priority for this Government truly were prosperity, they would unleash the opportunity of a trade deal with Europe and make it easier to do business here.

Oral Answers to Questions

Max Wilkinson Excerpts

Tuesday 25th March 2025 Commons Chamber

[Wes Streeting]

The shadow Minister raises a good example of how conflation of sex and gender identity is not helpful both in terms of data analysis and of recognising health inequalities. It is also not helpful in making sure that we understand variances between people based on their different backgrounds and characteristics and that we provide targeted, personalised and effective healthcare that deals with healthcare inequalities. That is why we are carefully studying the recommendations made by Professor Sullivan, with a view to making sure that we are meeting the needs of everyone, including the trans community, who I understand, not least because of the way that the debate has been conducted in recent years, are anxious about the implications of the report. However, I genuinely think that the report will lead to better, more inclusive and fairer outcomes for everyone, including the trans community.

[Max Wilkinson (Cheltenham) (LD)]

5. What steps his Department is taking to improve cancer care in the west of England.

[The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)]

I know the hon. Member is acutely aware of the impact that cancer can have on families. We are committed to catching cancer earlier and treating it faster. We have achieved our manifesto pledge of 2 million extra appointments seven months early and we have invested in more surgical hubs, longer opening times, which have benefited 23 community diagnostic centres in the south-west, and new radiotherapy machines. The national cancer plan will also seek to improve every aspect of cancer care to improve patient outcomes and experiences across the country, including in the west of England.

[Max Wilkinson]

I thank the Minister for her answer. The Big Space Cancer Appeal being run by the Cheltenham and Gloucester Hospitals Charity is going on in my constituency. It is having to raise £17.5 million for a new cancer centre at Cheltenham general hospital, which is a regional cancer centre, because the previous Government did not fund it. I am proud of the fund-raising work that is being done by the hospitals charity, including by my caseworker, Mateusz, who is running two half marathons for the cause. Will the Minister meet me and Dr Sam Guglani and Dr Charles Candish to discuss how the Government might provide more support for this crucial piece of infrastructure?

[Ashley Dalton]

I commend the hon. Member’s campaign activity for improved cancer facilities. I commend, too, Mateusz’s two half-marathons. I wonder when the hon. Member will be doing his half-marathon, but I can guarantee that I will not be joining him. The fact that this sort of activity is taking place is fantastic. Local provision for healthcare is managed by the local health system. I would be delighted to meet him and local representatives as soon as diaries allow.

Maternity Services

Max Wilkinson Excerpts

Tuesday 25th February 2025 Westminster Hall

[Max Wilkinson (Cheltenham) (LD)]

It is a pleasure to serve under your chairmanship, Sir Christopher. I will talk for about a minute. The Minister heard from me last autumn, when we had a debate about Gloucestershire’s maternity services. The background remains as it was before, but there is an important update. When I was elected, Cheltenham general hospital’s birth unit had been closed temporarily since Autumn 2022—I think we should now use the word “indefinitely”. That is simply not good enough. Cheltenham has a population of around 120,000 and it serves a much larger area. Since then, Gloucestershire Royal hospital’s maternity services have been downgraded to inadequate. They remain inadequate, and have done for a number of years.

There have been some really worrying bits of casework slipping into my inbox recently, which tells me that things are going wrong and there are ongoing issues with bad bleeds, which has been raised by the CQC. My hon. Friend the Member for Chelmsford (Marie Goldman) mentioned the CQC’s lag time. The CQC reported in January after a visit last spring, so there is clearly a long delay. I will end there to give my hon. Friend the Member for Winchester (Dr Chambers) a minute, but I hope the Minister can respond on those points and provide an update on what is going on with Gloucestershire Royal hospital’s maternity services.

National Cancer Plan

Max Wilkinson Excerpts

Tuesday 4th February 2025 Commons Chamber

[Andrew Gwynne]

Good luck, Ruth! I hope she succeeds and raises lots of money for such a good cause. I want to thank my hon. Friend as well for his crucial work in this area. He has my assurances that at the heart of the first step, which is the call for evidence I have announced today, and of the development of the national cancer plan, those with lived experience—patients or loved ones of people who have had cancer and those who have either survived or are now bereaved—absolutely have to be at the heart of what we are doing. We will take their views, their opinions and their thoughts fully on board as we develop this plan.

