Allied Health Professionals

Vikki Slade Excerpts

Thursday 23rd April 2026 Commons Chamber

[Vikki Slade (Mid Dorset and North Poole) (LD)]

I congratulate the hon. Member for Dudley (Sonia Kumar) on securing this important debate and the hon. Member for Thurrock (Jen Craft) for introducing it.

During the Easter recess, I was invited to meet the Dorset Younger Onset Parkinson’s group in Wimborne. Two of the people I met, Simon and Julia, had been diagnosed with the condition in their 30s. The impact on their decisions about family life, their ability to work and save for the future and the effect on their families, who have had to take on caring responsibilities much earlier than most, was clear to see. They told me about the success of their open water swimming group and, in particular, about the impact of the recently introduced walking football team. The Dorset Parky Striders were named team of the year in the impairment section by the Walking Football Association in its grassroots awards last year, and achieved fantastic results at the Sport Parkinson’s walking football tournament earlier this month. Both programmes boost physical health and mental wellbeing and provide peer support.

Simon and Julia shared their concerns about the complete loss of Parkinson’s nurses in the county of Dorset. I have since engaged with University Hospitals Dorset NHS foundation trust to call for the service to be restored without delay, and we have discussed the severe shortage of neurologists across the country, made more acute by our ageing population.

Yet it is not just doctors and nurses who can make a positive difference for people living with Parkinson’s. Neuro physiotherapy focuses not on muscles or joints, but on improving movement, balance, co-ordination and overall quality of life for people living with neurological conditions. At its core, it aims to restore as much independence as possible, using targeted techniques to help people regain their function, relearn movement and adapt to physical challenges. It can be life-changing for individuals recovering from trauma or surgery, as well as for those living with long-term neurological conditions. If people with Parkinson’s can improve their balance and gait, they reduce their risk of falls—incidents that can have a profound impact on their independence, confidence and long-term health. This branch of physiotherapy also benefits people who have experienced strokes, live with multiple sclerosis or have acquired brain injuries. The mental health and wellbeing benefits are significant, as is the reduction in pain that can be achieved through that approach.

I highlight the crucial role of occupational therapy, particularly in educational settings. Around one third of children starting school are not considered to be school-ready, often lacking the communication or functional skills needed to mix confidently with other children. Schools already under pressure are then required to provide significant extra support. Many children who spend more time using tablets than colouring books lack the fine motor skills needed to write, while others struggle with everyday activities such as eating a school meal with a knife and fork. Paediatric occupational therapy offers practical, play-based support and can prevent children from losing confidence or developing a fear or aversion of school by addressing those needs early. Children with special educational needs and disabilities can also be overwhelmed in traditional classroom environments. With growing evidence about the impact of excessive screen time on attention and regulation, small changes to the physical environment can help not only those children but all pupils to improve their focus and learning.

My constituent Anna, who is an occupational therapist, shared the importance of using the profession’s principles in classrooms. On a visit to Colehill first school last year, I was impressed by how the school had removed bright colours from classrooms, replacing them with muted shades and consistent layouts as the children move through the school to create calmer learning spaces. At my son’s specialist setting—Summerwood in Bournemouth—ceilings include sound-absorbing panels and walls are gently curved to support children with neurodiversity to regulate and to reduce distraction. Those adjustments help everyone, not just those with additional needs.

If such approaches work in classrooms, it is likely that they can be effective in workplaces and public spaces too. Reducing harsh fluorescent lighting, lowering background noise and creating opportunities for movement throughout the day are techniques that can be applied widely and successfully. However, inclusion of occupational therapy in programmes such as Experts at Hand is essential to make that happen. The Royal College of Occupational Therapists has welcomed the ambition set out in the SEND White Paper, but has raised serious concerns about whether the sector is sufficiently resourced to develop them. Its most recent workforce survey found that two thirds of respondents did not believe that the profession could currently provide the level of support that children and young people need, highlighting the need to fund more frontline teams.

Taken together, the examples make one thing clear: allied health professionals, as already referenced by the hon. Member for Thurrock, are not a nice-to-have; they are essential in helping people to live independently and participate fully in education and work, in avoiding crisis later on and in ensuring that everyone fulfils their potential. I therefore urge the Government to match their recognition of the importance of allied health professionals with meaningful action in workforce planning and resourcing. If we are serious about prevention, inclusion and long-term value for money across health and education, investing in that workforce and ensuring that funding reaches the frontline must be part of that commitment.

