Oral Answers to Questions

Laura Kyrke-Smith Excerpts

Tuesday 13th January 2026 Commons Chamber

[Paul Waugh (Rochdale) (Lab/Co-op)]

6. What steps his Department is taking to improve maternity care.

[Laura Kyrke-Smith (Aylesbury) (Lab)]

9. What steps his Department is taking to improve maternity and neonatal care.

[The Secretary of State for Health and Social Care (Wes Streeting)]

As the House knows, I am deeply concerned by the state of maternity care in the NHS that we inherited. While the majority of births go well, I know from the courage of families who have spoken up and the concern of staff that devastating impacts are arising from failures in care. That is why I asked Baroness Amos to chair an independent investigation into maternity and neonatal services to drive urgent action, but that has not stopped us from taking action in the meantime. We have invested more than £131 million to improve neonatal care facilities, brought in a new maternity care bundle, implemented a programme to reduce the two leading causes of avoidable brain injury during labour, and increased maternal mental health services. There is so much more to do, however, to guarantee safety now and into the future, and also to ensure truth, justice and accountability for past failures.

[Wes Streeting]

Everyone accessing maternity care should be offered a personalised care and support plan, informed by a personalised risk assessment. That is so women have more control over their own care based on what matters to them and their individual needs and preferences, as well as to ensure that every woman understands the risk factors that might arise in her case. A caesarean section is generally a very safe procedure, but like any type of surgery, it carries a risk of complications. All women should have the confidence of knowing that the doctors and midwives dealing with them are robustly trained to deal with severe complications, including haemorrhage. That is why the maternity care bundle, as well as other measures, will lead to greater safety, more information and, crucially, the personalisation of care and patient choice for the mother.

[Laura Kyrke-Smith]

I welcome the new maternal care bundle and its ambition to drive consistently high standards of care for every pregnant and new mum. It is great that maternal mental health is one of the five elements prioritised; I am grateful to the Secretary of State for his focus on that. The challenge now is to drive forward its implementation. Can he say more about how he intends to do that, and in particular how he will ensure that NHS staff are trained and confident enough to better screen and support women who are struggling with their mental health?

[Wes Streeting]

My hon. Friend is absolutely right to raise that issue, and I commend her for the work she is doing in this area. There is a real risk of post-natal depression. Certainly where there have been complications in birth or, worse still, injury or the most unimaginable experience of loss, we need to make sure that women and their partners and the wider families are supported from day one. That does not just mean training and support for staff and making sure that they are doing emotional wellbeing screening; it also means thinking more thoughtfully about estates. One thing that has really struck me is the experience of women who have suffered loss during labour who are asked, during the care that follows, to go back to the very maternity units where their unimaginable pain was first endured. Those are difficult issues to challenge, and it will require investment, but those are the sorts of areas we are getting into as we think more thoughtfully about how to ensure that we take care of not just the physical health of the mother and baby, but the mental health and wellbeing of mother and the wider family.

Oral Answers to Questions

Laura Kyrke-Smith Excerpts

Tuesday 25th November 2025 Commons Chamber

[Alex Baker (Aldershot) (Lab)]

1. What steps his Department is taking to improve patient access to GPs.

[Laura Kyrke-Smith (Aylesbury) (Lab)]

4. What steps his Department is taking to improve patient access to GPs.

[The Secretary of State for Health and Social Care (Wes Streeting)]

I am pleased to report that both access to general practice and patient satisfaction with general practice have improved since Labour came to office. Over 75% of patients find it easy to contact their practice —an improvement of 14 percentage points since the general election. Not only have we recruited an extra 2,500 GPs; crucially, more patients are receiving continuity of care, backed by an additional £1.1 billion. Lots done, lots to do, and certainly a long way to go, but general practice is on the road to recovery.

--- Later in debate ---

[Laura Kyrke-Smith]

The number of qualified GPs in Buckinghamshire has risen by 8% in the last year thanks to this Government’s determination to recruit and retain more GPs. It is a great start, but I still hear from too many people in Aylesbury who cannot get through to their GP surgery or cannot get a quick enough appointment when they do. My constituent Jane, whose husband had suffered a stroke, was advised that he needed a GP appointment the next day, but it took a month to get one. I know my right hon. Friend is determined to keep improving access to primary care for people in Aylesbury and across the country, so can he set out his next steps?

