It is a pleasure to serve under your chairship, Ms Vaz. I thank my hon. Friend Wera Hobhouse for introducing the debate and for her enormous dedication and hard work on this vital issue over many years.

I would like to talk about the themes that have arisen from Constituency cases that my team and I have encountered and supported. The key concern is not the clinical aspects of care but the delay and fragmentation of the ownership of care. Life-threatening conditions can drift. Gaining access to care, support and treatment often involves a Kafkaesque labyrinth of dysfunctional process and procedure, and referrals and re-referrals between a range of teams in the complicated organisation that the NHS is. We need independent specialist assessments, safe interim arrangements, and timely and accountable co-ordination of care.

Some people wait more than eight months for an answer either way regarding whether they are eligible for treatment under the current criteria. That can further compromise their confidence in coming forward and asking for support. It can have a huge personal cost, impacting people’s ability to drive or work, reducing life expectancy and creating long-term medical complications, which add to wider pressures on the NHS. As in other debates that we have about healthcare in this country, this issue highlights an area where, if we get the start of the process right with early, preventive interventions, we will be able to help individuals and alleviate some of the pressure on critical care services.