Helen Morgan MP: speeches

Speeches

• 15 Sept 2026 · Thirlwall Inquiry: Final Report and Recommendations · Hansard source

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  I send my heartfelt sympathies and those of my party to all the families who have been so cruelly harmed. I thank Lady Justice Thirlwall for her inquiry and the Secretary of State for early sight of the report. Lady Justice Thirlwall’s final report is a dispiriting and, at times, shocking account of repeated mistakes and failures by organisations and individuals. The conviction of Lucy Letby for these murders and attempted murders sets this investigation apart from others, but while the situation is incredibly distressing, it is also distressingly familiar—a failure to investigate abnormal levels of death or harm; a failure to act on concerns raised and whistleblowing; a failure to follow established protocols for investigating deaths; and a management instinct to cover up failure, and to put the reputation of the hospital above the safety of the babies in it. The importance of stronger whistleblowing mechanisms could not be clearer. There should be a duty of candour for management, as well as medical staff. Will the Government accept my amendments to the Health Bill, requiring boards to call in investigators when they receive reports of malpractice, and giving coroners and medical examiners stronger powers to whistleblow? The review makes it explicit that there must be an external body, such as HSSIB, to investigate trusts. Will the Government now drop the measures in the Health Bill that risk patient safety? Surely the Secretary of State will accept the amendments that we and others have put forward to prevent the abolition of HSSIB, protect Healthwatch and put patient safety first, including through the restoration of the National Guardian’s Office. I am beyond angry that once again we are discussing the recommendations for action following an NHS scandal. It is like groundhog day—we are stuck in an endless cycle of expressing horror and doing nothing, with the reports and recommendations from multiple scandals gathering dust on a shelf in the Department of Health and Social Care. The Thirlwall inquiry cites a “lack of political will” as one of the causes of this cycle. We have a new Secretary of State. Will she promise us that she will be the one to find the will to end this? The families who have suffered such unimaginable loss deserve nothing less.

• 14 Sept 2026 · Speciality Steel UK · Hansard source

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  The Secretary of State mentioned the wider steel sector in his statement. I raise the issues experienced by Fowler and Gilbert and EverEdge in my constituency, both of which manufacture steel products and have been impacted by quotas and tariffs on steel imports. That is particularly the case with materials not produced in the UK, because it essentially adds a manufacturing tax to the work that they do. While their raw material costs are rising, there are no equivalent restrictions on imported finished products, particularly low-quality and low-cost imports from China. Those businesses face a situation where it is cheaper to import from overseas than to manufacture in the UK. Will the Secretary of State meet me to discuss the concerns of those businesses, which are significant local employers in my constituency, and to find a solution that works for the whole steel sector?

• 10 Sept 2026 · Emergency Alert System · Hansard source

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  19. What assessment she has made of the effectiveness of the emergency alert system.

• 10 Sept 2026 · Emergency Alert System · Hansard source

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  In North Shropshire, we are on the border with Wales and have poor to non-existent mobile phone signal. This meant that many of my constituents received the emergency alert in Welsh first and either did not receive it in English at all, or received it in English many hours later. Because there was no pre-briefing, they were concerned to receive an emergency alert that they could not understand. Would the Minister consider pre-briefing when an alert is going to happen in future so that when people get an alert in a different language, or if people are trying to keep their phones secret because they are vulnerable, they have time to prepare for that and are not unduly alarmed?

• 10 Sept 2026 · Vascular Sector Reform · Hansard source

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  I agree with the Minister that services should be locally commissioned, particularly where there is a high prevalence of a certain type of disease or condition, because it allows for the shaping of those services to local circumstances. There is evidence, is there not, that local commissioning has not given us a consistent level of service across the country. What steps are the Government taking to ensure that that does not become more entrenched as we empower ICBs even more through the Health Bill?

