Puberty Suppressants Trial

Peter Swallow Excerpts

Wednesday 17th December 2025 Commons Chamber

[Wes Streeting]

The right hon. Member is right that we need that data linkage study. That will happen, but it will not produce the same evidence base as a clinical trial, and that is the distinction between the two. It is frankly a disgrace that people have sought to withhold that kind of data and it is really important that we get this right.

I appreciate the right hon. Member’s sympathy. I have wrestled with this issue probably more than any other ethical decision that I have had to make in this office. I do not seek any pity or sympathy for doing so—it is the job that I signed up to and a job that I love doing. I have taken great care and sensitivity in this area because of the particular vulnerability of this group of children and young people.

[Peter Swallow (Bracknell) (Lab)]

It is fair to say that the recommendations of the Cass review were not welcomed by everyone—not least by all members of the LGBT+ community—but the Conservative party commissioned the review and accepted its findings, and the Labour party supported the review and supported its findings. Does the Secretary of State share my concern that there are those who would now seek to cherry pick which of the findings they agree with and which they do not? Is it not the case that an independent review with such serious and important findings should be accepted in its entirety?

[Wes Streeting]

When it was published—I was in the Chamber at the time—there was an overwhelming consensus in the House. There were some people who criticised and challenged the Cass review at the time, including some outside the House in the LGBT community. I have always supported the Cass review, which was led by one of our country’s best paediatricians. Because of that, I am proceeding in the way that I am, which is the way that Dr Cass—now Baroness Cass—recommended. I will continue to follow the evidence and implement the Cass review comprehensively.

Oral Answers to Questions

Peter Swallow Excerpts

Tuesday 25th November 2025 Commons Chamber

[Stephen Kinnock]

Yes, I am happy to meet the hon. Lady.

[Peter Swallow (Bracknell) (Lab)]

Bracknell is a life sciences superpower, with Eli Lilly, Sandoz and Boehringer Ingelheim all having a footprint in our town. What can we do to speed up clinical trial set-up to help to deliver the next generation of treatments for our NHS?

[Dr Ahmed]

The Government are already committed to clinical trials being under 150 days by next March. I commend my hon. Friend on all the work he does with his local pharmaceutical companies in advancing medical science locally and nationally.

Access to Healthcare: Bracknell Forest

Peter Swallow Excerpts

Wednesday 19th November 2025 Westminster Hall

[Peter Swallow (Bracknell) (Lab)]

I beg to move,

That this House has considered access to healthcare in Bracknell Forest.

It is an honour to serve under your chairship, Mr Mundell. I thank the Minister for Secondary Care, my hon. Friend the Member for Bristol South (Karin Smyth), for her engagement on this important issue.

As local MPs, we all hear on the doorstep and at our coffee mornings about the importance of the ability to access timely, good-quality and local healthcare, and the impact not just on individuals, but on our communities more broadly, when the standard is not met. What those who work in our health and social care system do day in, day out touches all our lives and families. I thank those in Bracknell Forest and across the country who work in our NHS and wider health and care system for everything they do. I must declare an interest: my brother and sister-in-law are both NHS doctors.

These are challenging times for the NHS. Chronic under-resourcing after 14 years of Conservative austerity has left too many unable to access the care they need and has prevented the system from evolving to reflect the needs of today’s Britain. But although the NHS may be down, it is not out. While other parties threaten the very principle of the NHS—that care should be available to everyone and free at the point of use—the Government are investing in the NHS and putting in place the reforms we need. We have already seen those efforts bearing fruit, with the first cuts to waiting lists in 15 years, the recruitment of 2,500 more GPs and the creation of 5 million extra appointments.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Gentleman for securing this debate. He is right to underline the issue of GPs. Does he agree that access to healthcare must begin with access to the local GP surgery, and that the Government must prioritise training and retraining GPs to ensure that people can access their GP and do not head straight to emergency care at the local hospital when it is not necessary? GPs first—then, everybody else can do better.

[David Mundell (in the Chair)]

But primarily in Bracknell Forest.

[Peter Swallow]

The hon. Member predicts where I am going with my speech. I am sure that the issues in Bracknell Forest are similar to those in Northern Ireland. As I will say, it is important that we have seen changes in the way GPs operate in England.