NHS Federated Data Platform

Vikki Slade Excerpts

Thursday 16th April 2026 Westminster Hall

[Martin Wrigley]

I absolutely agree with my hon. Friend, as do the Prime Minister and the Science and Research Minister.

Turning to the solution, the solution is wrong. There have been many attempts to unify the NHS by using a single IT system; each one has failed. In reality, we must think of the NHS as thousands of independent organisations. NHS England has been guiding organisations towards a combined data dictionary for more than 10 years, combining definitions of what data means, how it is recorded and the way it is used. After three years, about half of the 200-odd NHS trusts across 42 integrated care boards are quoted as live on the FDP, and only a quarter of them report benefits from using it.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

My hon. Friend’s expertise in this area is impressive. I recently spent a shift with the South Western ambulance service and saw how critical it was for that service to be able to access both GP and hospital data—we had a lady who had had a heart attack, and we did not know who she was. Does my hon. Friend agree that the priority should be for the different elements of the NHS to talk to each other, rather than be scraped by a third party such as Palantir?

[Martin Wrigley]

I do agree. Palantir will not enable GPs, paramedics or anybody else to see hospital data. They will have to go through Palantir to see that data, and they will not be able to access patient records from the hospital to the GP or vice versa.

Like any data warehouse, Palantir requires connecting software that reaches into each of the NHS’s internal systems and gathers data. That data gathering is being done NHS trust by NHS trust, as there are differences inside each one. That is embedding the use of Palantir-owned code inside every NHS trust by creating custom connecting software to connect and translate data.

In Devon, the local ICB has celebrated as a major success the adoption of the same electronic patient record across Devon’s four main hospitals. It has just gone live in Torbay trust, which serves most of my Newton Abbot constituency. In an organisation as diverse as the NHS, with such distributed responsibility, we can either impose one massive system to rule them all or build interoperability. Interoperability would allow GPs to see hospital records and vice versa. Palantir is not doing that.

Interoperability is how massive systems, such as the internet or mobile phone networks, work. They do not rely on one single system or supplier. In that way, a modular system, a bit like Lego, can be constructed that, overall, is immune to changes elsewhere in the wider environment, providing only the specific data required to deliver improvements in services. That form of system builds long-term capability and delivers without requiring a locked-in, expensive subscription. It can also be built by a UK tech consortium in parallel with phasing out Palantir, which would build UK sovereign solutions, tech skills and competencies.

Meanwhile, NHS England’s October 2025 medium-term planning framework mandates all NHS providers of acute, community and mental health services to sign up to the FDP, and it demands that any existing local data analysis systems are removed. That results in further lock-in.

Meningitis Outbreak

Vikki Slade Excerpts

Tuesday 17th March 2026 Commons Chamber

[Wes Streeting]

I am very grateful to my hon. Friend for his question, and I know that lots of parents will be concerned about this issue. As I have said, the first thing that individuals should do is think about their risk of exposure. We have already made available the four hubs for people to come forward and get antibiotics, and we will continue to contact people actively and trace the outbreak.

As I have previously said, there is a range of symptoms: a rash that does not fade when pressed with a glass; a sudden onset of high fever; a severe and worsening headache; a stiff neck; vomiting and diarrhoea; joint and muscle pain; a dislike of bright lights; very cold hands and feet; seizures; confusion or delirium; and extreme sleepiness or difficulty waking. Those symptoms can apply to a range of conditions, but it is good to be cautious. Students who may have been at Club Chemistry on the dates concerned should not write off some of the symptoms as a hangover. It is better to be reassured than to be ignorant, so seeking medical attention and advice is the right thing to do, rather than simply writing off the symptoms as something else. I urge parents to give that advice to young people, and students to follow the advice.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

Meningitis is one of the worst nightmares that parents worry about, particularly when their teenagers leave home and are living away. My constituent Vicki Purdey from Corfe Mullen had her life changed by meningitis two years ago, and she is still unable to walk unaided. She is calling for meningitis awareness in schools, particularly via PSHE lessons, and at university through freshers’ packs. Will the Secretary of State talk to his colleagues in the Department for Education to progress this, given the high-risk nature of those in this age group and the fact that they will not have been vaccinated as they were born before 2015?

