Allied Health Professionals

Rebecca Smith Excerpts

Thursday 23rd April 2026 Commons Chamber

[Rebecca Smith (South West Devon) (Con)]

I start by paying tribute to the allied health professionals in my constituency and across the country, who work so hard to help people to regain and maintain their health. Indeed, I count many among my friends. From paramedics to physiotherapists, occupational therapists, speech and language therapists and so many others, I am always amazed at the skill and dedication of these professionals, who often work under intense pressure.

My constituent Jackie Lees-Howes is one of 174 registered physiotherapists living in my constituency. She highlighted several statistics that should give us pause for thought. Two thirds of the population will likely be living with a long-term health condition by 2035. Community waiting times continue to grow and, to make matters worse, the UK has far fewer physiotherapists per head than comparable countries. However, we know that physiotherapy is highly cost-effective, generating an overall return of around £4 for every £1 invested. It can prevent illness and help people recover more quickly, which reduces the strain on health services. Crucially, physios enable people to stay in and return to work. They help people to reduce pain, obesity and inactivity, contributing to a healthier and more productive population. Expanding the physiotherapy workforce alone could save the NHS hundreds of millions of pounds over the next five years.

However, as we have heard, many physios are struggling even to find a job due to recruitment freezes and a lack of entry-level positions, as well as problems with job security. Worryingly, the Government confirmed last year that they had made no estimate of the impact of recruitment freezes on physiotherapists and physiotherapist support workers.

Twenty-three per cent of my South West Devon constituents have at least one long-term condition. Over 18,000 are classed as disabled, slightly higher than the average across England. Relatively speaking, it is an ageing constituency, with 45% of constituents over the age of 50. That makes the role of physios and other allied health professionals in enabling people to prepare for and rehabilitate from things like cancer treatment and surgery even more vital.

I commend the Rehab Legends campaign led by Kate Tantam, an inspirational constituent of mine who works as an intensive care sister at Derriford hospital. Kate has spent years campaigning to ensure that every patient in the UK can access rehabilitation services towards the end of their stay in intensive care, which would end the current patchy provision. People might ask what Rehab Legends is. It is effectively a multidisciplinary team that helps rehabilitate men and women who have been on life support, because they often see deconditioning in the rest of their body. With rehabilitation, they stand a much better chance of moving on from intensive care.

Why is this important? At the moment, the step down from ICU to a normal ward is huge, and if people do not have the physical ability to take that step, their ultimate rehabilitation and ability to get back out into life will be significantly affected. That point has been raised time and again—it came up during the last Parliament in the work done by the all-party parliamentary group on intensive care, which my predecessor, Sir Gary Streeter, chaired—and it needs to be addressed. While that is not entirely about allied health professionals, I am sure the Minister will be aware of it, and it would be interesting to hear what might be done. Ultimately, the role of rehabilitation is good for patients and for society, because we want to enable everyone who has survived intensive care to leave intensive care and leave hospital.

We have heard plenty about occupational therapists and speech and language therapists. The Royal College of Speech and Language Therapists and others have highlighted that the NHS long-term workforce plan is likely to cover only speech and language therapists in the NHS workforce, which overlooks shortages in education and criminal justice settings. As we have heard, there is a real need for a holistic approach to developing the workforce, in recognition of the vital role played by speech and language therapists and others in supporting, in particular, children with special educational needs. Without capacity in the NHS for speech and language therapists, we will not be able to deliver on improving outcomes for some of the most vulnerable in our community, which I am sure we would all want to see.

Finally, I want to mention the work of allied health professionals who assess people for health-related benefits. We know from Department for Work and Pensions data published in January—rather late—that over half of assessors leave in their first year. Assessors describe stressful time constraints and impossible workloads as some of their reasons for leaving.

Under the current Government, one in 10 people in England and Wales is now claiming disability benefits, and the number is only set to increase. I urge the Minister to ensure that all allied health professionals are empowered to assess their patients without undue haste. I worry that otherwise this overstretched system may be incentivising assessors to recommend that a person receives disability benefits without having the appropriate time to thoroughly investigate their needs. Of course, that is in no way a reflection of these professionals themselves, as they are simply doing the job they are there to do with limited time and resources.

Let me finish with three brief requests. First, I urge the Minister to capitalise on the record number of newly qualified physiotherapists. Will she confirm what steps the Department is taking to ensure that newly qualified physiotherapists can be guaranteed an NHS job? Secondly, I urge her to commit to retaining the chief allied health professions officer role to ensure that their clinical expertise is recognised in the Department. Thirdly, a plug for rehabilitation: I would love the Minister to ensure that the role of intensive care rehabilitation is reflected in the NHS workforce plan, and a holistic approach is central to that.

I echo the concerns raised by the Chartered Society of Physiotherapy, which has criticised the Government’s requirement for integrated care boards to reduce their budgets by 50% and the impact that will have on allied health professional leadership roles. Under the previous Conservative Government, NHS England set out to increase our much-needed AHP workforce, as outlined in the 2023 NHS long-term workforce plan. This included an ambition to increase training places by 25% by 2031-32.

We know how critical allied health professions are to prevention and recovery. The Government must ensure that they prioritise them in the revised NHS workforce plan, which is due to be published this spring. The allied health professions are ideally placed to help people help themselves. If we want a healthier country and a more productive society, we must back them all the way.