The 10-year health plan for England represents a once-in-a-generation chance to reform and rebuild the health system. It is underpinned by the three radical shifts of hospital to community, analogue to digital and sickness to prevention. In Bracknell Forest, we have already seen the Government’s commitment to moving healthcare to the community through the announcement of funding for the Frimley Park hospital rebuild, which was promised under the last Government but never funded, despite unsafe reinforced autoclaved aerated concrete making up about 65% of the current building. The funding will go directly to help to deliver a hospital that is safe, modern and equipped to deal with the demands facing our healthcare system today.

I thank the Minister for meeting me yesterday, and on many other occasions, to discuss the rebuild, and for all the work that has gone into progressing the project behind the scenes, but as she knows I remain concerned that Frimley Health NHS foundation trust is still not in a position to announce the location of the new hospital, despite several deadlines already having been set and missed. I urge the trust to make that announcement as soon as practically possible, so that constituents can have the visibility and transparency they need on the delivery of those plans.

Bracknell Forest residents are determined that the new hospital addresses the existing issues with access to Frimley Park hospital, including insufficient parking, and that it should be as close as possible to the current site. Better access by public transport also needs to be baked into the design. Constituents also have concerns about the ongoing need to rebuild the Royal Berkshire hospital. I take this opportunity to reassure them that I am as keen as they are to see that delivered as soon as possible, and I will continue to push for it in this place.

As the 10-year plan sets out, the future of our NHS cannot be delivered just through hospitals. Care needs to be embedded in our communities, so I am delighted that Skimped Hill health centre—or Bracknell Forest centre for health, as I believe it will officially be known—is now in the final build stages. Once completed, the centre will bring together in one place several services in the centre of Bracknell, including two GP practices, maternity services and children’s services, rooting healthcare in the community and breaking down the bureaucratic barriers to access both for patients and for service providers.

A key element of the shift from hospital to community is ensuring that all health spaces are used to their full potential. Brants Bridge in Bracknell spans both Frimley and Berkshire healthcare trusts and offers a range of services, including X-rays, urgent care, dialysis and chemotherapy. However, constituents regularly tell me that they struggle to access the space, or are turned away and directed to A&E for arbitrary reasons. The centre is a resource with huge potential, but I fear we are not utilising it to its fullest. I would therefore welcome a review of the services offered by Brants Bridge, as well as of its accessibility, to better support the Government’s ambitions for community care.

As we build the homes of the future, it is important that we match them with the health infrastructure needed to support them. It is fantastic to see that with the new Skimped Hill health centre and, although it is not in my constituency, I will also mention the new Binfield health and community centre. But Bracknell Forest has a shortage of GPs, with 1,874 patients for every GP, so it is important that we keep developing primary healthcare provision to serve our growing population. We also have a mismatch between pharmacy need and provision, with some areas with the greatest need, such as Bullbrook, relying on just one pharmacy.

I recently met with both Forest Health primary care network and Health Triangle PCN, which includes Ringmead, to discuss patient access, the 10-year plan and the implementation of the new GP contracts. I was pleased to hear thar Ringmead has implemented a new booking system and, although not all patients have felt the benefits of that yet, it has been great to hear from many constituents that it has gone a long way to make accessing their local GP much easier. I stress, however, that we still have a way to go when it comes to ensuring that patients can access the right choice of appointment for their needs. For many, online appointments offer flexibility and convenience, but others want the reassurance of seeing their GP face to face.

In a local authority like Bracknell Forest it is also important to match healthcare provision to where people live, so that people are not forced to travel long distances to access their appointments. I have heard many residents share their frustrations at getting an appointment in Bracknell when they live in Sandhurst, and vice versa. Although I appreciate that that is sometimes unavoidable or about ensuring that healthcare can be accessed as quickly as possible, I would like more local appointments to be prioritised.

The aim in the 10-year plan to end the 8 am appointment rush resonates with many constituents who have, too many times, faced the stress of scrambling for an appointment while unwell and in need of treatment. I am pleased to see the Government delivering on that key ambition, but I am aware that the shift has come with operational challenges for primary healthcare providers when managing patients who book close to closing time. I know that healthcare professionals would welcome the Minister’s thoughts on how the teething issues can be addressed, so that the system works as well as possible for both patients and providers.

The Government’s ambition is rightly to raise the healthiest generation of children ever, and early intervention and community-focused care will play a crucial role in delivering that. As many colleagues know, I often speak about special educational needs and disabilities issues in this House, and with my constituents. SEND is not just an educational issue. Among many other things, it is a social issue, an equalities issue and, of course, a health issue. Across the country, children and adults wait far too long to access attention deficit hyperactivity disorder and autism assessments. The number of children waiting for an autism assessment is acknowledged to be high across all six Berkshire local authorities. In June 2025, there were 682 children aged between five and 18 in Bracknell Forest waiting for an assessment, and a further 241 adults were also waiting.

