Health Bill

Charlotte Cane Excerpts

Report stage
Monday 7th September 2026 Commons Chamber

[Dr Allison Gardner (Stoke-on-Trent South) (Lab)]

This Government aim to shift the focus from treatment to prevention, and it is in that spirit that I have tabled new clauses 90 and 91, which would strengthen the frameworks around health inequalities and address the wider determinants of health.

New data from Health Equals reveals a shocking reality: there is a gap of up to 18 years in life expectancy between different parts of the UK, and indeed between nearby neighbourhoods. Health Equal shows that in my constituency just a golf course separates two areas with an average life expectancy gap of eight years and 11 months. Reaching old age is somewhat of an aspiration in my more deprived areas. Indeed, in the most deprived communities people spend an average of just 52 years in good health. The stark inequalities are driven not only by healthcare, but by the wider determinants of health, including poverty, housing, education, employment and the environment.

Within Stoke-on-Trent, healthy life expectancy at birth has fallen by 6.6% for men in the last decade. For women, the picture is even worse, with a 9.6% fall in healthy life expectancy to just 53.5 years over the past 10 years. This Bill represents a real opportunity to enshrine in law a statutory duty for the Secretary of State to go beyond reducing inequalities in NHS access and outcomes, and to reflect wider cross-Government goals for health improvement.

Our health is shaped by the world around us—the food we eat, the money in our pockets, the air we breathe and the home we live in. In other words, every part of Government has an opportunity to influence people’s health. The purpose of new clause 90 is to ensure that the Government take greater responsibility for improving the nation’s health. That includes mitigating any increase in health inequalities, such as those seen in my constituency. The new clause would make improving health a duty, placing prevention on the same footing as treatment.

But a stronger duty alone is not enough. That is why new clause 91 would require the Government to publish a new health improvement and inequality strategy within six months. The strategy would include long-term targets for adults and children, public reporting on progress, a duty on Ministers across Government to have regard to the strategy, and independent accountability arrangements. The Minister, who has worked very hard on the Bill—I commend her for her engagement—has alluded to the fact that pre-existing guidance and processes are in place, and these are designed to tackle health inequalities, and she is right. However, I argue that they are clearly not working, because health inequality has increased. I ask again what the harm would be of embedding this duty in the Bill to tackle the most fundamental issue in health across England: health inequalities.

These amendments have cross-party support, and I note that they are also supported by the Health and Social Care Committee. I thank Health Equals for its work on these amendments. Again, I thank the Minister for her engagement and urge the Government to consider accepting these new clauses.

I will briefly mention new clause 109, which also stands in my name. It was written by myself and Haris Shuaib, with whom I worked on the standard BS 30440 and a validation framework for the use of AI within healthcare. I previously worked with the AI and digital regulations service for NHS England, working with NICE, the MHRA, the CQC and the Health Research Authority. In the interests of time, I will say that in that duty I identified a number of accountability and regulatory gaps that certainly need further addressing. I ask that the Minister responsible for health tech meets me so that we can discuss these further. They partner quite well with new clause 108, which I had not spotted, so I apologise for not signing the amendment of my hon. Friend the Member for Liverpool West Derby (Ian Byrne).

[Charlotte Cane (Ely and East Cambridgeshire) (LD)]

In my constituency, only 40% of adults have seen a dentist in the past two years, and only 54% of children have seen one in the last year. The impact of that is that 12.5% of children in East Cambridgeshire have tooth decay by the age of five. We are in a dental desert, and it is incredibly difficult to get an NHS dentist appointment. When I talk to the dentists, the most frustrating thing is that it is the contract that prevents them from treating people, not their intentions.

The contract is based on units of treatment. For example, dentists tell me that if they do one filling, they just about cover their cost for the unit they get paid for. That unit covers up to three fillings, however, and at three fillings they are making a loss. Even more frustrating is that they get allocated units at the beginning of the year. Once they have used them all, they can get no more; yet they are aware that other local dentists have not used all their units by the end of the year, and they hand them back. Why is there no mechanism whereby those units can be given to dentists who have the capacity to do more work, so that more people can be treated? It is really frustrating to know that my constituents are struggling without a dentist, and that there are dentists in my constituency who are willing to treat them but cannot get funding to do that from the NHS. It is utterly shocking. That is why I support new clause 18 and other amendments that seek to make dentistry more available to people.

