Conservative and Unionist Party: a sourced timeline of public activity, with filters by source type and a sidebar of tracked totals

Conservative and Unionist Party

5,731 spoken contributions under 12 words (interjections such as “Will the hon. Member give way?”) are hidden. Show them

  1. ParliamentJoe Robertson

    Health Bill (Fourth sitting)

    I thank my namesake for his intervention. I do not completely understand what he says, because the amendment refers to cultural barriers. He is absolutely right that we have to be careful when we mandate things, but the strength of the amendment is that it has a broad application and does not seek to mandate specific detail. I accept that it has more detail than the Bill, but its strength is that it gives some direction without being overly detailed. I again draw his attention to the fact that it asks the Secretary of State and the Department to identify and remove cultural barriers.

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  2. ParliamentJoe Robertson

    Health Bill (Fifth sitting)

    It is a pleasure to serve under your chairmanship, Sir Roger. Clause 7 says—I abbreviate: “The Secretary of State must exercise functions…with a view to ensuring that…there are sufficient people with appropriate education and training to meet the workforce needs of the health service, and…there is an effective system in place for the planning and delivery of education and training of people to meet those needs.” That is all very nice—who couldn’t agree with that?—but amendment 50, tabled by the shadow Minister, would add a means by which the public, in the interests of transparency, could make an assessment of that by requiring the Secretary of State to publish independently audited forecasts of the NHS’s workforce needs every five years. That seems entirely sensible, it is something that I am sure any Government would want to do anyway, and it would add meaning, assessment and transparency to what is already in the Bill. New clauses 44 and 45 would do something similar in relation to the number of medical school places. As the shadow Minister said in response to an intervention, new clause 44 seeks to do only what the Government have already said they want to do. Hopefully, the Minister can give us some clarity on whether that is still the Government’s intention and, if it is, what aversion she has to including it in the Bill. Separately, new clause 45 seeks to establish a benchmark of data collection. Of course, duties and requirements placed on a Secretary of State, such as those in clause 7, can be delivered only if we start with the proper collection of data and, in the interests of transparency, publish it. For that reason, I also support new clause 45.

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  3. ParliamentJoe Robertson

    Puberty Blockers

    I support an individual’s freedom to choose to live their life in whichever manner they want, subject only to the law. That includes someone’s right to want to live a life in a different gender identity to that which they were born with. But this debate is not about that; it is about administering powerful drugs to children. Although I have no direct experience of what it is like to want to live a life as somebody with a different gender identity, I have represented parents in the family court disputing their child’s gender identity—in one case, a child under that age of 10—in legal proceedings. There is an absolutist argument that I want reject: the argument that this is only a clinical question, and that politicians, decision makers and the Government must follow clinical advice. The clinical advice itself is disputed, but I accept the weight that the Government have placed on the Cass review, which was commissioned under the previous Government. It is right that the current Government place weight on that. This is much more than a clinical question, though—it is an ethical question, a moral question and a legal question—and the issues that need to be grappled with fall on the shoulders of the elected Members in this place. I want to explore one of the issues that I think is fundamental: the issue of consent. What can consent mean when we are talking about young children? What can it mean when we are talking about a parent giving consent for something to happen to their child? The issue of consent is not new. We have the legal age of consent for engaging in sexual activity. Society, through this place and the courts, has decided that children should not be engaging in sexual activity under the age of 16. That is not a fundamentally clinical issue; it is an issue around the emotional, psychological, moral and ethical impact on a child who does not fully understand what they are getting themselves into. When it comes to a child under 13, we have a law that says consent is impossible. Under 13, there is no such thing as consent to sexual activity; it amounts to what we might term statutory rape. However, in the trial we are talking about today, children under the age of 13—at the age of 12—are going to be asked if they have engaged in oral sex in the last year. That is something that is illegal—something that they cannot consent to by law. Why are they being asked a question like that in these clinical trials? I ask the Minister to address that point directly. Plainly, consent is meaningful only if a child understands all the ramifications. I challenge anyone to stand up and back the idea that a child under the age of 13, for example, understands what it is like to give up the possibility of fertility, to live a life in a different gender and to really understand, at that age, what gender means in its adult entirety. I turn now to the role of the parent. What parent can possibly say whether their child has been able to grapple with those issues in any meaningful way? They may be better placed than anyone else, but that does not mean that they can really form a judgment or view. After all, it would be preposterous to suggest that an adult could consent to their own child engaging in sexual activity, so how can they possibly consent to a child grappling with those ideas such that they administer a powerful drug to suppress their development and puberty? We have a Government who have taken the view, which I welcome, that an adult cannot possibly consent to their own child having a social media account because they are not in a position to assess all the harms. How, by extension, can they say that an adult is in a position to consent to their child taking powerful drugs that will suppress their puberty and sexual development? It lacks any sort of coherence. I urge the Government to think again.

