Health Bill

Steff Aquarone Excerpts

2nd reading
Monday 1st June 2026 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

I start by declaring an interest as a member of the all-party group on patient safety and as a vice-president of the Local Government Association, and also by welcoming the new Secretary of State to his place. I very much look forward to working constructively with him during the passage of the Bill.

We all know that our NHS is in desperate need of transformation. Hospitals are in chaos, social care is overloaded and getting a GP appointment is a huge challenge for many. Labour has promised to put patients and communities at the heart of the NHS, but I fear that the Bill does not fulfil that promise. The Government promised to sort out social care, but two years later they are still only part-way through a three-year review. They promised to treat mental health with parity, but although mental health accounts for 20% of the disease burden, its share of NHS budgets is falling to just 8.4%. The Government promised to protect women’s health, but the women’s health strategy published this year was significantly weaker than the men’s health strategy, which received 60% more funding for new research. Healthy life expectancy in the UK is stagnating, and adult social care is under ever more pressure, putting immense stress on the budgets of councils and other local authorities.

The reality in rural North Shropshire is that people struggle to get GP appointments, 12-hour waits in A&E have become normal and finding an NHS dentist is becoming impossible. The social care crisis has left Shropshire council’s finances in a dire situation. A real NHS reform Bill would have changes to social care, general practice and prevention at its heart. Instead, this Bill passes responsibilities around Whitehall, centralising more power with the Secretary of State, while chaos reigns following 50% cuts to ICB budgets.

Early in his term, the right hon. Member for Ilford North (Wes Streeting) promised that another top-down reorganisation of the NHS was the last thing he wanted to do. Yet the abolition of NHS England is exactly that—focusing on reorganisation at the top, while failing to deliver real improvements for patients and staff. It is true that NHS England has allowed Ministers to shirk responsibility and accountability, but its abolition has been poorly planned, leaving both ICBs and specialised commissioning in chaos. Instead of the Government’s advertised aim of creating a more community-based NHS, the Bill centralises power in Whitehall, giving sweeping Henry VIII-style powers to the Secretary of State. Such powers carry a real risk that political considerations could influence what should be operational decisions about how the NHS provides for patients in future. That is particularly concerning in the current febrile political climate, and the Government must ensure that protections are in place for what may happen in the future.

The Government have made 50% cuts to ICBs, but the Bill gives them new legal responsibilities, different structures and centrally directed spending objectives. It is indicative of a lack of planning that could plunge ICBs into chaos. Meanwhile, the removal of the integrated care partnership and the extension of ICBs to cover multiple local authorities raises unanswered questions about the future of social care planning. In Shropshire, the council already spends around 80% of its budget on social care provision. That has a monumental impact on all services, as constant savings have to be found. Removing the pooling of the better care fund among local authorities and ICBs will discourage integrated working between these bodies on social care. Given existing complications over the sharing of costs and social care provision, the chaos of that reorganisation may only exacerbate confusion.

It is also astounding that the Bill plans to remove the duty of GP representation on ICBs, along with local authorities and NHS trusts. The replacement of council representation with mayors is extremely problematic for the many areas that do not have a mayor, and it removes the local accountability needed to ensure true community representation. Like so much Labour policy, such changes risk benefiting concentrated urban areas, while letting down rural communities such as those I represent.

[Steff Aquarone (North Norfolk) (LD)]

My hon. Friend will be aware of clause 4 on reducing health inequalities, which I welcome. As a rural MP, like me, she will also know that access and outcomes are poorer in our communities. Does she agree that the Government should go further and ensure that the Bill explicitly refers to equality of access and outcomes for rural and coastal communities such as North Norfolk?

[Helen Morgan]

My hon. Friend will not be surprised to hear that I agree with his point.

ICBs are already overstretched and underfunded. In North Shropshire, both Shawbury medical practice and Prescott surgery in Baschurch are in desperate need of expansion. Community infrastructure levy money is available and land is earmarked for a new site, but progress is being held up by the ICB’s inability to agree notional rent. That situation is replicated across the country, and there is no sign of such problems being solved by the Government’s changes.

