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12,832 spoken contributions under 12 words (interjections such as “Will the hon. Member give way?”) are hidden. Show them

1. 16 Jul 2026·Parliament·Labour·Lewis Atkinson

   Sir David Amess Summer Adjournment

   In the last year, Sunderland has shown that it is truly a city on the up. A new hospital, library, bridge, construction skills academy, offices and housing are all open or opening soon—all secured under a Labour council—and there are investment plans in place for the Crown Works film studio, expansion of the Metro to Washington and much more now. Reform UK Sunderland might have criticised city centre regeneration as “vanity projects” and opposed council investment, but in the spirit of constructive cross-party engagement that I have tried to adopt following its victory in May, I should acknowledge that Reform has promised to bring back the airshow, which was an annual highlight of my childhood. That will presumably be returning next July, so I want to extend an early invite to all Members and the future Member for Clacton not just to enjoy our beautiful coast but to help ensure that all rubbish from day-trippers to Roker and Seaburn is properly disposed of—in the bin. Sunderland fans will be minding the gap when they get off the Metro at the airport this summer, not just for our summer holidays but for getting carried away at Europa league fixtures, perhaps in Milan. Our first season back in the premier league was a resounding triumph, marking a huge turn in fortunes for the red and white team founded by a trade union. It just shows what can be done with the right manager, inspired recruitment and consistent hard work—yes, I am still referring to football, not the Labour party. I know the Leader of the House, my right hon. Friend the Member for Tynemouth (Sir Alan Campbell), is an ardent fan of Europe, so I am sure he will join me in wishing Sunderland AFC well for the season ahead. I specifically want to mention the contribution of David Bruce, who recently departed as the club’s chief business officer. As a lifelong fan and a local lad made good, he led the commercial revitalisation of the club and crucially its reconnection with the fans, including through the return of the fantastic Hummel kits. I wish him well in his future work as chief executive of Sheffield Wednesday. We are at the end of the school year, so I want to thank teachers, staff and students across Sunderland for their commitment this year. A deserved summer break beckons and I hope that those awaiting exam results see all their hard work reflected in them. Mrs Helen Smith has been teaching at St Anthony’s girls’ Catholic academy for more than 30 years, including as head of sixth form and leading the A-level politics programme. She has encouraged and inspired generations of Sunderland’s young people to be engaged in our democracy, whether as runners at our speedy election counts, visitors to Parliament or as talented interns and staff in my office and those of my predecessors. I thank her for that and for the significant contribution that she has made to public life in Sunderland, as I thank all teachers and staff retiring at the end of this term. Homelessness shames us all, and I pay tribute to the Prime Minister for the priority he gave to tackling it, including through a significantly increased homeless grant allocation to Sunderland. I am, however, still deeply saddened—angry, even—that that grant has not been used by the council to prevent the recent closure of the Basis homeless drop-in centre, and that no alternative provision has been put in place. Imagine being on the streets in a heatwave or, in a few months’ time, in the middle of winter, without having a drop-in service to provide somewhere to have a shower, to get warm or to wash clothes. It is a disgrace. I pay tribute to Dave Cawley and the Basis team, and to the engagement of churches and other faith and community groups that are doing what they can to serve our homeless neighbours in the city. All that remains is for me to wish you, Madam Deputy Speaker, and all the staff of the House a very happy summer.

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2. 16 Jul 2026·Parliament·Labour·Lee Pitcher

   Topical Questions

   T2. No matter where they are from or where they started out, every child should at least have the chance of fulfilling their dream career, but research by the British Airline Pilots’ Association has found that right now, one in seven students are paying for their training by remortgaging property—often their parents’ home. How is the Secretary of State working with the aviation sector to bring those financial barriers down?

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3. 16 Jul 2026·Parliament·Labour·Kirsteen Sullivan

   Business of the House

   Last week I was honoured to welcome the families of those who had been onboard the Lisbon Maru, a freighter that was sunk in 1942, claiming the lives of more than 800 allied prisoners of war. We came together with MPs from across this House and the Minister for Scotland, my hon. Friend the Member for Midlothian (Kirsty McNeill), for a memorial photograph and a special screening of the documentary “The Sinking of the Lisbon Maru”. Will the Leader of the House join me in thanking my constituent Gerry Borge and all the members of the Lisbon Maru Memorial Association for ensuring that this tragedy is never forgotten?