• 10 Sept 2026 · Vascular Sector Reform · Hansard source

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  It is a pleasure to serve under your chairship, Dr Huq. I welcome the Minister and the shadow Minister, the hon. Member for Solihull West and Shirley (Dr Shastri-Hurst), to their places. Most of all, I thank the hon. Member for Strangford (Jim Shannon) for securing this important debate. He outlined the issues comprehensively in his opening speech, as we would expect. According to the Circulation Foundation, vascular disease is as common as cancer and heart disease, accounting for 40% of deaths in the UK. That represents a huge disease burden on individuals and the NHS, yet we rarely discuss it in Parliament. It is a leading cause of preventable disability, with associated complications being worsened by the fragmented care available to patients. Living with vascular disease means living with chronic pain, reduced mobility and often an isolating loss of independence. Many patients are left with a sense of powerlessness, which has a huge impact on their mental health and wellbeing. Sadly, we are all too familiar with the issues in the vascular sector: inconsistent standards and access to care; the dreaded postcode lottery in services; pathways and referral routes that disproportionately impact deprived communities; and under-investment in prevention. It seems to be yet another area of the NHS where, as we have been arguing this week on the Health Bill, too much time and money is spent responding to failure rather than improving the quality of services for patients and preventing and delaying deterioration in the first place. We must do better for people with vascular disease and for their families. Having dealt with the harrowing case of a constituent, I know that a lack of care and the medical risks and implications of vascular disease can spiral out of control, leading, in the worst cases, to the premature death of a family member. It is incredibly upsetting when that happens. I cannot begin to imagine how devastating that experience must be. A report from the all-party parliamentary group on vascular and venous disease highlighted the avoidable harm that gaps in vascular care can cause to patients. It confirmed that gaps in vascular care are resulting in avoidable harm, highlighting: “Delayed diagnosis, inconsistent referral pathways and variable access to specialist care” for people with peripheral artery disease, venous disease and diabetes-related foot complications. It said that those problems are resulting in “thousands of avoidable lower-limb amputations each year.” Discussions with the primary care network in my North Shropshire constituency have revealed that our county has one of the highest rates of lower-limb amputations because of these gaps in care. I cannot imagine the trauma caused to those who have lost a limb, knowing that it might have been avoided. It is time we aspired to ensuring a consistent level of care across the country. I have been contacted by companies in the pharmaceutical sector that have highlighted the disconnect between acknowledgment and action. PAD is named as a “neglected” CVD risk factor, but it lacks the priority status, funding mechanisms and performance standards given to other conditions. They have also highlighted that the need for new surgical and interventional techniques is acknowledged but not operationalised with delivery timelines or resource allocation, and that there are no metrics for PAD. The absence of PAD standards or metrics in the main performance monitoring tables means that progress cannot be tracked and local ICBs cannot be held to account if they are falling behind. The modern service framework is obviously a welcome step forward, but the Government should also take a look at the all-party parliamentary group’s calls for a national foot attack pathway, a community foot protection service, national maximum waiting times for patients, the reform of commissioning to reward outcomes and the acceleration of proven innovation, which must be rolled out more widely. Beyond that, the care that the NHS provides at its front door must be strengthened so that symptoms are caught and treated early. The APPG’s report highlights how prevention-led, community-first care is needed to transform the vascular sector, diagnose conditions earlier and relieve pressure on acute services. Liberal Democrats want everyone with vascular disease to have a named GP to ensure continuity of care, which has been shown to improve outcomes and quality of life for those with long-term conditions. Fixing the back door of the NHS is just as crucial for us. We have long been pressing for better social care, including free personal care and more support for family carers. Obviously, we welcome the steps that the Prime Minister took over the summer recess to ensure movement on the social care issue. Our proposed package would make it easier for people with long-term conditions and disabilities to access flexible working. It would support those suffering from vascular disease to access the world of work wherever possible, and hopefully transform their mental health and independence, too. Given the prevalence and severity of these conditions, I urge the Government to develop a strategy to transform the vascular sector to give patients the timely support and treatment they need. I look forward to hearing what steps the Minister will be taking to address this issue.