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  4. ParliamentJames Wild

    Draft Climate Change Agreements (Administration, Energy-intensive Installations and Eligible Facilities) (Amendment and Revocation) Regulations 2026

    It is a pleasure to see you in the Chair, Mr Wishart, presiding over our proceedings. Given the origin of this measure, with the policy work that underpins it having begun under the previous Government, we will not oppose it, but as the Minister may expect, I have a few questions for him. The climate change agreements allow eligible facilities to reduce their energy use and, in exchange, pay reduced rates of the climate change levy. The discounts can be significant—up to 92% on electricity. The regulations make three changes: they expand the scheme to include the three new processes the Minister referred to, they consolidate the existing eligibility rules and they correct a numerical error in the formula used to calculate buy-out fees. The consultation that preceded the changes was launched in November 2023 and closed in February 2024. Applications were made for the inclusion of seven processes, and in October the Government announced that the production of automative-grade battery cells, the packaging of spirits and the mechanical recycling of plastics were all to be included. The changes do not take effect until January 2027, over three years after the consultation opened—a lengthy process, as I am sure you will agree, Mr Wishart—and the response to the consultation highlighted that more time was needed. Will the Minister explain why the process has been so lengthy? As I mentioned, applications were made for the inclusion of seven processes, and three were selected. I have looked into it but was unable to find the information, so perhaps the Minister can tell us what the other processes were and explain the basis on which they were rejected. I would also be interested to know whether there is the potential for those sectors to be given further opportunities to apply. I will not dwell on the buy-out fee correction, because the adjustment goes to four decimal places. I am not sure that will have a substantial impact, but I would be grateful for the Minister’s reassurance on that. I have previously welcomed the Government’s decision to extend the climate change agreements scheme for a further six years. When businesses are facing headwinds, the extension offers much-needed respite. Nevertheless, as all Members will know, British manufacturers pay considerably more for energy than their competitors. Compared with the EU, UK firms pay 50% more, and the gap between the UK and America is much larger. Excessive energy costs are undermining our growth and productivity prospects, yet in the most recent Finance Act, the Government raised the climate change levy rate, at a cost to business of £2 billion a year. That is a significant burden on businesses that are already struggling. We need cheaper energy, which is what the Conservative’s cheaper energy plan would deliver. We welcome the lightening of the load on businesses, and we support the agreements, but the Government should stop adding levies and costs to the energy bills of companies and individuals, and instead look to remove them. We will not oppose the statutory instrument, but I look forward to hearing the Minister’s answers to my questions.

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  5. ParliamentJames Wild

    Defence Investment Plan

    It is good that the Chancellor has had those meetings, but perhaps they have come too late, because when the former Defence Secretary resigned, he said that the Treasury was “unwilling” to provide the resources needed to defend the country against rising threats. The Chancellor has said that national security always comes first, so why this dereliction of duty? Why is she failing to tackle the ever-expanding welfare budget and blocking the defence investment plan from getting the funding needed to meet the threats that we face?

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  6. ParliamentJames Wild

    Support for Industry

    Next week, those swingeing 50% tariffs on steel imports will hit manufacturing businesses across the country, putting thousands of jobs at risk. While they are intended to protect domestic production, industry is warning that many grades simply are not made in the UK in the quantity needed. It is a simple question for the Chancellor: will she guarantee that tariffs will not apply where businesses cannot get steel in the UK?

