Topical Questions
I am more than happy to meet my hon. Friend about the issue.
Showing every spoken contribution, including 12,832 under 12 words. Hide short remarks
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Topical Questions
It will depend on whether the application in question meets the criteria to allow it to proceed down the Crown development route. Obviously, the applicant is separate from our Department; we are the stewards of the process and will make the determination on the basis of those criteria.
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Topical Questions
I am more than happy to meet my hon. Friend and other colleagues.
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Topical Questions
There is a variety of practice in the country, and we want to better understand whether local authorities are making full use of existing powers, but I reassure my hon. Friend that we keep the matter under review. We have to ensure that we are regulating HMOs properly.
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Topical Questions
That is precisely why we have introduced strategic cross-boundary planning through spatial development strategies—[Interruption.] The hon. Member says that it is not working, but it is not in place yet. We passed the Planning and Infrastructure Act last year, and it will be in place in short order. I am more than happy to have a conversation about it with her.
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Topical Questions
I will happily meet the right hon. Gentleman.
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Topical Questions
I think the hon. Lady is referring to unauthorised development. We have strengthened national planning policy in respect of intentional unauthorised development, making it harder to grant permission after the fact where there is evidence that development was carried out intentionally without permission. However, it has become evident—we have had a meeting on this subject—that we are seeing the prevalence of a more structured pattern of unauthorised development, and we are working across Government to see what more action might be taken to bear down on that.
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Topical Questions
I thank my hon. Friend for his question and for his support for the new towns programme. We will bring forward final decisions in short order, responding to the consultation that we undertook earlier this year, and those proposed seven new town sites.
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Economic Growth
Will the Minister confirm that the reforms to judicial review of infrastructure will apply to the West Yorkshire mass transit project? Does she consider that project to be nationally significant infrastructure?
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Hate Crime Law: Misogyny
It is a pleasure to serve under your chairmanship, Sir Edward. I congratulate my hon. and learned Friend the Member for Folkestone and Hythe (Tony Vaughan) on introducing the debate. I am grateful to the petitioners for bringing this important issue before the House, and to the more than 114,000 people who signed the petition, including over 100 from my constituency. Might I say, as a former sabbatical officer myself, that this is yet more evidence that the phrase “student politics” should be seen as a compliment in this place, rather than a criticism? Misogyny and violence against women and girls are not inevitable, and they should not be dismissed as something that women and girls simply have to put up with, whether on the street, in the workplace, in school or, increasingly, as the hon. Member for Bath (Wera Hobhouse) said, online. I have spoken in this place before about the scourge of deepfakes and AI-enabled abuse. In the spirit of cross-party collaboration, I also commend the work of Baroness Owen in this regard. I welcome the Government’s commitment to tackle violence against women and girls and halve it within a decade. Prevention, early intervention, relentless pursuit of the perpetrators and proper support for victims are the foundations that we absolutely need. We need to deal with the attitudes and behaviours that allow violence and abuse to develop in the first place. That is particularly important when we consider the growth of misogynistic material online. Young people can now be exposed very quickly to content that presents contempt for women as normal, glorifies control and abuse, and can draw boys and young men into increasingly extreme communities. That is why the Government are right to put prevention at the heart of their strategy, including through schools, colleges and universities, and to recognise the particular challenge posed by online misogyny. However, there is much more to do, and the petitioners are right to ask us to recognise misogyny as a hate crime. The fact is that our hate crime framework has developed unevenly, although we have seen some progress. As we heard from the hon. Member for Bath and my hon. and learned Friend the Member for Folkestone and Hythe, the Crime and Policing Act added sex to the characteristics covered by aggravated offences, which is a significant step forward. But the petition raises the wider question of consistency, and I hope the Minister will look carefully at whether hostility on the basis of sex or gender should be reflected consistently across the wider sentencing framework. There is also the question of stirring up hatred. The Law Commission has previously recommended extending such offences to cover sex or gender, in part because of the growth of extremist misogynistic ideologies and their potential to contribute to serious offending. I heard today from organisations working on the frontline in my constituency, and what they told me should be part of this debate as well. My Sister’s Place supports women experiencing domestic abuse across Teesside. We have had some progress recently in the form of domestic abuse specialists now embedded in the 999 control centre at Cleveland police—something that the Government promised in their manifesto and are now starting to deliver. That is a positive step forward, but one issue that My Sister’s Place raised with me is that there are simply not enough refuge spaces or suitable move-on housing locally in Middlesbrough, so a woman who makes the extraordinarily difficult decision to leave an abusive relationship faces the question, “Where is it safe to go?” I would welcome the Minister’s saying a little about how the Government intend to improve the availability of safe accommodation and, crucially, the route from emergency refuge provision to decent and permanent housing.
