World Sepsis Day

Jim Shannon Excerpts

Wednesday 13th September 2023 Westminster Hall

[Christina Rees]

I thank my hon. Friend for her important intervention and I am very sorry to hear of her constituent’s loss. My heart goes out to Rick’s family and friends. I will speak a lot about the UK Sepsis Trust, because it helped me enormously and I want to highlight its work in fighting sepsis.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady on securing this debate and for the very personal story she has conveyed to us all—we are very much moved by it. To reinforce what the hon. Member for Feltham and Heston (Seema Malhotra) said in her intervention, sepsis claims some 11 million lives globally each year, or five lives every hour in the United Kingdom. That is more than the deaths from bowel, breast and prostate cancer combined. To give a Northern Ireland perspective, sepsis affects around 7,000 people yearly in Northern Ireland, of whom 1,240 lost their lives to it in 2021. Does the hon. Member for Neath (Christina Rees) agree—I suspect the answer will be yes—that there must be more awareness of the earliest symptoms, to ensure that death from this dangerous and life-threatening disease is reduced as much as possible across all of the United Kingdom of Great Britain and Northern Ireland?

[Christina Rees]

I agree with the hon. Gentleman. He must have seen my speech, because he has quoted some of the stats that I am going to come on to later.

What is sepsis? It is a life-threatening condition that arises when the body’s response to infection causes injury to its tissues and organs. It is a global health concern, but today I will focus on its prevalence, the challenges and some potential solutions in the UK. Sepsis is indiscriminate. While it primarily affects very young children and older adults and is more common in people with underlying health conditions, it can readily occur in those who are otherwise fit and healthy.

Sepsis can be triggered by an infection, including chest and urinary tract infections. It is not known why some people develop sepsis in response to those common infections whereas others do not. Sepsis is often referred to as “the silent killer” because of its ability to strike swiftly and unexpectedly. In the UK, sepsis is a significant public health problem. Each year around 240,000 cases are reported, leading to more than 48,000 deaths.

Sepsis is the leading cause of avoidable death in the UK, claiming more lives than breast, bowel and prostate cancer combined. Unlike data for heart attacks, strokes and cancer, sepsis data is imprecise, because it relies on coded administrative data rather than the granular clinical data of patient-level registries. Moreover, this striking deficit means that not only do we find it necessary to estimate the burden of disease, but we are decades away from precision medicine for sepsis. However, therein lies a paradox, as the UK’s unique healthcare infrastructure means that we are well placed to change that for the world.

Around 40% of people who develop sepsis are estimated to suffer physical, cognitive and/or psychological after-effects. For most people, those will only last a few weeks, but others can face a long road to recovery and develop post-sepsis syndrome. One of the biggest challenges in tackling sepsis is early diagnosis. Sepsis can mimic other common illnesses, making it difficult to spot in its early stages. Symptoms such as fever, increased heart rate, rapid breathing, confusion and extreme pain can be attributed to various conditions. This leads to delayed treatment, which significantly worsens the patient’s chance of survival.

To combat sepsis effectively, awareness is the key. The UK and devolved Governments, healthcare professionals, and organisations such as the UK Sepsis Trust have been working tirelessly to educate the public and healthcare providers about the signs and symptoms of sepsis. Public awareness campaigns and training for healthcare workers have been instrumental in improving early detection. Timely intervention is crucial in sepsis management. The UK Sepsis Trust’s “Sepsis 6” care bundle and treatment pathway includes administering antibiotics, providing fluids and monitoring vital signs, and has been implemented in 96% of hospitals across the UK and in 37 other countries worldwide to ensure rapid and effective treatment. Early recognition and swift action can save lives and reduce the severity of sepsis-related complications, but despite such work, there remain many cases of avoidable death every year.

PANS and PANDAS

Jim Shannon Excerpts

Tuesday 12th September 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is indeed a pleasure to speak in this debate.

First of all, I thank the hon. Member for North East Fife (Wendy Chamberlain) for securing this very important debate and for, as always, setting the scene so well. She and I may be from different political parties, but when we clearly agree on social issues, I am more than pleased to come here and support her. I added my name, as did others, to early-day motion 948, submitted by the hon. Lady to highlight the issue of PANS and PANDAS. It is a reminder that the census estimated that between one in 200 children in the United Kingdom of Great Britain and Northern Ireland are subject to this condition. The numbers are not minuscule; it resonates across the whole UK.

PANS and PANDAS are two related paediatric disorders that can have a profound impact on a child’s life. Those who have spoken before have outlined examples and interventions to illustrate the case being made so well. There is currently no uniform recognition or treatment for the condition, as the hon. Lady set out in her introduction. Although the World Health Organisation guidance recognises the condition and recommends treatment with antibiotics, that has yet to be adopted by the NHS. The Minister knows I have a fondness for her as a Minister. I know she does well and that her instinct is to respond well and to answer the questions that we ask. I look forward to hearing her response.