The plan to abolish Healthwatch will ultimately strip patients of their voice. There has been a statutory independent patient voice in the health and care system for more than 50 years. More than half of patients who experienced poor care in 2024 did not take any action, with many citing fears that giving negative feedback directly to the NHS might affect their ongoing treatment. That is why it is crucial that we have an independent patient voice, rather than leaving the Department or the ICB to mark its own homework.

We need only look at the devastating consequences of the failings uncovered during the Mid Staffordshire scandal, and the long list of maternity failings since, to see how important it is to have Healthwatch exposing challenges in the health service and listening to patient feedback, and how the CQC can fail in that operation. In Shropshire more than 200 babies are thought to have died due to maternity failures; in the reviews that followed, the one thing that came up time and again was that grieving parents were not listened to.

Patients and their families must have a voice. The new system will give no incentive to investigate such issues, which are invisible in the main performance metrics of the NHS. To see the value of Healthwatch, we need only look at the Cabinet Office King’s Speech briefing for the Bill, which refers to a Healthwatch report from May 2025 on missing medical records in order to make the case for the single patient record. I urge the Government to protect both national Healthwatch and local healthwatch organisations, and the independent whistleblowing routes that empower and advocate for patients.

The Liberal Democrats welcome the move to create a single patient record; that part of the Bill could prove to be the most transformational for patient experience and, most importantly, for patient outcomes. People are tired of endless NHS admin and of having to reconfirm their medical histories over and over to different medical professionals. Patient harm has often occurred where clinicians have not had a patient’s full medical history, and different parts of the NHS having access to the same patient information is clearly necessary. However, that must come alongside essential new privacy protections and safeguards for patients, particularly given the understandable concerns surrounding Palantir’s involvement with the federated data platform. We would introduce a health charter to set out guiding principles for data sharing across the NHS, ensuring that patients are in charge of their own data.

The Bill’s references to carers are welcome, as is the Secretary of State’s duty to promote the involvement of carers alongside patients in decision-making around care and commissioning. However, the Bill goes nowhere near tackling the social care crisis and demonstrates a pitiful lack of ambition on one of the biggest challenges we face. As I mentioned, the chaos caused by the restructuring of ICBs will only worsen the challenges that local authorities face in providing care for an increasingly ageing population. We want to transform the NHS so that patients are empowered to live more healthily, for longer and in dignity. The nation’s health is stagnating, with an ever-widening gap in healthy life expectancy between the country’s most and least deprived areas and growing pressure on adult social care.

Fixing social care is fundamental to our vision for the NHS. It is the key to providing a better quality of life for the frail and vulnerable, freeing up hospitals and building independence for an ageing population. It also empowers our constituents to live as independently as possible in their homes and near to their families and communities. We cannot fix the NHS and move care to the community while ignoring social care—yet the Bill ignores it and, as I have outlined, the changes to ICB commissioning will undermine the structures that are supposed to integrate social care with the NHS.

Liberal Democrat plans will give people control, rooting services in communities, listening to patients and making it much easier to see a GP. We will give patients a right to see a GP within seven days, reverse surgery closures and ensure proper personalised management of chronic conditions and frailty, with guaranteed access to a named GP for those patients. We will also protect the mental health investment standard so that we can rebuild community mental health services—something that this Government have failed to do— empowering individuals with poor mental health by intervening early and allowing them to access care in their community. Our maternity rescue plan will ensure that Britain is the safest country in the world in which to have a baby, offering one-to-one midwifery care and empowering women at this most important moment.

This Health Bill could have been a moment for real change. Liberal Democrats are clear about what real modernisation of the NHS would look like. Our vision for a reformed, community-based NHS is one where proper care and restored investment in public health ultimately cut NHS waste and empower people to live healthier and more independent lives. This Bill focuses on shuffling responsibility around Whitehall and gives the Secretary of State the role of chief micromanager. The Government continue to procrastinate over bringing in real change to fix social care, empower patients and save our NHS. In Committee and on Report, Liberal Democrats will use every lever at our disposal to deliver the transformation the NHS so desperately needs.

Less Survivable Cancers

Steff Aquarone Excerpts

Tuesday 6th January 2026 Westminster Hall

[Steff Aquarone (North Norfolk) (LD)]

I congratulate my hon. Friend the Member for Wokingham (Clive Jones) on securing the debate. He is a truly committed campaigner on cancer care.