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4. 16 Jul 2026·Parliament·Labour·Kevin McKenna

   Local Government Reorganisation

   I am a strong proponent of unitaries, given that the root-cause of many of the problems in my constituency is the fact that we have districts and the county council. There is no perfect solution for anywhere, and everywhere is special, but Kent has a lot of elements that are particularly special. We have three coasts, links to the continent and the rest of the country and, in my constituency, two industrial towns that are completely outwith the rest of the county’s economy. There are challenges around the decision that was made, particularly where transport links and NHS boundaries do not line up. Also, because the constituency has been separated from the rest of the Thames estuary, we are missing out on huge economic potential. Will the Secretary of State outline what we will do to accelerate devolution powers to Kent and my constituency—particularly to ensure that we are creative so that we do not just follow the medieval boundaries but maybe bring in some emergency development corporations so that we can bridge the gap?

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5. 16 Jul 2026·Parliament·Labour·Kevin McKenna

   Gibraltar: UK-EU Treaty

   I congratulate the Minister and his counterparts in the Gibraltarian Government on getting this treaty over the line. Along with many Members across this House, I went on a visit to Gibraltar a few weeks ago, as part of the armed forces parliamentary scheme. It was incredible to see our British forces in Gibraltar and to see how many of them are actually Gibraltarians, and are not just from the mainland United Kingdom. I was really impressed by the Chief Minister and all his team; they were really looking forward to this moment. They are a very agile Government. We could learn some lessons from them—I suppose the population of Gibraltar being only the same size as the population of the Isle of Sheppey in my constituency probably helps slightly! Can the Minister confirm that there will be no diminishment in or deterioration of the capability and operational abilities of our forces and our base in Gibraltar? Are there things that this treaty enables us to do that will enhance our military capacity in Gibraltar?

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6. 16 Jul 2026·Parliament·Labour·Kevin Bonavia

   Local Government Reorganisation

   I have so often been frustrated when constituents come to me with their problems with a district council, a borough council or the county council, and the councils pass the buck between them, so I am a strong advocate of people having a single unitary council. I am particularly pleased that the decision for Hertfordshire is a new central authority that goes along the A1(M) corridor, which would be great for our local economy. That is a major undertaking, so what review of the benefits and challenges of reorganisation will there be in the years ahead?

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7. 16 Jul 2026·Parliament·Labour·Keir Mather

   Maritime Sector

   The Government strongly support the maritime sector. We have made maritime autonomy a flagship case study for the regulating for growth Bill, updated the national policy statement for ports to support port developments, provided £448 million to support maritime decarbonisation and strengthened seafarer protections. We are also developing a maritime growth strategy to boost the sector’s economic growth.

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8. 16 Jul 2026·Parliament·Labour·Keir Mather

   Maritime Sector

   I thank the hon. Lady for her continued support in promoting the maritime autonomy sector both in her constituency and across the country. She is right to do so. Research from the National Shipbuilding Office shows that there is potential to grow the sector to about £8.3 billion of gross value added by 2050 if we get it right. I will be sure to facilitate a discussion with the relevant officials in the Department for Business and Trade, and I thank her for her continued advocacy on this important matter.

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9. 16 Jul 2026·Parliament·Labour·Keir Mather

   Maritime Sector

   I join my hon. Friend in extending my thanks to CROs across the country for the incredible work that they do. We want to ensure that CROs are tret with dignity and respect, and that they are empowered to carry out their incredible duties. Having listened to the views and testimonies of CROs at first hand, I can confirm that the plans to move to the expenses-only volunteer model in September will not go ahead, and that current arrangements will remain in place. I look forward to working with my hon. Friend and Members across the House to make sure that we get this right.

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10. 16 Jul 2026·Parliament·Labour·Keir Mather

    Maritime Sector

    The hon. Gentleman of course knows best how to represent his constituents on these important matters. I believe that the dynamic he is pointing to is the dynamic of when dynamic pricing was introduced prior to 2010, and the need to be able to compare and contrast the impact of that on pricing. Evidence about that is of course important, and I hope it is factored into the ongoing work.

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11. 16 Jul 2026·Parliament·Labour·Keir Mather

    Maritime Sector

    My hon. Friend is right to point to the fact that a thriving maritime sector relies not only on technological advancement, but on a growing skill base to make sure that the maritime economy benefits every part of the United Kingdom, including his constituency. I would be very glad to work with the combined authority as we seek to promote maritime skills and draw more young people into this fantastic sector in which to work.