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  7. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I beg to move, That this House regrets the chaos in Government which means a temporary Prime Minister will be attending the NATO summit; further regrets that at such a dangerous time globally this country is not being properly governed; calls on the Government to spend 3% of GDP on defence by the end of this Parliament, or at a minimum to act to provide the £28 billion that the Ministry of Defence has asked for primarily by cutting welfare and to publish the Defence Investment Plan immediately to deliver this; agrees with the former Secretary of State for Defence that any Defence Investment Plan which included a rise in defence spending of 0.08% from next year to 2030, with no date for raising that spending to 3% and no path to an increase to 3.5%, would fall short of what is required, particularly as intelligence assessments note there could be an attack by Russia on NATO as soon as 2030; further calls on the Government to ensure that the Defence Investment Plan prepares the UK for future conflicts; and also calls on the Government not to proceed with the Northern Ireland Troubles (Legacy and Reconciliation) Act 2023 (Remedial) Order 2025 and the Northern Ireland Troubles Bill which is unfit for purpose as it fails to protect veterans who risked their lives to protect this country. It is a pleasure to open this Opposition day debate. Before I commence my speech, I wish to respond to the point of order made by the Minister for Defence Readiness and Industry yesterday—not least as neither myself nor the Leader of the Opposition were able to respond to his point of order because we were not given advance notice of it. That may not be mandatory, but surely it would have been in the spirit of proceedings, given that it related to the urgent question to the Secretary of State for Defence tabled by the Leader of the Opposition last Monday. As a reminder, last Monday’s urgent question from my right hon. Friend the Leader of the Opposition concerned the extremely serious situation regarding the previous week’s resignations of the two most senior Defence Ministers at the time. In her questions, my right hon. Friend asked why the Secretary of State was not responding, given the severity of the circumstances. The DRI Minister said at the time: “The Defence Secretary is currently with His Majesty the King”.—[Official Report, 15 June 2026; Vol. 787, c. 571.] That point was repeated a little later in good faith by you, Mr Speaker, in response to a question from the Father of the House, my right hon. Friend the Member for Gainsborough (Sir Edward Leigh). In the DRI Minister’s point of order yesterday, he admitted that that was not true.

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  8. ParliamentJames Cartlidge

    Defence Spending and Readiness

    The DRI Minister admitted in his point of order yesterday that what he said last Monday was not true. He said that the Secretary of State “arrived back in London from Windsor earlier that day, prior to the UQ.”—[Official Report, 22 June 2026; Vol. 788, c. 71.] That begs the question: why did the Secretary of State not respond? To quote chapter 21, paragraph 20 of “Erskine May”, His Majesty “cannot be supposed to have a private opinion, apart from that of his responsible advisers; and any attempt to use his name in debate to influence the judgement of Parliament is immediately checked and censured.” Given this, not only should a Minister of the Crown surely desist from raising the monarch in the Chamber in such a context; it is particularly inappropriate to do so when the facts prayed in aid are not correct. Mr Speaker, this is cowboy stuff—very sloppy, very disrespectful to this House—and it is not the first time. The Armed Forces Minister, in her previous role as Veterans Minister, also had to correct the record from the Dispatch Box after saying at oral questions that my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois) was “not a details man” and that the Prime Minister had not worked with disgraced lawyer Phil Shiner. In fact, as she admitted at the Dispatch Box, the Prime Minister did indeed work with that traitor to the British Army, who tried to have our soldiers put away for war crimes on the basis of fabricated evidence. Finally, the previous Secretary of State, the right hon. Member for Rawmarsh and Conisbrough (John Healey), had to correct the record after he justified not giving me prior sight of the strategic defence review because I had supposedly not allowed him prior sight of the defence Command Paper refresh when I was a Minister. Petty as this was, it was also—again—wholly untrue. This is not acceptable; Ministers must tell the truth from the Dispatch Box. I said that I had the greatest respect for the new Secretary of State, and I meant it. I hope he will ensure that his Ministers show—

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  9. ParliamentJames Cartlidge

    Defence Spending and Readiness

    Thank you, Mr Speaker. I informed your office about this issue earlier, because we feel it is very important.

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  10. ParliamentJames Cartlidge

    Defence Spending and Readiness

    Thank you, Mr Speaker. I have made the point and I hope Ministers are listening. It is particularly special to be debating defence today, on the second day of Armed Forces Week. In Armed Forces Week, we recognise—

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  11. ParliamentJames Cartlidge

    Defence Spending and Readiness

    Noted, Mr Speaker. As I was saying, it is particularly special to be debating defence today, on the second day of Armed Forces Week. In Armed Forces Week, we recognise the extraordinary commitment made by our brave servicemen and women, past and present, to keep this country safe, and I pay tribute to all serving today, to their families and to our veterans. The last time I spoke in an Opposition day debate on defence was in March, on the subject of the long-delayed defence investment plan. Since then, we have still had no defence investment plan. Instead, we have had chaos: the resignation of the Secretary of State for Defence; the resignation of the Minister for the Armed Forces, the hon. Member for Birmingham Selly Oak (Al Carns); and yesterday, the resignation of the Prime Minister himself. These resignations are not unconnected. On the contrary, for a Prime Minister who thought that national security was his strong suit, those resignations from the Ministry of Defence were fatal for his career, and they have a common thread—namely, Labour’s massive strategic mistake of prioritising an ever bigger welfare state over properly funding defence, despite war in Europe and the middle east. As the previous Defence Secretary said, he simply could not put his name to a defence investment plan with a financial settlement that “falls well short” and would “make the country less safe”.

