Pippa Heylings MP: speeches

Speeches

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I agree with the hon. Member. I will give one example: the Arthur Rank hospice, which serves all of Cambridgeshire. I had a tour there and saw the work being done by its dedicated professionals. I was informed by its senior leadership that these hikes in national insurance contributions for employers will be the equivalent of £230,000 in additional payroll costs on top of the fundraising that it already has to do. That is money that it does not have. We know from the debate on assisted dying, assisted suicide and the terminally ill how critical palliative care and end-of-life care is. That is one hospice that will struggle severely to deal with these charges. Hon. Members have spoken about the GP crisis. According to the British Medical Association, 1,387 GP practices have closed since 2015 and the NHS has lost the equivalent of 1,333 full-time, fully qualified GPs. Each GP is responsible for an average of 2,294 patients, and about 3 million people have been directly affected in the last decade by shrinking GP numbers. At a time when we desperately need more GPs, we are introducing a tax that risks driving even more practices out of business. It is not just me saying that; I am sure that hon. Members across the House will have heard from GPs in their constituencies. In my constituency of South Cambridgeshire, I have heard from the Harston, Comberton, Queen Edith, Eversden and Melbourn practices. I have spoken in particular to Dr Gee of Harston surgery, who has told me that his practice with 7,600 patients faces a £20,000 bill from April just to maintain its current services—just to stand still.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I thank the right hon. Member. As I mentioned, Arthur Rank hospice in my constituency is one such hospice that should definitely have that compromise. Not only that; we have to look at the whole primary care sector—both GPs and independent care homes—because that is what will winter-proof our NHS. We cannot fix the NHS without fixing social care. The national insurance increases are not just unwise; they are unthinkable. We are in a time of healthcare crisis when people are already struggling to secure appointments. Despite the Government’s assurances, these tax rises will inevitably affect ordinary people. They will particularly hurt those desperately trying to access their local GP and crucial appointments. We cannot and will not fix the NHS by driving its primary care providers into the ground. I urge the Government to engage with our GPs, reconsider and provide immediate reassurance to GP practices, hospices and care homes that they will be protected them from these changes. Without those frontline services, the NHS stands no chance of coming off life support.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I agree with the hon. Member. I know that the Government are in conversation with GPs, but GPs are writing to us saying that they are seriously concerned. The GP in Harston said: “GPs cannot raise prices or operate at a loss.” They have not had clarification or confirmation from the Government about how funding that is to be given to others in the public sector will be available to them. Just at the critical time when GPs are coming to their annual spending reviews and budgeting, the Government are bringing them this uncertainty. GPs do not feel that they are getting the right messaging or any kind of clarity that will save people’s jobs.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I beg to move amendment 1, page 1, line 2, at beginning insert— “(A1) In section 9(1A) of the Social Security Contributions and Benefits Act 1992, before paragraph (a) insert— “(za) if the employer is a specified employer under subsection (1B), the specified employer secondary percentage;” (A2) After section 9(1A) of that Act insert— “(1B) A “specified employer” means— (a) a person providing a care home service or a domiciliary support service who is regulated under— (i) Part 1 of the Health and Social Care Act 2008, (ii) Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016, or (iii) Part 5 of the Public Services Reform (Scotland) Act 2010, (b) a person contracted to provide primary care under the provisions of— (i) Part 4 of the National Health Service Act 2006, (ii) Part 4 of the National Health Service (Wales) Act 2006, or (iii) sections 17J to 17O of the National Health Service (Scotland) Act 1978, (c) a person contracted to provide general dental services under the provisions of Part 2 of the National Health Service (General Dental Services) Regulations 1992, (d) a person contracted to provide pharmacy services under the provisions of— (i) Part 7 of the National Health Service Act 2006, or (ii) Part 8 of the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013, or (e) a charitable provider of health and care, or (f) a person providing hospice care whether in a hospice or elsewhere. (1C) For the purposes of this Act, the specified employer secondary percentage is 13.8%.”” This amendment, together with Amendment 2 provides that care providers, NHS GP practices, NHS commissioned dentists, NHS commissioned pharmacists, charitable providers of health and care, and those providing hospice care would continue to pay contributions at current rates.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I agree. What the hon. Member says is critical, and I will come on to the situation with our GPs. The Lib Dems continue to highlight the point that to fix the NHS, we have to fix the social care crisis. Freeing up hospital beds requires us to fix the social care sector. According to research, 60% of the UK’s care home beds are provided by private companies, which are on the brink of bankruptcy and are being tipped over the edge thanks to these changes and rises in employers’ national insurance contributions. We do not understand how that can align with the plans of the Chancellor and the Health Secretary to alleviate pressure on hospitals and ensure effective healthcare delivery.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  I agree with the hon. Member. In my constituency of South Cambridgeshire, we had the tragic situation of four much-loved, much-respected family doctors handing back their contracts. It happened at East Barnwell surgery, to the distress of those GPs and all their patients. That is because of the contract, and due to failures by the previous Conservative Government to understand in the GP funding formula what deprivation as well as age demographics mean in that contract. On top of that, the hikes in employer national insurance contributions have driven them over the edge.

