Oral Answers to Questions

Karin Smyth Excerpts

Tuesday 20th October 2026 Commons Chamber

[Mrs Elsie Blundell (Heywood and Middleton North) (Lab)]

1. What recent discussions she has had with the interim leadership of the Northern Care Alliance NHS foundation trust.

[The Minister for Secondary Care (Karin Smyth)]

I absolutely endorse your comments about our colleague, Mr Speaker.

I know that my hon. Friend and many other colleagues are deeply concerned about the issues at Northern Care Alliance. As of June this year, the trust has been placed under the highest level of regional oversight and support from NHS England. It is imperative that rapid movements are made, governance systems are strengthened and that every patient receives the standard of care that they deserve.

[Mrs Blundell]

My constituents are very concerned about Northern Care Alliance hospitals. Across the trust, there were 10 serious incidents between 2025 and 2026 that were found to be wholly preventable, lengthy delays causing severe harm to patients and industrial action, culminating in a sustained decline in performance and national rankings on patient safety. What options are therefore on the table if the trust does not show urgent signs of improvement?

[Karin Smyth]

My hon. Friend rightly highlights on behalf of her constituents the number of issues that have led to this significant regulatory intervention and support. If necessary, further action is available to NHS England and the Care Quality Commission. We want to ensure that the focus now is on supporting and challenging the trust to make the rapid and sustained improvements necessary in those key areas. I know that my hon. Friend and our other colleagues will work closely with the trust on this; I always encourage MPs to work closely with their trust to ensure that that happens. If necessary, other measures will also be available.

[Rachael Maskell (York Central) (Lab/Co-op)]

2. What steps she is taking with Cabinet colleagues to regulate funeral services.

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[Dr Sam Rushworth (Bishop Auckland) (Lab)]

7. What steps her Department is taking to increase the use of community hospitals and beds for step-down intermediate care.

[The Minister for Secondary Care (Karin Smyth)]

My hon. Friend makes an excellent point about the importance of intermediate care, which is a key component of supporting patients into discharge to recover outside of hospitals. Community beds play an important role, but we are clear that home-based intermediate care also needs support, particularly for frail people, through neighbourhood health. That should be the default pathway, and we will continue to work with the system to make that happen.

[Dr Rushworth]

Ward 7 at Bishop Auckland hospital is an example of the NHS working—physios, nurses, healthcare workers and some excellent facilities—so we were shocked to hear that our local NHS trust plans to close the ward, move it to Darlington and break up that team. Will the Minister meet me so I can represent my constituents and the workers at that hospital, and raise those concerns with her face to face?

[Karin Smyth]

I am, of course, happy to meet my hon. Friend to discuss that issue further. I am clear that all changes to services should be based on clear evidence that they deliver better outcomes for his constituents and people across the country. He is absolutely right that we want to extend care closer to home. As I said, the default is to get more care into people’s homes, and I am happy to discuss that further with him.

[Alex Brewer (North East Hampshire) (LD)]

Our community hospital in Fleet is doing a brilliant job, but it could be a much more established resource for local people, especially given the delays in rebuilding our local hospitals. Will the Minister meet me to discuss how we can make the best use of community hospitals in North East Hampshire while we wait another two decades for the rebuild of Basingstoke hospital?

[Karin Smyth]

The hon. Lady is right that we absolutely want to get more care closer to people’s homes and into people’s homes. We want to support frail people in their homes before they even get into hospital. I am working with the integrated care board to make sure that all that happens. I am happy to discuss that further with her.

[Mr Speaker]

I call the shadow Minister.

[Gregory Stafford (Farnham and Bordon) (Con)]

Step-down beds in community hospitals, such as the Chase community hospital and Haslemere hospital in my constituency, are vital. Unfortunately, neither of those two hospitals is being used for that purpose at the moment. At the same time, delayed discharges have hit an all-time high under this Government. More than 14,000 patients a day are stuck in hospital for two weeks or more after being declared fit to leave—that is up 12% since July last year. Behind every one of those numbers is someone who wants to be at home and an acute bed that another patient desperately needs. Why are the Government failing so abysmally at getting people out of hospital and into care at home?

[Karin Smyth]

As the hon. Gentleman knows, the situation deteriorated massively under the 14 years of Conservative government. He is well aware of the fragmentation of all our services. He knows how the system was fragmented and what happened under those reforms. He knows that is why we are trying to change it. He is absolutely right, though, that people being in beds in hospitals or in parts of the system where they should not be is not good for their health or their outcomes. That is why it is part of our three shifts, and that is fundamentally why the Prime Minister is very clear that we will raise social care up the agenda and ensure that people are treated more in their homes and in community services where they live. I welcome his support for our shift to neighbourhood care and to better care closer to home.

