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1. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Tenth sitting)

   All the stakeholders have said that the single patient record is part of the Bill that could be genuinely transformative. I would also like to note the Bill’s many references to carers, including the Secretary of State’s duty to promote the involvement of carers alongside patients in decision making around care and commissioning. However, the Bill is currently quite vague as to whether carers will be able to access the single patient record, and we want that to be made explicit. We want to reiterate the lack of focus on social care, which is the biggest issue facing the NHS, and emphasise our call for carers in general. The benefits that the single patient record could bring to patients have been well-established, and it is well-supported, but we believe that the single patient record could also be of huge benefit to carers. It could allow them to care more effectively for their loved ones, and it could allow it to be flagged on their own records that they are carers, so they receive the support that they need.

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2. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Tenth sitting)

   The hon. Gentleman makes some very good points. Obviously, the whole point of this amendment is to equip people who are providing what is often the daily care for someone else with the information they need to provide that care. My family cared for my father at home for many years when he had dementia; he was on medication for other physical health issues as well, and he was not capable of administering his own medicine, or even of understanding what he was on half the time.

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3. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Tenth sitting)

   I agree that there is no need for carers to see irrelevant or extremely historical information in the single patient record. Currently, however, there are a lot of carers who, for various reasons, such as not having legal power of attorney, cannot access the information that they need. We also sometimes find that the people who are carers, who are potentially the spouse of the patient and are themselves elderly—because a lot of people receiving care are elderly—do not understand the information that they are being given. There can be a situation where the person providing care does not fully understand why the patient is getting some medication, or the best way to treat them. We hear that quite a lot. We understand that the Bill is not designed to set out all the specifics of what the single patient record will look like—that key point was made in the interventions by the hon. Members for Farnham and Bordon and for Ashford. However, although we do not know exactly what it will look like, as it is being created, drafted and thought through, we would love the Minister to confirm to us that carers will be able to see the appropriate parts of the single patient records of those they care for, so that they can oversee their medical care and flag any issues. There are some specific advantages to having a single patient record when travelling between hospital trusts. For example, being able to quickly see what historical medication the patient has had, especially when it comes to antimicrobials, and the results of tests that were performed in other hospitals and healthcare settings, is absolutely vital to ensure that we do not allow antimicrobial resistance to increase at an unnecessary pace. Often, patients do not understand the type of antibiotic they are on, or remember the name of it, and that is a specific but big issue, because it can generate antimicrobial resistance. There are a few more issues that I could speak to, but I will sit down.

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4. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Tenth sitting)

   The hon. Lady is making very good points. The whole thrust of the argument is that there is little detail around how the single patient record will be created and implemented. This is a perfect opportunity to work out how we can empower carers while preserving patient confidentiality where necessary. If we do not focus on that in the early stages of the SPR’s implementation, before it has even been designed, we will miss the opportunity to ensure that carers have an easy way to get the right information. We should not miss that opportunity.

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5. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Tenth sitting)

   It is by design.

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6. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Tenth sitting)

   I thank everyone for that very useful discussion. I was pleased to see everyone broadly in agreement that we need to work out how we can provide the necessary information to provide better care, and to balance that with privacy. Everyone made really insightful points on that. I just emphasise that, as we all know, there is a difference between treatment/prescription and compliance, and compliance is where many medical treatments fall down. It is once the medical staff are not involved on a day-to-day basis, when the patient is not under their direct care or in the facility of the medical treatment, that most of the care takes place, and that is when successful or unsuccessful treatment for the medical condition occurs. If the people providing the daily care are not empowered properly, it is—well, not a complete waste of time, but the efforts of the medical staff are in vain if the compliance day to day is not accurate. I thank everyone for the discussion. I will not press the amendment to a vote, and I beg to ask leave to withdraw it. Amendment, by leave, withdrawn. Ordered, That further consideration be now adjourned.—(Emma Foody.)

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7. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Eleventh sitting)

   I beg to move amendment 71, in clause 47, page 34, line 29, at end insert— “(3A) The regulations must make provision for medical markers for firearms licence holders to be visible to all relevant health workers under the establishment of a single patient record. (3B) The regulations must include a requirement for the Secretary of State to prepare and publish a report on the potential merits of introducing a statutory requirement for mandatory medical markers for firearms licence holders to be used by those relevant in providing patient care.” This amendment would require medical markers for firearms licence holders to be visible to all relevant health workers under the establishment of a single patient record.

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8. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Eleventh sitting)

   The amendment was tabled in the name of my hon. Friend the Member for Epsom and Ewell (Helen Maguire), and would require medical markers for firearms licence holders to be visible to all relevant health workers under the establishment of a single patient record. I will not read through all my speaking notes but, in a nutshell, a person rightly undergoes mental health checks before they acquire a firearms licence, but that will not be reviewed until they are due to renew their firearms licence a few years later. If their mental health status changed during that time, the amendment would enable them to be flagged to healthcare workers and GPs as a person who has a firearms licence, so that any necessary proactive measures could be taken to ensure that they are still safe to have that licence, or should have it removed, rather than waiting for them to apply for a new licence in a few years’ time. The British Medical Association supports the amendment and the Royal College of General Practitioners thinks it would be valuable. A survey carried out by the Association of Police and Crime Commissioners found that 87% of existing certificate holders believe that GPs should inform the police if they become aware of health issues that could have an impact on the certificate holder’s ability to own a gun safely. Quite often, however, the GP is not aware that the person is in possession of a firearms licence.

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9. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

   Health Bill (Eleventh sitting)

   The hon. Gentleman makes an interesting point. I suppose this is another chance to use the developing single patient record to ensure that we close the gap. The record could be formed in such a way, and the process put in place, to ensure equity in the system, with mandatory markers. Amendment 72, also tabled by my hon. Friend the Member for Epsom and Ewell, would require prior membership of the armed forces to be visible to all relevant healthcare workers under the establishment of a single patient record. It would also require the Secretary of State to publish a report on making prior armed forces membership visible on the single patient record. There are just over 1.85 million armed forces veterans in the UK, 13.6% of them women and 86.4% men. The transition from serving in the armed forces to civilian life can mean that many of those individuals struggle with mental health issues, such as post-traumatic stress disorder. The issues are often specific to the service the individuals have given. Some stats show that more than half of England’s Army veterans have some sort of health problem. I should point out that veterans do not only have mental health problems. Specific back and knee problems are much more common among infantry soldiers because of the type of training they have done over many years. The amendment seeks to make prior armed forces membership visible to all relevant healthcare workers, and to make the Secretary of State consult on the merits of doing so, so that when a GP is treating a patient, they are aware of that person’s service history without having to ask about it specifically.