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Hate Crime Law: Misogyny
I absolutely agree, and I thank the hon. Member for making that point. That takes me to the next point I wanted to raise, from the second specialist organisation that I spoke to today. ARCH Teesside does vital work supporting victims and survivors of sexual violence and preventing harm before situations escalate; it puts wraparound support around an individual. It raised with me today a practical concern about what will happen to prevention funding, particularly when police and crime commissioners are abolished from 2028. They are often a main source of funding for local specialist violence against women and girls organisations. ARCH Teesside is concerned that the need for services will not change when the structures change, and it does not have certainty about the funding currently held by PCCs. Organisations such as ARCH need to be able to plan ahead, retain specialist staff and know what funding framework they will be working with. I will be grateful if the Minister can give some reassurance that specialist local services will not lose dedicated prevention funding as responsibilities move away from PCCs, and tell us a little about the clarity that organisations will receive about the future framework into which they will need to bid.
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Hate Crime Law: Misogyny
I agree. This is slightly tangential to this debate—I apologise—but when I was in local government, we set up a specialist team to work with families and young people at risk of exploitation, and we gave them that sort of long-term focus and freedom to approach things in a range of different ways, rather than giving them time-limited funding, say for three months. Chopping and changing can be very disruptive for families, and it is exactly the same here. The petitioners are right to ask Parliament to take misogyny more seriously. The Government have taken some important steps, which I welcome, but I hope they will now build on that work, look carefully at the remaining gaps in the law and, above all, make sure that the ambition of halving violence against women and girls is matched by what women experience in communities such as mine.
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Hate Crime Law: Misogyny
PCCs will be abolished in 2028, but the reforms will take much longer than that. In many parts of the country the PCC role will easily transfer over to a mayoral role, but that will not be the case in Cleveland, where the boundary of the police is not coterminous with that of the combined authority. The Minister mentioned that one of my councils is very advanced in this work. Can she take away the proposals for some of the funding and powers to go straight to the local authority level in cases where there are such tensions between different government boundaries and bodies?
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Local Government Reorganisation
I am grateful to the Secretary of State for her statement. It will be met with some disappointment and frustration locally, not least because many businesses, community groups, charities, councillors and council officers have put an enormous amount of effort into the proposal for a north Hampshire authority. I believe it is still the right course to set up a north Hampshire. Can she reassure those people that their effort has not been in vain, and that she will provide certainty and take a decision on the new proposals as soon as possible?
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Dover and Portsmouth: Protests
At the weekend we saw masked men, dressed all in black, block roads, block a port and intimidate people in Dover and Portsmouth. We know that a large proportion of the people arrested at other disorderly anti-migrant protests had already been reported for domestic abuse. In fact, the leader of this weekend’s protest, Danny Thomas, spent two years in prison for trying to kidnap someone at knifepoint. Does the Minister agree that this is not about a legitimate policy debate? The men who decide to come out in balaclavas are not driven to thuggery by political passion; they simply like violence and intimidation, and they should not be given the fig leaf of political legitimacy that some people in this place wish to give them.
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VAT on Medication: Compassionate Access Schemes
My constituent Joseph was diagnosed with a brain tumour at just 28 years old. He was fortunate to receive early access to vorasidenib through compassionate access schemes. However, vorasidenib is only the second new NHS-approved brain cancer drug in 20 years. Does my hon. Friend agree that, given the painfully slow progress we have seen in developing treatment for brain tumours, we should be removing every possible avoidable barrier to patients receiving these promising new medicines?
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Local Government Reorganisation
I thank the Secretary of State for her statement today. I support local government reorganisation and the two-unitary option for Derbyshire, but Chris Emmas-Williams—the leader of Amber Valley borough council—and myself have repeatedly made representations against the decision to split Amber Valley in two. My constituents do not want it, and I have concerns about the capacity to deliver that divide while maintaining the high standards of service that my constituents deserve. Will my right hon. Friend commit to meeting me to discuss this further?
