(1 week, 1 day ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered the potential merits of mandatory safeguarded 24/7 helipads at major trauma centres.
It is a pleasure, as always, to serve under your chairship, Sir Alec, and I say a big thank you to all the hon. Members for coming along today. I particularly thank the Minister, the right hon. Member for Kingston upon Hull North and Cottingham (Dame Diana Johnson), who has kindly agreed to step in and answer the debate, the subject of which is not her direct responsibility.
What always unites us is the fact that we come together on things that we see as good and necessary, and I am sure that everyone here would say the same. I thank the Backbench Business Committee for allowing us to debate this important issue relating to our urgent and emergency care system—hospital helipads, the barriers that can prevent them from being used when needed, and the case for a strategic national policy. The Minister already knows that I have three asks, but the main one is to have a strategic national policy. I welcome the Government’s 10-year health plan, and I hope that such a policy will be part of it.
Perran Moon (Camborne and Redruth) (Ind)
Cornwall Air Ambulance undertook almost 1,000 missions last year, many in my Camborne, Redruth and Hayle constituency. The front helipad directly outside the emergency department at Treliske hospital, which is the only general hospital in Cornwall, was closed in March 2023 and patients have since faced longer transfers, despite assurances that the rear helipad would be upgraded. Does the hon. Member agree that the Government must accelerate a permanent solution so that lives are not put at risk by avoidable delays?
The hon. Gentleman is right to underline that issue. I understand that he has a very dispersed community, and an air ambulance in that location can shorten journey times—I will mention this in my speech in relation to an issue back home. A journey that maybe takes an hour and a half by road can be done in 15 minutes in an air ambulance. That 15 minutes can save lives. An hour and a half in an ambulance fighting to save the person in the back sometimes just does not work.
I thank the Members who are here to support this debate. I also thank the all-party parliamentary group for air ambulances for bringing this important issue to Parliament in the past, and I am happy we can have this debate today for them. I acknowledge the work of Air Ambulances UK, which provides the APPG’s secretariat, the HELP Appeal and the University of Liverpool’s flight science and technology group in developing the evidence underpinning this work, alongside the UK’s 21 air ambulance charities and the wider group of stakeholders who have contributed their expertise and support. I also thank Air Ambulance Northern Ireland for what it does. I can vouch for the air ambulances and the lives that they have saved. As I will explain later, I know people who live today because of AANI and the quick response of staff.
When someone is critically ill or seriously injured and needs specialist hospital care, can we be confident that the receiving hospital has the facilities they need that will be available when required? The same question applies during a major incident, as we have seen on several occasions this summer in my constituency and across this great United Kingdom of Great Britain and Northern Ireland, when hospitals needed to respond to a sudden surge in demand. For too many hospitals, that cannot be taken for granted.
Air ambulances across the UK play a vital role alongside the NHS in bringing specialist clinical teams to patients and helping transport them to the hospitals that are best equipped to treat them. That relates to an ask I have of the Minster, and I have shared that ask with other Members of the same mind. Across the United Kingdom, air ambulance charities attend an average 137 missions each day. For 365 days of the year, that is what they do. An estimated 23,248 helicopter missions take place annually, at an average cost of £4,748 per mission. That gives us an idea of the work they do, but there is also a cost factor, which is an important part of the debate. Those 137 missions, 365 days a year, represent around £110 million in annual costs.
Behind those figures are patients, families, clinicians and crews working in extremely difficult circumstances, but it is also important to recognise how these services are funded, and that is part of this debate. The UK’s 21 air ambulance charities operate independently of the NHS and receive no day-to-day Government funding, but the people of this great United Kingdom of Great Britain and Northern Ireland are incredibly generous. The charities rely on some £200 million in public donations each year to provide lifesaving pre-hospital care.
Despite that fact, public understanding of the independence of air ambulance charities remains limited. Research done in 2025 by Air Ambulances UK found that 53% of the public did not know that these charities operate independently of the NHS. However, they still depend on reliable NHS infrastructure, including hospital helipads, to transfer patients to the care they need. Their ability to deliver a consistent service is therefore affected by NHS infrastructure and operational arrangements beyond their direct control.
