National HIV Testing Week

Charlotte Nichols Excerpts

Thursday 8th February 2024 Commons Chamber

[Charlotte Nichols (Warrington North) (Lab)]

I beg to move,

That this House has considered National HIV testing week.

I am the understudy today for the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell), who secured this debate. It has been 42 years since the untimely death of Terrence Higgins, who was not only the first recorded British person to die of HIV/AIDS, but a Commons Hansard reporter. Since then, we have made huge progress in the testing, diagnosis and treatment of HIV. Today, people living with HIV can continue to live very normal lives. It is essential to remember, however, that HIV remains a critical global health issue, with millions of people living with the virus and many more at risk of infection.

Early diagnosis and treatment of HIV is essential in reducing the spread of the virus, improving health outcomes and reducing the stigma associated with the disease. I thank charities such as the Terrence Higgins Trust, the National AIDS Trust, the George House Trust and others that have worked tirelessly to lead the fight against HIV. They have done and continue to do phenomenal work to help those living with HIV and to achieve the goal of no new HIV transmissions by 2030. I take the time on behalf of all the members of the all-party parliamentary group on HIV and AIDS to thank the outgoing chief executive of the National AIDS Trust, Deborah Gold, for her hard work and dedication to the charity for the past 10 years, and for her immense contribution to the fight against HIV. I am sure that everyone will join me in wishing her the best of luck in her new chapter.

As Members will be aware, HIV weakens a person’s immune system and their ability to fight everyday infections and disease. HIV is passed from human to human and, if left untreated, can progress through a series of stages leading to acquired immune deficiency syndrome, or AIDS. Though there is currently no cure for HIV, treatments are available that enable a person to live a long and healthy life. A person living with HIV has a similar life expectancy to a HIV-negative person, provided that they are tested and diagnosed in good time. In 2022, the Government introduced the national HIV action plan. It had the clear aim of reducing new infections by 80% by 2025 and, crucially, ending infections and deaths from HIV by 2030. That goal can be achieved only if the plan is properly financed and implemented.

In November, at the event to honour Sir Elton John organised by the APPG on HIV and AIDS and hosted by Mr Speaker, the Secretary of State for Health and Social Care outlined that the UK Government would be expanding the hugely successful NHS opt-out virus testing programme for HIV and hepatitis to 46 new emergency departments across England. Expansion of the programme from the current 33 sites to every high-prevalence area could identify a significant proportion of the estimated 4,500 people living with undiagnosed HIV, prevent new transmissions and save more lives.

As hon. Members will know, we have been marking National HIV Testing Week with events across the country, including on the parliamentary estate, to raise awareness of HIV testing. This annual campaign aims to raise awareness of the importance of regular testing to reduce the number of people living with undiagnosed HIV and those diagnosed late, and the campaign’s strapline “I test” is in its second year. I urge everyone to take advantage of the services available during National HIV Testing Week and throughout the year to get tested and know their status.

Recent UK Health Security Agency data highlights that while HIV diagnoses among white gay and bisexual men are falling, inequalities are deepening. HIV transmissions have increased in the last year among heterosexual men and women, as well as gay and bisexual men of other ethnicities. Persistent inequalities must be overcome. At the same time, the experience of people living with HIV is not equal or equitable. Worrying numbers of people living with HIV are afraid to visit healthcare settings, with women and people of black African ethnicity more likely to be afraid than men or people of white ethnicity. Those inequalities are mirrored in the experience of people offered an HIV test: 40% of women eligible for a test were not offered one when attending a sexual health service. I urge the Minister to do everything she can to tackle the inequalities in the HIV response in order to deliver the Government’s action plan and end new transmissions by 2030.