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  12. ParliamentJames Cartlidge

    Defence Spending and Readiness

    My right hon. Friend, who served in the Navy, was a Defence Minister and speaks with expertise, has made an extremely serious and important point. This is why we want to see the defence investment plan. We have been waiting for it for months, and we have been promised it repeatedly from the Dispatch Box. We need to see the details, whether they relate to the Navy, the Army or the Royal Air Force. Of course, the previous Secretary of State knew that this was a problem. Let us just remind ourselves of what else he said. He said that he was being “forced to make decisions that would reduce the readiness of our Forces and increase the risk to personnel on operations”. That is a staggering indictment. The Prime Minister was seriously considering a financial settlement for defence that would, in the words of the man responsible for defence in this Government until less than two weeks ago, make Britain “less safe”. But the former Defence Secretary he was not alone in that warning. Last week, the Chief of the Defence Staff issued a stark message of his own when he said: “We’ll have to dial back our activities; our exercise, operational activity, if the level of resource funding that is available to us does not increase”. That is the stark reality. If the financial offer stays the same at a time of war and the most profound threats to our nation since the cold war, defence will have to be cut and our country made less safe. Last year the Government cut £2.6 billion from defence, and they are cutting £3.5 billion this year. How much more is to come, when our country needs the complete opposite?

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  13. ParliamentJames Cartlidge

    Defence Spending and Readiness

    My right hon. Friend—who also served in the Navy and as a Minister—speaks with great expertise. He is absolutely right to remind us that the problems with the defence investment plan relate to our international prestige and how our allies see us, and they are worried. Poland is a close ally of the United Kingdom. I am proud of the strength of our relationship, and I think that we should all listen to what our allies are saying about the need for more funding. However, the question that we have to ask ourselves is: why? Why would the Government have to cut defence?

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  14. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I will come to that question when I have taken this intervention.

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  15. ParliamentJames Cartlidge

    Defence Spending and Readiness

    That is a nice try, but the question that the hon. Gentleman needs to answer is this: if things are so good, why did both the Secretary of State and the Minister for the Armed Forces resign?

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  16. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I will give way to my right hon. Friend in a minute, especially as I am coming to an area of policy that she knows only too well. As I was saying, we ask ourselves: why would the Government have to cut defence? And the answer is: because they will not cut welfare. With that, I give way to the former Secretary of State for Work and Pensions.

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  17. ParliamentJames Cartlidge

    Defence Spending and Readiness

    My right hon. Friend is literally on the money. That is exactly right. It was a derisory increase to 2.68%, when the 2.6% figure already includes elements such as the intelligence budget, which have been used to inflate it. I was speaking about welfare—

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  18. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I will in a bit, but first I want to make an important personal point. I did not have the privilege of serving in the armed forces, but I did have the privilege of being Defence Procurement Minister, and I hope that what I did before entering Parliament helped a little in that role. I ran a small business; I employed people—and I will never forget the time when I offered pay rises and extra hours to my staff, and they turned me down. Why? Because the cripplingly expensive tax credit system that we inherited from Labour created a massive disincentive against work. The country was literally paying billions to put a ceiling on people’s aspiration, but I was brought up to believe that we should smash the ceilings that hold people back from success, so that instead of trapping them in dependency, we set them free to make the most of their talents.

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  19. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I will take the hon. Gentleman’s question in the spirit in which he asked it. He is being very open and is asking the question: where are we going to get the money? We have been debating that. We think welfare is incredibly important, but it is not just about the quantum; getting people into work instead of on welfare would make us a more resilient country. He asks about capital. We have said—people may disagree, but it is a clear commitment—that we would take £11 billion from the National Wealth Fund that will currently be going to net zero, and ringfence it for defence. That is our priority, given the world we are facing.

