SEND Provision and Reform

Debate between Saqib Bhatti and Neil Shastri-Hurst

Monday 13th April 2026 Commons Chamber

[Saqib Bhatti]

I will come to councils and their funding shortly, but my right hon. Friend makes a really valid point. I hope the Minister heard him and will be able to provide an answer.

A number of parents have written to me, asking if I can put their questions directly to the Minister. Natasha and Lindy want to know why a dilution of parental rights has been proposed. Why are the Government removing the legal right to appeal, especially when 98% of cases are currently won by parents and carers? My right hon. Friend the Member for Salisbury (John Glen) made this point very eloquently. If the logic is to reduce the cost of provision by removing some of those rights, the Minister should say so plainly. Parents need that clarity and that level of honesty.

We do welcome some points, including the principle of support in schools, evidence-led packages, and the idea of more speech and language therapists. There is broad consensus that earlier intervention is essential, and a statement of intent on that is most welcome. I want to focus briefly on speech and language therapists, because I campaigned on this issue as a Back-Bench MP with my constituent Mikey Akers and the famous footballer Chris Kamara. We met the relevant Health Minister more than a year ago; as Mikey said, in March 2024, he met the Minister for Care, the hon. Member for Aberafan Maesteg (Stephen Kinnock), who promised an action plan for speech and language therapy, but more than one year on we still have not seen anything.

A point has been raised about liaising with the Department of Health and Social Care. Has the Minister spoken to the Health Minister? Has there been any progress? The Royal College of Speech and Language Therapists has been very clear that delivering the Experts at Hand service will require an SLT workforce to be incorporated into the 10-year workforce plan, with ringfenced funding. In a written question in March, I asked the Minister how many speech and language therapists will be required to deliver the Experts at Hand service. She gave a great answer, but she avoided giving me the answer that I needed on numbers, so I hope she can answer how many specialists will be needed and where they will come from.

The British Dyslexia Association has also posed a question to me. One in three children in our classrooms need support for dyslexia. Will the Minister confirm whether the Experts at Hand service will include support for children with dyslexia, and whether specialist dyslexia teachers will form part of that workforce?

Let me turn to inclusion in the mainstream. At a recent meeting with Solihull school leaders last month, I heard serious concerns about the capacity pressures that the Government’s approach could place on mainstream schools. There was consensus around the principles, but there was also consensus that far more detail is needed on what inclusion actually means in policy terms and how gaps in staff training and funding will be filled.

[Dr Neil Shastri-Hurst (Solihull West and Shirley) (Con)]

I am grateful to my constituency neighbour for giving way. I was in the same meeting, and one of the big concerns was the loss of the special school planned for Tamworth Lane. Does my hon. Friend agree that that not only detracts from parents and pupils who would benefit, but puts additional pressures on mainstream schools?

[Saqib Bhatti]

I could not have said it better myself. That issue was in my borough, but the truth is that there are special schools across the country where the funding has been taken away. This is going to be essential, because we cannot have a one-size-fits-all approach. Will the Minister explain to those teachers how mainstream schools will be supported in terms of capacity, funding and training as these reforms are rolled out? The founder of the North Solihull Additional Needs Support Group has asked if there will be a legal backing for ISPs, and a number of Members have also made points on enforceability.

I want to get straight to the funding point, which is where I will end my remarks. At the Budget, the OBR identified a £6 billion SEND funding black hole. When the Minister was asked about that previously, she used the word “scaremongering”, but these are not our figures; they are figures from the OBR, based on information provided by the Government. Will the Minister confirm how large the shortfall is? Having looked at the numbers, I think it has shortened, but maybe she will be able to give a bit more clarity. If the gap was funded entirely from in the DFE’s £69 billion budget, it would imply a 4.9% real fall in mainstream schools’ spending per pupil—this is according to the OBR, by the way. There is no spending review until 2028-29, so maybe the Minister can give me some clarity on which Departments might be giving up their money for the sake of these SEND reforms. I hope she can provide some answers; I will write to her with the questions that I have not been able to ask.

A&E Services: Solihull Borough

Debate between Saqib Bhatti and Neil Shastri-Hurst

Monday 27th January 2025 Commons Chamber

[Saqib Bhatti]

Of course, investment will make a big difference. That is why I think integrated care boards play an important role, because there is accountability all the way up to the Minister. It is also about how resources are distributed locally for the needs of the community.

I spoke about the journey to Heartlands hospital. At any given time, it can take 40 minutes, and it quite regularly takes more than an hour. In a situation where every minute matters, I am afraid that is just not good enough for my constituents. It could quite literally be a matter of life or death.

Solihull borough has a population of approximately 216,000 people, and that is set only to grow.

[Dr Neil Shastri-Hurst (Solihull West and Shirley) (Con)]

I am grateful to my hon. Friend for giving way and for bringing this debate to the Chamber. Being neighbouring MPs, he and I have worked very closely on this issue. He notes the size of Solihull borough; of course, with the Government’s housing plans, that is likely to increase significantly, almost touching a quarter of a million. Does he agree that in those circumstances, it is absolutely critical that we have an A&E provision within the borough to serve the community?

[Saqib Bhatti]

I thank my hon. Friend for that contribution and for all the work he has done on the matter, including the petition he launched, which I will come on to later. He is absolutely right, and he leads me to my next point.

The Minister’s own Government have set out their planning reforms, which mean that valuable and precious green belt will now be built on as housing numbers are massively increased, putting our local infrastructure under strain. As we can see, that is a concern across the country, on a cross-party basis. My hon. Friend the Member for Solihull West and Shirley (Dr Shastri-Hurst) has made significant progress talking to his constituents on this issue. I know they feel exactly the same way, and I look forward to working with him.

