Jess Brown-Fuller MP: speeches

Speeches

• 26 Jun 2025 · IVF Egg Donation: Young Women · Hansard source

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  That is exactly why the hon. Member for Strangford brought forward this debate, and we share his concerns that any attempt to create a market for egg donation could lead to perverse outcomes. Advertising for egg donors to come forward should reflect that, stressing the benefits to others rather than attempting to frame compensation as a primary motivation to donate. We must ensure that women donating eggs do so willingly, not out of financial necessity, and are provided with appropriate support throughout the process. It is right that the donors clinic is required by law to offer counselling, but the Government should investigate whether additional steps are needed to ensure proper medical regulation of that counselling, beyond what is already provided by the Professional Standards Authority. Is the Minister satisfied that the Advertising Standards Authority and the Competition and Markets Authority are adequately resourced and have sufficient capacity to uphold essential regulations in this area? I will briefly touch on an equally complex and emotionally charged topic: surrogacy and legal parenthood from the point of birth. For the sake of the child, the surrogate and the legal parents, the matter needs to be handled with great sensitivity. The Liberal Democrats believe that all potential cases regarding legal parenthood of a new baby must ensure that the wellbeing of all involved is balanced and respected. There are, understandably, concerns about financial incentives for surrogates. For example, the Law Commission found that there is a lack of clarity about what payments can be made by the intended parents to the surrogate, which makes the law difficult to apply in practice. We believe that any proposed legislation should be published and subject to scrutiny before any changes to current practice are made. So many lives around the world have been transformed by the miracle that is IVF, but there remains much work to be done to address the inequalities in NHS provision, end the postcode lottery, and ensure that lesbian couples have access to IVF fairly. We must also ensure that donors are not unduly influenced by exploitative marketing, and we hope the Government will take action following the debate to investigate that.

• 26 Jun 2025 · IVF Egg Donation: Young Women · Hansard source

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  It is a pleasure to serve under your chairmanship, Mr Efford. I congratulate the hon. Member for Strangford (Jim Shannon) on securing this important debate on an issue that affects so many. Although his focus was on egg retrieval, he also identified the value of IVF to families across the UK. Like other Members present, I have family and friends who have struggled with fertility. The pain it causes, and the emotional toll it can take on families, is immense and harrowing to watch. Modern medicine has eased those struggles through IVF, which is remarkable and a credit to the many scientists and medical professionals who have worked tirelessly to develop it. If you do not mind, Mr Efford, I will selfishly mention my best friend Lottie and her husband Marvin. They were both IVF babies nearly 40 years ago, and two years ago they managed to have their little baby boy Luca without any fertility struggles. What a gift he is. Sadly, there is currently a postcode lottery for IVF and fertility services, which undermines the generosity of those who donate eggs and shatters the hopes and family lives of many couples. In much of the country, couples are entitled to just one round of IVF on the NHS, while in other areas, people can receive up to three rounds. It is crucial that people can expect high-quality treatment wherever they live, rather than being priced out of having children simply because of their postcode. Can the Minister therefore set out what steps the Government are taking to reduce that inequality of access to these life-changing reproductive health services? A specific inequality still exists for the LGBTQ+ community. In England, NHS-funded access to IVF is available only to women who have not conceived after two years of regular unprotected intercourse or 12 cycles of artificial insemination. In practice, that requires all lesbian couples to pay for artificial insemination cycles before becoming eligible for NHS-funded IVF. That is an insurmountable financial barrier for many of those couples, given that cycles can cost thousands of pounds. Although the Government’s 2022 women’s health strategy pledged to remove that requirement for lesbian couples, the roll-out of that new policy has been painfully slow. As of April 2024, only four of the 42 integrated care boards in England have implemented it. The Liberal Democrats are pushing for all integrated care boards to make that change a priority to ensure equitable access to IVF for all lesbian couples who are looking to start a family. What work is the Department undertaking to ensure that the requirement is removed across all ICBs? It is important to recognise the immense contribution that egg donors make to the IVF process. The lives of couples and families across the country have been transformed by the generosity and support of those who donate eggs or sperm to help them have children. Becoming an egg donor is a complex decision, and as highlighted by hon. Members’ contributions, it can have lifelong implications, especially considering that donors can consent to have their eggs stored for up to 55 years, and children who were born through a donation and who have turned 18 may contact the donor. Added to that, donors must undergo rigorous medical screening. They are brave, selfless individuals who perform acts of love for family members, friends and strangers alike. It is absolutely right that eggs are donated rather than bought or sold, and that there are rigorous protections in place to ensure that.

