Therapeutic Play and Children’s Healthcare

Calvin Bailey Excerpts

Tuesday 6th January 2026 Westminster Hall

[Mr Calvin Bailey (Leyton and Wanstead) (Lab)]

I beg to move,

That this House has considered therapeutic play and children’s healthcare.

It is a pleasure to serve under your chairmanship, Mrs Harris. I thank all colleagues who have joined us to support this debate, and in particular my hon. Friend the Member for Hitchin (Alistair Strathern), who I hope to hear from later. As all good stories begin, I was enjoying a beer at the Wanstead Tap during the Wanstead festival when I met one of my constituents, Sarah Owen. We spoke about our experiences of observing children suffering from cancer: I spoke about watching my teenage sister’s experience, and Sarah spoke about her experiences of her son, Hari. It is their story, and what it says about how the NHS can work better for children and their families, that I will highlight today. I am pleased to welcome Sarah and Hari, who are watching proceedings from the Public Gallery.

When we met, Sarah told me about the massive difference that play made to Hari’s care after he was diagnosed with leukaemia, aged just four. Suddenly he was plunged into a confusing whirlwind of surgery, blood transfusions, chemotherapy and, in between, separation and isolation. He was confined to a tiny room without much space and afraid to get out of his bed. A four-year-old’s life is centred around play. When their world is turned upside down after a diagnosis, play can be the only thing that removes the trauma from hospital treatment and makes it as smooth as possible. That was proven for Hari when the health play specialist arrived in that little dingy room, bringing a play mat, a tray of colourful Lego, a box of track and Thomas the Tank Engine.

[Tom Hayes (Bournemouth East) (Lab)]

My hon. Friend is describing some of the approaches that I have recently been honoured to see in action at Poole hospital. Does he agree that play professionals in our healthcare settings need proper support? Does he also agree that the Government should include health play professionals in the NHS workforce plan and make health play a registered allied health profession? I also note that the all-party parliamentary group on play, which I chair, is set to look at health and play.

[Mr Bailey]

I agree with my hon. Friend, who is a leader in this area through his chairship of the APPG on play. We are all grateful for that, and for the significant impact he has made for his local hospital and for play more broadly.

[Jim Shannon (Strangford) (DUP)]

The Ulster hospital, which is near my constituency of Strangford in Northern Ireland, makes sure that there is no medical equipment in some of the rooms. That allows children to relax, play, read and draw, and helps to reduce the anxiety associated with hospital stays and treatment. The hospital also has a communal area for children and young people. Does the hon. Member agree that it should not be down to charitable donations to provide that; it should be down to the health trusts?

--- Later in debate ---

[Mr Bailey]

I thank the hon. Member for his powerful intervention. He is a massive champion for his local hospital. I agree that we should not rely simply on charity and that this issue should be looked at, which is the aim of the debate.

When the specialist invited Hari to play with her, Sarah told me that the change was immediate. She said:

“I saw my little Hari emerge again, play was bringing him back to us, in that dark tiny room I saw his light come back. This turning point became a moment that I held on to throughout the entirety of his childhood cancer journey.”

Sarah had to fight for that essential part of Hari’s care throughout the two and a half years of that journey. She understandably saw play as the most important therapeutic tool, but for many clinicians, medical treatments came first—even to the detriment of Hari’s mental health and wellbeing.

[Adam Dance (Yeovil) (LD)]

Play therapy services in Yeovil that support adopted children and those in kinship care are struggling due to cuts to the adoption and special guardianship support fund. Services have been reduced and therapists like Lilly have gone months without being paid. Does the hon. Member agree that that situation is unacceptable, and that more needs to be done to ensure funding models for play therapy services are sustainable, ethical and child centred?

[Mr Bailey]

I thank the hon. Member for his powerful intervention. I hope that we hear from the Minister how such services can be sustained, given some of the shortfalls that have been described.

In reality, medicine and play are not in competition. When clinicians took playful approaches or when health play specialists were involved, Hari was far more willing to engage with difficult treatments, helping them to go much more smoothly. The culmination of that was an MRI scan that Hari did, fully awake, at four years old, avoiding the need for general anaesthetic. The health play specialist prepared Hari for this potentially scary and challenging ordeal by playing with a Lego scan machine, and playing the sound of an MRI while talking him through that process.

