Child and Adolescent Mental Health Services

Debate between Grahame Morris and Andrew Percy

Tuesday 3rd March 2015 Commons Chamber

[Grahame M. Morris]

That is true. Some of the organisations that submitted evidence to the Health Committee and subsequently provided briefings made that point.

Another issue of concern is the complex commissioning landscape for CAMHS, which can result in poorly co-ordinated services and a lack of clarity about roles and responsibilities, leading to gaps in provision and poor transitions from child to adolescent and from adolescent to adult. The service is certainly underfunded. We often talk in this place about parity of esteem. As other Members have reported, CAMHS nationally is receiving about £1.8 billion of the £14 billion that is spent on mental health. Local authority-provided services, which are often having to bridge the gap, are facing huge financial challenges. My local authority, which I share with my hon. Friend the Member for North Durham (Mr Jones), has had to cope with cuts of £250 million over the lifetime of this Parliament. That is forcing councils to make extremely difficult decisions about which services are funded.

I fully understand the point made by the hon. Member for Brigg and Goole, but I also fully understand the difficult decisions faced particularly by authorities in the north that seem to be suffering disproportionate cuts. Councils are embracing their new public health responsibilities—

[Andrew Percy]

I hope the hon. Gentleman understands that both my local authorities are in the north of England; I would not want him to get his geography wrong.

[Grahame M. Morris]

I am certainly aware that some authorities are facing higher cuts than others. My area is one of relatively high deprivation, but we seem to be in a far worse position than some in the south that are more affluent and do not have the same kinds of pressures.

In rural areas, in particular, people face problems with travelling long distances, a lack of accessibility to specialist services, and long waits. One issue is the 12-week target for referral to CAMHS in cases where children and adolescents are referred out of their local areas. Transition between services varies from one area to another. In some areas it happens at 16, in some at 18, and in some at a point in between. These issues all need to be addressed.

Fundamentally, this issue comes down to funding. I welcome the establishment of the taskforce and the provision of £30 million over the next five years to improve services for young people with mental health problems. However, we must recognise that councils play a vital role in working with health services to target support and co-ordinate services, and they should play a key role in directing the funding.

Palestine and Israel

Debate between Grahame Morris and Andrew Percy

Monday 13th October 2014 Commons Chamber

[Grahame M. Morris]

The evidence of history is why. Twenty years of negotiations have failed, so we need to move things on. I firmly believe that we can all rally around this effort, and that that would achieve the desired results.

[Andrew Percy (Brigg and Goole) (Con)]

rose—

[Grahame M. Morris]

No, I am afraid I will not give way.

Recognition is not an Israeli bargaining chip; it is a Palestinian right. It is one that has to form the basis of any serious negotiations. Indeed, the lack of equity between Israel and the Palestinians is a structural failure that has undermined the possibility of a political settlement for decades. As it stands, Israel has little motivation or encouragement—perhaps little incentive is a better way of putting it—to enter into meaningful negotiations. The majority of Israeli Government politicians flat-out reject the notion of a Palestinian state. There are currently no negotiations and, as Secretary of State John Kerry admitted, it was Israeli intransigence that caused the collapse of the latest round of talks.

Israel has been unwilling to offer a viable Palestinian state through negotiations. If the acceleration of the illegal settlement enterprise had not already proved that, in July Israeli Prime Minister Binyamin Netanyahu once again ruled out ever accepting a sovereign Palestinian state in the west bank.

[Andrew Percy]

Will the hon. Gentleman give way on that point?

[Grahame M. Morris]

No, I will not give way.

Let me be clear: to make recognition dependent on negotiations, as some Members advocate, is to reject the two-state solution. Some argue that by recognising Palestine, we would undermine negotiations or somehow incite violence, but it is the systematic denial of rights that incites violence and emboldens those who reject politics. The knowledge that Britain, once again, is refusing to recognise the rights of the Palestinian people will serve only to validate those who reject diplomacy and to demonstrate the futility of the efforts of moderates on both sides.

Rejectionists in both Israel and Palestine—those who oppose any type of political settlement—will be delighted to learn that the British Parliament has refused what the vast majority of states have already accepted. Members should bear that in mind before they cast their vote. Those Palestinians who have pursued the path of diplomacy and non-violence for more than 20 years have achieved very little. We need to send them a message and give them encouragement that it is the path of peace and co-operation, and not the resorting to force of arms, that will actually lead to a lasting and just peace. It will also send a message to Israel that the British Parliament believes that its illegal settlement enterprise, which has pushed the possibility of a two-state settlement to the brink of collapse, has no validity whatsoever and that the international community is resolute in its opposition to the systematic colonisation of Palestinian land.

The right to statehood has already been accepted by the Government, who have said that they reserve

“the right to recognise a Palestinian state bilaterally at the moment of our choosing and when it can best help bring about peace”.