• 25 Jun 2025 · Department for Transport · Hansard source

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  My hon. Friend mentions safety measures. In my constituency, we have the Fishbourne roundabout on the A27, which many of my constituents avoid like the plague. I was on that roundabout in my car just the other week with a staff member, and we had a very near miss. Does my hon. Friend agree that dealing with the problem once there has been an accident or a fatality is absolutely the wrong way to ensure protections on these roads? We need to fix the problem before deaths occur.

• 25 Jun 2025 · Department for Transport · Hansard source

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  My constituents in Chichester are beyond frustrated by the congestion on our A road, the A27. A bypass was originally included in the road investment strategy pipeline covering 2025 to 2030, but that has since been deferred to 2030 to 2035, with no guaranteed funding. Does the hon. Member agree that strategic investment in key arterial roads is vital not only to unlocking economic growth but to easing the daily pressures on communities such as mine and across the country?

• 25 Jun 2025 · GP Funding: South-west England · Hansard source

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  It is a pleasure to serve under your chairmanship, Dame Siobhain. I thank my hon. Friend the Member for Newton Abbot (Martin Wrigley) for securing today’s important and timely debate. He is a tireless advocate for his local community, and I commend him for shining a spotlight on GP funding and the broader state of healthcare in the south-west. He spoke about the funding model for GPs, which is complex, obscure and outdated, and does not account for rurality. As the Liberal Democrat spokesperson for hospitals and primary care, I hear all too often from my constituents and from people across the country who are struggling to access the care they need. Our NHS is the pride of the nation, but years of underfunding and mismanagement under the last Conservative Government have left services in crisis. Nowhere is that more apparent than in general practice, with patients facing increasingly long waits to see a GP, as highlighted by my hon. Friend’s statistics. In 2019, the average GP had 1,900 patients on their books; today, they have 2,400, and some people cannot get an appointment at all. People rightly tell me that they are not included in the Government’s waiting list statistics because they have not managed to get on a waiting list in the first place—or even speak to a doctor. Those are not isolated complaints. I am sure many hon. Members will recognise those concerns from their own constituency surgeries, or from spending a morning with their local GP, as my hon. Friend the Member for Mid Dorset and North Poole (Vikki Slade) described. We also need to be honest about the scale of the problem. In 2024 alone, more than 2 million people in the south-west waited over 28 days for a GP appointment, and that pattern is repeated across the country. Chichester is not in the south-west, but nearly 30% of patients in my constituency had to wait more than two weeks, and around 8% waited more than a month. That is not acceptable. The hon. Member for St Austell and Newquay (Noah Law) made an important point about tourism. The population of my coastal communities such as Selsey, Pagham and the Witterings doubles over the summer months with holidaymakers, which can put additional stress on primary care services. My hon. Friend the Member for South Cotswolds (Dr Savage) made an important point about the role that planning and ICBs play. Too often, developers come forward with large site proposals that include a GP surgery on the site. However, unless they have buy-in from the ICB, so often those GP surgeries that have been specifically designed for that purpose sit empty without a GP practice to go into them. My hon. Friend also spoke about her village of Sherston. It might not be the centre of my universe—that is my little rural village of Westbourne—but both Sherston and Westbourne face the exact same problems. My village of Westbourne is about to lose its rural surgery; we are waiting for the ICB’s final decision. Residents of Westbourne do not have a public transport link to the GP that they are being asked to go to, across the border in Emsworth. The Liberal Democrats believe that everyone should have the ability to live a healthy and fulfilling life, which means they must have timely and local access to healthcare, whether that is from a GP, a dentist, a pharmacist or a mental health professional. We must invest in early access to community care, in order to relieve the burden on hospitals and fix the social care crisis that leaves too many people stuck in hospital beds waiting for help that never comes. Research by the House of Commons Library that was commissioned by the Liberal Democrats found that funding for GP practices was cut by £350 million in real terms between 2019 and 2024. Those cuts have hit communities hard, and the impact is being felt not only by patients but by the hard-working professionals trying to keep the system going. GPs who I speak to are burnt out and overburdened, and GPs in general are leaving the profession in record numbers. The result is a vicious cycle, with fewer staff, longer waits and growing public frustration. I know some incredible GPs, and New Zealand is really lucky to have them, but I would rather they were here. Despite a 2019 Conservative pledge to hire 6,000 more GPs, by the general election last year there were 500 fewer GPs than when that pledge was made. In fact, the UK has 16% fewer qualified GPs per capita than comparable high-income countries. It does not have to be that way. Healthcare is not a luxury. It is a fundamental right and not a privilege. Everyone should be able to see a GP when they need to, and that is why the Liberal Democrats are calling for a legal right to see a GP within seven days, or within 24 hours if the situation is urgent. To make this a reality, we are calling for the recruitment of 8,000 more GPs. We would achieve that by supporting junior doctors to specialise in general practice and by introducing new schemes to help experienced GPs to return to the workforce. As my hon. Friend the Member for Yeovil (Adam Dance) said, we also believe that everyone over 70 and those with long-term conditions should have access to a named GP. Such continuity of care is not only vital for building trust and supporting staff morale; it also improves health outcomes and saves money in the long term. As my hon. Friend the Member for Oxford West and Abingdon (Layla Moran), who is the Chair of the Health and Social Care Committee, has said, continuity of care is key. Patients who have had the same GP for more than 15 years have a 25% lower chance of dying compared with patients who change GPs regularly. Continuity of care builds trust, improves outcomes and reduces hospital admissions. It is good for patients, good for staff and good for the system as a whole. We must also address the broader picture. Community pharmacies are closing at an alarming rate when they should be playing a bigger role in delivering frontline care. Fairer and more sustainable funding is needed to keep these services open, to relieve pressure on GPs. I am a big fan of Pharmacy First and I know that the Minister is, too; I have heard him talk about his passion for it. But pharmacists in my constituency tell me that with the regular increase in targets, they are struggling to keep up.