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Dover and Portsmouth: Protests
The far right and the British fascists reared their ugly heads on the streets of Dover and Portsmouth this weekend. The protests were allegedly spontaneous, but hundreds of people were mobilised. They were dressed as fascists of the past, hiding their identity. Their behaviour was not just thuggish and intimidatory; it went far beyond that. Their protests were about hate, division and racism. Even though the police had powers, the protests went largely unchecked. Can the Minister tell us why there appears to be a two-tier system? If people sit quietly with a banner, they get arrested, but if they are masked up and attack the police, no arrests are made.
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Local Government Reorganisation
I very much welcome what the Secretary of State has said from the Dispatch Box today for two reasons. First, there is no question but that the two-tier system is very bad for people in Sittingbourne and Sheppey and across Kent, so I welcome her commitment to press ahead with local government reorganisation. Secondly, at the same time, the geographies announced by her predecessor just before the summer recess were terrible for the people of Sittingbourne and Sheppey. How can local councillors, local residents, businesses, other organisations locally and I feed into this review, which I am grateful will be happening?
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Dover and Portsmouth: Protests
I commend the Minister for managing to handle two really difficult challenges that are facing the country at the moment. First, the small boats crossings are obviously very concerning to people in Sittingbourne and Sheppey, as they are to many people in Kent. It has not escaped my notice that the protest in Dover at the weekend happened at a time when the boat crossings are falling. The second challenge is the increasing far-right activity. We have had uniformed thugs on our streets who have been organising relentlessly behind the scenes and publicly on Facebook, and we have to come down hard on it. I would like to ask the Minister two things. First, we have seen this before—this is not the first time that the country and other countries have faced this. In the 1930s we banned uniformed political parties and uniformed political activists. Obviously we now wear slightly different clothing from what was worn back then, so has the Minister looked at how we can update the law to address these thugs and make sure that it is fit for purpose in the modern world? Secondly, the local independent news outlet Kent Current reports that these thugs were mustering in nearby villages the night before the incident in Dover. Local people picked this up and had been reporting it, but that seems to have been missed. Can the Minister look at that and make sure that intelligence from concerned people on the ground in Kent is also factored in?
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Health Bill
I beg to move, That the clause be read a Second time.
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Health Bill
I wish at the start to take a moment to thank the Members on both sides of the House who served on the Public Bill Committee during what was a very hot end of June and July—if we can remember back that far. As part of that process, the Committee scrutinised every clause of the Bill and debated over 195 amendments, and we on the Government Benches are grateful for their diligence. The implementation of the Bill is better for all that hard work. I also welcome the spirit of collaboration that has greeted the main provisions of the Bill from both sides of the House, most notably on Second Reading but also in Committee, and I hope that we can continue in that spirit at this stage. For our part, we remain committed to working with MPs and peers across the House and other stakeholders to ensure that the end result is a Bill that strengthens the NHS. I know that we have a large number of amendments on a variety of topics, so I will keep my remarks short. New clauses 96 and 97 relate to visiting rights. They strengthen the role of integrated care boards and local authorities in promoting visiting, supporting people to have someone with them and ensuring the involvement of family, friends and carers in decisions. They complement the existing legal requirements and the work already under way to drive a change in culture and practice by embedding visiting at the heart of the responsibilities of commissioners. New clause 96 explicitly places duties on integrated care boards to promote opportunities for visiting and accompaniment, while new clause 97 builds on local authorities’ existing wellbeing duties by emphasising the importance of involving other people in decision making, receiving visitors and maintaining opportunities to take trips outside the care home. Maintaining meaningful contact and connection with family, friends and carers is critical to the health and wellbeing of so many people in our health and care settings. They provide invaluable practical help, emotional support and advocacy for their loved ones in accessing care and treatment, and commissioners should do what they can to support these relationships. I turn to Government amendments 60 to 62. The question of who is required to sit on ICBs has raised comments from all across this House. I am grateful to all Members who have raised the importance of local government having a voice in ICBs, including my hon. Friend the Member for Birmingham Erdington (Paulette Hamilton) and the other members of the Health and Social Care Committee, who have continually advocated on this issue. We agree. It was never the intention to weaken the voice of local government in the NHS. We recognise that local authority board members are an important voice for commissioning on the ICB, and often provide helpful challenge and a very different perspective on commissioning decisions.