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12. 16 Jul 2026·Parliament·Labour·Keir Mather

    Maritime Sector

    May I start by extending my thanks to the shadow Minister? Anyone who can endure trading remarks with me on the Railways Bill for as long as we were in Committee together is an absolute stalwart and a credit to the House, so I thank him for working with me on that. On the broader questions he raises about the MCA, the MCA and His Majesty’s Coastguard do vital work. Ministers have full confidence in the service, but when those on the ground raise concerns on the scale we have seen, and when the evidence base proves insufficient, it is absolutely right that we pause and engage again. That is exactly what the decision to not move ahead with the new model in September facilitates. It will ensure that we treat CROs with the dignity and respect they deserve and, most importantly, that we get this system right.

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13. 16 Jul 2026·Parliament·Labour·Keir Mather

    EU Entry-Exit System: Transport Delays

    The Transport Secretary and I have held regular discussions about preparations for the EU entry-exit system, and its potential impacts on passenger flows. The Secretary of State has engaged directly with counterparts in France and the European Union, stressing the need for appropriate border staffing levels to support smooth journeys for British travellers on their well-earned holidays this summer.

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14. 16 Jul 2026·Parliament·Labour·Keir Mather

    EU Entry-Exit System: Transport Delays

    I thank the hon. Member for raising the important issue of passenger flows relating to EES through the juxtaposed controls. I confirm that the Secretary of State has met her French counterpart and the relevant commissioner at the European Union to discuss a range of issues relating to EES. As part of that, we continually discuss what easements or adjustments are necessary to ensure that flows are appropriately managed.

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15. 16 Jul 2026·Parliament·Labour·Keir Mather

    EU Entry-Exit System: Transport Delays

    I would be glad to meet my hon. Friend and representatives from the freight sector. It is crucial that the sector is empowered to carry out its vital work, especially in the short straits, through which approximately 60% of UK-EU trade passes. She is an advocate for the freight sector in her constituency and across the United Kingdom. We want to ensure that we get this right, so I would be glad to meet her to discuss this subject.

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16. 16 Jul 2026·Parliament·Labour·Keir Mather

    EU Entry-Exit System: Transport Delays

    That is a very theatrical question from the shadow Minister on the scale of the challenge that we face. I can confirm that the meetings that we are having on EES, both in Government and with our counterparts, are to ensure that we get this right, ahead of the peak period. We have supported the port of Dover and Eurotunnel with £3.5 million each in preparation for EES, and earlier this week, we announced £20 million in funding, subject to the completion of relevant checks, to further support border infrastructure at the port of Dover. We are taking a sober, sensible and non-theatrical approach to getting this right.

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17. 16 Jul 2026·Parliament·Labour·Keir Mather

    EU Entry-Exit System: Transport Delays

    I thank the shadow Minister for his question. I can confirm that I have been clear with Ministers in Government, and that Ministers have been clear with French and EU counterparts, that they should do all they can to avoid disruption, including using the existing flexibilities in EES regulations. We are not being complacent and asking for things retrospectively; we are taking the right steps now to ensure that our juxtaposed controls are prepared. There is £3.5 million to prepare for EES operations, both for the port of Dover, and for Eurotunnel and St Pancras.

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18. 16 Jul 2026·Parliament·Labour·Keir Mather

    EU Entry-Exit System: Transport Delays

    I thank the Lib Dem spokesperson for his question. I can confirm that we have discussed the flow of passengers through member state airports with our relevant partners in the European Commission, and with member states. That is certainly something I have been doing over the past 10 months. We know that there are outstanding issues with particular airports, which we continue to raise, both through our in-country posts and at ministerial level, to ensure that European partners are fully aware of just how seriously we take British passengers being able to travel with ease to their summer holiday.

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19. 16 Jul 2026·Parliament·Labour·Keir Mather

    Aviation Sector

    The Government are committed to supporting the aviation sector. We are unlocking growth by progressing planning decisions and consulting on the framework for future decisions on Heathrow’s third runway. We are modernising our airspace through the new UK airspace design service and support fund, and are driving decarbonisation, backing sustainable aviation fuel and providing funding for new low and zero emission technologies. We will publish an updated jet zero strategy in early 2027.

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20. 16 Jul 2026·Parliament·Labour·Keir Mather

    Aviation Sector

    My hon. Friend is right that the barriers to a career in aviation are too high, and this Government are committed to supporting recruitment from as diverse a range of backgrounds as possible. Our Generation Aviation programme promotes aviation careers through outreach and apprenticeships to help build a future-ready workforce, and has reached over 1 million young people since it began.

