Infants, Parents and Carers Bill

Meg Hillier Excerpts
Friday 4th September 2026

(1 day, 11 hours ago)

Commons Chamber
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Desmond Swayne Portrait Sir Desmond Swayne
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The Government removed the requirement to ringfence the funding for Sure Start, and because local authorities were not required to spend that money in that way, they made their choices accordingly. I accept that it was the wrong priority, and I hope the whole House is the better for knowing that.

Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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Some Sure Start places in London were created before Sure Start was formally created, and having seen my children go through it, I saw its direct benefits. Sure Start was structured around hubs, and there was a desire to go out and visit people at home—indeed, many of us visit people in their homes. As the right hon. Gentleman says, Ministers will interpret this measure, but there is something about a home visit by professionals that reveals a great deal about the challenges that children face, whether before going to nursery or afterwards, and whether by a health visitor or a midwife. From his research in developing the Bill, does he have anything to say about the importance of that?

Desmond Swayne Portrait Sir Desmond Swayne
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I remember with respect to my own children the importance of a visit by the midwife, even after birth, and that is essentially the point that my right hon. Friend the Member for South Holland and The Deepings was making about the importance of district nurses. I entirely agree with the hon. Lady.

Clause 1 lays a duty on the Secretary of State to make regulations to define these services, and the functions that the Secretary of State will carry out. Their primary duty is to work out what those services actually contain.

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Helen Hayes Portrait Helen Hayes
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My hon. Friend is right. I mentioned the need for early access to SEND support, and I would include audiology in that category. Those services are vital, as are speech and language services, which we know are all too often not available at the earliest possible opportunity. In a moment, I will speak about the importance of that very early intervention. That network is the village, and the village should be available in every community for every family, right across the country, every single week of the year.

One of the proudest achievements of the Labour Governments of 1997 to 2010 was the creation of Sure Start—a children’s centre in every community, bringing together a range of universal services for pregnant women, new parents and carers, and children under a single roof in local neighbourhoods. I once again pay tribute to my predecessor, Dame Tessa Jowell, for her pioneering work to establish Sure Start right across the country. The results of Sure Start were transformative, with long-term evaluations showing that integrated early childhood interventions significantly improved long-term health, especially for disadvantaged children; reduced hospital admissions; and improved GCSE results. The analysis also showed that investment in those services represented exceptional value for money and a positive financial return, with every pound spent on Sure Start delivering more than twice as much back in societal benefits.

My own daughters were born in 2005 and 2008, and we experienced at first hand the benefits of that investment in the form of antenatal and early childhood support. It provided a gold standard in community midwifery services, excellent health visitors, good breastfeeding support, a drop-in speech and language therapy clinic when one of my daughters needed that, and a wealth of other services. All of this was delivered a very short distance from home in our local community, so we also got to meet other parents and babies at the same stage and to build relationships with them.

Meg Hillier Portrait Dame Meg Hillier
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My hon. Friend and I have had similar experiences of the system. For me, one of the important things was that it did not stigmatise going to seek advice, whether it be about child psychology or speech and language. Does my hon. Friend agree that when Ministers start working on how to flesh out this Bill and put it into practice, it is really key that it must be universal?

Helen Hayes Portrait Helen Hayes
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Later in my speech, I will make exactly that point about the importance of these services being available on a universal basis, for the reasons my hon. Friend alludes to.

It was a tragedy that Sure Start centres were one of the earliest and most extensive casualties of the austerity of the Conservative and Liberal Democrat coalition Government of 2010. The funding was not ringfenced; in many cases, the services were not statutory; and the integrated service design model was not mandated. In many ways, the strongest argument for the Bill we are debating today is the experience of just how easy it was for Sure Start to be dismantled, ultimately resulting in the closure of 1,300 centres and the loss of that precious and vital integrated network of support for babies and their families, which had been delivering so much. Those closures were compounded by the covid-19 pandemic, when access to face-to-face services in early childhood was very limited. We have seen the impact of that, particularly the increase in the number of children with speech, language and communication difficulties coming through the system in recent years.