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Health Bill
I thank the Chair of the Select Committee —I can assure her that I am Karin, not Claude. She tempts me to go further on the rest of the Bill, but I genuinely thank her and the Committee; I hope she would agree that I spent a lot of time over the past months, before Report stage and Committee stage, meeting her, members of the Committee and many hon. Members from across the House. We have some provisions—we might call them simple provisions—in the Bill to democratise the NHS’s accountability, to reinforce the single patient record, and to improve the patient experience and patient safety landscape. We recognise that there is a lot of complexity within those simple propositions, and we will continue to listen to hon. Members. We want to ensure that the NHS is strengthened. In relation to the ICBs and local authority voice, it was particularly significant over the summer to have heard from my right hon. Friend the Prime Minister about his commitment to rewiring the state and our ongoing reform to social care. With that in mind, I am pleased that amendments 60 to 62 will re-establish a requirement for ICBs to have at least one board member jointly nominated by local authorities in their area. That will sit alongside the existing duty to have a member nominated by the mayor of each mayoral strategic authority, as well as duties on ICBs and local government to work together, including on health and wellbeing boards. In Committee, we had a useful discussion about health and wellbeing boards, neighbourhoods and local accountability. I should also note that ICBs can appoint other people to their boards if they would benefit from their expertise. That is a decision to be taken locally. Finally, let me briefly pre-empt the hon. Member for North Shropshire (Helen Morgan) by making a few comments about new clause 1. I thank her for the way she worked with me in Committee on the issue of a maternity commissioner—an issue that I think unites the House. As the hon. Member knows, we have accepted the recommendation from Baroness Amos’s national investigation into maternity and neonatal care. I can announce that, to deliver on this commitment, we will table an amendment to the Bill in the other place to establish a statutory maternity and neonatal commissioner. We are determined to get this right. For too long, too many women, babies and families have not received the care and support they deserve. The establishment of a commissioner represents a significant opportunity to strengthen accountability and champion their interests across the system. I hope that will give the hon. Member the reassurance she needs not to press her amendment.
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Health Bill
I thank Members across the House for their contributions. As we would expect for a Bill of this size, it has been a wide-ranging debate, and I will not be able to address every single amendment, but I will try to cover them all in the time I have. If necessary, I will get back to people afterwards. As a Government, we know that what we have set out to do through this Bill is ambitious. We do not resile from that; we want to be ambitious. We are determined to make a real and positive change for people up and down the country who use the NHS, and throughout the Bill, we have remained focused on the key objectives. Those are to strengthen democratic accountability, strip back bureaucracy and empower patients.
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Health Bill
I am going to move on, because there is a lot to get through. My hon. Friend the Member for Bexleyheath and Crayford (Daniel Francis) made a powerful speech, based on his own experience and the terrible experiences of his constituents. I will write to him about what we want to do with ICBs to make that situation better. I now turn to new clause 56, tabled by the hon. Member for Mid Sussex (Alison Bennett). I also thank my hon. Friend the Member for Blaydon and Consett (Liz Twist) for her ongoing work on, and interest in, carers throughout the passage of this Bill. I can assure the House that the Government fully recognise the importance of supporting carers’ health and wellbeing, including ensuring that they can take breaks from their caring responsibilities where needed. The Care Act 2014 already includes duties to assess and address carers’ current and future needs, and of course, we want to ensure that carers get the full benefit of the single patient record. To achieve this, we intend to use our regulation powers, which are already in the Bill. The topic of inequalities has been highlighted a lot today. We are committed to ensuring that local areas are empowered to make decisions, tackle the specific health challenges they face and make real progress on health inequalities. I want to reassure the House that reducing health inequalities remains a priority for this Government. I know that the Chair of the Health and Social Care Select Committee, and the Committee as a whole, takes a great interest in this issue, and we are committed to working with them. I thank my hon. Friends the Members for Stoke-on-Trent South (Dr Gardner) and for Uxbridge and South Ruislip for their championing of this important issue and for our meeting last week. I am not, however, convinced about new clause 91. Our focus is, and must remain, on delivering improvements in health outcomes, supporting prevention and tackling the causes of ill health, rather than creating additional statutory red tape. We already have a wide range of duties from the 2006 Act, and we have a new duty on combined authorities. There was a duty on ICBs in the Health and Care Act 2022, and there is a duty on foundation trusts. We have the public sector equality duty, as well as our commitment in the 10-year health plan. Again, the issue is making it work and empowering local leaders to do just that. I commend the work of my hon. Friend the Member for Lewisham East (Janet Daby) on the APPG on sickle cell and thalassaemia, and I will