Oral Answers to Questions

Josh Fenton-Glynn Excerpts

Tuesday 22nd July 2025 Commons Chamber

[Mr Speaker]

The question is on Long Crendon, so we will see how Josh Fenton-Glynn does.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

Before I start, I pay tribute to the shadow Secretary of State, the right hon. Member for Melton and Syston (Edward Argar), who faces his last set of Health questions. He is an incredibly kind man—we spoke after the loss of my brother—and a fantastic shadow Secretary of State. I am not sure how they will replace him.

One of the key shifts we need to see in the 10-year plan is from hospital to the community. Key to keeping people out of hospital is tackling the dental deserts, with dental problems being the biggest cause of children aged five to nine going to A&E. Will the Minister assure me that the new neighbourhood health centres will include dentistry—

[Mr Speaker]

Order. That is not linked to the question. That is why I was really bothered when I called the hon. Gentleman.

--- Later in debate ---

[Wes Streeting]

Yes, and that is why we are reforming the better care fund.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

Key to the shift to prevention is making sure that people can stay in their own homes or get home from hospital. The Health and Social Care Committee found that such provision costs the NHS £1.9 billion every year. Can the Secretary of State update me on what we are doing to get the social care system working?

[Wes Streeting]

Thanks to the decision that the Chancellor has taken, spending power in social care is rising—not just through Department funding but in the spending power of local authorities. My hon. Friend is absolutely right: we have to get the right care in the right place at the right time. That often means better care for patients and better value for taxpayers.

NHS 10-Year Plan

Josh Fenton-Glynn Excerpts

Thursday 3rd July 2025 Commons Chamber

[Mr Deputy Speaker]

I call Select Committee member Josh Fenton-Glynn.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

The shifts announced today, from analogue to digital, and from hospital to community, are exactly the shifts that will make the NHS stable for the future. Will the Secretary of State elaborate on the “analogue to digital” point? A practice manager in Calder Valley recently said to me, “It’s all very well looking at artificial intelligence, but it takes us half an hour to turn on a computer.” What more will he do to ensure that we improve the NHS digital offer for everyone working in the health service?

Rare Cancers Bill

Josh Fenton-Glynn Excerpts

Committee stage
Wednesday 2nd July 2025 Public Bill Committees

[Ashley Dalton]

I congratulate my hon. Friend on the launch of the trial in her sister’s name. We do want to see more research and trials coming forward, particularly for rare cancers. She will be aware of the consortium that the Department has developed to work directly with the brain tumour community in particular, to improve the quality and number of research trials that come forward for funding.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

Constituencies in Yorkshire, such as the one I represent, do particularly poorly with research funding—I think 5% of research funding for cancer trials goes to the area. With this Bill and a renewed focus on cancer, I hope we will look to expand the number of research-active hospitals to give people throughout the country a better chance.

Terminally Ill Adults (End of Life) Bill

Josh Fenton-Glynn Excerpts

Report stage
Friday 13th June 2025 Commons Chamber

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

I rise to speak in support of amendments 21, 103, 104 and 42, tabled by my hon. Friend the Member for Twickenham (Munira Wilson), the hon. Member for Newcastle-under-Lyme (Adam Jogee) and my hon. Friend the Member for Wimbledon (Mr Kohler). As other Members have said, this is a deeply consequential Bill. I want to record my thanks to the hon. Member for Spen Valley (Kim Leadbeater), to all members of the Bill Committee, and to all those who have contributed to its careful scrutiny through the tabling of amendments and debates over them.

The Bill is about the end of life. It is an emotive and sometimes painful topic, and I am grateful to the many constituents who have generously shared with me their experiences and opinions. I have also taken some time to consult palliative care practitioners, including those providing hospice care in my constituency. Those conversations reinforced the awe and admiration I hold for these caring professionals. Their expertise and deep commitment are always impressive. Contrary to the points made by the hon. Member for Gosport (Dame Caroline Dinenage), they are adamant that they can provide sufficient pain relief to the vast majority of those receiving end-of-life care. The issue is about not the efficacy of treatment, but access to it. In this, I echo the powerful points of the hon. Member for East Renfrewshire (Blair McDougall) on the present inequality of access to palliative care.

