World Menopause Month

Carolyn Harris Excerpts

Thursday 21st October 2021 Commons Chamber

[Carolyn Harris (Swansea East) (Lab)]

I beg to move,

That this House has considered World Menopause Month.

It is rare to stand up in this place and open with the words, “This is not a political issue”, but that is what I am doing today. Women’s health is too important to be used to gain political advantage or score points against each other. Women’s health is so important, and women have suffered for far too long. To stop that we must work together across the House to bring about change. Today is just the start. Today we can talk about the perimenopause and menopause, and we can share our experiences and discuss all the areas that desperately need change. In doing so, we will break the taboo. Breaking the taboo is a huge step forward, but it does not stop there. Talking is great, but action is better.

The menopause is something that every woman will experience at some point in her lifetime. When and how we experience it is unique to each of us. For some, it will be a simple transition with relatively few side-effects. For others, the side-effects will be extreme—physically painful, mentally challenging and, at their peak, completely debilitating.

It is estimated that 13 million women in the UK are either perimenopausal or menopausal. That is almost a fifth of the population. Can we imagine any other condition that affects that many people being so woefully overlooked and misunderstood? This issue is not just about the women experiencing the symptoms; its impact directly affects husbands, partners, children, friends and colleagues. It really is an issue that we need to take seriously.

Next Friday, my private Member’s Bill, the Menopause (Support and Services) Bill, comes to this place for its Second Reading. I have been blown away by the support I have received from Members right across this House and the other place, and from outside—the press, celebrities, the general public and businesses. It seems that finally, after years of whispered comments and clandestine conversations, everyone is ready to talk about the menopause. Women are ready to stand up and share their experiences.

Hot flushes, night sweats, brain fog, weight gain, insomnia, anxiety, vaginal dryness, poor concentration—I could go on; the list is endless. Hormone imbalance does all those things to our bodies. For many, help is available in the form of hormone replacement therapy. It is not for everyone, but for those of us it does suit, including me, it is honestly life changing. After 11 years on antidepressants, I am now on HRT and weaning myself off antidepressants, having realised that I was not having a nervous breakdown but actually going through the menopause. I have been on HRT for only a relatively short time, but I did not realise how much of me I had lost to the menopause until I started taking it.

Despite the fact that HRT makes such a difference to so many of us—it is no exaggeration to say that it can quite literally save women’s lives—it remains the only hormone medication that is not exempt from prescription charges in England. For many, because they need both progesterone and oestrogen, the cost is double. I can guarantee that mums on a tight budget will make sure that their kids have everything they need before finding the £20 to pay for the prescription, which means that that cost is a real barrier for many women up and down the country. But we can change that—and I hope that we will with my Bill. Every MP in England will have constituents who would benefit from that change in legislation. We cannot let them down.

Let us look at what else we can do, once we have broken down the financial barrier, to reduce the impact on women’s lives during the perimenopause and menopause. Let us look at where else women are being failed. Menopause training in medical schools is unacceptably poor, with 41% offering no mandatory menopause training at all. Curriculum content in schools needs to be reviewed so that the next generation of girls and boys are educated and prepared for this stage of their lives.

Support in the workplace is still a lottery, with some employers excelling but others letting their employees down at a really difficult time. The right hon. Member for Romsey and Southampton North (Caroline Nokes), with whom I work closely on this issue, will speak later about workplace support and the excellent work being done by the Women and Equalities Committee, but I want briefly to mention a few companies that are really taking the issue seriously. Yesterday, the all-party parliamentary group on menopause held a session focused on workplace support, and we heard some really good examples of best practice from PricewaterhouseCoopers, Network Rail, Bristol Myers Squibb, Tesco and John Lewis. We also heard from Timpson. James Timpson—the man walks on water! He announced on Monday that Timpson will be allowing staff to claim back their HRT prescription charges on expenses. I cannot praise the man enough. This is a true example of a company that cares about the welfare of its employees and understands that in offering this benefit it will retain its experienced workforce who are invaluable.

The fact that so many organisations are starting to wake up to this is such a positive step forward. It is a joy to be able to stand here today and celebrate that, but we need it to be the norm, not the exception. The UK’s workforce is changing. More than three-quarters of menopausal women are now in employment. We need employers to change, too, so that women feel comfortable speaking to their managers about their symptoms and what adjustments they need. In fact, we need to educate everyone, so that talking about the menopause with medical professionals, among friends and within families, as well as in the workplace, becomes a natural thing for women to do.