[Max Wilkinson (Cheltenham) (LD)]

I lost my father to lymphoma and my wife is an ovarian cancer survivor, so I warmly welcome this statement. In Gloucestershire, we are a designated regional cancer centre, but unfortunately the buildings at Cheltenham general are just not up to scratch any more. Fundraising was mentioned earlier by the hon. Member for Mitcham and Morden (Dame Siobhain McDonagh), and we are in that situation. We need £17.5 million and we have £9 million to go. Will the Minister warmly congratulate the Big Space Cancer Appeal fundraisers, particularly Dr Charles Candish and Dr Sam Guglani, who are leading the charge on that? Would he like to meet those consultants to discuss how we might move this fundraising effort along so that the whole project does not rest on the back of charity?

[Andrew Gwynne]

I am more than happy to meet the hon. Member and the team to look at precisely those points and I wish them all the very best in their fundraising efforts, but look, as a country we are better than this. I want to see the national cancer plan really start to address how we can get that research, that treatment, those diagnoses and those better outcomes for people with the NHS at the heart of it, doing what the NHS does best and ensuring that we get those outcomes from publicly funded improvements.

Obesity: Food and Diet

Max Wilkinson Excerpts

Monday 20th January 2025 Commons Chamber

[Dr Opher]

The hon. Gentleman’s intervention reminds me of the GP I took over from—an old chap; very wise—who said, “Always be a few years out of date, Simon, because we never know what these new drugs are going to cause.” I think that is good advice—not that I am suggesting that doctors are out of date, of course.

Are we proposing the creation of a nanny state? That is the great fear of many people when they are confronted by controls of this kind, but let us look at what happened with the ban on smoking inside pubs. People—particularly in Ireland, but also in England—were saying, “This is crazy; it is never going to work”, but it worked fantastically well. We need to be aware of the vested interests of food companies, and we need to take radical steps.

[Max Wilkinson (Cheltenham) (LD)]

I thank my Gloucestershire neighbour for giving way. He mentioned the nanny state. As a Liberal, I believe in freedom, but there are two sides to it: freedom from and freedom to. Should not freedom from some of those representing the big, powerful vested interests in the food companies, who are not interested in our health, be at the centre of this debate?

[Dr Opher]

I entirely agree. I think that this Parliament could do to obesity what the Government who were in power between 1997 and 2010 did to smoking: we could drastically reduce it. For the sake of our children and our older adults, I urge everyone to accept that we need to act now, and we need to act radically.

Tobacco and Vapes Bill

Max Wilkinson Excerpts

2nd reading
Tuesday 26th November 2024 Commons Chamber

[Kirith Entwistle (Bolton North East) (Lab)]

I declare that I am a member of the responsible vaping APPG. This is a long overdue and important piece of legislation, and I commend my hon. and right hon. Friends on the Front Bench for bringing it before the House.

My home of Bolton is confronting a dual crisis: the devastating impact of smoking and the escalating problem of youth vaping. Smoking continues to ruin lives and places a heavy burden on our NHS, which many of my hon. Friends and hon. Members from across the House have also mentioned. In Bolton North East, the crisis is deeply personal. More than 14% of our population still smoke, which is well above the national average. Tragically, between 2017 and 2019, smoking claimed the lives of 1,147 people in our community, including beloved parents, siblings and friends, leaving behind grieving families and stolen futures. Beyond its devastating human toll, smoking imposes an immense economic burden on Bolton North East. Nearly £100 million is drained every year in lost productivity and increased demands on health and social care. We desperately need that money to rebuild services and support local families.

I am proud that the Bill takes critical steps to address the harms of smoking and works towards creating the first smokefree generation. Yet while smoking is a crisis we know well, there is a new and growing threat: the epidemic of child vaping. In the latest Greater Manchester: Testing and Research on Emergent and New Drugs young person survey, 76% of respondents reported using a nicotine vape in the past year. Schoolchildren are now twice as likely to encounter nicotine through vaping as through cigarettes or tobacco. Flavours such as bubble gum and rainbow candy paired with colourful, cartoon-like packaging are blatantly targeting children.

Flavourings play an undoubtedly important role in helping adults to quit smoking, but we must be honest about how too many vapes are being deliberately designed as a gateway to nicotine for children who have never smoked. I welcome the measures included in the Bill outlined by the Secretary of State earlier, and I am pleased to see our Government taking the issue seriously. As a mother, I look forward to further discussions on how we can protect our children while continuing to support adults who are using vaping as a tool to quit smoking.

What concerns me most is how easily young people can obtain vapes, many of which are illegal and unregulated. In Bolton, we now have the second highest number of vape stores per capita in the country. That is more than twice the national average. Although most stores operate within the law, this widespread availability creates opportunities for illegal vapes to enter the market—vapes that violate safety standards, contain unsafe ingredients and pose serious health risks to our children.