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[Martin Wrigley]

Does my hon. Friend agree that that element of trust is even more important when we get the single patient record, and critical to enabling GPs and medical professionals everywhere to use it, and patients to trust it?

[Charlotte Cane]

I absolutely agree. The single patient record is so important to make the NHS work efficiently and effectively, and to help it treat patients better. To achieve that, patients have to trust that the data is being well protected, and I am afraid that a lot of the people I talk to, including GPs—who are obviously critical in convincing patients that Palantir is safe—do not trust it. We have to pull out of the contract with Palantir. Will the Minister please consider that, please consider the issues faced by rural areas, and please, please, please get us some NHS dentists in Ely and East Cambridgeshire?

[Apsana Begum (Poplar and Limehouse) (Lab)]

I rise to speak to new clause 108, tabled by my hon. Friend the Member for Liverpool West Derby (Ian Byrne), and new clause 34, tabled by the hon. Member for Newton Abbot (Martin Wrigley).

Countless numbers of constituents have contacted me about Palantir Technologies, telling me their concerns about the company’s involvement with Israel’s military and Trump’s ICE. Over 35 Members from across the House have signed my early-day motion calling on the Government to activate the break clause in the NHS federated data platform contract. The objection is not just about Palantir’s ethics, but about its operations under that contract. I share the concerns of many, including the National Data Guardian, about whether data identifiable to individual patients may be accessible by Palantir.

The potential success of the proposals on the single patient record and whether it manages to gain the confidence of the British public depends on the Government listening to these concerns, and making sure that issues around data access and limits, patient opt-outs and the data controller are resolved. I note that the hon. Member for Newton Abbot has tabled a number of other amendments related to data safety, which I support.

I also wish to speak in support of amendment 10, in the name of the hon. Member for North Shropshire (Helen Morgan), on ICB financing. I am deeply concerned by the introduction of a duty under clause 48 for each of the constituent bodies of the ICB to achieve financial balance. In east London, we are currently fighting against massive, eight-figure cuts to the East London NHS foundation trust, where workers have been on strike amid cuts to jobs in much-needed mental health services, all of which are being justified by reference to new requirements for financial balance across the trust. Under the provisions of clause 48, matters will be made much worse and the ability to shift and adapt capacity across the system will be rendered impossible. One of the reasons that this is so regrettable, particularly in an area like east London, where the need for mental health services is acute and rising, is that cuts to these services will simply lead to greater costs arising elsewhere. For that reason, I also support amendment 10, tabled by the hon. Member for North Shropshire, to place ICB spending on mental health services on a statutory footing.

I also support amendment 45, tabled by my hon. Friend the Member for York Central (Rachael Maskell), because I am concerned, as others are, about provisions in the Bill for the reorganisation of ICBs. The changes are among many aspects of this Bill that regrettably point towards a revival of marketisation policies from prior decades—policies that have now been largely discredited. To tackle the biggest health challenges that we face, we require partnership working, joined-up decision making between the NHS, local authorities and expert voices—a dialogue between providers and commissioners. Removing the potential for this type of dialogue appears to be a significant misstep, particularly for integrated care.

Turning ICBs into purchasers alone appears to be being done for the benefit of reinforcing a purchaser-provider split—a split that experts have said time and again does not work, and does not deliver improved performance and outcomes, or even value for money. While I am relieved that the Government are tabling their own amendment 60 to reverse the scrapping of local authority ICB membership, I remain in full support of amendment 45 in order to ensure that NHS trusts, and foundation trusts too, retain their voice in commissioning and public health decisions.

To conclude, the fundamental problem in the Bill lies in its adherence to a logic of marketisation. It is deeply regrettable that the Government are returning to the harmful public-private partnership model for capital investment and a rehashing of the private finance initiative disaster, the negative effects of which are still being felt across my east London constituency.