Earlier this year, ahead of a Westminster Hall debate that had the topic of menopause support, the Chamber engagement team helped me hugely by creating a survey for anyone impacted by the menopause to share their experiences. I was taken aback by the number of responses we received in just a couple of days, and by how honest and insightful they were. Looking again at those responses and at the hundreds of emails coming into my inbox makes me realise just how many women out there are now ready to reach out and share their experiences. I am honoured that they are choosing to do that, but it saddens me that many of them have never spoken about their symptoms with anyone else.

[Mr William Wragg (Hazel Grove) (Con)]

It is impossible to resist any campaign spearheaded by the hon. Lady and this is one I am very proud indeed to be able to support. I look forward to the Second Reading of her private Member’s Bill next week, which I will be here to support. What would she say to the men out there as to how they can be supportive and better understand the menopause, rather than treat it as a taboo subject?

[Carolyn Harris]

I would say, “Take the example of the hon. Gentleman, who has become a menopause warrior: be there for the women in your lives and make sure you provide listening ears and thoughtful words on how you can support your loved ones and the women in your workplaces.”

I understand that women have found it difficult to talk, because across society we have been encouraged not to. A funny story, but a very true story, is that I remember my mum ushering me out of a room when her and my aunts were discussing a “rather difficult sensitive issue”. One of my aunts will probably be absolutely horrified that I am talking about this now. They were discussing her menopause. I hasten to add that I was 36 years of age at the time—[Laughter.]—but that just goes to show the taboo around talking about this subject. There will be some people out there who will be absolutely astounded that I used the expression “vaginal dryness” in the Chamber of the House of Commons, but it is a fact of life.

The stories that women are sharing with me are often really distressing: from women who have struggled for years with no support and feel it has ruined their lives, to women who have experienced early menopause due to medication or surgery and feel that they are literally on their own; and from women who have experienced some of the most extreme physical symptoms and those whose mental health has really suffered, struggling in silence because that is what they thought they had to do and did not know what was happening to them.

In the public engagement survey earlier this year, Helen shared her story. She told us:

“My perimenopause symptoms started at 41....by the time I was 42, I had developed palpitations and anxiety attacks. I suddenly couldn’t leave the house or meet people and was scared all the time that something was seriously wrong with my heart. I was a shell of the woman I used to be.”

Then there are those who have taken the next step and visited their GP to ask for help, only to be turned away or sent packing with a prescription for antidepressants. I am not pointing the finger at GPs because I know how hard they work, but there is a woeful lack in their training and understanding of the menopause. Many are not able to join up the dots and women go undiagnosed.

In our survey, Catherine explained how she had experienced that exact problem. She said:

“With my own research I’ve had to work hard to convince my GP that constant increases and changes in antidepressants weren’t working and my difficulties were hormonal. I nearly lost my job and my husband...it’s taken 6 months to finally receive the HRT I need. Within 2 months of taking HRT I have successfully weaned off antidepressants, been able to start exercising and my home, work and personal life is”

completely “transformed”.

It does feel like we are starting to turn a corner. If we can just bring all the pieces of the jigsaw together, we can change the future for ourselves, our daughters, for our daughters’ daughters and for women who follow on behind us forever more. We can stop menopause being something people are afraid to talk about. We can help to ensure that everyone understands the symptoms so that women know what is happening to them and family and friends are able to support them. We can make sure that women get the right diagnosis and the right treatment plan for them to help to alleviate their symptoms, and we can ensure that every workplace is a menopause-friendly workplace so that women can continue to succeed in their careers. It is time for change. It is time for the menopause revolution. Women want it, women need it, and women deserve it.

[Mr Deputy Speaker (Mr Nigel Evans)]

I am going to try to have this debate without putting a clock on. If people can show discipline and keep their speeches to about six minutes, we will get everybody in with an equal time.

--- Later in debate ---

[Carolyn Harris]

I hope that colleagues truly appreciate the impact that us in this place talking about this subject has on those watching and listening. I have lost count of the people who have contacted me and thanked me for raising the issue. The emotion and gratitude from those women, who finally feel that they have a voice, is truly overwhelming. But Parliament is not just being watched today by the women out there; we are being watched on the global stage. Me on the global stage—terrifying, isn’t it? But I am absolutely loving the fact that I have legislators, press, medical professionals and academics from right across the world saying, “You were talking about something in the UK Parliament; we want to learn from you.” We will be world leaders on this.