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Sharon Hodgson Portrait Mrs Sharon Hodgson (Washington and Gateshead South) (Lab)
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It is truly an honour to speak in this important debate. I am happy to follow the excellent speech by the hon. Member for Twickenham (Munira Wilson).

This is such an important Bill, as we have heard. I thank the right hon. Member for New Forest West (Sir Desmond Swayne) for his work on bringing it forward; I have thoroughly enjoyed working with him on it. I also thank the 1001 Critical Days Foundation, which I have had the privilege of working with over many years, for its unwavering support for the Bill and beyond, and for its tireless commitment to ensuring that every single baby has the best possible start in life.

That thanks extends, in particular, to the former Member for South Northamptonshire, Dame Andrea Leadsom. She has been the biggest champion of this issue, whether in this place during her whole time as an MP—I worked with her on it—or from the outside, as now. I also thank the wonderful former Health Minister Will Quince, who is now the chief executive of the 1001 Critical Days Foundation, for his dedication and work on getting the Bill to where it is today. We all know how much work went into these important six clauses, as we heard from the right hon. Gentleman for New Forest West in his opening remarks.

Before I go into why the Bill is so important, it would be useful to contextualise how we got here—some of this we have heard in the other excellent speeches. I was extremely proud when the last Labour Government introduced Sure Start to reduce the impact of child poverty and address social exclusion by improving the life chances of children under five, especially those who grow up in disadvantaged areas. I pay enormous tribute, as others have, to the late, great Baroness Tessa Jowell. She would be so proud of the right hon. Gentleman—who is not actually listening to me at this point. She would be—he is still not listening—so proud of him for choosing this issue for his private Member’s Bill and of all of us for being here to support it. When I became shadow children and families Minister back in 2010, she explained the genesis of Sure Start, how important it was and how we got here. She said, “Sharon, you need to be able to smell the babies—the places need to be full of babies.” Metaphorically, this House is, in all our remarks, full of babies today. I am sure that she would be proud of us.

I also pay huge tribute to Lord Blunkett, as others have, Baroness Margaret Hodge, who also gave me the benefit of all her wisdom and experience, and our current Health Secretary, my right hon. Friend the Member for Pontefract, Castleford and Knottingley (Yvette Cooper), as well as the former Member for Nottingham North, the amazing and brilliant Graham Allen, who I had the pleasure of working with on early intervention. I still have copies of his excellent reports, written with the right hon. Member for Chingford and Woodford Green (Sir Iain Duncan Smith), and refer to them now; his work goes on in the work that I will continue to do from the Back Benches. I thank him for that. I also thank Naomi Eisenstadt, who has been mentioned. So many played major roles in driving the policy forward after the 1997 election.

Meg Hillier Portrait Dame Meg Hillier
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My hon. Friend referred to the former Member for Nottingham North, Graham Allen. He not only had the idea, but implemented it through the Nottingham strategic partnership, which he chaired from 2005. He turned it into something that started pre-pregnancy, in order to tackle the high number of teenage pregnancies. He lived this, and set a real blueprint for what Government can do—I look to the Minister—when they take forward the Bill, which we hope will pass today.

Sharon Hodgson Portrait Mrs Hodgson
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The work on teenage pregnancy was a real blueprint, and the 10-year teenage pregnancy strategy fulfilled its ambition of reducing those numbers, following the great work of Graham Allen. I remember taking part in a Westminster Hall debate acknowledging 10 years of that strategy and its success. As for what the numbers are now, as we have been saying, when anything of that kind stops, there is backsliding, I am afraid. That shows that the job is never done. That is why it is so important that we get the Bill through Parliament and on the statute book.