The NHS not recognising these conditions leaves families devastated as they struggle for treatment. Some families have said that they have been referred to CAMHS as an alternative to NHS treatment. That is not always the most appropriate treatment, by the way, but at least there is some response. Others have outlined the symptoms that PANS and PANDAS can include. We probably have all recognised them in our constituency cases, whether it be OCD, tics, restricted food intake, development regression, anxiety, depression, irritability—even hallucinations and delusions. Those are so great that they cannot be ignored.

The hon. Member for North East Fife sent us some information at our request, which we appreciate. That illustrates the issue the hon. Lady wants to put forward, so we can support her from a constituent’s point of view. When I read what the hon. Lady’s constituent, who is suspected to have PANS and PANDAS, had said, there was a real disconnect given that health is devolved.

The hon. Member for North East Fife referred to the comments of the hon. Member for Motherwell and Wishaw (Marion Fellows), which I know, without even hearing those words, will also support the points of view that we are putting forward today. The devolved nations must now fight harder for an approach.

[Martin Docherty-Hughes]

Briefly on the devolved nations, does the hon. Gentleman recognise that we need to work with our colleagues in the Scottish Parliament, MSPs, with Members of the Senedd of Wales and, if it deigns to sit, Stormont, where MLAs need to reform themselves to make appropriate health policy for devolved nations.

[Jim Shannon]

I absolutely do think that. I thank the hon. Gentleman for that intervention. At the end of my contribution, I was going to ask for that very thing. The hon. Gentleman has reminded me and the House of the importance of all the devolved nations working together, in tandem and alongside the Minister here at Westminster.

The symptoms of PANS and PANDAS can make education and school life difficult for children and young people. I know education is not the Minister’s responsibility, but I believe there is a need for the two Departments to work in tandem. Schools have a duty to support children and young people with medical needs, and that wee bit of extra support must be there for our young people. PANS PANDAS UK has been providing free and online CPD-accredited training for a wide range of professionals, including educational psychologists, specialists and support teachers. That is indeed a much welcomed step.

Will the Minister reaffirm what the hon. Member for West Dunbartonshire said in his intervention: ensure that at Westminster the evidential and factual base and the information that the Minister has in her Department is shared with the devolved Administrations? I believe that sometimes here at Westminster, the Government should drive the policy for the devolved nations. I know that matters are evolving and that responsibility lies with the devolved nations, but the Government will not find us wanting. They will not find the Scottish Parliament, the Welsh Parliament or the Northern Ireland Assembly wanting when it comes to working collectively to make life better for our constituents.

We are discussing a devastating condition, which impacts children and their families. The NHS must do more to support parents in learning how to cope with it, and research must be better funded to assist with diagnosing the condition. There is much more to do to support those with the disease.

I thank the hon. Member for North East Fife for raising the matter today, and every right hon. and hon. Member who has contributed through speeches and interventions, and those who will contribute shortly. I look forward to the shadow Ministers’ contributions and particularly to that of the Minister. I say to her that the eyes of all of us will be upon her as the Minister, and upon the Government, looking for the response that we hope to receive.

Hormone Pregnancy Tests

Jim Shannon Excerpts

Thursday 7th September 2023 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Member for Bolton South East (Yasmin Qureshi) on raising this issue, and I thank her for bringing this important debate to the Chamber and enabling us all to participate and add our contributions. I have spoken on this issue in the Chamber before, as have others, but today is important. The right hon. Member for North East Somerset (Sir Jacob Rees-Mogg) said succinctly in his introduction that for the life of him he could not understand why the Government have not accepted the key issue. To him, it is an open and shut case; it is to me, too. The Government really should grasp that and come back with the answer that we all seek.

I want to speak up for all those mothers and families impacted across Northern Ireland. As the only Northern Ireland MP here in the debate, I wanted to contribute and assure those families across Northern Ireland that I am here to represent them and be their voice. The issues regarding Primodos have been ongoing for many years. We still have families fighting daily for justice, or simply for an explanation of what went wrong. The independent medicines and medical devices safety review has stated its view that from 1967, hormone pregnancy tests should no longer have been available. However, the facts show, as right hon. and hon. Members have illustrated on behalf of the families, that it was still used until 1978. I stand with right hon. and hon. Members to speak up for those who have no justice, no answers and no compensation to this day. Like the right hon. Member for Kingston and Surbiton (Ed Davey), I wish to see compensation that reflects the loss and impact on those mothers and children and all the families.

Varying combinations of pills are used to this day by millions of women for contraception. Primodos tablets were 40 times the strength of the pill. My goodness, if we grasp that, it leads us straightaway to what happened, but nobody knew it. Campaigners have claimed that the use of the medicine in early pregnancy caused a range of devastating and lifelong impacts such as limb defects, spina bifida, congenital heart defects and developmental and learning problems, to name just a few. Furthermore, it has been claimed that the use of the drug led to miscarriage or stillbirths. The right hon. Member for Hemel Hempstead (Sir Mike Penning) made that clear in his intervention, for which I thank him as it was a good reminder of the impacts.