Along with tackling inequalities, we need to tackle the growing number of people previously diagnosed with HIV who are not accessing the care they need. The UKHSA estimates that as many as 14,000 people living with HIV in England have not been seen by their HIV clinic for at least a year, often for complex social and stigma-related reasons. They are essentially lost from the health system. One in three of those testing positive for HIV through opt-out HIV testing in accident and emergency departments knew about their status but were not accessing care. Hospitals in London are now reporting that people lost to care have overtaken undiagnosed HIV as the leading cause of HIV-related hospitalisation and mortality. Those are entirely preventable incidents.

Pilot work in south London funded by the Elton John AIDS Foundation has shown that with case finding, focused follow-up and wraparound support, people can be successfully returned to care at an average cost of £3,000 a person. HIV clinics currently do not have the resources to do that work, but it is significantly cheaper than care costs when people develop serious illness. A national programme must be urgently introduced to find everyone lost to HIV care in England and ensure that they are getting the lifesaving treatment they need. Will the Minister confirm what action the Government are taking to find people living with HIV who have been lost to care?

Finally, we must tackle late diagnosis. Certain groups are more likely to be diagnosed late and therefore experience worse health outcomes. Last year, 44% of people diagnosed with HIV in England were diagnosed at a late stage, and late diagnosis rates are even higher for women, at 51%. The number of people living with HIV who know their status but are not in care could be higher than the number of people with undiagnosed HIV. That is a risk to their health, expensive for the NHS and threatens HIV elimination. People not in HIV care are disproportionately from underserved communities, including black communities, women and people who use drugs.

The impact of late diagnosis can be extremely damaging: as well as meaning that someone might unknowingly pass on the virus, if they receive a late diagnosis, their chance of dying in the first year after diagnosis is 10 times greater than if they had received an early diagnosis. Additionally, late diagnosis can have a detrimental impact on an effective response to treatment, which in turn leads to greater healthcare costs at a time when there are already financial strains on the NHS. Late diagnosis is particularly common among certain groups, with 54% of heterosexual British black Africans and 29% of gay and bisexual men diagnosed late. Opt-out testing has allowed us to identify that those are the groups most likely to be HIV-positive.

Although opt-out testing highlighted that those groups were most likely to have HIV, we need to encourage more people from them to get tested. A simple solution for that could be to use public message campaigns. Targeted messaging across radio, television and social media could be created to encourage people to come forward and get tested. It could also specify the importance of testing and tell people where their nearest local test centre is.

Ultimately, to address late diagnosis in both primary and secondary care services, HIV testing needs to become more prominent across the entire NHS primary and secondary estate. If we want to turn the UK into a science and health superpower, and if we want there to be no new cases of HIV transmission by 2030, it is essential that we address the issues that I am highlighting. In particular, it is vital that we rapidly increase testing levels in high and very high prevalence areas through opt-out testing. That will not only save the NHS money and reduce the backlog but enable patients to know quickly whether they have HIV.

My challenge to the Minister is to fight her corner and fight the inequalities in the HIV response, ensure that access to testing is increased and ensure that once testing has started in hospitals, funding for it will continue until we find the last person living with undiagnosed HIV in England. The opportunity to eliminate new cases of a long-term condition is rare, yet we have the tools to do just that now. We must grasp that opportunity and create a culture where failure to follow guidelines is considered wrong and HIV testing is considered routine.

I end on this note. It is crucial that HIV and AIDS remain firmly on the agenda of our Governments, both domestically and internationally. They must be held to their promise to reach zero new infections by 2030.

[Madam Deputy Speaker (Dame Eleanor Laing)]

I call the Father of the House.

--- Later in debate ---

[Charlotte Nichols]

I thank all hon. and right hon. Members who have made such thoughtful contributions today. Again, I thank the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell), who secured this debate, for giving us this opportunity.

The cross-party consensus on the importance of HIV testing and the tone in which today’s debate has taken place represent the very best traditions of this House. I hope all those listening will consider taking a test to know their status, and I look forward to continuing to work with members of the APPG on HIV and AIDS to hold the Government to account on their progress towards the 2030 target.

Question put and agreed to.

Resolved,

That this House has considered National HIV testing week.

