Underperforming NHS Trusts: Government Oversight
Debate between Graham Stuart and Jim Shannon(2 days, 8 hours ago)
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Jim Shannon (Strangford) (DUP)
It is a real pleasure to serve under your chairship, Mr Stuart. I thank the hon. Member for Chelmsford (Marie Goldman) for raising this issue and giving us a chance to participate in this debate.
The new intensive recovery programme has identified several NHS trusts in England that are underperforming as a result of waiting lists, persistent financial difficulties and leadership instability. The trusts identified include North Cumbria, Mid and South Essex, Hull, North Lincolnshire and Goole, and East Kent. Performance across those trusts and beyond has raised serious questions about whether patients in England are receiving consistent access to cancer treatment.
I want to focus on cancer treatment in particular. The NHS has a long-standing target that 85% of patients should get treatment within 62 days of an urgent referral for suspected cancer. However, the performance at many trusts is substantially beneath that, and it is having serious consequences on patient outcomes. For example, in 2023, the death of a patient admitted to Mid and South Essex was linked to the trust’s failure to meet any of NHS England’s cancer waiting time targets. At that trust, only 47.7% of patients began treatment within 62 days, and by 2025 the number had further declined—in other words, it was getting worse.
At the County Durham and Darlington trust, which the hon. Member for Darlington (Lola McEvoy) referred to, the situation is similar. Significant failings were identified in breast cancer care, as she illustrated very well. A review of the care received by women between 2023 and 2025 found that 32 women had undergone unnecessary surgery, 20 had experienced a late diagnosis and a further 78 patients were found to have suffered moderate or severe harm. A review has been committed to, demonstrating that the true scale of the issue is likely much bigger than we know.
Analysis of NHS cancer waiting time performance found that nearly every English NHS trust missed cancer targets. In Northern Ireland, we have also experienced serious concerns regarding cancer care. For example, recently there has been a call for a public inquiry into urology services at the Southern Health and Social Care trust, where it was identified that cervical screening services had reported some results incorrectly. Patients were told their scan was clear, and then shortly afterwards told it was not. That is an absolute scandal, and it caused patients and families considerable distress. Northern Ireland’s waiting time statistics further illustrate the pressure on cancer services. Some 30% of patients began treatment within 62 days, and that percentage has been on a downward decline.
I know the Minister has no responsibility for Northern Ireland, but she has responsibility for the trusts here. I look to her to ensure the promotion of effective oversight and accountability in all our trusts. Underperformance is widespread and must be addressed. These failures are undermining public confidence in the health service. A suspected cancer diagnosis is already a distressing experience, and patient outcomes are not being helped by lack of clarity and reassurance.
Graham Stuart (in the Chair)
Last but not least from the Back Benches, I call Adam Dance.
SEND Funding
Debate between Graham Stuart and Jim Shannon(1 year, 4 months ago)
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Graham Stuart
I have to agree with the hon. Gentleman, who makes a powerful point. My appeal to colleagues in the Chamber—particularly, perhaps, to newer Members —is to focus on the distribution. It can be quite hard to get one’s head around the many issues that are involved—the overall national issues of quantum, service delivery, training and the rest of it—and distribution can easily get left behind, yet it is vital. I cannot say that it brings a great deal of joy or satisfaction to Members of Parliament to pursue it, because so many people look blank when it is mentioned, but distribution is important, and I hope that colleagues will want to take on the issue.
Jim Shannon (Strangford) (DUP)
Very quickly, some children thrive academically, while some thrive practically. It is all about finding the right place for them, whether as a doctor, a mechanic, a plasterer or a farmer. When it comes to checking on a child’s ability, and ensuring that they find their place, we must acknowledge that there is not a standard box for all; it is different for each child.
Graham Stuart
As usual, the hon. Gentleman hits the nail on the head.
Many across this House will recognise the stories of the schools I have just mentioned, because the same thing is playing out in constituencies across the country. Parents are becoming de facto care co-ordinators; schools are dipping into ever-shrinking budgets to fund specialist provision; and local authorities are caught between legal responsibilities and budgetary reality.
Agricultural and Business Property Relief
Debate between Graham Stuart and Jim Shannon(1 year, 9 months ago)
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Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Graham Stuart
I thank my right hon. Friend for that intervention. On Friday, I visited Ian and Rebecca at Bygott farm just outside Beverley, which is about 220 acres. Their profits would be wiped out by the expected inheritance tax for 10 full years, with 10 years to pay it. The expected annual payment for 10 years would be greater than their profit last year. They also play that vital role, which my right hon. Friend mentioned, of looking after the watercourses. The villagers nearby do not know what a critical part they play in maintaining those watercourses.
Jim Shannon (Strangford) (DUP)
I commend the right hon. Gentleman for bringing this forward. All my neighbours in Northern Ireland are small farmers. Everyone will be impacted, because the threshold of £1 million is too low. The threshold should be between £4 million and £5 million, which would give a chance to retain the family farm. Has the right hon. Gentleman had the opportunity to talk to the National Farmers Union or the Ulster Farmers Union to ascertain their legal opinion, which is against what the Government are introducing?
Graham Stuart
The hon. Gentleman is absolutely right. If the measure was about hitting huge investors, they are the ones least likely to be affected. The richest and most sophisticated will find it easiest to avoid the impact. Small farmers, such as the ones I visited on Friday, will be most seriously affected. It is a bit like the winter fuel payment cut. If the Government took that away from people who had an income of more than £25,000, it would be infinitely less controversial. The point is, it hits people on very low incomes and hurts them the most.
VAT: Independent Schools
Debate between Graham Stuart and Jim Shannon(2 years ago)
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