[Wes Streeting]

I think that is a really constructive suggestion, and we will absolutely look at it.

In reply to the right hon. Member for Tonbridge (Tom Tugendhat), who had left us but has just returned fleetingly to his place—it is an amazing skill he has—I think his question was about the availability of antibiotics in Tonbridge, not necessarily at a distribution centre. I would just reassure him that there are sufficient antibiotic stocks at the university, hospitals and the ambulance service, and we are working with local resilience partners to ensure effective distribution. However, I will pick up his point about Tonbridge, given the proximity and the likelihood that many residents will have been at the club in question.

Medical Training (Prioritisation) Bill

Vikki Slade Excerpts

2nd reading
Tuesday 27th January 2026 Commons Chamber

[Danny Beales (Uxbridge and South Ruislip) (Lab)]

I thank the Secretary of State and the Minister for the Bill, which delivers on the promises made previously in this place in response to the proposed industrial action a couple of months ago. It is welcome to see the pace with which the Government have moved in progressing these important changes. It shows their commitment to backing doctors and medical professionals in this country.

There is a lot to welcome in the Bill’s provisions. Members have talked at length and with a lot of personal and professional expertise about the challenges of the medical training system. As a member of the Health Committee—alongside the Chair, the hon. Member for Oxford West and Abingdon (Layla Moran), and others who have spoken—we often hear about the need for a proper workforce plan to address the NHS’s long-term issues with training and development, which frankly have failed staff and patients.

It is important to reflect on, as others have, the important and vital contribution that doctors and nurses from around the world have made. That is the case in my constituency at Hillingdon hospital, and in GP and community-based health services. My mum recently had a stroke and, fortunately, recovered from it at University College London hospital in central London. As ever, it was doctors, nurses, speech therapists and allied healthcare professionals from almost every country around the world who helped and supported her to recover. I am sure that they will continue to serve our national health service with dedication and commitment, and I am sure that the whole of this House is thankful for their service.

As we have heard, however, it is absurd that thousands of British doctors trained by our NHS at great expense, funded by the British taxpayer, are currently unable to find jobs in the NHS after graduation. In a time of crisis for the NHS, we do not have a penny to spare, and every pound needs to go even further. It is a great waste of talent and capacity, and it is not fair to young doctors in the system, who are being beaten to entry-level NHS positions by doctors from overseas with decades of experience.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

I wonder if the hon. Member has given any thought to residents such as George and Dennis in my constituency, who are both British citizens, brought up here, but went to work abroad either because they are dual citizens and wanted to be able to learn in two languages, or because of the covid delays. They will not be included in these measures. Does the hon. Member think they should be included within the second tier of graduates from places like Iceland and Liechtenstein? Does he have any views on whether we should be excluding British citizens?

[Danny Beales]

I am about to turn to a specific issue about British citizens, so I hope I will pick up on the hon. Member’s points. More generally, there is nothing progressive about a system that promotes a brain drain from some of the most deprived and underdeveloped communities in the world, with significant health needs. To have doctors and nurses come from those systems on an industrial scale, and to take away the resources spent in those systems on education and training for our benefit in a western, developed country, is not progressive. It is important to welcome the provisions in the Bill that address those challenges.

As the hon. Member for Mid Dorset and North Poole (Vikki Slade) raised, I will press the Secretary of State—and the Minister for Secondary Care, who is now in place—on the specific language of the Bill, which seeks to prioritise graduates from medical schools in the United Kingdom, rather than UK citizens who are medical graduates.

Like other Members, I have been contacted by a number of my constituents who will be affected by these provisions. That includes Alisha, a British citizen who was schooled and grew up here; her family live in Ickenham in my constituency, and she is a first-year medical student at Queen Mary University of London’s campus in Malta, which my hon. Friend the Member for Stevenage (Kevin Bonavia) mentioned earlier. When she enrolled last year, she was given a guarantee by the university that she would face no disadvantage compared with students on the London campus.

We have heard that there can never be any guarantees; that there is not a legal contract that this Government make with individuals; and that this House is sovereign, and can make different decisions. But I think there are issues of fairness around the retrospective applications of decisions that we make that can affect people’s lives, particularly at crucial points, such as when studying or getting a job—decisions that have major impacts on someone’s future life chances.

