Oral Answers to Questions

Alistair Strathern Excerpts

Tuesday 25th November 2025 Commons Chamber

[Stephen Kinnock]

I thank the hon. Gentleman for his question. I notice he did not welcome the fact that we are supporting the hospice sector with a £100 million capital funding boost and £80 million in revenue funding for children’s hospices over three years. We also notice that Conservative Members do like to welcome the additional investment generated from the last Budget, but they do not seem to welcome the means by which it was generated, so I would say to them: what would they cut or what taxes would they put up to pay for what we are doing to get our NHS back on its feet and fit for the future?

[Alistair Strathern (Hitchin) (Lab)]

I welcome the Government’s commitment to a strategy for palliative care, which is as overdue as it is important, but it will mean nothing for hospices that are not able to last out until it comes into effect. Garden House hospice in my constituency is facing a crucial funding shortfall, and although the capital funding from the Government that came through earlier this year is incredibly welcome, it is still just short of filling the cash-flow gap it needs to fill to secure its operations. Would the Minister meet me to see what further work the integrated care board may be able to do to protect this vital hospice serving my constituents?

[Stephen Kinnock]

I am very pleased that the measures we have taken have provided financial support. I absolutely recognise the challenging financial position, and I would of course be more than happy to meet my hon. Friend to discuss that further.

International Men’s Day

Alistair Strathern Excerpts

Thursday 20th November 2025 Commons Chamber

[Alistair Strathern (Hitchin) (Lab)]

I start with a thank you to my hon. Friend the Member for Cannock Chase (Josh Newbury) for the incredible way in which he opened the debate. Securing it was important enough, but the bravery that he has shown today, as well as the leadership that he has shown on so many of the issues he spoke to in his speech, will perhaps serve men right across the country far better in the future than politics has managed to do in the past. It is a day after International Men’s Day, but I cannot think of a better model of a modern, strong man than the vision of himself that he set out today, in being so brave in sharing that deeply personal experience with us all.

As my hon. Friend finished, I want to start with a dad joke—as we know, all good jokes need some forewarning. Last week, I went to the Library—I do not know why in this place, but I wanted to find a book on paranoia. I went up to the librarian, tapped her on the shoulder and asked her where I might be able to find one. She leaned over to me and whispered, “I am afraid, sir, they’re all right behind you.” [Hon. Members: “Oh.”] That is as good a reaction as my jokes get in this place—it is great to see everyone else lowering themselves to my level for one day.

The point behind the campaign is a really important one: paternity leave in this country is a bit of a joke. When I have held events with new mums, new dads and new parents across my constituency, it has been heartbreaking to hear about the impact that the challenge of paternity leave has on them. I have seen mums with high-risk pregnancies along with dads struggling to see whether they will be able to take off enough time before the birth—let alone after—to be there to support them. New mums have told me heartbreaking stories of how they have had to go through caesarean recoveries alone after the dads had to return to work. That cannot be good enough. As progressives, the statutory paternity leave offer, which is so narrow and tight that only some of the wealthiest in society can really take it up, should not be good enough for us. We have to do far better. I really hope that we will make the most of the upcoming paternity and parental leave review to put that right.

As so many have already said, that is not the only issue failing men today. As was identified in yesterday’s landmark announcement, men’s mental health, its issues and strategies have not been forensically focused on in this place for far too long. I know about that from my own challenges, after a bad concussion left me out of work for the best part of six months. I was unable to comprehend and struggled to read at times—some Members might be wondering what has changed. While I can joke about it now, it was no laughing matter at the time.

I was lucky that I had friends who pointed out the fact that my symptoms went well beyond concussion; I was getting quite deeply depressed. They ensured that I got the right support and guidance to get back to work and feel comfortable and confident in myself again. While all I can do to thank Joe, George and Alex is put their names on the record and forever associate them with me—a dubious privilege I am not sure they will be so grateful for—I want to highlight the importance of making sure that no man should ever be in the position of having to go through such a challenge alone.