• 9 Sept 2026 · Summer Health and Resilience · Hansard source

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  I welcome the Secretary of State and the shadow Secretary of State, the right hon. Member for East Hampshire (Damian Hinds), to their places—I have to say that I was not expecting to be the continuity figure in the health portfolio. We need to be honest: the NHS is now in permacrisis, as outlined by the National Audit Office report. The hallmarks of peak winter pressure in the past—overcrowded A&Es, queuing ambulances and soaring 999 calls—are now a feature year round. This summer was particularly difficult due to record temperatures across the UK, with over 33 NHS trusts reporting temperatures well above the 28° limit set by NHS England, and we can all agree that is not acceptable. It is inhumane not just for patients but for staff—42° is unbearable. A constituent of mine suffered in his final days in a desperately hot setting in Royal Shrewsbury hospital until managers worked with my team to ensure that he was made more comfortable. We do not want to be dealing with cases like that every year. We need hospitals that can withstand the heat, and the Lib Dems have been calling for a new NHS rapid adaptation unit to urgently heatproof the most heat-affected hospitals and care homes. Turning to corridor care, the percentage of people waiting 12 hours or more in A&E has tripled since before the covid-19 pandemic. Analysis suggests that people waiting this long are twice as likely to die within 30 days of leaving A&E, compared with those who wait just two hours. It is abundantly clear that policies to deal with A&E are not working. Spend is increasing, as outlined in the report, while outcomes are decreasing. We are pumping money into emergency departments with no proportionate improvement. The Lib Dems have outlined our plan to end 12-hour waits in a year by investing more in step-down care and support for people to leave hospital and go into social care. The Health Bill will reduce co-operation between local authorities and integrated care boards, risking those improvements in social care. Although we welcome the cross-party talks on social care, I hope that the Secretary of State will look at this issue as the Health Bill makes its way through the Lords. Will she listen to our plans, change her approach and commit to ending the ongoing A&E scandal?

• 8 Sept 2026 · Health Bill · Hansard source

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  Yesterday, I highlighted our concerns about the implications of quick-fix, top-down reorganisation for the sovereignty of the NHS and the interests of patients. In a system that already spends too much time and money reacting to failure, rather than planning for success, patient safety is already under threat. Rather than addressing those failings, this Bill is at risk of making a bonfire of patient safety. Our amendments would reverse the gutting of safety mechanisms from the NHS, all of which have been painstakingly introduced after far too many scandals. Amendments 8 and 9 would restore Healthwatch England and local Healthwatch organisations, while new clause 14 would restore Healthwatch funding after 10 years of cuts to its service. Given that Healthwatch was originally established as a response to the devastating Mid Staffordshire scandal, its abolition would be a step backwards, showing that lessons have not been learned. An independent patient voice is essential to shape local services and highlight where they are not working well, and folding it into existing NHS structures risks destroying the trust that exists precisely because of its independence.

• 8 Sept 2026 · Health Bill · Hansard source

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  I am not going to give way, because there are many colleagues who wish to speak and there is very limited time. I hope my hon. Friend will forgive me. Another vital body for safeguarding and investigating patient safety is the Health Services Safety Investigations Body, which again functions well because of the trust NHS professionals have in its independence and objectivity. Both would be lost under the proposal to roll it into the CQC. Our amendment 12 would ensure that HSSIB’s functions remain operationally independent of the CQC, so that the NHS is not left to mark its own homework. Together, these amendments are designed so that patients are protected from another Mid Staffordshire, another Shrewsbury and Telford, another Nottingham, another East Kent or another Morecambe Bay. Rash decision making must not be allowed to put patients at risk.

• 7 Sept 2026 · Health Bill · Hansard source

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  I broadly agree with the hon. Gentleman, and I am about to come to mental health. It is right to modernise the NHS and end some of the duplication that we see between NHS England and the Department of Health and Social Care, but the way it has been handled has been chaotic. It has been combined with 50% cuts to ICB budgets, unfunded redundancy payments, and chaos through the system. I was alarmed to read the report in The Times at the weekend about advice to the Secretary of State that the changes envisaged under the Bill are impossible to implement, given that the staff of NHS England are on different pay scales to those in the Department. Given those significant hurdles, I hope that in her closing remarks the Minister can provide some reassurance that abolishing NHS England in the way the Bill envisages is achievable. We are particularly concerned that the functions of the Secretary of State under these reforms open the door to political capture, which is a huge risk given the unstable political climate we live in. Amendment 16 would create a firewall between the Secretary of State and operational decisions. These new powers are particularly worrying in the context of patient safety issues created by the Bill, which we will discuss in more detail tomorrow. Beyond the Department, the Bill is complacent on taking seriously the vulnerability of our NHS to foreign interference and its implications for national security. That is why we tabled new clauses 2 to 5, which recognise and address the role of the NHS as part of our sovereignty, and the sensitivity of patient data. New clause 17 would require scrutiny in the House of the arrangement between the United States of America and the United Kingdom on pharmaceutical pricing. That deal, forced on us by Donald Trump with no say from the British people, will hike medicine prices in the coming years by billions of pounds, and deserves parliamentary scrutiny. All those shortcomings of the Bill attest to the fact that the NHS already spends far too much time and money responding to failure, rather than improving the safety and quality of services in the first place.