write to her specifically on the issues she raised. She talked about specialised commissioning, a topic that was also raised by my hon. Friend the Member for Middlesbrough and Thornaby East (Andy McDonald). We know that this is an ongoing concern across many areas, and I commit to keeping in touch with them and with other Members. Turning to women’s health—including mental health—and maternity services, again, I can assure the House that this is a priority for the Secretary of State. That is why we published the action-focused renewed women’s health strategy. It is why we are undertaking a single national action plan on maternal health, overseen by the national maternity and neonatal taskforce, to drive improvements where it matters to families, clinicians and other experts. I know that many Members of this House are committed to improving mental health, but I take this opportunity to thank my hon. Friend the Member for Sherwood Forest (Michelle Welsh) for all her work in this area as the national maternity adviser. Opposition Members mentioned the Hughes report, and I assure the House that the Government recognise the importance of providing a response. I do not have time to go into all the ongoing work at the moment, but I commit to doing so at the earliest opportunity. [Interruption.] The Conservatives had a long time. The hon. Member for Sleaford and North Hykeham (Dr Johnson) says that they were about to do it before the election, but that is not what we found when we came into power. The Conservatives left us a lot of work to do in this and many other areas, but we are committed to doing it. Fertility services and reducing inequalities in maternity services has been raised by my hon. Friend the Member for Stockport (Navendu Mishra) and the right hon. Member for Stone, Great Wyrley and Penkridge (Sir Gavin Williamson), who has been a tireless advocate in this area, as have many others. I have recently written to him. NICE guidelines inform how ICBs should commission in this area, but I know that things are not uniformly implemented. We will continue to work with ICBs to evaluate the next steps. There was a lot of discussion on primary care, and dental access across the country in particular. We are committed to rebuilding dentistry in England, but actions speak louder than words. We are making great strides in improving access, ensuring an urgent care safety net across the country, reforming the dental contract and developing a 10-year workforce plan. More broadly, we think it is right that under this Bill, primary medical services become the responsibility of ICBs. They have the right knowledge of their areas to make commissioning decisions, and that includes on eye care. They have responsibility for all primary medical services, but rightly they will be accountable to the Secretary of State for their performance. The right hon. Member for Godalming and Ash (Sir Jeremy Hunt) is right that we will say that he could have dealt with the issues he raises while he was in power, but we do not always say that, and he is absolutely right about continuity of care. I have also visited the practice he talks about in Horfield in Bristol, and not just because I was on the primary care trust board when the 2004 changes happened. Broadly, Bristol does have different standards on some of these issues, and that highlights our point. We do not need to put some of these provisions in legislation. Exactly this sort of good practice can be shared in local systems through neighbourhood care plans, neighbourhood work and the work in primary care networks. The single patient record is fundamental to the Government’s mission to create a modern, joined-up NHS that puts patients at the centre of their care. On amendments 26, 42 and 43, I assure Members that the overarching purpose of making regulations to create and operate the single patient record is limited to the direct care of patients, and clause 51 is already explicit about that. Crucially, the clause does not create any new data sharing gateways for secondary purposes such as planning and commissioning, so these amendments are not necessary. On data safeguards, the security and privacy of people’s health and social care data are paramount. As Members would expect, we will build the strongest safeguards into the record. On new clause 32, I can assure Members that the SPR will be designed to protect personal data by default, with the highest standards of cyber-security and information governance ensuring that only the right people can access the right information at the right time and only for the right reasons. Finally, I have heard how important it is that the single patient record is accessible and inclusive. I thank my hon. Friend the Member for Battersea (Marsha De Cordova) for amendment 87 and the important work she is doing to publicise this hugely important area. I assure her and Members that we are confident that the Bill is drafted to enable information related to support needs and reasonable accommodations to be included in the SPR. The Department will have regard to the accessible information standard as the SPR is developed. We are also committed to tackling digital exclusion. We have considered that as part of the single patient record equality impact assessment, and work is already under way to help address barriers around connectivity, skills and confidence. I heard what my hon. Friend the Member for Middlesbrough and Thornaby East said about the need to engage him and others about the single patient record as we go forward. On the federated data platform, decisions about public contracts must be made through fair, open and non-discriminatory processes. That is governed by UK procurement law, which recognises certain international treaty obligations. NHS England is reviewing the federated data platform contract to determine whether it should continue with standard contract management processes. It will look at evidence of delivery and the impact of the platform, and that should be the basis on which a contract continuation is decided.