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10. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

    Health Bill (Eleventh sitting)

    Will the hon. Gentleman give way?

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11. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

    Health Bill (Eleventh sitting)

    The hon. Gentleman makes some good points, especially given his experience as the Conservative spokesperson in the Westminster Hall debate on this subject, for which he did a lot of research. I do not think we need to worry about medical professionals seeing that someone has a firearms licence and potentially treating them differently because of assumptions they make about them. Medical professionals are trained to be dispassionate, and they try to show little bias. I would be very surprised if a doctor, seeing it flagged on a single patient record that someone was in possession of a firearms licence, changed their attitude towards or approach to the treatment of that individual. I think that particular point is probably not relevant.

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12. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

    Health Bill (Eleventh sitting)

    I thank all hon. Members for their input, and the Minister for her insights. I beg to ask leave to withdraw the amendment. Amendment, by leave, withdrawn.

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13. 2 Jul 2026·Parliament·Lib Dem·Dr Danny Chambers

    Health Bill (Eleventh sitting)

    I will speak to clause 47 and to new clauses 7 and 8, which were tabled by my hon. Friend the Member for Newton Abbot (Martin Wrigley). The sector has been calling for a single patient record for decades, and it is the single most impactful part of the Bill. It could be transformational for patient experience, care, outcomes, consistency of treatment and reducing errors. Members have talked about the hassle of people having to tell their story repeatedly or recollect the history, which many people cannot do accurately, so the clause could be hugely impactful. Polling shows that nine out of 10 Britons want better access to medical records. Many assume that a single patient record already exists and are often quite surprised when they go to another hospital and find that it has no record of what has been done in the county next door. Although the public are rightly concerned about the use of their data, especially outside of direct care and for planning and research purposes, we wholly support the idea of a single patient record. The plan is for people to be able to see their primary, secondary and social care records all in one place, all in the NHS app. It will be transformational, but patients should be in control of their data. They should be able to see who is accessing their records and should be able to opt out of sharing data. It is essential that there is sufficient control and guarantees around the sharing of data, whether for research or other reasons. The Bill does not go far enough to provide reassurances that patients will ultimately be in charge of their own data and how it is used. Trust among medical staff, patients and the public is essential for this much-needed system to succeed, and we have only to look at the pushback on the federated data platform to see that. Sufficient guardrails are necessary to make sure that secondary uses of health data are allowed only when they deliver a clear public benefit. Rules need to be future-proofed so that they are not vulnerable to change depending on the political or economic situation. There should be meaningful checks, balances and transparency. We want to make sure this technology is focused on enabling and delivering healthcare. We know that, in the US, Palantir is providing health data to US Immigration and Customs Enforcement, which is then used to support deportations. We would be really concerned if people were too worried to come forward for medical treatment because they thought that their immigration status might be passed on to another Department. There was a Westminster Hall debate recently on the concerns about Palantir and about the single patient record being abused. From an economic point of view, it seems a lost opportunity to have such a huge infrastructure project farmed out to foreign companies based abroad. First, this is a huge opportunity for companies in the UK to boost our economy, provide employment and drive innovation. Secondly, if we are reliant on foreign companies to deliver this service, we could lose our health sovereignty and their motivations might change depending on the political and economic situation of the country in which they are based. There have been recent examples of NHS staff inappropriately accessing the private health records of the victims of the Southport and Nottingham terror attacks. The decision by the University Hospitals of Liverpool Group not to inform patients of the breaches understandably raised privacy concerns. The Government must therefore ensure that there are sufficient safeguards and guardrails, and that they are communicated clearly to the public to build trust. The single patient record needs to happen, but in the right way. The issues with the FDP’s uptake have shown that patient and staff mistrust can significantly undermine a system’s effectiveness. The most important safeguards should not be left entirely to later implementation. They should be laid out in primary legislation at the beginning of the process. The Bill should be more explicit on who is responsible for decisions about access, sharing, liability and redress. That is why we have tabled various amendments, which we will get to later, most notably on our health data charter, setting out the key principles of how health data should be handled and a duty to prioritise domestic suppliers in technology procurement. We welcome Opposition amendment 49, which we debated earlier—I believe it was echoed by the NHS Alliance—suggesting that a plan should be laid before Parliament for a minimum three-month public information campaign before the system goes live. The discussion on this needs to be constructive, not alarmist, to make sure that the SPR is rolled out in a safe fashion and so that we all get to feel the benefits. Public involvement should be ongoing, visible and tied to real implementation decisions. Past NHS data reforms show that support depends on people feeling informed, heard and able to challenge decisions. Any red lines should also be clear. For example, there should be consented use for marketing or insurance purposes. We also need to discuss the role of GP practices in this debate, given that they work within the NHS but are also private businesses. GP records are among the NHS’s richest data assets, and GP practices are to remain independent data controllers. I have spoken to three different practices in Winchester, and the practice managers are quite concerned that GPs will be required to share data much more routinely than they do now, but they will still carry the legal and professional risk and will likely act as the channel to explain to patients how their data will be used. GPs will need to be brought on side for the SPR to work, and that will depend on who decides, what safeguards apply and how burdens on practices are managed. Recent experiences show the sensitivity of the issue. The British Medical Association has stated that it may consider collective action on GP data sharing. The 2022 roll-out of automated prospective GP record access through the NHS app was paused after concerns about safeguarding and the burden on practices. Will the Minister expand a little on the detail and on how all this will be implemented? What precautions will be taken to ensure that patient data is protected? Will she consider the Lib Dem proposal for a health data charter that sets out principles and responsibilities for handling NHS data?