If they do not do so urgently, I contend, and many informed commentators would agree with me, that any hope of a two-state solution, the only viable solution, will disappear altogether. Instead, Israel will continue its crusade towards the morally repugnant and politically untenable one-state solution that, in truth, could be maintained only through even greater brutality and effectively through apartheid rule—a fate so bleak that any true friend of Israel would oppose it.

In conclusion, during the assault on Gaza the leaders of all the main political parties told Members in this House that the life of a Palestinian child is worth just as much as the life of an Israeli child. Today, we can show that we regard both peoples as equal in dignity and rights not just in death but in life. I urge Members to support the motion and to recognise the state of Palestine alongside the state of Israel.

Middle East and North Africa

Debate between Grahame Morris and Andrew Percy

Thursday 17th July 2014 Westminster Hall

[Andrew Percy]

I entirely agree with my hon. Friend. It is incredibly sad that the situation is such that civilians have been used as human shields. It is distressing that on Hamas’s Facebook page, the Ministry of the Interior and of National Security has advised Gazan citizens to ignore Israel’s warnings to get out. There are even “knock on the door” mortars fired in advance of an attack to warn Gazans of an impending strike but, sadly, Hamas is officially—

[Grahame M. Morris (Easington) (Lab)]

rose—

--- Later in debate ---

[Andrew Percy]

The hon. Lady puts it perfectly. That is a strategy.

I will move on because time is pressing. What would we do in such a situation? If 65% to 75% of our population was in range—

[Grahame M. Morris]

rose—

[Andrew Percy]

I will not give way to the hon. Gentleman.

[Grahame M. Morris]

I only want to make a friendly intervention.

[Andrew Percy]

All right. I will give way to the hon. Gentleman, even though he has not been here for the whole debate.

[Grahame M. Morris]

I am grateful to the hon. Gentleman, who is a fellow member of the Select Committee on Health. I apologise for being late; I was presenting a petition at No. 10 Downing street. He is outlining a scenario that has made me wonder: if he had been Defence Secretary at the time of the IRA bombings, would he have advocated the carpet bombing of east Belfast or Kilburn?

[Andrew Percy]

No, but I would expect my Government to do all that was required to defend their citizens, particularly when the country is a democratic state. That is why I hope Israel will take the necessary steps, to the utmost and to the end, to defend its people and track down terrorists. We are talking about a terrorist organisation as defined not only by the state of Israel but by this country. I would absolutely expect my Government to respond forcefully to such acts of aggression.

I will end shortly because I know that time is pressing, although I would have liked to say something about the humanitarian situation and assistance to Gaza. We all agree that the situation is terrible. I hope that the Minister will continue to affirm this country’s commitment to Israel’s right to defend itself, and that he will push even harder to achieve progress in the middle east, as the right hon. Member for North East Bedfordshire said. The situation must not continue, on either side, for much longer. There must be a renewed emphasis on peace, and rockets on either side will not achieve that. I hope the Minister will confirm the Government’s stance on that matter. Of course, he is new to his role, and I congratulate him on it.

Sudden Adult Death Syndrome

Debate between Grahame Morris and Andrew Percy

Monday 25th March 2013 Westminster Hall

[Grahame M. Morris (Easington) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Amess.

I congratulate my hon. Friend the Member for Liverpool, Walton (Steve Rotheram) on securing this debate. It is a privilege to follow my hon. Friend the Member for West Lancashire (Rosie Cooper) and other Members who have made constructive contributions. Compared with some other debates that I have been involved with in recent weeks and months, the unanimity today is a refreshing change.

I pay tribute not only to my hon. Friend the Member for Liverpool, Walton and the other Members who are in Westminster Hall today, but to the people—more than 110,000 of them—who signed the online petition that was set up by the Oliver King Foundation. Indeed, I pay tribute to the King family, Jake Morrison and all those who have been instrumental in taking forward the campaign. I also thank the Minister for agreeing to meet campaigners; that is very important. It shows the public interest in and the importance of the issues that we are debating today.

As you might be able to tell from my accent, Mr Amess, I am not actually from Merseyside, Liverpool or the north-west.

[Andrew Percy]

No?

[Grahame M. Morris]

Well, I am fifth-generation from that area actually, so I have a connection with it. However, I am from the north-east and I know that many colleagues from the north-east and from across the whole country are concerned and share the aims of the OK Foundation, so I hope the Minister will support the campaign to provide defibrillators in all public buildings.

My hon. Friend the Member for Liverpool, Walton referred to the protection that we enjoy here in the Palace of Westminster. I tried to find out precisely how many defibrillators there are in the Palace. There are notices about them at the end of every corridor, including my corridor, and I found that there are actually 16 defibrillators in the Palace. Somebody here obviously knows the importance of early defibrillation in the event of a cardiac arrest, and they are to be complimented for that. The general public should enjoy a similar level of protection.