Mental Health In-patient Services: Improving Safety

Charlotte Nichols Excerpts

Wednesday 28th June 2023 Commons Chamber

[Steve Barclay]

First, I do not want to wait for legislation before we make changes. Indeed, under the leadership of Paul Scott, who joined EPUT in 2020, investment has been made, with an extra £20 million being put into the in-patient wards and a further £20 million into community services. We are keen to make further progress on that. On the wider issue of legislation, I know that my hon. Friend, as a former Government Whip, is particularly acquainted with how the legislative process works, but the Government take her comments, and those of the House, on engaging staff in this process seriously, and we are working very actively on that.

[Charlotte Nichols (Warrington North) (Lab)]

It is vital that the Government work with sector experts and those with lived experience of in-patient mental health services in getting this vital area of policy right. As someone who spent almost a month as a psychiatric in-patient back in 2021, I know at first hand how difficult, disorientating and dehumanising these settings are, at a time when you are at your most vulnerable, and how easily things that are well-intentioned can and do go wrong. Will the Secretary of State therefore commit to working with Mind and other organisations giving patients and their families a voice to shape these improvements, to ensure that any changes happen with patients and their families, and not to them?

[Steve Barclay]

I very much agree on that. The hon. Lady speaks powerfully of the importance of engaging with those with experience—the charity sector, the families and those directly impacted by the decisions taken in in-patient mental health facilities. She makes an extremely pertinent point and it is very much part of the approach we are taking.

Oral Answers

Charlotte Nichols Excerpts

Tuesday 25th April 2023 Commons Chamber

[Steve Barclay]

Now that I have found the right page in my notes I can be precise in telling my right hon. Friend that it is a 75.7% increase in his constituency, so he is absolutely right about that. Nationally, we have recruited an additional 25,262 full-time equivalent primary care professionals, so that is expanding the workforce capability in primary care. As my hon. Friend the Minister for Health and Secondary Care said a moment ago, it is part of our £1.5 billion investment in the workforce in primary care.

[Charlotte Nichols (Warrington North) (Lab)]

As the House will know, this week is MS Awareness Week. Early diagnosis and treatment of MS are vital to delay disability progression and help those with the condition to manage it, yet, currently, 13,000 people have been waiting more than a year for a neurology appointment after GP referral. A recent study suggested that the UK comes a shameful 44th out of 45 European countries for neurologists per head of population. When will the Government bring forward a strategy to attract, recruit and retain the neurology workforce?

[Steve Barclay]

The hon. Lady raises an important issue related to MS. I am happy to write to her with a more detailed answer about the capability and the plan. There is always a tendency within government to lurch to a strategy rather than to look at what is needed for immediate delivery. I will happily set out what steps we are taking now as part of our pandemic recovery in order to target the workforce within the constraints that she raises.

Oral Answers to Questions

Charlotte Nichols Excerpts

Tuesday 24th January 2023 Commons Chamber

[Will Quince]

On an average strike day, I believe it is about 2,500.

[Charlotte Nichols (Warrington North) (Lab)]

The most recent figures published by the UK Health Security Agency show that, last year, the rate of syphilis cases reached its highest since 1991 and the total number of cases hit its highest since 1948. That shocking increase in syphilis transmission is just one reason why we need the Government to set out their vision for sexual and reproductive health in their long-overdue sexual and reproductive health action plan. Can I therefore ask the Minister to set out when the plan will be published and what she is doing to stop the spread of syphilis?

[Maria Caulfield]

Can I just reassure the hon. Lady that we take sexual health services very seriously? Local authorities in England have received more than £3 billion from Government to support those services. We have produced a number of plans to improve sexual and reproductive health, from the HIV action plan in 2021 to the women’s health strategy, which focuses on sexual health as well.

