National Maternity and Neonatal Investigation

Debate between James Murray and Helen Morgan

Tuesday 30th June 2026 Commons Chamber

[Madam Deputy Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

May I also add my thanks to the Secretary of State, to Baroness Amos and her team, and to the families that have relived the pain of their experiences to bring about this report? But the Amos report tells us little that we did not already know—indeed, it confirms our worst fears. Maternity services in England are fundamentally broken with the cost of political neglect being paid in trauma, injury and lost lives. Figures revealed by the Liberal Democrats in the last week show that the first quarter of 2026 saw the worst rate ever recorded for maternity injuries. In fact, while the number of reviews into NHS maternity services has steadily ticked up, we have also seen rising maternal mortality rates.

Four years ago, I spoke in this Chamber in response to the findings of the Shrewsbury and Telford review, which were devastating for my community. Last week, I stood here really distressed, actually, as we heard further traumatic reports from the Nottingham review. But anger is not enough. The Government must meet this moment now and implement Baroness Amos’s recommendations in full and without delay, or the families simply will not forgive them. To do this, we need genuine accountability through the NHS and the Department of Health and Social Care, accompanied with the investment needed to make Britain the safest country in the world to have a baby.

I welcome the Government’s commitment to a national maternity commissioner—a long-standing Liberal Democrat campaign—and the other urgent and immediate actions that the Secretary of State has outlined in the last week. They are all urgent and are signs that this is being taken seriously. But we need to recognise that a commissioner alone cannot fix the broken system. I urge the Secretary of State to work with us and look at our maternity rescue package for inspiration for his action plan—it has a great degree of overlap with Baroness Amos’s recommendations. Our package would ensure one-to-one midwifery care for every woman in labour, additional senior midwives, an obstetrician on every ward, and mandatory updated annual training. Will the Government commit here and now to implementing all those recommendations and working with us to deliver the change we need?

[James Murray]

I thank the hon. Lady for her comments, and she puts it well when she talks about Baroness Amos’s investigation confirming our worst fears. I was shocked but not surprised, sadly, to read the investigation report. It was devastatingly familiar to read what it set out as being the failings across the country. The report’s recommendations will now become part of the work of the taskforce, which I chair, to produce the comprehensive action plan by the end of this year. My intention is that the taskforce will take all the national recommendations from Baroness Amos’s report, as well as the national-level recommendations from Donna Ockenden’s report last week and recommendations from any other investigations and reports, and ensure that the action plan it produces comprehensively addresses all the issues raised. I think that we would all agree that there is not—one, two, three—a small number of actions that we need to take; this has to be a comprehensive plan to truly transform the service.

Nottingham Maternity and Neonatal Services

Debate between James Murray and Helen Morgan

Wednesday 24th June 2026 Commons Chamber

[Madam Deputy Speaker (Judith Cummins)]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

May I start by acknowledging the hon. Member for Sherwood Forest (Michelle Welsh), Donna Ockenden and the Secretary of State for the statement and for their hard work? I thank the Secretary of State for the actions that he has proposed so far, which I think are the first tangible actions we have heard in this place. I must also acknowledge the incredible courage and resilience of the Nottingham families who have been instrumental in bringing about this review. No one can imagine the pain that they have gone through.

I am distressed and angry to be stood here once again speaking about babies who should not have lost their lives, mothers who should not have lost their lives and trauma that families should not have experienced. Review after review has led to 748 recommendations since 2015, but birth injury and mortality rates have continued to rise. These reviews all reveal similar issues: unsafe staffing levels, lessons not learned, issues not escalated, insufficient training, and women’s concerns ignored.

Four years ago, after the Shrewsbury review, we found that over 200 babies had died unnecessarily in Shropshire, yet things have got worse. Donna Ockenden’s Nottingham report reveals new and extremely distressing revelations about serious failures to protect the dignity of the deceased in after-death care, something that must be addressed through proper regulation.

Liberal Democrats have put forward a maternity rescue package that would guarantee one-to-one midwifery care and introduce a national maternity commissioner to oversee vital improvements. It would be nonsensical for the Government not to take a strategy forward. Will the Secretary of State pledge to implement every single one of the Nottingham report’s essential actions, and to work with us to deliver the essential investment we need to make Britain a safe place to have a baby, and end this shocking cycle of failure? Anger is not enough. Mothers, doctors and midwives are sick of seeing review after review and being met with stasis, with the same failures repeated over and over again. This must be the moment we say, “Enough.”

