Cat Eccles MP: speeches

Speeches

• 23 Jun 2026 · Support for Industry · Hansard source

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  I welcome the decisions taken by the Chancellor and Government colleagues to revise the electric vehicle targets for 2030, following representations from the industry, unions and MPs. Targets are really great, but they need to match capabilities and market realities. What assessment has she made of how the change will safeguard jobs in the automotive supply chain in my constituency of Stourbridge and across the UK?

• 23 Jun 2026 · Support for Industry · Hansard source

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  12. What steps she is taking with Cabinet colleagues to support industry.

• 17 Jun 2026 · Steel Tariffs · Hansard source

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  May I add my voice to that of other Black Country Members? On behalf of Stourbridge, Brierley Hill and Netherton, I am grateful to the Minister and the Department for Business and Trade for their ongoing engagement with me and local businesses. It is much appreciated, but can I also add my voice to those calling for a review of quotas? In some places, those have been reduced by more than 80% on products not currently produced here. Equally, we have fabricated products being imported that are not subject to any tariffs, which could impact on local downstream supply chain industries.

• 17 Jun 2026 · High Street Shops: Illicit Activity · Hansard source

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  It is a pleasure to serve under your chairship, Mr Dowd. In March, the excellent work of Dudley trading standards officers was highlighted in a Channel 4 documentary in which officers uncovered links to organised crime and signs of child exploitation, including the illegal sale of vapes to children as young as 11. The trading standards team has been carrying out extensive enforcement activity against illegal shop operations, particularly those involved in illicit vaping sales. That work ultimately led to the closure of 31 illegal shops, including in Stourbridge, Brierley Hill and Netherton. Dudley council has since launched an internal audit, and it is reviewing evidence shared with child protection teams and examining whistleblowing reports from the last 10 years to ensure that nothing has been missed. It is vital that those responsible are held to account and, above all, make certain that strong safeguards are put in place to protect vulnerable children in future. I was a local councillor before becoming an MP and was always impressed by the proactive work of our trading standards and the local police. I have worked with them to secure closures of several local shops over the years and have even given evidence to strengthen cases. Despite those tireless efforts, they are working with one arm tied behind their backs. Closure orders only last for three to six months and then shops reopen with a different owner. Some shops have more than one location and transfer illicit stock across local authority boundaries to evade enforcement, which I have seen happen between my constituency and that of my hon. Friend the Member for Halesowen (Alex Ballinger). All the while, trust and hope in our communities is eroded. I am really pleased that this Labour Government are taking action to support the work of local teams and restore pride in our towns and high streets. Recent national enforcement by HMRC strengthens cases against shop owners and adds to the arsenal for tackling this issue. Illegal activity has no place whatsoever on our high streets. It creates an uneven playing field for shops and services that follow the rules. We need to extend closure order periods, tackle phoenixing and hold landlords to account for who they let their units to. It also needs to be really easy for the public to report their concerns. We all hear from constituents who have suspicions about illegal shops in our towns and high streets, and we know that first-hand reporting always carries the most weight. In the past, concerns could be reported directly to our councils through their websites, but in some cases it has now been directed centrally through Citizens Advice.

• 17 Jun 2026 · High Street Shops: Illicit Activity · Hansard source

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  My hon. Friend is right. I hear a lot from local shopkeepers that they are afraid to raise their concerns with the police for fear of being attacked. It is absolutely right to make it as easy as possible for the public, who are as frustrated as we are, to support this work. We are now seeing reports directed centrally through Citizens Advice, where there is no specific reporting mechanism for trading standards itself, which leaves people uncertain about where to direct their reports. I am hopeful that we will see an improvement in how we tackle illegal activity on our high streets and make our communities vibrant and welcoming once more.

• 15 Jun 2026 · Social Media Ban for Under-16s · Hansard source

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  In February 2023, Leo Johnson from Stourbridge died by suicide at the age of 19. His mother Jane remembers him as excited and energetic to start his life, and his passion for scuba diving fuelled his decision to study oceanography at the University of Plymouth. He became increasingly absorbed in his phone and social media, and told his friends that it was affecting his mental health—not because of dangerous content, but through the drip, drip, drip of comparison culture, which left him feeling inadequate, anxious and numb. Does the Secretary of State agree that a ban is the right thing to do, so that fewer young people like Leo are harmed?