I am pleased that it has now been decided that an apology is due. Words are great, and it is good to have the apology on the record, but as elected representatives we want support and compensation for the families who have suffered avoidable harm. I am not convinced that an apology goes far enough. I speak for those who have suffered miscarriages and stillbirths, and I have raised this issue before. In so many cases, we are unable to carry out genetic testing due to babies dying and their remains being gone, as the right hon. Gentleman rightly said in his intervention. I have no doubt that so many families out there are still traumatised by the prospect that their baby did not survive because of this drug. There must be support for those parents too. I look to the Minister to consider them for any form of compensation or support that may be forthcoming. There is sufficient evidence to prove that the drug was harmful for a period of time. We had a duty of care then and we have one now to those families. The Government must not fail again.

To conclude, I believe there is scope to do more, both now and in the future, to support the families who have been suffering these traumas for decades and to ensure that such mistakes are not made in the future and lessons are learned to protect life. Let us do something for all those families who this day want help which, at the moment, does not seem to be forthcoming. That is why I look to the Minister, who is very understanding. She understands the issue very well. She has the heart for it. On behalf of my constituents and others, I hope that today we get the answers and the full compensation we want for them.

Non-disclosure Agreements in the Workplace

Jim Shannon Excerpts

Tuesday 5th September 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to speak in the debate. I congratulate the right hon. Member for Basingstoke (Dame Maria Miller) on setting the scene so well and all those hon. and right hon. Members who have made significant and helpful contributions. I wish to add my support to what the right hon. Lady has put forward and to give, as I always do, a Northern Ireland perspective on what we are discussing. It is good to be in Westminster Hall and back after the summer break, so to speak.

The right hon. Lady has raised this issue with us today and in the past. I have been in attendance to hear many of her comments about the dangers that non-disclosure agreements can pose in the workplace specifically. In theory, the agreements are supposed to be used as a legally binding contract that establishes a confidential relationship—if only that was what they were used for. As everyone knows, they have been misrepresented and used for other purposes, and that is why the debate is taking place. They can ensure secrecy and confidentiality for sensitive information, but have been seen more recently as a weapon to keep people quiet. It is crucial that the agreements are used correctly, so it is great to be here to discuss them and highlight some issues as well.

In May 2023, the Higher Education (Freedom of Speech) Act 2023 received Royal Assent. It included provisions to prohibit higher education providers and their colleges from entering into non-disclosure agreements with staff members, students and visiting speakers in relation to complaints of sexual misconduct, abuse or harassment. That was backed in 2022 by the then Minister for the Economy in the Northern Ireland Assembly and my party colleague, Gordon Lyons MLA. Queen’s University, Ulster University, Stranmillis University College, St Mary’s University College and the Open University in Northern Ireland have also signed up to the pledge.

I warmly welcome the Can’t Buy My Silence campaign and everything it stands for, which is ensuring that NDAs are only used for their intended purpose of protecting sensitive information in relation to a trade or a company. The idea that NDAs are used to silence those who are victims of bullying or misconduct within a business setting is totally disgraceful. We all have offices and staff, and most importantly we have a duty of care to each other to protect and listen to any concerns that our staff have. I find it implausible and difficult to imagine a situation where using an NDA for dealing with misconduct is a sensible idea for any party ever—I cannot comprehend it.

Some 95% of respondents to a survey carried out by the CBMS campaign stated that signing an abusive NDA had a profound impact on their mental health, so there are side effects as well. I certainly agree with the calls to extend the ban on abusive NDAs to more sectors. They have been used to silence people not only in universities, but in workplaces and other professional settings. There is a complete lack of legal oversight too, where victims do not have representation from a regulated legal professional and abusive NDAs are internal within an organisation or business.

A workplace should be an environment where staff members feel safe and can work to the best of their ability with no fear or worry of advantage being taken that is backed up by unhealthy and ill-thought-out NDAs. Another useful point is that banning the use of abusive NDAs helps to stop repeat offenders, as within the workplace there is no protection against abusive behaviour. A predator or someone who inflicts abuse on someone else has the underlying protection of an NDA, knowing that the information will not be shared. Banning NDAs gives predators no way out and would stop their behaviour, or they would risk being let go or even prosecuted.

[Peter Grant]

On the question of protecting repeat offenders, does the hon. Member see the massive injustice in this? A victim who speaks out is likely to be denied employment opportunities for the rest of their life, but a rogue employer or director can be protected, get a golden handshake and work on a different board of directors within a week and carry on with their nefarious behaviour. That degree of disparity is a massive injustice that has to be addressed.

