Mental Health Units (Use of Force) Bill

Lord Hanson of Flint Excerpts

2nd reading: House of Commons
Friday 3rd November 2017 Commons Chamber

[Mr Reed]

I agree, and I very much hope that the Minister will make such a commitment today.

There are fears about unconscious bias in the mental health services. The Angiolini review, a very important review published earlier this week, notes how a disproportionate number of people from black, Asian and minority ethnic communities have died after the use of force in custody more generally. Black people are four times more likely to be sectioned than white people. If we look at the faces of the people who have died after severe restraint in a mental health hospital, we see many more young black faces than in the population as a whole. We need to understand the extent to which assumptions based on stereotypes are causing that, but to do so we need standardised data recording.

What the Bill proposes is simple, but it will make a big difference. It will standardise the way in which the data on every instance of the use of force are recorded, so that we can better understand where force is being used unnecessarily, and the extent of any bias and disproportionality in the system. It will improve arrangements between the police and mental health services, and require the police to wear body cameras when carrying out restraint, unless there are good operational reasons not to do so.

[David Hanson (Delyn) (Lab)]

I support my hon. Friend’s Bill, particularly clause 13 on police body cameras. Is he aware that that provision applies to England only? Police body cameras are a slight anomaly in that they cannot be used by units in Wales because that matter is devolved to the Welsh Assembly. Once the Bill has been given a Second Reading, will he look at that and discuss it with the Welsh Assembly?

[Mr Reed]

My right hon. Friend is absolutely right. The idea of engaging with the Welsh Assembly as the Bill proceeds through this Parliament is an excellent one, and I hope to have his support in doing so.

Contaminated Blood

Lord Hanson of Flint Excerpts

Thursday 20th July 2017 Commons Chamber

[Jackie Doyle-Price]

The purpose of the consultation is to allow people to make their points about which Department should be chosen to oversee the inquiry, and then we will respond accordingly. All I can say is: please encourage people to participate in this consultation.

[David Hanson (Delyn) (Lab)]

If the consultation with interest groups unanimously says that the inquiry should be held by another Department, will the Minister respect that view?

Contaminated Blood

Lord Hanson of Flint Excerpts

Tuesday 11th July 2017 Commons Chamber

[Mr Speaker]

Order. Just before I call the first speaker from the Back Benches, I should say that at this stage I have not imposed any formal time limit, but a substantial number of people wish to contribute. Therefore, I know that the hon. Member for Stratford-on-Avon (Nadhim Zahawi) will exercise a magnificent self-denying ordinance in the length of his oration.

[David Hanson (Delyn) (Lab)]

On a point of order, Mr Speaker.

[Mr Speaker]

Do we really have to have it? I know what I am doing and am perfectly capable of handling the matter. If it is about the order of speeches—

[David Hanson]

It is the Minister—

[Mr Speaker]

No, no. I do not need to be advised by the right hon. Gentleman on the handling of the debate. Let me just say that in so far as this was not clear, it was as a result of a failure of communication between the two Front-Bench teams. These matters should be sorted out between the Government and the Opposition, not with people yapping at each other across the Floor of the House or very close to the Speaker’s Chair. The Speaker is happy to give effect to what the two sides of the House want, within reason, but that was not made easy on this occasion, and I am seeking to address the matter by consensus. I know that the right hon. Gentleman means well and his offer of assistance is greatly appreciated, but I do not need to take him up on it on this occasion.

--- Later in debate ---

[Mr Dunne]

The hon. Lady, who has taken an active lead in encouraging inquiries, will want to make sure that we get it right. We will take the time that is necessary to consult colleagues and interested groups. Our intention is to be able to come back to the House as soon as practicable—I anticipate in the autumn.

[David Hanson]

The Minister has mentioned the Department of Health, and he will know that my constituents live under a devolved Administration in Wales but were infected in a hospital in Liverpool. What consultation is he undertaking with the Welsh Assembly, including on the schemes that it is running, and on the liability ultimately for any objective?

[Mr Dunne]

We recognise that there is a legitimate interest for all constituent nations in the United Kingdom. As many of these incidents took place before devolution, we intend to consult devolved Governments.

