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12,832 spoken contributions under 12 words (interjections such as “Will the hon. Member give way?”) are hidden. Show them
My hon. Friend is exactly right. What she describes in Ealing is a hugely important example of the way that modernising our basic estate and facilities can ensure that they are fit for different kinds of conditions and circumstances in the future, and that we are able to reduce the energy bills that put other pressures on our NHS, meaning we can get that money back into frontline care. I pay tribute to the work of the NHS in her constituency.
The hon. Member talks about Stepping Hill hospital in Stockport, so I hope that she welcomes the fact that the hospital is one of 10 major schemes included in funding worth £200 million, which is part of the £1.5 billion investment that we are putting into improving our NHS estate. I gently remind her that some of the problems in the capital estate go back to austerity and what happened in the reduction in capital funding after 2010.
My hon. Friend is exactly right about the importance of preventing people who do not need to go to hospital from having to go there. Frankly, it would be better for those people to be treated and supported either in their own homes or in care homes. The overall approach to improving our health through the service and care that is supported needs to include primary care, acute care and social care. The integrated care board needs to work with York hospital on the improvements to the facilities that are needed. I look forward to hearing more from her about what professionals working in the health system in York want to see, to ensure that they have the facilities they need.
I thank the hon. Lady for her work and that of her Committee. The Committee, as a result of its extensive work, has highlighted many of the issues that the Government have needed to look at and have then responded to, so I welcome its work. I look forward to giving evidence to the Committee and responding to the inquiries it has under way. One of the issues that I have asked the taskforce looking at summer pressures to consider is staffing resilience. While there were all sorts of extremely good preparations in place for summer, meaning that many areas responded well, including in July, she is right to raise the issue of staff resilience and the impact of the pattern of staff holidays—all our holidays—on planning. I take that immensely seriously. The hon. Lady is right to raise the workforce plan. We are continuing to work to complete the workforce plan, because it is needed. We are looking at how we ensure that we have a proper workforce plan around social care and what the links should be. One key area that we want to prioritise in response to Baroness Casey’s work is to develop a proper workforce strategy for social care, alongside the work being done for the NHS.
I thank my hon. Friend not only for his question but for his considerable work in this field, both before he came to this place and through the issues he has been raising here. Our intention is to bring forward a new mental health strategy before Christmas, and I completely agree with him that we need to look at waiting times and where we can make early interventions around mental health. Earlier this summer, we announced new mental health A&E provision. As part of the work led by the chief medical officer, we have asked for work to be done looking at the impact of extreme heat, including on mental health and the most vulnerable populations. My hon. Friend is right to raise the health inequalities here.
I take very seriously the importance of patient voice in local health services, and in ensuring that that local patient voice can be heard. That is why I have said that we will look further at the provisions around Healthwatch and what happens in local areas to ensure that there is proper accountability and strong patient voice. We will do that before those issues are discussed in the House of Lords, because I take them seriously. On the overall reforms, we know that the current system has not been working, that there has been too much duplication and that there is a legacy from the damaging 2012 reforms. What we want to see now is a much more streamlined and effective system that gets support to the frontline.
I welcome my hon. Friend’s determination and enthusiasm. While he managed to refer to the hospital twice, I think he only managed to refer to Harlow once, so he may be slipping. I am delighted that the hospital is included in wave 2 of the new hospital programme. Obviously, there is considerable work under way to ensure that the project stays on track and that the planning is in place. This is part of our commitment to upgrade, to increase the capital investment in our NHS and to ensure that there are facilities for the staff who work in the NHS and, most of all, for patients in Harlow. I thank, through him, the NHS staff who work in his constituency,
I too take very seriously the pressures on acute hospitals across the country, including the pressures around beds and services. It is really important that we have the right kinds of facilities. I believe that the prevention work for people who do not need to be in hospital and who would be better cared for in the community has to start straight away, because that is the right thing to do. We want to take further measures around neighbourhood health, and we are building plans right across the country that we want to see more of, but none of that is an alternative to having good acute care and strong hospitals that perform well; we all need those to be there whenever we need them. However, we are not serving patients and communities in the best possible way if we are not also doing more to prevent people needing to go into hospital—certainly for long stays—in the first place.