• 10 Jun 2026 · Railways Bill · Hansard source

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  I am proud to be part of a Labour Government who are taking the railways back into public control after decades of privatisation failure. Amendment 50, which stands in my name, would ensure that all Great British Rail products were available from ticket offices, ending the practice by some operators of making certain fares, particularly discounted fares, available only online. This practice significantly disadvantages those who have no access to digital ticketing, including many disabled and older passengers. It also discriminates against those on low incomes who cannot necessarily afford a smartphone or consistent internet access.

• 10 Jun 2026 · Railways Bill · Hansard source

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  I thank my right hon. Friend for giving way—he is worth the extra minute. He has spoken about the rail perks that staff benefited from; does he agree that that has also been lost by those staff who have been outsourced? At West Midlands railway, the company wanted to offer those staff some discounted travel, but the Department for Transport actually refused. Does my right hon. Friend agree that the changes he has described would be welcome?

• 10 Jun 2026 · Railways Bill · Hansard source

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  Will my right hon. Friend give way?

• 10 Jun 2026 · Railways Bill · Hansard source

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  The Government are right to simplify retail under a unified Great British Rail offer, but the offer must be available to everyone, not just those who can navigate digital platforms. Accessibility must be designed into the system from the start, not added as an afterthought. I hope that the Minister can commit himself to ensuring that every fare and discount available online will also be available through ticket offices and assisted channels, so that no one is excluded. Amendments 51 and 52, also in my name, are intended to confirm the existing process whereby ticket office hours and staffing levels are regulated and any proposed changes are subject to consultation overseen by the passenger watchdog. The amendments would formalise that by including it in the Bill, ensuring that the current process is retained by Great British Rail. The last Government attempted to close about 1,000 ticket offices around the country. They were forced to U-turn after considerable opposition. In Stourbridge—alongside the RMT and George the station cat—I ran the biggest campaign in the country to save ticket offices. Public opinion was overwhelmingly in favour of saving them because they provide such a vital service to communities. They were saved owing to schedule 17 of the Ticketing and Settlement Agreement, whereby ticket offices can be closed only subject to consultation. During the consultation process a few years ago, it became clear that the public would not tolerate any closures. While this Government would not be so short-sighted as to try to strip communities of these important ticket offices, we must future-proof the legislation, and the amendments are consistent with the Government’s commitment to strengthen the passenger watchdog and passengers’ voices under GBR. I hope the Minister can assure the House that GBR will retain the current process, ensuring that there is consultation with rail users before any changes are made to opening hours or any closures of ticket offices are proposed. I had planned to speak in favour of new clause 16, tabled by my hon. Friend the Member for Montgomeryshire and Glyndŵr, which I believe has now been withdrawn. It would have given us the opportunity to reopen closed lines and restore connections to ensure that no community is left behind. In my constituency, the proposed Stourbridge Dasher service to Brierley Hill demonstrates exactly what can be achieved by making smarter use of the infrastructure we already have. Put forward by local light rail company Pre Metro, it would link Stourbridge and Brierley Hill along a corridor currently plagued by heavy traffic congestion and very few viable road improvement options, and bring existing freight track back into use for passenger services, as it would have been before the Beeching cuts. Up and down the country, there are hundreds of similar examples of where existing lines could be used to restore connections and ensure that communities are no longer held back by poor connectivity.

• 9 Jun 2026 · Care in the Community · Hansard source

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  Last year I campaigned with the community and local councillors to save the Crystal dementia centre in Stourbridge. The centre provides community support for dementia patients and their carers, employs dementia advisers and assessors, and offers day services to many local people. Sadly, however, since we saved the centre Dudley council has sought to close it by stealth, preventing new assessments and preventing new users from joining. Does the Secretary of State agree that this is a disgraceful way for the council to act, which goes against the Government’s mission to provide quality care close to home, and will he meet me to discuss the matter further?

