Acquired Brain Injury

Debate between Chris Bryant and John Hayes

Monday 18th June 2018 Commons Chamber

[Chris Bryant (Rhondda) (Lab)]

The truth is that acquired brain injury is an invisible epidemic in this country. It is invisible because all too often we do not even know the numbers. I know the Minister means well, but I suspect his numbers were a hideous underrepresentation of the truth, because the figures I have seen suggest that there are more like 1.3 million people in this country living with a disability brought on by an acquired brain injury, with nearly half a million presenting to hospital last year. As my hon. Friend the Member for Washington and Sunderland West (Mrs Hodgson) said, that is one a minute—1,500 a day. That is a very significant number of people. All too often, it feels like an invisible epidemic to the individual concerned, because they might not ever have known they had a brain injury in the first place.

Some of the most distressing work that I have seen has been done by people working in prisons. I was in Cardiff prison a couple of weeks ago—some would say not a moment too soon—to see the work being done there with prisoners, because the work Huw Williams has done at HMP Leeds showed that when we screened every prisoner arriving in through the door we found that 47% of prisoners had an acquired brain injury, that 76% of those had several and that 30% of those had more than five brain injuries. This is often invisible in the case of children, too. The latest figures I have seen show that five children in every primary school class in this country will have an acquired brain injury. If we think that figure is bad enough, the figure for poorer constituencies, and for poorer families and areas, will be considerably higher. The research is a bit difficult to be precise about, but a study in Exeter showed that it was 4.3 times higher in poorer areas, and another survey elsewhere found it was three times higher in poorer families. So, for me, as a socialist—I still like to use the word—this is still a matter of social justice as much as anything else.

[Mr John Hayes]

As a non-socialist and member of the party of Wilberforce, Shaftesbury and Disraeli, I believe in social justice, too. The key thing that the hon. Gentleman has said, as did the hon. Member for Washington and Sunderland West (Mrs Hodgson), is that we have to get teachers to be more aware of this. If one thing comes out of this debate, it should be exactly that. We need to co-ordinate across Departments to get teachers to recognise and know this.

[Chris Bryant]

I completely agree with the right hon. Gentleman on that, not least because of one thing that sometimes happens to teenagers. Part of their brains will be quite well developed—the reward bit, the one that knows how to seek out pleasure—but the area of the brain most likely to be hit if they have a brain injury is the bit that is not yet well developed, which is the executive function. It is the bit that gives that youngster the ability to say no to things or to control their emotions and their functions. All too often, if that bit goes wrong, they can start to present in school as somebody who is a problem. They may then get excluded from the school, because it is not understood that this is actually about a brain injury—perhaps the student themselves does not understand that. They may then start offending and we may find several years later that they have a whole career of offending and that if we had managed to do the rehab properly right at the beginning, when the first brain injury happened, we might have been able to save that individual their self-respect and self-esteem, and we might have been able to save society the costs of all the criminality. We might, thus, be able to strengthen the whole of the way we do our business.

One memory that really strikes me is the story of Ben Robinson, the 14-year-old who was playing rugby for Carrickfergus Grammar School in Northern Ireland. He was sent back on to the field three times after brain injuries on the field and then died of double impact syndrome. He was pronounced dead when he arrived at the hospital. I am so proud of Ben’s family, who have campaigned on this issue. His mother, Karen, has always referred to these injuries as rugby’s dirty secret.

Rugby has tried to clean up its act in recent years, but in so many sports, even all these years after footballer Jeff Astle’s brain injury, which was determined to have been an industrial injury brought on by heading the ball, we still see in matches people being sent back on by the club medic. Only an independent medic should make the decision about whether somebody should go back on. If there is any doubt, sit them out. It should be simple and that should apply across all sports.

The Government have had a great success thanks to the major trauma centres which, as somebody said earlier, now manage to save an extra 600 lives every year. That is brilliant, but let us save the quality of their life as well. The miracles that can be achieved in saving lives can be matched by the miracles that can be achieved through really good, long-term, sustained rehabilitation. If we can take an 18-year-old who has had a big brain injury from needing six carers to wash, dress and feed them and get them up and so on, to a place where they no longer depend on those people, are mostly independent and need only one carer, think how many millions of pounds we can save the taxpayer across their lifetime. That must of course be the most effective way to change things.