We have warriors such as Davina McCall, Louise Newson, Penny Lancaster, Louise Minchin, Lisa Snowdon, Gabby Logan, Nadia Sawalha, Mariella Frostrup and Kate Muir—prominent women in the media who are telling their story—as well as the Countess of Wessex and so many more voices. Everyone in this place brave enough to embrace talking about the menopause is a menopause warrior and is playing a huge role in allowing women to be fabulous all their lives. So, words I never thought we would say in the House of Commons Chamber—long live the revolution!

[Mr Deputy Speaker (Mr Nigel Evans)]

They don’t come more fabulous than you, Carolyn.

Congratulations to everyone on taking part in the debate. I am really pleased that Sir David Amess was mentioned today. I am absolutely certain that, had the tragedy not happened, he would have been here today cheering you all on.

Question put and agreed to.

Resolved,

That this House has considered World Menopause Month.

Menopausal Symptoms: Support

Carolyn Harris Excerpts

Wednesday 9th June 2021 Westminster Hall

[Ms Nusrat Ghani (in the Chair)]

I remind hon. Members that there have been some changes to normal practice in order to support the new hybrid arrangements. I remind Members participating physically and virtually that they must arrive for the start of the debates in Westminster Hall and that they are expected to remain for the entire debate. I remind Members participating virtually that they are visible at all times to us in the Boothroyd Room. If they have any technical problems, they must email [e-mail]. Those Members attending physically must clean their spaces before they use them and as they leave the room. Mr Speaker has stated that masks should be worn in Westminster Hall, unless you are speaking.

[Carolyn Harris (Swansea East) (Lab)]

I beg to move,

That this House has considered support for people experiencing menopausal symptoms.

It is a pleasure to be opening this important debate in person, Ms Ghani, and to serve under your chairmanship. I thank the Chamber engagement team for their support in creating a dedicated webpage for anyone impacted by the menopause to share their experiences with me ahead of the debate—this is a fantastic service available to us all in the House—and the responses that I have received have been honest, insightful and true examples of why we need to open up the discussion and remove the stigma that still surrounds the menopause. In total, 728 people responded to the public survey and I will share some of their experiences with Members later.

On World Menopause Day in 2018, I made a speech in the main House of Commons Chamber calling on the Government to commit to make a difference to the lives of all women experiencing symptoms of the menopause. At present, approximately 13 million of us in the UK are either perimenopausal or post-menopausal. That is almost a fifth of the entire population. In that debate back in 2018, I spoke of the need for changes in the curriculum to better educate our young people; improved public education to help women who are suffering and those closest to them; better training for GPs to ensure that women are correctly diagnosed and given the right treatments; and mandatory workplace menopause policies, so that women may continue to work through what can be the most difficult time of their lives.

With many pressure groups and the media now shining a light on issues to do with menopause, we are starting to talk about it more, but now we also need to start taking action. Education is key here, both public education—so that women understand what is happening to their bodies and feel confident in making informed decisions about the path they choose—and professional education, which is severely lacking.

A recent survey on menopause support revealed the shocking truth about training in medical schools. An astounding 41% of UK universities do not have mandatory menopause education on the curriculum. Menopause will, at some point, directly affect half of the population, and yet it is completed overlooked when training the people that we will all turn to for help.

Women are suffering unnecessarily, and while some barely notice any changes, for others the suffering is unbearable—stressful, debilitating and completely life-changing. Despite that, many doctors complete their training and leave university with absolutely no education about menopause at all. I am fairly confident that no other medical condition set to impact the lives of more than 50% of the population would be left out in that way.

The Royal College of General Practitioners states that menopause is included in the curriculum, although not mandatory or standardised. Bearing in mind that we know more than 40% are not providing mandatory training, however, women who are suffering and turn to their GP for help cannot be assured that the doctor they visit will be competent in recognising their symptoms, let alone to provide them with the treatment plan and medication they need. In our public engagement survey, Gillian shared her experience, saying that her GP told her to ask her mother as her experience would be the same:

“I walked out with a leaflet…no support, no advice, no understanding”.