Significantly, more than 40% of our residents are reportedly over the age of 50. As we go through this especially cold winter, as the hon. Member for Birmingham Northfield (Laurence Turner) said, we must all remember that the winter is a challenging time not only for the NHS, but for our constituents. Cold and flu cases are at their peak and place additional pressures on the NHS. Every Christmas, we face a timely reminder that we are in desperate need of an A&E in Solihull, so I am grateful to have secured this debate early in the new year.

Although I will not focus on social care today, I can assure the Minister that I will return to this topic at some point. I simply make the point that kicking the can down the road on issues such as social care will cause further anxiety to my constituents and exacerbate the strain on our hospitals. All Governments, of all ilks, need to deal with social care.

The Government’s response does not deal with social care, nor does it deal with the problem of the country’s ageing population, especially in areas such as Meriden and Solihull East. The long-term social care issues faced by our NHS are made far worse by the fact that there is a national average of 14% more attendees at A&E than there were 10 years ago, which means that more people now face longer waiting times. As of August 2024, 65.4% of patients in Birmingham and Solihull ICB spent less than four hours in A&E departments, and that is markedly below the NHS target of 95%. I hope that the Minister might be able to comment on that and share any thinking on increasing that figure.

I believe I have already set this out adequately, but it is worth repeating that residents in my borough have to travel to different areas to access A&E services. Given the size of the local population and the likelihood that demand for emergency services will only increase further, it is obvious that Solihull residents need to be supported by dedicated A&E services. That is because a dedicated A&E in Solihull borough will take pressure off other A&E departments, lowering waiting times across the whole area to the benefit of thousands of people in the west midlands. Can the Minister give any indication as to whether she considered those arguments in the previous correspondence that my hon. Friend the Member for Solihull West and Shirley and I have had with her?

Moreover, my constituents and I are very concerned that this issue will become increasingly pressing because of the Government’s planning changes and their potential changes to the national policy planning framework. If the Government were to achieve the objective of removing consent from local people, the demand for local infrastructure—from schools to roads and health services—would go up and inevitably become unsustainable.

I launched my petition in May last year to restore A&E services to Solihull hospital. I can confirm to the Minister that I did not know a general election would be called a week later. Within a week, we had about 1,000 signatures. I have had about 1,600 and I think my hon. Friend has had a similar amount, so we are reaching more than 3,000 residents who support our campaign. The petition remains open on our websites for further support. I assure my constituents that I will not falter or waver in my resolve to see the campaign through.

Let me help the Minister. I understand that such projects do not happen overnight, but surely she will agree that a case such as this must be looked at. There has to be a long-term vision and plan to start to deal with issues, such as an increased population, which are clearly coming down the road. When my hon. Friend and I wrote to the Minister in November, we outlined the arguments for enhanced healthcare provision for Solihull borough. We were disappointed with the Minister’s response, which failed to cover some of the assertions we made, and that is why I put in for an Adjournment debate. I want to give the Minister another chance, because it cannot be possible that she does not have a view on long-term health provision for my constituents.

For clarity, the Minister argued that the NHS Birmingham and Solihull ICB was responsible for funding and implementation in the area. I am sure that is a matter of fact, but she must have a view, even though it will play a decisive role in decision making on these matters. It would be really helpful to my constituents and those of my hon. Friend if she agreed, at least in principle, to look at our plans, even if she does not quite support them. Will she agree to look at the long-term need of my constituents, especially in the light of the extra housing the Government are demanding be delivered on our greenbelt? It is a point worth making that as a result of the extra building, my constituents will be making huge sacrifices. The least the Government could do is to recognise that and provide the infrastructure to match.

The Minister confirmed that the Government were committed to delivering the new hospital plan. She said the Chancellor had confirmed that in the Budget there would be a £3.1 billion increase in the overall departmental capital budget over this year and the next. The Secretary of State committed, in his piece in the London Standard in June, to delivering the new hospitals programme, so I was disappointed that there was no mention of Solihull borough in his statement last week. I want to ask the Minister a very simple question. The Government set out plans that take hospital building to 2039. Does that mean that our constituents in Solihull borough will not get a look-in from the Labour Government until then? Will it be 15 years before we can even start to think about new plans to support Solihull borough? It would be really helpful to get clarity on that.

In our correspondence, my hon. Friend and I made the case for part of the £3.1 billion uplift in the NHS capital budget to be spent in our area. The Minister should be assured that we will take every opportunity in this House to make the case for an A&E in Solihull. Will she now instruct her officials to take a long, hard look at that and take a constructive view on the long-term plan? Indeed, just a few days ago—this is the point I wanted to come to when I was intervened on—it was reported in the Birmingham Mail that the University Hospitals Birmingham NHS Foundation Trust is looking for a £200 million investment to create a new urgent and emergency care facility at Heartlands hospital, because the facilities are “disconnected and inefficient”, and that

“patient numbers continue to increase, being cared for in buildings which are dark, cramped and not fit for the current purpose”.

That could not be clearer. The report prompts the question: why should my constituents be subject to those conditions? They deserve better. They deserve the very best health facilities. I will not let up, and nor will my hon. Friend. We will keep coming back. With more than 3,000 people having signed our petitions, will the Minister do the right thing and back our campaign for a new A&E in Solihull?

When I raised this issue on the Floor of the House, the Health Secretary wanted to know where I would spend the money differently. Perhaps the Minister has a similar line in her speech. This is not a party political point, but we would have chosen not to spend billions on trade union sweetheart deals in return for nothing. We would probably not have spent billions on GB Energy, which will not deliver outcomes or reduce bills. That money could pay for an A&E in Solihull many times over. Politics is all about choices, so I ask the Minister: will she do the right thing and choose to engage constructively, so we can deliver the best outcomes for our constituents?