I repeat the points made about PIP and ESA. One woman said to me, “The doctors say to me that I should spend all my emotional energy on getting my brain to work again, but I am spending all my emotional energy on trying to understand the forms and going through the process so that I can put food on the table for the rest of my family.”

I have a great deal of time for the Minister for Disabled People, Health and Work; she has had meetings with me and I know that she will want to make changes. This is about the whole of Government. I very much hope that we will be able to have another debate soon, because there are so many issues that we have barely managed to touch on in this one.

Restoration and Renewal (Report of the Joint Committee)

Debate between Chris Bryant and John Hayes

Wednesday 31st January 2018 Commons Chamber

[Chris Bryant]

This is the problem. In many of the spaces we are talking about, which are effectively very narrow chimneys, there is very little room, because they were intended to be ventilation shafts, in essence, but are now so full of generations of heating, electricity and other kinds of cabling that it is impossible to get in there to check. It is even impossible to get in there to check the extent to which the cabling has decayed.

We know that there is asbestos in some places, but we do not know whether there is in others, so of course we have to take precautionary measures. That is the problem; we do not know where all the asbestos is. A lot of it will have to come out because we have to remove other things, not because we are specifically removing the asbestos.

There are long corridors with no fire doors. We have 98 risers in the building and miles of inaccessible and narrow wooden tunnels that would act as funnels for a fire that, I tell you now, would speed through the building faster than most of us in the Chamber could run. We do not meet the national fire safety standards that we impose on other buildings in the country, so we have fire wardens patrolling the building 24 hours a day, seven days a week.

Remember the fire at Windsor castle? The major problem was that it spread rapidly because there was no compartmentalisation. The only royal palace in the country that has not had compartmentalisation brought in since that date is this one, which is the most visited by the public. It is a nonsense.

[Mr John Hayes]

The hon. Gentleman is making the measured case that I expected him to, but surely the characteristics he attributes to this building are shared by many great historic buildings. We think of cathedrals, which are widely visited every year and have the same problem with stonework. We think of the great houses that have the same fire risk. Many historic buildings have the same problems. The issue is not those problems, which we of course need to solve; it is how we solve them.

[Chris Bryant]

The right hon. Gentleman talks about big houses; I think he is asking me to advertise my book on the history of the aristocracy, which is in all the good bookshops at the moment. I would simply say to him that nearly every one of the major houses that fell into disrepair in the last 100 years did so as the result of a massive fire. I think we should take a lesson from that, which is that we must be very, very cautious in this building. When that fire comes, I would not want to be a Member who had voted against taking direct, clear action now; I truly would not.

It must surely also be a disgrace that this Parliament, which introduced proper legislation to ensure disabled access in every other public building in the land, has the worst disabled access of any public building in the land. It is almost impossible for somebody with mobility difficulties to get up into the Gallery, although the staff try really hard. On top of that, the building is very dark—it is almost impossible for many people who are partially sighted to see their way around—and we should, as a matter of honour, be putting that right.

--- Later in debate ---

[Mr John Hayes (South Holland and The Deepings) (Con)]

There can be a broad measure of agreement that the House needs to be maintained properly. All those who have spoken would acknowledge that work needs to be done, and indeed, that has always been the case. Since William Rufus commissioned the building of Westminster Hall, there have been major refurbishments of the Palace. Geoffrey Chaucer was Clerk of the Works for one of them. After the great fire of 1834—

[Chris Bryant]

The right hon. Gentleman has obviously got my book.

[Mr Hayes]

Indeed.

After the great fire of 1834, there was the major refurbishment—in fact, it was largely a rebuilding of the Palace—that led to the place where we now sit. Buildings of this kind are always hard to maintain and will always require constant maintenance work. This is not a moment; it is a process. It will be an ongoing process whatever decision we take tonight. Let me make my case as quickly as I can—particularly given your advice, Mr Speaker.

I could make this case on cost grounds. Indeed the report produced by the Leader of the House is very honest about that. The report heavily qualifies the estimates therein. It says that there is significantly more work to be done by professionals before budgets can be set and the accounts therefore made certain. We are not absolutely certain what the costs of the decant would be, nor are we absolutely certain what the costs of staying here would be. But what I think we can say, from all of our experience and intuition, is that they are likely to be considerably greater than the provisional costs that we have now. Every building project I have ever known has run over budget and over time.