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21. 16 Jul 2026·Parliament·Labour·Keir Mather

    Aviation Sector

    I am glad that the Lib Dem spokesperson shares our concern about consumer rights. Disruption and cancellations—but also disruptive passengers, unfortunately—can ruin the holidays of British holiday- makers who save so much to facilitate those experiences. The new Civil Aviation (Consumer Protection and Regulatory Reform) Bill, which has just come out of the other place, will hopefully re-emerge in the House of Commons on the other side of the summer. It includes a suite of measures to strengthen consumer rights, and I look forward to working with the hon. Gentleman on exactly the sort of issues that he raises as the Bill makes its way through this House.

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22. 16 Jul 2026·Parliament·Labour·Keir Mather

    Topical Questions

    My hon. Friend raises an important issue. This Government are committed to enabling aviation employers to recruit and train pilots from a broader and more diverse talent pool in Doncaster East and across the United Kingdom, supporting growth by removing regulatory barriers and promoting aviation opportunities.

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23. 16 Jul 2026·Parliament·Labour·Keir Mather

    Topical Questions

    With enormous respect to the right hon. Gentleman, we are taking proactive action to prepare for any potential EES disruption. We have spoken with our French and European counterparts about using the full range of easements, but most importantly, we have provided funding to the juxtaposed controls so that they can prepare for any disruption before it occurs.

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24. 16 Jul 2026·Parliament·Labour·Keir Mather

    Topical Questions

    The hon. Gentleman is a dogged campaigner for providing that rail link and I will report back to him about the quality of my journey. I am excited for the steel signing ceremony ahead of the opening of the new eastern roll-on roll-off terminal at the port of Immingham, which I understand the hon. Gentleman has been a passionate champion of.

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25. 16 Jul 2026·Parliament·Labour·Keir Mather

    Topical Questions

    Fuel security and the Scottish jobs that it underpins are of incredible importance to this Government. We remain in regular contact with both the Scottish Government and other devolved Governments to ensure that we are ready to respond in a co-ordinated manner should any disruption to our fuel and refining capabilities arise.

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26. 16 Jul 2026·Parliament·Labour·Keir Mather

    Topical Questions

    My hon. Friend is right to point to the fact that the EV industry depends on not only automotive manufacturers but the billions of pounds in the charge point sector and the workers who underpin it. Throughout our consideration of the ZEV mandate, we will ensure that our environmental obligations are met alongside making good business sense for all relevant partners in the sector.

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27. 16 Jul 2026·Parliament·Labour·Keir Mather

    Topical Questions

    Let me thank the hon. Gentleman for his question. Air quality in relation to both pilot and passenger safety is of real concern to the Department for Transport. We undertake work constantly to monitor the impact of cabin air quality on those affected groups, and I would be glad to have a further conversation with him to take that work further.

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28. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    It is a pleasure to serve under your chairship, Dr Huq. The hon. Member for Winchester raises an important point. Cardiac issues are serious, and people too often lose their lives as a result of unidentified cardiac conditions. As we know, ECGs are used significantly across the whole of healthcare, from accident and emergency to new community diagnostic centres and beyond. They are important for investigating palpitations or unexpected syncope and for evaluating pacemaker function, and are an extremely useful diagnostic tool. However, as my hon. Friend the Member for Bury St Edmunds and Stowmarket suggested, there is no clear evidence that non-symptomatic population screening using standard ECGs would yield any useful health data or improve population outcomes. Clearly, the loss of life—particularly a young life, as in the case of the constituent the hon. Member for Winchester mentioned, although we have all seen or, sadly, experienced such cases—is an awful tragedy for those concerned, but we need to rely on evidence. The UK National Screening Committee, which is an independent scientific advisory body, advises all four nations and is considering the issue. The committee launched a three-month public consultation on 8 June to look at the evidence on screening for sudden cardiac death. Its draft recommendation is against screening, because ECGs, as well as other tests, are an unreliable tool for identifying significant cardiac issues in asymptomatic individuals. ECGs are useful tools in the diagnosis of symptomatic patients, and the UK National Screening Committee is in the process of reviewing ECG use for asymptomatic individuals. For those reasons, I ask the hon. Member to withdraw the new clause.

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29. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    I commend the hon. Member for outlining this important issue before the Committee and for his work on the APPG. AMR is recognised as a chronic risk in the Government’s national risk register. In 2022, it was estimated that 7,500 deaths per year can be directly attributed to AMR in the UK, with a further 35,000 deaths per year associated with AMR. It is a significant and growing issue that the Government take very seriously—I want to assure the hon. Member and the Committee of that. Through the delivery of the 2024 to 2029 UK AMR national action plan, the Government are already taking comprehensive action to tackle this threat and ultimately reduce the burden it places on individuals, families and the healthcare system. That is where that work is located. I am not convinced that a review of the number of deaths at this point, while important, would add significantly to our understanding of the impact and burden of AMR or to the action being taken to address it, which we do take seriously. The Government will continue to work with APPGs and with information around this issue through the action plan. For that reason, I ask the hon. Member to withdraw the new clause.