• 9 Jun 2026 · Steel Industry (Nationalisation) Bill · Hansard source

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  It is a huge pleasure to speak in a debate on a Bill to nationalise British Steel, reversing one of the many mistakes of the Thatcher Government in the 1980s. I will speak against new clause 9, in the name of the hon. Member for West Worcestershire (Dame Harriett Baldwin), which would seek a private buyer for the nationalised British Steel company. It is absolutely right that the Government are taking action to nationalise British Steel and set out a clear strategy to strengthen domestic production. While the strategy will safeguard our steelmaking capability, we must recognise the realities facing the downstream steel sector, which has been impacted by having to compete with the unfair terms of international markets and by being consistently starved of investment. Many such businesses, including those in my constituency, depend on imported grades and products that the UK simply does not produce and that are regularly used in our defence force, the automotive industry and construction. I also oppose new clause 11, which would require the Government to create a level playing field between nationally owned and private sector businesses. While I support in principle the use of quotas and tariffs to back British Steel, we must avoid unintended consequences for the downstream industry. Sudden or poorly calibrated changes risk undermining downstream firms. These businesses are vital in constituencies such as mine, and supporting domestic production must not come at the expense of the wider steel ecosystem. I have discussed these matters extensively with the Minister on several occasions, and I look forward to welcoming him to Stourbridge in the coming weeks to meet a local steel company. Downstream companies have expressed legitimate concerns about the present proposals. I sincerely thank the Minister for engaging with me and them on these issues, but can he confirm whether, in cases where particular steel grades are not currently produced domestically, including zero-carbon grades, the Government intend to allow exemptions from the proposed tariff and quota regime? The most recent stance is that tariffs and quotas will be reviewed in 12 months’ time, but I really fear that that will be too late for some businesses. Will he consider transitional arrangements at the very least to offer some stability to the downstream industry? I will also speak against new clause 12, which would limit the financial assistance that can be provided under the Bill. While supporting British Steel, we cannot ignore the climate crisis. Our steel industry must be driven towards green, decarbonised production. On that point, the steel strategy states an ambition to transition to carbon-neutral steel production with electric arc furnaces when market conditions allow. It is worth noting that SSAB in my constituency, which is part-owned by the Swedish Government, imports zero-carbon steel from Sweden, where such steel—its only by-product is water—has been produced using electric arc furnaces since the 1980s. Following the Government’s introduction of an investment debt rule in 2024, I encourage the Minister to consider what further flexibility there could be to use a similar investment method to enable the transition away from coal-based steel production. I hope that he will reflect on those points and continue to engage well with the industry. With the right decisions, I believe that we can secure a competitive, resilient and low-carbon steel sector for the future.

• 8 Jun 2026 · Water Companies · Hansard source

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  In 2025, there were over 300,000 sewage spills into our waterways up and down the country. In March this year, a section of the Stourbridge canal had to be closed due to raw sewage spilling into the water from a broken Severn Trent pipe, killing hundreds of fish. Does the Minister accept that the current model of privatised water companies is failing to protect our natural environment, and as sewage spillages continue, how will her Department measure success in that area? If there is no improvement, when do we say enough is enough?

• 1 Jun 2026 · Equality Act 2010: Code of Practice · Hansard source

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  The proposed code of practice represents a major and worrying change in how equality law may operate in practice for trans people and service providers. A number of LGBTQ+ charities and equality organisations have warned that the guidance risks legitimising exclusion and increasing harassment of both trans people and gender non-conforming cis people. A number of my constituents across Stourbridge have contacted me because they are deeply concerned by the proposed changes. Will the Minister confirm whether this House will have the opportunity to debate and to vote on the final code of practice before anything comes into force?

• 21 May 2026 · Middle East: Economic Response · Hansard source

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  I welcome the announcement from my right hon. Friend, particularly the suspension of import tariffs on more than 100 food and drink staples. I know that my constituents across Stourbridge, Brierley Hill and Netherton have been struggling with the cost of a weekly shop. Although we all enjoy a treat, including me, it was disappointing to see the headlines leading with biscuits and chocolate, given that we have a public health crisis with obesity and diabetes. Could the Chancellor assure the House that the Government remain committed to the healthy food standard, which encourages supermarkets to promote healthy choices, and will she work with the Secretary of State for Health and Social Care to ensure that efforts to tackle poor diet and obesity remain a priority, alongside the cost of living?