• 25 Jun 2025 · GP Funding: South-west England · Hansard source

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  I am sure the Minister will talk about the hub and spoke model that the Government are championing, but my hon. Friend is right about the difficulties in rural areas especially. Many constituents have talked to me about the distance they are having to travel to get basic medication that means they can function, go to work the next day or get their children to school. This is why we have been calling for a fairer and more sustainable long-term funding model for community pharmacies. They play a vital role in relieving pressure on GPs, yet they are being squeezed out of existence. Since 2017, 1,200 pharmacies have shut their doors. Community Pharmacy England has warned of real-terms funding cuts of at least 25% since 2015, leaving the network on the brink of collapse. This is not just a failing system; it is a broken one. This Labour Government have a responsibility to act. They were elected on a promise of change, but that change must begin with fixing our NHS. I am sure the Minister will celebrate the budget increase, but as my hon. Friend the Member for Melksham and Devizes (Brian Mathew) said, this has been swallowed by the increased costs and national insurance contributions. That is why the Liberal Democrats tabled an amendment to exempt healthcare services from the NICs rise, which the Government chose not to accept. General practice is the front door to our health system. If we do not invest properly in GP services, everything else suffers. We must not let that door remain closed to so many. As my hon. Friend the Member for Newton Abbot rightly said, we do not have to accept broken systems—we can fix them, and now is the time to prove that we will. Will the Minister commit to the Liberal Democrat proposal of a legal right for patients to see a GP within seven days, or within 24 hours in urgent cases? Does he agree that everyone over 70 and those with long-term health conditions should have access to a named GP?

• 25 Jun 2025 · GP Funding: South-west England · Hansard source

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  It is interesting that the Minister mentioned devolution, because the effect of the cuts to ICBs has meant that Sussex ICB is now having conversations with Surrey ICB about a merger. The cuts are therefore achieving the exact opposite of devolution, because such a merger would move power further away from communities. Does he have any thoughts on that?

• 18 Jun 2025 · Businesses in Rural Areas · Hansard source

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  Does my hon. Friend recognise that rural communities always seem to carry the burden of losing out on everything? They have the businesses struggling to get people through the door, they lose their public transport and they lose their health provision. I am seeing that in my constituency, where a rural village is losing its GP surgery, but there is no bus to take people to the proposed GP surgery in the nearby town. We need to support our rural businesses because they are the backbone of these rural communities, and they are keeping these rural communities alive.

• 18 Jun 2025 · Crime and Policing Bill · Hansard source

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  My hon. Friend talks about community policing and getting police officers back into the community, so does he support my new clause 157, which seeks to streamline the way police case files are prepared and submitted to the Crown Prosecution Service? It is a common-sense approach that would reduce red tape and, most importantly, get police back out supporting victims and building the community trust that they need?