This is the thrust of the debate: when a helipad is unavailable, has restricted operating hours or cannot operate safely, additional challenges can arise in getting patients to the right place at the right time for treatment to save their lives. In some cases, staffing arrangements or restrictions outside normal operating hours can limit access even when a helipad already exists. This is an urgent and emergency care issue that requires co-ordinated leadership from the Government and the NHS.
I want to be clear that this is not a call for every hospital to have a 24/7 on-site helipad. I recognise that in Northern Ireland. I was asked by one of the officials whether we want a helipad in every hospital. No, we do not, but we want one at the Royal Victoria hospital in Belfast because that is the No.1 accident and emergency hospital. It has the surgeons, doctors and care available, and from a regional point of view, that is what I am after. Decisions must reflect clinical evidence and operational requirements. We need national leadership and a consistent policy framework to support safe, reliable, 24/7 on-site hospital helipad access whenever there is a clear clinical and operational need, which must be informed by evidence.
I will focus on three practical areas: a national policy and implementation framework, or road map, to address inconsistent provision and establish a data-led approach to safe, reliable, 24/7 on-site access; clearer NHS standards and stronger planning safeguards; and a national emergency hospital helipad infrastructure contingency fund to support urgent infrastructure needs that cannot be met through charitable funding alone.
The APPG for air ambulances has launched a report, and I have no doubt that the Minister has had a chance to look at its recommendations. I commend the APPG members, some of whom are present, for what they have done in outlining the case for safeguarded, 24/7 on-site hospital helipads at major trauma centres and specialist hospitals.
Some hospitals need infrastructure improvements, and hon. Members will speak to that. Others face restrictions in operating hours, while some require further assessment of their clinical and operational needs. Although solutions may differ for the helipads in each hospital, they should be considered within a consistent national framework. One thing we hope to come from this debate is a national framework within the NHS 10-year plan, which I very much welcome—indeed, everyone in the Chamber does. Although the report provides an initial assessment of major trauma centres and specialist hospitals, the need for a national approach extends well beyond those sites.
Air Ambulances UK’s assessment of 47 major hospital sites, updated on 10 September 2026—about six weeks ago —illustrates the scale of the issue. Six sites, or 13%, require priority action, while 16 sites, or 34%, require further action or monitoring, and 25 sites, or 53%, were assessed as being in a good position. That means that 22 of the 47 sites assessed were identified as requiring priority action, further action or monitoring. That is the target that we hope to achieve. The wider picture should be considered as the national policy develops. Air Ambulances UK’s 2026 public survey found that 83% of respondents supported a national policy to ensure that major hospitals can receive air ambulance patients at any time via an on-site helipad.
I will tell the story about my introduction to Air Ambulance NI and the wonderful people who work there. I live in a village called Portaferry at the bottom of the Ards peninsula, where the AANI service is the thin line between life and death. If a child in Portaferry suffers a critical trauma or a sudden, life-threatening medical emergency, a blue-light ambulance land journey to the Royal Belfast hospital for sick children takes well over an hour, done safely and in the best road conditions, with no cars in front or behind. In a paediatric emergency, when every single second dictates a child’s survival and long-term recovery, a 60-minute delay on a winding rural road is a luxury that those families simply do not have. I know some of the families in the Ards peninsula whose children’s lives have been saved by the presence and response of Air Ambulance NI. When it comes to transferring a vulnerable child to the regional trauma centre in less than 15 minutes, they can do it—an ambulance on the road cannot.
We cannot allow this lifeline to be taken for granted. Securing robust, long-term funding for the air ambulance service is not a bureaucratic policy debate or something that will divide us in this Chamber. It is a moral imperative to protect the lives of our children in the most rural corners of Strangford. It is not just somebody being injured on a farm or having a road traffic accident; that can happen, but it could be a boating accident where the air ambulance comes to the rescue. Some of the air ambulance team are in the Gallery, and I thank them for all their information and comments.
I will refer next to Bristol. Given Bristol royal infirmary’s role as a regional paediatric major trauma centre and a specialist children’s hospital, the case for operating its helipad 24 hours a day, 365 days a year, should be properly assessed against clinical and operational need. That is important for all of us in the United Kingdom of Great Britain and Northern Ireland. Any policy must recognise the particular needs of major trauma centres and specialist hospitals while taking a broader view of the hospital helipad network across the United Kingdom.