• 21 May 2026 · Steel Strategy · Hansard source

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  16. What progress he has made on implementing the steel strategy.

• 21 May 2026 · Steel Strategy · Hansard source

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  May I put on record my thanks to Ministers and the Department for their ongoing excellent engagement with me and my local businesses on the steel strategy? Many of the downstream businesses in my Stourbridge constituency currently import products—including zero-carbon steel—that are not produced in the UK. What steps is the Minister taking to ensure that businesses like those in my constituency are not unfairly disadvantaged by the quotas and tariffs being introduced under the steel strategy in a few weeks’ time?

• 23 Apr 2026 · Allied Health Professionals · Hansard source

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  I thank my hon. Friend the Member for Thurrock (Jen Craft) for her opening speech and my hon. Friend the Member for Dudley (Sonia Kumar) for securing this long-overdue debate. As we have heard, allied health professionals make up the third largest clinical workforce in the NHS, yet sadly, time and again, we only hear about the health service in terms of doctors and nurses. Just last week, the Government announced a welcome package of measures to widen access to healthcare careers for people from disadvantaged backgrounds. It promised 2,000 new nursing apprenticeships and support for 2,000 young people from deprived communities to apply to medical school. Those commitments really matter, but for AHPs, there was nothing—not a single initiative, not a single pathway, not even a mention. That omission is not an oversight; it is a pattern. For decades, successive Governments have failed to recognise the value of and to invest in this vital part of the NHS workforce. That is especially relevant given the increase in workforce required to deliver on the Department for Education’s SEND reforms. We need more speech and language therapists, physiotherapists and occupational therapists, so why do we not make it easier for more people to access those careers? Before entering Parliament at the last election, I spent more than 20 years in the NHS as an operating department practitioner, and I am proud to be the first ODP here in Parliament. In fact, my time working in the NHS is in large part what politicised me and drove me to want to make the changes that are desperately needed to highlight and improve the profession. ODPs are unique within the healthcare workforce. At the point of graduation, they are the only professionals fully qualified to work across every area of perioperative practice: anaesthetics, surgery and post-anaesthetic care. My speech will focus on that profession. As of March 2026, there were 17,906 ODPs registered with the HCPC. They are highly skilled and highly committed, with strong retention rates across the NHS. Many go on to hold senior clinical leadership roles, not just in the operating department, and they play a crucial role in patient safety, service efficiency and the successful running of our theatres. My profession plays a critical role in keeping the NHS functioning and in safeguarding patient safety every single day. Given the recent reviews into maternity care, I want to highlight the importance of ODPs for maternal and neonatal safety. Nearly half of births are now done by caesarean section and ODPs are involved in every single one, playing a key role in the perinatal period. I therefore commend the College of Operating Department Practitioners for its recent contribution to NHS Resolution’s maternity (perinatal) incentive scheme safety actions. Given the importance of operating department practitioners to the NHS, they should be properly recognised, valued and supported; instead, too often they are forgotten, and that neglect has real consequences. An area of serious concern is the eligibility of operating department practitioners to supply and administer medicines within their scope of practice using patient group directions, known as PGDs. That is holding the profession back and creates a perverse situation in clinical settings, where an ODP must seek the supervision of a nurse or doctor to administer certain medications. For example, post surgery, it is common for patients to experience post-operative nausea and vomiting. There is a suite of antiemetics that can be given without a prescription under a PGD, but an ODP caring for the nauseous patient cannot give relief without input from a nurse or doctor, thus delaying treatment and putting unnecessary pressure