• 17 Jun 2025 · Access to GPs · Hansard source

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  Access to GPs in my constituency of Chichester is being undermined by the closure of the Westbourne branch of Emsworth medical practice at the end of this month. Patients will now have to travel to Emsworth, but we are talking about a small rural village, and there is no public transport to get my elderly and vulnerable patients to that medical practice over the border. Will the Secretary of State please meet me to urgently discuss how we can protect this vital service in a rural village in Chichester?

• 10 Jun 2025 · Planning and Infrastructure Bill · Hansard source

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  I am sure my hon. Friend knows his legislation very well, but the Levelling-up and Regeneration Act 2023 stated that Ministers have a duty to further the purposes of protected landscapes such as national landscapes. Does he think that we have missed an opportunity in this Bill by not giving national landscapes a seat at the table as statutory consultees, like, for instance, Chichester harbour in my constituency?

• 9 Jun 2025 · Topical Questions · Hansard source

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  Three hundred social homes are at risk in my Chichester constituency, despite having outline planning permission, because developers are rejecting offers from registered providers. Will the Minister commit to action to stop developers evading their obligation, and will he meet me to help me protect the delivery of these social homes?

• 4 Jun 2025 · Engagements · Hansard source

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  Q6. Sir Jon Cunliffe’s interim report, published yesterday, laid out the fundamental changes needed for our water sector. That is felt no more acutely than in my constituency of Chichester. We have a harbour that is in an unfavourable, declining condition and sewage is blighting our tourism industry. With water bills from Southern Water rising by 47% for my constituents, can the Prime Minister tell them when they can expect to see the real change that this Government promised and our waterways cleaned up for good?

• 4 Jun 2025 · Business Rates Relief: High-street Businesses · Hansard source

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  I am sure that the hon. Gentleman will join me in congratulating Robin’s Nest coffee shop in my constituency, which has just celebrated its first birthday. In the year that the shop has been open, its owners have seen their business rates double, and they have written to me to say that they might not make it to their second birthday. Does he agree that business rate reform cannot come soon enough and that it would be a crying shame to lose such high street businesses?

• 2 Jun 2025 · Bus Services (No. 2) Bill [Lords] · Hansard source

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  My hon. Friend talks about collaboration across borders and county councils. I have an issue in my constituency because of a proposal to close the GP practice in Westbourne, but there is no bus service for all the patients in Westbourne to get to Emsworth, which is over the border into Hampshire county council. Does he agree that there should be provision in the Bill to ensure that local authorities work together? People do not see the local authority borders.

• 22 May 2025 · Independent Sentencing Review · Hansard source

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  The Government’s plans lay out an expectation that they will be able to manage ex-offenders in the community under intensive supervision. A probation officer in my constituency recently told me that she was told off by her bosses for spending too long with offenders when she was booking just 15-minute appointments. Can the Lord Chancellor tell me when the promised investment will actually reach frontline probation services, and can she guarantee it will be enough to ensure public safety and reduce reoffending?

• 21 May 2025 · Broadband and Mobile Connectivity: Rural Areas · Hansard source

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  Does my hon. Friend agree that rurality does not necessarily correlate with population density? My constituency is a city, albeit a small one, yet mobile signal is non-existent in the city centre, and businesses have had real issues attaching to any sort of broadband availability.

• 21 May 2025 · Business and the Economy · Hansard source

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  The hon. Member makes a great point. I was contacted by Yoddi, who owns La Fish in my constituency of Chichester. He says that the rise in national insurance contributions will cost him £1,200 a month that he now has to find. He has two choices, one of which is passing on that cost to consumers. We already know that the price of fish and chips has risen exponentially over the years and the cost of living pressures continue to make that worse. Does the hon. Gentleman agree that small businesses like that one are at risk from the Government’s NICs rises?

• 21 May 2025 · Ukraine: Forcibly Deported Children · Hansard source

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  The strength of feeling in the room is shown by the raw emotion of the hon. Gentleman and that of my hon. Friend the Member for Horsham (John Milne). Does the hon. Gentleman agree that the most important thing we can do today is take the opportunity to come together, across the parties, and recognise the need to continue to support these Ukrainian families?