[Max Wilkinson (Cheltenham) (LD)]

Does the hon. Lady share my concern that there is a real problem with vapes being used in the coercion of children for grooming purposes as well?

[Kirith Entwistle]

I thank the hon. Member for his intervention and, yes, I share those concerns quite deeply.

Bolton council has been doing excellent work to clamp down on illegal vapes. In September, 350 vapes were seized in raids across five locations in Bolton. Just this month, a shop received a closure order for selling illegal tobacco and vapes. I am pleased that this Bill responds to the needs of councils such as Bolton by introducing new powers for trading standards officers that will tackle the black market while protecting legitimate businesses.

The Bill is a commitment to the health and wellbeing of our communities and our future generations. It takes into account the need for the safeguarding of our children. For the families who have lost loved ones to smoking-related illnesses, for the schools that have been overwhelmed by the vaping epidemic, and for the young people being targeted by unscrupulous marketing, this Bill is for them and I commend it to the House.

NHS Dentistry: South-west

Max Wilkinson Excerpts

Tuesday 12th November 2024 Westminster Hall

[Richard Foord]

I am glad that the hon. Member for Strangford made that point, because I did not know about the situation in Northern Ireland. It sounds like some regions of the UK are not getting the attention that they require when it comes to NHS dentistry.

I want to share the story of two of my constituents, Mike and Shirley. I have received correspondence from them and many other residents, such as Martin Loveridge, who has had a similar experience. Mike and Shirley are hard-working people. Mike is almost 75 and retired after more than 50 years in horticultural work. Shirley, aged nearly 70, is still taking on part-time cleaning work to make ends meet. In 2023, their dentist in Sidmouth finally went private, driven away by the broken dental contract that we have heard described. The impact of that shift has been devastating.

Shirley developed a dental abscess. Anyone who has had a dental abscess will know what excruciating pain it can involve. Years ago, Shirley suffered from a similar infection, which led to sepsis. This time, instead of receiving urgent care from the NHS, Shirley faced the following choice: either wait in pain or go private. Plainly, this incident is a stand-out case, given that it was crucial that she received NHS treatment for sepsis, but typically, it would cost them £1,200 in dental fees—a sum that is simply unaffordable for people in Mike and Shirley’s position. Mike has not seen a dentist since May 2022 because he simply cannot afford it. Mike and Shirley tried to get NHS dentistry—they went to NHS England, Healthwatch Devon and the complaints department of the Devon NHS—and they had people admitting to them the dire state of the system, but they were offered no real solution. They spent hours on “Find a dentist”, an NHS website just for that purpose, but they were referred to a clinic that was 80 miles away, an impossible journey for them.

[Max Wilkinson (Cheltenham) (LD)]

I thank my hon. Friend for securing this important debate. Cheltenham, similarly, is a dental desert. My residents often find themselves referred out of our region and into the midlands for treatment, to places as far away as Malvern, if they are not lucky enough to get somewhere in the constituency of the hon. Member for Gloucester (Alex McIntyre). Does my hon. Friend agree that that is simply wrong and unacceptable? Will he join me in thanking community campaigners in Gloucestershire, including Councillor Paul Hodgkinson, the health lead for the Lib Dems on Gloucestershire county council, who are trying to fight this at the local level?

[Richard Foord]

My hon. Friend is right to draw attention to community campaigners, but frankly it should not require grassroots organisations to self-organise and mobilise; as representatives and as Government, we should be able to provide that in this, the sixth richest economy in the world.

Cancer Strategy for England

Max Wilkinson Excerpts

Thursday 31st October 2024 Westminster Hall

[Mr Clive Betts (in the Chair)]

I thank all hon. Members for adhering to the time guidance; that is really helpful. We now move on to the Front-Bench speakers, who will have 10 minutes each—

[Max Wilkinson (Cheltenham) (LD)]

Sorry, Mr Betts— I wanted to speak.

[Mr Clive Betts (in the Chair)]

Sorry; please take just three minutes.

[Max Wilkinson (Cheltenham) (LD)]

It is an honour to serve under your chairmanship, Mr Betts, and I will be as brief as I possibly can be. I thank my hon. Friend the Member for Wokingham (Clive Jones) for securing this important debate.

Two days ago, it would have been my father’s 64th birthday, but sadly he died of lymphoma in 2018 aged just 57. Recently my family marked 18 months since my wife was given the all-clear after ovarian cancer. It is thanks to the skill of a highly-qualified surgeon, who removed an absolutely huge lump from her body, that she is with us today and I am very grateful to them every single day.