[Jim Shannon]

The hon. Gentleman is absolutely right. There is no one present who does not understand that. When someone wants to do their best at work and is taken advantage of by an employer, that is unacceptable. I hope that when the Minister responds to our comments, he will grasp what we are trying to say. The right hon. Member for Basingstoke and the Mother of the House, the right hon. and learned Member for Camberwell and Peckham (Ms Harman), who made a powerful intervention, proposed a legislative way forward and set the scene very well.

I support the points made by the right hon. Member for Basingstoke and would be happy to support this matter further. We must ensure that NDAs are used for the correct purpose and not to hide and cover up nasty and disgraceful behaviour in the workplace that would otherwise go unpunished. I have hope that through this campaign we can do better to protect people from such coercion and behaviour and do more to ensure that the workplace is a healthy and happy environment. That is a goal worth trying to achieve. It would be better for everyone at work.

Economic Crime and Corporate Transparency Bill

Jim Shannon Excerpts

Consideration of Lords amendments
Monday 4th September 2023 Commons Chamber

[Kevin Hollinrake]

I will speak in detail to the various amendments, including the non-Government amendments, one of which is on the threshold that the hon. Lady refers to. If I may, I will defer addressing that until later in my remarks.

The Government have also introduced reforms to the identification doctrine for economic crimes to make it easier to prosecute corporations in their own right for these offences. The House will know that this is the largest and most meaningful change to corporate criminal liability in decades. It will have a transformative effect on our ability to hold corporates to account for the actions of criminal individuals. I thank my right hon. and learned Friend the Member for South Swindon (Sir Robert Buckland) and my hon. Friend the Member for Bromley and Chislehurst (Sir Robert Neill) for all their work and engagement to further the cause for the reform of corporate criminal liability.

We have also made amendments to tackle strategic lawsuits against public participation, known as SLAPPs, that feature economic crimes. We believe that this is the first national legislation in the world to combat SLAPPs. The new clauses will enable an appropriate, fair and effective early dismissal procedure against SLAPP cases. I very much thank the right hon. Member for Birmingham, Hodge Hill (Liam Byrne) for his work in this area.

Members will also be pleased to hear that the Government have tabled amendments to improve the new statutory objectives for the registrar of companies, and I hope my hon. Friend the Member for Barrow and Furness (Simon Fell) and the hon. Member for Feltham and Heston (Seema Malhotra) in particular will welcome these improvements, given their previous amendments.

We also recognise the points made by several Members of this House, as well as in the other place, about the role of authorised corporate service providers in the identification process, and we have tightened the framework. Our amendments will improve the transparency of ACSPs, including by requiring verification statements made by ACSPs when they carry out ID verification on behalf of an individual to be made publicly available on the register.

Furthermore, we have tabled a number of important amendments to strengthen and increase the transparency of the register of overseas entities, which I trust the hon. Member for Aberavon (Stephen Kinnock) and the right hon. Member for Barking (Dame Margaret Hodge) will welcome, given the amendments they proposed in Committee. I must pay tribute to my ministerial colleagues Lord Sharpe of Epsom, Lord Johnson of Lainston and Lord Bellamy for all the work they have done to get this important Bill to where it is now.

[Jim Shannon (Strangford) (DUP)]

May I thank the Minister? He always brings his points of view to the Chamber with clarity and helpfulness, and that is appreciated by everyone, including me.

We as a party are of a mind to support the Government on this Bill tonight. I want to ask a question that is probably very specific. It relates to Northern Ireland, where criminal gangs—that is what they are; they masquerade as paramilitaries, but they are criminal gangs—delve into business and economic crime. I am seeking assurance from the Minister—I think he probably will respond positively, but at the same time I seek to get his response on the record. Will this Bill ensure that criminal gangs that use illicit money and launder money from across the whole of Europe and further afield will be accountable, by ensuring that we can catch them, detain them and put them in jail?

[Kevin Hollinrake]

I thank the hon. Gentleman for his work and his intervention. It is clear that fraud and money laundering are already criminal acts; what the Bill principally does is help to prevent fraud by requiring organisations to make sure that fraud is not happening within them in the first place. I think he has spoken to that in the past, as have I as a Back Bencher. I fully support it as the Minister concerned, and I absolutely believe that the Bill will have a major impact in clamping down on economic crime.

We must do more to tackle crime, but we must also ensure that the UK remains a great place to start and grow a business. As such, the Government strongly oppose putting additional burdens on legitimate business, unless there is a clear rationale for doing so. Any amendments made to strengthen the Bill have been carefully weighed up, and the Government are confident that we have struck the right balance in tackling economic crime and preserving the UK’s welcoming business environment.

Oral Answers to Questions

Jim Shannon Excerpts

Thursday 20th July 2023 Commons Chamber

[Mr Speaker]

Let us go to the wild swimmer of Strangford lough, Jim Shannon. [Laughter.]