• 7 Sept 2026 · Health Bill · Hansard source

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  Crumbling estates are a big part of the problem across the whole NHS and in maternity, and my hon. Friend is right to highlight the state of his own local hospital and advocate for its quick remediation. Amendment 10, which I am sure my hon. Friend the Member for Winchester (Dr Chambers) will outline in more detail, would reintroduce the mental health investment standard. That is a crucial investment to avoid failures further down the line if interventions are not made for patients early on. Nowhere is the cost of failure more obvious than in maternity—a devastating scandal which, despite many recent reviews, still deserves far more attention. Our amendments to make our maternity services finally safe for mothers and babies will therefore be the main focus of my remarks today. I thank the Minister for her constructive engagement with me on new clause 1, and the commitment that she made at the Dispatch Box today to table relevant amendments when the Bill reaches the other place, and to put that maternity commissioner in place. I am grateful to her for the discussions we have had, and the constructive approach she has taken both with me and with the many campaigners on the issue beyond this place. In the light of that, I will not be pushing new clause 1 to a vote. I have seen up close the human costs of failures in our maternity system. Four years ago the Ockenden review found that over 200 babies and nine mothers in my community had died needlessly in Shrewsbury and Telford due to failures in maternity care. That has been devastating for my community, and we have heard since then that the situation was not isolated. There have been terrible stories from families around the country, most recently following the review into services in Nottingham. New clause 6 would introduce a scheme to ensure that every maternity unit in the country is rated “good” or “outstanding” by the Care Quality Commission. That new clause is essential if we are to meaningfully address the crisis in our maternity services and show families that lessons have been learned not just locally but nationally. The Liberal Democrat maternity rescue package would require an estimated £600 million a year to bring safety in maternity units up to standard, investing in safe staffing and listening to mothers. The Government already spend £1.3 billion a year—more than double the cost of the package—on maternity negligence payments, so introducing that reset is a no-brainer. Rather than spending a fortune compensating for failure and heartbreak, the NHS should be getting it right in the first place. Recently we have seen the consequences of safety failures, with lack of staffing causing North Devon’s maternity unit to close, forcing women to take a 50 mile trip if they go into labour. My hon. Friend the Member for North Devon (Ian Roome), whose constituency has been hit hard by that news, has tabled new clause 66 to guarantee safe staffing levels and access to a maternity unit within 45 minutes. While on women’s health, I also want to highlight new clauses 11 and 12. Earlier this year I wrote to the Equality and Human Rights Commission to highlight the stark inequality in research and investment in women’s health, with a huge gap in investment, governance and reporting mechanisms between women’s and men’s health strategies. The new clauses would set up an inquiry into women’s health outcomes, and ensure that average waiting times for women’s health conditions do not exceed the average waiting times for wider elective treatments. The crisis in our maternity care is a national shame and reveals a systemic neglect of the safety of women and their babies over many years. However, that is indicative of even wider concerns for patient safety, which I urge the Secretary of State to address in the Bill, and which we will discuss in more detail tomorrow. If the Government are serious about using the Bill to improve our NHS, they must invest time and money in the front and back doors of the NHS rather than structural reorganisations. The safety of staff and patients must be at the centre of those changes, and I urge the Minister to consider the amendments tabled by me and my Liberal Democrat colleagues, which would improve the Bill to achieve just that.

• 7 Sept 2026 · Health Bill · Hansard source

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  I have tabled several amendments to the Bill, but I will hopefully keep my remarks focused so there is a good opportunity for other Members to make their speeches. The Bill should be about fixing the front and back doors of the NHS. It offers the opportunity to bring in tangible changes for patients to address pressing problems and introduce desperately needed improvements to patient safety and experience. The primary care and social care crisis, in particular, are millstones around the neck of the NHS. But instead of addressing them, the Bill has focused on a top-down reorganisation, which risks diverting time and money away from those pressing issues, and it gives sweeping powers to the Secretary of State, which is not in itself without risk. The Liberal Democrats would instead have put social care and general practice at the heart of the Bill—a move that would represent real reform of the health service. In particular, new clauses 54 and 56 tabled by my hon. Friend the Member for Mid Sussex (Alison Bennett) would together transform the rights of family carers through guaranteed respite care and reform of the carer’s allowance. They would put free personal care, and an end to catastrophic care costs, at the heart of social care reform. New clause 53, tabled by my hon. Friend the Member for Epsom and Ewell (Helen Maguire), would ensure that everyone can see a GP within seven days, or 24 hours if urgent, and amendment 17 would introduce a primary care investment standard. Although general practice is the core of a patient’s relationship with the NHS, it has seen its funding decline as a share of NHS spending. Less than 10% of the NHS budget is spent on primary care, although that is estimated to constitute 90% of a patient’s direct experience with the NHS. A primary care investment standard would help to reverse that trend. Dentistry is another area of primary care that has been neglected, leading to dental deserts and dangerous DIY dentistry. New clause 18 would introduce a scheme to end dental deserts, and guarantee appointments for children and those most in need.