• 17 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  These hikes in employer national insurance contributions are not just numbers on a spreadsheet, but will have real and damaging consequences and will strike at the heart of small and medium-sized businesses, which are the backbone of our economy. In my constituency in South Cambridgeshire, we have one of the highest densities of small and medium-sized enterprises, principally in the biotech and life sciences sector, which is a growth area for our economy. It is critical that we get this right, and I have heard from the sector that it is troubled by this legislation. More worryingly, the consequences will extend to our social and healthcare sectors, which are already under immense strain. GP surgeries and care homes across the UK are at risk of being severely impacted. Those are essential frontline services, which are essential to supporting the NHS and to fulfilling this Government’s mission of moving from treatment to prevention, and from hospital to community. How can we expect to tackle the backlog in routine operations, and how can we deal with the winter waiting lists at accident and emergency, and with so much pain and anguish, if the primary care providers that form the foundation of our healthcare system are being undermined by this tax increase?

• 17 Dec 2024 · Warm Homes Plan · Hansard source

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  After the Conservative Government’s failure to tackle insulation, fuel poverty is on the rise. In my constituency, almost 20% of households with young family members—those between five and 10 years—are fuel poor, living in cold, damp houses and choosing between eating and heating. While we await the warm homes plan that will deal with upgrading current housing stock, will the Minister meet the Minister for Housing and Planning to ensure that all future homes will come forward with an energy rating that is a minimum of C or higher, but not beyond 2025 for the future homes standard?

• 17 Dec 2024 · Community Energy Projects · Hansard source

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  It is so good to hear the Minister affirm the need to bring the public onside, as well as private sector investment, to achieve the transformation towards green power and net zero. The Liberal Democrats support Great British Energy if community energy is at the centre of the Great British Energy Bill. Our colleagues in the Lords are debating amendments relating to direct participation in and benefit from community energy. Will the Minister agree to those proposals if they come to this House?

• 16 Dec 2024 · Israel and Palestine · Hansard source

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  Does my hon. Friend agree that it is unjustifiable to continue the sale of arms to Israel, especially now that there are concerns about its compliance with international humanitarian standards? The United Nations Relief and Works Agency cannot deliver desperately needed aid to Gaza because of the aggression of the Israel Defence Forces towards its aid workers, and we need to deal with that.