Over previous decades, we have managed to achieve great progress on cancer care and survival. Many cancers now have high survival rates and straightforward detection and treatment, and survivors live long and happy lives. However, that is not the case across the board, and the less survivable cancers are the prime examples. Survival rates remain stubbornly low, treatment rates are shockingly low and the situation facing someone who is diagnosed with a less survivable cancer is often unacceptable.

I want to describe how these deadly cancers, and access to care for them, impact people in rural communities such as mine. Every day that such cancers go undetected reduces the likelihood of survival, but too many constituents either struggle to secure a GP appointment or have difficulty navigating our ailing transport system to attend one. Those who have been diagnosed and are receiving specialist treatment are likely to have to journey outside North Norfolk to Norfolk and Norwich University hospital, or to Addenbrooke’s in Cambridge.

I warmly welcome the fact that Cromer hospital delivers chemotherapy to more than 30 patients a day in its new cancer centre, but there is still only one cancer treatment available within my constituency. Additionally, the loss of convalescence care beds in my area means that there are fewer opportunities for people to recover from major treatments closer to home.

Looking to the future, I am pleased to see new diagnostic tools and treatment options being brought forward by talented researchers across the country. The revolutionary breath test for pancreatic and other less survivable cancers could be a real game changer. However, I have real concerns that when those new and revolutionary tools and treatments are rolled out, rural areas such as North Norfolk may wait longer to receive the benefits. I hope the Minister can reassure me that her Department is working to ensure that any newly approved treatments and diagnostic tools will be just as easily available in rural communities as they are in the big cities.

I am grateful to all the charities that make up the Less Survivable Cancers Taskforce for their hard work and advocacy for patients, survivors and loved ones who have felt overlooked for too long. They also do vital work in making us all aware of the symptoms we should watch out for, and when to speak to our GP if something does not seem right. I hope that as we come to Less Survivable Cancers Awareness Week, people in North Norfolk will take the time to learn the signs and symptoms, because when we catch these deadly cancers early, lives can be saved.

Budget Resolutions

Steff Aquarone Excerpts

Tuesday 2nd December 2025 Commons Chamber

[Helen Morgan]

We would all welcome that kind of innovative, community-led approach to improve local health services across the country.

The commitment to set up 250 neighbourhood health centres in communities by 2025 is clearly a welcome step, but there are 543 constituencies in England, so many communities will remain under-served. For example, my own constituency of North Shropshire is part of the pilot for neighbourhood health centres, for which we are grateful, but the numbers indicate that there may be only one neighbourhood health centre, although the constituency has five market towns, spread over a large distance and with different catchment areas. It is not one neighbourhood. Investment in our general practices is essential to ensure that people can continue to access primary care when they need it.

Neighbourhood health is not just about buildings—it is about how teams operate—but when so many local practices are constrained by the physical space in which they must work, buildings are an important part of the puzzle. There is a danger that rural and coastal communities continue to remain under-served and isolated, unable to access services that may be many miles away and only reachable by private car.

[Steff Aquarone (North Norfolk) (LD)]

My hon. Friend and I both represent rural constituencies that face similar challenges. Businesses in North Norfolk already face extra struggles to stay afloat, including training and retaining staff, finding affordable premises, and even things as simple as getting a strong and reliable phone and internet connection. Does she share my frustration that rather than tackling those problems, last week’s Budget has just lumbered rural businesses with more tax, more costs and more stress for the future?

[Helen Morgan]

I share my hon. Friend’s frustration.

Perhaps the most glaring and alarming omission of all in this Budget is that the words “adult social care” do not appear. The sector is already stretched to breaking point and is now suffering from the Government’s 2024 hike in employer national insurance contributions, which is unfunded for most businesses operating in that sector. The pressure is clearly reflected in the Association of Directors of Adult Social Services’ 2025 spring survey, which found that three quarters of directors have only

“partial or no confidence that their budgets are sufficient to meet their legal duties for prevention and wellbeing.”

That is not only terrible for disabled and vulnerable people; it is a disaster for the NHS. One in seven hospital beds are taken by someone who should be discharged but for whom there is no appropriate social care package. The situation could not be more pressing.