[Jim Shannon (Strangford) (DUP)]

Wild swimming conjures up all sorts of things in my mind—probably more emphasis on the wild.

I thank the hon. Member for Waveney (Peter Aldous) for the question and the Minister for his response. Growing up in Ballywalter in the ’60s—also the age I am right now—there were no swimming pools, and we always used the sea. It is important that water has the quality and cleanliness to allow people to swim, so has the Minister spoken to any of the councils or authorities in Northern Ireland to ensure that our waters, including Strangford lough and the sea off Ballywalter, are of a standard that enables people to swim without any fear?

[Stuart Andrew]

The hon. Gentleman is absolutely right to highlight the importance of the quality of outdoor waters, and a lot of work is done to educate children in water safety. I have not had the chance to speak to anybody in Northern Ireland yet, but I understand that I may well be going there during the recess, so I will take the opportunity to do just that.

--- Later in debate ---

[Andrew Selous]

My hon. Friend has done a great service by putting this matter on the record in the House. I am sure that she, like me, would like to see much greater reporting of these issues by the BBC and others. What she has told us is truly shocking, and I know that the Archbishop of Canterbury, who visited India in 2019 to see the challenges at first hand, remains extremely concerned that such attacks have been worsening and spreading to other minority faith communities, so I will bring my hon. Friend’s report on Manipur directly to the Archbishop’s attention.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Gentleman for his response to the hon. Member for Congleton (Fiona Bruce), who does such fantastic work as the ambassador for not only the Prime Minister but all of us in the House.

In February, I visited Pakistan with the all-party parliamentary group for international freedom of religion or belief. Further to what the hon. Gentleman said, will he advise the House on what steps the Church of England is taking to support the Anglican ministry in Pakistan and to defend the rights of Pakistani Christians to practise their faith and express their beliefs without fear of repression?

[Andrew Selous]

I talked earlier this week with Dr Sammy Wainaina, the Archbishop’s new adviser on Anglican communion affairs, and he specifically mentioned Pakistan, so I am grateful that the hon. Gentleman has mentioned it. He is right that the situation there is extremely challenging—priests have been murdered—and the Archbishop visited quite recently. I express particular gratitude to the two hon. Members who have put these matters on the record this morning; they are right to do so and I hope they continue to do so.

HPV Vaccinations

Jim Shannon Excerpts

Wednesday 19th July 2023 Westminster Hall

[Sir Paul Beresford (Mole Valley) (Con)]

I beg to move,

That this House has considered HPV vaccinations.

I am delighted to see you in the Chair, Dame Maria. I am also delighted to see the Minister. The subject of the debate is vaccination against the human papillomavirus. Unusually, both the Minister and I have seen HPV-related cancers, the destruction that the surgery to get rid of them does in providing a so-called cure, and how that often leaves patients. To be a little more positive, we have markedly moved our healthcare towards prevention. An increasingly vital arm of our preventive attack on various diseases must be vaccination. A vaccination strategy must focus not only on protection, but on elimination. For some diseases, we have been able to move towards elimination of the causative agent. That is the drive for me in this debate.

Vaccination has been around for a long time, ever since Dr Edward Jenner used the pus from a cowpox sore to inoculate an eight-year-old boy against smallpox in 1787—the first of thousands of people he and others inoculated and saved from smallpox that year. Millions upon millions have been inoculated since. I have no doubt that in this day and age, Dr Edward Jenner would have been up before the General Medical Council and struck off for recklessly endangering life, spreading disease and not following the guidance of the Joint Committee on Vaccination and Immunisation—I do not cross swords with it very often, but I have done so in the distant past. Since 1787, the development of vaccines has saved multiple millions of lives and stopped even more millions from various serious illnesses. The brilliant development and use of covid vaccines was a spectacular example of how far and how quickly we can progress.

I remember the mass inoculation programme against the polio epidemic from when I was a very small child. We saw polio spread through our community. If I remember correctly, the vaccination was a series of three injections in the upper arm using a syringe with a needle that was, in my view as a child, like a hollow 4-inch nail sharpened at the working end. It was plunged into my arm, reused after sterilisation and sharpened on a leather strop. It really hurt. Of course, the polio vaccine is now just a sugar cube carrying the vaccine, and kids love it. It has effectively wiped out polio in this country and most others. As we are all aware, there have been huge advances in the development, delivery and programming of vaccines, particularly for small children, who have been given huge protection against a variety of diseases. Over decades, vaccinators have had the chance to rid the world of some of these nasty diseases. Polio has been virtually eradicated. Apart from a few pockets in the world, yellow fever—a horrendous disease—has gone. Smallpox has gone. Measles went, but it has come back, because the vaccinations slipped.

