Sixth opposition day debate (part two), on a motion in the name of the Leader of the second largest opposition party (Liberal Democrats). Motion that this House regrets the persistent scandal of raw sewage being dumped by water companies into rivers, lakes and coastal areas; notes with deep concern that just 14% of rivers and lakes in England are in good ecological health; condemns the previous Government for letting water company bosses get away with the scandal while paying themselves millions of pounds in bonuses; further notes the potential benefits of Blue Flag status in improving responsibility and accountability from water companies, through compliance checks and stringent environmental standards; and calls on the Government to take urgent action to end the sewage scandal, including the introduction of a new Blue Flag status for rivers and chalk streams, to give them greater protection against sewage dumping and ensure the public knows when rivers are clean and safe. Main question negatived on division (77 to 302). Amendment agreed to on division (301 to 69). Main question, as amended, resolved to. Resolved that this House recognises that the Government inherited a broken water system, with record levels of sewage being pumped into waterways; welcomes the Government's rapid delivery of its promise to put water companies under tough special measures through the landmark Water (Special Measures) Act 2025, which has introduced new powers to ban the payment of unfair bonuses to water bosses who fail to protect the environment and to bring tough criminal charges against them if they break the law; supports the Government’s work to secure over £100 billion of private sector investment to upgrade the crumbling sewage infrastructure; and backs the largest review of the water sector since privatisation, aimed at tackling inherited systemic issues in order to clean up UK rivers, lakes and seas for good.

Sixth opposition day debate (part two), on a motion in the name of the Leader of the second largest opposition party (Liberal Democrats). Motion that this House regrets the persistent scandal of raw sewage being dumped by water companies into rivers, lakes and coastal areas; notes with deep concern that...

Report stage. New Clause NC18 debated with further new clauses and amendments. New clause NC 18 agreed to on question. New clause NC 16 negatived on division (181 to 322). New clause NC 19 negatived on division (180 to 325). Clause 10, amendment 4 agreed to on question. Clause 12, amendment 9 negatived on division (73 to 321). Clause 15, amendments 5 to 8 agreed to on question. Bill reported as amended. Third reading. Agreed to on question. Bill passed.

Report stage. New Clause NC18 debated with further new clauses and amendments. New clause NC 18 agreed to on question. New clause NC 16 negatived on division (181 to 322). New clause NC 19 negatived on division (180 to 325). Clause 10, amendment 4 agreed to on question. Clause 12,...

Second reading agreed to on question. Programme motion agreed to on question. Ways and Means resolution agreed to on question.

Second reading agreed to on question. Programme motion agreed to on question. Ways and Means resolution agreed to on question.

Motion that this House has considered rural affairs. Agreed to on question.

Motion that this House has considered rural affairs. Agreed to on question.

Motion that this House has considered Lord Darzi's independent investigation into NHS performance. Motion lapsed.

Motion that this House has considered Lord Darzi's independent investigation into NHS performance. Motion lapsed.

To ask the Secretary of State for Health and Social Care, if she will make it her policy to end the funding of hospices through integrated care boards.

To ask the Secretary of State for Health and Social Care, if she will make it her policy to end the funding of hospices through integrated care boards.

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of the findings of the Cass Review, published on 10 April 2024, on the adequacy of levels of funding for child mental health and specialist paediatric services.

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of the findings of the Cass Review, published on 10 April 2024, on the adequacy of levels of funding for child mental health and specialist paediatric services.

We switched on our fully funded dental recovery plan, in case the hon. Gentleman was not listening carefully earlier, on 1 March. Nearly 500 more practices in England are accepting new adult patients than at the end of January, and even more will do so under the dental recovery plan. We have plans to bring in new dental vans to help our most isolated communities. We are also bringing in the Smile4Life programme for children, because prevention must be a critical part of our dental recovery plan.

We switched on our fully funded dental recovery plan, in case the hon. Gentleman was not listening carefully earlier, on 1 March. Nearly 500 more practices in England are accepting new adult patients than at the end of January, and even more will do so under the dental recovery plan. We have plans to bring in new dental vans to help our most isolated communities. We are also bringing in the Smile4Life programme for children, because prevention must be a critical part of our dental recovery plan.

If she will make a statement on her departmental responsibilities.

If she will make a statement on her departmental responsibilities.