[James Murray]

I thank the hon. Lady for her words. When she spoke about ending this cycle, she sums up a feeling that I think many of us have: the cycle of inquiries and investigations revealing what has been happening in maternity services and leading to recommendations, which are accepted, but then things do not change enough, and action is not taken to address all the issues raised. That is the cycle we need to break. The national taskforce, which is established and which I chair, will take all the recommendations from Donna Ockenden’s report, as well as those from Baroness Amos’s national review, which will be published shortly, as well as some of the other hundreds of recommendations that the hon. Lady mentioned, and ensure that it produces a comprehensive action plan by the end of the year. The challenge for us is not simply to accept recommendations, but to produce and deliver that action plan.

Pathways Study: Puberty Suppression

Debate between James Murray and Helen Morgan

Monday 22nd June 2026 Commons Chamber

[Madam Deputy Speaker (Caroline Nokes)]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

I thank the Secretary of State for advance sight of his statement. The Liberal Democrats have long highlighted the need for better access to specialist healthcare for children and young people struggling with gender identity. The closure of the Tavistock clinic and its inadequate rating by the Care Quality Commission demonstrated that urgent change was needed. Young people struggling with gender identity face serious challenges. They have been badly let down for years by low care standards and extremely long waiting lists. On top of that, they have to contend with a toxic public debate, which comes at a huge cost to their wellbeing at a particularly vulnerable stage in their life. The average three-year wait for a young person to see a specialist can be extremely harmful at such a vulnerable age.

We agree that treatment should first be based on talking therapies, so that patients are given the space and support that they need, but it is crucial that young people can start those therapies as a matter of urgency, not after years of delay. Decisions about these young patients’ futures should be made in an informed way, with expert clinicians and based on the best possible evidence, which the NHS must build up safely and effectively. We support prioritising clinical evidence, so that patients’ interests are put at the heart of decision making in all areas of healthcare. Guidance and decisions around puberty blockers must be led by experts and clinical evidence, and not influenced by ideological opinion. That is why we supported the decision of the former Secretary of State, the right hon. Member for Ilford North (Wes Streeting), to pause the Pathways clinical trial while concerns raised by the MHRA were thoroughly addressed. Will the Secretary of State confirm whether the MHRA has confirmed that the concerns that led to the withdrawal of the trial have been substantially addressed, and how many children are expected to take part in the trial now that its parameters have been altered?

[James Murray]

I welcome the fact that the hon. Lady agrees with the Government that we should base our decisions about whether and how to provide support for children, particularly in the case of the treatment that is at the centre of this clinical trial, on clinical evidence and the expert advice of clinicians. There can be no one in this field more widely respected than Dr Hilary Cass, whose recommendations form the basis of the decision that we have taken as a Government.

The hon. Lady asked about the work of the MHRA since early this year to strengthen the safeguards for young people involved in the trial. As I said earlier, I welcome the changes that it has brought forward to strengthen the criteria, which will lead to greater monitoring and clinical reassessment, and to setting objective criteria for withdrawing children and young people from the trial entirely. The MHRA has been engaged in a scientific dialogue with the trial sponsors, and it was the outcome of that process that led the MHRA, as an independent body, to publish the updated protocol towards the end of last week. Now that that is in place, we have greater reassurance about the safeguards.

The trial is expected to involve around 226 children and young people over five and a half years, with each participant potentially being offered puberty blockers for up to 24 months. As I said, a decision to withdraw is triggered by the participant meeting set objective criteria related to the risk of harm.

Oral Answers to Questions

Debate between James Murray and Helen Morgan

Tuesday 9th June 2026 Commons Chamber

[Mr Speaker]

I call the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

The former Secretary of State, the right hon. Member for Ilford North (Wes Streeting), recognised an appalling culture of medical misogyny and basic, everyday sexism within the NHS. As such, it was extremely disappointing to see that the new women’s health strategy was inferior to the men’s health strategy. The men’s health strategy received 60% more funding for new initiatives and has a named academic network, a formal research mandate aligned with the National Institute for Health and Care Research, and a commitment to publish a one-year accountability report with named, responsible organisations and formal timeframes for every action. It also commits specific funding to trials and pathfinders. As it stands, the women’s health strategy has none of those things. It contains no specific, measurable, time-bound target to reduce the backlogs in endometriosis care, nor does the NHS 10-year plan include endometriosis, polycystic ovary syndrome or fibroids in its prevention agenda. Can the Secretary of State explain why?