I join my hon. Friend in thanking the NHS and social care staff in Rugby. He is absolutely right to refer to the allied health professionals, support staff, catering staff and, crucially, the porters. He has raised that last point with me before; as some of the staff who spend the most time in direct contact with patients, they are hugely important. We must never underestimate the importance of every role in our health service, so I welcome his point. We have provided £450 million to transform urgent and emergency care, and we are already seeing improvements taking place, despite the very strong pressures on emergency care. I pay tribute to all those involved.
That is exactly one of the issues I have asked the chief medical officer to look at. If we are going to face more extreme heat conditions, what is the impact on those who are the most vulnerable? That includes those who are housebound and those who are the most disabled. Those are issues for local authorities to look at in local areas, but I have asked the chief medical officer to look at them nationally.
I thank my hon. Friend for the work that I know she is doing in her constituency and for recognising the impact that this issue has. The chief medical officer attended a meeting chaired by the Prime Minister to look at the wildfires over the summer. We are already looking at how we ensure rapid advice is given to people who suffer from asthma or other conditions that might be exacerbated by wildfire smoke so that public health messages can go out and reach them in those areas. We can do that prevention work, but that is part of ensuring that our NHS is resilient enough to respond to whatever healthcare issues are raised by different extreme events.
The hon. Member makes an important point. There are two issues here. The first issue is that there is a legacy of a lack of capital investment in the resilience of our NHS estates, and that includes capital investment around equipment. That goes back over many years and was highlighted in the Darzi report. That is why we are turning that around with the safety fund, which can start to respond to and put money into looking at exactly these issues, including £32 million dedicated around heating issues as part of this wave of funding. The second issue is that, if we are honest with ourselves, many of our NHS buildings were not designed with climate change in mind or to anticipate weather that we do not expect to see in this country. That means that we all have to start rethinking ways of working to ensure that we respond to that challenge.
I welcome my hon. Friend standing up for healthcare in his constituency. We are asking ICBs to look at the priority needs at different locations in each area, and it is vital that they look at pressures around rural areas and for every community in each area to ensure that all areas have the services they need.
The better care fund is hugely important—I think it has £9 billion that is being jointly allocated. It is for the NHS and local authorities to work together on ensuring that we help to prevent people from entering hospital when they do not need to and that we have the proper services and co-ordination in place. We are also looking at the neighbourhood health programme, as that is another area in which we should look place by place at better co-ordination and ways of working. Those things are really important and will continue. As part of the response to Louise Casey’s review, we also want to look at how we can better bring together all these different approaches, because there is the same fundamental, core issue: whatever we have tried at different times, we are still not effectively co-ordinating health and social care, and we have to do that.
I am very happy to talk to my hon. Friend further about this issue, as I know other Health Ministers will be. She is rightly standing up for the patients—particularly new mums—and staff in her constituency who are affected by the facilities. It is hugely welcome that we managed to include Kettering hospital in wave 2 of the new hospital programme, given the new facilities it needs. Obviously, there is a lot of work to be done, and there will need to be discussions about prioritisation locally—about what can be done and when. I also welcome my hon. Friend prioritising maternity issues, which are an important personal priority for me; I think we have not taken them seriously enough, across the health service, for too long.
I thank the hon. Member for raising this issue. We have invested an additional £29 billion in the national health service this year, and we have also recruited thousands more doctors, nurses, midwives and mental health workers. It is important that investment goes in. Alongside that, we also now have the major new hospitals programme. In addition, the £1.5 billion I announced today is part of a £6.75 billion fund to improve existing facilities where there are safety issues, in order to ensure that the NHS has the facilities it needs.
My hon. Friend is right to raise this issue. It is an example of the way in which the under-investment over more than a decade—since 2009—has had an impact on both safety and performance, because it has meant that facilities cannot be effectively used. That is why we have the estate safety fund in place, and why we encourage local areas to prioritise what further capital improvements and other improvements they can make. I look forward to discussing this further with my hon. Friend.
I can assure the hon. Member that the chief medical officer looks very seriously at all the broader issues around prevention. We deal with health inequalities, and we know that issues around housing, buildings and communities have a big impact on our health. Some areas have traditionally provided community centres for cold weather, so that there is somewhere for people to go—somewhere they can stay warm and see other people in the community—when the weather gets cold, if they are worried about heating their homes. Some areas have now started to do the same thing to ensure that there are cooler places for people to go. That is an example of communities coming together to respond to challenges, so it is actually local communities that we need to empower.