Many other hospitals have helipads that support emergency transfers and wider patient pathways. A national policy must recognise their contribution and ensure that their operational requirements are not overlooked. The framework should provide a consistent way to assess clinical and operational need, taking account of each hospital’s role, local circumstances and the consequences of restricted access. That means identifying where clinical and operational need justifies 24/7 access and understanding the barriers that prevent it, whether that relates to infrastructure, restricted operating hours, staffing or out-of-hours arrangements. Sometimes, it can be about planning issues relating to the safety of the helicopter coming to the helipad in the hospital. That may impact on the situation.
Decisions should be based on robust data. That would allow the Government and NHS partners to prioritise action proportionately, rather than adopting a blanket requirement for every hospital. The policy should identify where new infrastructure is required, where existing facilities need improvements, where operating arrangements create barriers, and where facilities need stronger protection from surrounding development, as I was saying. In England, the NHS 10-year health plan and the medium-term planning framework of 2026-27 to 2028-29 set out ambitions to improve care, reduce delays, strengthen productivity and support more integrated services. I welcome that—it is good news, and how could anybody not welcome it? That is the sort of programme and strategy that we want, but the new hospital programme and the UK’s 10-year infrastructure strategy also provide a wider context for modernising and planning resilient infrastructure.
(1 week, 4 days ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Perran Moon (Camborne and Redruth) (Ind)
Meur ras, Dr Murrison. It is a pleasure to serve under your chairship. I thank the hon. Member for Berwickshire, Roxburgh and Selkirk (John Lamont) for introducing the debate, and thank the 232 constituents of Camborne, Redruth and Hayle who signed the petition.
A constituent of mine, Mike from Tolvaddon, was having a blood test for an unrelated condition when a nurse suggested adding a PSA. It detected an aggressive cancer that was fortunately treatable. That was unfortunately not the case for the husband of Jean from Tehidy Park, whose cancer was not diagnosed until it had already spread to his bones. Had he had testing, he might have been here today.
I warmly welcome the Government’s actions to establish, from 2027, the country’s first targeted prostate cancer screening programme and I welcome the £18 million investment in the Transform trial. Statistics often show that men in deprived communities have a lower prostate cancer prevalence than average, not necessarily because they do not have it but because deprivation reduces their access to testing, leaving them undiagnosed. I worry that will be the case for several of my constituents, given that we suffer some of the deepest deprivation in the country.
Dr Al Pinkerton (Surrey Heath) (LD)
Prostate Cancer UK has identified that men from deprived areas are 29% more likely to be diagnosed with prostate cancer only at a point after the cancer has already spread, which touches exactly on the point that the hon. Member is making. Does he agree that as well as having more sensitive diagnostic tests, we must make sure that the people who are most at risk can access those tests?
Perran Moon
I wholly agree: efforts must focus on those areas with high levels of deprivation, wherever they are. I urge Ministers to keep further targeted expansion of screening under active review and to act as swiftly as possible as the evidence develops.
(3 weeks, 3 days ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Perran Moon (Camborne and Redruth) (Lab)
Meur ras, Mr Wishart. I thank my hon. Friend the Member for Blaydon and Consett (Liz Twist) for securing this important debate.
Improving mental health services for our young people is deeply personal for me, and one of the reasons I became an MP. Too often, the first support someone receives comes only once they have reached crisis point, either at a busy A&E department or on a charity hotline, so I was extremely concerned to hear that Papyrus had gone into administration. One constituent, Anne, lost her son Toby to suicide in 2011. She told me how Papyrus had given her and others hope for the future. She raised thousands to keep its HopeLine going, including by trekking 50 km across the Sahara in Toby’s memory. She speaks for many when she asks how such a vital service could be allowed to disappear.
I welcome the Government’s investment in new community mental health centres and crisis centres, including in my constituency. They are the right investments—
Through my hon. Friend, I thank Papyrus and all those in her constituency for all their hard work.
I will update colleagues in just a moment on the steps we will take from this point, but by way of context, people have mentioned the suicide prevention strategy for England, which shows that while suicide rates among children and young people are relatively low compared with older age groups, the longer-term trend is really concerning. Right across the House, we share that worry about the increase we have seen in suicide among the young. The strategy requires tailored and targeted support, early intervention and collaboration right across the public sector, which we all want to see.