NHS: Long-term Strategy

Charlotte Nichols Excerpts

Wednesday 11th January 2023 Commons Chamber

[Charlotte Nichols (Warrington North) (Lab)]

Thirteen years of Conservative Government have led to crises in every part of our health and social care system. Our infrastructure is breaking down, patient experience is at rock bottom and the consequences of the mismanagement of our health staff is all too clear. Of course covid has played a part, but most of those things were dangerously clear before the pandemic struck. Up and down the country, the condition of repair of our hospitals is declining. Despite all the bluster of the former Prime Minister and his successors, in Warrington, we are still waiting for a decision on a new hospital—if the Minister wants to announce it today, we will be very grateful. We just do not have the capacity to deal with the number of people requiring care in a town our size with the dated, far too small hospital that we have, despite the best efforts of our incredible staff.

In June last year, ITV’s “Tonight” spent a couple of days filming with the North West Ambulance Service and Warrington Hospital. It reported horrific conditions, with patients forced to sleep on trolleys for days on end outside A&E departments, and that was back in the summer. Since then, we have only seen matters get worse. Over the winter, I have heard horror story after horror story from constituents, and I will read just one: “My dad, aged 72, arrived at Warrington Hospital on Christmas morning by ambulance after being unable to walk and being confused at around 3 am. I was shocked to see a number of trolleys with patients winding around in the corridor in the A&E department, with paramedics attending to patients and nurses rushed off their feet treating multiple patients. He was in a trolley in the corridor for 26 hours before being admitted and kept trying to get off the trolley, as he was very distressed and confused. I spent three days going in and out of the hospitals and walking through the corridors and A&E department and I honestly feel traumatised by the experience.”

Those failures are unprecedented and a total collapse from the achievements that the last Labour Government left. It is all too easy to make a debate such as this about statistics, but the reality is unnecessary pain, distress and death. When Nye Bevan wrote “In Place of Fear”, he proposed a healthcare system that would remove the anxiety of illness and injury and make us a more secure, contented and productive society. This Government have overseen the return of fear. The degradation of our national health service since 2010 is a national tragedy, and I warn Government Members that, if they do not address it seriously, that will be their shameful legacy.

NHS Workforce

Charlotte Nichols Excerpts

Tuesday 6th December 2022 Commons Chamber

[Wes Streeting]

I strongly agree with the hon. Gentleman. I will come shortly to talk about industrial action, but this should be at the heart of the Secretary of State’s thinking. The demands from staff trade unions, whether on pay, terms and conditions or the wider pay machinery, should be seen not just as a negotiation with staff unions but as a retention issue. We are losing staff faster than we can recruit them in some places—especially in areas such as midwifery—and if we lose the staff that we have, even Labour’s plans to undertake the biggest recruitment in the NHS’s history would not be as effective as they would be if we kept staff in the service today. That is why I urge the Secretary of State to treat those NHS staff with respect, get their representatives around the table, and negotiate a solution.

I am aware that the situation in the NHS in Northern Ireland is the worst that we see throughout the United Kingdom. The shadow Secretary of State for Northern Ireland, my hon. Friend the Member for Hove (Peter Kyle), visited NHS services in Northern Ireland only recently. I have no doubt that we need to get effective governance back up and running again in Northern Ireland as well. I urge the Government to discharge their responsibilities in that area, too. Certainly, when Labour was last in government, I do not remember Labour Prime Ministers taking such a complacent, lackadaisical or indeed absent approach to the governance of Northern Ireland. I hope that we can see a breakthrough of the deadlock so that the people of Northern Ireland get the Government they deserve in Stormont, as well as the United Kingdom getting the Government it deserves here in Westminster.

Waiting lists were already at a record 4.5 million before the pandemic. Ambulances were taking longer than is safe to reach patients in an emergency before the pandemic. Patients were waiting longer than four hours in A&E before the pandemic. The 18-week guarantee for elective treatment had not been met for four years before the pandemic, and more patients have waited longer than two months to start their cancer treatment every year since 2010. From the moment the Conservatives entered power, things began to deteriorate. It is not just that the Conservatives did not fix the roof while the sun was shining; they blew off the roof and ripped up the floorboards, and then they wonder why the storm did so much damage.