• 3 Sept 2026 · Bluetongue Virus in Livestock · Hansard source

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  Livestock farmers in North Shropshire, as everywhere else across the country, have had a torrid year. Drought has impacted their ability to feed their livestock, dairy farmers are selling milk at far less than the cost of production, and now they have the added concern of bluetongue bringing a horrendous end to a horrendous year. They have been caught unawares, and the Department has clearly been unprepared for something that could have easily been predicted. What support is the Minister putting in place for those farmers now? More importantly, what steps will be taken for this time next year, so that we do not find ourselves again trying to get on top of an epidemic that could have been prevented?

• 2 Sept 2026 · Rural Upper-tier Local Authorities · Hansard source

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  The hon. Gentleman makes a good point. I would need to see the detail of that proposal and what it would mean. Shropshire is already a unitary authority and is essentially at the bottom of the list for a devolution plan, so that seems too far off. There seems to be no prospect of stabilising the financial situation until there is a firm plan to ensure that the powers needed to turn the area around, and the resources to go with them, are firmly in place. We urgently need clarity on that. The hardship and austerity in rural areas has come about largely as a result of the removal of remoteness as a factor when calculating what it costs for a rural authority to deliver services across a vast area. The County Councils Network estimates that that has removed £300 million from its members’ budgets—an amount that the Government expect to be made up by increased council tax. Shropshire council has been squeezed at both ends—first by years of Conservative maladministration, and then by Labour cutting its funding, despite the obvious need —and it is far from alone. Rather than tackling the problem head on, the Government have underfunded rural councils, which has perpetuated rural deprivation. That is particularly acute where people lack access to services, and it is hidden, unlike urban deprivation. While door-knocking in my constituency, I met a delightful elderly gentleman living in a small cottage, and I was astonished to also meet his grandson, who was apparently living in his shed in the garden because he was unable to find anywhere else to live. Such cases go unnoticed in homelessness statistics, because families and communities find their own solutions to wrap around those individuals, but no one thinks a shed is appropriate accommodation for that young man. He should not have been allowed to fall through the net. A lack of funds for local transport perpetuates isolation and leads to a vicious cycle, stunting economic growth and creating further challenges for the council’s provision of services such as social care. When members of the Casey commission came to Shropshire to talk about the challenges of delivering social care in a rural area, they were astonished by the notion that carers must have a car because there is no transport in the evening or on a Sunday. Yesterday, the Prime Minister spoke of the importance of local transport and publicly provided services. We all agree with him, but Shropshire’s bus allocation has been cut despite the fact that it has lost more bus miles than anywhere else. Revenue funding is due to drop £175,000 in 2027-28. The Secretary of State for Transport, in an answer to me about step-free access at Whitchurch station, implied that the funds will be spent where the people are, not where the need is. She said: “When we are investing in the accessibility of stations in the future, we need to get maximum benefit for the travelling public.” —[ Official Report , 16 July 2026; Vol. 789, c. 1059.] Previously, that has meant that the funds go to the most densely populated areas, not to those where there are no real alternative forms of transport. The patchy public transport network across North Shropshire means that it is almost impossible for most residents to manage without a car, and that brings further associated costs. Those who cannot access a car, whether they are young or old, become isolated and unable to access opportunities, education and services. Similar patterns of deprivation are reinforced through Government funding for education in rural areas, even though they often already struggle with teacher recruitment and retention. Schools in North Shropshire received an average of £6,460 a head last year, compared with a national average of about £7,910, but outcomes at GCSE and key stage 4 are consistently lower than the national average, and indeed the west midlands average. How can the Government justify lower funding when the outcomes are already lower? Surely every child deserves the opportunities provided by a properly funded education. That applies to capital spending in education too. One shocking example in my constituency is a primary school in one of the most rural parishes that still has outside toilets, in their original Victorian red-brick building. A lady told me during my summer tour this year that her granddaughter was too afraid to use the toilets because they are full of spiders and had an accident at school as a result. That is unacceptable. That is the kind of thing that people remember when they are 50 if it happened to them when they were seven at school. Young people in rural areas are having their horizons limited as a direct result of Government policy. That needs to change, urgently. In what way are the Government tackling inequality if rural and coastal areas are persistently underfunded, despite their worse outcomes? My constituents rightly perceive an entirely broken system in which every year they pay more and receive less. That is obviously unfair and is opening the door wide to populists and extremists who exploit the situation with divisive messages to divide our community and simple but unworkable solutions. The new Prime Minister has given us all hope by promising growth in every postcode. He will fail in rural areas if he does not address the obvious unfairness that Government policy combined with the pressures of ever-increasing demand for social care are delivering. Proper devolution will help rural councils tailor public services to the areas that they serve, but there must be acknowledgement of the need for a fair allocation of resources to go with those theoretical powers. I hope the Minister can provide details in his response.