Far too many women are still being misdiagnosed and prescribed anti-depressants, and they suffer extreme symptoms without the correct treatment and support. This needs to change. GPs should follow up-to-date guidance from the National Institute for Health and Care Excellence on the menopause and hormone replacement therapy, and they should recommend such treatment if it is appropriate. Sadly, far too many women are denied this path, because many doctors are unaware or ill informed. Even those who are lucky enough to visit a GP who recognises their symptoms and understands the benefits of HRT treatment still face barriers.

In Scotland and Wales, prescriptions are free to everyone, but unfortunately women in England are forced to pay £9.35 per item. For some, their treatment may include multiple items every time. Lisa responded to our survey by saying:

“Free HRT prescriptions are needed. I’m currently charged two prescription charges for one box of medication.”

Lesley said:

“It’s a process of elimination getting the correct medication. It’s so expensive and I have found it very difficult to pay for the prescriptions.”

That is not something to be taken lightly. It is not just the odd hot flush or moment of forgetfulness. Menopausal symptoms can ruin women’s lives, and until something is done to improve the standard of diagnosis and treatment, they will continue to ruin even more.

Women deserve so much better. They are giving up their careers and ending relationships because of the severity of their symptoms and the impact on their physical and mental wellbeing. It is no coincidence that suicide rates for women peak between the ages of 45 and 54, which is the average age that most women reach the menopause or experience perimenopausal symptoms. This cannot carry on. I do not want to be standing here in another two and a half years talking about the same things.

Education on the menopause, which is slowly being incorporated into the curriculum in secondary schools, is a positive step forward, but it is just one part of a much bigger picture. Public health guidance, standardised compulsory training for those in the medical professions, and fully funded HRT treatments and workplace policies need to follow. Women should not feel inferior or incapable of doing their job because of the effects of the menopause on their health and wellbeing, but, sadly, too many do.

The situation could be so easily rectified. Simple changes in the workplace, such as flexible working hours, relaxed uniform policies and adaptations to the working environment, could all make such a difference. Dinah talked about this in her survey response. She explained that in her workplace, she was

“surprised to find no menopause policy whereas we have policies for most conceivable events.”

She added that she told her manager about her menopausal symptoms and how she felt that they were interfering with her capacity to do her job. She said:

“I was offered no support, we just talked about how I could stop making mistakes.”

The Government have alluded to that in their call for evidence for the women’s health strategy. One of the areas being considered is maximising women’s health in the workplace, with menopause being one of the female-specific conditions mentioned that impacts on women’s participation in work. I urge anyone affected to complete the public survey before the deadline of 13 June, and details can be found on the Government website.

None of the things I have mentioned are big on their own. They are all easy to rectify, but the lack of them all is having a devastating impact on so many lives. We have the power to change that, and we must seize the opportunity. I plan to set up an all-party parliamentary group on menopause support over the coming months. I have already had colleagues from across the House express an interest in joining, and I would be delighted to hear from more MPs and peers—both male and female—who I know share my passion to make a difference.

Women should not be left to suffer through a lack of awareness, inadequate support or financial restraints. Every woman experiencing menopausal or perimenopausal symptoms should be confident that they will be able to access the right treatment and support in every aspect of their lives. Women deserve to see medical schools providing appropriate training so doctors can diagnose and prescribe appropriately. Women deserve to have mandatory menopause policies in their place of work. They deserve to be given the reassurance that they can access treatment without worrying about how to pay for it and they deserve to be assured of all the support and care that they need. Women have been suffering in silence for far too long. This debate has given them a voice. Now it is up to us to listen and act.

--- Later in debate ---

[Carolyn Harris]

Thanks from me and from every woman out there who is suffering. I totally agree with the Minister that there is no room for politics in women’s health. Together, those of us in this room and in Parliament can make a change. We can, and we will, create a menopause mandate, and we will transform menopause support and services going forward. Of that, I am confident.

Question put and agreed to.

Resolved,

That this House has considered support for people experiencing menopausal symptoms.

Botulinum Toxin and Cosmetic Fillers (Children) Bill

Carolyn Harris Excerpts

Committee stage & Committee Debate: House of Commons
Wednesday 25th November 2020 Public Bill Committees

[The Chair]

Welcome to this Public Bill Committee. Before we begin, I have a few preliminary announcements. Members will all understand the need to respect social distancing guidance; if necessary, I will intervene to remind you. Note passing should be electronic only. The Hansard reporters would be grateful if Members emailed their speaking notes to hansardnotes @parliament.uk.

