Matthew Patrick's most notable recent act was voting against his party four times on the Terminally Ill Adults (End of Life) Bill in June 2025 — opposing Third Reading and backing tighter safeguards that would have disqualified applicants whose wish to die stemmed from feeling a burden, a mental disorder, disability, or financial hardship. That places him firmly in the sceptical wing of Labour on assisted dying: his voting profile shows he aligns with pro-assisted-dying positions just 29 percentage points below the Labour average, and with restrictive positions 21 points above it. His disability-rights voting record — 15 points above his party's average — reinforces the pattern.
Beyond that cluster of rebel votes, Patrick is a broadly loyal backbencher, voting with Labour 98.3% of the time across 81% of divisions — slightly below the Commons average for participation. His 157 contributions across 68 debates skew heavily toward economy and jobs, defence, social care, and health. Stance data shows strong alignment with progressive taxation and workers' rights, but low scores on civil liberties, pro-business measures, and parliamentary scrutiny — the last suggesting he rarely backs amendments designed to slow or challenge government legislation.
Local work dominates his public profile. News coverage highlights a systematic tour of every school in Wirral West, with Patrick citing "stark inequalities" and taking credit for supporting a free breakfast clubs application. He has also petitioned the council over safety concerns for young women at a local swimming pool. His early-stated priorities were NHS waiting times and economic abuse — the latter a specialist interest that his health and social care speech activity reflects. No committee roles are recorded.