[Wes Streeting]

I certainly can, and I am sorry that my hon. Friend’s constituent was let down. Everyone who needs a same-day appointment should be able to book one, and that is what we are working towards. As she says, we are recruiting more GPs. We are also investing £102 million to create additional space for appointments, including in 21 GP practices in my hon. Friend’s local integrated care board system. Nowhere is the state of the NHS, and the crumbling legacy we inherited, more evident than in the NHS estate, and that is why I am proud that in her Budget, the Chancellor will be setting out plans to roll out a new generation of neighbourhood health centres to deal with the crumbling NHS we inherited and to build an NHS that is fit for the future.

Postural Tachycardia Syndrome

Laura Kyrke-Smith Excerpts

Tuesday 14th October 2025 Westminster Hall

[Cat Smith]

I very much agree.

[Laura Kyrke-Smith (Aylesbury) (Lab)]

I am grateful to my hon. Friend for securing this debate. One of my Aylesbury constituents has become a full-time carer for her 25-year-old son, who is affected by PoTS; he developed it at university, had to drop out and now is unable to work. Does my hon. Friend agree that, given that we know that PoTS is most likely to develop in young adulthood, we need a particular focus on that age group as we think about increasing recognition, diagnosis and treatment of PoTS?

[Cat Smith]

I very much agree.

Suicide Prevention

Laura Kyrke-Smith Excerpts

Thursday 11th September 2025 Commons Chamber

[Laura Kyrke-Smith (Aylesbury) (Lab)]

I congratulate my hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher) on securing this debate. I will focus my contribution on the suicide risks during the perinatal period, which is the period from pregnancy through to the year after a child’s birth.

I have spoken in the House before about the tragic death of my wonderful friend Sophie, who took her own life four years ago, leaving behind her husband and her three little girls aged six, three and just 10 weeks old. I have been feeling the sadness of her death again this week, looking at the photos of her youngest now setting off to primary school for the first time, beaming with pride, and I know Sophie would have been so proud too.

I still vividly recall the shock of the moment I learned that she had died when the message came through from her husband. It was only after we lost her that I learned just what a risk there is of suicide in this period of life. One in four people experience some form of post-natal depression or anxiety, which is still poorly recognised as an issue generally, and it is something I campaign on. The vast majority go on to recover, but for some people it is very serious, and for some it is so unbearable that they end their lives. The leading cause of death for women in that period from six weeks to a year after the birth of their child is suicide.

The Maternal Mental Health Alliance has delved into the data and found some more alarming details—in particular, the persistent social, economic and racial inequalities in who dies and who survives. Women in the most deprived areas have much higher rates of death. Black women are more than twice as likely to die as white women, and women of Asian and mixed ethnic backgrounds also face elevated risks.

With these risks and Sophie’s death in mind, I want to offer three reflections. The first is that we are all vulnerable—each and every one of us. Of the women who die by suicide, nearly half have known mental health problems, but the rest do not. It is a time when the social pressures are really great. People expect you to be revelling in the joy of the new baby, but the reality for many is that there are challenges in caring for the baby: not enough sleep, not enough company, feelings of loneliness, failure and guilt, and the loss of the sense of self—the old you that you knew before having children, which you fear is gone forever. This can make it a very difficult period for many women, including people who have not struggled with their mental health before. It is so important that we are all cognisant of this in ourselves and others around us.

My second reflection is that we all carry a responsibility to each other. I still look back on Sophie’s death and blame myself; I ask whether I could have done more. As Paul Doble, a fascinating therapist working in my constituency of Aylesbury, recently put it to me, the reality is that we cannot prevent every suicide, but we must never be afraid to try. The real question is how we support people better when they are suicidal, knowing that our compassion, care and presence may not remove every risk but can make life more bearable, and our question may be the one that interrupts their suicidal thoughts and leads them to different choices. Again, that is something we must all be cognisant of.

My third point is that the Government have to keep taking suicide risk and suicide prevention really seriously, as I know they do. I hope we will hear more on the suicide prevention strategy from the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Glasgow South West (Dr Ahmed), who I welcome to his place. We know that the care a suicidal person receives can make a big difference. We have some fantastic specialist perinatal mental health services, but I have heard from so many women who cannot access them. Suicide risk needs to be assessed in all the routine maternity care a woman receives, and support given if necessary. The same is true of so many other parts of the NHS and other public services, where action can make the difference between life and death. The role of public health interventions in this—for example, social and emotional learning programmes in schools—is crucial, too.

Conscious of time, I will end it there, but I hope that this World Suicide Prevention Day is a turning point in saving lives and tackling this immense challenge in our society.