Alisha studies a British curriculum and she will be awarded the same degree qualification as her peers on the London campus. However, if the Bill’s current wording is interpreted strictly geographically instead of institutionally, it would mean that she is categorised as an international medical graduate, despite being a British citizen, studying a British medical degree at a British university.

I ask the Secretary of State to take away this point and, with officials, to look at this specific issue in greater detail and at modelling and sharing the number of UK citizens projected to be affected this academic year by those changes. If, as has been suggested by Queen Mary University, this is a matter of 40 or 50 individuals, I ask the Secretary of State to look at whether further changes could be made to ameliorate the impact on UK citizens, at least in a transitional way, that would not bind us in future academic years. I also ask that officials have discussions with Maltese counterparts about our important and ongoing strategic relationship in health and other key areas.

To conclude, there is much to welcome in this Bill. I know that medical colleges and societies strongly support many of the provisions. I hope that they will be the start of a broader process of a comprehensive workforce plan that will address the many challenges in workforce planning, training and development and the numbers of bottlenecks that exist throughout the workforce system so that we have a training and development system for medical professionals in this country that delivers both positive results for patients and better and fairer outcomes for those applying to study, learn and train.

ADHD Diagnosis

Vikki Slade Excerpts

Tuesday 20th January 2026 Westminster Hall

[Adam Dance (Yeovil) (LD)]

It is a pleasure to serve under your chairship, Ms Vaz. I declare interests as vice-chair of the ADHD all-party parliamentary group, and as someone with ADHD. I congratulate the hon. Member for Sefton Central (Bill Esterson) on securing this important debate. It is good to hear and see so many Members here today—we have seen that with the time limit; I think we could have spoken for a good two to three hours on this.

The most important thing this debate has done is highlight the importance of ADHD diagnosis. It makes me so angry when I hear the media or politicians talk about a “crisis of overdiagnosis”. As the NHS ADHD taskforce report tells us, the evidence is clear:

“ADHD is under-recognised, under-diagnosed and under-treated (including with medication).”

[Vikki Slade (Mid Dorset and North Poole) (LD)]

I think my hon. Friend would agree that the Minister needs to hear that in places such as Dorset whole conditions are being ignored. We have the same situation as Suffolk; shared care agreements for ADHD, bariatric services, eating disorders and gender dysphoria are being cancelled, and whole cohorts of people are not being given GP services. Does my hon. Friend agree that that is outrageous?

[Adam Dance]

I completely agree. We have seen this issue across the board with lots of conditions, and I thank my hon. Friend for mentioning it.

Higher diagnosis rates over recent years reflect greater awareness, not an overdiagnosis crisis. As someone with severe ADHD, I can tell Members the life-changing difference that an ADHD diagnosis can make. That is why I am standing here today. But I am one of the lucky ones: too many people with ADHD are not having their needs identified or supported. That is the real crisis. As of March 2025, over 500,000 people were waiting for an ADHD diagnosis. In Somerset, the average wait time is around two and a half years, if someone is lucky.

Like many hon. Members, I see first hand the dire consequences of the crisis. A constituent who I cannot name reached out to me about her son who, like many nowadays, went through school without having ADHD diagnosed, despite his family constantly fighting for support. The bright lad recently left school without qualifications, but he was dismissed by his teachers as “challenging.” The lack of support left him vulnerable and hopeless. Now he is suspected of getting mixed up with county lines gangs, which is something that we see far too often.

It breaks my heart, because my constituent’s case is not exceptional. Around 25% of people in our prisons have ADHD—although, that is probably an underestimation. As I found out in a response to a written question, the Ministry of Justice does not centrally hold data on the number of people in prisons with ADHD. I have heard from so many people, including those who are not able to work or have come out of prison, who said that if they had their ADHD identified and got a little bit of help, their life could have gone so differently.

For those interested only in the impact on state finances, the estimated economic cost of not identifying and treating ADHD is around £17 billion to the UK economy, although I think that is seriously underestimated. That is why it is important that we identify people’s needs early, and that is why I have put forward a Bill calling for universal screening for neurodivergence in primary school-age children. That is a cost and time-effective way to identify every child’s needs early and put in place non-medical interventions that do not require diagnosis, such as changes to teacher training. It would also provide high-quality data for medical references where necessary. That last point is really important. At my SEND roundtable, a local paediatrician told me that a huge barrier to formally identifying and supporting needs early is the lack of high-quality data, information sharing across the sector and non-medical interventions. I hope the Minister will tell us whether universal screening of neurodiversity will be considered in the important review of ADHD and autism or the schools White Paper.