Much has been said about the need for a national cancer strategy. I will offer the Minister one local opportunity, and it is an opportunity because the previous Government, despite taking some political credit for it in Cheltenham, failed to offer very much money to the Big Space Cancer Appeal to revamp Cheltenham general hospital’s oncology centre. As a regional cancer centre, Gloucestershire hospitals NHS foundation trust treats thousands of patients each year, but many of its buildings are now at end of life, many of the rooms have no natural light, and the outdated design is unsuitable for the number of patients in need of treatment.

We know that identifying cancer early and beginning treatment soon afterwards is key to giving people the best chance of survival. The staff at the trust work very hard but they are working under huge pressure and it is no secret that, as others have mentioned, targets are routinely missed. Our local trust is not alone in that. Many staff in the trust feel that the current space is not fit for purpose, and that certainly will not help their best efforts. That is why the trust has launched the Big Space Cancer Appeal. That situation is representative of the challenge we face in not having a strategy for dealing with cancer. The last Government gave almost no money for the project, and the £17.5 million that is being raised in Cheltenham is almost the entire capital cost of the project.

The new centre will offer patients a modern space and a better environment for treatment, healing and recovery. It will have modern consulting rooms, allowing more patients to be treated every day. That will help to cut down waiting times, so that targets can be hit and patients get better outcomes. For some people, this will mean the difference between life and death.

You asked me to be brief, Mr Betts, so I will draw my remarks to a close by thanking Dr Sam Guglani, Dr Charles Candish and all the staff at the trust’s charity—the initiative is charity-led but backed by the trust, which does not itself have the funding to deliver it. I also thank Dr Diane Savory, who has been working extremely hard on the project.

If the Government are looking for opportunities to invest in cancer care—we have already heard about some of the consequences of not doing so in my area from my hon. Friend the Member for Thornbury and Yate (Claire Young)—I urge them to get in touch, because there is a real opportunity with this project to make a huge difference on the ground.

[Mr Clive Betts (in the Chair)]

We move on now to the Front Bencher. If they could just leave a minute at the end of the debate for the hon. Member for Wokingham to respond to the debate, that would be really helpful.

Access to Primary Healthcare

Max Wilkinson Excerpts

Wednesday 16th October 2024 Commons Chamber

[Max Wilkinson (Cheltenham) (LD)]

There was a reference earlier to history and the origins of the NHS; I contend that having that debate is akin to two bald men fighting over a comb, given how far back in history it goes. I am allowed to make that joke, as is the Minister for Care, the hon. Member for Aberafan Maesteg (Stephen Kinnock).

I stand today to place on record the shocking state in which the last Government left Cheltenham’s NHS, but I will start by saying thank you to the nearly 3,000 people in Cheltenham who have signed my petition to ensure that Cheltenham gets the GP surgery it needs as our town grows. GP waiting times in Cheltenham are variable, but they are often far too long. That is not because GPs are not working hard—one I spoke to recently told me that they were seeing dozens of patients a day. Of course, when it gets that intense, it is beyond the level at which most humans can cope with the processing of information. That is a safety issue. We owe a great debt of thanks to our GPs.

Other Members have mentioned the dentistry desert. I research regularly on the internet and there are no dental practices I can find that were taking new NHS patients in Cheltenham. That is regularly the case. [Interruption.] The hon. Member for Gloucester (Alex McIntyre) is shaking his head because many of my residents end up going to Gloucester on the odd occasion when they are lucky enough to find a place for one of their children. Most of the time, there are no spaces for adults. Regularly, people in Cheltenham are referred as far away as Worcestershire for new dentistry. That is shocking.

This all creates tension in A&E, as we have heard. In 2013, Cheltenham’s A&E department was downgraded to an overnight nurse-led service. In May 2015, when the Conservatives started governing alone, 684 people waited more than four hours to be seen at Cheltenham and Gloucester’s A&E departments. In May 2024, when the general election was called, that number had ballooned to 5,668 people waiting more than the target time. That is absolutely shocking. The increased pressure has been caused in many cases by people’s inability to get dentistry and GP appointments.

Local campaign group REACH—Restore Emergency At Cheltenham General Hospital—was formed to oppose that downgrade, and my two predecessors fought the downgrade. Their best efforts, I am afraid, have not yet borne fruit. I will join them, but it is now acknowledged by most people in Cheltenham that it is possible our A&E department will never be reinstated with 24/7 doctor-led care. The current set-up puts pressure on our hard-working GPs and A&E. It cannot be allowed to continue.

In the spirit of constructive opposition, we will work with the Government on solving these problems.