• 2 Sept 2026 · Rural Upper-tier Local Authorities · Hansard source

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  The point of combined authorities is to derive economies of scale from placing urban and rural areas together. Some of those economies of scale can be driven by the density in the urban area. Does my hon. Friend agree that it makes no sense to split up the urban and rural areas in the way she describes?

• 2 Sept 2026 · Rural Upper-tier Local Authorities · Hansard source

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  The hon. Gentleman is making an important and fundamental point: everything costs more when it is spread out. For example, bin collections cost a huge amount more for unitary authorities. Home-to-school transport is not just for children with SEND but for children who cannot catch the bus to school because there is no bus. Everything costs a vastly significant amount more than when people just live down the road. Does the hon. Gentleman agree that it is really important that that is reflected in Government funding formulae, because it is crippling our councils?

• 2 Sept 2026 · Rural Upper-tier Local Authorities · Hansard source

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  I thank all hon. Members who have come along and made excellent speeches—particularly team south-west, who have turned out in force. They all highlighted the difficulties in delivering services in sparsely populated areas with vast distances to travel. They spoke about the impact on highways funding, the importance of generating economic growth, the cost of delivering SEND, and the proxy creation of district councils through the re-empowering of town and parish councils to deliver things that the unitary council can no longer afford to deliver because they are not a statutory requirement. They were really good speeches. I am very disappointed that the Minister wound up with a speech that kind of told us that everything is actually fine. On the day that the local government finance settlement was announced, I sat on the Opposition Benches, along with all my colleagues, without a clue about what my local authority had been awarded because it was not findable, we had not been told and it could not be googled, yet everyone on the Labour Benches appeared to know what their settlement was and congratulated the Minister on its delivery. That is symptomatic of a pattern of this Government. They tell rural areas, “Everything is fine. It looks pretty. Go away and stop worrying, and actually, we are going to focus on urban areas.” We all recognise that urban areas need investment and are not thriving as they should be—this is not about pitting one area against another—but rural areas need fair funding and devolution. In a council that has stripped back every single employee that it can, there is no capacity to generate economic growth or transform the underlying financial structure of the council, because nobody has the time in the day to do it. They need that devolution funding to rethink how they deliver services in a sustainable way for the future. I hope the Minister will take those points on board. Question put and agreed to . Resolved, That this House has considered Government support for rural upper tier local authorities.