The selection list for today’s sitting is available in the room and online. It shows how the selected amendments and clauses have been grouped together for debate. Formal decisions on amendments and clauses will be taken in the order they appear in the Bill.

Clause 1

Offence of administering certain substances to a child

[Carolyn Harris (Swansea East) (Lab)]

I beg to move amendment 1, in clause 1, page 1, line 17, after “practitioner” insert “and deemed the procedure to be medically necessary”.

[The Chair]

With this it will be convenient to discuss amendment 2, in clause 1, page 1, line 21, after “practitioner” insert “who deemed the procedure to be medically necessary”.

--- Later in debate ---

[Carolyn Harris]

Thank you, Ms Rees. I am not being presumptuous by sitting in the shadow Minister’s seat; I am merely observing social distancing. I would not presume to elevate myself to such great heights.

I would first like to congratulate the hon. Member for Sevenoaks on having secured parliamentary time to debate this important issue, and I welcome the Bill’s principle of protecting vulnerable young people. The amendments I have tabled are simply intended to improve the Bill. They aim to ensure that no person under 18 years of age receives a non-surgical cosmetic procedure unless it is deemed medically necessary, and medical advice has previously been sought.

As the co-chair of the all-party parliamentary group on beauty, aesthetics and wellbeing, alongside my hon. and dear Friend the Member for Bradford South, I recognise the importance of this Bill and its aim of protecting our young people. The APPG is currently conducting an important inquiry into non-surgical cosmetic procedures, and we have found that all representatives from the beauty industry and beyond are united in supporting a restriction on all persons under 18 years of age.

I am concerned that the Bill, as it is currently worded, would allow registered medical practitioners, as well as regulated health professionals under the direction of a registered medical practitioner, to carry out procedures on any person under the age of 18 without needing to provide medical evidence. I want to be absolutely clear: no practitioner should be exempted from this measure simply because of their qualification level.

It is important to make the case for rare exceptions, as non-surgical cosmetic procedures have uses outside aesthetics: for example, when treating certain muscle conditions such as dystonia, which is a type of uncontrollable muscle spasm. At the beauty, aesthetics and wellbeing APPG session yesterday, on ethics and mental health, it was emphasised by our expert witnesses that medical exemptions must be at the discretion of medical professionals such as psychologists, not left to the devices of the practitioner. One thing I found very disturbing is that we were given evidence by eminent experts in this field who told a story of some medical practitioners seeking excuses to carry out procedures during lockdown that would have justified them being able to practise. I felt that the Minister should know that.

I know that the hon. Member for Sevenoaks accepts the principle of these amendments, and I urge the Minister to consider how to protect vulnerable groups in our society, especially young people who are influenced by social media, peers, and in some cases the industry itself. I know that the hon. Lady will keep us informed about progress, and I urge the Government to make sure that we find a way to protect these young people going forward.

[The Minister for Patient Safety, Mental Health and Suicide Prevention (Ms Nadine Dorries)]

It is a delight to serve under your chairmanship, Ms Rees. I pay tribute to my hon. Friend the Member for Sevenoaks for all the hard work and commitment she has put into bringing the Bill forward. She had the delight of being drawn first in the ballot, but the passion and commitment she has shown to this issue, which is close to all our hearts, is second to none.

I thank the right hon. Member for North Durham and the hon. Member for Swansea East. Since I took up this post, the right hon. Gentleman has contacted me, written to me, spoken to me personally, and cornered me in the Tea Room and the corridors to talk to me about this subject many times. I know that he is passionately committed to the subject and the amendments that we are here to talk about. He has been relentless in his pursuit, letter writing and lobbying on the issue.

The hon. Member for Swansea East never rises to speak unless she firmly believes in what she is saying. She is an MP of principle and belief. It is a delight to have her in the House and we are the better for her presence here.

Can I clarify something, Ms Rees? Do you want me to make my comments now or are we going to the hon. Member for Swansea East first?

--- Later in debate ---

[Laura Trott (Sevenoaks) (Con)]

It is honour to serve under your chairmanship, Ms Rees. Before I start, I thank everyone in the room today. This has long been an overlooked area of policy, but with the work of everyone here, perhaps that will not be the case for much longer. As the right hon. Member for North Durham has said, it is a welcome first step.