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30. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    I thank the hon. Member for North Shropshire, who raises issues of patient safety diligently on behalf of her constituents and the wider system. I will take the time to answer some of the points about where the Government are. Obviously, we support prioritising patient safety, which along with service quality and experience is of the utmost importance. On new clause 36, trusts are already subject to regulatory and contractual requirements to report medical malpractice, which is why we do not think the new clause is necessary. For example, CQC regulations on safe care and treatment and on good governance are central to trust accountability for systemic malpractice. They require trusts to have effective systems to identify patterns of harm, manage risks and deliver system-wide improvements. Trusts are required to identify and report incidents leading to significant harm through the Learn from Patient Safety Events service, ensuring that the CQC is informed and enabling NHS England to identify trends and support learning and improvement. This information can be shared with and accessed by HSSIB and could in the future be shared with and accessed by the investigations arm of the CQC. The CQC regulation on duty of candour reinforces transparency through truthful accounts of what has happened when something goes wrong, including where harm reflects systemic issues. Under the patient safety incident response framework, trusts must undertake patient safety learning investigations into certain incidents to support learning and improvement. In parallel, the NHS provider licence requires NHS trust boards to maintain clear accountability for quality of care and reporting of safety information through effective governance systems. Where failures of governance occur, NHS England has the powers to intervene. Those powers will transfer to the Secretary of State as part of the Bill. The new clause would clearly duplicate current processes. Together, the existing mechanisms already help trusts to identify and address systemic issues locally, while enabling national aggregation to support system-wide learning. New clause 37 seeks to require the creation of a standardised framework for coroners and medical examiners to report health system failings. I take the opportunity to reassure the hon. Member for North Shropshire that regulations already require medical examiners to report serious concerns identified in respect of clinical governance, patient safety or public health surveillance, in accordance with local reporting arrangements. Existing regulations also require coroners, in the context of an investigation, to issue a report to a person, organisation, local authority, or Government Department or agency where the coroner believes they may have power to take relevant action to prevent future deaths. In September 2024, the Department of Health and Social Care introduced death certification reforms, putting in place regulations to provide greater safeguards for the public by ensuring independent scrutiny by medical examiners of all deaths not investigated by a coroner. These reforms, as set out in the Medical Certificate of Cause of Death Regulations 2024, which require an independent review to be carried out for all deaths in England, introduce a system whereby all deaths are subject to either a medical examiner’s independent scrutiny or a coroner’s investigation. Should the medical examiner detect concerns about care, they will refer such cases to established clinical governance review processes and bodies and notify the coroner or, if necessary, the police. The Notification of Deaths Regulations 2019 require all doctors, including medical examiners, to refer a death to a coroner if they believe that deficiency of care while undergoing treatment contributed to the death, making the death unnatural. Under the Coroners and Justice Act 2009, a coroner has a statutory duty to report issues to the appropriate bodies where they believe that action can be taken to mitigate or prevent the risk of future deaths, and both the report and responses to it are published by the chief coroner. When incidents and errors occur resulting in death or serious injury, it is important that we learn any lessons. The Government are committed to ensuring that the prevention of future deaths reports are taken seriously and lead to meaningful action. The Department is working across Government and with the chief coroner to identify ways to strengthen oversight and ensure that the right organisations are consistently notified of concerns, respond to them in a timely manner and drive appropriate action. Under the Medical Act 1983, the General Medical Council ensures that all doctors, including medical examiners, report suspected health system failings by speaking up. That is a mandatory professional obligation linked to a doctor’s licence to practise, embedding this whistleblowing requirement into the GMC’s core regulatory and fitness to practise frameworks. The GMC also enforces a professional duty of candour requiring all doctors to be open and honest with patients and official bodies when things go wrong and actively report adverse incidents so that systematic lessons can be learned. In summary, both new clauses duplicate requirements that already exist. Regulations, systems and processes are already in place to report suspected health system failings to the appropriate bodies. For that reason, I ask the hon. Member for North Shropshire to withdraw the new clause.

