This Parliament, anything less than 3 Lib Dems at PMQs is a disappointment – a benefit of having 72 MPs.

For the third time since the General Election it was a Lib Dem who kicked off proceedings. Daisy Cooper took the opportunity to ask the PM about her local hospital:

Today, I called on the PM to finally give the green light for a new hospital in West Herts 🏥

The last Conservative govt promised it but failed to deliver it – despite my asking close to twenty times.

We’re shovel ready: we just need the new govt to give us the go ahead. pic.twitter.com/i5g45yqVKJ

— Daisy Cooper MP 🔶 (@libdemdaisy) November 27, 2024

West Hertfordshire teaching hospitals NHS trust has eliminated 65-week waits and has now met all three national cancer standards. Those remarkable achievements by the staff are happening despite their working in terrible buildings that are life-expired and crumbling. If the Government are looking for a project that is high-performing and shovel-ready, that is it. Will the Prime Minister give our trust the green light to build a new hospital without further delay?

The Prime Minister
I thank the hon. Lady for raising that issue, which is of importance to her constituents and beyond. The new hospital programme we inherited was a failure of the previous Government. We are committed to delivering, and we are reviewing to ensure that we can deliver. The Health Secretary will set out further details, but I am very happy for her to have a meeting with the relevant Minister if she wants to follow up on the specifics.

Then came Ed Davey with two hard-hitting questions on ending the Winter Fuel Payment and the hike in employers’ National Insurance contributions for hospices:

At PMQs today, I challenged the Prime Minister to address the cost of living crisis and restore winter fuel payments.

With energy bills set to rise yet again, millions will struggle to make ends meet this winter. pic.twitter.com/LTDMcfR6WK

— Ed Davey (@EdwardJDavey) November 27, 2024

May I associate myself with the Prime Minister’s remarks about the terrible impact of Storm Bert and all the flooding? Our thoughts are with all those affected, with thanks to our amazing emergency services.

Christine’s father was told that he needed end of life care, but after a few days it was removed due to funding cuts. He was told that he would not get it, and he died a few weeks later in excruciating pain. Christine says that it was terrible to watch him suffer. Does the Prime Minister agree that, whatever the House decides on Friday, it is urgent that we improve access to high-quality end of life care? Will he make that a key focus of the 10-year NHS plan, and will he now commit to protect hospices from the national insurance rise?

The Prime Minister
I thank the right hon. Gentleman for raising that case, and I am sure the thoughts of the whole House are with the family involved. Obviously there is a very important vote on Friday, but whichever way that vote goes, we must invest properly in care across our health service. That is why, in addition to putting the NHS back on its feet, we are putting forward a 10-year plan to make sure that the NHS can give the care that everybody would expect across the spectrum, including end of life care.

Ed Davey
I thank the Prime Minister for his reply. I hope that we will hear more from Ministers, particularly on hospices and national insurance, in the days to come.

I turn to the cost of living crisis. On Friday, Ofgem said that energy bills will go up again in January, after last month’s 10% rise. Millions of people are really worried about how they will make ends meet this winter, not least hundreds of thousands of pensioners who are in poverty but above the pension credit limit, who will now lose winter fuel payments. With energy bills going up again, will the Prime Minister reconsider and restore winter fuel payments?

The Prime Minister
Obviously the whole House is concerned about energy bills, which are actually lower this year than they were last year. The long-term way to deal with this issue is to have clean power by 2030, to make sure that we drive energy bills down on a permanent basis, and that is what we will do. On the winter fuel allowance, the right hon. Gentleman knows very well what the Government’s position is; indeed, I have rehearsed it with him many times.

The fact that Keir just can’t be bothered defending himself any more makes Ed’s repeated returns to this issue all the more potent.

Mext up, Manuela Perteghella made her PMQ debut by raising the issue of a constituent of hers who is campaigning to end knife crime after her son was killed:

Next month marks two years since the death of Cody Fisher, a young man from my Stratford-on-Avon constituency. Cody was a talented footballer with a bright future, whose life was tragically cut short when he was stabbed in a nightclub in Birmingham. His mother, Tracey, has campaigned tirelessly in his memory for legislation to require venues to have bleed kits and metal detectors. In the light of the Government’s commitment to tackling knife crime, will the Prime Minister meet Tracey and me to discuss these vital proposals to better protect young people like Cody from the devastating impact of knife crime?

The Prime Minister
I thank the hon. Member for raising that tragic case, and I pay tribute to Tracey for her campaigning. I have met a number of families on the issue of bleed kits, so I know at first hand how important this is. We are taking measures in relation to knife crime, including banning the online sale of knives to make them less available, steering young people away from offending and implementing real penalties. I am happy to look at bleed kits, and I will make sure that Tracey gets a meeting with the relevant Minister to hear more about what we are doing and to make her case.

And then came Alex Brewer with a stormer of a question on National Insurance Contributions as they affect GP surgeries:

After years of neglect under the previous Conservative Government, GP surgeries are at breaking point and across North East Hampshire they are preparing now for huge bills to pay increased employer’s national insurance contributions. Hart Health Partnership in Fleet estimates that this will cost it three nursing salaries and it has already reduced staff hours by 50 per week, with more cuts due in January. Can the Prime Minister please tell GPs in my constituency which patient services they should cut in order to pay the bills?

The Prime Minister
The hon. Lady is absolutely right that the NHS was broken by the last Administration, and the Darzi report makes that absolutely—[Interruption.] They should hang their heads in shame, frankly. We are providing in the Budget £22 billion of additional funding this year for our NHS. That is a huge investment that is much welcomed and much needed across the NHS. We will work with GPs and consult the sector on the services they provide and the money they are entitled to in return. All that funding will be confirmed in the usual way.

And, finally, Charlie Maynard with a straightforward question on aligning with Europe:

We recognise that Labour is determined to defend the economically disastrous Conservative policies of being outside the customs union and single market. However, does the Prime Minister agree with the principle that where it is in our country’s interest to maintain alignment with EU standards so that we can better sell our products internationally, we align; and where it is in our interest to diverge, we diverge?

The Prime Minister
I certainly agree that the deal we got under the last Government is not the best deal that we can get. That is why we are determined to reset the relationship and we have already begun that. Obviously, there will be no return to freedom of movement, the customs union or the single market, but beyond that we can increase and improve the situation, whether on trading, security or other co-operation, and we are actively working on that.

* Caron Lindsay is Editor of Liberal Democrat Voice and blogs at Caron's Musings