World Immunisation Week

Debate between Baroness Laing of Elderslie and Thangam Debbonaire

Thursday 2nd May 2019 Commons Chamber

[Thangam Debbonaire]

The right hon. Gentleman is absolutely right. I join him in that tribute. I also pay tribute to all the scientists across the world who are helping not only to understand and promote information about AMR, but to help us rethink our relationship with antibiotics. They are also helping us to understand the need to respect antibiotics, but also to respect disease prevention, rather than having a reliance on antibiotics.

Again, I urge all parents to check their children’s records and get them vaccinated if they have not already done so. I also urge all adults to remember to do so themselves when they visit other countries; and I include myself in that. I applaud DFID, the World Health Organisation, the Bill and Melinda Gates Foundation and others for the work they do, and particularly the support of Gavi, the Vaccine Alliance. I urge the Department of Health and Social Care—this is a slight, but brief, sidebar—to accelerate the expansion of the human papilloma virus vaccination to include boys. I know that that is in train, but I would just like it to hurry up, please.

I urge social media companies and internet providers across the world to work with health services and Governments across the world on not only tackling the misuse of the internet for promoting incorrect information but highlighting the value of the internet and social media in promoting good-quality information and messaging. There are social media companies and internet providers who want to be seen as a force for good, and this is a really good way that they could contribute to that. In particular, I would like DCMS to work with the Department of Health and Social Care and with DFID on tackling those harms. This should be a cross-departmental initiative.

I join others in wishing the new Secretary of State, who is no longer in his place, well in the mission that he described earlier. He is another Minister, and now a Secretary of State, who is well respected across the House. He brings an enormous amount of knowledge and experience of a range of world contacts to this post, and that can only be a good thing. I would like him to bring that experience to this issue with razor-like precision.

I would really like us to get back to respecting experts. That does not mean doffing the cap, or never arguing or asking questions. It does not mean just saying, “Doctor knows best”—if the hon. Member for Central Ayrshire will forgive me—but saying, “Doctor probably does know best.” In my experience, the hon. Lady generally does know best, and I probably do always say that she is right. I would like us to respect experts because they are experts and, when we ask them questions, to remember that they probably do know quite a lot, but, in return, as she said, for them to listen to us and to remember that our reasonable questions have to be heard if we are going to make progress together. I would like us to respect medical science. I would like us to respect researchers and respect research—and to invest in it. In this country, we do well at that. We are an internationally respected country for knowledge creation. I would like us to continue that tradition and to challenge anybody, anywhere, who says stuff about experts in a way that is not just unhelpful but, in this context, life threatening.

I thank all right hon. and hon. Members for this debate, because it is a really good example of how a small number of people in the right room at the right time can produce a consensus on something where our country can help to show the world leadership and contribute to saving millions of lives.

[Madam Deputy Speaker (Dame Eleanor Laing)]

The House has had the opportunity during this week to congratulate many hon. Members who took part in the London marathon last week. I do not think there has yet been an opportunity for the hon. Member for Bristol West (Thangam Debbonaire) to be congratulated on her particularly courageous performance and on raising so much money for great causes, so she also has the congratulations of the House.

Autism Community: Mental Health and Suicide

Debate between Baroness Laing of Elderslie and Thangam Debbonaire

Thursday 30th November 2017 Commons Chamber

[Thangam Debbonaire (Bristol West) (Lab)]

I thank the Backbench Business Committee for bringing this debate before us and the hon. Member for East Kilbride etc. (Dr Cameron) for leading on it. I also wish to say a special thank you to Mr Speaker and Mrs Bercow, who have done so much to support autism awareness in the House and beyond, particularly through their support for the National Autistic Society.

I should make a declaration of personal interest: I have a young cousin on the autistic spectrum, and I am married to someone who runs a special educational school for people with autism. My constituency team has also prioritised making Bristol an autism-friendly city. We have made a start, but we have more to do. We have held a training event for employers on how to make reasonable adjustments in recruitment and employment practices, and have had training for my team and made some adjustments ourselves.

That matters because unemployment is unacceptably high among people with autism, which contributes to mental ill health. According to the National Autistic Society, only 16% of adults with autism are in full-time paid work, and only 32% are in some kind of paid work, compared with 47% of disabled people and 80% of non-disabled people, and we know that unemployment affects mental health and self-esteem. The Government have committed to halving this autism employment gap by the end of this Parliament. In the interests of the mental health of people on the autistic spectrum, I urge the Minister to urge her colleagues to do everything they can to meet that much-needed target.

I have heard from schools in my constituency that funding pressures are affecting their specialist provision for children with special educational needs and mental health problems. Some families have told me that they have experienced effective or partial exclusion from school because of a lack of understanding of autism or of specialist support. That in turn leads to further mental health problems and is exacerbated by a lack of autism-focused specialist mental healthcare and high demand for mental healthcare generally. They have also told me of brilliant support and help from some teachers and schools, but they have fears about staff changes and worries about funding.

I have talked to public venues about what they can do with the help of the National Autistic Society and others to make themselves more autism-friendly. It cannot be acceptable that, according to the Royal College of Psychiatrists’ briefing for this debate, autistic people are more than seven times more likely than non-autistic people to commit suicide and that so many young people on the spectrum have at least one anxiety disorder. None of us wants to accept this, and we do not have to, and there is much we can do.

As I have said, my team has made autism a priority. In association with the fantastic Bristol Autism Support service and the local branch of the National Autistic Society, we recently held what we think was the country’s first MP constituency surgery specifically for adults with autism and parents of children on the autistic spectrum. I encourage all colleagues to do likewise, and I am happy to talk to them about how we did it. It meant that adults with autism and the parents of children with autism could come and tell us about challenges they faced with simple things such as transport and public spaces, as well as housing and employment, all of which affect mental health.

I am not going to repeat things that hon. Members have already said, particularly the hon. Member for East Kilbride, Strathaven and so on—I am so sorry, I cannot pronounce the last bit.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Lesmahagow.

[Thangam Debbonaire]

Thank you, Madam Deputy Speaker.

The hon. Lady comprehensively listed recommendations that I urge the Minister to follow. I will finish by recommending two things. First, I suggest that hon. Members who care about autism and the 1% of our population who are on the autism spectrum consider, as I have done, asking a member of staff to champion that cause. I work closely with my member of staff, Councillor Mike Davies, who is our local autism lead on the council and within my own team. He has patiently taught me a great deal about how to make Bristol a truly autism-friendly city. We have a lot more to do, but I know that, with someone like Mike, I will be able to do much more than I would otherwise have done.

Secondly, I would like us to take a leap. In the House restoration and renewal programme, we could decide to work with the National Autistic Society to make this place autism-friendly. Doing so would help not just people on the autistic spectrum, including children and their parents, but all of us. It would make the place calmer, more welcoming and truly more accessible for everyone. It would be the mother of Parliaments leading by example to the rest of the country so that we can truly make the United Kingdom autism-friendly and address the chronic levels of mental ill health and suicide risk for people on the autism spectrum. I recommend that colleagues consider the suggestions that have been made by me and my team, and by others in this House.