--- Later in debate ---

[David Hanson (Delyn) (Lab)]

Thank you for calling me to speak, Madam Deputy Speaker. This is the first chance I have had to speak under your chairmanship, and I congratulate you. I also congratulate my hon. Friend the Member for Oxford East (Anneliese Dodds) on her maiden speech. She made a powerful intervention on behalf of her constituents, and I wish her well in her parliamentary career, which I hope will be at least as long as that of her predecessor, Andrew Smith, who served in the House for more than 30 years. It is also appropriate for me to pay tribute, as have many hon. Members, to my hon. Friend the Member for Kingston upon Hull North (Diana Johnson) on behalf of all the Members who have supported her in the all-party parliamentary group on haemophilia and contaminated blood, which has more than 111 members from both sides of the House. The group has looked at the real effects and causes of this scandal, as well as examining the recompense and support given to the people who have suffered as a result of it, and I should like to comment on those issues today.

There are two clear issues that we need to address. The first covers the history of these events, what caused them, what could have been done to prevent them and who is liable and responsible. The second covers the question of what the state does for those who have no blame in this matter, and what type of support is given to those who are now facing the challenges resulting from the scandal. I do not expect the Minister of State, Department of Health, the hon. Member for Ludlow (Mr Dunne), to be able to answer all these questions today. It is clear that the efforts of my hon. Friend the Member for Kingston upon Hull North and other hon. Members, and the letter from the six party leaders, have focused the Government’s mind on how to respond. I accept and understand that, but it is none the less important to put some challenges to the Minister about the form of the inquiry. The Welsh Government in Cardiff publicly called for an inquiry in January, and I know that they will be interested to know that they have the support of the House here today for that response.

I raise these issues because, like all hon. Members who have spoken today, I have constituents for whom the impact of the contaminated blood scandal has run through their lives over the past 30 years. They wish to remain anonymous, and that is quite right, but I have met them and I have seen the impact that it has had on their lives. This involves not only the trauma of the people who were infected and have since died in large numbers but the fact that people cannot get insurance and often cannot maintain stable employment. They have the problem of not knowing whether they are going to live or for how long, and not knowing what will happen to their relatives when they die. I have constituents with young children who might have to face the consequences of their early death at any time.

[Mr Jonathan Djanogly (Huntingdon) (Con)]

The right hon. Gentleman is making a powerful case, and he has just mentioned a point that I was going to make. Many of the people who were badly affected have not been catered for to date. They include constituents of mine whose father was infected and who died. They ended up in a children’s home and their lives have been totally devastated, yet they are not within this process. They should be.

[David Hanson]

The hon. Gentleman makes a good point. The constituents who have approached me are concerned about what will happen to their children in the event of their death. They are concerned about the lack of insurance and the costs as a whole. This worry has been mentioned already, but in one case the records relating to the time of the infection have been lost by the state so some people may not be able hold anyone liable because the records have simply disappeared. I hope that the inquiry looks in detail at that those challenges.

I was pleased to hear from the Minister that the inquiry will be UK wide. The scandal happened before devolution, but I have constituents in Wales who were infected in Liverpool, which is under the Department of Health’s jurisdiction. I have constituents who were infected in Wales who live in Wales. I have also had correspondence with people who were infected in Wales but now live in other constituencies. It is important that we look at the picture as a whole. The Minister has given some indication of it today, but I will be interested to hear about how the devolved Administrations will be involved under the ultimate terms of reference. I want to hear about how the consultation will happen, what the terms of reference will be, and what opportunities there will be for input into the process. My constituents will want to ensure that we get to who is responsible, why it happened, what could have been done and, ultimately, whether any compensation or redress is needed to help meet the challenges they face, such as the one mentioned by the hon. Member for Huntingdon (Mr Djanogly).

Given that it will be a Hillsborough-style inquiry, it is important that the Minister—not today, but in due course—clearly sets out not only the terms of reference, but the terms of engagement. I was going to make the same point as the hon. Member for North Down (Lady Hermon) in that, to be frank, my constituents want to try to get on with their lives. Something happened to them when they were younger over which they had no control, but it has not engulfed their entire lives, so it would be helpful if the Government set out how victims can engage with the public inquiry in due course. It may be possible to engage through organisations such as the Haemophilia Society and others, but how will individuals who may not be involved with any organisation get representation? They may need financial support for that representation—perhaps they could have the independent advocate that was mentioned by the hon. Member for North Down—and they need to be able to put their case to the inquiry effectively.