While the initial roll-out of Sure Start targeted disadvantaged communities exclusively, the approach soon shifted to focus on the universal provision of children’s centres, as we heard in the excellent speech by the Chair of the Education Committee, my hon. Friend the Member for Dulwich and West Norwood (Helen Hayes). At Sure Start’s peak, almost 3,500 centres were operating across the country. However, in 2010 came the change in government and Tory austerity, as has been discussed; we all know what happened thereafter. Within months, Sure Start funding was slashed, with cuts of up to two thirds, and the ringfence was removed. Hundreds of centres closed so quickly. I was shadow children and families Minister at the time, and our now Prime Minister was shadow Education Secretary. Together, we fought the battle against those cuts day in, day out. I was keeping a tally of closures, and when it got to over 1,000 closures the coalition Government stopped publishing the numbers, which made it so much harder for us to keep track.

Oral Answers to Questions

Meg Hillier Excerpts
Tuesday 24th February 2026

(6 months, 1 week ago)

Commons Chamber
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Wes Streeting Portrait Wes Streeting
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The hon. Gentleman is absolutely right; this is about not just diagnosis but faster access to treatment. We are meeting the faster diagnosis standard; performance was at 77.4% in December 2025, and we aim to improve that to 80% by the end of March this year. We have to go a lot further, a lot faster, on the commencement of treatment. Although I will be forthcoming about, and proud of, the progress that we are making and the targets that we are hitting, where we fall short—we are still falling far too short, when it comes to access to cancer treatment—we will acknowledge that, address it and make sure that we make more progress, more quickly.

Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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5. What steps he is taking to improve access to mental health services.

Zubir Ahmed Portrait The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
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Mental health issues affect all ages, and the support is not always there. We are determined to change that. We have hired almost 8,000 extra mental health workers since we came into office and increased investment in mental health by an additional £688 million this year. We are also transforming services through community-based 24/7 mental health centres, providing open access to treatment and support for adults with severe mental health needs, expanding NHS talking therapies, and rolling out mental health support teams in more schools.

Meg Hillier Portrait Dame Meg Hillier
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The NHS’s work on this is vital, but I also draw the Minister’s attention to Mind in Hackney, which is pioneering a new approach to make sure that people get two sessions of mental health support within two weeks. They can get more later on, but that is what they get, rather than waiting in a queue for six months for long-term support. For many people, that, along with a long-term treatment plan, is enough. May I urge the Minister to come and visit? It is only half an hour up the road from Westminster; he could fit it in before Prime Minister’s questions.

Lindsay Hoyle Portrait Mr Speaker
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That depends on the traffic.

Oral Answers to Questions

Meg Hillier Excerpts
Tuesday 21st October 2025

(10 months, 2 weeks ago)

Commons Chamber
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Wes Streeting Portrait Wes Streeting
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The hon. Gentleman should not believe everything he reads in the newspapers. I make no apology for trying to cut unnecessary bureaucracy in large national organisations to redeploy savings to frontline services. His Government really should have taken a leaf out of our book.

Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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The Secretary of State need look no further than Homerton university hospital in Hackney for good performance: it has managed to increase productivity by over 11%. What is he doing to support great leaders who deliver great progress and to make sure that they have the funding they need to continue with that?

Wes Streeting Portrait Wes Streeting
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I was delighted to meet my hon. Friend only recently to hear about the really impressive productivity gains being made at her local trust. I am keen to learn more. We need to incentivise and reward leaders for that kind of outstanding performance and we also need to get some of that best practice to some of our poorest performing trusts.

Oral Answers to Questions

Meg Hillier Excerpts
Tuesday 22nd July 2025

(1 year, 1 month ago)

Commons Chamber
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Wes Streeting Portrait Wes Streeting
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The hon. Gentleman is absolutely right about the timeliness of decision making and the need to release funding when it is allocated. I shall make sure that my Department looks into that, and write to him with an answer.

Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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I commend my right hon. Friend for his work on reducing waiting lists, but at the Homerton in Hackney, because of a system-wide funding failure, deficit reduction money was removed three months into a 12-month agreement, which reduced the opportunity to drive down waiting lists still further. Will he or one of his colleagues meet me to discuss this issue and see what we can do to drive down those waiting lists?

Wes Streeting Portrait Wes Streeting
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We are taking action to deal with the over-running of budgets and the reckless spending across the NHS and to bring deficits under control, but I would be delighted to meet my hon. Friend.

Adam Jogee Portrait Adam Jogee (Newcastle-under-Lyme) (Lab)
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I am grateful to you, Madam Deputy Speaker, for giving me my first opportunity to speak in the Chamber on this most important of issues. As I do so, I think of all those who were killed in the horrendous plane crash in India yesterday. I think of their families, their friends and the lives they have left behind. May their collective and individual memories be a blessing.

I rise to speak to amendment 42, tabled in my name and those of more than 60 colleagues from the majority of parties in the House, representing constituencies in all four nations of our United Kingdom. It would remove the automatic commencement of the Bill’s provisions in England. It is a safeguard, good and proper.

As it stands, the entire assisted dying process will commence automatically in England four years after the Bill is passed. Notwithstanding some of the comments we have heard, that will happen regardless of how far along the plans and preparations are—plans for the manufacturing and supply of the drugs that will be used to end the life of anyone who chooses this step; for the identification and training of those on the panel; for the impact on the national health service in England and Wales and its budgets; and all the rest.

Colleagues will know that, as the Bill was originally drafted, the process would have commenced two years after it was passed. I welcome the fact that my hon. Friend the Member for Spen Valley (Kim Leadbeater) amended that period from two years to four. That was a genuinely welcome acknowledgment that such a serious and consequential change to every aspect of our country, from our healthcare system to our legal system, should not, must not and cannot be rushed. Therein lies the basis of my amendment. If this change is going to happen, let us do it properly. Let us not impose a timeframe that puts us in a bind—one that means we are driven by timing over purpose, and the pressure that comes with a ticking clock, rather than by the need to do it properly.

People living in Newcastle-under-Lyme and York Outer, in Buckingham and Bletchley and Pembrokeshire, are counting on us parliamentarians—those of us who are concerned about assisted dying and those who passionately support it. The Bill’s supporters have won every single vote, apart from on this issue in Committee. Our people are counting on us to make sure, if the Bill passes, that it is a success, that it will be consistent and, most importantly, that it will be safe. If the Bill passes, it will introduce assisted dying in the biggest jurisdiction yet by population. These are uncharted waters; this will not be like anything else. The last thing we should do is rush this process.

In Committee, the hon. Member for Richmond Park (Sarah Olney), who spoke excellently earlier today, tabled an amendment to remove the automatic commencement deadline for Wales. It provided that assisted dying could be rolled out only once Welsh Ministers deemed that everything was ready for a safe roll-out. The Committee voted by a majority to give that extra safeguard to the people of Wales. If it was good enough for the people of Wales in Committee, it is good enough for the people of England today. We face a situation in which assisted dying may proceed in England months or even years before it does in Wales. The provisions and systems may look different. The process of organising the English system to meet the arbitrary four-year deadline would almost certainly lead to rushed decision making.

My hon. Friend the Member for Spen Valley has sought to remedy the disparity, but her solution is not to extend to my constituents in England the safeguard that the members of the Bill Committee—members that she appointed—voted for. No, her remedy is to allow for automatic commencement to happen in Wales as well, removing the safeguard that the Committee voted for. The answer is not to fast-track the roll-out of assisted dying in both England and Wales, potentially putting the lives of some of the most vulnerable at even greater risk due to rushed decisions that are not fully thought through.