• 21 May 2025 · Ukraine: Forcibly Deported Children · Hansard source

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  Does the hon. Member agree that we should support not only the return of the abducted Ukrainian children, but their reintegration into their families and communities through rehabilitation programmes that address the psychological and developmental trauma that has been inflicted by their forced deportation?

• 21 May 2025 · Chronic Urinary Tract Infections · Hansard source

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  It is a pleasure to serve under your chairmanship, Sir Desmond. It is also a pleasure to see the Minister in her place. I thank my hon. Friend the Member for Sutton and Cheam (Luke Taylor) for securing today’s debate and for being a champion for both his constituents and the wider population suffering with UTIs. Although I will not mention all the contributions this morning, I must mention that of the hon. Member for Stoke-on-Trent South (Dr Gardner), whose speech was not only passionate, but well informed and very personal. It is the hardest thing to share a personal story, and I commend her for her bravery this morning. Urinary tract infections are far more common than many realise and far more serious than many assume, and women are 30 times more likely to suffer from a UTI than men. They are agonising and can, in some cases, even be fatal. Between 2018 and 2023, 1.8 million hospital admissions in England involved UTIs, not to mention the no doubt countless GP appointments. Chronic urinary tract infections, where symptoms do not go away, are a particularly distressing form of this condition. My hon. Friend the Member for Sutton and Cheam spoke about sufferers being in bedbound isolation and unbearable pain, preventing them from living their lives and often from attending important family events and moments that should be celebrated, because this condition can be so debilitating. Short courses of antibiotics often fail, and urine tests can come back negative, even when the patient is in clear discomfort. That is because chronic UTIs can be caused by bacteria entering the lining of the bladder, which makes them much harder to detect and treat. The diagnostic tools available to us are simply not good enough. Midstream urine cultures are still considered the gold standard for diagnosing acute UTIs, but recent research shows that MSUs miss a wide range of bacteria, which leaves many sufferers undiagnosed, untreated and often feeling disbelieved. Like most women, I am grateful that I do not suffer from regular UTIs, although I do remember the panic as a child when I was in absolute agony. I do not know whether this is oversharing, but I remember my mum running in with a milk bottle of cold water to pour on me while I went to the toilet, just to take an element of that pain away for me, as a young child experiencing something I did not understand. I have seen how a UTI can be particularly debilitating for those living with dementia. I experienced that with my nana during her final years. She could not identify that she was experiencing pain, so it fell to us, as her family, to recognise the symptoms. Her carer would test her urine most days, as she became so prone to infections. Those can cause sudden and alarming changes in behaviour, known as delirium, which is often exhibited as confusion, agitation, hallucinations or sudden withdrawal. My nana ended up being hospitalised for some severe UTIs in her final months. Her hallucinations were quite often enjoyed by the family, and I particularly remember one where she was very cross at me for coming to her hospital late at night with an entire choir, singing to her and waking up the whole ward. That obviously did not happen, but in her delirium she was absolutely convinced that I had not respected her sleep. Such symptoms are often mistaken for the progression of dementia, leading to the underlying UTI going uncured. Social care has a key role to play in UTIs, but only 45% of care workers receive any sort of dementia-specific training. We were incredibly lucky that the carer we had for my nana was dementia-trained and recognised the signs of UTIs before they got too bad. Families are also vital in this process, especially when someone cannot advocate for themselves. As my hon. Friend the Member for Sutton and Cheam mentioned, when patients are so exhausted from having to fight a system that does not believe them, families often have to step in and be their advocates. People cannot do this alone. Too often, UTIs are dismissed as short term or minor, but for many people, particularly those with underlying conditions, they are anything but. We welcome the NHS’s recognition of chronic UTIs as a legitimate condition since 2022, but too many people still suffer in silence or are dismissed, misdiagnosed and left without adequate support. That is why we urge the Government to explore ways to improve diagnosis, particularly for chronic UTIs. Further research is desperately needed. The Liberal Democrats are calling for a significant expansion in the capacity of the Medicines and Healthcare products Regulatory Agency, and for a comprehensive agreement with the European Medicines Agency. We must ensure that new treatments can reach UK patients without delay, especially as we currently rely on three different strands of antibiotics to treat UTIs, as the hon. Member for Stoke-on-Trent South said. Those who suffer regularly are at risk of developing antimicrobial resistance, which then makes treatments less effective. If they are also allergic to certain strands, they are incredibly limited in the antibiotics they can receive. The hon. Member also mentioned that there is a UTI vaccine in other countries, which I am very interested in. Continuity of care is equally important. Everyone with a long-term condition such as a chronic UTI should have access to a named GP. That would help to build understanding, avoid delays and improve outcomes, especially for those whose symptoms may be dismissed or misunderstood. Lastly, I want to touch on the role of community pharmacies, which the hon. Member for Strangford (Jim Shannon) mentioned. The Pharmacy First scheme, which was introduced in England in January last year, has the potential to relieve pressure on GPs and to provide quicker treatment for uncomplicated UTIs, but many pharmacies are struggling to meet the consultation targets required to access funding. Ongoing financial and operational pressures are undermining the very service that we need to provide, and in the year to date we have lost the equivalent of four community pharmacies a week. My questions to the Minister are as follows. What steps is her Department taking to support community pharmacies in delivering the Pharmacy First service, especially those struggling to meet the increase in consultation targets, and to ensure that patients with UTIs can access timely, local and effective care? Pharmacy First is currently available only for those with UTIs between the ages of 16 and 64. Is there a plan to widen that age range? Given the known limitations of current testing methods, will the Minister also outline what steps are being taken to ensure that better diagnostic tools are made available? Is there any plan to introduce a UTI vaccine? Finally, will chronic UTIs be included in the 10-year health plan, and is that still on track to be published in June?