I am lucky to have great groups in my constituency such as For Men to Talk in Hitchin, Stotfold’s men’s health walking group, and the great group in Shefford, where I live, run by Steve Coxon. They are there to ensure that men have spaces where they can reach out. That is why it is so important to see investment in these groups and a wider community approach to men’s health front and centre in the strategy.

We know that we need to do far more. The fact that this strategy was the first of its kind speaks to a wider problem in our politics—that at times we shy away from being confident in speaking to the challenges that affect men particularly and specifically. As progressives, this should be our fight. We should be making sure that society is there for vulnerable lads at school and dads and mums going through vulnerable births. We should make sure that we are there for men at the darkest moments of their lives. These are big progressive causes, and we should be comfortable taking them on and being loud and proud about speaking to them.

At the end of the day, men’s issues are issues not just for men but for everyone. We all have men and women in our lives, and we should all be passionate about policies that tackle the challenges they face. We should be full-throated and proud in not shying away from them.

Oral Answers to Questions

Alistair Strathern Excerpts

Tuesday 25th March 2025 Commons Chamber

[Wes Streeting]

Phase 1 of the Casey commission reports next year and the final Casey report is due by 2028, but the Chancellor has already announced an increase in funding for social care in the Budget, through means that the hon. Lady’s party regrettably seems to oppose.

[Alistair Strathern (Hitchin) (Lab)]

T3.   It is impossible not to be inspired by my constituent Hayley and the bravery of her daughter, Lily, after Lily was diagnosed with an optic pathway glioma at the age of just one. Hayley stepped back from work not just to look after Lily but to make sure she was able to campaign for change. The Government’s commitment to a national cancer plan is welcome, but with brain tumours not typically being staged or screenable, how can we ensure that they are not overlooked as part of the plan’s development?

Oral Answers to Questions

Alistair Strathern Excerpts

Tuesday 11th February 2025 Commons Chamber

[Stephen Kinnock]

Our commitment to improving SEND conditions is universal. We are looking at this from the point of view of improving provision right across the country. I am very pleased that the PINS programme is making progress. I draw the hon. Lady’s attention to the early language support for every child—ELSEC—programme, in which nine pathfinder sites over two years will provide early identification, and targeted and universal support for children with speech, language and communication needs in early years and primary school settings. We are working very closely with colleagues across the Department for Education and NHS England on that.

[Alistair Strathern (Hitchin) (Lab)]

Local authority resources are a big driver of some challenges in the SEND system, but it is clear to anyone working in it that a systemic under-prioritisation of children’s health, all too often by local NHS trusts, is a big contributing factor. Young people right across my constituency waiting for assessment and lacking support are paying the price. As part of our 10-year plan to reform the NHS, how will we ensure that children’s health is front and centre again, with much more support for people with additional needs?

Health and Social Care: Winter Update

Alistair Strathern Excerpts

Wednesday 15th January 2025 Commons Chamber

[Wes Streeting]

I am grateful to the hon. Member for her question and for showing off her constituents’ uptake—that is exactly what we want. Perhaps ahead of next winter, we should launch a parliamentary competition: who can boost uptake most in their constituencies? We will think about the prize.

More seriously, I am always glad when the pressure is to expand access to vaccines—that is exactly the sort of pressure that we want. We follow advice from the Joint Committee on Vaccination and Immunisation. We will review the experience this winter, and the JCVI will review evidence and data this winter and make recommendations, which we will take into account.

[Alistair Strathern (Hitchin) (Lab)]

The dire state that the last Government left the NHS in was all too apparent, tragically, to many of my constituents who needed it last winter. My 85-year-old constituent admitted with breathing difficulties had to wait over 30 hours in a chair because there were no beds available, and they were far from alone in that indignity and prolonged suffering. They should not have to tolerate it, and I certainly will not as their MP. I welcome this Government’s action and leadership on ending the doctors’ strike and investing in more appointments, but what more will the Secretary of State do to ensure that, next winter, many more of my constituents are not suffering from the same challenges?