We need the cross-party talks to move far more quickly. As we have heard, there has been only one meeting, back in September, and there are no current plans for further engagement. I ask Ministers to ask the Prime Minister to lead those talks and to treat them with the seriousness and urgency that they deserve. We also need a solution to provide the social care beds needed to stop a devastating winter crisis; 2028 is too late for that.

In addition to spiralling NIC costs, there is increasing demand and huge staff shortages in the sector. With an immigration policy that is clearly designed to disincentivise overseas workers in this area, there is no clear plan to ensure how those vacancies will be filled. In formulating their 10-year workforce plan, the Liberal Democrats urge the Government to introduce a funded and higher minimum wage for carers, and a new royal college of care workers to improve training and career progression and to give carers the recognition that they deserve.

When social care is not available, family carers must step in to fill the need. A fairer deal for family carers, such as guaranteeing more respite care and introducing paid carer’s leave, would enable many to continue caring for longer at home. We want to see more support for young carers in school by introducing a young carers pupil premium. These are simple but potentially transformational steps in supporting the millions of carers without whom our health service would collapse.

Winter is quickly closing in, and there are signs that the annual winter crisis could be even worse this year, having already become a year-round permacrisis. The Budget should have funded an emergency package to prevent A&Es collapsing this winter. Liberal Democrats have called for 1,000 extra hospital beds, emergency social care places to free up places in hospitals, a recruitment and retention drive to increase the number of out-of-hours GPs, and a qualified clinician in every A&E waiting room to protect patients who are at risk but stuck on trollies. Without those measures, there is a significant risk of another winter of harrowing scenes of corridor care and ambulances queuing outside hospitals, which should have no place in our society.

Let us take a step back and ask what this Budget really means for the NHS. The topic of today’s debate is investment and renewal, but this Budget means cost pressures are left unaddressed and reforms that are confused and disorientating. Inflation is forecast to run higher than the budget set by the Department of Health and Social Care back in March 2025 for the spending review. As a result, average real-terms growth in departmental budgets has shrunk by 0.1% since then.

The OBR notes that spending on branded medicines alone is expected to rise by 25%—an extra £3.3 billion—between 2025-26 and 2028-29. For context, that is equivalent to the budget for maternity care in England. Yesterday’s recent agreement confirms that it will be at least that sum, and possibly as much as another £6 billion a year, which is an eye-watering amount. Industrial action could add a further £1.2 billion by 2028-29. It is hard to see what would be left to repair our GP services, expand social care or take any of the other measures needed to lift the NHS off the floor.

On top of that, we have no clarity on the impact of the reorganisation of NHS England and ICBs. The Chair of the Public Accounts Committee has warned that the Department has removed

“a key piece of machinery without articulating a clear plan for what comes next”

and compared the reforms with those of HS2.

The 10-year plan sets out a vision that Liberal Democrats share, but it is missing any clear explanation of how it will be funded within the spending review settlement. Nowhere, across 170 pages, is there a credible costing or delivery plan. Five months on, we still have no idea whether the Government can deliver the essential reforms that they have promised. Unless the Government adopt a genuine “spend to save” approach, investing now to prevent greater costs and worse outcomes later, we are at risk of seeing only managed decline, mounting pressure and the continued loss of faith in the health service.

Rather than Labour’s unfair tax rises, we have set out a number of fair ways to fund our public services properly. Most importantly, this Government are refusing properly to fix our broken relationship with Europe. We are calling for a new EU-UK customs union, which could raise more than £25 billion a year. The Government would have plenty of time to put the deal in place by 2030, raising billions in extra tax revenue in a fair way after 2030. We have also called for a targeted windfall tax on the big banks, which would raise £30 billion in total by 2030.

Let me take this opportunity to say to the Government that if we are to rescue the NHS, they must tackle the crisis at its front door and at its back door. That means investing in public health and early access to community services, including GPs, pharmacists and dentists, so that fewer people need to go to hospital in the first place. It also means fixing the crisis in social care to stop so many people being stuck in hospital beds. Only these measures can bring down waiting lists, improve the quality of care and help people live longer, healthier lives. The NHS needs transformational change; the Government must wake up from their complacency, or it will be patients who pay the price.