on colleagues. Another example is ODPs working in endoscopy units, where sedatives are routinely administered under a PGD. The ability to administer vaccines is also impacted: during the pandemic, ODPs were unable to support the vaccination effort due to the use of PGDs, yet bizarrely, a healthcare assistant could carry out that role. ODPs are being prevented from making a valuable contribution to public health and system resilience. The Department recently carried out a consultation on expanding the supply and administration of medicines to ODPs, as well as to physiotherapists, paramedics and diagnostic radiographers, and we must move at pace to level the playing field to benefit both healthcare professionals and their patients. I ask the Minister to commit to adding ODPs to schedule 16 of the Human Medicines Regulations 2012 and to outline when that change is likely to be implemented. Another example is the introduction of the graduate guarantee scheme for newly qualified nurses. While well-intentioned, its narrow focus has had the unintended consequence of some newly qualified ODPs finding themselves displaced and unable to secure posts with NHS operating departments. That is not just unfair to those professionals; it is short-sighted and risks wasting vital skills at a time when our health service can least afford it. A review of band 5 nursing roles is under way, yet no equivalent review is taking place for operating department practitioners or other AHPs. This selective approach risks unpicking the harmonised pay structures established under “Agenda for Change” in 2004. The Royal College of Nursing has long pushed for a separate pay spine for nursing, but that would be absolutely the wrong move, breaking the concept of “one NHS team” and creating two-tier employment, particularly in operating departments. We must uphold the fundamental principle of equal pay for equal work. Anything less would be a serious step backwards for fairness, morale and workforce cohesion in the NHS. Will the Minister therefore commit to ensuring that any review of band 5 roles includes AHPs so that parity and equity are properly protected? I know that in a recent letter to the College of Operating Department Practitioners, the Minister stated that “any review of the national profiles for ODPs would need to be supported by the NHS Staff Council, with the Job Evaluation Group—an established group of the Council—responsible for undertaking that review.” That absolutely explains the process, but it cannot excuse the delay. It is vital that this work is taken forward promptly and with a clear timetable. At the same time, ODPs and AHPs more broadly are still waiting for the publication of the NHS workforce plan. That plan, unlike those that came before it, must finally include meaningful, measurable commitments to the third-largest clinical workforce in the NHS, rather than relegating it to the margins once again. ODPs and AHPs more widely are not asking for special treatment; they are asking for recognition, fairness and a clear strategy that reflects the reality of how the NHS actually operates. As the third-largest clinical workforce, they are central to patient safety, service delivery and the long-term sustainability of the health service. I would like to put on the record my concerns about abolishing the role of the chief AHP in NHS England. While the current chief nursing officer is a strong and passionate advocate of AHPs, I believe that we need the representation and oversight that a chief AHP can provide. Finally, I would like to highlight the removal of NHS bursaries for allied health professionals. I was lucky enough to train with a bursary, receiving around £500 a month during my two years of training. While the recent introduction of apprenticeships has negated some of the costs of going to university, these places are limited and dependent on NHS trust training budgets. Getting into an excess of £30,000 of debt for a starting salary barely above the minimum wage does not incentivise prospective students to get into these professions. After decades of being overlooked, warm words are no longer enough. What we need now is action: fair pay structures that are protected, sensible regulation that makes full use of professional skills, clear career pathways and a workforce plan that treats AHPs as integral to the future of the NHS. The message from ODPs and AHPs is clear: they want to contribute, lead and be part of the solution to the pressures facing our health service. It is time for the Government to act and give this vital workforce the recognition and support they have long deserved.