We cannot just stop identifying needs early. For many with ADHD, a formal medical diagnosis is vital, as it opens treatment pathways, accommodation at school or work, and state support. That is why the Liberal Democrats call on the Government to provide greater funding to integrated care boards so that they can accept and treat new ADHD patients. We especially need greater support for community-based projects and services for those living with ADHD. In Somerset, we are getting new programmes, but we need the funding to roll them out and to recruit and retain more professionals in the NHS to diagnose and support ADHD. Will the Minister reassure us that any reforms to clinical pathways for ADHD will not see communities and the ICBs that serve them lose any funding and support? Will he also update us on the progress that NHS Digital has made on the NHS improvement programme?

Oral Answers to Questions

Vikki Slade Excerpts

Tuesday 13th January 2026 Commons Chamber

[Wes Streeting]

Without pre-empting Baroness Amos’s work, let me say that the hon. Lady is absolutely right. We need to give staff the tools that will enable them to do the job to the best of their ability, and they need the right facilities and environment in which they can work and patients can be cared for. It is completely unacceptable that on top of the other challenges that staff and families face at such an important time—the unique moment of bringing new life into the world—they are having to do so against the backdrop of crumbling estates that the hon. Lady has described. We are putting the largest ever capital investment into the NHS, but she has made a powerful point about the need for capital investment in this area, which was impressed on me at Queen’s hospital in Romford during one of my recent visits, and I will be looking at the issue very closely.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

I recently visited the Dorset breastfeeding network at the Purbeck community centre, and it was fascinating to hear about the work that the team there are doing, but they told me that since covid, standard NHS antenatal classes have stopped and have never returned. As a result, women are not getting the information that they need in order to make informed choices, which is leading to various decisions about how they give birth and whether they breastfeed their babies. We know that the Pride in Place and Best Start in Life centres are going ahead, but they will not cover most of my area because they are covering only the deprived areas. How will we ensure that there is a universal offer for antenatal care for everyone?

[Wes Streeting]

I will make certain that my Department and the NHS look into what has happened to provision in the hon. Lady’s area, and I will write to her about it. She is quite right about the need to ensure that parents are given high-quality information from the time of conception so that they can make informed decisions about everything from whether to breastfeed through to the steps that they can take in those formative first 1,001 days to secure the best possible outcomes. I welcome the appointment of Will Quince to lead the 1,001 Critical Days Foundation; although in the past we have crossed swords in the House, I know how committed he is to that agenda.

Less Survivable Cancers

Vikki Slade Excerpts

Tuesday 6th January 2026 Westminster Hall

[Vikki Slade (Mid Dorset and North Poole) (LD)]

I thank the hon. Member for Southport (Patrick Hurley) for that really moving account. We know that cancer affects us all. In my family it claimed my mum Lin; my sister-in-law Lisa and my stepmum Sally have both beaten it, and now my dad Ray is living with terminal cancer. One of my team is also undergoing treatment for cancer, so we know that it is prevalent among all our lives. All of them were fit, healthy people who did everything right, as are so many others each year who get the horrible news or—worse—turn up in A&E after becoming suddenly unwell. According to a Cancer Research study, many of those patients had visited their GP but had not been referred for tests, either because they did not meet the thresholds or because they had been missed altogether. This is not a criticism of our GPs, who are working in highly difficult situations. Indeed, when I shadowed Dr Wright from Walford Mill surgery in Wimborne, he had the sober task of sharing a diagnosis and undertaking a very personal test during his appointment, which he let me witness.

If diagnosis doubled across the six least survivable cancers alone, an additional 7,500 lives a year would be saved. Each year in my constituency of Mid Dorset and North Poole, there are 540 diagnoses of cancer and 300 cancer deaths. Although 85% of them should be starting treatment within 62 days, the number is actually only 60%. What is the Minister doing to bridge that gap? If we met the target in my constituency, 70 additional people would be getting on with their lives. Across the country, 45,000 additional people would be given a greater chance of not just surviving but having a life shared with those they love.