I turn to HP viruses. They are a large family of viruses, at least two of which are downright dangerous to humans because they are causative agents of very many human cancers. They cause cervical, uterine and penile cancers and—in my professional area, which the Minister is aware of from her point of view—head and neck cancers. I point out my professional interest as a very part-time dentist. Head and neck cancers can be very hard to detect early and are frequently very destructive to treat. Surgery is frequently required. Such surgery commonly impairs normal living, such as eating, smiling and talking, and often physical appearance.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Gentleman for securing this debate; he is right to have done so. I know that the Minister will respond in a very positive fashion, as she always does. Does the hon. Gentleman agree that the Government and the Minister must perhaps be clearer on why one dose is now needed, when parents in my constituency with a medical background tell me that one dose will not seal the vaccination? They are asking why covid boosters were essential, but this standard form of vaccination does not seem to be.

[Sir Paul Beresford]

As ever with the hon. Member’s interventions—which are frequent, as we have noticed, and press releases must result from them—he raises an interesting point. I will touch on it as I move on.

As I said, head and neck cancers can be hard to detect early. They are destructive to treat. However, we have had a vaccine for some time. For many years, there has been an initially very successful UK campaign to vaccinate teenage girls, targeting protection against cervical cancer. As the Minister will be aware, various colleagues and I, along with various groups, ran a campaign to make the vaccine available for teenage boys as well. The vaccine has been given to young teenage boys and girls and is not in the package received by infants. To be successful, we can and must drive the virus out. To do that, we must obtain herd immunity, with an overwhelming majority of teenagers inoculated—90% is the minimum target—but that is not happening. In 2021-22, only 9.8% of year 8 boys in this country were fully vaccinated. The figure for girls is better, but it is still only 67.3%.

With experience from the covid vaccine, we now have a real opportunity to rid the country of this deadly virus through an effective, concerted campaign, as we did with covid. The scientists have helped and, as has been mentioned, the HPV vaccination initially required two spaced injections, which have now been reduced to one. They use modern, fine, sharp needles, unlike the needles I was used to, meaning an essentially painless application.

There are some hurdles. This is being given to young teenagers, preferably both boys and girls, but an isolated vaccination is unfortunately not part of the package of early year vaccinations. Because early HPV vaccinations were promoted as preventing cervical cancer, some groups wrongly saw them as promoting promiscuity. That could not be further from the truth. For that reason, in our next campaign we should tend to slant the promotion more to the prevention of death and disfiguration from head and neck cancers, as well as cervical and penile cancer.

The NHS developed IT systems on a personal, individual level over the covid campaign. Someone on the campaign list would get constant reminders to get the covid boosters; those reminders kept coming until they had got the boosters. The same could be applied to HPV, especially as teenagers’ lives are generally dominated by their phones. A vigorous campaign in schools would help, and pushing in GP practices so that parents got involved.

As someone born in New Zealand, it pains me to say that the Australians are driving for an HPV-free nation, and I have heard that the New Zealanders are following suit. The Aussies appear to be winning against the virus. They are on the edge of being below four cervical cancer cases per 100,000 annually. If the Australians can do it, we can darn well do it.

The consequences of removing this virus are enormous: saving lives, saving thousands from disfiguring and often debilitating surgery and, most importantly, saving vast sums from our precious health budget. Minister, let’s get on with it.

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

It is a pleasure to serve under your chairmanship, Dame Maria. I thank my hon. Friend the Member for Mole Valley (Sir Paul Beresford) for bringing this important issue to the Chamber today. I know that he has done a great deal of campaigning on this, particularly vaccination for boys, and that he has clinical experience. We have discussed this, as we have both seen at first hand the horrific effects of head, neck and oral cancers on individuals and the difficult treatments they have to undergo, including surgery and radiotherapy. People are often not aware that HPV vaccination relates to head and neck cancers as well as cervical cancer.

HPV causes about 99% of all cervical cancers, but thanks to our world-leading vaccination programme that protects girls and boys, we have seen an 87% reduction in cervical cancers in vaccinated women compared with previous generations. Our ambition is to work to eliminate cervical cancer, and the HPV vaccination programme is a key part of that, but we are also looking at the data on the impact on rates of head and neck cancers as well as other cancers. Vaccination is a game changer in preventing some cancers caused by HPV.

The UK was one of the first countries in the world to introduce an HPV vaccination programme, back in 2008. Since then, millions of vaccines have been delivered, stopping the transmission of HPV, protecting individuals and saving lives. The programme has been evolving and we have made a number of significant changes, including introducing more effective vaccines, reducing the number of injections required and making the programme universal; in 2019, it was offered to boys as well as girls. Those changes have further strengthened what was already a very successful programme, and it is a key priority for the Government to increase uptake rates of the vaccine to at least pre-pandemic levels. That is a good place to get to, but of course we want to go further if we can.

Although we are not back to pre-pandemic levels yet, we are seeing encouraging recovery among older school-age children, as those who missed their vaccination during the pandemic are being caught up with. The vaccine is mainly delivered by school-based vaccination teams, and this delivery model, in combination with alternative vaccination sites for those who are not in mainstream education, has been very successful in getting our uptake rates pretty high.