[Mike Amesbury (Weaver Vale) (Lab)]

I am also pleased to speak on this occasion with you in the Chair, Madam Deputy Speaker. Picking up on my right hon. Friend’s point, a constituent of mine called Michael from Runcorn wants justice, but he wants justice that involves all the families. He wants them to be engaged and to be able to shape this Hillsborough-style inquiry. I welcome the inquiry that the Prime Minister and the Minister have announced, but people are impatient for justice that is shaped by the victims.

[David Hanson]

I am grateful to my hon. Friend. The point that I want to finish on—[Interruption.] Does the Minister want to intervene?

[Mr Dunne]

Briefly. I remind the right hon. Gentleman, who is making some important points, that we intend to contact all the families who are in touch with us through the different schemes to alert them to today’s announcement, so that they will have the opportunity to contribute to our determination of the best form of inquiry. On the hon. Gentleman’s second point, it will be for the inquiry, once it is established, to determine how it engages with people, and those involved will be interested in any advice from Members or others.

--- Later in debate ---

[David Hanson]

I am grateful for that intervention, because that reassures me and my constituents about the process. I simply say that confidence, transparency and ensuring that people feel like they can have their say properly and effectively will be key. The inquiry should also have some timescale, so that people know how much of their lives it will take up. If the Minister can do those things and perhaps inform the House about the inquiry’s budget, staffing and the other things that we would expect in any inquiry, that will help to reassure people that the Government are not just responding to events and pressure from my hon. Friend the Member for Kingston upon Hull North, but are keen on getting a positive outcome for the innocent victims of what is a national scandal. I hope that the Minister will keep the House and, in particular, those who have been infected informed, because at the end of the day this is about their lives and their futures. The uncertainties that they have faced demand the compassionate and considered support that I am sure the Minister will give them.

[Several hon. Members rose—]

Oral Answers to Questions

Lord Hanson of Flint Excerpts

Tuesday 20th December 2016 Commons Chamber

[Nicola Blackwood]

The Government are very clear that vaping is significantly less harmful than continuing to smoke. Under the current regulatory regime, huge numbers of smokers are successfully using these innovative products as an effective quitting tool. We have already committed to reviewing the TPD and we will fully explore the opportunities that Brexit may provide, but until exit negotiations are concluded we remain a full member of the EU.

[Mr David Hanson (Delyn) (Lab)]

T5. On contaminated blood, will the Government confirm that they still plan to use a private profit-making company such as Atos to administer the scheme, and if so, why?

[Nicola Blackwood]

I absolutely cannot confirm that. The tendering process has not even begun. Therefore, we are not considering any form of company, private or otherwise.

Southern Health NHS Foundation Trust

Lord Hanson of Flint Excerpts

Wednesday 8th June 2016 Westminster Hall

[Several hon. Members rose—]

[Mr David Hanson (in the Chair)]

Order. Before I call the right hon. Member for Oxford East (Mr Smith), I should say that four hon. and right hon. Members have indicated that they wish to speak. I intend to call the shadow Minister at 3.35 pm and the Minister at quarter to 4 to give the hon. Member for Fareham (Suella Fernandes) a chance to wind up at the end. On that note, I hope Members will have self-restraint.

--- Later in debate ---

[Mr Smith]

I very much agree with the hon. Lady, my neighbour and friend, on that important point. I look forward to the Minister’s response as to what the independent oversight will be to ensure security in future.

It will be helpful if the Minister can update us on progress in relation both to the Southern Health trust and to wider concerns in the NHS, and if he can say when he expects the CQC to publish its opinion on the trust’s response to its warning notice, with the possibility of enforcement action being taken. Will he also say when he expects the Government to be in a position to make a definitive statement on the action they will take on the conclusion of the Care Quality Commission’s wider investigation into deaths throughout the NHS? It is an enormously important issue to get right.

We all have to learn from these appalling events. We have to apply the lessons and put in place procedures and the culture so that learning-disabled people and others receive the care, treatment and respect that they deserve, and so that they can be confident that they will get that. An NHS that truly fulfils its duty of care, in which Southern Health so lamentably failed, is the only thing that can come close to a fitting memorial for Connor Sparrowhawk.

[Mr David Hanson (in the Chair)]

We can be more relaxed about the two remaining speakers because a Member who indicated that they wished to speak has now left.

