NHS 10-Year Plan

Marsha De Cordova Excerpts

Thursday 3rd July 2025 Commons Chamber

[Wes Streeting]

I thought for a moment there that the hon. Gentleman, having called for the plan, was going to write it. I can reassure him that he has covered all the right areas; I am delighted that he is as enthusiastic as we and the whole cancer community are about the plan. We deliberately did not go into specific conditions in the 10-year plan for health, because otherwise it would have turned into a Christmas tree, with every condition group trying to attach its bauble to it, but it is really important that this 10-year plan creates the rising tide that lifts all ships—including, as he notes, not just common conditions, but the rare ones too.

[Marsha De Cordova (Battersea) (Lab)]

I congratulate the Secretary of State on bringing forward a bold and ambitious plan for our national health service. We know that by 2050 there will be up to 4 million people living with sight loss, so we also need eye healthcare that is fit for the future. Can my right hon. Friend tell me that his plan will end the postcode lottery, join up primary and secondary care, tackle the challenges with the workforce and provide a proper high-quality sight loss eye care pathway and investment in research and innovation, so that we can end avoidable sight loss once and for all?

[Wes Streeting]

I congratulate my hon. Friend on her consistent campaigning on this issue, which has done so much to keep it on the national agenda. We will support more eye care services being delivered in the community, helping to create capacity within secondary eye care services too. Patients can be assured that optometrists have the training to manage a wide range of eye conditions safely in the community. We will also support improved IT connectivity between primary and secondary care, which has been shown to improve the referral and triage of patients, and enable the better use of technology to support local services.

Of course, there are still challenges: ophthalmology is one of the largest out-patient specialties, representing 8% of the total NHS waiting list, and the Royal College of Ophthalmologists workforce census found that 76% of units do not have enough consultants to meet demand. We will address those issues; we are working across both the public and the independent sectors to ensure that people receive the care they need, when they need it. A lot has been done but, as my hon. Friend says, there is so much more to do.

Terminally Ill Adults (End of Life) Bill

Marsha De Cordova Excerpts

Report stage
Friday 13th June 2025 Commons Chamber

[Dr Spencer]

I think I am pushing it.

I tried to intervene on the hon. Member for Spen Valley (Kim Leadbeater) to ask what she thinks about that. She is welcome to intervene on me now if she has further points to add. Otherwise, I ask the Minister to address those points.

[Marsha De Cordova (Battersea) (Lab)]

I rise to speak to amendment 27, which would require the doses and types of lethal drugs to be properly licensed by the MHRA. It is important that I put it on the record that I do not think the Bill is safe. It does not provide adequate safeguards. Most importantly, it will deepen and exacerbate inequalities. On that, I know that I speak for tens of thousands of disabled people who rightly say, “We need assistance to live, not to die.”

Throughout the passage of the Bill, hon. Members across the House have received many letters and briefings from leading experts, including this week a letter from over 1,000 doctors across all areas of medical practice expressing their clear view that the Bill does not provide answers on how we can improve management of the end of people’s lives. They said that the drugs expected to be used in assisted deaths should undergo rigorous testing and approval, as would be required for any other prescribed medication. Those requirements are missing from the Bill. Indeed, there is nothing in the Bill requiring lethal drugs to be regulated by the Medicines and Healthcare products Regulatory Agency. That is contrary to good medical practice.

Many of us will have heard that in Oregon, complications with drugs used for assisted dying occurred in about 7% of deaths and included vomiting, seizures and prolonged deaths of up to 137 hours. Where is the requirement in the Bill to inform patients about how those risks, including prolonged dying, might be managed? Where is the plan to identify the most acceptable medications? If they have not already done so, I urge hon. Members to consider this letter, signed by many leading experts. If we do not listen to them—the very people who would have to implement the Bill—who will we listen to?

[Sam Rushworth (Bishop Auckland) (Lab)]

On that point, will my hon. Friend give way?

[Marsha De Cordova]

I will not take any interventions.

It is clear that the Bill does not protect vulnerable patients from coercion. In 2021, the UN’s human rights experts raised concerns that, even if assisted dying is restricted to those with terminal illness, disabled and older people may feel subtly pressured to end their lives due to social attitudes and lack of appropriate services and support. Across the House, we know that support for disabled and older people is inadequate. We know that disabled people continue to face disproportionate levels of poverty, isolation and hardship. Until that changes, I urge every Member to think and not vote for the Bill.

Oral Answers to Questions

Marsha De Cordova Excerpts

Tuesday 6th May 2025 Commons Chamber

[Stephen Kinnock]

The hon. Lady raises what sounds like an extremely interesting scheme. She will know that we have a strong commitment in our 10-year plan to shift from hospital to community, and indeed from analogue to digital. The digital aspects of that scheme sound very interesting, so I would be more than happy to take further representations from her.

[Marsha De Cordova (Battersea) (Lab)]

4. What steps he is taking to improve eye healthcare through the 10-year health plan.

[The Minister for Care (Stephen Kinnock)]

My hon. Friend is an outstanding campaigner on this issue, as I am sure everybody across the House is aware. She will know that the NHS England accelerator pilots have shown how improved IT connectivity and a single point of access can speed up eye care referrals and allow more patients to be managed in the community. That is a great example of the shift we want to make from analogue to digital. We are developing the 10-year health plan with input from the public, our partners and health staff, and that of course includes the eye care sector.

[Marsha De Cordova]

I thank the Minister for his response, and I welcome all the work that he and the Secretary of State are doing in rebuilding our NHS. However, we know that there is a capacity crisis within eye healthcare. NHS ophthalmology continues to be the busiest and largest outpatient service. That is essentially what is leading to many people not getting seen soon enough, which is resulting in many of them losing their sight unnecessarily. What we need is a joined-up healthcare plan. Will the Minister ensure that eye healthcare will be part of the Government’s wider 10-year health plan?

[Stephen Kinnock]

My hon. Friend is right that early intervention is crucial, and the interface between the high street and secondary care is a vital part of that. That means having a joined-up eye health strategy. The 10-year plan will have that joined-up strategy at its heart. She will be pleased to know that, since July, ophthalmology waiting lists have dropped by 24,000, so change has begun. There is still a long way to go to dig us out of the mess left by the Conservative party, but it is thanks to the decisions that the Government have made, opposed by Opposition parties, that we are beginning to see that change gaining traction.

Oral Answers to Questions

Marsha De Cordova Excerpts

Tuesday 23rd July 2024 Commons Chamber

[Wes Streeting]

The World Health Organisation is an intergovernmental arrangement. It is of vital importance that, first and foremost, we agree only to things that are in our national interest, but we should not lose sight of the fact that there are lots of things that we need to do together in pursuit of our national interest, from tackling antimicrobial resistance to preventing future pandemic threats. That is exactly what we will do.

[Marsha De Cordova (Battersea) (Lab)]

T10. I congratulate the Secretary of State and welcome him to his post. Eye healthcare services are in crisis due to the Tories breaking our NHS. Ophthalmology is the busiest out-patient service, making up nearly 10% of the entire waiting list. My national eye health strategy will seek to tackle some of these issues, so will the Secretary of State meet me to discuss how we can tackle the eye healthcare emergency?

[Wes Streeting]

I would be delighted to do that. As my hon. Friend knows, we visited Specsavers during the election campaign. There are lots of high street opticians, and they can make a real difference to cutting the backlog. The Conservatives should have gone to Specsavers, and this Government will.