I have not been on these Benches for very long, but I know that arguing for the automatic commencement of legislation is generally, in the kindest interpretation, unusual. For legislation of this magnitude it is, I am afraid to say, reckless, and reinstating automatic roll-out in Wales when the Committee explicitly voted against it borders on the undemocratic.

Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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I visited the Isle of Man and met the sponsor of the Bill there. The House of Keys, which has only 24 Members, took three years to get to this point, and the sponsor of the Bill thinks it will take at least five years to implement the Bill in that much smaller jurisdiction.

Adam Jogee Portrait Adam Jogee
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My hon. Friend makes a very good point.

NHS England Update

Meg Hillier Excerpts
Thursday 13th March 2025

(1 year, 5 months ago)

Commons Chamber
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Wes Streeting Portrait Wes Streeting
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I will take the more serious questions from the shadow Minister first. On timeframes, we will work immediately to start bringing teams together, as we have done with the one-team culture we have been building over the past eight months. I want the integration of NHS England into the Department to be complete in two years.

The shadow Minister asks about the reduction in the number of officials. NHS England has 15,300 staff; the Department of Health and Social Care has 3,300. We are looking to reduce the overall headcount across both by 50%, which will deliver hundreds of millions of pounds of savings. The exact figures will be determined by the precise configuration of staff, and we will obviously keep the House updated on that.

The shadow Minister asks about clinical leadership. One change we will be making with the transformation team is to have two medical directors succeeding Professor Sir Stephen Powis, whose departure from NHS England was planned long before these changes. There will be one medical director for primary care and one for secondary care, underpinning our commitment to the shifts we have described. I must say, there are enormous improvements to be made in clinical leadership for patient outcomes, patient safety and productivity, and I am demanding stronger clinical leadership to drive those improvements to productivity. Frankly, many consultants and clinical teams on the frontline will welcome that liberation—they are hungry for change.

The shadow Minister asks about the workforce data and complains that we have not been able to give her the precise answers. I agree: it is frustrating not having that precise information at my fingertips. I would gently remind her, though, on this as on so many things, that her party was in power for 14 years. She cannot very well complain eight months in given that they left us a woeful, embarrassing data architecture and infrastructure.

The shadow Minister asks about efficiency. Once again, she refers to the resident doctors deal as if it was a failure. The actual failure was leaving doctors on the picket line, not on the frontline, and wasting huge amounts of taxpayers’ money, with cancellations and delays to patients’ appointments, operations and procedures. We stopped that within weeks of coming into office. The deal does include reforms to improve productivity—if she is any doubt about the results, she should look at the fact that despite winter pressures, NHS waiting lists have fallen five months in a row.

Once again, we get the facile points about my right hon. Friend Alan Milburn, who is the lead non-executive board member for my Department. I honestly do not know why he bothers to pay for a mortgage; he lives rent-free in the Conservatives’ heads. They need to move on. By the way, just for the record: Alan Milburn has a record on the NHS that the Conservatives cannot even begin to touch.

The shadow Minister asks about confidence. I am delighted to be introducing a new transformation team. Different leadership challenges require different leadership skills. As I say, I have been really pleased to work with Amanda Pritchard for the past eight months, including on this transition; people should have no doubt about the confidence I have in her skills, talents and abilities, and I think she has a lot still to contribute to our NHS. We do not need to ask about confidence in the Conservative party; it is reflected in the scarce numbers on the Opposition Benches.

What is the lesson from Wales? The lesson is that when there is a Conservative Government in Westminster, the national health service suffers in England, Wales, Scotland and Northern Ireland. That is why we are creating a rising tide to lift all ships. I am sure we will see improvements across the United Kingdom. SNP Members, who are not in their place, do not have any excuses now. As I said before the election, all roads lead to Westminster, and the biggest funding settlement since devolution began is going down the road to Holyrood. There are no hiding places there for the SNP. If people want real reform of the NHS in Scotland, they should vote for Scottish Labour under Anas Sarwar and Jackie Baillie.