Berkshire healthcare NHS foundation trust has been overhauling its system to improve waiting times and deliver a better performance, and has recently been recognised as one of the top performing trusts in the country, but it will take time for the efforts of those reforms to be felt on the ground. The long waits involved mean that many are turning to private diagnosis, which risks creating a two-tier system in which those who can afford it receive a diagnosis and the support that follows and those who cannot are left to struggle. I fundamentally believe that young people should not need a diagnosis to access essential support. When parent carers, classroom teachers and the young person themselves can all see that there is need for more support, it should be made available, and the diagnosis can be worried about later.

As the Government develop their reforms to our broken SEND system, I want to see a shift away from a system that too often feels diagnosis-led, and towards one that is genuinely needs-led. Prioritising early intervention will enable quicker support and treatment and will improve young people’s quality of life and outcomes.

I recently hosted a series of roundtables with parent carers and practitioners to hear directly from my constituents what they want to see in a reformed SEND system, and I produced a report on their local concerns and perspectives. Many of those who contributed highlighted a need for joined-up, holistic working across agencies and service providers. Nationally, there is a chronic shortage of trained speech and language therapists and occupational therapists in our schools. That has deep and long-lasting consequences, locking young people out of fully accessing their education and preventing them from reaching their full potential. I urge the Government to recognise the importance of increasing recruitment and retention in those critical roles.

I also heard that it too often felt like health services were walking off the pitch and leaving everything to schools and the local authority. Although I recognise the importance of an education-led approach to reforms, local health services, including integrated health boards, need to be held accountable for the parts of the system they are responsible for.

I was delighted to welcome the SEND Minister, my hon. Friend the Member for Queen’s Park and Maida Vale (Georgia Gould), to Bracknell last week to discuss these issues further and to share the voices of the parents, carers, professionals and young people whose experiences informed my report. Again, I thank those who contributed. I am pleased to have the chance to raise the issue in this health debate too.

I recently attended a dementia forum, hosted by Bracknell Forest council, which brought together dementia patients, their families and carers, healthcare professionals and social workers. It was fantastic to hear how a joined-up approach to offering health and social care was having a positive effect on outcomes for those living with dementia and their loved ones. I was also delighted recently to meet our local Admiral nurse, who works with patients experiencing early onset dementia and is supported by Dementia UK. I heard how important it is for the whole team of support around a person with early onset dementia to have access to their health record, enabling a more holistic approach to care. That is a fantastic example of best practice, and it has had a profound impact on patients and their families across Bracknell Forest.

Such community provision is essential if we are to meet our goal of developing a genuinely neighbourhood-led health service. There is much that the voluntary sector can contribute. For example, local mental health services are profoundly stretched, and young people face long waits for support through child and adolescent mental health services. In Bracknell, I am proud that we have excellent local organisations such as Youthline, which was just awarded a King’s award, and Create Hope, which works closely with schools to deliver counselling for young people. I would like them to be supported more by the health system, including through commissioning. Young people across the country face unprecedented challenges, and community organisations play a vital role in advancing a preventive approach to the development of longer-term mental health problems and providing the support on the ground that young people desperately need.

A healthcare system fit for the future must embrace the technological age we live in, and the Government’s ambition to shift the NHS from analogue to digital is commendable. The lack of reliable information-sharing across services is a familiar barrier for both patients and professionals in accessing and delivering the best healthcare, so I am strongly in favour of the Government’s work on the single patient record, which is currently in a test phase. It will play a key role in our 10-year health plan.

The single patient record will lower barriers to access by ensuring that healthcare professionals have a clear, unified view of patient health records, thereby enabling a safer, faster and more co-ordinated approach across services and ensuring that both patients and healthcare providers can access the information they need as seamlessly as possible. That is particularly important in an area like Bracknell, which benefits from services delivered by both the Frimley and the Royal Berkshire NHS trusts—we get the best of both systems.

When patients walk into a health centre, GP clinic or hospital, they do not want to have to think about which ICB or trust is providing the service and whether their data can be shared with the other parts of the health system that they access. They just want to be treated, and to know that every part of the system will understand the treatment they have received. Instead, I often hear residents in Bracknell Forest complaining that their blood test at the local hospital has not been shared with their local GP, or that the care provided by Bracknell Forest council does not speak to the care they access through the NHS. Will the Minister provide an update on the progress towards a single patient record, and set out what it will mean for my constituents in Bracknell who rely on overlapping health systems?