Oral Answers to Questions

Steff Aquarone Excerpts

Tuesday 21st October 2025 Commons Chamber

[Mr Speaker]

Order. Minister, I like your style, but your answers are far too long for my health.

[Steff Aquarone (North Norfolk) (LD)]

I refer the House to my entry in the Register of Members’ Financial Interests: I am a serving Norfolk county councillor.

It is two years since the Conservatives in Norfolk oversaw the closure of two convalescence facilities: Benjamin Court in Cromer and Grays Fair Court in Costessey, in the constituency of the hon. Member for Norwich South (Clive Lewis). This was done without public consultation, and it has been met with outcry from local residents. This short-sighted move will only worsen the backlogs at local hospitals and reduce options for my constituents who need extra support. Will the Minister meet me and his hon. Friend the Member for Norwich South to discuss how we can ensure that these vital convalescence facilities will not be lost?

[Mr Speaker]

Order. We need shorter questions.

Jhoots Pharmacy

Steff Aquarone Excerpts

Wednesday 15th October 2025 Commons Chamber

[Stephen Kinnock]

As I said, we are in constant dialogue with ICBs and the GPhC. I absolutely get it: we need to speed it up as it needs to be faster and more urgent. I am clear about that, and we are taking this forward as a matter of priority.

In terms of taking action against individual directors, nothing is off the table. As I said, the regulatory framework as things stand does not facilitate that, so we have got to look at other options. But there are views in the GPhC that suggest there may be some ways of looking at interpreting regulations and legislation that could facilitate more immediate action. That is on the menu of actions that we are looking at.

[Steff Aquarone (North Norfolk) (LD)]

For almost two years now, the people of Sheringham have been suffering from completely unacceptable service from our local branch of Jhoots. Shortages of drugs, shortages of pharmacists, issues with paying staff and a litany of other issues have caused chaos, including one resident sent by NHS 111 to secure emergency antibiotics finding themselves standing in the rain outside a closed pharmacy, fearful that they would end up in A&E. Will the Minister tell people in Sheringham and the surrounding villages what protection there will be for services if Jhoots is no longer fit to provide them? How is taxpayers’ money being protected from being lost? Most importantly, how on earth was it allowed to get this bad in the first place?

[Stephen Kinnock]

In terms of the replacement for Jhoots services, that is where we are in a Catch-22 situation, because until a pharmacy that is not providing a service has been moved out of the way, it is not possible to move in and replace that service with another, so the first step in all this is to take action against those pharmacies that are not delivering to requisite service standards. As soon as we can get that process moving, we can start to commission and bring in alternative providers. I share his frustration and the impatience of his constituents, and I assure him that we are taking urgent action on all these issues.

Department of Health and Social Care

Steff Aquarone Excerpts

Tuesday 24th June 2025 Commons Chamber

[Steff Aquarone (North Norfolk) (LD)]

In the limited time available, I want to press the Government on a very live and urgent issue, which is the establishment of a dental school at the University of East Anglia. Currently, there is no dental school in the entire east of England. The Government accept that Norfolk is the Sahara of dental deserts. My constituents were excited by the prospect, as early as next September, of Norfolk training its own dentists. Just last week, the General Dental Council gave its approval for the new dental school and work is already under way at the UEA to create the facilities for this training.

Things ground to a halt, however, when the Government were unwilling to allocate the funding to ensure that places would be available in time for the UCAS deadline for 2026 entry, saying that we all needed to wait for the spending review. A frustrating delay, lost time to prepare and perhaps a lost year, but we reluctantly accepted the need to wait to receive this good news. And then the spending review came. And went. And we heard nothing: total radio silence from the Government on the future of this much-needed dental school. I tabled a written question to the Government directly after the review and they have refused to answer it. The silence is causing worries to increase.

There is a clear link between the lack of training opportunities in the east and the massive oral health inequalities we are facing. If we do not train in Norfolk, we cannot retain in Norfolk. People love our area. When they study here, many stay. It would be just the same with dentists. And we need it to be, because in Norfolk and Waveney we have so few dentists that each new one would be required to serve 3,000 people, based on current ratios. It is not tough maths to realise that, with the number of hours in a day and days in a year, people will go a long time without seeing a dentist, if they can get on an NHS list at all.