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31. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    I am grateful to the hon. Member for bringing this discussion before the Committee. She is right that, following the For Women Scotland case at the Supreme Court in April 2025 and the recent laying of the Equality and Human Rights Commission’s updated code of practice on 21 May, ensuring the provision of single-sex facilities for patients and staff is a prominent issue. The Government welcomed the clarity provided by the Supreme Court judgment. The EHRC code of practice sets out how service providers may lawfully apply sex-based distinctions following the Supreme Court judgment. That guidance is applicable to services, public functions and associations and includes, but is not limited to, the services provided in the NHS. Following that, NHS England drafted the revised guidance, “Privacy, dignity and safety in hospital accommodation”, which will align with the legal position and the EHRC code of practice and replace existing guidance. I know that many colleagues are impatient to see the existing guidance replaced following the Supreme Court ruling. It was important to wait for the EHRC code of practice to be published so that it could be considered in any guidance. The code of practice was published on 21 May. Following the publication, NHS England reviewed the guidance to ensure that it was in line with the code. The code was subject to a 40-day laying period before Parliament, which ended on 9 July. The Government expect the code to come into force in early August. Guidance for the NHS will be published shortly afterwards. NHS England is also developing guidance on staff facilities, including changing rooms, toilets and washing facilities that should be used by trusts and ICBs. The provision of physical single-sex facilities for NHS staff is for NHS organisations to individually manage in line with their legal obligations. There is already legislation covering this issue, particularly the Workplace (Health, Safety and Welfare) Regulations 1992. Organisations should already be conducting assessments of their own estates and the needs of their workforce to decide what changes they need to make to comply with all legislative requirements. On mixed-sex accommodation and breaches, there is a long-standing policy of same-sex accommodation. Individuals should not have to share sleeping accommodation with patients of the opposite sex unless appropriate. In practice, the proposed amendment does not allow scope for mixed-sex accommodation where clinically appropriate—for example, intensive care unit facilities or where it is necessary for patient safety. For those reasons, I ask the hon. Member for Sleaford and North Hykeham to withdraw the new clause. Question put, That the clause be read a Second time.

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32. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    Well, what was a disaster was the Tories’ management of the capital estate pre-1997 and post-2010, if the hon. Member for Sleaford and North Hykeham wants to talk about disasters on capital planning. I could talk about this for a very long time, but I know the Committee is keen to move forward, and I addressed some of these issues in debate on a previous amendment. I am very proud of, for example, Southmead hospital in Bristol, which is one of the finest examples of a hospital in the country and was built under a PFI scheme. I received treatment there a couple of years ago, in facilities that are good for staff to work and patients to be treated in. It replaced a hospital that was falling down and in shocking condition, despite the best efforts of staff. We can see similar examples across the country. Under the Tories’ management, and for some of the early PFI schemes under the last Labour Government, contracts were poorly negotiated. They had issues with, for example, management of inflation. We have learned lessons from that. The hon. Member for Sleaford and North Hykeham talked about some contracts, including one where, I think, her whiteboard was not working. We know what the lessons are to be learned from that, and we are doing exactly what a good Government do when they take charge—change it. In the 14 years that the Conservatives were in power, they could have started negotiating these contracts differently at any point, but they chose not to. They chose to let the estate atrophy and fall down. That is bad for patients and the public. That is why I was proud last week to launch the Government’s capital plan, building for the future, looking forward and giving nine years of certainty for estates across all our constituencies.

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33. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    I thank my hon. Friend for that. Across the east of England, where we now have so many Labour MPs, everyone has been trying to rectify the mismanagement that local people have seen, particularly of the capital estate. I will not detain the Committee on the capital estate—one of my favourite subjects—for very long. The hon. Member for Sleaford and North Hykeham is aware that the decision on neighbourhood health centres was announced in the autumn. The decision-making process was supported by a business case to examine the feasibility of developing a new model, learning the lessons of the past on public-private partnerships specifically to build neighbourhood health centres as part of our 10-year plan. That informed the decision to proceed. The business case was a strategic outline case, the purpose of which was to scope and identify the preferred way forward for a new potential model, in line with the Treasury’s five case model. We are now working with the National Infrastructure and Service Transformation Authority to develop this further, and we expect a further round of market engagement in the autumn. I recognise the interest in making the business case available to both Houses, but that must be balanced with the need to develop an effective policy. Publication while policy development is ongoing would limit full, candid and proper deliberation. Civil servants and subject experts need to be able to engage in frank discussion of policy options to expose their merits, demerits and possible implications. Their candour in doing so would be affected by their assessment of whether the content of such discussions would be disclosed. We are committed to building neighbourhood health centres across the country. That is what patients and the public deserve. We will obviously be mindful of public money and subject to the usual processes of the House, including the Public Accounts Committee. We will learn those lessons. We are in full discussion with NISTA. For those reasons, we are committed to developing good estate across our country. That is what our constituents deserve. I therefore ask the hon. Member for Sleaford and North Hykeham to withdraw her new clause.