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14. 2 Jul 2026·Parliament·Lib Dem·Dr Al Pinkerton

    Historical Forced Adoption

    I thank the Prime Minister for his statement today and for the apology on behalf of the state. I acknowledge the visitors we have in the Gallery today and the extraordinary testimonies of Members across this House. So often this Chamber is divided along the lines of party politics, but on days like this, we are united as living, breathing and feeling human beings, and I think the Chamber is at its best in those moments. My constituent Lynne was forcibly adopted shortly after the second world war. To understand her health concerns, she was eager to learn something of her family’s medical past. She was denied access to medical records for many decades. In fact, it was only a very helpful social worker who sought to try to reconstruct her family’s medical past for her and with her. Could the Prime Minister say more about whether the new national online resource will include details such as family medical history, so that constituents like Lynne might better understand their own health concerns? Bearing in mind the highly time-sensitive nature, given that often the children were born in the late 1940s and 1950s, can he say more about the timescales he expects to deliver this new resource?

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15. 2 Jul 2026·Parliament·Lib Dem·Dr Al Pinkerton

    Commonhold and Leasehold Reform: Managing Agents

    I thank the Chair of the Housing, Communities and Local Government Committee, the hon. Member for Vauxhall and Camberwell Green (Florence Eshalomi), for securing today’s important debate. I want to use the brief time I have to share two examples from my constituency of systemic mismanagement of managed property. The first example that I will cite is a FirstPort-managed property—we have heard that name mentioned already—called Bentley Court in Camberley’s town centre. On 19 March, the building’s only lift broke down. For most of us, that would be a frustration, but for the retirement community who live in that building, it has been life changing. These are older people, often with significant mobility issues. That lift is not just a convenience; it is their access point to and from their property. It is their independence. Residents tell me that they have not been able to go shopping and have missed hospital appointments. Some cannot take out their rubbish, and others have become trapped in their home for days at a time. That brings me to the case of Audrey West, one of my constituents. She lived at Bentley Court for more than 26 years. She suffered from heart failure, chronic obstructive pulmonary disease and chronic bronchitis, and had serious mobility problems. She became a prisoner in her own home when that lift broke down, and her health and wellbeing deteriorated. When she attempted to tackle the stairs, the physical exertion caused enormous strain on her body, leaving her breathless and exhausted. That was only compounded by the recent heatwave. In order to secure her safety, her family concluded that the only thing they could do was remove her from her home of 26 years. On 28 June, just days after leaving her home, Audrey’s family contacted FirstPort again, copying in my office, to inform the company and me that Audrey had died. I am not here to claim that a broken lift directly caused Audrey’s death, but I am willing to say this: no vulnerable resident should ever be left feeling abandoned and trapped in their home. The lift remains unrepaired and unrepairable, with no end to the situation in sight. My second example is Mytchett Heath, a not-for-profit retirement community managed by Cognatum Estates. MPs from across the House have constituents who are affected. Again, older residents are feeling completely ignored, and now maligned, by the company that should be looking after them—residents who have invested their life savings in a home, but who have no voice when it comes to how their property is managed. Last month, I met a group of Cognatum residents here in Parliament. One described Cognatum as “the worst commercial organisation I have dealt with in a long professional career”, and nobody in the room looked surprised at that. Residents described soaring service charges, complaints that went nowhere, a regulator—the Association of Retirement Housing Managers—that they do not believe is independent, and a tribunal process that is so expensive. Lease terms can allow the managing company to recover legal costs from residents, who simply give up trying to engage with the process. Residents spoke about residents’ forums disappearing, and about having to renegotiate electricity contracts on behalf of the management company, because it was incapable of doing so itself. The most extraordinary thing that we heard was that Cognatum has refused to allow defibrillators in a retirement community, because it is fearful that members of the public might seek to access those defibrillators from outside the estate. I will conclude in just a few seconds, if you will allow me that, Madam Deputy Speaker. I ask the Minister—

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16. 2 Jul 2026·Parliament·Lib Dem·Daisy Cooper

    Business of the House

    The right hon. Member for Makerfield (Andy Burnham)—the Prime Minister in waiting—has said that his approach to devolution would be one of urgency, yet we understand that there may be conversations about delaying announcements on local government reorganisation and devolution of powers, so that the new Prime Minister has the glamour of announcing them. Will the Leader of the House put those rumours to bed, and confirm that announcements on the creation of unitary authorities in Hertfordshire and elsewhere will be made in this House, before the summer recess? That way, Members can ask the Government questions, and local authorities can have certainty about going ahead with local government reorganisation without further disruption to vital services, such as special educational needs and disabilities provision and social care.

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17. 2 Jul 2026·Parliament·Lib Dem·Bobby Dean

    Business of the House

    I join the whole House in congratulating the England team, in particular Tottenham Hotspur academy product Harry Kane for his heroics last night. I am also grateful to the Conservatives for their lecture on sanctimony, though I note that self-awareness was never their strongest trait. This week my community was rocked by the news that Coughlan’s Bakery—a family-run business that been operating in the local area for 89 years—will close its doors for the last time. In their announcement, they say: “This was so devastating as March was a fantastic month, as was a lot of last year with our growth with new stores opening, but as soon as April’s new Government rules kicked in on national insurance, wages and rates, it instantly hit the high street”. That shows that Government policy is directly killing long-term, family-run businesses. We warned the Government about this, and when we did we were told that they could not fund public services without the rises in business taxes, but let me make it clear to them: the Government will no longer receive any tax income from this local business anymore, and I fear that the revenue loss will continue to grow over the course of this year. Will the Government organise a statement from the relevant Department explaining what they are going to do about small businesses in distress, outlining how many are at risk and how many have already closed since April?

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18. 2 Jul 2026·Parliament·Lib Dem·Ben Maguire

    Business of the House

    I declare an interest as chair of the all-party parliamentary group for dairy. I welcome the fact that the Government’s farming road map explicitly designates food production as an issue of national security, but I am deeply concerned that their water White Paper proposes a blanket extension of environmental permitting, from poultry and pig farms to the dairy sector, despite animals in the former being kept mostly indoors and cattle mostly outdoors. My North Cornwall constituents and National Farmers’ Union delegates estimate that this could cost around £10,000 per farm and produce much more paperwork. Can we please have a debate in Government time on the need to support farmers to produce food for this country, rather than deterring our farmers from actually farming?

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19. 2 Jul 2026·Parliament·Lib Dem·Ben Maguire

    Commonhold and Leasehold Reform: Managing Agents

    Will the hon. Member give way?