I pay particular tribute to the work of the hon. Members for Swansea East and for Bradford South, and the all-party parliamentary group on beauty, aesthetics and wellbeing that they lead. The group’s findings have underpinned the substance of the Bill and I thank them for sponsoring it.

I completely agree with the sentiments behind the amendments. It is right that we should restrict these treatments for under-18s to only where it is absolutely medically necessary. The advice I have received is that that is covered in the Bill, inasmuch as UK doctors must be registered and hold a licence to practise with the GMC. The GMC publishes specific ethical guidance that says that doctors performing cosmetic interventions can provide treatment to children only when it is deemed to be medically in the best interests of the patient.

I accept that, as the right hon. Member for North Durham said, in some cases at the moment this is not happening correctly when it comes to botox, but to create a new legal precedent around the wording “deemed medically necessary” would add a layer of complexity, given that it is generally for the GMC to decide what is in the best interests of the patient. As he also mentioned, it would also produce two different authorities—the GMC and the court—which would then opine on the same issue. That could cause confusion.

I understand the thrust of the amendments, but if the hon. Member for Swansea East is content to withdraw them, I will work with hon. Members on some form of strengthened wording, which we can bring forward on Report.

[Carolyn Harris]

I welcome the comments from both the Minister and the hon. Member for Sevenoaks. We would welcome the opportunity to work with the hon. Lady to ensure that we strengthen the Bill. I beg to ask leave to withdraw the amendment.

Amendment, by leave, withdrawn.

[Judith Cummins (Bradford South) (Lab)]

I beg to move amendment 3, in clause 1, page 1, line 23, after “age,” insert “including by requiring and recording proof of this information,”.

It is a pleasure to serve under your chairmanship, Ms Rees. First, I thank the hon. Member for Sevenoaks for introducing this Bill and successfully bringing it to Committee. It is long overdue. I thank her from the bottom of my heart.

I stand in support of the Bill’s principles and I want to reiterate a point made by my hon. Friend the Member for Swansea East. My amendments seek to enhance the Bill and close the gaps in the wording. This amendment is a probing amendment and it deals with ensuring that a framework for age identification is present when practitioners are assessing a client for a non-surgical cosmetic procedure.

I am concerned that, as currently worded, the Bill leaves open to interpretation what reasonable steps a practitioner must make to establish the age of the person receiving the procedure. I want the Bill to make it clear that practitioners must request proof of age before any procedure is undertaken, verify the authenticity of that document and ensure that it is recorded, to ensure that there is no doubt about a client’s age. We need clear and explicit guidelines to ensure that vulnerable young people do not fall through the net.

My hon. Friend the Member for Swansea East and I established and became the co-chairs of the all-party parliamentary group on beauty, aesthetics and wellbeing. I am worried about how few protections there are for children under 18 years of age when it comes to non-surgical cosmetic procedures.

I was also in attendance at our inquiry into ethics and mental health. It will be no surprise that all our expert witnesses agreed that young people are at their most vulnerable in their teenage years. They are faced with many pressures, including societal pressures, which make ideal beauty standards the norm, especially in this age of social media. We must ensure we put safeguards in place to protect our young people.

I ask the hon. Member for Sevenoaks and the Government to consider this amendment to ensure that proper mechanisms are in place to strengthen the process of age verification for non-surgical cosmetic procedures and to improve the accountability of all practitioners. The amendment requires the practitioner to formally log and prove a client’s age.

Like my hon. Friend the Member for Swansea East, I welcome the opportunity to adapt the wording of the amendment should the hon. Member for Sevenoaks be unable to accept it. I ask that this amendment be considered.

--- Later in debate ---

[Mr Kevan Jones]

I welcome the Bill, but there are issues with it and those need to be improved.

Clause 1 goes to the heart of trying to stop the wild west that we have in this sector, but my concern is with the get-out-of-jail card for medical practitioners. Again, while most will follow the rules, there is clear evidence that we have medical practitioners signing prescriptions for botox and then selling them on. If we had a robust GMC or regulator that was clamping down on this, that would solve some of these problems, but I have seen no evidence of that at all.

The Bill will make a start on improving this situation, as the hon. Member for Sevenoaks said. There are existing regulations, but they are toothless. Do they provide the powers to intervene? Yes, I think so, but that is not happening. Certainly, the situation with prescription botox needs to be tightened up.