Dietary Advice and Childhood Obesity Strategy

Lord Hanson of Flint Excerpts

Monday 23rd May 2016 Commons Chamber

[Alistair Burt]

They do. I just have to tell the hon. Lady that all parts of Government are making the sorts of efficiencies they need to make in relation to such matters, and that can be no different for her area.

[Mr David Hanson (Delyn) (Lab)]

Prior to the reported publication date in the summer, will the Minister make sure that he discusses the co-ordination of the strategy very carefully with the Welsh Assembly? In border areas such as mine—advertising crosses the border and labelling crosses the border—people from my constituency who buy sugary drinks in Chester will find that their resources are put into sport in England, but not necessarily in Wales. It is important to consult the Assembly.

[Alistair Burt]

In accordance with the last answer I made to the last question when I was last at the Dispatch Box, the answer is yes.

Contaminated Blood

Lord Hanson of Flint Excerpts

Tuesday 12th April 2016 Commons Chamber

[Diana Johnson]

The hon. Lady makes a valid point. I will proceed with my concerns with the consultation, because I would like other Members to speak in the debate.

My third point is about the inadequate provision for the “affected” community—the widows, the partners and the dependants of those infected. The proposals for widows appear to be extremely complex. They create six categories of widows, with big variations in what is offered within each category. Department of Health officials could not explain how they would work when they met the APPG’s secretariat and have not provided an explanation of these proposals as promised. There also appears to be nothing here for dependent children.

[Mr David Hanson (Delyn) (Lab)]

I have constituents who have been infected. I have also heard from infected partners who, because of the failure of the scheme, cannot get insurance for themselves. Those who have young children are worried about the long-term implications. Does my hon. Friend not think that the proposal adds extra stress to what is already a very stressful situation?

[Diana Johnson]

My right hon. Friend makes an important point.

Fourthly, there are concerns that under the plans money will be used to pay for new drugs to treat hepatitis C, which will be bought separately from the NHS budget, so will cost more. Under guidelines from the National Institute for Health and Care Excellence, everyone with hepatitis C should be eligible for treatment with a new generation of drugs from the end of February 2016, so when funds are allocated for treatment, that means once again that money does not go directly to those who need financial support.

Oral Answers to Questions

Lord Hanson of Flint Excerpts

Tuesday 5th January 2016 Commons Chamber

[Ben Gummer]

I would be happy to meet them, I will meet them and I congratulate them on eliminating 12-hour trolley waits for the first time this year. They are doing a great job in difficult circumstances, as are many hospitals across the country. I am confident that they, too, will be able to get their deficit under control next year, with the help of the transformation fund, which is available for high-performing trusts.

[Mr David Hanson (Delyn) (Lab)]

4. How many people have diseases classified by his Department as rare.

[The Parliamentary Under-Secretary of State for Health (Jane Ellison)]

A rare disease is a life-threatening or chronically debilitating disease that affects five people or fewer in 10,000. Research shows that one in 17 people will suffer from a rare disease at some point. In the UK, that equates to approximately 3.5 million people.

[Mr Hanson]

Same But Different, which is based in my constituency, is concerned about a number of the challenges faced by people with rare diseases. One key issue that it has raised with me is the level of support available at the time of diagnosis, particularly for parents of children with rare diseases. Will the Minister examine how we can signpost better help and support to those who have been diagnosed?

[Jane Ellison]

I am glad the right hon. Gentleman mentions that point; the House may not be aware that we recently added four new rare diseases to the newborn heel-prick test, which has helped to detect more than 1,400 children with a rare disease. I am disappointed to hear that he feels that some parents had issues with follow-up, and of course we will look into that, but I think he will find that the UK rare diseases strategy, which was published in 2013 and contains 51 commitments from government, covers that. The first report back on that strategy will take place this spring and it is being done by the UK Rare Disease Forum. I am happy to speak to him afterwards about whether the excellent organisation he names is part of that.