[Mr Richard Quigley (Isle of Wight West) (Lab)]

I thank my hon. Friend for securing this debate and for the important work that he and Starlight have done so far on this issue. Does he agree that ensuring there is effective play within children’s healthcare not only helps create happier, calmer patients but delivers real benefits for the NHS by enabling quicker, smoother procedures and reducing overall costs?

[Mr Bailey]

I know that my hon. Friend has been raising this subject on behalf of his local community and I agree with his sentiment.

Sadly, after Hari was discharged from hospital, that same quality of play-centred care was not always there for him. He needed 130 blood tests, and the lack of play contributed to these often being traumatic experiences where Hari had to be held down, violating the safe space of his own home.

[Alex Easton (North Down) (Ind)]

Does the hon. Member agree that therapeutic play is most effective when embedded within healthcare teams, rather than treated in isolation, and that we need a shift away from seeing it as something that happens only in the playroom towards fully integrating it into children’s daily care?

[Mr Bailey]

The hon. Member is right, and he will hear more about how that impacted Sarah and Hari’s experiences. Those experiences have already had an influence on NHS policy in the way that the hon. Member would like through Sarah’s work with the charity Starlight, which co-produced the NHS Play Well toolkit that was published last year. The Government are rightly pushing forward with our new neighbourhood model, ensuring that more care takes place within the community. If we get that shift right, it will be truly beneficial to children who are in the same position that Hari was in, but doing so requires the toolkit to be implemented across the NHS—in new community services as well as our hospitals.

When I raised the issue with Whipps Cross, our local hospital, I am pleased to say that I got a very positive response. It has a dedicated play team based in the Acorn ward, alongside a garden space and a play space. The team includes a qualified play therapist, and it co-ordinates the offer for in-patient care, including for children in other wards, and helps with preparation for procedures such as blood tests, MRIs and surgery.

[Lola McEvoy (Darlington) (Lab)]

I thank my hon. Friend for the really interesting and informed speech he is giving—he is giving it quickly, so I will be quick with my intervention. Does he agree that just as play is essential in hospitals, it is also really important for parents? Therapeutic play can have a large impact on post-natal depression and parents’ mental health as they are taking their child through quite a difficult experience.

[Mr Bailey]

I thank my hon. Friend for her powerful and astute intervention. She will notice that I am speaking about not just Hari, but Sarah, because making sure that the parents are looked is a critical and fundamental part of making sure that the child is looked after.

Starlight has found that the situation in Whipps Cross is far from true around the country. In 2023/24, it found that 72% of NHS trusts had no budget for play resources and only 15% had play service policies or procedures. Only 520 registered health play specialists are employed by the NHS across the whole of England.

[Uma Kumaran (Stratford and Bow) (Lab)]

I thank my hon. Friend for sharing Sarah and Hari’s story, which is a powerful reminder of why play is important. My constituent Eleanor wrote to me last week following the unexpected withdrawal of funding for her level 7 play therapy apprenticeship. She is an experienced teacher who had taken it on as additional training. Does my hon. Friend agree that the Government must look again to ensure that there are accessible training options for play therapy, which is, as we have heard, an incredibly powerful tool for children’s emotional wellbeing?

[Mr Bailey]

I thank my hon. Friend and constituency neighbour, who raises a powerful point about specialist training. I know she has written to the Skills Minister and lobbied the Department for Work and Pensions directly to help the Minister who is responding today and close the skills gap on behalf of her constituent.

Those are the challenges and the situation that the toolkit is there to address and that its implementation must change. This is also a real opportunity for positive change as the Government’s NHS reform programmes move forward, because better play services for children in every part of England can not only reduce trauma and its long-term consequences, but save money through quicker procedures, lead to fewer cancellations, and reduce the need for anaesthetic.

[Jen Craft (Thurrock) (Lab)]

Much like my hon. Friend the Member for Stratford and Bow (Uma Kumaran), my constituent Ambia has written to me to highlight the fact that funding has been withdrawn for her level 7 apprenticeship in play therapy. Does my hon. Friend the Member for Leyton and Wanstead (Mr Bailey) agree that if the Government want to see the savings related to therapeutic play that he talks about, they need to invest up front?