People can see here in Westminster the difference that new leadership provides. The shadow Minister laughably referred to new leadership in the Conservative party. Well, it is certainly leaner and meaner, but it is the same old Conservative party. The only thing that the Conservatives have shrunk is their own party. The only jobs that they have laid off are those of their poor party staff. The only thing that they are capable of changing—[Interruption.] Well, come to think of it, I do not think that there is anything they are capable of changing. Instead they look over their shoulder at a party leader who cannot even manage a five-aside team, let alone a country. The Conservatives are just so diminished as a party. I appreciate that it must be so painful for them to watch a Labour Government doing the things that they only ever talked about: reducing bloated state bureaucracy; investing in defence; reforming our public services; and bringing down the welfare bill. The public are asking: “What is the point of the Conservative party?” I bet they are glad that they chose change with Labour.

Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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I applaud my right hon. Friend for his leadership and for the reduction in waiting lists, which we so desperately need. We all know that there is still a struggle with budgets in the health service—my excellently run Honiton hospital is facing a deficit for the first time in its history—so can he give more detail about how he will reform NHS procurement, so that we can use the purchasing power of the NHS to get more bang for our buck?

New Hospital Programme Review

Meg Hillier Excerpts
Monday 20th January 2025

(1 year, 7 months ago)

Commons Chamber
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Wes Streeting Portrait Wes Streeting
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If the hon. Gentleman is disappointed with this Government, he will be absolutely furious when he finds out who was in power before. In fact, he is a dead ringer for the guy I used to see on the Conservative Benches cheering on and voting for every calamitous decision the Conservative Government took, including crashing the economy and supporting the now Leader of the Opposition when she rejected appeals to fund RAAC hospitals. We are prioritising those hospitals and going as fast as we can. The rebuilding will happen under a Labour Government, but it did not happen under the Tories, did it?

Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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I welcome the honesty with which my right hon. Friend is approaching this matter, because Governments should not make false promises. I had the chance to visit a couple of the RAAC hospitals, and the Public Accounts Committee, which I used to chair, examined Hospital 2.0, the standardised approach he talked about. It contained some quite startling assumptions, so will he assure me and the House that he has looked into those in detail and that we are absolutely sure about the dates of delivery?

Wes Streeting Portrait Wes Streeting
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I reassure my hon. Friend that the approach we are taking, particularly the steps in the coming weeks on the outline for key delivery and the appointment of a partner, give me the confidence and assurance to know that the timetable we have set out is affordable and credible. I am always happy to receive advice and representations from my hon. Friend, who knows a huge amount about what she speaks about.

Oral Answers to Questions

Meg Hillier Excerpts
Tuesday 11th July 2023

(3 years, 1 month ago)

Commons Chamber
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Neil O'Brien Portrait Neil O’Brien
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I have given a flavour of the four different reforms we are making. To give the wider picture, there are more pharmacies in England than there were in 2010, there are 24,000 more pharmacists in England than there were in 2010 and we are putting in £645 million to provide a bunch of services that were not there when Labour was in office. We are very happy to take lessons from the pharmacy sector, but not from the Labour party.

Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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8. What steps he is taking to help improve the effectiveness of brain cancer treatments.

Will Quince Portrait The Minister for Health and Secondary Care (Will Quince)
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We are working closely with research partners, and although I am pleased to say that more research is being funded, we want to see more research in brain cancer treatments. We continue to encourage more researchers to become involved in what remains a challenging scientific area, with a relatively small research community, but I am confident that the Government’s continued commitment to funding will help us make progress towards effective treatments.

Meg Hillier Portrait Dame Meg Hillier
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I thank the Minister for that answer, and I am sure—and I know—he will take this very seriously. I have had three constituents in the last year come to see me who have suffered serious brain tumours, and they have had a very similar pathway, which is basically that after a certain point there is little the NHS can do for them. In particular, there is a shortage of neuro-oncologists, and one has spent their life savings on private treatment, even though that was difficult to find. Is there any hope, in the NHS workforce plan, that there will be more oncology training and more support for neuro-oncology, because the survival rate for this cancer is still woefully low?