Building a health system fit for today’s needs is a challenge, but one that I know the Government are determined to embrace. I recognise and welcome the progress that has already been made, and I urge the Minister to continue in the spirit of innovation and ambition to drive forward critical changes. We must ensure that flexibility, early intervention and a community-first approach are placed at the heart of our reforms, and that barriers to access are considered carefully so that no community is left behind. I hope the Minister can take these concerns back to the Department to ensure that they are fed into the Government’s plans to rebuild our health system, and that Bracknell Forest’s voice is heard loudly as the ambitious work continues to build an NHS fit for the future.

Suicide Prevention

Peter Swallow Excerpts

Thursday 11th September 2025 Commons Chamber

[Peter Swallow (Bracknell) (Lab)]

It is an honour to take part in the debate, which was so powerfully opened by my hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher). I am grateful to colleagues for ensuring that suicide prevention remains at the top of our agenda.

As others have mentioned, yesterday was World Suicide Prevention Day, so this debate is timely. Suicide is one of the biggest killers in this country. As other Members have touched on so well, behind every statistic is a friend, a mum, a cousin, a husband—each one loved by friends and family. Over the summer recess, I visited Bracknell Samaritans, where I saw for myself the extraordinary work that it does as part of a successful and growing national network. Its volunteers are there for people at their darkest moments, and we should never underestimate the number of lives that they save. I thank them for everything that they do in Bracknell and beyond.

Last year, I had the privilege of chairing a roundtable on autism and suicide prevention, organised by Autism Action. It shone a light on the disproportionate effect that suicide has on those with autism. According to the National Autistic Society, 66% of autistic adults have experienced suicidal thoughts—nine times higher than for the general population. The society also reports that as much as 11% of people who die by suicide have either an autism diagnosis or autism traits. Those figures are shocking and demand action. The insights and voices of autistic people and their families, which I heard at the roundtable and in further conversations, have been invaluable in shaping my understanding of the scale of the challenge and the need for action.

Recent research from Autism Action, the University of Cambridge and Bournemouth University—the largest study of autism and suicide to date—provides further insight. Almost 1,400 autistic people took part. The study identified loneliness, hopelessness and feelings of failure as key drivers of suicidal thoughts; many reported difficulties in getting the support they needed, long waiting times for diagnosis and a lack of post-diagnostic help. Our national strategies do recognise autistic people as a priority group, but there is more to do to ensure that recognition translates into practical action. An updated suicide prevention strategy should specifically address the needs of autistic people, and the next autism strategy should explicitly consider suicidality, with the two approaches working hand in hand, rather than separately.

While there is more to be done nationally to address mental health issues, I am proud that local organisations in Bracknell are already leading the way: Walks for Wellbeing and Sandhurst Health Walks; Youthline and Create Hope; Stepping Stones Recovery College; Sandhurst counselling service, which, I am very happy to say, is back up and running after a difficult year; Andy’s Man Club and the Crowthorne and Wokingham Without men’s shed; and, of course, Bracknell Samaritans. These groups are lifelines, and they deserve recognition and support for the critical services they provide. I am pleased to say I have met each of them and can personally vouch for the hard work they do in our community.

I want to end with a message to anyone watching or listening today who may be struggling: help is available. Whether by calling the Samaritans on 116 123, through local services in Bracknell Forest or through friends, family and community, there are people ready to listen and to help. Please reach out.

Oral Answers to Questions

Peter Swallow Excerpts

Tuesday 17th June 2025 Commons Chamber

[Wes Streeting]

That has been a running theme this morning, which will not be lost on Ministers. We will ensure, as we deliver neighbourhood health services, that people can receive care closer to home, wherever they live. We have heard that message loud and clear today, and I think the hon. Member will see that priority reflected in our 10-year plan for health.

[Peter Swallow (Bracknell) (Lab)]

I declare an interest, as my brother is a GP. When my residents are able to get a GP appointment, they are frustrated when they are sent halfway across the borough to a different surgery from the one they are registered with by their primary care network. Can we address that, and is it part of our proposals in the new GP contract?