Amendment 21 would ensure that the availability, quality and distribution of palliative and end-of-life care is published within one year of the Act being passed. When assessing the provision of end-of-life care, it is critical that this House and the public can see how palliative care is being delivered. For the measures in the Bill to provide a genuine choice to those at end of life, palliative care must be much more widely available.

The hon. Member for Spen Valley (Kim Leadbeater) argues that there should be no false choice between palliative care and assisted dying, yet she and health Ministers know that there is a choice as resources are limited. When so many hospices have closed beds due to funding shortages and receive more than 70% of their funding from donations, I am concerned that we may see significant expenditures on a new regime for assisted dying, funded by the state as a health treatment, while the palliative care sector and hospices in particular remain chronically underfunded.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

rose—

[Calum Miller]

I will not give way.

Only by having the assessment of the palliative care system that is proposed in amendment 21 can we be confident of knowing whether access to palliative care is sufficient. If we are to provide a true choice at end of life, that is critical.

I also stand in support of amendments 103, 104 and 42. Amendments 103 and 104 would give this House a say over the key decisions that still remain to be taken on the implementation of the Bill. Given the significance of the Bill and the importance of the many questions still to be resolved, these amendments are critical.

Amendment 42 would ensure that we do not career towards the enactment of this Bill in four years whether or not the system is ready to operate safely and fairly. Taken together with amendments 21, 103 and 104, this would ensure that this House has the chance to consider whether those at end of life can access the full range of support, advice and protections intended by the Bill, and which they deserve from palliative care services across the country.

Like so many in this House, I have direct personal experience of the issues addressed by the Bill. My father was diagnosed with stage 4 cancer in May 2002. Over seven weeks, he and my family benefited from the incredible care of our local hospice. Sharing my dad’s life, care and death has shaped me, so I fully understand why so many of my constituents have asked me to vote on this legislation in the light of their and their loved ones’ experience.

Yet our task is to legislate for a new system that will affect thousands of people and society as a whole. However this House votes on this Bill, our debates must result in a new focus on the provision of palliative care, so that all people at end of life truly have options in the management of their care and death.

Spending Review: Health and Social Care

Josh Fenton-Glynn Excerpts

Thursday 12th June 2025 Commons Chamber

[Karin Smyth]

The hon. Gentleman makes an excellent point on primary care, which sees 90% of contacts with the NHS and is where most people experience the NHS. That is why it is very much in our sights to support that work. As part of our 10-year plan, we will bring forward the neighbourhood health service to make sure that people can be seen more locally. That will be built around using primary and community care to best effect. He makes a point about funding formulas. We had a long debate about that yesterday in Westminster Hall, and it is an area of huge controversy. He will see over the coming weeks how the funding is allocated. NHS England did issue—if he has not seen it, I will make sure that he has access to it—guidance on the funding formula and where the different systems are in relation to that. We want to move everybody towards that target, and I am happy to discuss that with him once he has had a look.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

This Government have made phenomenal progress on the elective care waiting lists left by the last Government, but the progress on mental health waiting lists has been stubbornly slow, with 1.2 million people still waiting for treatment. That includes 62,000 people covered by the West Yorkshire ICB that serves my Calder Valley constituency, which I think is the second-highest figure in the country. Can my hon. Friend please assure me that we will use this settlement to redouble the work we have done on elective waiting lists, while also putting a real focus on mental health waiting lists?

[Karin Smyth]

My hon. Friend makes an excellent point on mental health, which is of great concern to all Members. He is right that elective care and mental health are measured in different ways, but we are committed to supporting mental health services with 8,500 extra staff. We are making sure in particular that young people in schools are supported. We know that the situation has been terrible for young people in our country, and we will continue to provide that relentless focus.