Oral Answers to Questions

Laura Kyrke-Smith Excerpts

Tuesday 22nd July 2025 Commons Chamber

[Wes Streeting]

I can certainly reassure the shadow Minister on this. The Minister for Public Health has already accepted that recommendation and is working at pace on implementation. May I wish the hon. Lady well in the Opposition reshuffle?

[Laura Kyrke-Smith (Aylesbury) (Lab)]

3. What assessment he has made of the potential impact of the 10-year health plan for England on perinatal mental health.

[The Minister for Secondary Care (Karin Smyth)]

The 10-year health plan sets out ambitious plans to boost mental health support across the country, including for women during the perinatal period. During the year to April 2025, a record 64,805 women accessed maternal mental health services or specialist community perinatal mental health services, such as those at the Whiteleaf centre in Aylesbury. The Department for Education is also investing £500 million to roll out Best Start family hubs to all local authorities in England, which will also support new mums.

[Laura Kyrke-Smith]

I am really grateful to the Minister for her answer and for her focus on this. I would like to ask about midwives, who do incredible work supporting parents and babies, including identifying and supporting women who are facing mental health challenges. We desperately need more of them, yet the Royal College of Midwives has found that eight out of 10 student midwives who are due to qualify this year are not confident that they will find jobs. What steps is the Minister taking to ensure that newly qualified midwives are able to find work?

[Karin Smyth]

I recognise my hon. Friend’s great work in this place to support women on this issue. We recognise that newly qualified midwives are experiencing challenges in gaining that first role. That is partly due to the record number of midwives in post and to better retention rates. NHS England is working with employers, universities and regional midwifery leads to help midwives find those roles after qualification and to transition into workforce, and we will keep a close eye on that with them.

Oral Answers to Questions

Laura Kyrke-Smith Excerpts

Tuesday 17th June 2025 Commons Chamber

[Laura Kyrke-Smith (Aylesbury) (Lab)]

14. What steps he is taking to shift care from hospitals into the community.

[The Minister for Care (Stephen Kinnock)]

We are getting the NHS back on its feet and making it fit for the future by shifting care to the community with £889 million more for GPs, 1,700 additional frontline GPs, 700,000 extra urgent dental appointments annually and a 19% uplift to the community pharmacy contract. Looking to the future, our commitment to building a neighbourhood health service is right at the heart of our 10-year plan.

[Laura Kyrke-Smith]

I am delighted by the Government’s commitment to moving healthcare closer to the community, including through the establishment of neighbourhood health centres. That is exactly what we need in Aylesbury, and I am pleased that all our key healthcare providers, including the NHS trust and several GP practices, are already working together to better integrate their care, which is an important step in the right direction. Will the Minister update me on his progress towards the model of neighbourhood-based healthcare? Can he advise what more Aylesbury’s healthcare providers can do to ensure that my residents benefit from the Government’s work in this area?

[Stephen Kinnock]

It is really good to hear about the fantastic work going on in my hon. Friend’s constituency. We are working with systems to move to a neighbourhood health model by building on existing good practice, particularly around the development of multidisciplinary teams. Aylesbury is an outstanding example of that. Ahead of the 10-year health plan’s publication, local communities can continue to make progress by utilising the neighbourhood health guidelines that were published back in January.

Mental Health Bill [Lords]

Laura Kyrke-Smith Excerpts

2nd reading
Monday 19th May 2025 Commons Chamber

[Laura Kyrke-Smith (Aylesbury) (Lab)]

May I say how humbled I am to follow such powerful and personal contributions from many hon. Members? I welcome these long-overdue reforms of the Mental Health Act. I am extremely proud to be part of a Government who are moving so quickly to ensure that people who experience severe mental illness are given more autonomy and choice, are always treated with dignity and respect, and are given enhanced rights and support under the Bill.

Mental health is a theme of so many of the conversations that I have—and of the support that I try to provide—in my Aylesbury constituency, whether with Fay, Tyler, AJ and Dhwani, the young people who joined my recent work experience programme and devised the fantastic “Breaking the Silence” campaign to improve mental health understanding for young adults; with the residents at Bearbrook Place, which is run by Connection Support and offers supported accommodation for adults facing homelessness, who told me that their mental health challenges contributed to them becoming at risk of homelessness, and that it was their ongoing mental health recovery gave them the most confidence that they could live independently again; or with the people who go along to the fantastic drop-ins provided by the Space charity in St Mary’s church, many of whom experience mental challenges as a result of unexpected life events, health struggles or social isolation.