• 23 Apr 2026 · Business of the House · Hansard source

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  Following the Environment Act 2021, all councils in England were required to introduce food waste collections and improved kerbside recycling by April this year. Despite the long lead time, Tory-run Dudley council waited till the 11th hour, leaving it ill prepared for the changes and without the vehicles needed to complete the collections. That has left waste uncollected and cardboard strewn over the streets, and crews have been working hard around the clock to catch up. Residents have played their part and complied with the new rules. Does the Leader of the House agree that Dudley council must meet its obligations to residents, and provide accountability and answers for its failures on basics such as waste collection?

• 11 Feb 2026 · Engagements · Hansard source

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  Q14. The announcement that pubs and music venues will receive a much-welcome reduction in business rates is a positive step. However, in our manifesto we did promise root-and-branch reform of business rates. Hospitality and leisure businesses in my Stourbridge constituency are facing a projected £20,000 increase in business rates over the next three years, along with employment cost increases and energy costs. Hospitality and leisure play a vital role for our communities, providing jobs and spaces to socialise in, so will the Prime Minister consider a similar rates relief package for hospitality and leisure?

• 10 Feb 2026 · Energy Bills: Small Businesses · Hansard source

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  Small businesses across my constituency have been mis-sold commercial energy contracts by brokers. A business in Lye was recently locked into a three-year contract in which it found itself paying more than double the market rate. An independent café in the Merry Hill centre recently had to close due to the £1,500 a month in energy bills that it was forced to pay. Will the Government strengthen the law to protect small businesses against unscrupulous energy brokers and consider introducing a cap on business tariffs?

• 10 Feb 2026 · Energy Bills: Small Businesses · Hansard source

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  14. What steps his Department is taking to help ensure the accuracy of small businesses’ energy bills.

• 2 Feb 2026 · Indefinite Leave to Remain · Hansard source

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  It is a pleasure to serve under your chairship, Sir Edward. The proposals to retroactively extend the qualifying period for indefinite leave to remain create considerable insecurity and disruption for migrants living in the UK. Contrary to what many believe, the process of getting ILR is difficult and costly, so there is no need to make it even more difficult by increasing the eligibility period. We are not talking about new arrivals. These changes will impact those who have lived in the UK and contributed to our economy for at least half a decade. They are nurses, doctors, train drivers, construction workers, cleaners, carers and others who keep our economy working. Thousands of migrant workers in these sectors are now being told that we do not value their contribution. We risk losing those skilled workers, which would undermine our public services and our economy. I declare my interest as the chair of the all-party parliamentary group for healthcare workers. The NHS and social care sector employ thousands of people on work visas to cover workforce shortages, including one of my constituents, who is a healthcare assistant living in limbo due to these proposals, with a salary just £60 a year under the arbitrary threshold. Although we do not have robust data in that area, conservative estimates suggest that about 25,000 doctors and 50,000 nurses will be impacted. As others have asked today, will the Minister confirm what data modelling or impact assessment has been conducted to assess how these changes will affect the health and social care sectors? After many years of failing to provide enough medical school places, apprenticeships or other appropriate career training, we face labour shortages in many industries across the country. We rely on immigration to fill those gaps. These changes make the UK a far less desirable and fair place to live and work. To those who have made their home here, these changes say, “You’re not welcome.” Let us show those who have built their lives among us that they are supported, they are valued and they are truly welcome in the country they also call home.

• 21 Jan 2026 · Animal Welfare Strategy for England · Hansard source

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  It is a pleasure to serve under your chairship, Ms Lewell. I thank my hon. Friend the Member for South Derbyshire (Samantha Niblett) for securing this important debate. The Government’s animal welfare strategy, published last month, is welcome. It makes important commitments to improving animal welfare, but it will come as no surprise that I want to raise some issues around cats in particular. I will declare an interest as the vice-chair of the all-party parliamentary group on cats. I am also owned by three furry felines. There are roughly 12.5 million cat owners in the UK, with around a third of households owning at least one cat, but there are significant inconsistencies in animal welfare protections between cats and dogs. In July 2025, I presented a petition to No. 10 Downing Street with the charity CatsMatter, which called for cats to receive the same legal protections as dogs when involved in road traffic collisions. Under the Road Traffic Act 1988, drivers are required to report hitting a dog but not a cat. CatsMatter has another petition calling on Parliament to legislate, which has already reached 11,000 signatures. The animal welfare strategy should include a commitment to providing that protection for cats. The strategy needs to go further to address breeding practices, as has already been mentioned today. Over the last 200 years, cats have been increasingly bred for distinctive characteristics to make them look a certain way. Unfortunately, those characteristics become increasingly extreme and over-exaggerated, and they cause serious health and welfare issues. In the Netherlands, new ownership of Scottish Fold and hairless Sphynx cats was recently banned to prevent unnecessary suffering; that followed a breeding ban of those species in the same country in 2014. The UK Government should consider similar moves to prevent cats suffering. Extreme cat breeds such as the Bully cat are bred in ways that predispose them to skin disease and respiratory issues. Breeding Munchkin cats with short legs can lead to joint abnormalities that result in arthritis. There needs to be far greater parity between cats and dogs in breeding regulations to prevent the exploitation of cats for commercial gain. Another significant concern, which other Members have mentioned, is that we have only committed to a future consultation on electric-shock collars. There was already a consultation in 2018, which was fairly conclusive. We do not need another consultation: we need an immediate ban on cruel electric-shock collars. We also need to go further with microchipping and create a single point of information rather than 23 separate databases. At the start of this week, many colleagues were here debating fireworks yet again; that is another missed opportunity in the animal welfare strategy. We have an opportunity before us to deliver a strategy that does more than just gesture at compassion, and one that genuinely protects millions of cats—and other animals—who share our homes and lives. Cats deserve the same consideration, protections and commitment to welfare that we already extend to dogs. I urge the Minister: let us be bold, let us listen to experts and the public, and let us implement meaningful change that cat owners and cats have waited far too long to see.