[Mr Bailey]

I thank my hon. Friend for her powerful intervention. I know that she is fighting for her constituent and that she is lobbying the DWP, in support of the Department of Health and Social Care, to make sure that the challenges her constituents face are addressed.

[Sarah Olney (Richmond Park) (LD)]

I thank the hon. Member for securing this important debate. Last year, two important reports were produced: “Mental health inpatient settings: overarching report of investigations directed by the Secretary of State for Health and Social Care” and “Improving support for people with complex mental health difficulties”. They found that therapeutic input improves patient outcomes and results for adults with mental health difficulties. My constituency is home to the Cassel hospital, a tier 4 therapeutic community for adults with complex multiple-diagnosis presentations. Patients there tell me that the treatment is lifesaving and life-changing, but it is currently under a tier 4 review. Does the hon. Member agree that that review should consider the reports I mentioned? I would be grateful if the Minister could make reference to the tier 4 review in her summing up.

[Mr Bailey]

I thank the hon. Member for her powerful intervention; she is a massive advocate for her constituency. Her plea has been heard and I hope it will be answered.

Overall, the estimated financial benefit of the greater use of therapeutic play resources in NHS care is £3.2 million a year, at a cost of less than £700,000 a year. Surely, if we want the NHS to become more preventive, including through a higher uptake of childhood vaccinations and outreach programmes about exercise and health lifestyles, this is an opportunity we cannot miss.

I will close by asking the Minister a few questions. First, how is the Department working to ensure that the Play Well toolkit is implemented across every part of the NHS, including through delivering on training? How will the need for health play specialists be incorporated, as we have heard, into the NHS workforce plan? How will play specialists be included in the modelling of multidisciplinary teams for the new neighbourhood health service?

I was planning to ask whether the Minister would agree to meet with Starlight, but I am very pleased that she has already agreed to do so. I look forward to hearing the outcome of that meeting, which I know will be very valuable and will help us to deliver a more effective system that addresses the problems that we have raised today.

I want to close by thanking Hari and his mum Sarah for their determination to use their experiences to create better policy and help thousands of others. I look forward to our next Huddlestone street party and to hearing how Sarah and Starlight have moved this issue forward. It is a great pleasure to be able to use my position as their MP to highlight this issue.

[Several hon. Members rose—]

International Men’s Day

Calvin Bailey Excerpts

Thursday 20th November 2025 Commons Chamber

[Mr Calvin Bailey (Leyton and Wanstead) (Lab)]

I thank my hon. Friend the Member for Cannock Chase (Josh Newbury) for securing the debate and for the strength he showed in his speech. It was not a speech; it was an act of leadership.

It is also a privilege to follow my hon. Friend the Member for Walthamstow (Ms Creasy), because International Men’s Day is not in opposition to International Women’s Day; it is not a zero-sum game. We must be honest about the challenges facing men and boys, because if we do not address them openly, others with malign intent will exploit that space. It is disappointing that we do not have broad cross-party representation here today. I am grateful to my hon. Friend the Member for Loughborough (Dr Sandher) for his speech.

Even as a highly decorated RAF pilot, I cry, and I do so publicly. I say that for two reasons. First, we must show our men and boys that vulnerability and courage are not opposites, but are expressions of strength. We must give young men permission to show that strength. Secondly, I say it because I need to continually remind my friend, the hon. and gallant Member for Spelthorne (Lincoln Jopp), of my previous career.

As chair of the APPG on prostate cancer, I will focus my remarks on the most urgent men’s health challenge that we face. Prostate cancer is the most common cancer in men, with 63,000 diagnoses and 12,000 deaths every year. Early diagnosis, particularly among the highest risk groups, alongside more effective treatment pathways, would save thousands of lives and spare families immense suffering.