NHS and Care Volunteer Responders Service

Josh Fenton-Glynn Excerpts

Monday 19th May 2025 Commons Chamber

[Karin Smyth]

I thank the hon. Lady for her work volunteering and supporting the scheme during covid. The announcement is about NHS England. The organisation will continue to work with the NHS and voluntary organisations to ensure that where people are volunteering, that will continue, and that volunteers continue to be recruited, ahead of a fuller launch of the recruitment portal later this year. On her wider point, this Government are not dropping talks with other parties about social care, which is being taken forward by the independent commission under Louise Casey.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

I pay tribute to all the volunteers across Calder Valley and the rest of the country who helped with the fantastic vaccine roll-out. Will the Minister confirm that despite scaremongering from the Conservatives, people will of course still be able to volunteer for the NHS and support others?

[Karin Smyth]

This is a good opportunity, which I very much welcome, to highlight again how important volunteering is to the NHS and the care system. It will remain an important part of our plans going forward that. People may have had an email and thought that something is stopping and that there is not more to do, but they should ensure that they press that button and register for upcoming opportunities and are in contact with their local NHS systems. As I said, volunteering is done locally, and it is important that we support those local systems and encourage more and more people to come forward to undertake this important work.

Hospitals

Josh Fenton-Glynn Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Helen Morgan]

It is important to recognise that the additional investment in the NHS amounts to about £10 billion a year—according to Office for Budget Responsibility numbers, which I am sure the hon. Gentleman has looked at—because of the cost of national insurance hikes and of compensating other public sector employers for those hikes. The £22 billion figure is somewhat misleading. The point that we are making is that it is a false economy to keep those buildings going, to keep repairing a crumbling estate, to keep patching up and putting a sticking plaster on those problems. Those buildings need to be demolished and rebuilt, so that approach is a false economy. It would be much better to build new buildings up front and save on future repair costs. We need to ensure that no one is treated in broken, uncomfortable and unsafe facilities. Repairing and replacing crumbling, substandard hospitals is not only vital for delivering better care and treating-more patients, but crucial for rebuilding the economy after years of Conservative economic vandalism.

How much would all this cost? In my county of Shropshire, the cost of the maintenance backlog across all sites has reached about £75 million. I am sure that everyone here would agree that £75 million is a lot of money—indeed, it is so much that it is the total amount of Government capital investment for hospices this year—but in terms of hospital maintenance it is a drop in the ocean. Torbay hospital needs more than £50 million to clear the backlog, Watford hospital has a backlog of £63 million, and Hull royal infirmary requires an eye-watering £70 million. Across England, the figure is a colossal £13.8 billion—and that is just to bring our existing hospital estate to the minimum standard.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

The hon. Member is right that a huge amount of money needs to be spent. A lot of that goes back to the fact that, as Lord Darzi tells us, £37 billion less was spent on hospital buildings in the 2010s than was necessary. Will she remind me who was in government for the for half of the 2010s?

[Helen Morgan]

The hon. Gentleman will be aware that, when one comes into government and has to clean up the mess left behind by the previous Government, one has to make difficult choices. It is the job of the Opposition to point out where they would make those choices or take different options. We would invest to save money in the long run, rather than fritter money away on a repair bill for buildings that need to be demolished. It is not sensible to pour good money after bad when the right thing to do is invest in a new fit-for-purpose and modern estate that does not have endless and extortionate maintenance requirements.

--- Later in debate ---

[Josh Fenton-Glynn (Calder Valley) (Lab)]

Today’s debate is a welcome chance to talk about the challenges of our health service. The Darzi report was a stark demonstration of the state in which the health service was left by the last Government. I know that part of the game today is for our colleagues on the Liberal Democrat Benches to say, slightly deceitfully, “Oh, the Labour MPs are supporting the delay.”, but Members across the House will know, if we are honest with ourselves, that we cannot delay something that was not going to happen.

What of our inheritance? It stretched far further than just the buildings; it included the staff and the patients in them, weakened by austerity and decimated by covid. Lord Darzi talked about £37 billion of under-investment in our hospital buildings in the 2010s. On top of that, what else did we inherit?

