NHS Backlog

Debate between Paul Kohler and Helen Maguire

Monday 6th January 2025 Commons Chamber

[Helen Maguire]

I absolutely agree that it is partly a failure of the previous Conservative Government that the hospitals have not been built. It is vital that the Epsom and St Helier hospitals trust is put at the top of the list as a priority for a new hospital. A new hospital will improve outcomes by consolidating critical services under one roof, easing the strain on staff who are currently stretched across two sites. Moreover, it will enable the Epsom and St Helier hospitals to focus on elective care, diagnostics and out-patient services, which will help them to tackle the backlog more efficiently. Crucially, the new hospital will expand the overall number of beds. Centralising major acute services will address estate challenges, strengthen staffing levels and improve patient outcomes, which will reduce the intolerable waiting times experienced at Epsom and St Helier hospitals.

I turn to the distressing delay in attention deficit hyperactivity disorder assessments. In September 2024, the Darzi report highlighted the stark reality that demand for ADHD assessments has grown so significantly that it risks overwhelming available resources. Nationally, it could take an average of eight years to clear the backlog at the current rate.

My constituent Sophie has been facing the brunt of this backlog. She has been waiting since June 2020 for an adult ADHD assessment, and she will wait quite a bit longer, as Surrey and Borders partnership NHS foundation trust has informed me that it is addressing referrals from as far back as March 2019. The root cause is a mismatch between demand and funding. The service was commissioned to support 400 assessments annually, but it receives 400 referrals every two months. Sophie, like many others, has been advised to seek private assessment, an option that is financially out of reach, as she has been unemployed due to her symptoms. This inefficient system should be reconsidered to help reduce the enormous backlog. The situation is wholly unacceptable.

[Mr Paul Kohler (Wimbledon) (LD)]

A third of children with a serious eating disorder are not seen within the NHS waiting time standard. Does my hon. Friend agree that such delays only make matters worse, leading to sicker children, more suffering and greater costs to the NHS?

[Helen Maguire]

I absolutely agree that prevention is key. If we do not deal with issues immediately, they will just take longer to deal with and be more costly in the long term. The people of Epsom and Ewell simply deserve better. They deserve a healthcare system that works for them, not against them. I urge the Government to act swiftly to address these issues, and to deliver the investment and reforms that our NHS so desperately needs.

Pakistan: Freedom of Religion

Debate between Paul Kohler and Helen Maguire

Thursday 28th November 2024 Commons Chamber

[Mr Paul Kohler (Wimbledon) (LD)]

I thank the hon. Member for Strangford (Jim Shannon) for securing the debate, and am grateful to him and other Members for their excellent contributions.

Pakistan’s constitution enshrines the right of every citizen to

“profess, practice and propagate his religion”,

and in January, the Minister of Foreign Affairs went as far as to claim:

“Pakistan has undertaken wide ranging measures to promote religious freedom and protect minority rights.”

That is sadly and simply untrue. In the face of forced conversions and mob violence, the Pakistani Government are far too often failing to fulfil their basic duty of protecting their citizens.

Even more seriously, there is widespread evidence of the state actively supporting the discrimination of certain religious minorities, including Shi’a Muslims, Christians and Hindus, with laws against blasphemy in particular being used to undermine their human rights and freedoms. Today, however, I will focus on the Ahmadi Muslim community, who are subject to some of the most serious discrimination.

I am proud that many in the Ahmadi Muslim community live and/or worship in my constituency, which is home to Morden’s magnificent Baitul Futuh mosque, the largest mosque in the UK and the worldwide headquarters of the faith. It is from there that the caliph’s regular Friday sermon is televised live throughout the world, but while Ahmadi Muslims can practise in freedom in this country, that is sadly not the case for those watching and listening to him in Pakistan. I have heard from the mosque and from many of my constituents about the persecution that their community faces on a daily basis in Pakistan. In their mosques, their homes and their businesses, Ahmadi Muslims are facing persecution merely for observing their faith.

[Helen Maguire (Epsom and Ewell) (LD)]

I also have a number of Ahmadiyya Muslims in Epsom and Ewell, and it was really shameful that this faith group had to move its home to the UK to avoid exactly this persecution. Does my hon. Friend agree that all religious groups in Pakistan should have the freedom to practise their faith, and that we in this House should be a voice for the persecuted?

[Mr Kohler]

I completely agree. We have an absolute duty to enforce that and make sure that happens.

The Pakistani Government are doing more than just turning a blind eye to this discrimination, with the state actively seeking to marginalise the Ahmadi Muslim community. Unless Ahmadi Muslims declare themselves to be non-Muslims, they are not permitted to stand for office or vote—they are denied a voice in the system that is meant to uphold their rights. It is important to note that this was not always the case: for example, the first Foreign Minister of Pakistan, Sir Chaudhry Zafarullah Khan, was an Ahmadi Muslim. Sadly, however, Ahmadi Muslim freedoms have been undermined by the Pakistani Government over time, but that does not mean that those rights cannot be restored.

For that reason, our Government should be speaking more loudly on this issue. The UK is Pakistan’s third largest trading partner and its largest in Europe. We are consequently not without influence. Disenfranchised and marginalised Pakistani Ahmadi Muslims have very few options at their disposal. It is therefore our duty to raise our voices, and for the Government to do what they can to help protect their rights and those of other religious minorities. I consequently echo my party leader’s calls last year to reconsider Pakistan’s trade preferences. I also hope the Government will work with Ahmadi Muslim refugees across the world and the United Nations High Commissioner for Refugees to preserve those refugees’ safety. As Gladstone said in 1877:

“Nonconformity supplies the backbone of English Liberalism.”

The Government must do what they can to continue this country’s proud liberal tradition, protecting the rights of the Ahmadi Muslims and other religious minorities in Pakistan.