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  20. ParliamentJames Cartlidge

    Defence Spending and Readiness

    My hon. Friend makes an excellent point, because what this all creates is massive uncertainty. Defence is a massive industry in this country. That uncertainty is damaging for our defence businesses and dual-use companies right across the nation, which employ thousands and thousands of people, so we need far more certainty, whoever is going to be Prime Minister. I was talking about welfare reform. My right hon. Friend the Member for Chingford and Woodford Green (Sir Iain Duncan Smith) reformed the system of tax credits through the introduction of universal credit. Before the pandemic, we saved billions of pounds from welfare, all in the face—as my colleagues will remember—of unending and total opposition to any reduction in welfare dependency from the Labour party. But Labour Members cannot go on like that, setting their face against welfare reform. It must be obvious that, in the national interest, we have to reform welfare. Tony Blair, the former Prime Minister, knows that we need to cut welfare to fund defence. Lord Robertson, the former Defence Secretary, knows it too, saying that we cannot keep Britain safe with an “ever-expanding welfare Budget.” That is why the Leader of the Opposition wrote to the Prime Minister last week to offer our support, in the national interest, to cut welfare and fund defence. Last week, I repeated that offer to the Secretary of State during his statement on Monday. He did not answer, so I wrote to him last week with the same offer, and I hope he will accept. I hope he will now confirm that he wants to put politics to one side and work with us to make the difficult decisions, so that the defence investment plan can finally be funded and published.

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  21. ParliamentJames Cartlidge

    Defence Spending and Readiness

    That is an excellent question from my right hon. Friend. Dither and delay have been the theme all the way—we have been waiting for months. I have stood up at every single oral questions and asked the Government when they will publish the defence investment plan. It feels like they have replied hundreds of times, “We’re working flat out,” and we still do not have it. Can the Minister tell us if the DIP will definitely be published before the NATO summit in Ankara? In particular, can he tell us who is deciding the timetable for publication of the defence investment plan? Is it the acting Prime Minister, or the right hon. Member for Makerfield (Andy Burnham)? It was reported today by the political editor of The Times, Steven Swinford, that there is now an argument between the two about when to publish the defence investment plan—they are working flat out, having this discussion. Mr Swinford said on X: “The first conflict of the transition period: Sir Keir Starmer is planning to push ahead with announcing the Defence Investment Plan despite Andy Burnham wanting it delayed until he is in office.” It is a simple question: who is in charge of defence in the United Kingdom at a time of war on two fronts? Is it the Prime Minister, or the right hon. Member for Makerfield?

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  22. ParliamentJames Cartlidge

    Defence Spending and Readiness

    As loath as I am to talk about political footballs, given that our football team is in action tonight, it is nevertheless pretty obvious: whether it is football, rugby or a tug of war, we already have a massive argument between the heart of Government and the shadow Government over who is in charge. At a time when we face serious threats, that is an extraordinary position for Labour to have us in.

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  23. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I am grateful to the hon. Gentleman because, to be fair, I have always said that we do need to work together in the national interest. I have said repeatedly that spending on defence fell under successive Governments since the fall of the Berlin wall. That must be blindingly obvious. There are decisions that Labour made, that we made and that the Lib Dems made us make in the coalition—for example, about the nuclear submarines—so everyone has some culpability in this record.

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  24. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I am responding to that intervention, if hon. Members will allow me. The key issue is what we do now to fund defence. I am going to take one more intervention, and then make some progress.

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  25. ParliamentJames Cartlidge

    Defence Spending and Readiness

    The hon. Member’s interventions are always at the cutting edge, and he was spot on there. It is not just about the funding. As he says, with warfare changing so fast, we need to prioritise capability. Put simply, the defence investment plan must be genuinely transformative, so it is incredibly worrying that, once he finally got to see the defence investment plan, the previous Minister for the Armed Forces resigned not long afterwards, stating that the plan was “not built for the threat we face.” This country led the way in supplying Ukraine with cutting-edge drone tech produced by UK small and medium-sized enterprises. I cannot emphasise enough that we were a leader. When we consider the progress we were making in supplying drones that were so effective on the battlefront in the spring of 2024 and in bringing forward extraordinary counter-drone capability such as DragonFire, it was another strategic blunder by Labour to put procurement on hold while we waited for the strategic defence review, and now while we are still waiting for the defence investment plan. With war changing so fast, we cannot afford to waste two years paralysing procurement.

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  26. ParliamentJames Cartlidge

    Defence Spending and Readiness

    That is exactly why we have announced a policy of a sovereign defence fund, with £2 billion extra per year for drones, AI and tech, alongside £11 billion, as I have said, from the National Wealth Fund—repurposed from net zero to defence—to fund our sovereign industrial base, so that it can scale up and meet the level of output we will require to be war-ready.