High Energy Caffeine Drinks

Lord Hanson of Flint Excerpts

Wednesday 11th July 2012 Commons Chamber

[Mr Rob Wilson (Reading East) (Con)]

I am grateful to have secured this important debate on an issue of great concern to my constituents, and I very much welcome the opportunity to engage the House in considering the health effects of high energy caffeine drinks. At the outset, I must say that I have absolutely no intention of being alarmist about high energy caffeine drinks, as it is important to raise these issues in a temperate and moderate way. Furthermore, I do not intend to focus on any particular brand, because I am concerned with the issues and not with singling out individual brands; I shall mention them only in passing. When I use examples of specific brands, it will not be an attempt to target them; it will be because they will be useful to illustrate my arguments. It is my aim to bring to the House’s attention a serious issue that requires rigorous examination. It is my view that we need a sensible discussion on this topic in order to assess the availability of high energy caffeine drinks to at-risk people, their health effects and any risks or dangers associated with them.

This issue was brought to my attention by my constituent, Mrs Rebecca Rye. When I met Mrs Rye, she expressed her concerns about the availability of high energy caffeine drinks after she had discovered her son, Edward, then aged 12, buying a 500 ml can of a product called Monster. She suspects that he might have been drinking such products without her knowledge for some time while on his way to school. Fortunately, she was able to put an end to his drinking them. The point is that Edward was drinking them without his mother’s knowledge or permission because they were, and still are, so easy to get a hold of. After some challenges—I will not go into them tonight—Edward no longer drinks these high energy drinks and is aware of the health concerns: a happy conclusion was reached for the Rye family.

That is not always the case, however, and tragedy, with perhaps a connection to energy drinks, is no stranger to the Reading area. On new year’s day 2010, Shaun Biggs of Lower Earley lost his life as a result of sudden death syndrome. Shaun, who was 21, had been out celebrating the new year and was drinking the popular mixture of vodka and Red Bull with his friends. After a few drinks, Shaun collapsed in his hotel room and later died at Wexham Park hospital. Following the police autopsy report, toxicology results showed an alcohol reading of 76 mg in 100 ml of his blood—notably less than the legal drink-drive limit of 80 mg. The amount of caffeine in his blood told a different story, as it showed an excessive level. Consequently, the coroner found that Shaun died of sudden cardiac arrest.

Shaun’s parents are convinced that he died as a result of the caffeine he had ingested from the Red Bull. Peter Biggs, Shaun’s father, has founded the campaign SAFE, which stands for the Shaun Awareness Foundation for Energy Drinks. In memory of Shaun, Mr Biggs aims to raise awareness of the potentially lethal health consequences of high energy drinks. It is to raise awareness of that issue that I asked for this debate.

I believe it is time that the UK carried out an authoritative medical study into the health effects of these drinks. Perhaps this could be carried out by the NHS itself or by engaging a leading university’s toxicology or pharmacology departments. I therefore look forward to hearing from my hon. Friend the Minister about what can be done to facilitate an in-depth study here in the United Kingdom. As I will demonstrate, there is quite a lot of partial evidence from around the world, but a definitive UK study is needed so that we can have evidence-based Government policy in this area.

At present, the UK Food Standards Agency advises that

“children, or other people sensitive to caffeine, should only consume in moderation drinks with high levels of caffeine”.

This is sensible guidance, but apart from that, there is no regulation or any other particular guidance except for the wording on product packaging to emphasise that it is “not recommended” for children and pregnant women. In the circumstances, I do not feel this is sufficient for the dangers that appear to be present, particularly for vulnerable groups.

The Minister will be aware that EU regulations due to come into force in 2014 will require nutrition labelling and that this will have implications for the soft drinks industry and energy labels. That might be a good juncture significantly to improve labelling on these products and any additional warnings that might be deemed appropriate by the Department of Health.

At this point, I would like to give the British Soft Drinks Association credit for ensuring at least that information is available on the can as part of its code of conduct. Advising that a drink is high in caffeine content and therefore unsuitable for children under 16 or pregnant women is helpful. The industry deserves credit, too, for its precautionary policy of not marketing or promoting energy drinks to those under 16. We all know that energy drinks are popular, however, and are clearly branded to attract young people, but the industry needs to recognise that children under 16 are attracted to the manufacturers’ marketing as much as their older peers. I see these drinks all the time in my Reading East constituency, and nine times out of 10 they are in the hands of someone under the age of 25, including many clearly under 16. Regardless of the labelling due to arrive in 2014, the attractiveness of these products to young people will remain.