[James Murray]

The renewed women’s health strategy was a really important achievement under the previous Secretary of State, which updated the approach of this Government and reflected the differences in healthcare that women too often receive. If I might offer a personal reflection, since I have become Secretary of State, one issue that many women have raised with me is that they do not feel the health service adequately listens to them, takes their pain seriously, or gives them the right pathways to get the treatment they need. That must change, and this Government will change it.

--- Later in debate ---

[Helen Morgan (North Shropshire) (LD)]

A damning report by the Royal College of Emergency Medicine has estimated that more than 15,800 deaths were associated with long waits in emergency departments in 2025—I think we all agree that figure is an outrage—but the Government still have not published reliable data on long waits and corridor care despite promising to do so by the end of May. Will the Secretary of State tell the House what the Government are trying to hide? Will they adopt Liberal Democrat calls to end corridor care within a year by freeing up beds throughout hospitals and in social care to end the blight of excess deaths in overcrowded accident and emergency departments?

[James Murray]

Let me be clear that corridor care is unacceptable and undignified and we are committed to eradicating it. We have begun by getting specialist teams to go into the worst offending trusts to ensure that we are getting rid of corridor care in those places. The NHS now has a national definition of corridor care for the first time ever. We will publish data on that shortly, because the first step in getting a grip of the problem is to be open and transparent about its scale.

Oral Answers to Questions

Debate between James Murray and Helen Morgan

Tuesday 9th September 2025 Commons Chamber

[The Chief Secretary to the Treasury (James Murray)]

The Government are investing £100 million to improve hospice facilities and a further £26 million of revenue funding to support children and young people’s hospices this year. That is the biggest investment in hospices in a generation. Details about the funding arrangements for 2026-27 will be set out by the Department of Health and Social Care in due course.

[Helen Morgan (North Shropshire) (LD)]

T2. Pubs are at the heart of the community in North Shropshire, whether community-owned pubs such as the White Lion in Ash and the Horse and Jockey at Northwood, the Bailey Head in Oswestry, which was the Campaign for Real Ale’s pub of the year, or attached to a microbrewery like the Stonehouse brewery in Morda. But all those hospitality businesses are buckling under the strain of higher business rates, the national insurance increase and higher energy costs. May I add my plea to those of my Liberal Democrat colleagues and ask the Chancellor that, in the upcoming Budget, measures are put in place to support our struggling hospitality industry?

[James Murray]

As set out at the last Budget, we will introduce permanently lower tax rates for retail, hospitality and leisure businesses with rateable values below £500,000. The relief that we inherited from the previous Government was due to end entirely in April of this year. We extended it for one year to give us time to legislate for permanently lower tax cuts for pubs across this country.

Bank Closures: Rural Areas

Debate between James Murray and Helen Morgan

Monday 24th February 2025 Commons Chamber

[James Murray]

The hon. Gentleman highlights how this issue affects communities right across the UK, and in a moment I will turn to the criteria by which the locations of banking hubs are decided—hon. Members have raised that important issue, and put on record their concerns and feelings about it.

Banking hubs offer counter services provided by post office staff, which allows personal and business customers of more than 30 banks and building societies to withdraw and deposit cash, deposit cheques, pay bills and check their balance. They also, crucially, contain rooms where customers can see community bankers from their bank to carry out wider banking services, such as registering a bereavement or help with changing a PIN. As the hon. Member for North Dorset pointed out, banking hubs offer more than just access to cash—that is an important point regarding why such hubs can bring so much to an area that has otherwise lost its local banks.

Community banking hubs can clearly contribute a great deal to local areas where existing banks have closed, and decisions over the opening of a hub are guided by the Financial Conduct Authority’s regulations. In response to the question from the hon. Member for Strangford (Jim Shannon), it may be helpful for me to briefly outline how the FCA’s process works. When a bank announces a closure, Link, the operator of the UK’s largest ATM network, conducts an impartial assessment of a community’s access to cash needs. Link considers criteria such as population size, the number of small businesses and levels of vulnerability, as well as the distance to the nearest branch, and the cost and time taken to get there via public transport.

Should Link recommend a banking hub, Cash Access UK, a not-for-profit entity funded by major UK banks, will implement it. Crucially, a bank branch cannot close until any recommended services are in place. Additionally, individuals, including Members of Parliament, can directly request an access to cash review via the Link website. In collaboration with industry, the Government remain committed to advancing the roll-out of these hubs.