Healthcare in Rural Areas

Charlotte Cane Excerpts

Wednesday 4th March 2026 Westminster Hall

[Charlotte Cane (Ely and East Cambridgeshire) (LD)]

It is a pleasure to serve under your chairship, Dr Huq. I congratulate the hon. Member for Mid Bedfordshire (Blake Stephenson) on securing this important debate.

The delivery of quality rural healthcare has been neglected for too long. After years of chronic underfunding, and a pandemic from which many areas have not fully recovered, health outcomes in rural areas are on a dangerous downturn. In my own constituency, local populations are growing fast, while GPs and hospitals struggle under the strain. Dental provision in Cambridgeshire is particularly poor, with more than 2,300 people for every single dentist providing NHS services.

The picture is particularly bad among children; recent data showed that at least 45% of children have not seen a dentist in the past two years. That is simply not good enough. We know how important it is for children in particular to see a dentist: good oral hygiene has a strong link to heart health, as infections and inflammation can increase the risk of cardiovascular diseases. It is vital that all children have ready access to a dentist to prevent such debilitating conditions and to introduce important hygiene practices.

Delivering rural healthcare is not simply about hiring GPs, dentists and other healthcare professionals; it is about delivering access, with reliable transport and connectivity infrastructure that is integrated with local healthcare. In rural areas like mine, many rely on cars for travel, but many older and vulnerable residents are left to manage with public transport, which is too often unreliable and does not always take them where they need to go. A constituent might be referred to a GP in a neighbouring village that is only a short distance away, but entirely inaccessible by foot and served by perhaps only a few buses a day, or in some cases no buses at all. The Government and local ICBs must start using such real-terms information when assessing access to healthcare, to avoid rural communities being left even further behind.

I am encouraged that new technologies allow at-home testing and monitoring, which can prevent the need for regular access to GPs and hospitals, but many of my constituents face connectivity barriers as a result of poor broadband and poor mobile reception. Does the Minister agree that the Government must bring forward a strategy to end the neglect of rural healthcare, with new services for left-behind areas and a comprehensive approach to rural connectivity?

Acquired Brain Injury Action Plan

Charlotte Cane Excerpts

Thursday 4th December 2025 Westminster Hall

[Charlotte Cane (Ely and East Cambridgeshire) (LD)]

It is a pleasure to serve under your chairship, Dame Siobhain. I congratulate the right hon. Member for South Holland and The Deepings (Sir John Hayes) on securing this debate and thank him for his hard work as chair of the APPG.

I want to pay tribute to Brainkind Fen House in my constituency of Ely and East Cambridgeshire for its incredible work to support people with acquired brain injuries. It provides a safe and secure space for patients, with rehabilitation and support so that people can thrive after brain injury. In preparing for this debate, it shared with me the story of my constituent Florence, which I want to share today.

Florence gave birth to twins, which should have been a very special time in her life. Unfortunately, just two weeks later, she suffered a stroke resulting in a brain injury. Her ability to speak became severely impaired. She found it difficult to walk or use her hands. Let us imagine being a new mother and suddenly finding that our body will not let us care for our babies. Florence went to Brainkind Fen House and after just five months of rehabilitation with its clinicians, she regained the use of her hands so she can now change and bathe her babies. Her speech recovered and she is able to walk again. I cannot do her story justice on my own, so I will quote her directly:

“I felt helpless. My whole world had crumbled. But Brainkind offered so much support. They made me realise I’m not alone. The staff rallied round, organising donations of toys and clothes for my children so we could spend time together. Then, as I began to recover, they took me shopping so I could buy things for my children for the first time.”

Florence’s story is a special one, showing us the vital role that specialists play in ensuring that an acquired brain injury is not the end, and that there can be light at the end of the tunnel.

I was also privileged to meet an individual at an event at Parliament this week; the event was on a different subject, but she wanted to talk about acquired brain injuries because, at the age of 16, her brother suffered an injury and was almost a completely different person afterwards—something we have heard from others. Two things she said stood out. She said it was almost as though he had gone through a “factory reset,” and she had to mourn the brother she once knew and bond with the brother she now had, because they were two different people. She said, “His smile is different”. Everyone she spoke to did not notice any difference, but she did. His facial muscles moved differently, and as someone who had known him all his life, she could spot that when others could not.