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I am grateful for the opportunity to address this critical issue that affects so many families and carers, not just in my constituency but across the country. I rise to speak up for all those who feel they are not being heard and to speak about the crisis in the provision of special educational needs and disability support, particularly for children and young people with autism spectrum disorder or attention deficit hyperactivity disorder. This crisis is failing children and young people, their families and carers, the professionals who support them, and society as a whole. Before I proceed, I thank all the courageous parents and carers who have taken the time to tell me their stories. Some of them have come to Westminster today to be with us in the Gallery. I pay special tribute to the staff from schools in my constituency, including Bassingbourn, Melbourn and Hauxton primary schools, who have taken the time to attend this critically important debate and are with us in the Gallery. I was privileged to meet staff at Bassingbourn primary school, where I witnessed at first hand the inspiring work undertaken by dedicated and caring professionals, who are creating safe spaces, such as the hub. I saw for myself the calm and trusting relationships built with students, and heard about the difference that the hub makes for students. Rather than spiralling into disruptive behaviour or not even being able to make it through the door to registration some days, students are now seeking out the hub as a space to ready themselves for registration or to take time out before going back to class. The headteacher, staff and the SEND co-ordinators go above and beyond, often making miracles happen on very limited budgets. However, let me share the words of one dedicated professional from my constituency, so that the House can hear what the current crisis is leading to. She says: “On a daily basis I am setting up, delivering and helping other Teaching Assistants to deliver bespoke curriculums for children with SEND as they are mostly educated outside the classes of their peers. We do not have a special unit for them, we are just accommodating them as best we can in quieter areas of the school, including corridors, because they are not able to work in the noise and business of a primary classroom. The needs of these children vary though they all need 1:1 TAs to help them and others stay safe, regulated and learning throughout the day. At present we have two non-verbal children with an Autism diagnosis who, years ago, you would not have expected to see in a mainstream school. Up until this week I have believed that I was doing the right thing trying to make sure they are happy and secure and genuinely learning and making progress with us.” That professional is now questioning the very fundamentals of her profession as a result of the heartbreaking experience of those children when they are facing key transitions: starting school, primary to secondary, getting to 18, 18 to 25 and afterwards. One of the children she had been working with was excluded a few days after starting secondary school because their behaviour was not manageable. In her words: “It broke my heart to hear from her Mum what she had gone through in such a short time in mainstream Secondary and I knew at once that she must have been so frightened to have behaved as she did. The child was subsequently at home for most of the remaining school year receiving education from a tutor paid for by the Local Authority—after her parents fought hard and demanded it—and then was finally given a place at their local special school in the summer. What I now understand is that the broken system means that a child has to fail in a very distressing way before they are given the provision they need. I could not sit by and see another child I have known for many years go down the same path with all the knowledge of how damaging the experience will be for them without saying something about it!”

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I could not concur more. Over the past decade or more, we saw chronic under-investment from the Conservative Government, despite the needs having been recognised in statute, and that has left us in this pressure point situation. We are now seeing the results of that. I have also been told that this is a time bomb, because we will see the impacts in the future in the quality of life, in opportunities, in the NHS and in social services—in all services really—if we do not deal with this situation. I have also been told about the situation for siblings. When a child is not given the support that they need in school, young carer siblings are often drawn out of their class and asked to be with their sibling during their lunch break or lessons. There is an impact on all those affected.

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I will come on to what I think is a postcode lottery. We see regional disparities in the care and provision given, so I thank the hon. Member for raising that point. For many, the wait to get assessments for education, health and care plans can be months, if not years. Lord Darzi’s investigation of the NHS in England notes, “Waiting lists for community services and mental health have surged.” The report also mentions how “Demand for assessments for ADHD and Autism have grown exponentially in recent years”, with children disproportionately represented among them. Recent research found that 200,000 children in England are struggling to get an education, health and care plan. That is 200,000 families left in uncertainty, desperate for help and struggling without the support they need. Cambridgeshire currently has 8,033 students with EHCPs—a 51% increase in the last five years—and of those, 2,593 plans primarily address autism spectrum disorder. Indeed, I was told by the chief executive of Cambridgeshire county council that there has been an increase of 270% in the number of children presenting with autism. Requests for education, health and care needs assessments have risen faster than the national average. Why? We think that is driven by greater awareness of SEND and the statutory responsibilities of local authorities, the impact of the covid pandemic and the overall increase in mental health issues for children, even at a very young age. Those numbers help to underline the scale of the issue, but we should not get drawn purely into statistics and figures, because behind every number and every percentage there is a child, a family or a sibling being failed every single day. I come to the issue of disparity that the hon. Member for Congleton (Mrs Russell) mentioned. Families who can afford to seek private neurodevelopmental assessments tend to receive help much faster than those who are reliant on public services. For the rest, it is a postcode lottery. NHS England data reveals stark regional disparities in waiting times for diagnosis. For example, the north-west region has the longest average wait of three years and four months, from referral to diagnosis. We therefore have a health inequality element to this too, as certain groups of children are less likely to have their needs identified or met, punished just because of where they live. For some children, mainstream schools are simply not suitable, and parents and carers bear the brunt of that reality, managing reduced timetables, enduring repeated exclusions and watching their children receive only a few hours of education each day.