[Perran Moon (Camborne and Redruth) (Lab)]

Does my hon. Friend share my real discomfort at the gall of the hon. Member for Henley and Thame (Freddie van Mierlo) in suggesting that somehow this Government are making the same mistakes that the Conservative Government made, when it was in the 2010s—under a coalition Government—that the rot started, with the Liberal Democrats?

[Josh Fenton-Glynn]

I think if the hon. Member for Henley and Thame (Freddie van Mierlo) were to reflect on what he said, he would know that these things always go a lot deeper.

What have we inherited? We inherited 14,000 unnecessary deaths in A&E alone each year. NHS waiting lists peaked at 7.7 million. That is people waiting anxiously, needing treatment, tumours growing, their bodies getting further from being well, and every day 2,000 people were being sent to hospital who did not need to be there, because social care had been failed and forgotten by the previous Government and by the coalition Government. In my constituency, that means 20% of beds in our hospitals are taken up by people who do not need to be there.

We have work to do, and I am concerned that in this debate we will get caught up in a discussion about hospitals and will not fix the systems within them that we need to fix. That is why we have talked about three shifts. The first is from hospital to community. We have to stop people needing hospital care because they have been failed by care closer to home. That is why our revolution in GPs will make a real difference. The second is the shift from fitness to prevention. We can have the best buildings, but with less prevention they will still be full. Finally, there is the shift from analogue to digital; every week, the Health and Social Care Committee hears about people caught between systems and between computer systems.

Although I welcome this debate, we must not fetishise buildings over people. We need to think holistically about our system and deliver the decade of national renewal that the public voted for. We need to look at all of our health service, across parties and in good faith.

NHS Pensions

Josh Fenton-Glynn Excerpts

Tuesday 1st April 2025 Commons Chamber

[Karin Smyth]

The Chair of the Health and Social Care Committee makes a good point, as she so often does, about what went on previously. This is an issue from the McCloud judgment that runs across many Departments. It was a problem under previous Governments, starting with the coalition Government. I know that the Public Accounts Committee, on which I served, and the Treasury Committee have looked at the matter over time. The Department will certainly co-operate with any inquiry and investigate what happened across Government. I am happy to get back to the hon. Lady on that point.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

This issue appears to be yet another example of the hangover left by the previous Conservative Government. Does the Minister agree that part of getting the NHS back on its feet includes cleaning up this mess and cutting waiting lists, which have already dropped for five months in a row?

[Karin Smyth]

My hon. Friend makes absolutely the right point. As I have said, Lord Darzi has helpfully outlined the breadth of the mess that we inherited back in July, and it makes for stark reading. We have still not had an apology from the Conservative party, so I am happy to take an intervention now if anybody decides to provide one. In these issues, we are seeing the depth of the destruction that the Conservatives have caused widely across Government. We will continue to fix that on behalf of the British people.

Rare Cancers Bill

Josh Fenton-Glynn Excerpts

2nd reading
Friday 14th March 2025 Commons Chamber

[Josh Fenton-Glynn (Calder Valley) (Lab)]

I rise to speak about a Bill that will increase research funding focused on more effective treatments for rarer forms of cancer. I thank my hon. Friend the Member for Edinburgh South West (Dr Arthur) for introducing the Bill.

Like many in this House, I rise today because I have lost a family member to a rare cancer, and I also rise as a member of the Health and Social Care Committee. In the last Parliament, the Committee conducted a Future Cancer inquiry, which recommended that

“the UK should be leading on driving up international action to tackle the poor outcomes for the least survivable and least common cancers. “

This Bill will do that—but, as I say, my reason for speaking in this debate is much more personal. On 20 January this year, my brother Alex English passed away from high-grade acinic cell carcinoma, a form of salivary gland cancer. I tell his story to highlight what we can win, because this Bill can give families the gift of more time with the special people they love.