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[Jonathan Davies (Mid Derbyshire) (Lab)]

T2. My constituent Audrina Hatton-Wright is a 12-year-old cancer survivor. She has spent a huge amount of her childhood in hospital, where she has found that the food is sometimes not of a nutritional quality to support people’s recovery. She is running a high-profile campaign on this issue, which has taken her on to the BBC and ITV’s “This Morning”. Will Ministers meet me and Audrina to see where we can work on this issue together?

[The Minister for Secondary Care (Karin Smyth)]

I thank Audrina for the great work that she is doing, supported by the campaign. Food in hospitals is really important, and we would be very happy to meet Audrina. Well done to her.

[Mr Speaker]

I call the shadow Secretary of State.

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[Jack Abbott (Ipswich) (Lab/Co-op)]

T4. East Suffolk and North Essex NHS foundation trust has made a £98 million application to the estates safety fund for a new maternity building. Our local services support the delivery of around 3,000 babies every year, but the existing building has not been fit for purpose for many years. Will the Secretary of State support our bid for a new maternity wing at Ipswich hospital, to make sure babies and families get the state-of-the-art services that they so desperately need?

[Karin Smyth]

My hon. Friend raises an excellent point about the state that these buildings were left in by the Conservative party, as Lord Darzi’s report made clear. We are investing unprecedented amounts in capital and giving greater certainty, and I would be happy to meet my hon. Friend to discuss the proposal from Ipswich. It is up to local systems to come forward with plans, but I would be happy to discuss that further with my hon. Friend.

[Mr Speaker]

I call the Liberal Democrat spokesperson.

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[Mr Speaker]

Order. Can Members please help other colleagues to get in by shortening their questions?

[Karin Smyth]

My hon. Friend is absolutely right that it is the responsibility of the commissioners to look holistically at the provision of services. We want more services closer to home, using technology, care in people’s homes and so on, but she is quite right to highlight this issue. I know that she will continue campaigning on it, and I hope everyone has listened to her, so that people can come together to help her constituents.

[Mr Gregory Campbell (East Londonderry) (DUP)]

T5. Bowel cancer rates are increasing among the under-50s. What targeted interventions are taking place to try to reduce such incidences?

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[Ben Obese-Jecty (Huntingdon) (Con)]

I thank the Minister for her recent confirmation that the renal dialysis service would remain at Hinchingbrooke hospital in my constituency during the build under the new hospital programme, but I am conscious that it is not in the scope of the actual new hospital and may not be there in the longer term. Can she offer me some assurances that this vital service for constituents will remain at Hinchingbrooke? If not, is any provision being made to ensure that this local resource stays available?

[Karin Smyth]

I am glad the hon. Gentleman found that correspondence helpful. As he knows, I am keen to discuss the new hospital programme and its progress with all Members. I am sure that discussions about the renal service at Hinchingbrooke continue to take place locally, and that those involved will continue to work together. I know that the hon. Gentleman will keep in touch about the progress of the discussions on behalf of his constituents, and I am happy to talk to him about the issue.

[Lorraine Beavers (Blackpool North and Fleetwood) (Lab)]

Blackpool Victoria hospital desperately needs more money, because the ICB’s funding for hospital trusts does not account for the 20 million tourists or the complexity of care required. Will the Secretary of State ensure that the hospital receives its fair share of extra funding from the ICB?

[Karin Smyth]

I appreciate my hon. Friend’s concern on behalf of her constituents. We are moving the system governing hospitals such as Blackpool away from deficit funding so that it becomes well governed and managed, in line with fair shares allocation, and I shall be happy to discuss that further with my hon. Friend.

[Caroline Voaden (South Devon) (LD)]

Torbay hospital, which serves my constituency, is one of the oldest parts of the NHS estate, and the Devon and Cornwall fire services recently ruled that its tower block would now be unsafe in the event of a fire. A quarter of the beds in the hospital are in that tower block, so patients are now being moved. Staff are extremely worried about what will come next, and this is making the hospital much less viable. Will the Minister meet me, and other Devon Members, to discuss its future funding, and the need to make it safe and secure and ensure that it continues to operate?

[Karin Smyth]

I have met the hon. Member for Torbay (Steve Darling) to discuss this matter. Obviously, money has been allocated. We are well aware of the hospital’s position, and it is also part of the programme. I shall be happy to provide further information if the hon. Lady is not clear about the allocations that have been made.