• 20 Jan 2026 · Domestic Abuse-related Deaths: NHS Prevention · Hansard source

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  It is a pleasure to serve under your chairship, Sir John. I congratulate my hon. Friend the Member for Stroud (Dr Opher) on securing this important debate. Too often, domestic abuse is framed solely as a criminal justice issue when, in reality, it is one of the most urgent public health crises that we face. The NHS encounters victims and perpetrators far more frequently than any other service, yet the system consistently misses opportunities to save lives. As the British Medical Journal highlighted, fewer than 24% of domestic abuse crimes are reported to the police, meaning that the health service—not law enforcement—is the front line. A recent review of domestic abuse-related deaths revealed that 89% of domestic homicide reviews contained at least one recommendation for the NHS—recommendations that occur again and again across cases, showing a pattern of missed signs, inconsistent responses and staff who suspect something is wrong but lack the training, systems or confidence to act on that. NHS staff are uniquely placed to intervene in suspected domestic abuse. In my own career as an operating department practitioner working in theatres, I can recall many instances when we treated patients with what looked like run-of-the-mill injuries, but all was not as it seemed. A young woman came in for manipulation under anaesthesia of her nose after breaking it in a fall, but she became inconsolable when we told her that she could go home after the operation. “Can I not stay overnight?” she cried. As I talked to her more, we discovered that she was being abused at home by her partner. I also want to highlight honour-based abuse; sadly, I encountered that many times in my career—from extreme female genital mutilation, to the woman undergoing an endoscopy for severe oesophageal pain, which turned out to be from her family poisoning her with battery acid, stripping the lining of her oesophagus and stomach. Those suspicions are not always explored, despite clinical teams being highly skilled, compassionate professionals. The opportunity to intervene can easily be lost. Mandatory standardised domestic abuse training is essential. Experts estimate that delivering consistent training across the NHS would cost just £2.6 million per year, which is a tiny fraction of the entire NHS budget but has the big potential to save lives. We also know that poor co-ordination between agencies is repeatedly cited in death reviews, with 35% of them calling for multi-agency working. The Domestic Abuse Commissioner has stressed that domestic abuse deaths require accountability across entire systems—particularly the NHS, which must implement lessons from domestic abuse-related death reviews and participate fully in the new national oversight mechanism. Preventing domestic abuse deaths also means understanding the complexities of coercive control—something that survivors, including the domestic abuse campaigner from my constituency, Samantha Billingham, have worked tirelessly to highlight. Coercive control is often invisible, yet it is one of the clearest predictors of escalation to serious harm and homicide. If professionals do not understand coercive control they cannot identify the danger. That is why social workers must receive mandatory specialist training in coercive control: they are often the first professionals to see patterns emerging across family, mental health, housing and safeguarding contexts, but too often their training does not equip them to recognise or challenge the dynamics of manipulation, isolation, surveillance or financial control that underpin domestic homicide. The NHS must also embed specialist domestic abuse support directly into clinical settings. The Government’s upcoming measures, including the Steps to Safety initiative, aim to ensure that every part of England has dedicated NHS referral services for victims and specialist support workers linked to GP practices. These reforms are welcome, but they must be implemented at pace and be fully resourced if they are to prevent future deaths. Domestic abuse deaths are preventable when we train our workforce properly, when agencies work together, when we treat domestic abuse as a health issue, not just a crime issue, and when we equip professionals to understand the controlling patterns that escalate into lethal danger. It is the responsibility of all of us and the NHS to ensure that no victim is left unseen, unsupported and unheard.