These are not just numbers and stats, these are real people: the people in my community. I would welcome anyone who is moving the money around spreadsheets in the Treasury or the Department of Health and Social Care to come to explain the dither and delay to their faces—some of which can no longer manage to muster a smile.

The situation has become untenable, but we have the opportunity for real improvement. We have cross-party support across Norfolk’s MPs from all parties, and I know that the Minister responsible, the Minister for Care, gets it—he has heard the stories, and I truly believe he cares. I hope that he can now deliver on the concern and warm words that we have welcomed and deliver us the dental school we need now.

Access to NHS Dentistry

Steff Aquarone Excerpts

Thursday 22nd May 2025 Commons Chamber

[Steff Aquarone (North Norfolk) (LD)]

I am grateful to the hon. Member for Great Grimsby and Cleethorpes (Melanie Onn) for securing this debate—the application for which I was pleased to support.

I would like to tell the House about Philip, who wrote to me, in his own words, in “desperation”. He is a proud armed forces veteran and was recovering from a recent surgery for lung cancer when he suffered a fall, which caused him to lose a number of his teeth. After his maxillofacial surgery, he was horrified to discover that there were no dentists taking NHS patients near him, and his previous dentist had simply removed him from their system. He needed dentures—not just for cosmetic reasons, but to be able to eat proper meals—and was facing a future without any of this support.

Cases like Philip’s will ring true, I am sure, for far too many people here, and indeed across my constituency. I am pleased to say that in this instance, my team and I got straight on the case and were able to help Philip to secure an NHS appointment with a local dentist earlier this week. We look forward to seeing him with a full smile again soon. However, we cannot do that for the two thirds of my constituents who are not seeing an NHS dentist, and nor should we have to. We need to fix the broken system that is letting down people in North Norfolk.

One exciting prospect on the horizon is the establishment of a dental school at the University of East Anglia, as my near neighbour, the hon. Member for South Norfolk (Ben Goldsborough), has already mentioned. The school has support from Members of all parties in Norfolk, and we are excited for Norfolk to start training and placing its own dentists in the coming years. However, the University of East Anglia needed funding for places from the Government confirmed before 2 May in order to appear in the UCAS applications for students beginning in September 2026, but the Treasury has demanded that any such spending not be confirmed until the spending review in a few weeks’ time. For the sake of less than six weeks of bureaucracy, my constituents face yet another full year of delay.

Nevertheless, I am pleased that it was confirmed this week that Cromer will have an expanded dental practice that will take on new NHS patients. The Lib Dem-led North Norfolk district council has worked to secure a new lease with the Dental Design Studio on the former tourist information centre. The new practice will have five surgeries, all at ground level to improve accessibility. After years of decline, we may finally be seeing the green shoots of improvement in North Norfolk’s part of the dental desert.

I am pleased to have the opportunity today to stand up for everyone who has struggled with our crumbling system over the past few years—for people like Philip, for the many children facing tooth decay, for all those on waiting lists and for those forced to fork out for private treatment. Things must improve, and they can. I will be fighting hard to ensure that they do.

Access to Dentistry: Somerset

Steff Aquarone Excerpts

Tuesday 1st April 2025 Westminster Hall

[Anna Sabine]

Yes, there are certainly some horror stories about tooth removal. It does beg the question as to why NHS dental services in Somerset and the wider south-west have deteriorated in the last seven years. It seems to me that that is symptomatic of a lack of investment in the region, in terms of not only health and social care but withdrawn levelling-up funding and diverted rural England prosperity funding.

[Steff Aquarone (North Norfolk) (LD)]

My hon. Friend talks about the need for investment, and much of that will be in training new dentists. Does she therefore agree that it is baffling that a brand-new dental school at the University of East Anglia could be delayed by a full year because the Treasury refuses to release funding until a month after the deadline for UCAS course listings, and that another year’s delay is unacceptable for her constituents in Somerset and mine in North Norfolk?

[Anna Sabine]

That sounds very frustrating, particularly when, as we are seeing, there are so many crises in our dental services.