[Wes Streeting]

We do want to put GPs at the heart of neighbourhood health services, and we want people to have care close to home. There are benefits to primary care working at scale, so I would not want to criticise them for doing that. The important thing is different courses for different horses. Some of us are much more mobile, more active and more online and would welcome that flexibility. For others, continuity of care that is close to home, or indeed in their home, is important. It is important that people get the right care, in the right place, at the right time, wherever they live, and that is what we will deliver.

Spending Review: Health and Social Care

Peter Swallow Excerpts

Thursday 12th June 2025 Commons Chamber

[Karin Smyth]

The economics of the Green party are even more fantastical than the economics of the Conservatives and Reform; we all dread to think what things might be like under that party. We see that in the local council in my city of Bristol, and it is an absolute disaster. If the council could just get on with building council houses and social homes, it would help more people to live a better life, and would aid prevention. We are getting on with tackling social care. That was announced in the spending review, and that is what the Casey review will do.

[Peter Swallow (Bracknell) (Lab)]

I warmly welcome the largest-ever capital investment in our NHS in the spending review yesterday, building on the Chancellor’s announcement in last year’s Budget of the money to rebuild RAAC-infested hospitals such as Frimley Park hospital, which will benefit my constituents. That was committed to by the previous Conservative Government, but, shockingly, it was never paid for. With the Government standing four-square behind rebuilding Frimley Park hospital, does the Minister agree it is time for Frimley Health NHS trust to get on and announce the site for the new hospital?

[Karin Smyth]

I thank my hon. Friend for his support for the Chancellor’s statement and our commitment to the NHS. I know he has been working so hard on this issue on behalf of RAAC hospitals and Frimley Park hospital since he became a Member of Parliament last year, and we are four-square behind that work getting on. It is at the beginning of a very long queue in the new hospital programme. It is one of the things we inherited—we wish it was a better inheritance, but we are working with what we have. We have put the new hospital programme on a firm financial footing, and Frimley Park is at the beginning of that queue. We are very keen that people get on with it very quickly, because there are very many other people waiting behind them.

Dementia Care

Peter Swallow Excerpts

Tuesday 3rd June 2025 Commons Chamber

[Caroline Voaden]

The hon. Member has beaten me to it—I absolutely agree.

The lack of respite support is pushing carers into crisis, and when that happens the result is clear: faster entry into long-term care, increased hospital admissions, more GP appointments and distress for everyone involved.

[Peter Swallow (Bracknell) (Lab)]

The hon. Member is absolutely right that respite care is important. In my constituency, Sandhurst day centre offers fantastic respite care, allowing people with dementia to stay as active and as social as possible for as long as possible, which we know also keeps people out of hospital for longer. Does she agree that we need to see more support for day centres such as Sandhurst day centre?

[Caroline Voaden]

I could not agree more—I am sure I will agree with most of the interventions in this debate.

This does not have to be the outcome. We know that with the right support at the right time, people can live well with dementia at home, and that reduces pressure on services and improves quality of life.

Mental Health Bill [Lords]

Peter Swallow Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Wes Streeting]

I am extremely grateful to the right hon. Gentleman for his intervention, and I place on record my thanks to Fiona for her campaigning work in circumstances that are completely unimaginable for those who have not walked in her shoes and experienced the kind of grief that she is experiencing. I know that my hon. Friend the Member for Rother Valley (Jake Richards) has been campaigning assiduously on this issue; similarly, we have had representations from the hon. Member for Dorking and Horley (Chris Coghlan), who is in his place, and the right hon. Gentleman. We are carefully considering the arguments that have been made, and looking at what we can do in this Bill to advance things in the way that Fiona and others like her would like to see. We will continue that engagement throughout the passage of the Bill, and see if there is a workable way in which we can improve it to ensure that others do not have to go through the unimaginable heartbreak that Fiona is living with every day.

[Peter Swallow (Bracknell) (Lab)]

My right hon. Friend is touching on ways to strengthen this Bill even further. He will know that the Joint Committee on Human Rights has just this morning published our report on the Bill. We have praised it for all that it will do to address a number of inequalities, but we have picked out one or two areas where it could go even further. I know that he will not yet have had a chance to look at our report, but will he arrange for a meeting with members of the Committee and the relevant Minister to discuss our findings?

[Wes Streeting]

I wish I could correct my hon. Friend and say that I have already read in detail the feedback from the Joint Committee on Human Rights, but he is right: I have not yet had a chance to do that. However, I can assure him that I and my hon. Friend the Minister for Care will look at the Committee’s report. We would be very happy to meet members of the Committee to discuss in further detail their findings and recommendations.