Pre-pandemic levels of vaccination were consistently high across the board. To try to get back to those levels, anyone who missed their immunisation for whatever reason will remain eligible until their 25th birthday. They can catch up via their schools, alternative sites such as community centres, and GP practices, so there is a range of routes through which a young person who missed their vaccination can still access it until they are 25.

There is a separate HPV programme for gay and bisexual men, who are also at risk from HPV. The JCVI advises that they are at an increased risk of the virus and its effects on particular cancers. That is why there is a separate programme available through specialist sexual health services and HIV clinics, and the vaccine can be accessed until a man’s 46th birthday. There are two separate programmes, with multiple ways in which people can get the vaccination, and we encourage them to do so.

We have raised the eligibility age over the course of the programme and offered the vaccine to boys as well as girls. Using recent evidence, we are able to compare pre-covid vaccination rates of girls, but we are not able to with boys, because they have only been offered the vaccine since 2019. We are looking at the data, which will take years to develop, on the effect of vaccinating boys on preventing cervical cancer in future partners and on other types of cancer caused by HPV.

We are now evolving how many doses we give. When the programme started, people were offered three doses. That has since been brought down to two doses, and from September this year, a single dose will be sufficient to vaccinate fully against HPV. The hon. Member for Strangford (Jim Shannon) asked how we can be sure that a single dose will be effective. The JCVI looked at the evidence and recommends a single dose. We know from vaccination rates that young people often come for one dose, but may not return for the second. If we are happy that a single dose is effective, that will get our vaccination rates up. My hon. Friend the Member for Mole Valley highlighted the example of Australia, where a single-dose vaccine is used, with good success rates. The JCVI, the World Health Organisation and the Scientific Advisory Group for Emergencies all recommend moving to a single dose, because the clinical evidence is that it is just as effective as two doses.

Moving to a single dose will allow our vaccination teams to focus on catching up with those who have not turned up for any vaccines. That is our key priority: reaching out to those groups that have not come forward, because of the implications of trying to prevent cancer in an individual and, as my hon. Friend the Member for Mole Valley said, trying to capture the herd immunity effect. There may be some people who cannot have the vaccine for some reason. Getting as many people vaccinated as possible means we are reducing the risk of cancer when they are older.

I can reassure the hon. Member for Strangford that these changes are based on scientific review and advice from independent experts and the JCVI. They all aim to strengthen the programme further and ensure that more people have access to effective vaccines to prevent HPV infection and future cancers.

[Jim Shannon]

First, I welcome the Minister’s response, which is very positive. I mentioned people in my constituency who are medically qualified in their particular sector. They may not have all the evidence that the Minister referred to. Would the Minister please email me to let me know when that information will be available? Thank you.

[Maria Caulfield]

Absolutely, we can send the hon. Gentleman the information provided by the JCVI on its recommendations. I think the hon. Gentleman also asked why it is a one-off and not a regular dose. The evidence and studies show that, when someone is vaccinated against HPV, the protection lasts for at least 12 years. It could well be longer but, because the programme is not that old, we have only that level of data. There is certainly at least 12 years of protection from that initial vaccination. We will send him that information; we quite rightly want people to be able to ask questions and be reassured by the evidence we are able to provide.

HPV vaccination is one of the most cost-effective ways to protect people from both the infection and related cancers. We are keen to ensure that vaccination levels are as high as possible. Pre-pandemic, the programme reached 80% coverage for two doses. Those were good levels of protection that we would like to get back to, and then go higher. Covid-19 disrupted the roll-out, because young people were not able to go to school, and the vaccination teams were not able to roll out those programmes. Despite catch-up work and teams working extremely hard, we are seeing a decrease in uptake in vaccination. That is of concern because of the future implications.

We are committed to recovering the HPV programme back to pre-pandemic levels. We have seen some recovery when we have done catch-up work. To put it in context, HPV vaccine coverage decreased by 7% in year 8 girls, and 8.7% in year 8 boys. That is quite a significant drop. We have figures only for girls pre-pandemic, but these rates are about 18% lower than pre-pandemic coverage. That shows that my hon. Friend the Member for Mole Valley is quite right to raise this issue, and that there is work to do. I am happy to commit to meeting with my counterpart in the Department for Education, the Minister for Schools, to see how much further we can go to support schools and make the vaccination roll-out more effective.

I will also meet with the screening team to see how we can drive up those rates further and whether we need better communication, for both young people and parents, about what a difference vaccination can make to a young person’s life. To a young person at school, cervical cancer or head and neck cancer seem a long way off, but vaccination is so important for the future, not just for them but for future partners. I commit to my hon. Friend the Member for Mole Valley that we will do more to get those rates back up, because it is in the interests of young people.