[Charlotte Nichols (Warrington North) (Lab)]

My hon. Friend mentioned cancer diagnosis rates. I believe he will be aware that one in four people diagnosed with pancreatic cancer dies within a month of their diagnosis, with 70% receiving no treatment at all because they die before they could be treated. Does he agree that cancer diagnosis rates are a disgrace and that early intervention, early diagnosis and early treatment are vital for people with all forms of cancer, particularly the most aggressive types such as pancreatic cancer, to have any chance of survival?

[Wes Streeting]

My hon. Friend is absolutely right. One reason why this country has much poorer cancer outcomes than many comparable economies is precisely because of late diagnosis. I know from my own experience how vital early diagnosis can be for good cancer outcomes. I am terrified by the fact that, within those 7 million patients waiting in the elective backlog, there will undoubtedly be cases of undiagnosed cancer and other conditions. If the NHS had eyes on the patients, they would be detected faster, patients would receive treatment much more quickly and the outcomes would be better. One of the tragedies for the NHS is that, because we do late diagnosis, we get more expensive and less effective treatment. If we could diagnose faster, patients would get better outcomes and taxpayers better value for money. That is the kind of reform to the model of care that Labour would like to see.

--- Later in debate ---

[Wes Streeting]

My hon. Friend has led me neatly towards setting out Labour’s plans, which rely on people who come to this country and make Britain their home actually paying their taxes here. That is the right and fair thing to do, and I think people across the country would agree that we need nurses more than we need non-doms.

[Charlotte Nichols]

I have listened with interest to what has been said about the new hospital building programme, not least because we have been waiting for a new hospital in Warrington for a very long time. We recently opened the new Health and Social Care Academy at Warrington & Vale Royal College with some of our town deal fund money, but surely people need excellent, cutting-edge training facilities to go into in a hospital once they leave the college. The Government’s lack of progress on building us a new hospital in Warrington undermines some of the other excellent work that we are doing locally to try to train up the people we need to fill those workforce shortages.

World Menopause Day

Charlotte Nichols Excerpts

Thursday 27th October 2022 Westminster Hall

[Charlotte Nichols (Warrington North) (Lab)]

What a pleasure it is to serve under your chairship, Mr Hollobone. I preface my remarks by putting on record again my thanks, and the thanks of women across the country, for the steadfast campaigning work of my hon. Friend the Member for Swansea East (Carolyn Harris), who has ensured that this important topic is kept on the parliamentary agenda. She has also been such a wealth of information and advice when I need pointers for constituents who come to me with issues related to the menopause. Everything I know about the menopause and the help I have been able to give others is thanks to this woman right here. From me and from my constituents in Warrington North, thank you, Carolyn.

I would also like to thank the hon. Member for Motherwell and Wishaw (Marion Fellows) for sharing her experiences—and to ask what moisturiser she uses, as I cannot believe that those experiences were 30 years ago.

From speaking to friends, family and colleagues experiencing menopause and perimenopause, I know how transformative access to appropriate treatment can be. So many have told me that HRT has given them a new lease of life and given them back the ability to function that they thought they had lost, having struggled with brain fog and cognitive impairment. That is not a normal sign of ageing. We risk writing off thousands of women years before they have reached their peak, because of how insidious it is and how mad it makes them feel.

As the recent Fawcett Society report already mentioned shows, almost one in 10 women are leaving the workforce as a result of the menopause and a lack of support, denying their employers and our economy the benefit of their experience and making it more likely that they will experience poverty as they grow older. However, as we have heard from hon. Members in this debate and debates that we have held previously, there are certain groups that may find it harder to access appropriate support and guidance beyond the postcode lottery for GP services.