I draw the hon. Member’s attention to the work we have set out, including the new planning processes for summer pressures. As part of the heat taskforce’s work, we are setting out the framework for local areas to do their resilience planning. Local NHS managers need to ensure that their systems are resilient to extreme heat, just as they do for winter pressures. Our NHS needs to be resilient at all times of year, and it is important that also happens in Leicester.
I welcome the hon. Member’s point. The £1.5 billion that I announced today covers 950 projects across England, right across the NHS, to deal with some of the safety issues and to improve facilities. Each area needs to ensure that it has looked at issues around infection control and building repairs so that they are making best use of the funding they will get.
I know this is an issue that my right hon. Friend the Secretary of State for Education already takes very seriously. She recognises the importance of keeping children in school. Just as we are ensuring that the NHS is sufficiently resilient, public buildings across the country need to take seriously how we deal with the changing weather and climate that we face.
As the hon. Member knows, we have different waves of work as part of the new hospital programme—which depends on prioritisation being done within ICBs and regions—and for the first time, this Government have set up a dedicated fund for safety improvements, the estates safety fund, which is worth £6.75 billion. The first wave of £1.5 billion in funding will deal with the 950 projects I have announced. We are turning around the substantial under-investment we inherited from the previous Government, but I would again gently point out to the hon. Member that Ara Darzi’s report identified that the big drop in capital investment in our national health service that has led to many of these problems started after 2009, as part of austerity under the coalition Government.
I take the point that the hon. Member has made very seriously, and will ensure that one of the Health Ministers talks to him further about the details. It is immensely important that families who have lost a loved one have the respect and support they need to be able to bid farewell to their loved one, and it is also immensely important that we treat those who are deceased with the utmost respect. That has not always happened, which is why we are proposing the regulation of services in this area, but it is also why we need to make sure that existing facilities work properly.
The hon. Member is absolutely right to raise this issue. It is one of the first issues I raised with the Department of Health and Social Care teams during some of the first meetings I had after being appointed; at the height of some of the heatwaves, we were looking at what could be done to ensure that the right advice and requirements were going out to social care across the country. Many care homes did a phenomenal job, sometimes in difficult circumstances because of old buildings, but the hon. Member is absolutely right to point out areas where things did not happen in the way they needed to. We are looking further at this issue as part of the heat taskforce.
I can reassure the hon. Member that regular meetings and discussions take place, involving not just Ministers but chief medical officers across the devolved Administrations, to ensure there is co-ordination. There are areas where we can learn from each other, but there are also areas where we need proper co-ordination, particularly on some of the public health and information issues and—as the hon. Member rightly says—some of the issues that link into our economic supply chains, including community pharmacies.
I thank the Minister for his statement, and for keeping Members of this House informed on the situation in JLR. Although we have had reassurances that production jobs will not be affected, when the cyber-attack happened, a lot of the supply chain companies and their employees were adversely affected. Can the Minister give some reassurance that they will not be affected by this latest round of redundancies? Can he also please give the reassurance that he will continue to work with the trade unions and other partners?