That story shows the pain these injuries can cause to a person’s loved ones. In this case, it caused a sense of grief; her brother had not passed away, but the brother she knew was gone, and she now had someone else to bond with.

Brainkind Fen House gives strong support to brain-damaged people and a range of therapies to help them recover. There are strict criteria for continued NHS funding after the first few months, which means that small improvements are not always sufficient to secure funding for ongoing rehabilitation. The person is then moved into long-term care, with little, if any, further support.

I have another case in which the person was responding to rehab, but the funding was coming to an end. After significant advocacy from their parents and the staff at Fen House, the funding was extended. That person is now waiting for a suitable flat, and his parents are fighting for a care package to support him in independent living.

People should not have to fight for this support, and it should not need an MP’s intervention. We need a clearer, fairer process to ensure that people get the rehab support they need, and then the appropriate housing and care support as they move back into the community. I ask the Government to publish the acquired brain injury action plan as soon as possible, and to include in it the right for those who have suffered to have access to a named GP. That must go hand in hand with better social care for disabled people and free personal care.

The stories I have shared highlight that more needs to be done, not only to help patients but to understand the impact on their friends and family. I hope this debate highlights the need for urgent action, so we can do more to support patients and their loved ones.

Oral Answers to Questions

Charlotte Cane Excerpts

Tuesday 17th June 2025 Commons Chamber

[Caroline Voaden (South Devon) (LD)]

2. What steps he is taking to support rural pharmacies.

[Charlotte Cane (Ely and East Cambridgeshire) (LD)]

10. What steps his Department is taking to support community pharmacies.

[The Minister for Care (Stephen Kinnock)]

After years of underfunding, the Government agreed a record uplift of £3.1 billion for ’25-26 for the pharmacy sector. The pharmacy access scheme provides £19 million to support pharmacies in areas with fewer pharmacies, including in rural areas, but funding must always come with reform. Our hub and spoke legislation, if it is passed in the other place today, will allow pharmacies to streamline their dispensing processes, and it is a major step in the right direction in marrying reform with investment.

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[Stephen Kinnock]

The pharmacy sector is facing huge challenges after massive cuts over the past 14 years. We are beginning to rebuild, but the hon. Lady is right that there are particular challenges for rural pharmacies. We are looking at comprehensive reform in the pharmacy sector involving the better use of technology, hub and spoke dispensing, and a range of other options that would enable better remote dispensing for rural pharmacies.

[Charlotte Cane]

I have visited pharmacies across my constituency. They are all struggling to provide a service, but are all very keen to take on the new services that the NHS is suggesting. Will the Minister commit to ensuring that rural and community pharmacies are properly staffed and equipped to deliver those community services, such as diabetes testing and weight management treatments, so that patients are not left behind just because of where they live?

[Stephen Kinnock]

The hon. Lady is right that pharmacies will play a central role in the shift from hospital to community that we will be putting at the heart of our 10-year plan. An important part of that, of course, is Pharmacy First. The take-up of Pharmacy First is not what we would like it to be, so we are looking at options to increase awareness of Pharmacy First and to free up pharmacists to be able to operate at the top of their licence. Part of that is about streamlining the dispensing side of what they do, and the hub and spoke legislation that I mentioned earlier will be really important in that context.

Hospitals

Charlotte Cane Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Charlotte Cane (Ely and East Cambridgeshire) (LD)]

Many of our hospitals are crumbling, but even those that appear sound may contain hidden dangers, notably asbestos. Last week I met a constituent who is suffering from mesothelioma, contracted from asbestos. He was very concerned that so many of our hospitals and other public buildings still have asbestos within them, putting more people at risk of getting that terrible disease. We need a proper survey to find out where all that asbestos is and a plan for its safe removal.