Yesterday, I visited the Imperial Centre for Translational and Experimental Medicine in the constituency of my hon. Friend the Member for Ealing Central and Acton (Dr Huq). Researchers there are leading the world in mapping how fat and microRNA influence tumour growth and in developing far more accurate diagnostic tools. Their work is opening the door to improve tests and promising new treatments, including for advanced disease. It is testament to the excellence of UK science, and I am grateful to the researchers, to Prostate Cancer Research and in particular to Joe Clift for their partnership.

This week, the launch of the first ever men’s health strategy for England is a pivotal moment, and I am proud of the leadership of my right hon. Friend the Health Secretary. Easier access to PSA testing and better communication with consultants, both at home and in community settings, will help the half a million men already living with prostate cancer. Monitoring is crucial. Many early-stage cancers do not require immediate treatment, but they must be watched carefully so that changes can be caught in time, because too many men fall through the gaps.

However, there is more that we must do, and I again raise the commissioning of abiraterone for men with high-risk but curable prostate cancer. The evidence is clear: it halves relapse rates, would save 650 lives every year and would save the NHS £200 million over five years. Yet because this is an off-label use, it is stuck in a web of unnecessary bureaucracy. I am grateful for the constructive engagement from the Minister for Health Innovation and Safety, my hon. Friend the Member for Glasgow South West (Dr Ahmed), and I hope we will see progress soon.

Early-stage diagnosis among the highest-risk groups remains the decisive factor. Next week the National Screening Committee will consider targeted screening for black men, men with a family history, and men with a genetic vulnerability, who all have at least double the average risk of developing prostate cancer. By combining PSA testing with magnetic resonance imaging, we can reduce unnecessary biopsies, improve safety and catch cancers far earlier. This would cost £25 million per year, but it would deliver a net financial benefit of £54 million over five years.

Finally, to my dad David, I love you and thank you. I hardly ever tell dad jokes—but when I do, he always laughs.

New Hospital Programme Review

Calvin Bailey Excerpts

Monday 20th January 2025 Commons Chamber

[Wes Streeting]

I can reassure the hon. Member that the hospital is due to start construction from 2032 to 2034 —although my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh) had other ideas. On cutting waiting times, just earlier this month the Prime Minister and I published this Government’s elective reform plan so that we can deliver the 18-week standard for referral to treatment, which has not been met for a decade. Had the hon. Member been here during the last Parliament, she would have been absolutely shocked at where the Conservatives led us: from the shortest waiting times and the highest patient satisfaction under Labour to the highest waiting lists and lowest patient satisfaction on record.

[Mr Calvin Bailey (Leyton and Wanstead) (Lab)]

Trust in the delivery of healthcare for my constituents has been damaged by 14 years of failed NHS policies and fake Tory promises for new hospitals—the Tories knew full well that they did not have the money to deliver them. They visited Whipps Cross five times for announcements but delivered nothing—not a brick, not a penny, and certainly no hospital. Although the delay confirmed today is disappointing, we welcome the honesty and the work to mitigate the impacts of Tory failure.

The campaign for Whipps Cross hospital is not over, however. As the Secretary of State’s team knows, we will continue to make other Departments aware of the impact on their housing programmes and continue to seek their support on his behalf. I am grateful for his remarks earlier about meeting to look at alternative funding methods. Will the Secretary of State confirm that funding for remediation and maintenance works will be made available to get our hospital to its wave 2 start line?

[Wes Streeting]

I am grateful to my parliamentary neighbour for his representation and reassure him and his constituents—and mine, for that matter—that thanks to the capital allocation at the Budget provided by the Chancellor and the Chief Secretary to the Treasury, who is in his place, we will be investing more in capital than at any point since Labour was last in office, because we recognise the capital funding pressures right across the NHS estate. We are determined to meet those pressures and clear up the mess that the Conservatives left behind.

I know that across the House and the country there will be real anger at the promises made by the Conservatives when people see that the timetable was a work of fiction and the money was not there. I hope it is of some reassurance to know that this Secretary of State represents a community that is also feeling let down by the actions of the Conservatives, as does the Chancellor of the Exchequer. The way in which we have phased this scheme, and the fact that both our schemes are in wave 2, should reassure people that we are doing as much as we can as fast as we can within the constraints. I hope that people will take some comfort from the honesty, credibility and affordability of the timetable we are setting out today. As long as there is a Labour Government, the new hospital programme will be delivered.