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20. 2 Jul 2026·Parliament·Lib Dem·Andrew George

    Hospitality Sector

    10. What steps he is taking to support the hospitality sector.

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21. 2 Jul 2026·Parliament·Lib Dem·Andrew George

    Hospitality Sector

    As welcome as that is, and I am not crying wolf, the hospitality sector faces a very high risk of substantial business failure in the next 12 months as a result of the tax burdens that it has to face simply for attempting to survive, rather than a tax burden to help it succeed—in other words, shifting from VAT and business rates to corporation tax. Will the Minister look again at this issue before real catastrophe comes to the sector? Will she talk to Treasury Ministers and find a way out of this extremely serious situation?

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22. 2 Jul 2026·Parliament·Lib Dem·Alison Bennett

    Heart Disease and Stroke: Premature Deaths

    It is a pleasure to serve under your chairship this afternoon, Dame Siobhain. I congratulate the hon. Member for South Ribble (Mr Foster) on securing this important debate and thank him for sharing his story. Like so many families across the country, mine has its own history of heart disease, either with tragic, early death or, for my father, a triple heart bypass in 2012. He celebrated his 80th birthday this year. Reducing premature deaths from heart disease and stroke is one of the defining public health challenges facing our country. It is also one of the greatest opportunities. We know what works and where the risks lie; the question is whether this Government are prepared to invest in preventing illness rather than simply responding to it once people become sick. Cardiovascular disease remains the second biggest cause of death in England; every day, around 390 people die from a heart attack or stroke. Heart and circulatory diseases are responsible for one in four premature deaths, while more than 6.4 million people in England are living with cardiovascular disease. It is particularly concerning that progress has stalled. After years of improvement, premature mortality from cardiovascular disease has begun to rise again. The latest figures show that rates have returned to around where they were over a decade ago. Behind those statistics are families who have lost loved ones far too early; many of those deaths could have been prevented. Perhaps the greatest injustice is that outcomes are not evenly distributed. People living in the most deprived communities are twice as likely to die prematurely from cardiovascular disease as those in the least deprived areas. If we are serious about reducing premature deaths, we have to be serious about prevention. Too often, prevention is spoken about warmly but funded poorly. We hear Ministers say that they want to shift healthcare from hospital to community and from treatment to prevention. Those are welcome ambitions, but ambitions alone do not reduce blood pressure, identify atrial fibrillation or prevent strokes. The reality is that the NHS and local government continue to struggle to fund many of the programmes that are proven to save lives. Freedom of information data published earlier this year reveals that more than 70 local authorities are limiting the number of NHS health checks that GP practices can carry out because of financial pressures. The programme designed to identify people at risk of heart disease, stroke, diabetes and kidney disease, which is credited with saving hundreds of lives every year, is being rationed because councils simply cannot afford it. That is the direct consequence of years of underfunding in public health. A straightforward first step would be restoring the public health grant to its 2015 level, which would give local authorities the resources they need to expand NHS health checks and deliver wider prevention programmes that reduce smoking, improve physical activity and help people to manage the risk factors that lead to cardiovascular disease. The Liberal Democrats have also proposed widening access to blood pressure checks by making them routinely available in community settings such as pharmacies and libraries. An estimated 7 million people are living with undiagnosed high blood pressure. Many of them have no idea that they are at increased risk of suffering a devastating stroke or heart attack. Detecting hypertension earlier is one of the simplest and most cost-effective interventions available. However, prevention is about much more than screening alone. If we want to tackle heart disease properly, we must also be far more ambitious in addressing obesity and the wider causes of poor health. The evidence is clear that obesity is closely linked to deprivation. A poor diet often begins in childhood, and families facing food insecurity are more likely to rely on cheaper foods that are higher in fat, salt and sugar. That contributes to stark inequalities in health outcomes later in life. That is why we believe that more children living in poverty should receive free school meals. We would also do more to protect children from the relentless marketing of unhealthy food, including supporting councils to restrict outdoor junk food advertising and maintaining stronger protections on television advertising. For those already living with heart disease or recovering from a stroke, continuity of care is equally important. The Liberal Democrats want everyone living with a long-term condition to have a named GP. Continuity improves outcomes, reduces unnecessary admissions and ensures that patients receive co-ordinated care over many years, rather than fragmented treatment from multiple clinicians. Recovery following a stroke also deserves much greater attention. Around 60% of stroke survivors leave hospital with a disability. Rehabilitation cannot be treated as an optional extra. Every stroke survivor should have access to personalised, high-quality rehabilitation services that help them regain independence and improve their quality of life. Finally, I want to touch on emergency care. When someone has a stroke, every minute matters. Rapid assessment and treatment can mean the difference between a full recovery and lifelong disability. I pay tribute to Olivia, the wife of the right hon. Member for Rayleigh and Wickford (Mr Francois), for the work that she and her team do at Queen’s hospital. I pay tribute to all practitioners carrying out the same work across the country. Ambulance delays and overcrowded emergency departments continue to place patients at unnecessary risk. We know that too well in my village, where, a few years ago, we lost a dear friend far too young as a result of a slow ambulance response time. We need action to reduce ambulance handover delays, expand staffed hospital bed capacity, improve social care so that patients can be discharged safely, and ensure that every A&E waiting room has a qualified clinician able to identify patients whose condition is deteriorating while they wait. Preventing premature deaths from heart disease and strokes will require action across the whole health system. It means investing in prevention rather than allowing it to become the first casualty of financial pressures. It means tackling the inequalities that leave poorer communities carrying the greatest burden of disease. It means strengthening primary care, community services, rehabilitation and social care rather than focusing solely on elective waiting lists. The Darzi review warned: “Care for cardiovascular conditions is going in the wrong direction.” That warning should not be ignored. If the Government are serious about achieving their ambition to reduce deaths from heart attacks and strokes, they must match warm words with sustained investment in prevention, public health and community care. The best way to reduce premature deaths is not simply to become better at treating illness; it is to prevent people from becoming ill in the first place. I look forward to hearing the Minister’s response.

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23. 2 Jul 2026·Parliament·Lib Dem·Alison Bennett

    Heart Disease and Stroke: Premature Deaths

    For the record, my request was that the public health grant be restored back to 2015 levels, not 2010 levels.