Furthermore, once they get to hospital, patients are faced with out-of-date machinery and not enough specialist nurses. Macmillan Cancer Support says there is an acute shortage and calls for a cancer nurse fund to increase the numbers by 3,700. Will the future cancer strategy include such funding?

I want to speak briefly about pancreatic cancer, which claimed the life of my cousin Colin, a super-fit former Welsh Commonwealth games cyclist who died in his 50s despite the best care available. Many other constituents have written to me about poor prognosis for this treatment. They have flagged that the NHS has approved selective internal radiation therapy, but only for colorectal and liver cancers—not those whose primary cancer was in the pancreas and then spread to the liver. These families are keen for urgent trials to be undertaken to allow the treatment to be used, given the incredibly short life expectancy faced by patients. Will the Minister consider that?

We have been waiting such a long time for this cancer strategy. We need the workforce plan and the road map for the NHS plan. Nine hundred and fifty people will be diagnosed with cancer today, and those people need hope.

Transgender People: Provision of Healthcare

Vikki Slade Excerpts

Tuesday 16th December 2025 Westminster Hall

[Vikki Slade (Mid Dorset and North Poole) (LD)]

It is a pleasure to serve with you in the Chair, Mr Turner. I thank the hon. Member for North Warwickshire and Bedworth (Rachel Taylor) for such a passionate, incredible speech. Although she focused on adults, I would like to talk more about young people.

I am not sure whether the recent outrage about the puberty blockers trial is a result of misunderstanding, or whether those who do not accept that trans people have a right to affirmative care are simply using it as another opportunity to cause distress and harm to young people who are already marginalised and deeply frightened about their future. I am going to be generous and say it is the former, and I will help by providing some clarity.

Puberty blockers have been used since the 1980s. Although in a small number of high-profile cases, an individual has transitioned back to the gender assigned at birth, the vast majority do not. An Australian study found that 5% ended up identifying with their sex assigned at birth, but only 1% of those did so after receiving puberty blockers or hormone replacement therapy. The others did so during their initial assessment at the clinic. That is significantly lower than the regret rate for breast implants, tattoos or any other change to someone’s body. Puberty blockers are not permanent; they are to delay puberty and pause development.

Imagine a young transgender child who starts to live as a boy as they end the primary phase of their education—taking part in boys’ sports and changing their name on documentation—then having to contend with breast growth and menstruation at school. Or think of a teenage trans girl, who is fully accepted by her friends, suddenly experiencing the growth of facial hair and a dropping voice, and waiting years for an appointment. Imagine how they feel sick, showering a body that physically repulses them, binding to ensure they pass among their friends, and hiding from any situation where they are exposed.

Children whose puberty is advancing too quickly can access these drugs, but trans children cannot. When the drugs were banned last year and the Government announced that there would be a trial, I thought that those who genuinely wanted fair and safe healthcare for trans children would have welcomed it. Instead, they described those children as guinea pigs. The trial must go ahead and needs to be expanded.

[Tom Hayes (Bournemouth East) (Lab)]

Trans healthcare is challenging to access and afford. Waiting lists are ludicrously long and treatment options are limited. There is a massive gap between the treatment that trans people need and what they are being offered. Does the hon. Member agree that, as we just heard from my hon. Friend the Member for North Warwickshire and Bedworth (Rachel Taylor), trans people are human beings who deserve to be treated as such, with equal access to healthcare?

--- Later in debate ---

[Vikki Slade]

I thank my neighbour for his intervention. Of course they are people; they are our friends, family and neighbours. Puberty blockers are of no use once someone reaches 16 or 17, as by that time the damage is done. The hon. Member for Sleaford and North Hykeham (Dr Johnson) may pull a strange face at me but, frankly, for those children the damage is often done. They have often attempted suicide multiple times and their lives have been damaged. All they want is access to the support, the hormones and the treatment that they should be entitled to. When they reach 17 years and nine months, however, they are transferred to adult services. In some cases, they have been waiting since they were 12 or 13, only to be told that the south-west of England is currently dealing with referrals from 2017. That is simply not acceptable. We know it is dangerous for people to wait long periods. Coroners repeatedly refer to long waiting lists in the context of trans people’s deaths.