We know that people in work lead happier, healthier lives. However, over 10 million “not fit for work” fit notes were issued last year. Most were repeat fit notes issued without any advice, so we are missing a golden opportunity to give millions of people the support they need to remain in work. That is why we are launching a reform of the fit note process to create a new system in which fit note conversations focus on what people can do, not what they cannot do. As part of this, the Government will consider shifting the responsibility for issuing fit notes away from GPs to reduce the pressures they face and to free up millions of appointments. I thank everyone who has delivered this vital work, and I very much look forward to hearing the results of the call for evidence in due course so that we can reform our welfare system for the sake of our constituents and our GPs.

We know that people in work lead happier, healthier lives. However, over 10 million “not fit for work” fit notes were issued last year. Most were repeat fit notes issued without any advice, so we are missing a golden opportunity to give millions of people the support they need to remain in work. That is why we are launching a reform of the fit note process to create a new system in which fit note conversations focus on what people can do, not what they cannot do. As part of this, the Government will consider shifting the responsibility for issuing fit notes away from GPs to reduce the pressures they face and to free up millions of appointments. I thank everyone who has delivered this vital work, and I very much look forward to hearing the results of the call for evidence in due course so that we can reform our welfare system for the sake of our constituents and our GPs.

I am delighted to be able to tell the hon. Gentleman that we have modelled down the ambitions, so the figure we initially provided was higher than 2.5 million appointments. That is because we are focused on delivering the dental recovery plan, rather than overpromising.

The hon. Gentleman finds it easy to call our children short and fat, but he shies away from welfare reform, calling it shameless and irresponsible. He says he is ready to stand up to middle-class lefties, but Labour has never put patients first by condemning the unions that strike. He makes glossy promises about reforming the NHS in England, yet Labour has failed completely—

I am delighted to be able to tell the hon. Gentleman that we have modelled down the ambitions, so the figure we initially provided was higher than 2.5 million appointments. That is because we are focused on delivering the dental recovery plan, rather than overpromising.

The hon. Gentleman finds it easy to call our children short and fat, but he shies away from welfare reform, calling it shameless and irresponsible. He says he is ready to stand up to middle-class lefties, but Labour has never put patients first by condemning the unions that strike. He makes glossy promises about reforming the NHS in England, yet Labour has failed completely—

I very much hope that the hon. Gentleman has already spoken to his integrated care board, because he will know that responsibility for local investment decisions rightly rests at local level. I can say that, as a Government, we have very much invested in hospital upgrades, including £4.2 billion going to integrated care boards this financial year. I hear the timetable he cites, but I encourage him to go to his integrated care board to ask what more it is doing.

I very much hope that the hon. Gentleman has already spoken to his integrated care board, because he will know that responsibility for local investment decisions rightly rests at local level. I can say that, as a Government, we have very much invested in hospital upgrades, including £4.2 billion going to integrated care boards this financial year. I hear the timetable he cites, but I encourage him to go to his integrated care board to ask what more it is doing.

What steps she is taking to ensure adequate funding for hospital repairs.

What steps she is taking to ensure adequate funding for hospital repairs.

May I wish you a happy St. George’s day, Mr Speaker? I also wish the hon. Member for Bristol South (Karin Smyth) a speedy recovery; I hope to see her across the Dispatch Box soon.

The Government have invested significant sums to maintain and modernise NHS buildings, including £4.2 billion for integrated care boards this financial year. This is on top of the expected £20 billion for the new hospital programme. We have invested a further £1.7 billion for over 70 hospital upgrades across England, including in mid and south Essex.

May I wish you a happy St. George’s day, Mr Speaker? I also wish the hon. Member for Bristol South (Karin Smyth) a speedy recovery; I hope to see her across the Dispatch Box soon.

The Government have invested significant sums to maintain and modernise NHS buildings, including £4.2 billion for integrated care boards this financial year. This is on top of the expected £20 billion for the new hospital programme. We have invested a further £1.7 billion for over 70 hospital upgrades across England, including in mid and south Essex.

I thank my hon. Friend, and also wish her the very best of luck, as she is due to abseil down the hospital next month for its radiotherapy appeal. I very much hope she lands safely and does not trouble Southend hospital. I was delighted to visit the hospital at her invitation earlier this month, and I was very much impressed by the immediate improvements that the £8 million funding has meant in the Dowsett

ward and for discharge and treatment times through accident and emergency. This is part of our plan, both through the urgent and emergency care plan and through our recovery plan for electives and the new hospital programme, to rebuild hospitals and provide that investment so that clinicians can use it to treat their local patients.