• 20 May 2025 · Adoption and Kinship Placements · Hansard source

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  It is a pleasure to serve under your chairmanship, Mrs Harris. I thank the hon. Member for South West Devon (Rebecca Smith) for securing this important and timely debate. As a member of the all-party parliamentary group on kinship care, I will focus on how vital kinship carers are and on how they are often overlooked and under-supported. Many do not even identify as kinship carers, yet they are the ones providing stability, safety and love to children who can no longer live with their birth parents. Often, they are grandparents, aunts, uncles or family friends; they do this for the love of the children, and often of the families the children can no longer be with, yet kinship carers need proper support to avoid these arrangements breaking down. In a 2024 survey, 35% of kinship carers rated the information they received from their local authority as very poor, while 44% said they did not trust their local authority at all. They are exhausted by being forced to battle a system that should be supporting them. Many are navigating complex traumas on top of a failing special educational needs and disability system, with half of children in kinship care also not getting the help they need in their education setting. Families also face a cliff edge of support when the young person turns 18. That is why the adoption and special guardianship support fund—a pot that kinship carers have been able to access only since 2023—is so crucial to getting the bespoke therapies that these children and their trusted adults rely on. In my Chichester constituency, we are lucky to have Beacon House, which is a truly outstanding therapeutic service for young people, families and adults. I will share some of the comments from the children who have had the support of Beacon House. One said: “It has helped me to understand why I sometimes act the way I do in scenarios and to unload my day to day worries that perhaps were taking a toll on my mental health”. Another said: “It’s made me feel safer. It doesn’t make me feel I’m not welcome here”. And finally: “It has helped me to think about why I do things and help to understand and for my parents to understand too”. For so many of the families using services like Beacon House, the adoption and special guardianship support fund has been a lifeline. It benefited more than 18,000 children last year. I believe that the Government know this fund is vital to families up and down the UK, and I understand their desire to increase its availability so that more families can benefit, but the fund is preventing breakdowns in adoptions and special guardianship arrangements. Will the Minister make the argument to the Treasury for increasing the fund, so that all children under care arrangements can access this support, with proper clinical assessments funded so the support can be tailored? These families do extraordinary things, stepping in, often at a moment’s notice, to give vulnerable children a future. The least we can do is give them the support they deserve.