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24. 2 Jul 2026·Parliament·Lib Dem·Alison Bennett

    Alternative Dispute Resolution Regulations

    6. Whether his Department has provided guidance on the potential impact of the Digital Markets, Competition and Consumers Act 2024 (Alternative Dispute Resolution) (Fees) Regulations 2026 on small businesses providing arbitration services.

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25. 2 Jul 2026·Parliament·Lib Dem·Alison Bennett

    Alternative Dispute Resolution Regulations

    I thank the Minister for that response. Caroline from Lindfield owns a small business that provides arbitration services. Since the introduction of the one-size-fits-all fees set down earlier this year, her business model and that of so many other small ADR providers has become nigh on impossible to sustain. Has the Minister considered the impact on the sector from the fee changes? Can she explain why no impact assessment has been done? In particular, has she received feedback from trading standards since the legislation came into force?

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26. 2 Jul 2026·Parliament·Lib Dem·Alison Bennett

    Business of the House

    Cellnex estimates that Mid Sussex is ranked 499th out of 650 constituencies for quality of mobile signal strength. The current obligations on mobile operators are clearly failing to provide the coverage that my constituents deserve in villages like Cuckfield, Bolney and Fulking. Will the Leader of the House make time for a debate on the merits of changing these mobile operator obligations, so that we can have the coverage that we so badly need?

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27. 2 Jul 2026·Parliament·Lib Dem·Alison Bennett

    Historical Forced Adoption

    The apology today is so welcome, and my heart goes out to all those people who have campaigned and been hurt by the failings of the state. In his statement, the Prime Minister said, “These harms were compounded by the actions and failures of the state.” Just this week in this Chamber, we have heard of that happening to women—when they are pregnant, labouring, or have just had a baby and are vulnerable. The Adjournment debate on Monday night was about diethylstilbestrol—DES—and justice for women who, over the decades, were prescribed a drug long after it was known that it was harmful. Baroness Amos’s report this week says that this is not just a historical problem of misogyny in the state; today, women who are having children are ridiculed and not listened to, and are hurt as a result. I ask the Prime Minister: how can we unwind misogyny from the state?

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28. 2 Jul 2026·Parliament·Green·Siân Berry

    Commonhold and Leasehold Reform: Managing Agents

    I thank the Chair of the Select Committee, the hon. Member for Vauxhall and Camberwell Green (Florence Eshalomi), whose motion, report and recommendations for the Bill I support and welcome. Thorough and fair leasehold reform is long overdue. My inbox as MP for Brighton Pavilion is littered with horror stories from constituents about their experiences as leaseholders who are forced to fork out extortionate service charges with no value for money, poor maintenance and no transparency on how that money is spent, as well as awful communications. My leaseholders continue to suffer from a lack of agency in solving the building safety scandal, which has left too many leaseholders in Brighton’s many high-rise and mid-rise blocks stuck in unsafe homes. Some of my constituents tell me that they believe freeholders are still trying to cut corners and do this work on the cheap. Just last month I was contacted by multiple constituents about developer Barratt Redrow’s plans to remediate their blocks, built in the early 2000s, to a B1 standard, rather than to an A2 standard as they had understood would happen. This type of dispute, nine years on from the avoidable Grenfell disaster, is commonplace, and it is so worrying for too many of my constituents. I, too, want to talk about property management agents. A large number of leaseholders in Brighton and Hove are in a nightmare situation right now of not being able to access money paid into accounts managed by just one large property management company in sudden crisis. Under current leasehold regulations, when a managing agent’s client accounts are frozen, or irregularities are identified that suggest mismanagement of accounts, leaseholders are left exposed to very big financial losses. In the private rented sector, there is a Government-backed tenancy guarantee scheme, but for leaseholders there is no equivalent guarantee on service charge accounts and reserve funds. Section 42 of the Landlord and Tenant Act 1987 does require property management companies to hold service charge contributions in trust and with a financial institution authorised under the Financial Services and Markets Act 2000. Yet the flexibility of how leaseholder money is held in reality means that the sums of money in property management company accounts may far exceed the maximum amounts guaranteed under the financial services compensation scheme. Section 156 of the Commonhold and Leasehold Reform Act 2002 adds a requirement for managing agents to hold service charge funds in designated separate accounts, but it is not yet in force. This lack of enactment seems to leave wide open the potential for managing agents to hold leaseholder money in a way that falls outside of compensation schemes. It cannot be right that leaseholders are left exposed to risk in that way. To conclude, there is no doubt that the feudal leasehold system is broken and must be abolished in favour of commonhold. The regulation of managing agents to end their exploitation is very, very urgent. The promises that the Government made in opposition, to end the system within the first 100 days, were missed long ago, but we need full reform now, without delay, to ensure an end to leaseholders being ripped off, living in unsafe homes or being exposed to avoidable financial risk and losses.

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29. 2 Jul 2026·Parliament·Green·Hannah Spencer

    Access to Further Education

    Too often, the voices of people who come through routes like apprenticeships, working people or tradespeople are missing from these debates, but I am really proud of my education and of my route through as an apprentice. On apprenticeships, at the moment we are asking too many small and medium-sized businesses to carry the responsibility of training up the next generations of people without the funding and recognition that they deserve. I have met with small businesses across my constituency that want to take on apprentices, but tell me it is too expensive and too complicated; and it is not a lack of lack of willingness—it is a lack of support. We have to make it easier for small businesses to recruit apprentices by simplifying levy transfers, reducing administrative burdens wherever possible, and providing long-term funding certainty for their rising costs. Apprenticeships need to be made easier for young people and families to understand and access, and to be recognised and respected as the meaningful route into essential skilled work that they are, with support for apprenticeship wages that better reflect local labour markets and the removal of unfair practical barriers. We want free bus fares for under-22s so that no young person is held back from getting to their apprenticeship. We want equal access to funded childcare and the scrapping of disincentives such as those within the benefit system. Finally, we need economic policy that focuses on spreading opportunity and investment more fairly across the country, so that young people in places like Gorton and Denton are no longer left behind. In places like Gorton, Denton, Abbey Hey, Burnage, Longsight—all the places in my constituency—our young people have never lacked talent or drive, but we must stop wasting it, give them a chance and properly back further education and apprenticeships as the national assets that they are.