The problem I have, as I said in my earlier contribution, is the allowing of medical practitioners to administer these products to under-18s. I understand that there are perfectly good medical reasons that they are needed, and it would be wrong for the Bill to block those altogether, but I believe that regulation on this could be strengthened, and I know the hon. Lady and the Minister said that they will look at that.

I do not know whether this is something that the Minister could talk to the GMC about or whether we could get it into the Bill, or indeed if it is in the regulations that go alongside the Bill, but before an under-18 is prescribed these treatments, there should be a written prognosis giving the reason that they are needed. There should also be a clinical treatment plan outlining how and why those will be administered over a certain period, as well as a written statement relating to the supporting evidence, the consent of the patient and their guardians, and an agreement with the patient in advance on the expected outcomes. That would strengthen the rules.

Most practitioners will abide by the rules, but I have been looking at the sector for five or six years, and frankly, my experience is that there are medical professionals out there who are just out to make money.

[Carolyn Harris]

Does my right hon. Friend agree that the practice of remote prescription serves only to further damage the reputation of the industry? During a recent evidence session, a GP stated that they were offering a lifetime botox prescription for £50. That is a dangerous practice and it needs to be considered very deeply before we move forward on the issue.

[Mr Jones]

I agree. There are adverts on Amazon in this sector, and treatments offered include fillers, although certain other terms are used. People are not allowed to advertise botox, but they get around that by advertising consultations. In response to the question, many practitioners are not qualified at all and hold no medical qualifications, so how do they get access to botox? They do so because people are signing prescriptions. I fear that a situation may arise in which that practice continues, although it needs to stop.

Another issue is that under the definition the botox can be bought because this is basically a free market, as I see it. A practitioner could then administer the botox to a young person with no regard to that individual’s medical history. A medical practitioner, under the definition, could even be defined as a dentist. That needs tightening up. I do not think that would be onerous for doctors, who are quite rightly prescribing botox injections and other things for perfectly legitimate medical use. Doctors and patients are protected when those uses are laid out.

If I had more faith in the GMC to clamp down, I would be content to leave the situation as it is. I am sorry, but having seen the way the GMC operates, I see that the organisation is not friendly to the complainant or to the patient organisation. It protects the doctor. We took self-regulation away from solicitors, and I have concluded that self-regulation should be taken away from doctors. I did not start with that position, but have come to it.

The Minister promised a Bill on GMC reform in the last Parliament, and one is certainly needed, because frankly, the patient is at a disadvantage in a host of areas, not just this one. It cannot be right that it took my constituent’s case five years to reach the GMC, with huge hurdles to overcome to get there. I hear what the hon. Member for Sevenoaks says, but we should try to tighten things up a bit. The Bill will certainly be improved if we can.

Historical Stillbirth Burials and Cremations

Carolyn Harris Excerpts

Thursday 6th February 2020 Commons Chamber

[Carolyn Harris (Swansea East) (Lab)]

I would like to take the opportunity to thank the Leader of the House for allocating time for this debate and to warmly thank everyone for their kind words about the work that I have done. This place is at its best when we show compassion and work together to resolve the issues that matter to people. The work that we have done on children’s funerals—on what I like to call Martin’s fund—is typical of the kind of things that we can achieve when we work together.

Decades ago, when a woman had a miscarriage or gave birth to a stillborn baby, she was usually urged to forget about what had happened and often to try just to move on and have another baby as soon as possible. Families were not given time to grieve or offered any form of counselling. There were no special rooms with cold “cuddle cots”. Rarely were there opportunities for parents to even hold their babies for just a few minutes, for the first and last time, let alone take any photographs or gather mementoes for a treasured memory box. Babies were simply taken away quickly and quietly by hospital staff, to be buried or cremated in an undisclosed place. Fathers were usually advised to hide baby products at home, to help with the healing process and avoid traumatising the mother further. They were sometimes asked to pay for the burial. I found it really painful to hear the story of a man who had kept the receipt of his child’s funeral as the only memento of that child. These little ones’ innocent bodies were either cremated, buried in a communal plot sometimes, or placed in a coffin with a woman who had recently passed away. In some military cemeteries, babies were given their own plot, but marked simply with a number, never with a name.