Before I turn to Papyrus and respond to the questions that my hon. Friends and others have put to me, I want to draw Members’ attention to the publication last week of the Fonagy review, which gave the wider context of rising mental distress, particularly for young people and especially for young women. If Members have not read the report, I strongly recommend it to them, because that is the context against which we will move forward before Christmas to publish the mental health strategy, which will pick up many of the issues that Members have mentioned.
Turning to Papyrus, I hope that all those who have worked for Papyrus, been involved in it and raised funds, including 3 Dads Walking and so many others, will have heard the support for its work today. I want to add the Government’s gratitude. Officials are in touch with administrators to try to work with them in the way that colleagues have suggested. My recommendation would be that Members who are interested meet officials in the Department as soon as possible to be updated on that work, if that is acceptable to colleagues.
Youth suicide prevention and mental health will be a part of the mental health strategy going forward. We need to take immediate steps to make sure that the process through the administration happens. Colleagues will understand that I cannot give more details at the Dispatch Box just now, but as I said, I suggest we have a meeting for colleagues with officials very soon so that they can understand the detail. Then we will need to make sure that the mental health strategy, which the Prime Minister has committed to before Christmas, takes into account all the issues that colleagues have raised today.
Perran Moon
On that point, does the Minister agree that, as an absolute base principle of success, no young person should have to wait until the point of criticality at an A&E department or a charity helpline before they get the support that they deserve?
I wholeheartedly agree with that point. We need to move to a system where children and young people are able to get support quickly, in an open, non-stigmatising way, so that we do not see them reach crisis point. That is the direction of travel that the Fonagy review suggested last week, and we will take it forward through the mental health strategy.
I am conscious that the shadow Minister, the hon. Member for Farnham and Bordon (Gregory Stafford), asked me some direct questions, including about funding. I want to respond to his point and the point made by my hon. Friend the Member for Leeds South West and Morley (Mark Sewards). There has been a real problem with short-term funding. Again, we need to think about what principles we should put in place to try to resolve that. We know that the best care and support from a mental health point of view often comes from the community and voluntary sector, and Members have described quite accurately what the funding environment has been like—too short term. I ask colleagues to work with me as we try to get to a better, more long-term arrangement.
(3 months, 4 weeks ago)
Commons ChamberI hope my hon. Friend’s mum is making a swift and healthy recovery, and I am sorry to hear that that was her family’s experience. I agree that prioritising care for the frailer, elder population can often be dealt with more effectively before someone comes to hospital. I also know that my hospital of St George’s in Tooting has a special dedicated frailty unit that goes a long way in speeding things up for people. Good pilots are going on across the country, where care can be taken to our elderly community before people come in. Tackling social care is something I am coming to in my speech, because we could not have a speech on corridor care without a huge nod—or an entire body bend—to social care and the need to fix it.
While this situation is extremely hard for patients and their families, the toll it takes on healthcare staff is huge. By healthcare staff I do not just mean doctors such as myself, but nurses, porters, healthcare assistants and cleaners—we are one big family in the NHS, and no one job is more important than any other. We are unable to do any of our roles without all the others, and for that we are truly grateful. Knowing that they might be caring for a patient in their mid-80s, who is trying to hold back tears because they do not want to upset anybody very publicly in a corridor, is absolutely heartbreaking and takes a toll on their mental health. Our nurses, doctors and all the staff I have mentioned are going home absolutely burnt out—this is not what they trained and studied for, and not what they go to work to deliver. They go to work to deliver the best possible gold-standard care for the community that they care about.
Perran Moon (Camborne and Redruth) (Lab)
On my hon. Friend’s point about burnout, we are entering what for many Cornish men and women is the dreaded tourist season, when our population doubles or trebles. My constituents in Camborne, Redruth and Hayle are concerned about the chronic capacity issues and the impact of the tourist season on patient safety at Treliske, our one general hospital that covers the whole of Cornwall. Does my hon. Friend agree that NHS workforce planning and funding for places like Cornwall need to reflect the additional pressures placed on healthcare services during periods of peak tourist activity?