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  27. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I do not know what the hon. and gallant Gentleman is talking about. What investment in air defence? We procured Rapid Sentry. What does he think is being used on our bases in the middle east right now to defeat drones? It is the stuff we procured when we were in government. Who procured DragonFire laser? I did, and it is going to be the most cutting-edge air defence. I procured the radio frequency directed-energy weapon, which could also be incredibly cutting edge in frying—literally frying—entire swarms of drones. This is where we need to be at the cutting edge. We invested in it; this Government specialise in dither and delay. As important as drones and tech are, our most important capability remains the people who serve. While it is critical that the Government rapidly embrace the uncrewed revolution right across our armed forces, we must also back our people. That is why, when we were in government, we increased pay for junior ranks by 9.7% in 2023, and I took the decision to buy back the defence estate from Annington Homes when I was a Minister. On housing, I want to ask Ministers a very important question that they did not answer yesterday. Until very recently, they have consistently repeated a pledge to invest £9 billion in military accommodation over the next 10 years. With rumours that this funding will be cut, as reported in the press, yesterday the shadow Minister for the Armed Forces, my right hon. Friend the Member for Rayleigh and Wickford, asked if this commitment stood. Will the Minister say in her speech whether that is the case—yes or no? In Armed Forces Week, I must of course pay tribute to those who serve in our reserves. Back in 2023, we also increased the bounty for reserves personnel by 5.8%, and with the threats we face, I believe we must continue to strengthen our reserves. Finally, we agree wholeheartedly with what the previous Minister for the Armed Forces said in his resignation statement about the Northern Ireland Troubles Bill. He said that “the IRA failed to achieve its political ends through the use of terrorist tactics, and we must be exceptionally careful that we do not help them achieve those ends through other means.”—[Official Report, 16 June 2026; Vol. 787, c. 733.] Can the Minister say whether the Secretary of State for Defence—a veteran of Operation Banner himself—agrees that, whoever is the next Prime Minister, a top priority must be to scrap the Northern Ireland Troubles Bill and back our veterans? To conclude, assuming that the right hon. Member for Makerfield becomes Prime Minister in the coming weeks, he will have many items in his in-tray, but the first duty of any Government is defence of the realm. Given that Labour’s own Secretary of State for Defence until a few days ago resigned, saying that Labour’s defence investment plan would make the country “less safe”, it must be obvious that this is the top item for the new Prime Minister’s attention. If the new Prime Minister is to succeed, the quantum of cash on the table will need to be far more substantial, given the threats we face, and that means finding the money without increasing our national debt or taxes. Instead, to make our country stronger and more resilient, we are offering to work in the national interest to cut welfare and fund defence. In Armed Forces Week, we all agree that the men and women who serve our country are second to none, so I ask Ministers again: are they prepared to work together with us to find the cash to fund defence, so that we can give our brave personnel the tools to do the job and keep this country safe?

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  28. ParliamentJames Cartlidge

    Defence Spending and Readiness

    I am grateful that the hon. Member is entering into the semi-consensual spirit that we have seen from some. I recognised in my speech that spending had fallen under successive Governments. Further to the question asked by my hon. Friend the Member for Hamble Valley (Paul Holmes), it is important to point out that the Lib Dem position is to raise £20 billion extra through war bonds, but that is not their only policy; their other policy is for international aid to rise to 0.7%. Where is the money going to come from for that? Is it aid bonds, or other borrowing—how will they fund that massive black hole?

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  29. ParliamentJames Cartlidge

    Defence Spending and Readiness

    The money is not free—where is the money going to come from?

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  30. ParliamentJames Cartlidge

    Defence Spending and Readiness

    The hon. Gentleman always speaks on defence matters. He has a unique passion for them, which I very much respect and admire, as a result of his upbringing near the Berlin wall. It has just been reported by the BBC that No. 10 has said that no new major policy or spending decisions will be made until the new Prime Minister has been appointed. If that is the case, how can the defence investment plan be delivered before the NATO summit? Does he agree that that question now has to be answered?

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  31. ParliamentJames Cartlidge

    Defence Spending and Readiness

    My hon. Friend is making a brilliant speech. For many people this would have been an obscure argument some years ago, but I genuinely think that how we procure drones is one of the most critical questions for the country. Does he agree that we need to think about SMEs as mission partners and that rather than thinking about the hardware, we effectively buy a service—a learning—from them? That way, the thing we buy is not the capability but the cultural change towards constant iteration, which is how we survive in a war such as the one we see in Ukraine.

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  32. ParliamentJames Cartlidge

    Defence Spending and Readiness

    The hon. Member talks about the Ukraine war. It has to be remembered that only one European country stood by Ukraine at the outset of that invasion. Our Secretary of State for Defence and the then Prime Minister Boris Johnson took the decision to arm Ukraine against the advice of the Foreign Office. Does he seriously think that any other recent Prime Minister in this country would have defied the advice of the Foreign Office? Can he tell us which other European country had the strength to stand by Ukraine and keep them in the war so that Russia did not get to Kyiv?