• 2 Sept 2026 · Rural Upper-tier Local Authorities · Hansard source

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  I beg to move, That this House has considered Government support for rural upper tier local authorities. I am a vice-president of the Local Government Association, and I am extremely worried about the widening gap in opportunity, social mobility and economic growth between rural and urban areas. Rural areas are being held back and the futures of rural children are being limited by public services that are underfunded and overstretched, lamentably slow digital connectivity, the lack of public transport, and urban-centric perceptions based on misunderstandings about the nature of rural life. The last local government finance settlement laid bare that neglect in financial terms. It was a stark admission from this Government that their plan is to strip funding from rural areas to improve services in urban ones. The Rural Services Network has calculated that urban councils will receive 32% more funding per head than rural councils next year. Meanwhile, rural residents pay on average 17% more council tax per head than urban residents, out of lower than average wages, to plug the gap, yet the cost of delivery means that they receive a poorer public service. For Shropshire council, the funding situation is particularly grave, following 16 years of catastrophic management by Shropshire’s Conservatives. When the Lib Dem administration took over in May 2025, Shropshire was in the most difficult financial position of any council in England. The recent Chartered Institute of Public Finance and Accountancy report on the huge challenge in Shropshire reveals the details of the Conservatives’ poor management: unrealistic budgets and constant overspends that burned through all the remaining reserves; an obsession with unaffordable vanity projects, such as the purchase of Shrewsbury’s shopping centres and millions spent on an unaffordable road; a sloppy workforce restructure in 2024-25, which drove out the talented managers needed to transform the financial situation; and the “legacy impact” of five years of consecutive council tax freezes. All that was left as a parting gift for the new administration to pick up. The report describes the direction of the council under its recently appointed new chief executive and four-to-five-year improvement plan as a “positive step”, and a peer review by the LGA praised the “significant strides” made so far, but the financial position remains perilous and the challenge to restructure the council is huge. Eighty per cent of Shropshire council’s budget is spent on social care, an issue on which the Liberal Democrats have long called for urgent action. The cost of delivering social care in a rural area with the demographics of North Shropshire, where 25% of the population is aged over 65, means that the pressure is only set to rise. Adult social care spending has already been rising by about 5.8% a year, more than could have been generated by council tax increases, because people are living longer, needs are becoming more complex, and workforce costs are rising, with care providers consequently charging more. Demand for education, health and care plans has risen even faster. Shropshire now has 3,016 active EHCPs, a 21% increase in one year compared with national growth of 11%. The number of school-aged children with EHCPs has increased by 78% since before the pandemic. That puts more pressure on specialist education, school transport and family support. Last year, the council put up council tax by 8.99%. Although that brought in a massive £21 million a year, it covered only about a third of the extra cost from demand and inflation alone. Amid that financial turmoil, the Government have cut funding per head in Shropshire. It is projected to fall well below 90% of 2024 funding by 2028, while the national average is set to rise to around 118%. The exceptional financial support provided to balance the books bears interest and must be paid back; it worsens prospects for the future, and for a considerable time. Under the Government’s new devolution plans, there is a risk that the gap between mayoral and non-mayoral authorities could increase further. During the Prime Minister’s statement yesterday, I asked him about the importance of power and resourcing being made available to all authorities, not just those that have formed a combined authority or have a mayor. His answer was in some ways encouraging, but in other ways it bothered me. He said that when Shropshire council could “stand on its own two feet” —[ Official Report , 1 September 2026; Vol. 790, c. 49.] it would be able to access devolution, but the Government’s own three-year financial settlement is forcing austerity on rural areas, making the achievement of self-sufficiency far less likely.

• 1 Sept 2026 · Direction of Government · Hansard source

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  I welcome the Prime Minister to his place and I welcome his commitment to put power back into the heart of communities through a devolution programme, but in places such as Shropshire, where there is no immediate plan for a combined authority or a mayoral authority to be put in place, people are really worried that we will be left behind. Will the Prime Minister elaborate on his earlier comments and explain when authorities such as Shropshire will get those devolved powers—and, crucially, the resources to go with them—so that they can start turning around the lives of people in places such as North Shropshire?

• 16 Jul 2026 · Health Bill (Seventeenth sitting) · Hansard source

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  I beg to move amendment 77, in clause 68, page 47, line 27, leave out from “to” to the end of line 28 and insert “the affirmative procedure”. This amendment ensures that all secondary legislation as a result of this bill is subject to the affirmative procedure.