Will Quince Portrait Will Quince
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I thank the hon. Lady for her question, and I am sorry to hear of the experience of her three constituents. There certainly is hope within the long-term workforce plan. As she rightly alludes to, we are reliant on researchers to submit high-quality research proposals, and that requires clinicians specialising in this area. It is something I take very seriously, and I would be very happy to work with her on it.

Hospice Services: Support

Meg Hillier Excerpts
Wednesday 14th June 2023

(3 years, 2 months ago)

Westminster Hall
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Paul Holmes Portrait Paul Holmes
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The hon. Lady tempts me to come to content that I will cover later in my speech, but for now she can take it that I wholeheartedly agree, as do many Members here, I suspect.

No one will contest that our health and care staff deserve to be well paid for the incredible work they do, and in an ideal world we would see our life savers and carers never have to worry about their finances and pay, but it would be deeply irresponsible to facilitate pay rises without giving due consideration to the dramatic impact that rising wage costs have on these essential services. To give some specific context, Mountbatten Hampshire took over management of the hospice from the NHS in 2019. It has a contract with the NHS for roughly 35% of its costs, of which about £3.8 million comes from the local NHS commissioners in the form of an outcome-based contract. The hospice follows the NHS pay award each year to remain competitive and to retain and hire staff for its services, which means that the hospice has seen a 4.8% rise in costs this year and will see a further 5% next year, with no corresponding change in its NHS contract, leaving an increasing and worrying financial gap that the charity will find very hard to reconcile without public funding.

None Portrait Several hon. Members rose—
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Paul Holmes Portrait Paul Holmes
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I am spoilt for choice! I give way to the hon. Member for Hackney South and Shoreditch (Dame Meg Hillier).

Meg Hillier Portrait Dame Meg Hillier
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It is interesting to hear about the Mountbatten, which I spent many years at when it opened, when I was a child. The hospice in my constituency, St. Joseph’s Hospice, is really cutting-edge, but the retrospective payment for nurses will cost it £470,000, and it cannot apply that yet because it has no certainty from commissioners about its funding. To keep it up will be another half a million a year, and it cannot afford that without certainty of funding. I am sure the hon. Member agrees that we need to press the Minister for some clarity on this.

Paul Holmes Portrait Paul Holmes
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I agree with the right hon. Lady; we do. In my experience, the uplift that has been given to local NHS commissioning groups is simply not making it through to those end of life services. I hope we will see some recognition of that from the Minister, and I am sure she will enforce this, to ensure that the funding to local commissioning groups gets through to these services.

Oral Answers

Meg Hillier Excerpts
Tuesday 25th April 2023

(3 years, 4 months ago)

Commons Chamber
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Meg Hillier Portrait Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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My constituent had emergency surgery for a brain tumour, but this was after six months of going to the doctor repeatedly with problem headaches. Brain cancer causes 9% of cancer deaths but accounts for only 1% of cases. Sadly, my constituent is terminally ill, but he is in a position to explain his experiences. He has asked me to raise with the Secretary of State the issue of what work is being undertaken on genome sequencing, which could have a major impact on better treatment for brain cancers. It would be helpful if the Secretary of State not only answered this today but wrote to me in more detail on it.

Steve Barclay Portrait Steve Barclay
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The whole House will send their best wishes to the hon. Lady’s constituent. She raises an important point about genomics, which is why we have invested in Genomics England and 100,000 babies are being screened—that is a key programme of work. The Minister for Health and Secondary Care, my hon. Friend the Member for Colchester (Will Quince) recently hosted a roundtable with key stakeholders on that, but I am happy to write to her with more detail, because the prevention and capability that is offered through screening is a great way of getting early treatment to people.