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  33. ParliamentHarriet Cross

    Topical Questions

    In my constituency, we have lost the Scotbeef abattoir and the famous Donald Russell butchers in recent months, both of which were crucial to the agricultural supply chain. Both blamed high energy costs and the increased costs of doing business, such as the huge rises in national insurance under this Government and big business rate rises under the SNP. What steps is the Treasury taking to support, not suffocate, the agricultural supply chain and other crucial elements of the farming sector?

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  34. ParliamentHarriet Cross

    Puberty Blockers

    For clarity, are Scottish children going to be included in the trial, either by being able to travel south of the border or via NHS Scotland directly?

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  35. ParliamentGregory Stafford

    Health Bill (Fourth sitting)

    I rise to support my hon. Friend the Member for Sleaford and North Hykeham on amendment 59. The amendment fosters competition. That is not ideological; the Government themselves have accepted, in clause 5, that competition and choice are important. As my hon. Friend said, this is about ensuring that patients have real choice, and not just something that the Secretary of State has thought about. If one provider has a waiting list of 30 weeks, for example, while another can see patients in just four weeks, patients should clearly be given the opportunity to choose the faster option. By expanding patient choice and making better use of the available capacity, my hon. Friend’s amendment has the potential to reduce bottlenecks without necessarily increasing overall NHS spending—that is a good thing. Importantly, the amendment allows patients to choose between all approved providers, including NHS bodies and independent sector providers. It prevents integrated care boards from excluding suitable providers simply because of their organisational type. I think all Committee members believe in provision that is free at the point of use, but that can come from a number of different providers, including the independent sector.

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  36. ParliamentGregory Stafford

    Health Bill (Fourth sitting)

    I do not recognise the characterisation that the hon. Gentleman puts forward. He is essentially saying that, by allowing the private sector to carry out operations and procedures, we are somehow making the NHS unsustainable. The follow-on from that logic is that we remove all private sector providers and practice so that every single doctor, nurse and therapist is working in the NHS. I do not think that he is arguing for that situation, but it is the logical progression of his argument.

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  37. ParliamentGregory Stafford

    Health Bill (Fourth sitting)

    My hon. Friend is absolutely correct. I do not want to go down the cataracts route, but she and the hon. Member for Bury St Edmunds and Stowmarket have both mentioned them. Clearly, cataracts are a relatively low-complexity, high-volume type of operation. My hon. Friend is absolutely right to say that some providers can do five or six operations per list, while other places are doing two or three. That is often about the private sector being able to move more quickly, which is obviously better for patients, as well as for clinicians, who want to do the surgery that they have trained for. Unlike the hon. Member for Bury St Edmunds and Stowmarket, I think that competition can play an important role in driving improvement. When providers must attract and retain patients, they have a stronger incentive to deliver timely, high-quality services, and to innovate in how they provide care. In that sense, competition is not an end in itself but a means of improving outcomes and responsiveness for patients. If both sides of the Committee support clause 5, because we are interested in choice and competition, amendment 59 is the logical extension of that. The amendment is also clear about where the new obligation choices would apply. It covers a range of out-of-hospital services, including diagnostics, audiology, hearing-aid care, dietetics, physiotherapy, ambulatory cardiac monitoring and so on. By clearly defining the services in scope, it provides a realistic and workable road map for implementation. As I said, the amendment is not about ideology—I think we all agree about choice and competition—but about ensuring that patients receive timely care and have a meaningful choice about where that care is delivered. By fostering healthy competition, making full use of the capacity in the system and putting patients at the centre of the decision-making process, it offers a practical route to improving access and raising standards of care. For those reasons, I support it and commend it to the Committee.

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  38. ParliamentGregory Stafford

    Health Bill (Fourth sitting)

    What my hon. Friend describes is the real nub of the Bill. If we are to abolish NHS England and move most of its functions to the ICB level or to the Department of Health under a Secretary of State, it would be utter madness for us to, at best, move one set of bureaucrats from NHS England to the Department of Health and therefore gain no extra efficiency, or at worst, as seems to be the case in this clause, not only transfer the NHS England bureaucrats, but create a whole new set of bureaucrats and committees to continue the functions already performed under NHS England. We need to understand whether the Bill is really about making our NHS more efficient by removing levels of bureaucracy, as was the stated intent of the Minister and the previous Secretary of State, or whether it is simply a political power grab where we keep all the bureaucrats and the inefficiency of the current system.