Women who start the menopause early may be less likely to be diagnosed, as watchful waiting is too often the course of action, leaving them suffering in the meantime. Women from ethnic minority communities and women of colour too often do not see themselves represented in medical literature or online campaigning; and for religious or cultural reasons, the discussions may not happen in families. I am glad that campaigners such as Menopause Mandate are making a concerted effort to improve the visibility of women of colour in their campaigning, highlighting the voices of women of colour and helping women to identify their own symptoms and experiences with those of role model campaigners. Trans people, especially those taking hormone replacement, women on contraception that disrupts or stops their menstrual cycle, or women who have had medical procedures including endometrial ablation, may be more likely to miss some of the symptoms of menopause, particularly as periods are one of the first things they will be asked about if seeking medical support, and they may not be aware of the other ways they might be affected.

Women should not have to go private to be taken seriously, to see a specialist or to have a choice of HRT products. My constituents are growing increasingly frustrated with the pace of change and with the GP backlogs under this Government that make getting an appointment harder than ever.

My hon. Friend the Member for Swansea East rightly said that what women experiencing menopause need is resource, support and respect. I hope that the Minister today will update Members and our constituents on progress that is long overdue towards those aims, and on when we might see the employment Bill, through which we can ensure that women experiencing menopause have the rights to the support they need to help them to stay in the workforce.

Draft Mental Health Bill

Charlotte Nichols Excerpts

Monday 27th June 2022 Commons Chamber

[Sajid Javid]

My hon. Friend raises an important issue. We have increased to a record level resources for mental health services for children, including looked-after children, but we need to ensure that the strategy is fit for the future. This will be a key part of our 10-year mental health strategy.

[Charlotte Nichols (Warrington North) (Lab)]

Global research into psilocybin has shown that it has significant potential for the treatment of mental health conditions, including depression, post-traumatic stress disorder, anorexia and alcohol addiction. However, its schedule 1 status under the Misuse of Drugs Regulations 2001 is hindering research in the UK and condemning thousands of people to unnecessary suffering. The organisation Heroic Hearts, which supports military and emergency services veterans with PTSD, has to facilitate patients’ travel abroad to access treatment that they should be able to receive here, where appropriate. Can the Secretary of State please tell the House what conversations he has had, or intends to have, with the Home Office about the rescheduling of psilocybin to ensure that this vital area of mental health research can be progressed and treatment can be brought into the 21st century with this Bill?

[Sajid Javid]

The hon. Lady has raised an important issue. As she has said, rescheduling is an issue for the Home Office, and I will make sure that I take this up with the Home Secretary.

Menopause

Charlotte Nichols Excerpts

Thursday 9th June 2022 Westminster Hall

[Charlotte Nichols (Warrington North) (Lab)]

It is a pleasure to see you serve in the Chair, Mr Robertson. I commend my hon. Friend the Member for Swansea East (Carolyn Harris) for securing the debate, and for her ongoing commitment to pursuing wider public understanding and support for menopausal and perimenopausal women. The fact that all four nations of the UK are represented here is a real testament to the diligence, determination and doggedness of her campaigning. Having spoken in the debate that she secured last year, I am pleased that this is now a regular feature, and that the needs and experiences of women undergoing this stage of life are now being properly considered.

According to Hansard, the first time that the word “menopause” was used in our Parliament was in 1943, in the Lords, in a debate on “population problems”. It was not mentioned in the Commons until 1964, and the 100th reference was not until 2017. We are in a much healthier position now that we can consider it as one of the areas of life that we should properly appreciate.

I was struck by the comments from my hon. Friend the Member for Swansea about the experiences of women wrongly prescribed antidepressants and anxiety medication when what they needed was HRT. I know at first hand the life-saving potential of medications of that type, but only when they are appropriately prescribed. Side effects can often include excessive sweating, insomnia, agitation, anxiousness and dizziness—all things that can, themselves, be symptoms of menopause. That means that the wrongful prescription of those medications could actually exacerbate the very misery that caused affected women to seek medical support in the first place. At best, it would be treating some of the symptoms but not the underlying causes.