[Wes Streeting]

I am extremely grateful to my hon. Friend for the spirit of his question. That is exactly how this Government are approaching planning for next winter. I want year-on-year improvement in NHS performance, particularly our response to winter pressures. Of course, there are seasonal variations in infectious diseases, inclement weather and all sorts of other pressures that can impact on NHS services, but the system should be resilient enough to withstand pressures in any given winter. It will take time to get back there, but that is why the Government are already planning for next winter, learning from experience—what has worked well and what has not—so that we can continue to deliver for the people of this country and improve the national health service and social care services.

Oral Answers to Questions

Alistair Strathern Excerpts

Tuesday 7th January 2025 Commons Chamber

[Nesil Caliskan (Barking) (Lab)]

3. What assessment his Department has made of the adequacy of patient access to primary care services.

[Alistair Strathern (Hitchin) (Lab)]

9. What assessment his Department has made of the adequacy of patient access to primary care services.

[Calum Miller (Bicester and Woodstock) (LD)]

10. What recent steps he has taken to increase access to GP appointments.

--- Later in debate ---

[Wes Streeting]

Thank you, Mr Speaker. I would be delighted for my hon. Friend to meet me or the relevant Minister. The NHS has a statutory duty to ensure sufficient services in each local area, including general practice, and it is vital that we also take into account population growth and demographic changes. I strongly support the Deputy Prime Minister’s commitment to delivering 1.5 million new homes, and she and I know that that must be accompanied by local healthcare facilities. We are working together to achieve just that.

[Alistair Strathern]

I really welcome this Government’s focus on making sure everyone can see a GP when they need one. The crisis in GP provision nationally has been exacerbated by the failure under the last Government to ensure that primary care investment has kept pace with housing growth. With such a low share of integrated care board capital funding allocated to primary care by the last Government, how can we make sure we do much better in ensuring that GP capacity expands at the same time as local growth?

[Wes Streeting]

My hon. Friend has been raising these issues with me since before he was elected to this place on behalf of the communities he represents. As I said to my hon. Friend the Member for Barking (Nesil Caliskan), we must make sure that additional housing—which is desperately needed—is accompanied by health and care services. The Deputy Prime Minister and I are working together to achieve just that, and thanks to the decisions taken by the Chancellor in the Budget, we are able to invest in the health and care services that this country needs and deserves.

Hospice Funding

Alistair Strathern Excerpts

Thursday 19th December 2024 Commons Chamber

[Karin Smyth]

The commissioning of those services is the responsibility of the ICBs, and we expect them to do that. They are responsible from diagnosis to end of life. In the past few months, I have met many hon. Members from across political parties to discuss issues in their ICBs. I know that he will, like others, be assiduous in pursuing the ICB to ensure that funding goes to the right place.

[Alistair Strathern (Hitchin) (Lab)]

I wish you, Mr Speaker, and the fantastic staff across the estate a happy Christmas.

I thank the Minister for the way in which she and her team have listened to me and colleagues, who arrived in this place with real concern about the state of palliative care after years of under-investment by the previous Government. The funding announced today will be welcomed by Keech hospice and Garden House hospice, which provide fantastic palliative care for constituents in and around my area. Will she join me in thanking them for the fantastic work that their staff and volunteers do all year round to support people in incredibly difficult moments in their lives? Will she also assure them that palliative care will remain at the front and centre of the Government’s mind in the difficult work of getting health services working again?

[Karin Smyth]

I am happy to support my hon. Friend, who makes an excellent point, in his work with local providers. He congratulates me, but the work has been done mainly by the Minister for Care, my hon. Friend the Member for Aberafan Maesteg (Stephen Kinnock), and by the Secretary of State, who have personally taken on this issue. They are visiting hospices today, so they could not be here even though they wanted to. We are committed to supporting people throughout their life, from diagnosis to end of life.

Oral Answers to Questions

Alistair Strathern Excerpts

Tuesday 23rd April 2024 Commons Chamber

[Alistair Strathern (Mid Bedfordshire) (Lab)]

15. What steps she is taking to improve patient access to primary care.

[Kerry McCarthy (Bristol East) (Lab)]

19. What steps she is taking to improve patient access to primary care.

[The Parliamentary Under-Secretary of State for Health and Social Care (Dame Andrea Leadsom)]

We are enormously grateful for the work of GPs in delivering 64 million more appointments nationally than in 2019. Our primary care recovery plan enhances GP access by expanding community pharmacy services nationwide. Some 98% of community pharmacies have signed up to the Pharmacy First offer, with over 125,000 consultations claimed in the first month.