Increasingly, more common cancers are treatable or are illnesses that people can live with, but on rare cancers we still have a way to go, and without focus we will not get any further. There are more than 700 diagnoses of various forms of salivary gland cancer each year, but my search for related terms in Hansard finds only two mentions in this Chamber in the past 30 years—my hon. Friend has just made the third. One of those mentions was from me, following my brother’s death. That is why we need more focus.

In evidence to that Select Committee inquiry, Cancer52 noted that, while they represent 47% of diagnoses of less common cancers, rare cancers account for 55% of deaths. Members across this House have our own cancer journeys—ourselves, our friends or our loved ones—and I want to talk about my brother’s journey. Not all cancer journeys have the outcome that we want, and even with this Bill we will still lose some people, but more investment into research for rare cancers can give us something crucial: time. I would do anything for more time with my brother.

If you will indulge me, Madam Deputy Speaker, I would like to talk for a minute about the person who Alex was.  The most important thing about Alex was not how he died; it was how he lived and the mark he left on the world. He fit a lot into 53 years. A lot of us think that our elder siblings are rock stars, but in my brother’s case that was literally true. The band he joined at university, called Pure, toured with bands like Soundgarden and reached the top 10 in Japan.

I have always been tremendously proud to call him my brother. I was proud of the horse-drawn narrowboat company he ran in Hebden Bridge, which forms part of many people’s happy childhood memories, and of his subsequent time at the National Trust, where he helped properties to become profitable, worked to restore nature and worked with local authorities. His last major project was creating woodlands near Lunt, in Liverpool. But most of all, I was proud of the person he was. He was always funny—he had a surreal wit. He was unfailingly kind and the sort of non-toxic model of masculinity that the world needs more of. I remember the humour and love in the best man’s speech he gave for me, and I will never not be sorry that I have written eulogies for my brother but never a best man’s speech.

While preparing for Christmas in 2023, I got a call from Alex and he asked if I had a minute to talk, which was unlike him, because he would not generally be over-serious. He said he had a lump on the side of his face that was, in his words, unsightly but not overly concerning. It might have been cancer, but there are a number of other things that it could have been, and if it was cancer, it was likely to be a very treatable form. He instructed me to be aware of it but not make a big deal of it, because, typically, he did not want to worry our mum. Later, it transpired that it was acinic cell carcinoma, but the prognosis was good and they were going to operate. The cancer continued to grow. His operation took 14 hours. The thing about Alex’s tumour is that the version of the illness he had was high grade, which meant that it mutated faster. It is something that has only been identified in about 100 cases, and which no doubt could have been identified earlier had we known more about cancers like his.

Last spring, in my mum’s garden, during a hushed conversation with a different family member to the side, they told me that Alex might only have 18 months to live. I hugged my two-year-old son, who was playing in the garden unaware, because I was trying not to make a big deal of it—but sometimes you need to hug someone. Every update got worse, until I took a day off during the election campaign to visit him at the Christie hospital because his lung had collapsed.

Then, because it is never a straight line, his health improved. He got to sit up there in the Gallery to watch my maiden speech in Parliament. We went to a Pixies concert together at the Piece Hall in Halifax. Then he got worse, Madam Deputy Speaker, and on Christmas Eve last year he was hospitalised again. When he returned home, we knew he was coming home to die. I cannot say enough about his wonderful friends, particularly Matt and Sarah, and my incredible family, who cared for him at the end. All of us would have spent more time at his bedside if we could, because time with people you love is a privilege.

That is what this Bill is about: giving people more time with those they love, perhaps even a full lifetime together. In cases where the cancer is worse and it cannot be treated or cured, it is about giving people more time, better health and an understanding of the journey that they are on. It is about giving people more special moments, be it a Pixies concert or reading a story to a child—Alex read the best stories—and time to organise what you leave behind. People who develop cancers that are rare still matter, and they still deserve more time. The work to help people like Alex in the future must start today.