I was pleased to hear the Minister talk about the work he is trying to do to get more funding for GPs, because that is one of our big problems in Ely and East Cambridgeshire. A while ago, when we nearly lost our GP in Sutton, residents were told, “Never mind—you can go to nearby GPs.” In rural areas, however, a GP even a few miles away is inaccessible to anyone who does not have a car. More recently, unexpected changes to the bus route with no notice left patients of the Bottisham practice suddenly unable to get to their GP.

We have seen a lot of new build around my constituency, not least in Soham, which desperately needs a larger surgery. I went there and saw the conditions staff were working in, the tiny space they now have for their pharmacy area and the difficulties they face in serving a much larger community than the surgery was built for. The practice has been trying for years to get a new surgery, but the procedure for keeping or enlarging a surgery or building a new one is incredibly complex, and GPs must put together funding from a range of sources. Those GPs should be spending their time trying to help patients, but they are instead spending their time building business plans and looking for funding. As we heard earlier from a Government Member, we desperately need NHS dentists in my constituency too, and they in turn will need premises.

We do not have any major hospitals in Ely and East Cambridgeshire, but we rely on those elsewhere to be in good condition when we need them. We need our own Princess of Wales hospital to be in good condition, and we need excellent GP surgeries and NHS dentists who can serve us into the future.

Oral Answers to Questions

Charlotte Cane Excerpts

Tuesday 11th February 2025 Commons Chamber

[Karin Smyth]

The hon. Lady outlines for her constituents what many across the House will recognise: the state that the last Government left the capital estate in. The autumn Budget committed over £13 billion into next year, with £4 billion for ICBs to start prioritising some of this work. We have allocated £1 billion for critical backlogs, maintenance and upgrades. A longer-term capital plan will follow the 10-year plan that we are currently developing to offer the hope for her constituents that she asks for.

[Charlotte Cane (Ely and East Cambridgeshire) (LD)]

11. What steps his Department is taking with Cabinet colleagues to increase access to assessments for special educational needs.

[The Minister for Care (Stephen Kinnock)]

Children and young people with special educational needs are waiting too long for the NHS services that they need, in large part because local authorities have been hollowed out by 14 years of austerity. We are supporting earlier intervention through the partnerships for inclusion of neurodiversity in schools—PINS—programme, which is backed by £13 million of funding. NHS England has also launched a taskforce to look at how support can be improved for people with attention deficit hyperactivity disorder. We look forward to its report later this year.

[Charlotte Cane]

Cambridgeshire has some of the lowest funding in England for GP practices and schools. Given the Government’s focus on growth for the area and the record demand for special educational needs and disabilities and young people’s mental health services, will the Minister work with colleagues across Government to ensure that high-growth areas no longer suffer lower than average funding?

[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.

Dental Healthcare: East Anglia

Charlotte Cane Excerpts

Wednesday 11th December 2024 Westminster Hall

[Stephen Kinnock]

I was just going to say that we are continuing to meet the British Dental Association and other representatives of the dental sector to discuss how we can best deliver our shared ambition to improve access for NHS dental patients. We are working on this as a matter of urgency. I cannot give a specific timeframe, but it is a top priority for the Department.

[Charlotte Cane (Ely and East Cambridgeshire) (LD)]

I understand that the Government have inherited a big problem, but the situation is urgent. I have a constituent who has heart problems, so his oral health is really important to him. He cannot get an NHS dentist, so constituencies such as Ely and East Cambridgeshire need urgent action.

[Stephen Kinnock]

I share the hon. Lady’s belief that we need urgency and focus. We have a big mountain to climb, but we have to crack on. I completely take her point about the need for urgency.

We need to ensure that the process to register a dentist in the UK is as efficient and fast as possible, while retaining robust safeguards for patient protection. The Department regularly engages with the General Dental Council to understand what it is doing to improve the waiting times for the overseas registration exam. Earlier this year, the Department ran a consultation on introducing a further piece of legislation to give the GDC powers to provisionally register overseas qualified dentists, which will help to address some of the workforce challenges.

In summary, this is an immense challenge. There are no quick fixes or easy answers, but we will choose change, not because it is easy but because it is what we have to do. We have to do the hard yards, and I look forward to working with the hon. Member for Broadland and Fakenham and other colleagues to deliver what is needed.

Question put and agreed to.