[Alistair Strathern]

Across Bedfordshire, we suffer from patient to GP ratios that are well in excess of the national average; high housing growth is simply not matched by GP capacity. At Wixams, we have been able to break through 15 years of deadlock by putting stakeholders together, but issues still remain across the county. From Shefford to Stondon, heartbreaking stories are commonplace. The issue is not ICB-specific; it affects people right across the country. What more can we do to ensure that areas with high housing growth have the GP capacity that residents deserve?

[Dame Andrea Leadsom]

The hon. Gentleman raises a really important point. He may be aware that the Bedfordshire, Luton and Milton Keynes ICB received £36 million for its operational capital budget in 2023-24, with over £118 million for this spending review period. That operational capital is core funding provided to ICBs for delivering primary care, among other things. In addition, he will be aware that ICBs are able to provide input to planning permissions to ensure that primary care is delivered where there are new housing developments. I have worked with other hon. Members across the House to tackle this issue, and I am very happy to meet him to discuss it further.

Oral Answers to Questions

Alistair Strathern Excerpts

Tuesday 5th March 2024 Commons Chamber

[Victoria Atkins]

I understand the concerns—we have seen them in the media—but, please, we in this House have a responsibility to our constituents and to professionals working in healthcare, including our clinicians and physician associates. In fact, physician associates have been working in the NHS for some two decades. They are there to work with doctors to assist them, freeing up doctors’ time to focus on the tasks that only they are qualified to do. We have been very careful to listen to the concerns raised, which is why we recently announced intentions to regulate them. But, please, we must all take that responsibility for ensuring that we are not spreading concern. Actually, these roles can have a very positive effect on healthcare system.

[Alistair Strathern (Mid Bedfordshire) (Lab)]

My constituents are fed up with battling to see a GP. I have been working hard across party lines with local councillors and the ICB, but I was surprised to hear from the Prime Minister in response to a question last week that only £2 million was allocated to my ICB for primary care, and that it should raid its hospital refurbishment budget instead. Could the Secretary of State advise me which part of the much needed hospital investment should be overlooked to compensate for the failure to invest in primary care locally?

[Victoria Atkins]

Again, it is for integrated care boards to assess the needs of their area. If there are concerns about access to primary care, we are keen to give them the autonomy to make decisions about how they spend their budget. We have set expectations of integrated care boards in a couple of respects—in particular, we expect them to use the money that we have provided for dental care and we have set clear expectations that integrated care boards will introduce at least one women’s health hub in their area this year.

NHS Dentistry: Recovery and Reform

Alistair Strathern Excerpts

Wednesday 7th February 2024 Commons Chamber

[Victoria Atkins]

My ethos is to make our NHS and social care system faster, simpler and fairer, and not just for patients but for practitioners. We do not want bureaucracy to get in the way of the delivery of these services, and I am impatiently keen to get them up and running in Members’ constituencies, so we will ensure that we make it is easy as possible for dental practices to use them.

[Alistair Strathern (Mid Bedfordshire) (Lab)]

I am sure that fellow former teachers who are here today will have memories of the disappointment they felt when, after repeated delays and excuses, a student finally handed in some work, only for it to turn out to be not just a copy of someone else’s work, but a pretty poor one at that. After so much delay and uncertainty, dentistry is at breaking point, so any progress, however late, has to be welcomed. But every local professional network I have met has stressed the need for fundamental reform of the dental contract so that things can get done. Given that this Tory Government have been in place for 14 years, why will the Minister not commit herself to finally reforming the contract and providing the boost to dentistry that my constituents so desperately want to see?

[Victoria Atkins]

I think it is very courageous of any Labour Member of Parliament to talk about education, because we know just how dire the education results are in Labour-run Wales. Yes, I have committed to reform of the dental contract, and we will deliver these services immediately because we want to deliver results for the hon. Gentleman’s constituents as well as ours.