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30. 2 Jul 2026·Parliament·Green·Dr Ellie Chowns

    Topical Questions

    Small rural businesses in villages such as Pembridge in my constituency tell me that the combination of high business and VAT rates and rising national insurance contributions means they are facing a struggle for survival. Small rural businesses face greater pressure than their urban counterparts, with lower footfall and seasonal fluctuations in trade, so they operate with very tight margins. Does the Minister recognise the additional pressures faced by such businesses and that existing support schemes simply are not enough, and what more will he do to support businesses in constituencies such as mine?

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31. 2 Jul 2026·Parliament·Conservative·Stuart Andrew

    Heart Disease and Stroke: Premature Deaths

    It is a pleasure to serve under your chairship, Dame Siobhain. I congratulate the hon. Member for South Ribble (Mr Foster) on securing this important debate and talking about his personal circumstances. It is always a very moving moment when colleagues talk about things that are so very personal to them. I also pay tribute to the wife of my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois) for the work that she and her team do. It was fascinating to listen to my right hon. Friend. There may have been a bit more detail than I would have wanted to hear, but it told us a lot about the importance of that treatment. I share an ambulance region with the hon. Member for North West Leicestershire (Amanda Hack), so I know exactly what she is talking about and how important it is. I thank her for her work with the APPG, and particularly for highlighting the issue for young people. It is important to remember that heart disease and stroke affect all age groups. I thank the hon. Member for Strangford (Jim Shannon) for his work on the APPG and for his kind words. I visited his constituency when I was a Minister. If only I could have as much love as he gets from his constituents—he is hugely respected. I feel like we will all have to club together to get a bat-phone for the hon. Member for Southport (Patrick Hurley). He made some incredible points, particularly about smoking. I confess that I gave up smoking in February. It was hard, but I know how important it is. I declare an interest. I, too, want to pay tribute to the British Heart Foundation, which was the first charity I worked for in my charity career. I saw at first hand the incredible work it does, particularly on research. I thank it and all the other charities and organisations that are active in this space. As we have heard so often today, heart disease and stroke continue to take people from their families far too soon. The hon. Member for Strangford spoke so powerfully about the 350 people in his area who are no longer around the table. Behind every statistic is a life cut short and a family left grieving, in too many cases in the knowledge that earlier action might have changed the outcome. A person’s chances of surviving heart disease or stroke should not depend on their postcode, income, sex, ethnicity or ability to navigate the health service. If we are serious about reducing premature deaths, the focus must be on prevention, earlier diagnosis, timely treatment, reducing inequality and proper support after the patient leaves hospital. We must begin with prevention, because high blood pressure and high cholesterol can exist without obvious symptoms. People may feel perfectly well while living with a condition that substantially increases their risk of heart attack or stroke. By the time somebody becomes seriously unwell, an opportunity to intervene may have already been lost. Prevention cannot simply mean advising people to live healthier lives. It means identifying those at risk, ensuring that NHS health checks reach the communities that need them most, and making full use of GPs, primary care teams and community pharmacies. Those services need the workforce, the time and the technology to identify risk and manage it properly. Detecting and treating high blood pressure and raised cholesterol must be regarded as core NHS work. The Government inform us that the NHS health check programme prevents about 500 heart attacks and strokes each year, which really is welcome, but the question is whether it reaches those at the greatest risk, including people in deprived areas. We must also recognise the close relationship between cardiovascular disease and kidney disease. Kidney disease affects an estimated 7 million people in the UK. About 60% of kidney patients are diagnosed only in the later stages, when their cardiovascular risk is highest. About 20,000 kidney patients die from cardiovascular disease each year. Early testing for people with diabetes, high blood pressure and cardiovascular disease can identify kidney damage before it progresses. Indeed, Kidney Research UK suggests that less than one in five patients with chronic kidney disease receive SGLT2 inhibitors, despite their potential to reduce major cardiovascular events. Will kidney disease therefore be explicitly included in the modern service framework? What action will the Government take to improve early diagnosis and equitable access to proven treatment? Early diagnosis is just as important for heart valve disease. In the UK, 1.5 million people live with that condition. Again, however, symptoms such as breathlessness, fatigue and dizziness are too often mistaken for the ordinary effects of ageing. That can mean that diagnosis comes only after the disease has become severe, and after irreversible heart damage has begun. Listening to the heart with a stethoscope remains a simple and low-cost first step. Where heart valve disease is suspected, patients need timely access and a clear route to specialist services. Will heart valve disease be explicitly included in the framework? And will the Government consider a single point of access for referrals to specialist valve services? We must also confront the inequalities experienced by women. Cardiovascular disease kills more than 80,000 women in the UK each year, yet women are less likely than men to have their risk factors assessed, slower to receive a diagnosis, less likely to be referred to a cardiologist and also less likely to receive cardiovascular medicines or interventions. Women’s symptoms may simply be dismissed or attributed to stress, hormones or ageing, and women have been consistently under-represented when it comes to cardiovascular research. The Government’s renewed women’s health strategy recognises some of those problems, and the commitment that publicly funded research should properly consider sex-based differences is really welcome. However, such recognition must translate into practice. Will the framework include measurable action to reduce sex-based inequalities in prevention, diagnosis, referrals, treatment and outcomes? And will women’s specific cardiovascular risk factors, including pregnancy history, gestational diabetes, menopause and autoimmune disease, be considered more consistently in NHS health checks and other assessments? As we have heard, every minute matters for stroke patients. The speed of recognition, ambulance response, brain scanning and access to thrombolysis and thrombectomy can profoundly affect a person’s chances of survival and recovery. However, 24-hour coverage has still not been achieved, as my right hon. Friend the Member for Rayleigh and Wickford mentioned. The Government say that progress is being made, but patients need to know when every part of England will have reliable access to this life-changing treatment. Will the Minister set a firm date for that full 24/7 coverage, and will she explain how progress will be maintained while NHS England’s responsibilities are being transferred?