A constituent emailed me in February to say that four weeks previously her husband, who is in his late forties, had had a massive stroke. He collapsed into the sink in the kitchen and hit his face on the taps, breaking his teeth. He was discharged from hospital on 14 February, but cannot speak, is partially paralysed, needs continuing care, rehabilitation and adjustment, and is suffering dental pain. He is not registered with an NHS dentist and cannot afford private dental care, so they called 111 and, after four calls, drove to an appointment where the dentist was given just 30 minutes to treat only one tooth, which he had to remove. My constituents will have to call 111 again to get treatment for the next tooth. The husband needs dentures, is on soft foods and is still in pain. As that case shows, and as my hon. Friend the Member for North Norfolk (Steff Aquarone) pointed out, a failure to invest now in dentistry not only causes more pain for the individual, but gets more expensive and adds to pressure on other areas of the NHS in the longer term.

Department of Health and Social Care

Steff Aquarone Excerpts

Wednesday 5th March 2025 Commons Chamber

[Layla Moran]

I share my hon. Friend’s frustration that we are not doing more faster. Indeed, the first inquiry that our Committee has launched is on social care and the cost of inaction, because there is a cost to doing nothing, and we need to quantify that as best we can.

On the three shifts, the shift to the community is incredibly important, not least because successive Secretaries of State have said that they want that shift, yet the money has flowed in the opposite direction.

[Steff Aquarone (North Norfolk) (LD)]

In Cromer in my constituency, about 18 months ago, the Conservative-controlled county council closed down Benjamin Court reablement centre. That is exactly the sort of facility that we need to help bridge the gap between acute hospitals and community and primary care. Does my hon. Friend agree that we must work to reopen those facilities, which do not stand a chance until there is proper integration of NHS budgets and the budgets of adult social care providers?

[Layla Moran]

We should be celebrating examples of where this works well, not shutting them down.

In Oxford, the Hospital at Home programme, run by Oxford University hospital ambulatory team, does incredible work. I visited 91-years-young Mavis the other day, who was receiving top-notch ultrasounds in her home—ultrasounds of better quality than those that she would have got in the hospital. That saves hundreds of pounds for the NHS and means no long trip for her and her family. That is definitely something that we should do more of.

Let me turn to the estimates, because they are why we are here. The supplementary estimates have been published. I will not hit anyone over the head with them—they are incredibly heavy. They are worth a read. They talk about a £198.5 billion day-to-day spending budget. At face value, that is an increase of £10.9 billion on the estimate from July, but £9.2 billion is for staff pay increases. Let us be clear: staff deserve that pay rise. It is long overdue. Retention and mental health are important, and we must invest in our workforce, but that does leave just £1.7 billion.

Accessibility of Radiotherapy

Steff Aquarone Excerpts

Tuesday 4th February 2025 Westminster Hall

[Tim Farron]

Yes, I absolutely do agree with my hon. Friend. Travel times, which I will come on to in a moment, do have an impact on outcomes—in other words, whether people survive—because there is an impact on the extent to which a person will be referred for treatment depending on how close they are to the nearest site. What she says is absolutely right, especially for her communities.

For my constituents, the two, three or in some cases four-hour round trip to the excellent but distant Rosemere cancer unit at Preston is not just inconvenient, but debilitating and cruel. It means that many do not complete their treatment, and many choose not even to start such treatment. Some do not even get referred for radiotherapy in the first place, because clinicians understandably conclude that the patient is not strong enough to cope with the rigours of travelling such distances so frequently. For us in Westmorland, longer journeys mean shorter lives.

[Steff Aquarone (North Norfolk) (LD)]

I congratulate my hon. Friend on securing such an important debate, especially on World Cancer Day. In my constituency of North Norfolk, Radiotherapy UK found that nobody can access radiotherapy treatment within 75 minutes by public transport. Does he agree that we need a two-pronged approach to tackle this—to fix our broken public transport infrastructure and to make more services available closer to where people are, such as at Cromer hospital in my constituency?

[Tim Farron]

My hon. Friend is absolutely correct. Back at the time of the last Labour Government, the national radiotherapy advisory group recommended that it was bad practice for anybody to live beyond 45 minutes of a radiotherapy centre one-way, or a round trip of an hour and a half, yet so many people—7.5 million people—including his constituents and my constituents, live beyond that.