I could go on, but this evening I will focus on how the Bill should improve the experience of pregnant and new mums struggling with severe mental illness. That subject is particularly close to my heart, as I lost one of my best friends, Sophie Middlemiss, to suicide shortly after the birth of her little girl—her third child. I speak to many parents about it, including the fantastic Amy Scullard, who runs the PANDAS perinatal mental health group in Aylesbury. In this period of pregnancy and the year after birth, almost one in four people struggle with their mental health. For many people, their experience is relatively mild and they will recover, but some people, often without any prior mental health challenges and without warning, will experience extremely severe mental illness. Suicide, tragically, is the leading cause of death for women in that period from six weeks to a year after birth.

I wish to highlight three aspects of the Bill that will be important for people who experience serious mental illness at that stage of their lives, and who will end up falling within the scope of the Bill. First, the fact that patients will be able to choose a “nominated person” to represent them is a vital step forward. It is crucial. I have seen at first hand how, at the point at which people are severely unwell, they are unable to make the best decisions for themselves. Formalising the ability of someone to play that role on their behalf, and with more powers to challenge the system, could make a positive difference to their care.

Secondly, I am pleased that the Bill will make individualised care and treatment plans statutory. Every person is different—our attitudes to mental health have evolved a huge amount since the Mental Health Act was last updated—and ensuring that they have a personalised care plan that accounts for their particular circumstances is crucial. So too is the fact that the Bill creates a duty to inform and support patients in making advance choice documents before they become ill, from a place of good health.

Thirdly, I am pleased that the Bill aims to reduce the significant racial inequalities that exist under the current Act. Those inequalities also drive significant differences in perinatal healthcare outcomes more broadly. Black people are more than three and a half times more likely to be detained under the Mental Health Act than white people, and more than seven times more likely to be placed on a community treatment order. That has to change. The Bill introduces measures that should have a positive impact for people from ethnic minorities, for example through the introduction of advance choice documents, as well as by tightening the criteria for detention and compulsory treatment.

I am conscious of the time, Madam Deputy Speaker, but I wish to make a point about the implementation of the Bill. For people experiencing severe mental illness in the period after birth, mother and baby units can be a crucial part of their recovery, as well as having significant benefits for the parent-infant relationship. Too often, however, whether or not a mum can access one of those units remains a postcode lottery. I believe we must get to a point where all women who have given birth within the 12 months prior to compulsory admission are given the option of being admitted to a ward where they can remain with their baby.

I am so pleased to see the Secretary of State’s commitment to the mental health investment standard, and all the funding that will be needed properly to implement the measures in the Bill. I hope that provision for that group of women at severe risk of serious mental health illnesses will be considered. I will conclude by noting that for all those who experience milder struggles with their mental health, it is clear that there is a whole lot more we need to do beyond the Bill. I know Ministers are conscious of that, and a lot of vital work is under way, including more mental health support in schools, the recruitment of additional mental health support workers, and the roll-out of family and youth hubs. Such community provision and services are essential. The Bill is for those people who struggle with the most severe mental illness and require intensive, specialist support. For them, the Bill represents a crucial step forward, and I am proud to support it.

Oral Answers to Questions

Laura Kyrke-Smith Excerpts

Tuesday 6th May 2025 Commons Chamber

[Stephen Kinnock]

There is no perfect payment system. We have to look at the issue around units of dental activity, and at options around capitation and sessional payments, and come to a conclusion about what works and about how to ensure that everything that we commit to NHS dentistry is spent on NHS dentistry. We are in a mad situation in which, although demand for NHS dentistry is going through the roof, we have an underspend every year on the contract. We have to fix that. It will take some time to work that out with the British Dental Association and other key stakeholders. What is tragic about this situation is that the Conservatives had 14 years to fix the situation and left it in a terrible mess.

[Laura Kyrke-Smith (Aylesbury) (Lab)]

8. What steps he is taking to improve perinatal mental health provision.

[The Minister for Secondary Care (Karin Smyth)]

I commend my hon. Friend for her work on such an important topic; I know it is very personal to her. Specialist perinatal and maternity mental health services are available across England, providing vital support to parents before, during and after pregnancy, including increased access to evidence-based psychological therapies. We are training thousands more midwives to better support women throughout pregnancy, with mother and baby units and community services providing postnatal support.

[Laura Kyrke-Smith]

Tomorrow is World Maternal Mental Health Day, recognising the particular challenges that some mums face from pregnancy to birth, and after birth. I commend the Secretary of State and his team for their rapid work to get the NHS delivering better for patients again. As they develop the 10-year plan for the NHS, what measures will be taken to ensure that all women facing perinatal mental health challenges can access the right psychological support, and that there is no postcode lottery?