It is worth pointing out that customers have alternative options for accessing everyday banking services. Notably, 99% of personal and 95% of business banking customers can conduct their banking, including taking out and depositing cash, at over 11,500 Post Office branches nationwide. The Post Office, as several hon. Members have mentioned, has a duty to serve rural communities, with the Department for Business and Trade requiring that 95% of the total rural population across the UK be within three miles of a Post Office. Therefore, where communities might be too small for a banking hub, as may be the case for some of the rural communities we are focusing on this evening, individuals and businesses can still access essential services at their local Post Office.

[Helen Morgan]

Have the people who have developed these regulations considered that three miles is a very long way for those who do not drive or have access to a car, or where there is no bus service? That is certainly the case for large numbers of people in North Shropshire and, I am sure, the other rural communities mentioned during the debate. People have set up their lives to be able to access the services that are available, but if those services are taken away and put somewhere else, they are unlikely to be able to get to that location, which is really problematic. Will the Minister consider reassessing the criteria, so that banking hubs are placed where banks were previously located so that people can still access them?

[James Murray]

The hon. Member is correct that people need to be able to get to banking hubs, and I will address that point later in my speech.

More broadly, this Government are committed to improving the quality of life for people living and working in rural areas, so that rural communities and businesses can realise their full potential. A prosperous rural economy will be underpinned by improvements in rural connectivity, as the hon. Member for North Shropshire (Helen Morgan) pointed out, and access to a diverse range of services. In the autumn Budget of 2024, the Government therefore announced funding of over £500 million next year to deliver digital infrastructure upgrades through Project Gigabit and the shared rural network. That investment will drive roll-out of broadband and 4G connectivity to support access to good internet in rural areas across the UK.

We have also confirmed investment of over £1 billion to support and improve bus services and keep fares affordable. In recognition of the fact that each community has individual needs, we have introduced the Bus Services (No. 2) Bill to put power over local bus services back in the hands of local leaders. Every region in England, including the rural communities at the heart of this debate, will benefit. Taken together, these investments will help improve access to banking services, whether digital or in-person. More broadly, they will help to deliver economic growth more evenly across the country, helping rural areas to thrive.

In closing, on behalf of the Economic Secretary to the Treasury, my hon. Friend the Member for Wycombe (Emma Reynolds), I again thank the hon. Member for North Dorset for his continued work in highlighting this important topic. I assure him and other hon. Members that this Government are steadfast in their commitment to supporting rural communities in their access to banking services, and I thank him again for raising his constituents’ concerns in the House tonight.

Question put and agreed to.

Oral Answers to Questions

Debate between James Murray and Helen Morgan

Tuesday 3rd December 2024 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

20. What fiscal steps she is taking to increase economic growth in rural areas.

[The Exchequer Secretary to the Treasury (James Murray)]

A prosperous rural economy will be underpinned by improvements in rural connectivity and productivity, the availability of affordable energy, access to public services and a thriving farming sector. To that end, the Government are investing £5 billion in broadband connectivity, which will support growth in rural areas across the UK. In addition, we are spending £5 billion for the farming budget in England over the next two years, including the largest amount to be directed at sustainable food production and nature’s recovery in our country’s history.

--- Later in debate ---

[James Murray]

The Chief Secretary to the Treasury will set out any fiscal measures in due course. I am not sure whether I will get away with committing him to a visit to the hon. Gentleman’s constituency, but I am sure that many of us would like to visit it. In fact, I shall be in Scotland in the next few days, but as it is for a Labour party fundraiser, the hon. Gentleman may not want to join me.

[Helen Morgan]

Rural North Shropshire is home to some great independent businesses that we are looking forward to celebrating on Small Business Saturday this week, but they are held back by the business rates system, which benefits big online retailers and holds back investment not only on the high street but in the countryside. Will the Minister consider a much more radical reform of business rates which takes account of land values, encourages businesses to invest and puts high street retailers on a level playing field with online giants?

[James Murray]

Until the hon. Lady’s last sentence, I thought she was declaring support for our business rates plans, because we are setting out to level the playing field for high street businesses and the online giants. We are doing that by way of a permanent tax cut for retail, hospitality and leisure businesses on the high street, which is paid for by the higher multiplier for those with a rateable value of £500,000 or more—a category that includes the warehouses used by online companies. I look forward to the hon. Lady perhaps contributing towards our “Transforming Business Rates” paper, which sets out our wider ambitions for reform.