Let us hope that, as a Parliament, we are reflecting a society that increasingly understands and accommodates the symptoms of menopause, which affect so many in our country—around 5.1 million women aged between 45 and 55. As the right hon. Member for Romsey and Southampton North (Caroline Nokes) made clear, many younger women, and people who do not define themselves as women at all, also experience this. They may find it even more difficult to access support as they do not fit the typical profile.

It is essential that every affected person feels confident and able to discuss their symptoms with their employers, and to have requests for workplace adjustments met. We have all now had the chance to see the value of flexible working, and if a woman suffering from hot flushes asks to wear a more forgiving uniform, or to change her work hours so that she is not commuting in crammed transport during rush hour, that should be granted. That is an area that should have been included in the long-promised employment Bill that was so glaringly absent from the Queen’s Speech.

Throughout my career I have often been lucky enough to be one of the youngest, if not the youngest, women within my team, and to have been surrounded by women who were older and more experienced, and who were often going through symptoms of the menopause or the perimenopause. It has meant that I have had the benefit of watching them, listening to them and hearing them. Their generosity, in talking about what they were going through, means that when I get to that stage of life I will know what to look out for, what treatments are available, and what adjustments I should be able to ask for, demand and expect from my employer. We need to foster cultures in every workplace that allow people to have those conversations with each other, with younger colleagues and with their employer, and importantly, to be listened to so that accommodations can be made. That will set a really positive precedent for our society as we move forward.

An important part of that wider societal understanding is the inclusion of menopause in relationship and sex education classes in schools. I am glad that that has been the case since 2019, but I would like to hear from the Minister about how widespread that teaching is. It would be ironic if our children now learn more about menopause than our medical professionals do. Last year I challenged the then Minister, the right hon. Member for Mid Bedfordshire (Ms Dorries), about gaps in training at medical schools, as 41% do not teach about the menopause. She promised improvements by 2024, but I would like to know what the figures are now, because we cannot improve what we are not consistently measuring and tracking.

Many of the physical challenges of the menopause can be addressed through HRT, but access should not be a postcode lottery dependent on GP understanding or sympathy. In Wales and Scotland, women benefit from free prescriptions, including for HRT treatments. Can the Minister tell us what more the Government will do to ensure affordable access, particularly in the context of our current cost of living crisis, and what steps are being taken to address the issues of supply that have been raised by right hon. and hon. Members across the House?

To conclude, I am delighted that this is becoming a regular discussion, not least because we can therefore hold Ministers accountable on progress. I hope our questions are answered today. If not, we will continue to raise them at every opportunity, because suffering is not a necessary or inevitable part of ageing.

[Mr Laurence Robertson (in the Chair)]

We now come to the Front-Bench speeches.

Covid-19 Update

Charlotte Nichols Excerpts

Thursday 22nd July 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful to my hon. Friend for his championing of his constituents’ concerns. He is absolutely right to raise them, although I would say to him that the European regulator recognises all AstraZeneca Oxford vaccinations in the United Kingdom and recognises our pass. France has now issued clear guidance that it recognises all batches of the AstraZeneca Oxford vaccine, as well as most of the rest of Europe, and our regulator and the EMA are working with the Italian authorities to get that right. Suffice it to say that I also had a vaccine from one of those batches and it is an excellent vaccine.

[Charlotte Nichols (Warrington North) (Lab) [V]]

Today it was announced that Australia and New Zealand have withdrawn from autumn’s rugby league world cup, which we are proud to be hosting, citing safety concerns given the shambolic pandemic response by the UK Government. The New Zealand rugby league chief executive has said:

“The tournament organisers have moved heaven and earth to make this work, so it is not an easy decision, but the Covid-19 situation in the UK shows no sign of improving, and it’s simply too unsafe to send teams and staff over.”

Will the Minister therefore commit to meet rugby league MPs and officials to ensure that a safe and competitive tournament can take place with appropriate measures to protect and reassure team and fans alike?

[Mr Speaker]

Just for the record, I am meeting the rugby league chief executive in an hour’s time.