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34. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    Again, I am grateful to the hon. Member for Sleaford and North Hykeham for bringing this discussion before the Committee. This new clause would require the Secretary of State to make regulations about how the NHS uses private provision to support access to treatment and reduce lists. I understand the point that she is making, but I assure her that this is an unnecessary new clause. ICBs already can and do use private healthcare providers to offer patients treatment in their area and boost capacity to reduce lists. Our approach is pragmatic, not ideological: in the 10-year health plan, the Government committed to continuing to use private sector capacity where it is available; that is not because we favour the private sector but because we are committed to using capacity wherever it is available. Our priority is treating patients in a timely manner, not favouring one form of provider over another. Under existing legislation, patients must be offered a choice of provider for their first outpatient appointment, where the duty of choice applies. If a person’s needs are not met by local services or waiting times are high, they can use that choice to see an appropriately qualified provider. However, we must resist the temptation to apply a one-size-fits-all approach here. ICBs are responsible for the financial sustainability, planning and strategic commissioning of services for their local populations, so they are best placed to decide how private premises should be used to meet a population’s needs. For example, high waiting times, which we obviously inherited from the Conservatives, for a particular specialty may result not from a lack of capacity but from increased demand from GP referrals. The ICB must have the flexibility to improve how advice and guidance—referral support, for instance—is working for GPs, rather than being required to wastefully spend NHS funds on increasing capacity with the private sector.

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35. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    I am slightly confused, as I suspect other Committee members are, by the Opposition’s approach to the private sector, having had a discussion in relation to the previous new clause about not using the private sector and boosting work and employment opportunities in our country. They do have a slightly odd view with regard to this. As I said, our view is very pragmatic: it is to support the treatment of patients to get waiting lists down. That is what our constituents deserve. Where capacity can be used, we want to make sure that that choice is available.

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36. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    That is why I was clear in outlining that ICBs have a duty to make sure that they are financially sustainable and that their planning and strategic commissioning meets the needs of their local population. They need to balance those requirements. Under the new clause, there is a risk that the Secretary of State, by setting blanket requirements, would contravene the level playing field provisions in clause 10 of the Bill. For those reasons, I ask the hon. Member for Sleaford and North Hykeham to withdraw the new clause.