Health and Adult Social Care Reform

Calvin Bailey Excerpts

Monday 6th January 2025 Commons Chamber

[Wes Streeting]

Thanks to the decisions taken by the Chancellor in the Budget, we are boosting the spending power of local authorities significantly, and £880 million has been ringfenced specifically for social care. I appreciate that a single Budget cannot undo 14 years of Conservative failure, but this is an important start, and of course we want year-on-year improvement in the delivery of social care. Baroness Casey will consider all these issues, and also how we can improve ease of access and care quality across the public and private sectors.

[Mr Calvin Bailey (Leyton and Wanstead) (Lab)]

I strongly welcome the Government’s action to help my constituents in Leyton and Wanstead get the care that they need faster. Our local hospital, Whipps Cross, continues to struggle, despite the hard work of its staff and leaders, NHS workers and carers, who continued to provide services to our community over Christmas. In November, 36% of patients at Whipps waited more than four hours for emergency care. In recent weeks, 16% have waited longer than 12 hours. Does my right hon. Friend agree that this welcome package of long-term reforms will address both elective care and emergency care for our constituents by moving the effort from hospital to the community?

[Wes Streeting]

My hon. Friend is absolutely right about that. If we improve the service at Whipps Cross hospital for his constituents, it will have the added benefit of improving the service at Whipps Cross Hospital for my constituents, too.

Oral Answers to Questions

Calvin Bailey Excerpts

Tuesday 15th October 2024 Commons Chamber

[Wes Streeting]

I am grateful to the right hon. Gentleman for his question. Those practical considerations are very much part of the review. I say to the poor project managers across the country who have had to deal with the previous Government’s stop-start approach that we are not going to make that mistake. We are going to come forward with a credible plan that is also funded, not the work of fiction or the £22 billion black hole that the shadow Secretary of State left in her wake.

[Mr Calvin Bailey (Leyton and Wanstead) (Lab)]

Whipps Cross hospital is in my constituency and it is my constituents who have had to endure five years of the previous Government organising photo opportunity after photo opportunity, not putting the contracts in place for the project to be up and running and ready to go. Does my right hon. Friend agree that only a fully costed, long-term approach from this Labour Government can deliver the modern healthcare that my constituents need?

[Wes Streeting]

My hon. Friend, my constituency neighbour, is absolutely right. He has been doing an outstanding job of representing the people of Leyton and Wanstead since his arrival. What our constituents, and indeed constituents right across the country, deserve is honesty, clarity and consistency. That is how we will turn the new hospitals programme from a press release into reality and how, in doing so, we will restore trust in politics and, for businesses, the construction industry and the supply chain, restore confidence in public sector procurement.

NHS: Independent Investigation

Calvin Bailey Excerpts

Thursday 12th September 2024 Commons Chamber

[Wes Streeting]

I am delighted to see my hon. Friend in her place representing the people of Bournemouth. The great thing about where we are at this moment is that, for the first time in a long time, there is a feeling of hope and optimism about what the future could be. We are determined to build on that and give staff and patients the confidence of knowing that the best days for the NHS lie ahead.

[Mr Calvin Bailey (Leyton and Wanstead) (Lab)]

Lord Darzi’s report highlights the use of capital expenditure to cover in-year spending by successive Tory Governments. Money intended for long-term investment has been redirected over and over, and that has exacerbated the extremely serious and urgent problems that the Secretary of State so rightly raises today. Does he agree that that has stopped us making progress on capital projects that would enable big productivity improvements and improve access to care for all, particularly those in my constituency of Leyton and Wanstead?

[Wes Streeting]

I am delighted to see my parliamentary neighbour in his place; he has big shoes to fill and he will certainly do that. The Chancellor and I are determined to break the vicious cycle in which ballooning costs and overspends in day-to-day spending see raids on capital and tech budgets to fund the shortfall. The £22 billion black hole that we have inherited is a direct example of exactly where Conservative short-termism leads. That is why, in respect of the spending review, I assure my hon. Friend that productivity, tech and capital will be my focus in my representations to the Chancellor and in the work we will do together to fix the mess that the Conservatives left behind.