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32. 2 Jul 2026·Parliament·Conservative·Stuart Andrew

    Heart Disease and Stroke: Premature Deaths

    My right hon. Friend is so right. When he was describing its importance, I was thinking about one of my very dear friends who suffered quite a debilitating stroke. I thought, “If only that had been available for him, how different his life might be now.” I thank my right hon. Friend for raising that. Care should not end when a patient leaves the acute ward. Someone who has survived a stroke might need to relearn how to walk, speak, eat and carry out other basic daily tasks. Rehabilitation and continuing community support are essential if people are to regain their independence and reduce the risk of another stroke. The same is true after a heart attack. Cardiac rehabilitation, medication reviews and support to manage risk factors can prevent further illness and save lives, yet access to rehabilitation remains uneven and too many patients experience a cliff edge between hospital and community care. The Government have committed to reducing premature deaths from heart disease and stroke by 25% within a decade. That is a serious ambition, and, where they are taking practical actions to achieve it, they will absolutely have our full support, but it is important that that ambition is matched by a credible plan. In a letter dated 28 May, the Minister said that the framework we are expecting would be published in the spring. That deadline has now passed, so, like others, I again ask when that will be published. Will it contain clear milestones against which that 25% commitment can be judged? Will the Minister commit to regular, transparent reporting to Parliament so that Members can see whether earlier diagnosis, access to treatment and premature mortality rates are genuinely improving? There is much on which Members across this House should agree. We all want fewer families to lose someone they love before their time; we all want patients to receive help before a manageable risk becomes a medical emergency; and we all want NHS staff to have the tools and capacity to provide the care their patients need. Reducing premature deaths from heart disease and stroke is achievable, but only through earlier identification of risk, faster diagnosis, timely treatment and rehabilitation that is available wherever a patient lives. Targets matter, but patients will judge success by whether they receive the right care in time, and that must be the measure of genuine success. They and their families deserve nothing less.

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33. 2 Jul 2026·Parliament·Conservative·Sir Julian Smith

    Historical Forced Adoption

    May I thank the Prime Minister for the incredibly powerful statement? I was lucky enough to bring forward legislation for victims of institutional child abuse in Northern Ireland. As part of that legislation, there was an apology. Those people, like the victims in this case, waited decades for people in important positions to properly listen to them, and I think what the Prime Minister has done today is a massive step forward. Even when the apology took place in Northern Ireland, though, the churches could not bring themselves to move away from the script provided by their lawyers, so I urge every institution that has been involved in these horrendous crimes to properly say sorry. We have heard about the processes that will follow this statement, but may I urge the Prime Minister to use the considerable power that he will have as a former Prime Minister to stay involved in this issue?

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34. 2 Jul 2026·Parliament·Conservative·Sir Julian Lewis

    Business of the House

    May we have a statement from a Work and Pensions Minister on the lack of routes through which right hon. and hon. Members can contact the Department on behalf of constituents who, as in the case of one chronically ill lady whom I represent, have lost universal credit and wish to challenge that? She has been struggling for more than a year, whereas we have been struggling only for the last six months, to get an answer out of the Department. When the Leader of the House sends on that request, as he always assiduously does, may I include a summary sheet about this case for him to include with his letter to the Minister?

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35. 2 Jul 2026·Parliament·Conservative·Sir Julian Lewis

    Historical Forced Adoption

    The Prime Minister has done a good deed today, and he is deservedly getting the united response from the House that he requested. He mentioned the admirable idea of putting the documentation online; will there be a facility on the website for people to upload their own stories, if they wish to do so? One aspect that is being somewhat skirted around is why this happened in the first place. The answer appears to be that there was too much state respect for dogmatic and fundamentalist interpretations of religious doctrine. Can we look at our society today and say that there is not still, in some parts of that society, too much religious repression of women, and too much respect for cultural sensitivities, which are preventing us from tackling that?

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36. 2 Jul 2026·Parliament·Conservative·Sir Geoffrey Clifton-Brown

    National Audit Office

    I thank the Prime Minister very much for making this appointment. As Chair of the Public Accounts Committee and the appointments panel, I warmly welcome the motion to appoint Michael Jary CBE as the next chair of the National Audit Office. Michael Jary brings extensive experience in Government, leadership and organisational transformation, together with independence and judgment, to this important role. May I take this opportunity to pay tribute to the current chair, Dame Fiona Reynolds, for her distinguished service? The Public Accounts Committee has long benefited from the NAO’s outstanding support and we are grateful for her stewardship. Michael has the skills and the leadership needed to ensure the NAO remains a high-performing, innovative and digitally-enabled organisation, supporting Parliament’s detailed scrutiny of public spending and helping to secure value for money for taxpayers. For these reasons, I am delighted to support this appointment. Question put and agreed to. Resolved, That an Humble Address be presented to His Majesty, praying that His Majesty will appoint Michael Jary CBE to the Office of Chair of the National Audit Office from 10 January 2027.

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37. 2 Jul 2026·Parliament·Conservative·Sir Edward Leigh

    Historical Forced Adoption

    I agree with everything that the Prime Minister has said, and I join him in his apology. Of course, while historical misdeeds—and these are misdeeds—have got to be condemned, individuals have to be judged by the standards and morality of their own time, not ours. We have to bear that in mind. But I will say this: those of us who claim to be of religious persuasion should remember that our religion should be one not of judgment but of love, and that love should extend to everybody—young mothers, babies, and every frail person—from the very beginning of life to the very end.

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38. 2 Jul 2026·Parliament·Conservative·Robbie Moore