It is a pleasure to serve under your chairship, Mr Betts. I congratulate my hon. Friend the Member for Bracknell (Peter Swallow) on securing this incredibly important debate and on the success of the campaign for votes at 16, as highlighted in the recent inquiry by the all-party parliamentary group on schools, learning and assessment, which he chairs. I am sorry to hear that he came third in his national Youth Parliament ambitions, but I am delighted that he is with us in Parliament now. The experience of my hon. Friend the Member for Hemel Hempstead (David Taylor) as a Member of the Youth Parliament between 2001 and 2003 highlights the lasting impact of youth participation. I want to express my deepest thanks for his tireless advocacy for young people in his constituency and across the nation. I know how passionately he cares about ensuring that the next generation is not merely listened to, but genuinely heard and empowered. That goes for all Members who contributed. My hon. Friends the Members for Wolverhampton North East (Sureena Brackenridge), for Aylesbury (Laura Kyrke-Smith) and for Gravesham (Dr Sullivan), the hon. Member for Newbury (Mr Dillon) and my hon. Friend the Member for Rugby (John Slinger) all spoke about the powerful young advocates in their constituencies, and it was fantastic to hear them being celebrated. I also pay tribute to the incredible partner organisations, the youth workers and, above all, the inspiring young people who deliver the UK Youth Parliament day in, day out. It is genuinely great to see so many of them in the Public Gallery. Throughout my time as an MP and previously—particularly in my work leading the Youth Violence Commission—my purpose has been rooted in supporting and standing with young people. I have seen at first hand the transformational impact of timely intervention, and how a trusted adult, a safe space or a creative outlet can offer a vital lifeline and a transformed future. That work showed me that young people have the solutions; they just need space, support and opportunities. That insight drives my decisions as Minister for youth and underpins our commitment to ensuring that every young person gets the opportunities they deserve. Our young people are not merely the leaders of tomorrow; they are the active, vibrant and thoughtful citizens of today. They deserve to be heard and valued, and they should be in the driving seat when decisions that affect their lives are made. Since 1999, the UK Youth Parliament has given thousands of young people a platform to champion key issues, hold decision makers to account and drive positive social change in their communities. We are currently working closely with young people and partners, including Members of the Youth Parliament, to co-design the Government’s work to increase young people’s involvement in democracy and decision making, with a particular focus on under-represented groups. We will share the outcomes of that work later in the autumn. We are also keeping our promise to give 16 and 17-year-olds the right to vote through votes at 16. We are working closely across Government to implement that commitment, ensuring that the necessary legislative and operational preparations are in place to successfully embed early democratic participation, so that young people have a formal stake in shaping the future of our country. I am personally passionate about ensuring inclusivity in everything we do. It is not enough simply to open the door; we must actively break down the structural and socioeconomic barriers that prevent young people from under-represented backgrounds from stepping through it. Every young person, regardless of their ethnicity, geography or background, deserves an equal voice. It is imperative that more young people across the country gain direct and meaningful access to influence decisions, locally in their communities and nationally. By embedding young people in decision-making processes, we ensure that our policy solutions are richer, fairer and genuinely reflective of the nation we serve. We are taking proactive, transformative steps across our wider youth empowerment initiatives through our “Be Seen & Heard” pillar of Youth Matters, to ensure that young people are directly in the driving seat. As part of that work, we will recruit a dedicated new youth policy network to co-design national Government policy, and we will shortly be refreshing our youth advisory group, which will oversee the delivery of Youth Matters. We are also backing youth social action by continuing to support the #iWill movement. Through the Youth Matters fund, we are assembling youth decision making directly into local investment. This will include a range of tools and support to ensure minimum standards and meaningful engagement with young people, so that provision is targeted where young people need it most. All those democratic and participation initiatives align directly with our overarching Youth Matters national youth strategy, which was published in 2025 and was, as has been said, the first in more than 15 years. Youth Matters represents a fundamental shift in how we support young people across our Government. For too long, youth services were subjected to short-term, fragmented funding that left provision patchy and unsustainable. We are moving away from those temporary fixes towards sustainable, long-term support that gives youth workers and local organisations the stability they need to build lasting relationships with young people. Youth Matters provides the foundations for our ongoing work with young people to co-design our fresh approach to youth empowerment, ensuring that national opportunities are better connected to local infrastructure. I invite hon. Members to share experiences of what is working in their constituencies with the Department, and to continue to create opportunities for young people to engage with them and, where appropriate, with Parliament. I hope this debate will be the beginning of an ongoing conversation. I genuinely thank my hon. Friend the Member for Bracknell once again for introducing this important debate. Our wider youth strategy is about giving every young person someone who cares, somewhere to go and something to do. Together, we will build a society where every single young person feels valued, safe, supported, seen and truly heard. Question put and agreed to.
I am really grateful to the Secretary of State for updating the House on the NATS outage and what she and colleagues are doing to ensure that it is sorted out speedily. Does she anticipate that the review she has ordered will be the way in which we ensure this never happens again? So many of us have constituents who have been very badly and unacceptably impacted by these delays.