We want to ensure that the Bill is as strong as it can be, given the length of time that has passed since the Mental Health Act was reformed. Indeed, the Mental Health Act is as old as I am. [Interruption.] Thank you for those interventions. I assure Members heaping compliments across the Chamber that it will not affect investment decisions in their constituencies, but I am none the less very grateful.

There is a serious point here: whereas attitudes to mental health have come on in leaps and bounds in the past four decades, the law has been frozen in time. As a result, the current legislation fails to give patients adequate dignity, voice and agency in their care, despite the fact that patients have consistently told us that being treated humanely, and making decisions about their own care, plays a vital role in their recovery.

When patients are detained and treated without any say over what is happening to them, it can have serious consequences for their ongoing health. To quote one of the many patients who bravely shared their experiences with Sir Simon Wessely’s independent review:

“Being sectioned was one of the most traumatic experiences of my life. Sadly, as a result of being sectioned I developed PTSD”—

post-traumatic stress disorder—

“as the direct result of the way I was treated”.

Sir Simon’s review was published seven years ago. It shone a light on a group of people who had been hidden, ignored and forgotten. In the time that has passed since, the case for change has only snowballed. The Bill now takes forward Sir Simon’s recommendations.

The review stressed that legislation alone would not fix the system; culture and resources matter too. This was echoed in Lord Darzi’s investigation into the NHS, which uncovered some hard truths: a dramatic rise in the use of restrictive interventions on children; and 345,000 patients waiting more than a year for their first appointment with mental health services—more than the entire population of Leicester—of whom 109,000 were under the age of 18. This Bill does not solve every problem in our mental health services, but it marks a vital step in our plans to improve the quality of care, combat long-standing inequalities, and bring about a stronger focus on prevention and early intervention in mental health.

National Cancer Plan

Peter Swallow Excerpts

Tuesday 4th February 2025 Commons Chamber

[Madam Deputy Speaker (Ms Nusrat Ghani)]

Order. I know that some of these contributions are quite emotional, and if people need to leave the Chamber after they have spoken, that is okay by me.

[Peter Swallow (Bracknell) (Lab)]

Ethan was just 15 and studying for his GCSEs when he was diagnosed with a brain tumour. Sadly, he passed away two years later. I had the privilege of meeting his mum, Nikki, this weekend at two events organised to raise money for brain tumour research. In Ethan’s memory, will the Minister commit himself to improving outcomes for people with brain tumours through the national cancer plan?

[Andrew Gwynne]

Through my hon. Friend, I would like to pass my condolences on to Nikki for the loss of Ethan. As I have said, we have not made anything like the progress we would want to make on treatment and survival rates for brain tumours. That will form an integral part of our national cancer plan, and we will utilise all the latest advances in technology and science to try to get the better outcomes that we so desperately want.

Obesity: Food and Diet

Peter Swallow Excerpts

Monday 20th January 2025 Commons Chamber

[Dr Opher]

I absolutely agree with that. We must treat people in a fair and compassionate way. We must point that out to them, as medical professionals, and help them to get better. I agree with the hon. Lady about stigma.

On obesity strategies, since 1990, we have had 700 separate policies to tackle obesity, yet it has doubled. Clearly, we are doing something wrong. Having looked at the evidence, it is clear that voluntary targets do not work. Voluntary targets for the food industry and relying on individual agency—giving us choice in what we eat—cannot reduce obesity. The food industry, of course, has a vested interest in making money. While education and exercise are really good, there is not much evidence to suggest that they reduce obesity. It is all about food.

There has been a lot of research. Nesta, the Obesity Health Alliance and the House of Lords Food, Diet and Obesity Committee have done multiple reports on obesity, and it is clear that we can halve it. All we need to do is reduce everyone’s calorie intake by 200 calories a day. That is the difference between McDonald’s large fries and standard fries—other fries are available—so it is not a massive thing, but we all have to do it. As always with public health, small drops in what we take can have a massive effect on the population.

[Peter Swallow (Bracknell) (Lab)]

Does my hon. Friend agree that it is important, when there is such a strong correlation between child poverty and child obesity, that we tackle not only the food systems leading to poor health outcomes, but the price of food? We must see those two challenges in lockstep and work to address both the quality of food and the cost.

[Dr Opher]

Absolutely. One of the main pitfalls we must avoid is that there is no point in making cheap food more expensive. That will make people poorer. We need to be much more creative than that.