This is a matter of life and death. As my hon. Friend said, an estimated 60,000 out-of-hospital cardiac arrests occur each year and, incredibly, of the 30,000 cases attended by medical professionals, fewer than one in five of the people affected receive the life-saving intervention they need following a survivable cardiac arrest. I did not realise until I looked at the numbers involved quite how mind-boggling they are. There are nearly 100,000 deaths each year in the UK due to cardiac arrest, which is more than 250 a day, making it one of the UK’s biggest killers.

Hon. Members have already mentioned the British Heart Foundation’s high-profile “Staying Alive” campaign and information film on hands-only CPR. The House will be relieved to know, Mr Amess, that I shall not attempt to sing it or repeat it, but that was a successful campaign. It is reported that in November 28 lives were saved by people who learnt how to administer CPR from the advert headed up the footballer Vinnie Jones, or were inspired by it to take further lessons and coaching, and I imagine that that number is even higher today.

I was surprised by the UK’s record on emergency life-support skills. A British Red Cross survey found that only 7% of people in the UK have first aid skills, compared with 80% of people in Scandinavian countries and a similar figure in Germany. I was surprised, because in the area where I grew up and have always lived, there was quite a strong tradition with the St John Ambulance, and so on, so I expected the figures to be higher, but perhaps it is a function of the society in which we live. That is a major omission and I hope that the Minister takes note of it.

A further survey of public support carried out by the British Heart Foundation found that 73%—almost three quarters—of schoolchildren wanted to learn how to resuscitate someone and give first aid, and more than three quarters of teachers and parents agreed that it would be a good thing to be taught in schools. I hope that the Minister will speak with her counterparts in the Department for Education and press for these life-saving first aid skills to be a core part of the national curriculum, to ensure that all young people leave school equipped with the ability to save a life. That would be really worthwhile.

We know that time matters when cardiac arrest occurs. For every minute that passes following a cardiac arrest and before CPR is administered, the chances of survival are reduced by around 10%. Although CPR can buy more time, defibrillation is the only effective treatment for cardiac arrest caused by ventricular fibrillation, where the heart quivers and stops pumping blood around the body. The British Heart Foundation has found that, for every minute that passes without defibrillation, chances of survival decrease by 14%. We have heard how CPR can improve the chances of survival. We have also heard about research that shows that applying a controlled shock within the first five minutes of collapse provides the best chance of survival. It is therefore essential that defibrillators are readily available, particularly in places where there is higher incidence of cardiac arrest or where it might be difficult for emergency services to arrive quickly.

I applaud the efforts of one of my local newspapers, The Northern Echo, which has been running the “A Chance to Live” campaign in my region, promoting the use of defibrillators in public places, particularly gymnasiums, where there is a greater risk of cardiac arrest occurring both before and after strenuous effort. I am pleased to note—we did a bit of a survey—that all the local authority and council-run gyms in the north-east have defibrillators and staff trained to use them. It has been reported, however, that 80% of private gyms do not have some form of life-saving equipment available; it does not seem to matter whether it is a small gym or one of the larger, more up-market leisure gyms. When challenged about the lack of defibrillators in their gyms, Bannatynes, headquartered in Darlington, issued a statement explaining that they did not have defibrillators because

“they are a specialist piece of medical equipment, which should only be operated by a qualified medical professional.”

I do not know if hon. Members have any contact with Duncan Bannatyne, or if he will get a copy of this debate, but having heard the comprehensive, complete and compelling case advanced by my hon. Friend, it is clear that it is not necessary to have comprehensive training to use a defibrillator. I hope that in the course of this debate we can put to bed this misconception.

As we have heard, modern defibrillators are designed to be used by untrained members of the public; they provide audio and visual instructions to the user and the machines will automatically diagnose the patient and deliver an electric shock only if it is necessary. To provide a medical opinion, as we have the Minister here, in my area in County Durham, Dr Harry Byrne, vice chairman of NHS Darlington clinical commissioning group, has described defibrillators as the

“single greatest advance in out of hospital cardiac assistance since the invention of chest compressions or CPR…You don’t have to be a trained first aider to use one. You just pull it out of the box and follow the instructions step by step. It even tells you what to do”,

as we have heard, from my hon. Friend and the hon. Member for Brigg and Goole (Andrew Percy).

A defibrillator is an essential life-saving piece of equipment and I hope defibrillators will become common, not just in schools, but in workplaces, too. Hon. Members have suggested that they should be in shopping centres and nursing homes. They should be in community buildings as well. Certainly, though, they should be in schools. I agree with my hon. Friend that they should be as common as fire extinguishers and smoke alarms. I hope that the Minister supports these measures and will be proactive in protecting the public and ensuring that everyone, no matter where they live and work, has the best chance of surviving cardiac arrest.