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I could not agree more with my hon. Friend. The Carers Trust has provided us with these stories and pointed out that we really need to collect this evidence. It would be easy to point the finger at local councils and say that this is their failure, but, as we have said, they are stretched to their limits by a chronic lack of funding. We have heard that f40, the cross-party local authority campaign group, has estimated that an additional £4.6 billion of annual SEND revenue is required to meet the current need, yet most of our county councils face a black hole in their budgets. One issue is the training and retention of educational psychologists, because they and council workers are overwhelmed. Turnover rates are high and burnout is common, which leads to an exacerbation of those waiting lists.

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I agree with the hon. Member. My constituency of South Cambridgeshire also has among the lowest per-pupil funding, which exacerbates the fact that, even though we have EHCPs, most of them are not funded to the amount that is required for each of those students. That compounds the situation that our amazing schools are trying to deal with. Let me return to educational psychologists. Cambridgeshire county council has 17.5 budgeted educational psychologist roles, but 6.4 remain vacant due to a national shortage and the fact that psychologists can get better pay in other jobs and other places. We are seeing an inability to fill those roles and to support psychologists. The Liberal Democrats are calling for a national body for SEND to end the postcode lottery faced by families of children with the highest needs. That would include looking at immediate Government action to prioritise early diagnosis and support for children with SEND, and to increase funding for diagnostic services.

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  Absolutely; I am here to pay tribute, as is everybody, to what teachers are doing, both with regard to the failure of the previous Government and with the current situation. Let us get to what is happening with the current Government. Every child deserves access to education to get the best start in life and build a strong foundation that can provide valuable skills that allow them to thrive. That is not the case for all children across the country and particularly not for those with autism spectrum disorder and ADHD. Every professional I have spoken to agrees that early diagnosis and support are essential.

• 12 Dec 2024 · SEND Provision: Autism and ADHD · Hansard source

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  I thank my hon. Friend for raising one of the complex issues around this provision. While we support the current Government’s additional allocation of funding to this critical area, we really want them to look at the fact that it is not just about mainstream provision; it is also about specialist provision. As she says, we must look at all types of provision, because this is complex. Even if support is given in mainstream schools, it is often on very reduced timetables, which means that parents and carers are unable to work and be productive for society, because they are either covering the spaces in that provision, unauthorised or otherwise, in other settings, or covering for the times when the school cannot provide timetabled support. I return to what the Liberal Democrats think we should have: a national SEND body, an urgent increase in diagnostic services, action to address the chronic lack of educational psychologists, targeted resources for local authorities to improve their capacity, support for our schools and for more special school places, and interim support measures for children awaiting diagnosis so that they do not fall through the cracks. The Lib Dems have always said that we need mental health professionals in every school. It is great to hear the Government talk about mental health professionals in secondary schools. We have heard about the need in primary schools, so let us get in there early too. A capacity for early diagnosis and management means, as somebody said to me, in the words of Desmond Tutu, that we can stop pulling people out of the river, and instead stop them falling in the river in the first place. Once again, I pay tribute to all the amazing parents and carers who have spoken to me, and the amazing teachers, headteachers and SEND co-ordinators who are working in this area.

• 3 Dec 2024 · Georgia · Hansard source

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  I have met young Georgians here in the UK who are watching with desperation, fear and depression as legislation on foreign influence restricts their rights, the media and organisations dealing with all sorts of development rights. They are also seeing their colleagues brutally repressed on the streets as they try to have freedom of association and to keep what is enshrined in their constitution—movement towards EU accession—as it is being ripped away from them. What can the Minister say to those young people? Will she and the ambassador be open to meet them? They are in a terrible state of anxiety right now.