I thank my right hon. and hon. Friends in the ministerial team for their assiduous work in preparing and bringing forward this Bill. He is no longer in his seat, but I thank my hon. Friend the Member for Wythenshawe and Sale East (Mike Kane) for all the work he did as a Minister in government and a shadow Minister in opposition. I also thank the Members of the other place for their work in scrutinising the Bill ahead of its coming to us here. The Bill represents another example of how the Government are on the side of consumers. On taking office, the new Prime Minister launched a series of very practical, everyday fixes to improve consumer rights in a number of areas, including lowering costs and empowering consumers to take action when they have been inconvenienced. I see this Bill in that tradition, as another step on the path of improving consumer rights in aviation. By giving the Civil Aviation Authority direct enforcement powers and increasing transparency to ensure that passengers are always told who is operating their flight and how they can find redress, the Bill is another example of the Government rebalancing power back in favour of the consumer, and I applaud it. My constituency of Macclesfield is well served by Manchester airport. More than 500 jobs in my constituency are dependent on the airport, which is the third busiest in the UK. I understand that it is the busiest airport outside London, and it is certainly the global gateway to the north of England. Like many people, I fly out of Manchester myself. It is a great airport, and a great part of the economy of the north-west. Perhaps not uniquely— I may be proved wrong—its major shareholders are mainly the councils of Greater Manchester, which is a great example of sharing prosperity from an important economic asset. I thank all the staff at the airport for helping 30 million people to get through check-in, security and the departure lounge, and to fly to where they need to be mostly hassle-free, and I think we should acknowledge that. However, as I am sure is common across all airports, sometimes things go wrong, whether it is a bag that does not make it or a flight that is significantly delayed. Disruption can occur at any moment, and we have certainly seen that with the NATS events in the last 24 hours. Clauses 1 to 3 of the Bill will give me and other passengers much greater confidence that, when things do go wrong, they can be put right. Given the changing nature of air travel and global trends, it is right that the Bill empowers the Secretary of State to act on behalf of passengers without having to pass further primary legislation, such as on baggage damage, liability for passenger insurance, ensuring price transparency and ensuring flights are accessible to all passengers, especially those who are disabled, about which my hon. Friend the Member for Mid Cheshire (Andrew Cooper) made a powerful case. These new powers ensure that the Secretary of State can be a true advocate for passengers and quickly update the rules to ensure that there is appropriate compensation when things go wrong. I was much taken by the comments of my hon. Friend the Member for Cardiff West (Mr Barros-Curtis) about exploring an automated delay repay system, which I think has great merit. I certainly want to see the new British standard-sized bag when it finally emerges. For a moment, it sounded as though the hon. Member for Sutton and Cheam (Luke Taylor) had a particularly traumatic summer because of at least one airline. I look forward to the consultation that Ministers will bring forward within 12 months, and I will certainly urge my constituents who have written to me about their own experiences to respond to that consultation so that Ministers can act on their behalf. I particularly welcome the change in clause 4 to provide greater compensation for damaged or lost accessibility equipment on domestic flights. As has been said, a wheelchair is a precious and crucial asset for disabled people. They sometimes—too often—have to fight to get a mobility aid in the first place, and it can often be specialist and extremely expensive. It is therefore right that if an airline is careless enough to lose or damage an aid, the compensation owed to the person it has left inconvenienced in an incredible way is made properly and is appropriate for someone who is unable to navigate with the freedom they once had. I cannot imagine the level of inconvenience caused to people in those circumstances, so I am glad the consumer rights in this area are being strengthened. With the Bill giving the CAA the same consumer protection enforcement powers as the Competition and Markets Authority, passengers will now have a powerful new ally in the fight for compensation that is owed but is not as forthcoming as it should be. Beyond the consumer protections, I welcome the reforms the Bill introduces to the antiquated airspace management system of airport slots, schedules and allocations. It is particularly positive that the airspace changes will hopefully lead to reduced noise around airports for residents and decreased emissions through more efficient flying. These are sensible, long overdue reforms that help to make aviation more sustainable. Anyone who has been held in a stack while waiting for a landing spot can attest to the fact that a more efficient use of airspace to decrease the need for holding patterns is very welcome. It is good that the Government are reforming slots and schedules. We saw during covid that the current system is not flexible enough. Giving Ministers the power to adjust the rules, either in an emergency such as covid or to encourage competition between airlines, which is so important, it is a welcome step that will improve things for passengers. I will finish on the issue of airport drop-off charges, which has been raised by Members on both sides of the House. I ask that Ministers think carefully about it in view of the scrutiny in the other place. A number of residents in Macclesfield have raised it with me. Manchester airport operates a barrierless drop-off. That is great for efficiency, but constituents have complained to me that the signage is inadequate, the prices are too steep and the period to pay is not long enough. Certainly, the fines for those who do not pay within that short period are punishing. Manchester airport, through APCOA, levies a £100 fine if the charge is not paid within 24 hours of drop-off or pick-up. I simply do not believe that 24 hours is a long enough period for many people, including my constituents who have written to me on this issue. Many did not realise that they had to pay, not having seen the signage, which is inadequate. Some struggled with the online payment system, or the payment system rejected their car registration number. In one particularly egregious case, a constituent of mine was fined because their bank did not process the payment over a Sunday. There seems to be no reason why the payment period could not be increased and I do not see any reason why the third-party provider could not issue a written notice of the requirement to pay before a fine is levied. One gets the impression in these cases that the policy is designed to cause people to incur fines to increase revenue, rather than to encourage people to pay for parking in an orderly and appropriate way.