• 15 May 2025 · World Asthma Day · Hansard source

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  It is a pleasure to serve under your chairmanship, Dr Huq, and always a pleasure to see the Minister in her place. I thank the hon. Member for Strangford (Jim Shannon) for securing this important and timely debate to mark World Asthma Day, which took place last week. As the chair of the all-party parliamentary group for respiratory health, he is a tireless advocate for the millions of people across the UK living with lung conditions—and, indeed, multiple other conditions. As my party’s health spokesperson, I have been in this Chamber many times for debates that he has secured. He is certainly a credit to the less-spoken-about health conditions. His commitment to raising awareness and driving change in health is deeply appreciated, and I commend him for his leadership. To mark World Asthma Day 2025, the Global Initiative for Asthma has chosen the theme “Make Inhaled Treatments Accessible for ALL”. It is pertinent that this debate follows one on international development and global health—a powerful reminder of the need to ensure people with asthma have access to the treatments they need, not just to manage their day-to-day symptoms, but to prevent life-threatening attacks. Asthma remains one of the most common chronic health conditions worldwide, yet, as the hon. Gentleman clearly set out, progress over the past two decades have been slow. Lung conditions are now the third biggest killer in the UK. Hospitalisations due to respiratory illness have doubled in the past 20 years, and the UK has seen little improvement in outcomes over that time. Those are not just statistics—they are people, and they reflect a systematic failure to treat respiratory health with the seriousness it demands. There are 7.2 million people living with diagnosed asthma in the UK today, including 2 million children—one in nine adults and one in eight children. The UK’s asthma death rate is higher than the OECD average, and the highest in Europe. Every day, four people in this country die from asthma attacks. Every 10 seconds, someone experiences an asthma attack that could be life-threatening. That should be a wake-up call. In my constituency of Chichester, 7.5% of GP patients aged six and over have been prescribed some form of asthma-related medication in the past year. That statistic is higher than the national average, and it represents hundreds of families trying to manage a condition that, with the right support, should not prevent anyone from living a full and active life. Yet time and again those are the families let down in other areas, by poor housing, air pollution—as the hon. Member for Bournemouth West (Jessica Toale) mentioned—inconsistent care and a public health system that has been hollowed out over the past decade. The UK should be a world leader in public health. We have a long history of innovation, grassroots sports, high-quality food production and leading medical research, but, thanks to the previous Government, we now lag behind our international peers. It is profoundly troubling that our children experience some of the worst asthma outcomes across Europe and other high-income countries. The Liberal Democrats are calling on the Government to take urgent action. First and foremost, we must reverse the Conservative cuts to public health funding, but we must not stop there. We need a comprehensive approach that tackles the root causes of poor lung health, from poverty and cold, damp housing to polluted air and hazardous working environments. We want an increase to the public health grant delivered by local authorities, with part of that funding set out for communities facing the greatest health inequalities. Those communities must be supported by co-designed solutions, including better smoking cessation services, stronger action on air quality and improvements to housing and occupational health. Prevention must be at the heart of our approach. That means investing in primary care, supporting individuals to improve their own health and giving local areas the tools they need to build healthier environments. It is one of the most effective ways that we can reduce pressure on NHS services and deliver better value for money to taxpayers. The Liberal Democrats would also take decisive action on air pollution by passing a clean air Act based on World Health Organisation guidelines and establishing a new air quality agency to enforce those standards. We must do more to ensure access to consistent, high-quality care for those already living with long-term respiratory conditions such as asthma. That includes guaranteeing that people with severe asthma have access to a named GP so that they do not have to constantly retell their story to new clinicians, and increasing the capacity of the Medicines and Healthcare products Regulatory Agency so that new treatments can reach patients more quickly. I was on a Delegated Legislation Committee earlier this week, with the Minister, where the funding for the MHRA was increased. However, it was not clear whether that would speed up the process of getting new medicines to patients. As the hon. Member for Strangford rightly pointed out, the scale of this issue demands urgency. Four asthma deaths every day and a life-threatening attack every 10 seconds are tragedies could be prevented, if only we prioritised respiratory health as we ought to. Will the Minister, therefore, commit to setting aside part of the public health grant to support those communities facing the largest health inequalities? Will the Government propose a new clean air Act based on World Health Organisation guidelines, to ensure those with severe, long-term respiratory conditions are not breathing in harmful pollutants? Finally, when can we expect the publication of the 10-year health plan, and will respiratory health be included? Asthma is not just a clinical issue; it is a question of justice and of whether we are willing to tackle the social and environmental factors that make people ill in the first place. I hope the Minister will reflect seriously on what has been said today.

• 15 May 2025 · Topical Questions · Hansard source

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  Will the Secretary of State accept my warm invitation to visit my constituency and sit in traffic with me so she can experience what my constituents experience morning, noon and night on the A27, which is strangling economic growth in the area and preventing investment?

• 15 May 2025 · Business of the House · Hansard source

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  There has been real interest in Westminster Hall debates on maternity services and the recently announced closure of the maternity service and special baby care unit at Yeovil hospital. Will the Leader of the House commit to time in the Chamber to debate the failure to implement in full the Ockenden recommendations that would see the improved maternity care we need across the UK?