I thank my hon. Friend, and also wish her the very best of luck, as she is due to abseil down the hospital next month for its radiotherapy appeal. I very much hope she lands safely and does not trouble Southend hospital. I was delighted to visit the hospital at her invitation earlier this month, and I was very much impressed by the immediate improvements that the £8 million funding has meant in the Dowsett

ward and for discharge and treatment times through accident and emergency. This is part of our plan, both through the urgent and emergency care plan and through our recovery plan for electives and the new hospital programme, to rebuild hospitals and provide that investment so that clinicians can use it to treat their local patients.

We are committed to levelling up health, narrowing the gap in healthy life expectancy by 2030, and increasing healthy life expectancy by five years by 2035. That aligns with our mission to reform our health and care system to be faster, simpler and fairer.

We are committed to levelling up health, narrowing the gap in healthy life expectancy by 2030, and increasing healthy life expectancy by five years by 2035. That aligns with our mission to reform our health and care system to be faster, simpler and fairer.

No, I do not, and I would point to the legislation that the Government brought forward last week, which is the largest and most significant public health reform that we can make to help the hon. Member’s constituents and those in other parts of the country who face inequalities. We know that smoking rates are disproportionately higher in poorer communities, which is one of the many reasons why we introduced such landmark legislation. It is just a shame that the Labour party felt that they had to whip their Members to get them to vote for it.

No, I do not, and I would point to the legislation that the Government brought forward last week, which is the largest and most significant public health reform that we can make to help the hon. Member’s constituents and those in other parts of the country who face inequalities. We know that smoking rates are disproportionately higher in poorer communities, which is one of the many reasons why we introduced such landmark legislation. It is just a shame that the Labour party felt that they had to whip their Members to get them to vote for it.

I completely agree. Further on ethnicity and inequalities, I have not only prioritised women’s health as Secretary of State, but announced £50 million of research into maternity disparities for women of colour, given the worrying statistics associated with that. I have also responded to calls from brave constituents, put forward by hon. Members on both sides of the House, for further research into lobular breast cancer, because although it is responsible for 15% of diagnoses, we do not have the research or evidence to help women who are affected by it.

I completely agree. Further on ethnicity and inequalities, I have not only prioritised women’s health as Secretary of State, but announced £50 million of research into maternity disparities for women of colour, given the worrying statistics associated with that. I have also responded to calls from brave constituents, put forward by hon. Members on both sides of the House, for further research into lobular breast cancer, because although it is responsible for 15% of diagnoses, we do not have the research or evidence to help women who are affected by it.

I am so glad that the hon. Gentleman has mentioned levelling up, because presumably he will know from his bid that the 12 levelling-up missions are mutually reinforcing. Conservative Members take the approach that in order to help people with their health—[Interruption.] The hon. Gentleman is shouting at me. I thought that this answer would be important to his constituents.

Levelling up is not just about health. It is about the impact of education, housing and other matters in our environment, which is why in the forthcoming major

conditions strategy we will tie together the conditions that have the most impact on a healthy life. We will draw together a cross-Government strategy to help people who are living with those conditions to live longer but also healthier lives.

I am so glad that the hon. Gentleman has mentioned levelling up, because presumably he will know from his bid that the 12 levelling-up missions are mutually reinforcing. Conservative Members take the approach that in order to help people with their health—[Interruption.] The hon. Gentleman is shouting at me. I thought that this answer would be important to his constituents.

Levelling up is not just about health. It is about the impact of education, housing and other matters in our environment, which is why in the forthcoming major

conditions strategy we will tie together the conditions that have the most impact on a healthy life. We will draw together a cross-Government strategy to help people who are living with those conditions to live longer but also healthier lives.

My right hon. Friend makes an important point. The purpose of the levelling-up fund is to help local areas to address what they need locally, rather than respond to diktat from central London. I encourage her to work closely, as I know she will, with local agencies, the council and others making those important decisions, so that their levelling-up announcements include health, as an integral part of her mission to improve the lives of her constituents.

My right hon. Friend makes an important point. The purpose of the levelling-up fund is to help local areas to address what they need locally, rather than respond to diktat from central London. I encourage her to work closely, as I know she will, with local agencies, the council and others making those important decisions, so that their levelling-up announcements include health, as an integral part of her mission to improve the lives of her constituents.