[Tracy Gilbert (Edinburgh North and Leith) (Lab)]

Demand for surrogacy from the UK is leading to the exploitation of women in countries across the globe, including Ukraine, Nigeria and Mexico. Can my right hon. Friend give a commitment on when legislation will come to the Floor of the House, so that we can play our part in ending that exploitation as soon as possible?

[Mr Gagan Mohindra (South West Hertfordshire) (Con)]

Under the last Conservative Government, upwards of £300 million, which would have been lifesaving as well as life-changing for many of my constituents, was earmarked for the new Watford general hospital. The lack of those funds, combined with the closure of the urgent care centre at Mount Vernon hospital, means that many of my constituents are not now receiving the first-class healthcare that they would reasonably expect. What assurances can the Minister give local residents?

[Karin Smyth]

I pay tribute to my hon. Friend the Member for Watford (Matt Turmaine) and others for their campaigning in that part of north-west London and elsewhere. The movement of services is now firmly part of the programme, and the people of Watford will have the services that they deserve. Discussions are continuing, and I shall be happy to update the House on the final decision as soon as possible.

[Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)]

Percy, a five-year-old constituent of mine, wrote to me ask whether gluten-free products would ever be provided on prescription for people with coeliac disease. What steps is the Minister taking to address postcode variations in the provision of gluten-free food by integrated care boards?

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[Steve Darling (Torbay) (LD)]

The fire service and the Care Quality Commission have now served legal notice against the tower block at Torbay hospital, and more than 100 beds are under threat. With that new information, this is now a crisis at Torbay hospital. Will the Minister please meet me and other Devon MPs to help navigate this crisis?

[Karin Smyth]

I recently met the hon. Member, and as he knows, we are absolutely committed to working with the local system to do that. I absolutely commit to updating him as soon as possible if he is not aware of where we are on that. I will get something back to him very quickly.

[Markus Campbell-Savours (Penrith and Solway) (Lab)]

For those considering suicide, the message must be that there is always another way, but with new Office for National Statistics data showing that the rate of suicide in Cumberland has increased yet again, would Ministers meet me and Cumbrian Members to ensure that our health system is providing support to all when they need it?

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[Luke Myer (Middlesbrough South and East Cleveland) (Lab)]

Will Ministers meet me to discuss the future of East Cleveland hospital and what other services we can get closer to our community?

[Karin Smyth]

Yes.

[Shockat Adam (Leicester South) (Ind)]

I welcome the Government’s commitment to regulating funeral services, but for Jewish and Muslim families, burying a loved one quickly is a religious duty, not a preference. Will the Minister ensure that faith communities and burial societies, such as the Muslim Burial Council of Leicestershire in my constituency of Leicester South, are consulted directly, and that the new legislation does nothing to delay burials?

[Lloyd Hatton (South Dorset) (Lab)]

This month, we heard that Wareham’s chemotherapy clinic will reopen early next year, following two years of campaigning, meaning that patients across Purbeck will no longer have to travel long distances to access cancer care. Building on that success, will the Minister work with me to finally restore the rheumatology clinic at Swanage community hospital, so that many more patients can access care much closer to where they live?

[Karin Smyth]

I am always keen to discuss and visit places in Dorset with my hon. Friend. I am happy to look, with him, at the integrated care board’s overall plan for the provision of all those services.

[Saqib Bhatti (Meriden and Solihull East) (Con)]

I recently met pharmacists in my constituency, who expressed concern about the resilience of the supply chain, and specifically about wholesale suppliers spreading rumours, with the result that medicines are stockpiled, forcing up prices. In this case, it was Ramipril, but this is an issue across the board. It is the British taxpayer—our constituents—who suffer. Is the Secretary of State aware of this issue, and has she considered getting the Competition and Markets Authority involved?

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[James Wild (North West Norfolk) (Con)]

On Saturday, I joined hundreds of people in King’s Lynn in protesting against leaked plans for Norfolk and Waveney University Hospitals Group to downgrade accident and emergency and maternity services, and the intensive care unit, at the Queen Elizabeth hospital. Does the Health Secretary agree that services should be as local to people as possible, and will she reject any plans to remove services from the QEH?

[Karin Smyth]

I am aware of the issues around the hon. Gentleman’s local hospital; I have worked with him closely as part of the new hospital programme as well. It is up to local systems to decide on the clinical pathways across the whole patch. Those decisions must be clinically led, and there must be consultation with local people. I am very happy to keep an eye on that, and to talk with him in the future.