The Government have a renewed emphasis on tackling rare cancers, in memory of the sister of my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh) and of Tessa Jowell, and for countless other campaigners, including those in the Gallery. What we need is focus and determination to respond quickly. I thank the House for indulging me today. Let us be that world leader that is so desperately needed in tackling rare cancers. Let us give families special time with those they love the most. Let us pass this Bill.

NHS England Update

Josh Fenton-Glynn Excerpts

Thursday 13th March 2025 Commons Chamber

[Wes Streeting]

I am grateful to the right hon. Gentleman for that thoughtful question. Let me say two things to him. First, democratic accountability matters, both in terms of patient outcomes and value for taxpayers’ money. One of the things that I, my Labour and many of my Conservative predecessors have reflected on a lot over many years is what the role of the Secretary of State, and Government, is in a national health service where clinical decisions should always be clinically led. It is the Secretary of State’s responsibility to be the champion for patients and for taxpayers and to ensure that the system as a whole delivers better outcomes for patients and better value for taxpayers.

The argument that I have started, however, which has ruffled some feathers within the NHS and even more so with some of our country’s most loved charities in recent months, is the fallacy that the Secretary of State can or should just fire endless instructions into the system, as if a Secretary of State or, for that matter, an NHS England could just pull some big levers and drive change in such a vast and complex system. That is a falsehood. Of course, we should set national strategic priorities on behalf of the public. We should ensure that there is more transparency and information so that patients, communities and staff can hold the system and themselves to account to improve performance. However, the overcentralisation has to stop.

In future, it will be for the Department and the NHS nationally to do the things that only the national health service can do, providing the enablers for the system as a whole. What we are presiding over and embarking on, however, is the biggest decentralisation of power in the history of our national health service. That will put more power into the hands of frontline leaders and clinicians, but even more fundamental and transformational, more power into the hands of patients. If we get that right, we will have an NHS that can truly be the envy of the world. If people continue to indulge in the fallacy that more targets from the centre or more—or indeed, less—political control is the answer, we will fail.

The right hon. Gentleman also mentioned the CQC. It has got itself into a terrible mess and I know that that is not what he intended when he rightly made the decision to create the Care Quality Commission. That is why Sir Julian Hartley knows that he has our full support, not just in turning around the CQC as it is, but in reforming it so that it can be the best guarantee and safeguard of quality that patients and the public deserve. Dr Penny Dash’s forthcoming review findings will also help to drive that reform agenda at pace.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

I thank the Secretary of State for making the statement today. I want to echo the thoughts of the hon. Member for Oxford West and Abingdon (Layla Moran) that it would be helpful to see him in front of the Select Committee to outline his vision for NHS England. Will he tell us today how the new structure of the NHS will help us deliver truly excellent social care and also primary care, and what drivers he can use to make that happen?

[Wes Streeting]

It always worries me when my hon. Friend says he wants to see me in front of the Select Committee because he does not pull his punches, despite being on the Government side of the House. Let me reassure him that on primary care, I hope that we are beginning to turn what I think has been a deep anger, frustration and anxiety among primary care leaders about the state of the system as it is and a pessimism about its future into increasing amounts of quiet optimism and hope. I think GPs can see we are walking the talk, with the biggest funding uplift in a generation and the fact that we have worked constructively with GP leaders to reform the contract and agree that further, more radical reform is needed together. We will be embarking on that under the auspices of the 10-year plan. As well as delivering that significant achievement with GPs, the Minister for Care, my hon. Friend the Member for Aberafan Maesteg (Stephen Kinnock), is also in the very final stages of work with pharmacists to stabilise the community pharmacy sector, which is vital for the NHS’s future as a neighbourhood service.

May I also reassure my hon. Friend the Member for Calder Valley (Josh Fenton-Glynn) that under the auspices of the 10-year plan for health, notwithstanding Baroness Casey’s work on the long-term future of social care, we have an eye on social care and the relationship between health and social care? People will not, therefore, be waiting until next year for the first Casey report or, indeed, later for the final Casey report on the longer term to see action from this Government on social care, particularly as it relates to the NHS.