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  39. ParliamentGregory Stafford

    Health Bill (Fourth sitting)

    I will not keep the Committee too long. We need to look closely at what the clause is trying to achieve, both on innovation, which I support, and on the prizes. My hon. Friend the Member for Isle of Wight East asked a number of pertinent questions about the prizes, and I want to expand on that before I talk about the amendment in the name of my hon. Friend the Member for Sleaford and North Hykeham. We have no idea what scale of prize we are talking about. Is it thousands of pounds, tens of thousands of pounds or millions of pounds? Will the prizes be given to individuals or to organisations? Will they be given to NHS bodies? I think not, or at least not exclusively, because the clause suggests that they could be for research. Will they be given to the private sector—I know that Labour Members have antibodies against the private sector—or to university research functions? It is very unclear who the prizes will go to. Even more interestingly, proposed new section 1CC(3)(b) says that prizes may relate to “work done at any time (including work before the commencement of this section).” So they could be given for something that happened prior to the Bill coming into force, but we have no idea how far back that could go. Are we talking months, years or decades? There is no clear outline about who will get the prizes, how much they will be, what innovations or technologies they will be for, or the point in time that is being referred to. Then the clause says that the Secretary of State may set up a committee. I have been in enough Bill Committees to know that civil servants do not write something into Bills unless they have an idea of what they want to do with it. I would be very interested to hear from the Minister what sort of committee it will be, how many people will be on it, how much remuneration they will receive and how they will establish themselves and fulfil the function that the Secretary of State gives them. If we do not know that, the proposal is so open-ended that I would have real concerns about letting it go forward in the manner in which it is currently written. My hon. Friend the Member for Isle of Wight East suggested—I do not think he was joking—that the word “prize” made this sound like a game show. That is part of what we need to understand. Will the Secretary of State set up a competition in various areas of healthcare, technology, disease or treatment? Will they say, for example, “We want to find the best technology for dealing with cataracts”? Will a call go out for people to submit bids and say, “We have produced this amazing new laser treatment,” in order to win the prize? Or will it be entirely open-ended? Will people come into the Department of Health and Social Care to this new committee and say, “We have created this amazing piece of innovation—give us some money for having done so”? It is so unclear in the Bill. As I say, I am absolutely certain that the Minister knows the answer to those questions because this clause and subsection would not be in the Bill if she had no idea what she was hoping to achieve by them.

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  40. ParliamentGregory Stafford

    Health Bill (Fourth sitting)

    My hon. Friend’s point is correct. There is so little detail in the clause about how these prizes will be awarded and how the committee that will award them will be set up that we have no idea how conflicts of interest will be dealt with. That is another reason that the Minister needs to explain to the Committee how this is going to work. My hon. Friend mentions “Dragons’ Den”. I see her as the Deborah Meaden of our Committee, so I look forward to seeing that play out—I will not say what that makes me. What I see from amendment 58, tabled by my hon. Friend the Member for Sleaford and North Hykeham— I hope I am not misrepresenting her—is once again an attempt to codify, clarify and strengthen what is fairly woolly wording within the Bill. In particular, her amendment rightly emphasises the importance of “timely adoption and spread of clinically effective innovations”. Timeliness is so important to patients. We need innovation quickly. Again, it worries me that the prizes could be given for innovations that could have happened weeks, months, years or decades ago, according to the wording. We also need to ensure that innovation is not in isolated pockets, either in terms of geography or type of service. We need something that is consistently delivered across the healthcare system. By highlighting the need to address things such as procurement, the regulatory sector and cultural barriers, my hon. Friend’s amendment would support a more proactive and enabling environment for innovation to flourish, not one that shuts it down, as some Labour Members have suggested. Crucially, paragraph (d) of the amendment represents a significant and commendable commitment to fairness and inclusion by prioritising equal access to new technologies, medicines and models of care regardless of geography or socioeconomic background. It would help to tackle long-standing inequalities and move decisively towards ending the postcode lottery that we often see in care quality. The focus of the amendment would ensure that innovation benefits all patients, not just those in the most advantaged areas. It would ensure that rural and coastal communities are aligned with the urban. As someone who represents a semi-rural seat, I see those inequalities in service delivery, quality of care and innovation. The large towns in my constituency receive far more money and get far better services than the surrounding villages. I have many concerns about the clause as it currently stands, and I hope that the Minister will be able to clarify some of the Opposition’s questions. I entirely endorse amendment 58.

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