    Air Pollution

    It is a pleasure to serve under your chairmanship, Mr Efford. I commend the hon. Member for Brent West (Barry Gardiner) on securing this important debate. He has spoken about the issue many times in this place, so I know it is one that he cares deeply about. Air pollution is one of the greatest public health and environmental challenges facing our country today: it contributes to thousands of premature deaths every year, worsens respiratory diseases, harms our natural environment and, as was outlined in the contributions of many hon. Members, places an enormous amount of pressure on our NHS. All of that reduces productivity and participation in the workplace, costing the UK economy about £27 billion annually. That is largely due to healthcare costs, productivity losses and reduced quality of life. When wider impacts such as dementia are accounted for, the economic cost of air quality not being addressed may be as high as £50 billion. Air pollution also disproportionately affects the most deprived communities—13% of people in the most deprived neighbourhoods in the United Kingdom live in the 10% of areas with the highest air pollution, compared with only 7% of people in the least deprived neighbourhoods. The health impacts of that are seismic, as exposure to air pollution can increase the risk of cardiovascular disease, respiratory disease and cancer. It can also cause damage to the reproductive and central nervous systems, as has also been mentioned by several Members. In particular, exposure to air pollution in childhood can have lasting, lifelong effects and can affect cognitive development or increase the risk of developing a chronic disease. Health risks from exposure to air pollution should not be a postcode lottery. I would be grateful if the Minister could inform the Chamber what targeted action the Government will be taking to address that gap in exposure to poor air quality. The Conservative party has a proud record when it comes to improving air quality, but there is much more to be done, as outlined in today’s contributions. Air quality in the UK has continually improved since 2010. The levels of all the key pollutants, bar ammonia, have fallen by over 70%, with levels of PM2.5 and PM10 falling by 27% and 20% respectively between 2014 and 2024. The previous Government’s 2019 clean air strategy was described by the World Health Organisation at the time as “an example for the rest of the world to follow”. The strategy set out the comprehensive action required to meet the legally binding targets to reduce emissions of the five key pollutants by 2020 and 2030 respectively. The previous Government also passed the Environment Act 2021, which introduced statutory targets for PM2.5 to achieve at least a 35% reduction in population exposure by 31 December 2040. Furthermore, the previous Administration’s 2023 environmental improvement plan set out a direction to support clean air, with measures including reducing the maximum emissions for domestic burning appliances in smoke-controlled areas by promoting best practices, challenging local authorities to rightly improve air quality, continuing to support the move away from petrol and diesel cars, and consulting on an extension to the existing North sea emission control area to cover the Irish sea, reducing emissions from shipping. The roll-out of any strategy, legislation, guidance or regulation that focuses on improving air quality must also take into account the economic, social and environmental impact, so that the best strategy is adopted and there is the best buy-in from residents and businesses. Without their buy-in, air quality is simply not improved at the rate that we would all like to see. It is no good bringing out legislation that then has a wider detrimental effect. That is why, as the official Opposition, we oppose the Government’s restrictions on wood-burning stoves. For many people living in rural areas, wood burners are an affordable, reliable and often essential source of heat where mains gas is unavailable and the alternatives are impractical and expensive to put in place. We also committed to scrapping the zero emission vehicle mandate to reinvigorate the car manufacturing industry in Britain. There should still be a transition to cleaner transport, but it must be driven by affordability, practicality and technological progress. It should not be dictated by unrealistic mandates or the weakening of domestic manufacturing. Again, a balance must be struck if we are to improve air quality. That is why a strategy of simply taxing motorists is just not the right approach. The Mayor of London’s expansion of ULEZ is having hugely damaging financial consequences on some of the poorest and most deprived residents and communities in London, as well as on many motorists and trade-related businesses.

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39. 2 Jul 2026·Parliament·Conservative·Robbie Moore

    Air Pollution

    I would like to explore what the Mayor of London is doing for those travelling on the tube—the hon. Member for Stratford and Bow (Uma Kumaran) may be able to indicate this in her intervention, because I know she was involved—because there has been hardly any focus on that in the mayor’s strategy.

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40. 2 Jul 2026·Parliament·Conservative·Robbie Moore

    Air Pollution

    I will specifically address that point, but I will use one further example before I do. The same approach as the ULEZ has been applied to the Bradford district, in which my constituency sits. A clean air zone has been rolled out in Bradford, but it is a strategy that is again taxing motorists and some of the hardest-working people in our communities—including some of the most deprived communities, who are simply not able to afford the levels of tax imposed on them. Of course there are other ways of doing it, but before I come on to them I want to address the fact that if a resident or someone with a business on the outskirts of Bradford wants to travel into Bradford in a light goods vehicle, it now costs them £9 a day. That has a detrimental impact on business growth. It costs a coach driver, a heavy goods vehicle driver or a bus driver £50 a day to take their vehicle into Bradford. That is also having a huge detrimental impact. Since the scheme was launched in 2023, £26.7 million has been raised. Of that, £9.8 million was raised through entry fees but £16.4 million was raised through penalty charge notices, the vast majority of which were for people who could not afford to pay, and who therefore had to go to court for that money to be extracted from them. My point is that we cannot simply have a strategy that charges people if we want complete buy-in. That is why I use the example of the roll-out in Manchester. It will be interesting to see what the strategy of the right hon. Member for Makerfield (Andy Burnham) will be, because when he was Mayor of Greater Manchester he opposed a chargeable clean air zone tax across Greater Manchester. Indeed, at the time, all five local authorities that make up Greater Manchester also heavily lobbied the Government for a non-charging approach to be adopted. Such an approach was therefore signed off, which resulted in investment in electrification, upgrade grants and traffic control measures. Those were all rolled out in Manchester—approved by the former Mayor of Greater Manchester, the right hon. Member for Makerfield—and they had buy-in at the local level. I would therefore simply say in response to the hon. Member for Stratford and Bow that there are other ways of doing it, rather than simply having a taxing approach. Will the Minister outline whether he has had discussions with the right hon. Member for Makerfield, who is likely to become the Prime Minister, about what the future clean air zone strategy will be under the new Administration? Will the Minister also outline the cost to the taxpayer of all the infrastructure that was put in place but not used for the roll-out of that clean air zone—a tax to the motorist—across the Greater Manchester area? It is therefore vital that when we consider how to tackle air pollution and improve air quality, the Government work across Departments to ensure that there are no unintended adverse impacts on businesses and indeed on our rural communities. I absolutely agree with the point made by the hon. Member for Brent West: we cannot have a siloed approach across Government. I therefore ask the Minister to provide an assurance that any forthcoming strategy will not be siloed just within DEFRA but will instead take a co-ordinated approach across Government. Communities across the country continue to breathe polluted air every single day. It is an unfortunate thing to say, but that is the reality. We must do much more, with buy-in from businesses and residents, and only if it is not detrimental to driving local growth. Parents worry about children walking to school alongside congested roads and elderly residents and those living with asthma or heart disease face unnecessary health risks. Those are not abstract narratives; they are everyday realities for millions of people. We must, therefore, work together to ensure that all of our constituents breathe cleaner, healthier air. To have a clean air strategy, we have to have buy-in from all and not just use a one-size-fits-all approach by taxing those in our communities who are most deprived. They are the ones who need to benefit from the clean air zone strategy because of where they live.

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