I completely agree with my hon. Friend. Earlier in the debate, my hon. Friend the Member for Mid Cheshire (Andrew Cooper) made the powerful point that his constituents live within 10 miles of the airport but do not have decent public transport links to it. That certainly has to be a part of the conversation as well.
I totally agree with my hon. Friend. Every day is a school day in this place and I was not aware that Glasgow airport did not have a direct rail link to the centre of Glasgow, one of the UK’s most important cities. One might think, after however many aeons the SNP has been in charge in Scotland, that it might have seen that as a priority, but that is not for me say. In conclusion, this is a very practical and pragmatic Bill, which I thoroughly welcome. I thank Ministers for all their hard work and I hope it progresses smoothly through its further stages.
I put on the record my sincere thanks to Wolverhampton’s youth council, which has done a tremendous job of bringing a strong voice to represent young people across our city. They truly care about our communities and our city. Do my hon. Friend and the Minister agree that investing in our young people now makes good economic sense for our future?
I must thank Sienna, too: Sienna completed a week of work experience in my constituency office and in Parliament. I truly think that she is extraordinary. I just wanted to place that on the record.
7. What steps she is taking with Cabinet colleagues to halve levels of violence against women and girls.
I welcome the Government’s accelerated roll-out of specialist police rape and sexual offence teams. Will the Minister consider what more help can be given upstream through relationships and sex education so that young people know where to seek help after sexual assault? Willow Tree sexual assault referral centre, which is in the constituency of my right hon. Friend the Member for Wolverhampton South East (Pat McFadden), provides specialist support and enables young people in Wolverhampton and Willenhall to self-refer. Will the Minister work with police, schools and sexual assault referral centres to ensure that young people know support is available?
I thank the Secretary of State for her commitment to addressing the “what’s the point?” question asked by so many disengaged young people, who are struggling in a one-size-fits-all school system. However, all this must be underpinned by good careers advice and guidance, delivered not just at the end of key stage 4, but much earlier in their school life. Will she champion properly funded, good careers advice and guidance, which includes place-based employer partnerships, so that young people know what is available on their doorstep in places like Wolverhampton North East?
Thank you, Madam Deputy Speaker. I have had reassurance that my constituents who work at the i54 Wolverhampton site will be largely unaffected. However, for those across the west midlands who are affected, this is deeply concerning, so I thank Mayor Richard Parker for the £500,000 support package. Will the Minister take heed of the concern expressed by JLR and the wider automotive sector about imports flooding the UK market, and act to ensure that the industry remains competitive and to safeguard future jobs?
10. What steps she is taking with Cabinet colleagues to halve levels of violence against women and girls.
On 30 June, the then Secretary of State for Justice made a very welcome and vital commitment in this Chamber to close the 10-year sentencing gap, ensuring that domestic homicides are treated with the same severity as other murders. Does the Minister agree that we must hear the same commitment from the current Secretary of State and see a clear timetable for implementation so that we can achieve our goal of halving violence against women and girls?
The Equality Act 2010 places a duty on public bodies to make reasonable adjustments, so that disabled people are not put at a disadvantage by accessibility challenges. Public service providers have to test provision regularly against the service standards, and Departments have to publish accessibility standards and provide feedback routes for users.