I remember meeting my hon. Friend before he became an MP when I visited a hospital in his community, and I know that he has been a powerful advocate from long before he came to this place. I thank him for that and for raising this issue. We often think about winter pressures and forget that different communities experience different pressures—it is not a one-size-fits-all situation. It is important to look at the tourist season in Cornwall, and I am hopeful that the Government take that into account in their planning.
Madam Deputy Speaker, you will be appalled, as we all are, to know that there are places up and down the country where bodies are being wheeled to the mortuary past living patients in corridors. People are spending hours in pain and distress, desperate for privacy, and exhausted staff are working while feeling that they have one arm tied behind their back.
(4 months, 4 weeks ago)
Commons ChamberOnce again, my hon. Friend has done a great job promoting Harlow, as we are all familiar with him doing in the House. We are improving GP access across the board. We have over 2,000 more GPs since July 2024 and we are launching a £102 million fund to build more clinical space in over 1,000 GP practices across England. A lot has been achieved, but a lot more needs to be done.
Perran Moon (Camborne and Redruth) (Lab)
Will Stone (Swindon North) (Lab)
Thank you, Mr Speaker.
This Labour Government were elected to build an NHS fit for the future. As Secretary of State, I am accelerating modernisation, but health inequalities start long before people access the NHS, so our focus on prevention in the 10-year health strategy is crucial, as is the work of this Government to address wider inequalities, including in housing, air quality and getting more people into work.
Perran Moon
I warmly welcome the Secretary of State to his place. Oversimplified indices of multiple deprivation scores do not reflect the difficulties in caring for people in rural and remote coastal areas such as Cornwall. The Government are committed to neighbourhood health, but funding is getting caught up in integrated care board management structures and not flowing to GP practices, which should be delivering the care. How can the Government ensure that neighbourhood funding does not get held up by ICBs and flows to where it has the highest impact?
My hon. Friend is absolutely right. Funding must not be held up; it must get to the frontline to help patients, his constituents and people across the country. We are supporting ICBs to work differently with providers to identify and meet the needs of their communities on a new population-based approach. We are also reviewing the outdated GP formula for the distribution of funding to ensure that, for the first time in two decades, it will accurately reflect need and ensure that deprived communities get their fair share.
(7 months, 3 weeks ago)
Commons ChamberOn prevention, there are some really important measures in the contract: in essence, we are recalibrating the quality outcomes framework, which is the basis for payments to incentivise the actions that GPs take. By changing the QOF, as it is called, we can shift that in one direction or the other, and we have changed it to incentivise boosting childhood vaccination rates, particularly in those areas of the country where vaccination rates are worryingly low, and better care for patients living with obesity. That is about exactly the things the hon. Member just mentioned: prescribing, if you like, exercise regimes and advising on better nutrition. We are also changing the QOF to require GPs to share data with the lung cancer screening programme. Those are just three examples of what we are doing within the contract.
On online access, it is clear that there must always be three channels of access to a GP—walk-in, telephone and online—and that for an urgent matter it would be a walk-in or a telephone call. What has really worked is that online access has taken pressure off the telephone lines as people who do not have urgent requirements have been migrating online and using the NHS app—take-up of the app is also excellent—so we are moving in the right direction.
Perran Moon (Camborne and Redruth) (Lab)
My father was a family doctor in my Camborne, Redruth and Hayle constituency for more than 40 years; now that he is in his 91st year, I am thankful he is no longer practising. I have the highest number of deep-end group GP practices in my constituency, including the one where my father practised. While I welcome the consideration for deprived areas, will the Minister elaborate on what targeted funding there will be for areas with the highest levels of deprivation?
I thank my hon. Friend for that question and ask him to please pass on my best wishes to his father and thank him for the outstanding service he provided over many years. The Carr-Hill formula review is an important piece of work. It will have a complex range of drivers in it, based on remoteness and coastal areas, but socioeconomic indicators will be very much at its heart. Those are the clear terms of reference that we gave to the National Institute for Health and Care Research, and that is the basis of the review. I expect those documents from officials very soon, and we will update the House accordingly. Some of the process was set out in a “Dear Colleague” letter a little while back, but we are also keen to have feedback from MPs in that process.