• 3 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  Will the Minister give way?

• 3 Dec 2024 · National Insurance Contributions (Secondary Class 1 Contributions) Bill · Hansard source

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  Will the hon. Member reassure the GPs in my constituency, in Harston, Comberton, the Eversdens, Melbourn and Queen Edith’s, who have sought reassurances that the Government do not intend to threaten the viability of thousands of NHS general practices through these charges?

• 3 Dec 2024 · Economic Investment · Hansard source

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  Last week, I joined a biotech boot camp in South Cambridgeshire. Although the investors and entrepreneurs recognise and welcome the research and development budget announced in the Budget, they said it is a reduction from 2021. Does the Chancellor recognise that we need to increase investment in R&D to encourage long-term investment in our leading services?

• 12 Nov 2024 · Topical Questions · Hansard source

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  The US President-elect, Donald Trump, has repeatedly called climate change “a hoax”. I share the concerns of young people in South Cambridgeshire that these views represent a threat to our efforts to tackle climate change. The global community is meeting right now at the international climate summit in Azerbaijan—COP29. Does the Minister believe and share with me the view that the UK must rebuild its leadership by getting back on track with our climate and nature targets?

• 12 Nov 2024 · Warm Homes Plan · Hansard source

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  Homes in the UK are among the least energy-efficient in Europe, with unparalleled health, productivity and carbon emission costs to society, as a result of the last Government’s failure to act. I agree with the Minister: it is a disgrace that this is happening in one of the largest economies in the G7. We welcome the news of the warm homes plan coming next year, but does the Minister agree that an emergency home insulation programme this winter, with free insulation for people on low incomes, is necessary so that people in South Cambridgeshire do not have to face the choice between heating and eating?

• 11 Nov 2024 · Rural Affairs · Hansard source

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  Does the hon. Gentleman agree with me and David Walston from Thriplow in South Cambridgeshire that the impact of house prices and infrastructure means there is a complete disconnect between land value and income, which is affecting—

• 30 Oct 2024 · Budget Resolutions · Hansard source

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  It is so inspiring for women and girls across the country to have heard the first female Chancellor deliver her Budget today. As Liberal Democrats, we will always welcome those parts of the Budget that aim to take the NHS off life support after so many years of under-investment by the last Conservative Government. It is good to hear those commitments today. If we are to fix the NHS and bring down the disastrous treatment and appointment backlogs that are causing incredible suffering to constituents across the country, we need not only to repair hospitals with crumbling roofs but to build new ones, and urgently, because progress has been far too slow. We all knew that the new hospitals programme was ambitious but, sadly, the Conservatives failed. Originally, 40 new hospitals were promised by 2030, but not one of them has yet opened. In a cruel irony, we find ourselves with a backlog of hospitals waiting to be built, with no assurances in this Budget on how many will be funded. In my constituency, the cutting-edge Cambridge cancer hospital, with its great ambition to change the story of cancer forever, will offer lifesaving treatment to patients across the east of England, including, I hope, my husband. What really sets it apart is that in the same building, alongside the patients and their medical teams, academic and industry researchers will focus on delivering groundbreaking early detection and innovations that will transform the lives of millions of cancer patients, not just in Cambridgeshire and the east of England but worldwide. However, this new hospital is trapped in uncertainty. Despite having had a full business case approved, planning permission granted and spades in the ground, this essential hospital is on hold. Every day that we wait for the final green light, the costs escalate—not only the cost of the building but, potentially, at the cost of human lives, too. The Government have placed these hospitals that were promised in 2019 under review, because despite their promises the Conservatives never allocated the necessary funding. We wait with bated breath for the final decision, which is now set for January 2025. I had the pleasure of meeting the Secretary of State for Health and Social Care to discuss the situation facing the Cambridge cancer hospital in my constituency. I received assurances that funding to support the costs of the contractor is still being paid. Will the Chancellor commit finally to allocating the funding necessary for the Cambridge cancer research hospital, so that the promises to all those in the east of England and beyond who are desperate for groundbreaking, lifesaving cancer treatments are not broken once again?