On 19 January 1958, my mother delivered a full-term baby girl. She was 8 lbs in weight, but she never took her breath. In those days, there were not endless antenatal appointments or scans, or reminders to pregnant women to count the kicks, so my sister’s death was totally unexpected for my mum. Until her dying day, my mother believed that my sister had been buried with an elderly woman, but I honestly do not know if that was a fact or if it was a story that she had invented to comfort herself and over the years had come to believe as the truth My mother never grieved for my sister properly. She put up a wall. She was always afraid to show emotion. She was the most wonderful, loving mother in the world, but she was pretty rubbish on hugs, because she was terrified that if she showed love, something bad would happen.

When I had a scan when I was having Martin, the date of birth they gave for him was 18 January 1981. It traumatised my mother that I was going to be having a baby on the day that she lost hers. Thankfully, Martin was born on 24 January, but my mother always believed that 19 January, the date on which Martin was due, was a bad omen and that we were to lose him in the way that we were. She carried her child for nine months. She prepared to be a mammy and then she left hospital without her baby, with no support and no idea of where her little girl’s final resting place would be. My mother never really grieved for my sister until the day I lost Martin, and then she grieved as a mother and as a grandmother. My mother’s life was destroyed on the day that we lost Martin, because she remembered Martin and she remembered the baby she had lost 30 years before.

The practice of taking stillborn babies’ bodies and burying them without disclosing the location to the parents continued right up until the late 1980s. In the years since, families have started to search for their little ones’ graves. One lady, Paula Jackson, dedicates her spare time, for free, to helping people to find their babies, and in the last 15 years has found 800 babies. Thanks to Paula and her group, Brief Lives Remembered, parents have been able to find peace after years of grief and uncertainty. They now have a place to visit and the opportunity to place a headstone or a flower, or something to commemorate the memory of their loved baby. But some women do not feel comfortable asking for help. They feel ashamed or at fault. They feel as if they deserted their children, even though they were never given a choice.

We should not be expecting these women to be asking; it should not be up to Paula. I commend her for the fantastic work that she has done, but she is spending her own time and her own money to help these families. Surely there must be a way of sharing information about where these babies are buried, whether from council records or hospital maternity units, undertakers, crematoriums or cemeteries. That has to be an easy way of finding out what happened to each of these babies. I am hoping that the words from the Chamber today will resonate more than any policy, and that those who have the information will allow us to see it and share it so that those families who want to know where their babies are buried or cremated will easily be able to find out.

[Dame Diana Johnson]

My hon. Friend is making an incredible speech, and my heart goes out to the family circumstances that she has described. I want to ask her about institutions taking a proactive role by looking at the records they have and the information they can provide. It seems to me that lots of institutions—I am thinking of councils, in particular—do not do anything until someone asks a question, at which point it becomes a battle and is not the easiest thing to do. Does she agree?

[Carolyn Harris]

I certainly agree. I think the consensus in this Chamber—and some news channels, no doubt—will prompt local authorities, hospitals and other people to come forward and offer us the information we need.

Like my own mother, many have gone to their graves without knowing the locations of their babies. Many more are alive and still suffering from the grief and guilt, and very often from post-traumatic stress disorder. These mothers and fathers should be offered counselling and emotional support if they need it. They should be helped to manage their grief, to locate their baby and to live the rest of their lives with a sense of peace that they have not known for a long time.

This matter was raised this week by BBC journalist Frankie McCamley. Since the story was run on BBC News, I have been overwhelmed by communications from parents and other family members about their babies. Indeed, today the Doorkeeper sought me out because one lady has travelled here from the south coast just to hear us discussing the issue today, and she wants to tell me her mother’s story. People generations below the mums and dads who lost their babies are suffering, and are asking me to help them to find their babies; a lot of people out there need us to help them to get closure. I have received so many heart-breaking messages that I have suggested to some members of my staff that they do not read them, because I know they will be traumatised.

With everything that goes on in today’s world, this issue may seem relatively unimportant to some, but to anyone who has lost a child, memories and a grave visit are the things that bring an element of comfort. It took me a long time to stop visiting Martin’s grave. I would spend hours and hours and hours there. I would go to the grave, sit there and talk to Martin about everything I was feeling psychologically—all the questions I had, all the anger, all the guilt, and everything I wanted to communicate to him. I now know that Martin is in my heart, on my shoulder and in my head; he is everywhere. But until people get to the point in their grief where they understand that the person they have lost may not be here physically, but will always be with them, they need something to focus on.

I am asking that we find a way of helping the parents who want and need this closure to find their baby’s resting place, giving them the opportunity to have the peace so many of them seek, and—most importantly—a chance to say their final goodbye.