(7 months, 4 weeks ago)
Commons ChamberI thank my hon. Friend for listening to me on this issue when he was the Justice Minister, when I first brought his attention to the situation. The points he makes are absolutely right. Over the past couple of years I have met the two voluntary trade bodies for the funeral sector, the National Society of Allied and Independent Funeral Directors and the National Association of Funeral Directors, as well as countless reputable funeral businesses and, crucially, many of the families impacted by these cases. I am so grateful to all of them for the time that they gave me, but as my hon. Friend said, every single one of them has stressed the need for the sector to be better regulated. I echo his calls for the Minister to give us some good news on that in a minute. That is important for everybody; otherwise, all those who carry out their work with such enormous care and diligence will have to operate under the shadow of suspicion. We owe it to them as much as anyone else to get this right.
The Minister knows that malpractice is not uncommon. Quite simply, taboos and sensitivities around death have effectively created a smokescreen for bad care. I am especially concerned about one area: the rise in direct cremations. For those who do not know what that is, it is where the loved ones do not see their deceased at any point in the journey. In their cases, there are absolutely no safeguards, checks or balances. The key thing here is that direct cremations have expanded hugely in the last few years, partly as a result of covid, from just 3% of funerals in 2019 to 20% in 2023.
We all see the charming adverts on the television in which an elderly gentleman explains with a smile that he has arranged for himself a direct cremation. He says, “I just didn’t want any fuss. It is much easier for my children.” We know that some very reputable and caring businesses do this process, but if the children knew what direct cremation might be, they would know that it might be little better than a conveyor belt. Mum and dad may be bundled into a van, maybe still in their soiled nightclothes, with a catheter attached and without any form of temperature controls. They could be taken to an unknown location and left for days before a slot becomes available at a crematorium. Who knows? In the hands of an unscrupulous company—who knows which ones they are?—it is all too possible for any human dignity and respect to become a completely unnecessary complication and expense in this process.
The only requirement before cremation takes place is that the body needs to be rid of objects such as pacemakers and other medical equipment. That was another part of my journey through understanding this process. This surgical procedure is carried out by embalmers, who also drain the body of blood in order to replace it with embalming fluid and remove the contents of the stomach. I was really shocked to learn that that can be performed without any accreditation or qualification whatsoever, and with no minimum standards of care for the body. That is not to say that there is not a form of qualification—the British Institute Of Embalmers provides professional training, and reputable companies such as Co-op funeral directors require a level 5 apprenticeship qualification for their embalmers—but it is not mandated to be able to practise.
In a nutshell, if the political career of any one of us in this room did not work out, we could walk out of here and set up our own funeral home—in our house, if we wanted to—with no special skills or accreditation and nobody inspecting our work. With that as the starting point, who can ever say for sure that their family member was treated with the appropriate professionalism? I have a question for the Minister; I know he has been hoping that I would get to this for some time. What can the Government do to restore trust in this sector? It is unfair on those who practise with enormous integrity that their professionalism is being called into question.
The Minister will know that the Fuller inquiry was set up in the wake of the crimes of the necrophiliac David Fuller, who abused 100 dead women and girls in a hospital mortuary in Kent. Those women were between the ages of nine and 90. In the wake of cases such as those in Hull and Gosport, Sir Jonathan Michael, who led the work into the Fuller report, was asked by the Government to prepare stage 2 of the report, which considers the wider funeral sector and those working in it. The report was published last July and includes some very sensible recommendations, including a statutory regulatory regime for funeral directors that invokes a licensing scheme, mandatory standards and regular inspection.
Perran Moon (Camborne and Redruth) (Lab)
This is a really important debate. While regulation of the funeral sector is fundamental, does the hon. Member agree that it must be proportionate? A small, independent home carer for 20 or 30 people a year cannot be expected to have to mirror the administrative burdens placed on a large, multi-site corporate provider. Does she agree that core standards must be universal, but related to the structure and scale of a business?
I do not think that the size of a business is necessarily any reflection of its professionalism. We know that a large number of small, independent funeral services up and down the country work with incredible professionalism.
The hon. Gentleman is also right that nothing should be introduced that is unnecessarily bureaucratic or costly for those businesses.
The Fuller report says:
“It is important that real change is implemented to ensure the security and dignity of the deceased, and that a specific government department is given responsibility for overseeing this.”