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37. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    The Government of course recognise the importance of clarity and assurance as we undertake this significant transformation, including on how functions, governance and the workforce will operate in the future. That is essential for ensuring that our staff and other stakeholders understand the new role of the Department. On new clause 46, we recognise the importance of transparency around departmental workforce numbers and the impact of abolishing NHS England. The Government remain committed to significantly reducing headcount across NHS England and the Department of Health and Social Care, but I put on record my thanks to all the staff and talented professionals working in both organisations; this is a difficult time for them. However, this new clause is not necessary. Workforce information is already published both monthly and through the Department’s annual report and accounts, alongside wider Government transparency publications. Placing a further reporting requirement in legislation would risk duplicating existing transparency data, so it is unnecessary to include it in the Bill. On amendment 37, I reassure the Committee that we will consult on the proposed structure for the new Department of Health and Social Care, and that is also required under existing employment law. The structure will clearly explain what every part of the new Department will do and set out every post we think we need. The target operating model is an internal document that sets out the proposed purpose, role, governance and organisational structure of the future Department. It will be shared internally, following engagement with staff and stakeholders, including trade unions. The chair of NHS England, Dr Penny Dash, has committed to sharing it with the Health and Social Care Committee once it is finalised. The target operating model will be used to guide detailed organisational design and will iterate over time. The proposed design of the new organisation will be subject to consultation. The target operating model does not implement changes that remain subject to parliamentary approval through this Bill. On workforce transition, we will follow TUPE-like principles whether TUPE or any other transfer mechanism applies, in line with the Cabinet Office statement of practice on staff transfers in the public sector. That means that recognised trade unions will be formally consulted and engaged with on measures related to the transfer. No changes to contractual terms and conditions will be made without proper consultation and engagement. We are committed to maintaining an ongoing dialogue with trade unions and staff throughout this period of change, and we are updating them as often as possible. Where appropriate, we are also committed to working with staff networks on the changes, particularly on how we can best support staff. Given those commitments, I hope that the hon. Member for Sleaford and North Hykeham agrees that placing further requirements in the Bill would be disproportionate. On amendment 38, we agree that it is important to be transparent about the costs and benefits of this programme. The Department has been open about the initial estimate of around £1 billion of savings per year, and we published an impact assessment alongside the Bill. The detailed timing and scale of costs and savings from the programme depend on factors such as the take-up of voluntary exit and redundancy schemes, which are under way. We will continue to refine our assessment of costs and savings as the programme progresses and as we move towards the abolition of NHS England. We will continue to be open about those figures. The savings will support continued investment in frontline services. The timescales set out in the amendment would risk delaying the abolition of NHS England and, as a result, would delay the transfer of savings to frontline services and the stability and certainty we need for our staff. On amendment 39, the Government are committed to supporting the integration of health and social care so that people experience more joined-up, person-centred care. Key planning frameworks, including for the better care fund and for neighbourhood health, already stress the critical importance of strong join-up and integration. We expect those frameworks to continue to guide the health and care system following the abolition of NHS England. Most importantly of all, we are committed to developing neighbourhood health approaches as an essential part of reforming the health and care system. That approach will deliver more integrated services across health, local government and wider partners, including the voluntary and community sector. The Bill simplifies existing complex legal frameworks to make collaboration easier and emphasises the role of health and wellbeing boards as a focal point for that collaboration. However, partnership and collaboration take many forms depending on local circumstances, and they cannot simply be prescribed through a centrally developed plan. Instead, we should encourage areas to develop effective, productive relationships in the interests of the people they serve. We have discussed that in this Committee, and hon. Members from all parties have a key role to play there. Turning to new clause 75, we absolutely recognise the need to ensure that critical functions, expertise and organisational capability are identified, retained and effectively transferred during this period of change. That is essential to maintaining continuity of services and supporting the delivery of key health programmes, including vital services such as cancer care. I reassure the Committee that that work is already well under way. We are carefully mapping all areas of current activity across NHS England, assessing what capabilities we need to deliver them in future and putting processes in place to support the retention and transfer of expertise. This includes the phased approach we are taking to workforce changes, alongside a robust and consistently applied process for voluntary redundancies and voluntary exits, to minimise disruption and protect critical skills. We are also committed to ongoing monitoring and oversight through the transition, and as part of our programme of governance, there is ongoing consideration of skill retention, knowledge transfer and organisational capability, and we will take action where gaps are identified. As drafted, the new clause would introduce a new statutory requirement to produce and lay before Parliament a formal transition strategy before the abolition of NHS England and the implementation of transfer schemes, alongside new ongoing reporting obligations. While well-intentioned, it would add another unnecessary step into what is already a complex and carefully sequenced programme. It would reduce the flexibility needed to adapt workforce organisational decisions as the transformation progresses. For those reasons, the Government believe that the objectives of the new clause are already being delivered through existing programme arrangements, without the need to place further requirements in the Bill.

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38. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    I will partly agree with the Opposition to start off with: they are absolutely right that osteoporosis is a really important issue, particularly for older women. The hon. Member for Farnham and Bordon outlined some of the economic case, but crucially, it is a strong health issue. I worked and campaigned on this issue in opposition myself, because it predominantly affects older women. It also very much fits into our 10-year health plan regarding prevention. That is why we have also, for example, increased access to DEXA—dual-energy X-ray absorptiometry—scanners. It is rather disappointing, though, for a subject on which there is obviously so much agreement to be used as a political back-and-forth here today. Let me be clear. I think some of the comments show why some of this has got a bit confused, including for people who genuinely care about this rather than just wanting to make it a political issue. Again, it is entirely the Opposition’s job to oppose the Government, and I do not have any problem with that, but there is a serious issue here about how this is monitored. We are absolutely committed to having coverage across the country by 2030, as the Secretary of State has recently said. That is why we are rolling out more DEXA scanners and so on, but with the clustering of ICBs, 92% of the country is now covered across those clusters.

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39. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    That is why it is important that we look at what is actually happening on the ground and how we are moving forward. We are committed to supporting this cohort, and particularly those patients for whom this condition is largely preventable. Care closer to home, based around our 10-year plan, is absolutely the right way to go about that.

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40. 16 Jul 2026·Parliament·Labour·Karin Smyth

    Health Bill (Sixteenth sitting)

    I was going to outline the points, but I am happy to give way if the hon. Lady wants.

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