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Health Bill
I will not. We have heard a lot from the hon. Gentleman, and I want to make some clear points to the House this evening. We have heard a great deal of discussion about commercial processes, and Members—including the hon. Member for Newton Abbot (Martin Wrigley)—have raised important points about data security, governance and ethical standards of contracts, and support for domestic suppliers and for voluntary, community and social enterprise organisations. Contracts involving NHS data and digital services must be subject to proper scrutiny. The Government’s approach is to assess risks on the basis of the nature of the data, service and supplier access. Crucially, we already have the tools that we need to carry out appropriate due diligence through legal powers and robust contractual provisions. I agree with the spirit of new clause 108, tabled by my hon. Friend the Member for Liverpool West Derby (Ian Byrne). I fully recognise the importance of ensuring that the NHS does not inadvertently support exploitation or rights abuses. UK legislation already incorporates some international laws: for example, the Human Rights Act 1998 incorporates the European convention on human rights into UK law. Similarly, we can use existing legislation and guidance to exclude suppliers from NHS procurements. Both the Procurement Act 2023 and the provider selection regime allow us to exclude providers when there has been serious misconduct or illegality. For instance, we could exclude a supplier under the Procurement Act for breaches of modern slavery and/or human trafficking laws. We have very high standards and expect all suppliers —including whichever companies go on to provide the single patient record—to meet them. On a related note, the Chancellor has already written to the Secretary of State to ask that the NHS procurement better support British industry. In the light of that, the Secretary of State has commissioned, within the health family, a review of strategic procurement pipelines to find opportunities for the new social value model to support more British jobs, skills and innovation. The First Secretary of State, my right hon. Friend the Member for Sheffield Heeley (Louise Haigh), who is leading work on procurement across Government, would be happy to meet my hon. Friend the Member for Liverpool West Derby as part of this important work as it progresses, and I can assure him that the actions that we take will be fully in line with the principle of international law.
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Health Bill
I thank my hon. Friend the Member for Stroud (Dr Opher)—with his example of the sore throat—for his help in driving down demand for healthcare. Indeed, I thank Members in all parts of the House for their contributions to what has been an interesting and helpful discussion. Their expertise and their scrutiny will continue to strengthen the Bill.
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Health Bill
I will give way to my hon. Friend. [Interruption.]
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Health Bill
As my hon. Friend knows, I spoke from the Opposition Benches for many years about the lack of accountability of our local systems to local members of Parliament. I think that that was a great loss in the Lansley Bill. It was one of the things that drove me to become a member of Parliament, and in my role as the Minister of State I have endeavoured to make sure that local Members of Parliament have—
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Health Bill
I will not. The right hon. Member was Secretary of State for Health twice, so he had his chance to put all the right things into legislation. [Interruption.] I am not helping my own sore throat. As my hon. Friend mentioned, the Bill is about returning that democratic accountability directly to the Secretary of State. We have had a lot of pushback in different places, but that is what this Bill does. It returns accountability to the Secretary of State, it devolves that responsibility for delivering on the ground to NHS organisations, and, crucially, it empowers patients. Our new clause strengthens the Bill, and I commend it to the House. Question put and agreed to. New clause 96 accordingly read a Second time, and added to the Bill. New Clause 97 Care and support: involvement of others and visitors “In section 1 of the Care Act 2014 (promoting individual well-being), in subsection (3)— (a) after paragraph (e) insert— “(ea) the importance of the individual being able to involve other people in such decisions and of those people receiving the information and support necessary to facilitate that involvement;”; (b) after paragraph (f) insert— “(fa) the importance of the individual having appropriate opportunities to receive visitors; (fb) in the case of a person who is provided with accommodation in a care home, the importance of them having appropriate opportunities to take trips outside of the care home;”.”—(Karin Smyth.) Section 1(3) of the Care Act 2014 lists matters to which local authorities must have regard when exercising functions under Part 1 of that Act. The amendments refer to the importance of an individual being able to involve other people in decisions and to receive visitors etc. Brought up, read the First and Second time, and added to the Bill.
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Local Government Reorganisation
Order. The hon. Member for South Basildon and East Thurrock (James McMurdock) may wish, out of courtesy to this House and certainly to the Secretary of State—and to his constituents and my constituents—to stay in his seat to listen to the response by the Secretary of State.
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Dover and Portsmouth: Protests
I call the shadow Home Secretary.