Energy drinks are now marbled into British youth culture. Their manufacturers claim the benefits of drinking them include increased mental alertness, wakefulness, attention, physical endurance and stamina. Indeed, one brand claims it “gives you wings”. Their caffeine content can vary significantly, from 50 mg to 240 mg, depending on container, brand and size. Some products contain a very high caffeine potency, some the equivalent of 12 cans of cola or of four to five cups of coffee. The typical caffeine measurement of a mug of instant coffee is 100 mg, and 140 mg for filter coffee, according to the BBC health website, but no sensible parent would hand their 10-year-old or 12-year-old child a mug of filter coffee, would they?

I believe that now is the time to make such assessments, asking whether those levels of caffeine in drinks are wise or acceptable, and whether there is a need to take action. We cannot undertake a proper analysis of the situation, however, without the required knowledge and advice, provided to us by professionals. Any action taken must of course be evidence-based, hence the need for a comprehensive study and for this debate.

It is worth the House noting that concerns about these drinks have been voiced for some time, but little has really been done to tackle the issue throughout the country. That is not a party political point; it is just a statement of fact. As a free-market Conservative, it is not my instinct to lunge for regulation or to ban things—quite the contrary. It is my view that informed adults should be free to purchase goods as and when they see fit, so long as they do no harm to others. Indeed, that is part of the reason why I sought election to this Chamber.

If a product is dangerous and proven to be, however, the state has a legitimate role to play in protecting consumer interests, particularly when vulnerable groups are involved. Indeed, we as Members of this House are duty bound to do so for our constituents, and I also believe that manufacturers have a responsibility to do so for their customers.

In considering the matter, it is helpful to look at the approach that is undertaken overseas. In Europe, Denmark and Norway did not authorise Red Bull for general sale for several years; in Sweden, energy drinks are not sold in major outlets to children under the age of 15, because of a self-imposed ban by companies; and in Argentina, not usually a country from which I take guidance, there is an ongoing debate about banning their sale in nightclubs. We can see the merit in that, as energy drink consumption is prevalent among young people having a night out. Pubs and clubs in Reading, including the university’s bars, sell plenty of drinks that include products such as Red Bull.

Across the Channel, France banned energy drinks in 1996, but its ban did not last and energy drinks are now on sale there. Sticking with the example of France, I note that awareness on the issue was raised when Irish athlete Ross Cooney, aged 18, died hours after drinking four cans of Red Bull, following a basketball match. His death prompted the French Government to ban Red Bull, but, following legal challenges from the European Commission in the European Court of Justice, the ban on the sale of Red Bull was lifted.

The ruling came about because EU regulations stipulate that a product made or sold in other EU countries cannot be banned unless a health risk is proven, and that is one of the key points—access to information and, importantly, awareness of the issue. That is where I believe a state-sponsored medical study could help us to understand energy drinks and their consequences for health, particularly among vulnerable groups such as children, adolescents and young adults.

In this country, energy drinks such as Monster, Red Bull and Relentless are readily available in shops and supermarkets and are sold like any other soft drink. Many people actually consider them a soft drink, but in reality they are not just any old soft drink; they are something very different. The average soft drink does not risk causing heart palpitations, hallucinations, seizures, mania, stroke, diabetes or sudden death.

That is not my list, but a list of findings in pockets of medical research and studies taken from numerous journals. Studies carried out in Canada, Australia and the United States warn of the health effects of energy drinks. Let us take, for example, a recent study from the university of Miami, published in February last year in Pediatrics, the official journal of the American Academy of Pediatrics.

According to the report,

“these drinks have been reported in association with serious adverse effects, especially in children, adolescents, and young adults with seizures, diabetes, cardiac abnormalities, or mood and behavioural disorders or those who take certain medications.”

The report concludes:

“Energy drinks have no therapeutic benefit, and many ingredients are understudied and not regulated. The known and unknown pharmacology of agents included in such drinks, combined with reports of toxicity, raises concern for potentially serious adverse effects in association with energy-drink use.”

Those strong words pose serious questions and challenges. The need for more research, possibly leading to regulation, seems clear to me.

One of the ingredients that have been identified as needing further attention is taurine, an amino-acid commonly found in caffeine and sugar-laden drinks that jump-starts the metabolism. It is normally manufactured in the human body, and plays an important role in a good balanced diet. It is also found in, for example, meat and dairy products. However, some studies have indicated that synthetic taurine—the kind that is found in energy drinks—is linked to a range of illnesses, including high blood pressure, strokes, heart seizures and heart disease. Each 8 oz can of Red Bull contains 1,000 mg of taurine, and a can of Monster of the same size contains roughly same amount.