In my last few seconds, I want to address shared care. A constituent of mine, a trans man who transitioned at about 18, has had NHS care in place for many years. He has now been told by his GP that they will not offer him shared care. He has been told that the practice has had a letter from the gender identity clinic saying that the practice does not have the systems, capacity or expertise in place to provide the level of monitoring and care. That is simply unacceptable. This is NHS care. My constituent has NHS prescriptions. Now his own GP says that they will not support him, despite being required to do so. I ask the Minister to look carefully at this issue to ensure that trans children get the services they need and trans adults continue to receive them.

NHS: Winter Preparedness

Vikki Slade Excerpts

Monday 15th December 2025 Commons Chamber

[Wes Streeting]

Through my hon. Friend I thank staff at Milton Keynes hospital for all their hard work—I have had the privilege of visiting recently—and I thank all NHS staff for what they are doing throughout this week and throughout a very challenging winter. We know that staff are working under pressure and that their pay, terms and conditions need to improve. Most importantly, we know that conditions for patients need to improve, and we are far better able to do that if we work together, and if the BMA is more reasonable not just about the scale of the asks, but about the pace with which it is demanding change, recognising our responsibility to all staff, not just doctors, and crucially to patients.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

More than 34,000 residents of Dorset are over the age of 80 and therefore excluded from the RSV vaccine. They have been told that it is too dangerous for them to take, but they are now extremely worried because cases are going up. Will the Secretary of State sit back round with the Joint Committee on Vaccination and Immunisation and review the decision to exclude them, so that residents such as Joan in Wimborne, who has to care for her even older and more disabled husband, can get reassurance this winter that she can protect herself and him?

[Wes Streeting]

I am not a clinician or a scientist, but the JCVI is full of them and we follow its expert advice. It will, in the normal way, review how this winter has gone and look ahead to future pressures, but it is important that we are guided by the evidence, whatever the political pressure.

Budget Resolutions

Vikki Slade Excerpts

Tuesday 2nd December 2025 Commons Chamber

[Vikki Slade (Mid Dorset and North Poole) (LD)]

Bearing in mind that we are talking about investing in the future, I would like to focus my comments on young people.

Last week I held a youth conversation and was so impressed with the focus of the young people on broad issues including housing and their fear of the far right. I look forward to hearing more about the next steps from the Youth Select Committee, which is currently looking at alternative strategies for student funding; they all accept that their student days need to be properly funded, but they feel—and I agree—that it is completely unfair that they are paying higher rates of interest than the landlords from whom they have to rent their properties, and that dragging them into tax earlier is making it even tougher for them to get on to the ladder, even as a renter.

Sadly, many of our graduates and others who have completed their education are finding it tough to get into work at all. Historically, many would have sought opportunities abroad, but, thanks to Brexit, most of those options are now gone. I welcome the prospect of the youth mobility scheme, but it does not go far enough—if the Chancellor was serious about fixing economic stagnation, cutting red tape and creating jobs, she would announce a new customs union with the EU, generating £25 billion a year in taxation alone and really giving us a period of renewal.

Other young people leaving school or college would have moved into hospitality, but in the past year, that sector has lost 90,000 jobs, many of which were filled by young people. Meanwhile, the businesses not cutting jobs are cutting shifts—something I experienced in my own home last weekend, when, over the payday weekend before Christmas, when most young people are relying on work, two of my children had their shifts cut at two separate successful businesses.

The failure of the Government to hear the Liberal Democrat call to cut VAT means there will likely be more shifts cut for young people, and older people, as the winter months arrive. While the Government have maintained that business rates changes will protect businesses, in reality the recent revaluation will see an increase in most businesses’ value and the loss of their small business relief, so many of them will be worse off. I urge the Government to look at this matter again.

I want to briefly mention the issue of special educational needs. I am pleased that the Government are absorbing these costs from 2028, but I am deeply concerned about what will happen between now and then. I am worried that councils will have gone under before we get to that point.

Finally, as time is short, I want to mention the issue of devolution. There was over £14 billion for mayoral authorities in this Budget, but nothing for my area of Dorset. I am sure the four Government Members from Dorset present will agree that it is completely outrageous to have a period of investment renewal with no money at all going to the area of Wessex. I urge the Government to bring forward the devolution programme for every part of the country and for every generation.