• 16 Jul 2026 · Health Bill (Seventeenth sitting) · Hansard source

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  It is really important not to blame people who have seen convincing information online or have been given convincing information by people who ought to know better—including at political party conferences. We need to battle the source of that information and ensure that accurate, factual information is available and communicated to everyone in an accessible way by people they trust. That is key to all this. As I have said before, ostracising or ridiculing people who have been given information in a very convincing way is not the way to resolve this problem. We need to tackle it in an understanding way by communicating the facts sympathetically and accessibly. It is important to note that concerns about vaccinations are not exclusive to a single group of voters. There is significant vaccine hesitancy across some ethnic minority communities and in hard-to-reach places across the country. We must do more to support doctors, nurses and the NHS to fight fiction with facts, or the long-term health of the country will suffer. That is what new clause 77 seeks to do. There is some great local work being done, but there needs to be a joined-up strategy to combat all aspects of disinformation, because a nice social media video telling people to get their jab will not beat it. Now that Reform UK has a greater presence in our local government, NHS leaders will have to handle more and more difficult conversations with anti-vax and conspiracy theorist councillors, and they deserve support to engage with those people effectively and constructively. The proposed strategy would provide just that. It would have to consider “support for medical professionals to build trust and engage with persons who are anti-vaccine…investment in public messaging to combat medical disinformation, including engagement with trusted online influencers…outreach campaigns focused on communities that are sceptical about vaccinations…introducing criminal liability for those, including online influencers and politicians, who profit from medical disinformation, and…a new verification requirement for any social media account claiming to be a medical professional.” We must do more systematically to protect the NHS and our nation’s health from the growing threats of medical misinformation. We urge the Government to give this issue the focus it needs, and we hope that they consider this new clause one way to do that.

• 16 Jul 2026 · Health Bill (Seventeenth sitting) · Hansard source

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  I absolutely agree. My mother and grandmother both had polio, which nobody would expect to experience in this day and age. That same grandmother’s sister died of diphtheria, and her father had smallpox. That was all just over 100 years ago, so it was not too long ago that people were experiencing what we now consider to be antiquated and unthinkable diseases. The vaccination programmes that have been brought in over the past century have undoubtedly been game-changing for public health, not least for people growing up with working-class backgrounds, as my family would have been. That is why it is so important to deal with the disinformation that allows unscientific and dangerous anti-vax views to be communicated convincingly to the wider community.

• 16 Jul 2026 · Health Bill (Seventeenth sitting) · Hansard source

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  Amendment 77 is a probing amendment in the light of our previous discussions in Committee about the extensive powers that the Bill transfers to the Secretary of State. It would make all secondary legislation under the Bill subject to the affirmative procedure. I do not intend to press it to a vote, but I hope that the Minister will take into account the concerns that we have raised during these proceedings about the sweeping powers that the Secretary of State is taking on board.

• 16 Jul 2026 · Health Bill (Seventeenth sitting) · Hansard source

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  I beg to move, That the clause be read a Second time. I thank my hon. Friend the Member for Guildford (Zöe Franklin) for tabling the new clause. She has asked me to speak about dental deserts in Surrey and East Hampshire, the area that she lives in and represents. The new clause places a duty on the Secretary of State to ensure that there is adequate provision of NHS dental appointments in Surrey and East Hampshire, and allows us to raise once again the shocking state of dentistry in this country. As we have discussed on many occasions, more than 5 million children did not see a dentist at all in 2025—that is a stark reminder of what we mean when we talk about dental deserts. We have heard that DIY dentistry has become normalised, which is pretty horrifying. People are using pliers to extract teeth and superglue to reattach crowns, or attempting to fill cavities with household adhesives. Beyond those obviously shocking Victorian scenes, DIY dentistry is very risky and has, tragically, led to deaths from sepsis. That is all because people cannot get an NHS dental appointment and cannot afford a private one. The last Conservative Government pushed dentistry to the brink, and children and parents in particular are paying the price of that neglect. That is a national shame—one that we must fix. As I mentioned, my hon. Friend the Member for Guildford tabled the new clause to highlight the issues in her part of the country. Surrey and East Hampshire is not the worst place in the country for access to NHS dentistry, but it does face serious issues. Some pockets of the population have been left unable to get an NHS dental appointment. The action taken so far by the Labour Government has not been good enough, but the fault for this dire situation lies solely at the door of the Conservatives. Their years of neglect have left our dentistry in a shocking condition. Healthwatch—once again showing why it is so important—has classified large parts of Hampshire as dental deserts. Equally, a Healthwatch report into dentistry in Surrey told us of ever-so-familiar themes: people cannot find a dentist accepting NHS patients, information about dentists accepting NHS patients is not up to date, and there are financial barriers to receiving dental care. Clearly, much more needs to be done for the people of Surrey and East Hampshire. I commend the new clause to the Committee.

• 16 Jul 2026 · Health Bill (Seventeenth sitting) · Hansard source

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  I beg to move, That the clause be read a Second time.