Given that taurine is such a prominent ingredient in energy drinks, it is surprising that we know so little about it. Researchers at Weill Cornell medical college in New York have said that

“Remarkably little is known about the effects”

of taurine in energy drinks, particularly on the brain, and other medical studies have indicated that it is linked to irritability and even hallucinations. Australian professor, Dan Lubman, director of the Turning Point Drug and Alcohol Centre, has said that it has been associated with self-mutilation in rats. Professor Lubman’s view on energy drinks is that

“just because they are freely available in our market does not mean they are safe.”

I am strongly inclined to agree with him.

Changes in behaviour have been linked to heavy consumption of energy drinks, again with tragic consequences. I am mindful of the sad case of 11-year-old Tyler Johns from Bolton, whose personality completely changed as he began to drink excessive amounts of energy drinks, according to a national newspaper report. Tyler hanged himself in his bedroom, and his parents allegedly blame energy drinks for his “addiction”. Described by his father as once a happy-go-lucky child, he changed when he began consuming those drinks, which were freely available and cheap. He was suspended from school and enrolled in a re-integration programme at another school. During that time he was not drinking energy drinks, and his behaviour improved. He even scooped several certificates. When he resumed drinking, the poor pattern of his behaviour resumed, and tragically ended in suicide. When his mother found him, a 1 litre caffeine drink was found near his body.

Following an open verdict at Tyler’s inquest, his parents remained convinced that energy drinks had claimed their son. After his son’s inquest, Lee Johns said:

“Tyler is so missed. These drinks did affect him. They should not be sold to those under 16. There is so much said about what children should eat and there are links between children’s behaviour and food. Yet these drinks are freely available.”

Picking up Mr Johns’s point, I urge the Government to consider a temporary ban on the sale of energy drinks to under-16s until research has been commissioned, or, at the very least, much clearer and mandatory labelling. Given the British Soft Drinks Association’s policy of not targeting the under-16 age bracket, I cannot see why they would object to that suggestion.

Behaviour change in the young following the consumption of energy drinks is painfully obvious. In yesterday’s edition of the London Evening Standard, the celebrity chef Jamie Oliver said that he would ban such drinks, remarking that parents

“might as well be giving them cocaine”

owing to the hyperactivity and disruption that they can cause in schools. Mr Oliver’s words ware passionate—that is his way—but he also made the point that teaching children who have downed a can of an energy drink is extremely challenging, and given his understanding of nutrition and his involvement with young people, I think that his opinions are well worth listening to.

[Mr David Hanson (Delyn) (Lab)]

I am listening carefully to the hon. Gentleman’s comments and would like to support his argument. In my constituency, a group of parents is collecting a petition on exactly his points about sales to under-16s and investigations into the long-term effects. They have seen a marked impact on their children from these drinks, which, as he said, can contain the equivalent of up to eight or nine cups of coffee. Unfortunately, parents cannot control their children at the point of purchase and are not with their children every moment of the day. I support his objectives, therefore, and will listen carefully to what the Minister says.

[Mr Wilson]

I welcome that intervention and wish the parents collecting that petition the best of luck. I am sure that the right hon. Gentleman will speak up on their behalf on many occasions in the House, and perhaps we can work together to push this campaign through the House.

I understand that Oxted school in Surrey has banned these drinks, as has Chatsmore Catholic high school in Goring, and that Cardinal Newman school in East Sussex has asked local shops not to sell drinks to their pupils. Concern also extends to the police. I understand that in Whitchurch, Hampshire, the police have asked local shops to stop selling the products to under-16s on Friday nights. I urge the Minister to be mindful of the concerns of our police and schools.

I have also mentioned hallucinations. In 2010, a study published in the American Journal of Pharmacology and Toxicology found that taurine is implicated in hallucination. Closer to home, academics at the University of Durham have recorded increased likelihood of hallucination from high caffeine intake. Similar conclusions were drawn by Professor Simon Crowe from the school of psychological sciences at La Trobe university in Australia. High caffeine intake is linked to auditory hallucination, according to the professor.