Everybody who is involved in this sector recognises that there is a need for it to be properly regulated, inspected and overseen, so can the Minister set out clearly what his initial thoughts are on the recommendations of the Fuller report and when the Government will respond to them in full? When they do so, will they set out clearly what firm action will be taken, and when? We have waited so long, so when the Government respond, it must be with clarity, with purpose and—above all—with urgency.
(9 months, 2 weeks ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Yes, I agree with the hon. Member. It is important to realise that everybody is different and that we all need different support. That is very true in school. When we call for diagnosis, we need to take great care around what we mean. Diagnosis is a means of getting support, getting the right treatment and getting the right medication, if medication is right—it is not right for everybody. ADHD is a spectrum and that individual, tailored support in school, and indeed in adult life, is an important part of what we are discussing.
I am glad that my hon. Friend raised that point, because one of my asks to the Minister is to iron out those inconsistencies.
Perran Moon
I thank my hon. Friend for securing this important debate, and thank the parents of Matty Lock for being in the Public Gallery for it. A couple of years ago, my son was diagnosed with ADHD while he was at university. To my shame, I always thought that his behaviour was simply a case of mischief or laziness. Does my hon. Friend agree not only that it is a case of early diagnosis, but that we need to increase awareness of ADHD—and neurodiversity more broadly—among parents, guardians, medical professionals and Government?
My hon. Friend is absolutely right, and he has made a very good point. My son has been diagnosed with ADHD—belatedly, like so many—but we were told early on that having a diagnosis would not help him. How wrong that was, because the diagnosis was the key to getting support and understanding what we were dealing with, both for him and for us as his carers. There is a lot of misinformation around, and getting that right is key, but yes—
(1 year, 3 months ago)
Commons ChamberThe provision of car parking remains an issue for trusts. I recognise the stress caused by trying to get patients to hospital, particularly if they have mobility problems. I commend the many hospitals across the country that have really good active travel plans and are working with their local communities to resolve some of these issues. We need to hear more from the trust about what provision it is putting in place to serve my hon. Friend’s constituents.
Perran Moon (Camborne and Redruth) (Lab)
Perran Moon
Meur ras, Mr Speaker. Carn to Coast runs GP surgeries across my Camborne, Redruth and Hayle constituency, including the surgery where my father practised for over 30 years. It is struggling under intense pressure, with deep-rooted health inequalities linked to the surrounding areas of deprivation. While I welcome the review of the Carr-Hill formula as part of the 10-year health plan, will the Secretary of State come to Cornwall and visit a Carn to Coast health centre with me, to see the innovative work that is already being undertaken and to discuss how the reforms will support health outcomes in the most deprived areas?
I can certainly give my hon. Friend that commitment. The damage that was wreaked by the previous Government, not just across our health service but across every other part of Government, means that the gap between the health of the poorest parts of our country and that of the wealthiest has widened enormously. We have seen real challenges in general practice, which is why there are 300 more patients per GP in the poorest communities compared with the richest, and that particularly affects rural and coastal communities with higher levels of deprivation. We are going to carry out a review of the Carr-Hill formula. That formula has to work for general practice, and I would be delighted to come and see the work that the team at Carn to Coast are doing.
(1 year, 4 months ago)
Commons ChamberMay I respectfully say that that was part of the problem with Conservative thinking? They thought that the answer to the NHS crisis was more quangos, and they measured success in the number of ICBs, not the number of appointments and the size of the waiting list. We are taking a different approach, slashing bureaucracy and reinvesting in the front line. We are not centralising but decentralising, and cutting waiting lists—a record that the Conservative party cannot begin to touch.
Perran Moon (Camborne and Redruth) (Lab)
A couple of weeks ago at my constituency surgery, though tears my constituent Amy explained how, following a hip operation in 2008, she suffered progressive nerve damage due to repeated failures in diagnosis, referral and treatment. Despite raising concerns for years, she was told that her pain was common. A nerve test in 2015 confirmed damage, and further tests last year showed a significant deterioration. After 17 years she has only now been offered surgery. All Amy wants to know is what steps are being taken to ensure that no other patient is left permanently disabled due to such prolonged and systemic failure—
Order. That is very important, but why does the hon. Member not want others to get in?