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Dover and Portsmouth: Protests
I call the Liberal Democrat spokesperson.
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Dover and Portsmouth: Protests
I call the Father of the House.
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Dover and Portsmouth: Protests
Order. Given that we have such a tight schedule tonight, could the Minister shorten her answers a bit?
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Surrogacy Law and Legal Parenthood
It is a pleasure to serve under your chairship, Mr Pritchard. I thank my constituency neighbour, my hon. Friend the Member for Lichfield (Dave Robertson), for opening this debate so thoroughly and thoughtfully. When I read Adam’s petition, I was taken back to the moment that I became a dad. My husband and I fostered and then adopted our children. I remember holding my daughter and son for the first time like it was yesterday. In those moments, there was no question in my mind that I wanted to be their dad, and that is what I am. That is why I was struck by Adam’s description of the moment he and his partner first saw their baby. They became dads in that moment too. However, as my hon. Friend set out, the law does not recognise that reality. I understand why the current system came about. The rights and autonomy of surrogates and the need to safeguard children should never be brushed aside. Judicial oversight is also important, and reform should not mean removing protections for the surrogate or the child. However, I think we should ask whether the current system gets that balance right. We now have a situation where almost 1,000 children were born through surrogacy in 2025—roughly double the number a decade earlier. For families who choose surrogacy, the journey to having a child has often already been extraordinarily long. So once that child is born and is being cared for by their intended parents, it is reasonable to ask whether the law should leave their legal parenthood unresolved for months. That has practical implications, which I remember from my time fostering, such as not being able to give consent for something as simple as a vaccination or blood test. There is a practical point here about our courts. We rightly ask our family courts to deal with cases where there is a genuine dispute, where a child’s welfare needs judicial consideration or where someone’s rights need to be protected. But if a surrogacy arrangement has been properly assessed before the birth, the intended parents have undergone the appropriate checks, the surrogate has had any independent advice and counselling she may need and the necessary safeguards are in place, do we really need to go through a court process to establish legal parenthood?
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Surrogacy Law and Legal Parenthood
Yes, absolutely. I am making the case that where everybody involved—of course, the mother is paramount in that—is happy with the arrangement and wants to go ahead with it, it could happen ahead of time. My personal belief is that there should be a cooling-off period, even if there is a reform, to ensure space for mothers to change their minds. I am making the point that the system could be far more efficient. I am not suggesting that we remove the courts from the process altogether—they should be there when needed—but a properly regulated system could allow straightforward cases to be dealt with before birth while retaining a route to the courts where there is disagreement, a safeguarding concern, consent changes or judicial oversight is required. That would not weaken safeguards; it would allow the courts to focus their time and attention on the cases where their intervention matters most.
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Surrogacy Law and Legal Parenthood
I am not a legal expert and do not intend to insert myself into that particular legal debate, but my perspective is that if arrangements are made beforehand and a birth mother changes her mind, there should be a route back to the court and that should be built into the system. We have the six-week window that allows time for reflection, but I believe there is a way in the vast majority of cases where everybody will be happy for the arrangements to go forward and for the intended family to move on with their lives, without having to go to court, unless there is a change of heart.
- Hansard source
Surrogacy Law and Legal Parenthood
The hon. Lady and I are very much on the same wavelength; I was about to move on to that. On the carefully formulated proposals the Law Commission came forward with, it has been through that debate and has struck a fair balance. It recommended a new regulated pathway under which intended parents could become legal parents from birth, but with screening and safeguards, while retaining parental orders for cases where court involvement is still necessary, as we have heard. I would like to acknowledge and thank the 268 of my Cannock Chase constituents who signed the petition—the highest number of signatures in the west midlands. I do not know the individual circumstances of those signatories: some might have experienced infertility, some might be part of the LGBT community and some might simply believe that our laws should better reflect the reality of modern families. However, the signatures of our constituents right across the country show us that this issue touches many more lives than we realise. I therefore welcome the Government’s recognition that the current pathway and delay to legal parenthood can cause some uncertainty. My ask is simply that we move the conversation and the debate forward. Will the Minister tell us whether discussions are taking place about how we might modernise the system and make sure our courts deal with the cases that genuinely require their time, while retaining the safeguards that matter to surrogates and children? Call me naive, Mr Pritchard, but I believe we can do both, and I hope this rich debate can be a step towards getting the balance right.
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Planning: Green Spaces
1. What steps her Department is taking to ensure that the planning system provides green spaces for communities.