[Karin Smyth]

I absolutely join my hon. Friend in recognising the importance of supporting women’s health throughout pregnancy and into parenthood on Maternal Mental Health Day. We are committed to improving the support available, and it will form an important part of our 10-year plan. We are investing £126 million in family hubs and Start for Life services, to support parents from pregnancy to their child’s early childhood, and we will continue to work with her on this.

Hospitals

Laura Kyrke-Smith Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Laura Kyrke-Smith (Aylesbury) (Lab)]

It is a pleasure to speak in the debate. The previous Government made off-the-cuff commitments to new hospitals that were never going to be affordable or deliverable; I am really proud to be part of a Labour Government who commit only to what we can afford. We stick to our promises and deliver them. The rapid progress that we have made towards improving the NHS, reorienting it towards frontline delivery, is a fantastic example of that.

Over 3 million more appointments were delivered in the first nine months of this Government—that is well ahead of the target—and over 100,000 people have been treated on time. Those are great statistics, but when I knock on doors and meet residents, I hear about the difference that that has made to them and their families. People are back on their feet, back at work, and back being active parents and grandparents sooner than they could have imagined. This is politics that is delivering for people. It is not the politics of easy answers, but the politics of progress, and of change to people’s lives.

I will highlight one change that will be particularly important in my constituency of Aylesbury as we continue the work of transforming the NHS, including through the new hospital programme: the need to better integrate primary and secondary care. There is great potential for savings there, if we think about the secondary and primary care estates in the round. More importantly, that will help bring traditionally hospital based-care closer to the community; it will be better care that has better outcomes for people.

As I have said in this place before, we face an acute challenge in Aylesbury with our GP surgeries. We had new housing estates built in a poorly planned way under the previous Government, without the necessary GP services being provided. We also have particularly high levels of deprivation in Aylesbury and the county of Buckinghamshire—it is really marked by inequalities—which contributes to the pressures on our GP services.

The Government have already made significant progress in improving GP provision; 1,500 new GPs have been recruited, and successful negotiations with the British Medical Association have resulted in the biggest uplift in funding for GPs in years. I think that will start to make a real difference.

[Lincoln Jopp (Spelthorne) (Con)]

Has the hon. Lady had any feedback, in conversations with her GPs, about what the increased employer national insurance contributions will do to their growth of provision?

[Laura Kyrke-Smith]

I am in regular contact with my GPs, and I know that they are really pleased, actually, with the uplift in funding that they have received through the contract, and with what they will be able to deliver with that.

As we think about the future of hospital provision, we must think about our healthcare in the round—what each community needs more broadly, and how we join up hospital services with those provided by our GPs, and with other community services. I am really excited by the work already under way in Buckinghamshire to establish integrated neighbourhood teams and I am pleased at this Government’s commitment to neighbourhood health centres.

In Buckinghamshire, and particularly in Aylesbury, all our key health organisations are coming together—including the acute and community NHS trusts, primary care, the local authority, public health, the mental health trust and voluntary sector organisations—to agree a collective plan for the next 10 years, which I think could be transformative. They are pooling their collective resources and teams across Stoke Mandeville hospital and three primary care networks, and looking not only at creating a centre in Aylesbury for shared delivery of services, but at providing better care out in the communities.

As we build our hospitals of the future across the country, it is essential that we plan in that way—not just for in-hospital care, but for a joined-up approach across all our services, bringing that care closer to our communities. Ultimately, that is what people want and what people need: a future healthcare system in which as many people as possible can access care close to home and manage their health in their own homes and their own communities as best as possible.

NHS England Update

Laura Kyrke-Smith Excerpts

Thursday 13th March 2025 Commons Chamber

[Wes Streeting]

The reports relate to the deficits sent into NHS England ahead of the 2025-26 financial year. Those are completely unaffordable for the NHS and completely unrealistic. Those financial plans are being revised as we speak, which is why leaders have gathered in London today to receive that message and that set of instructions. I am asking frontline leaders to improve services and reform ways of working, and they will have my support in doing that. As for the resources that are going in, I gently point out that the investment that the Chancellor unlocked for the NHS and social care in her Budget dwarfs that which was promised in the Green party’s manifesto.

[Laura Kyrke-Smith (Aylesbury) (Lab)]

I held a public consultation in my constituency on the future of the NHS. Participants were crystal clear that we need to cut bureaucracy and get resources to the frontline. When they talk about the frontline, they mean not just hospitals but people out in the community, and, crucially for my constituency, GP practices. Will the Secretary of State share more about how he intends to make that shift?