Concerns have been relayed to me that the hallucinogenic risks of taurine are far more potent in the young. I am not a toxicologist—and as far as I am aware there are not many in this House or the other place—but it seems clear to me that we need a study into taurine in energy drinks and its effect on the human body. At present, it seems that we have a situation in which a form of Russian roulette is being played with energy drinks, sometimes with tragic consequences. An in-depth study would increase our understanding of these drinks and their consequences for health. Once we have that greater medical understanding, we can take appropriate action, if needed.

As I touched on earlier, energy drinks are targeted at the young. The drinks have become a sort of fashion status, a symbol, the trendy thing. It is not unusual to see their logos on T-shirts or baseball caps these days. As I said, these drinks are marbled into the youth culture in our country, and given the concerns surrounding their health effects a serious examination needs to take place here as well.

Stars in sport and the music industry are increasingly linked to energy drinks. For example, Relentless is a sponsor of 2013’s UK-wide tour from the music channel Kerrang!, Welsh international rugby player Jamie Roberts advertises Red Bull, and the Welsh rock band Bullet For My Valentine feature on the Monster website. The advice of the Food Standards Agency—that children should consume heavily caffeinated drinks in moderation—clearly does not seem to be working. If young people think it cool and trendy to consume the drinks and they are easily and readily available, there is little we can do about it.

The study from the University of Miami viewed young people with cardiac or seizure disorders as particularly vulnerable. We just have to look at the figures to see the overall vulnerability. The study highlights the fact that, in 2007, 46% of the caffeine overdoses in the US occurred in people under the age of 19. In Ireland, between 1999 and 2005, 17 separate incidents of specifically energy drink-related adverse events were recorded, including confusion, rapid heartbeat, seizures and two deaths. Similarly, between 2005 and 2009, New Zealand’s poison centre reported 20 energy drink-related adverse events, with 12 cases of vomiting, nausea, abdominal pain, jitteriness, rapid heartbeat and agitation referred for treatment.

The Miami report does not make it clear whether the Irish and New Zealand figures are those for young people, but we should hold this in mind: even if they are not exclusively younger cases and they apply solely to adults, the effects on younger people are presumably much worse. Polish research published by the European Society of Hypertension in May showed that energy drinks ranging in strength from 120 mg to 340 mg of caffeine have adverse effects for otherwise healthy adults aged between 20 and 35, including irregular heartbeats, anxiety and insomnia.

In February, Time magazine’s “Healthland” section was right to label the Miami report’s findings as “especially worrisome” for children suffering from attention deficit hyperactivity disorder, heart conditions or diabetes. Medical research has made a link—

Oral Answers to Questions

Lord Hanson of Flint Excerpts

Tuesday 26th April 2011 Commons Chamber

[Mr Burns]

I am grateful to my hon. Friend for raising that important issue. I assure him that there are mechanisms in the Health and Social Care Bill to provide protection so that there are not the problems that he anticipates.

[Mr David Hanson (Delyn) (Lab)]

6. What discussions he has had with Ministers in the Welsh Assembly Government on the cross-border implications of the Health and Social Care Bill.

[The Parliamentary Under-Secretary of State for Health (Anne Milton)]

The Secretary of State for Health met Ministers of the Welsh Assembly Government on 1 December last year to discuss the future of the cross-border commissioning protocol, and I am meeting the Under-Secretary of State for Wales in the next few weeks. It was agreed that until the forthcoming changes in the Health and Social Care Bill are finalised, no substantial changes to the cross-border protocol should be introduced, as is right. The protocol, which expired on the 31 March this year, has therefore been renewed for one year with minimal changes.

[Mr Hanson]

More than 200,000 people from Wales, including people from my constituency, access services in England at the Countess of Chester hospital, Clatterbridge, the Christie, and the Walton in Liverpool. More than 50,000 people from England access health services in Wales. What guarantees can the Minister give me that the proposed changes in the Health and Social Care Bill will not wreck those arrangements?

[Anne Milton]

There is absolutely no reason why they should. I thank the right hon. Gentleman for raising this issue. It is worth pointing out that there are many areas of commonality between the health services in England and Wales. Of course, it is up to the Welsh Assembly Government to decide what scale of finance and resource they provide. I am aware that there are some cross-border issues that clearly need to be resolved.