I thank my hon. Friend for raising the debate. I encourage him to keep holding our feet to the fire on this issue, because it is important that it does not drop off the radar. He was quite right to raise the issue of the covid vaccination. We have been extremely successful as a country, particularly in the initial roll-outs, in vaccinating the whole country at 12-weekly intervals and then with ongoing booster programmes for vulnerable people in the community. We do well with our flu vaccine roll- outs as well. We need to put this programme on a par with other vaccination programmes and I am keen to make progress.

I commit to working with my DFE counterparts and raising the profile of how important the HPV vaccination programme is. I commend my hon. Friend for all his work in this area, particularly his clinical work. He has picked up head and neck cancers at an early stage, and people will have benefited from his clinical expertise. The ideal is for them not to develop that cancer in the first place, and that is where we all want to get to. We are committed to increasing the uptake of the vaccination across all eligible groups, and I will keep the House updated on our progress.

Question put and agreed to.

Comprehensive and Progressive Agreement for Trans-Pacific Partnership

Jim Shannon Excerpts

Tuesday 18th July 2023 Commons Chamber

[Nigel Huddleston]

The message is quite simple: life is better with the Conservatives in charge.

[Jim Shannon (Strangford) (DUP)]

Let us not be churlish—this is a good deal and the Government deserve some credit for it. I sometimes despair when I hear those negative comments. When something is good, let us say that it is good. In the light of this tremendous deal secured by the Business and Trade Secretary, will the Minister further outline how his Department will work with FCDO Ministers to ensure that such deals further the aims and terms of our moral duty and international obligations? Again, I congratulate the Minister and the Government on their hard work well achieved and a deal done.

[Nigel Huddleston]

I thank the hon. Member for his always gracious and considered comments. He is right that we are committed to ensuring that all nations and regions of the UK benefit from this deal, including Northern Ireland, which is doing great things with export opportunities. In fact, there is a Northern Ireland investment summit coming up and, therefore, many opportunities. We will work constantly with the Administrations to make sure we take full advantage of this and all deals.

Post Office Horizon IT Scandal: Compensation

Jim Shannon Excerpts

Tuesday 18th July 2023 Commons Chamber

[Kevin Hollinrake]

I dealt with that question a second or two ago. It is right that the presumption of innocence is followed until proven otherwise, and the Williams inquiry is looking at Fujitsu’s role in this, as well as the roles of individuals in the Post Office and elsewhere. With regard to the document he refers to, clearly that is inappropriate, and the Post Office has apologised for it. That document, among others, forms part of the Horizon inquiry, which will need to establish the full facts before we decide what action to take.

[Jim Shannon (Strangford) (DUP)]

I commend the right hon. Member for North Durham (Mr Jones) and others who have assiduously pursued this matter and doggedly ensured a Government response. I know of postmasters who have lost their shirts because of the dreadful scandal. While it might be acceptable to push the date back on paper, in reality that could mean more defaults on payments and loans, and further humiliation for those people who have been tarred as dishonest, when we all know them to be decent and honourable. Can something be done to ensure that those who need it the most now have access to their reparations, as that will help them on the road to recovery from the trauma that they are feeling at this moment in time?

Charity Lottery Fundraising Caps

Jim Shannon Excerpts

Wednesday 5th July 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is always a pleasure to serve under your chairship, Mr Gray. It is also a real pleasure to hear from the right hon. Member for Aldridge-Brownhills (Wendy Morton), who set the scene so well. It is ladies who are leading the debate, but I am happy to add my support. The hon. Member for Motherwell and Wishaw (Marion Fellows) certainly set the scene too. I did not know that Wishaw had benefited from the People’s Postcode Lottery—well done. We heard from the hon. Member for Batley and Spen (Kim Leadbeater) about her visits around her constituency and the clear benefits of charity lotteries.

We do not have the People’s Postcode Lottery in Northern Ireland. We are not allowed it—for whatever reason, our laws prevent it—but it is advertised on the same TV stations that we all watch, so we feel somewhat concerned that we cannot participate. It is the law of the land. Nobody is trying to stop us; it is just that the gambling laws in Northern Ireland are a devolved matter. I know that the Minister will summarise that issue.

As all the hon. Ladies who have spoken referred to, charity lotteries generate moneys for good. On Friday, the National Lottery Community Fund—I have a really good working relationship with it, as all MPs do—notified me, as it always does, of the moneys coming to my constituency, and I want to use that to illustrate what can happen if the opportunities are there.

I understand that deciding whether or not to gamble is a personal choice, just like deciding whether to take alcohol. Similarly, the overuse of either is not good for an individual or, indeed, for a family unit. That is why I believe in the regulation of gambling, to the extent that we can regulate it, but I also believe in adding layers of protection where possible, for the sake of family units. That being said, I am aware of the wonderful work done by lotteries throughout the United Kingdom; the hon. Ladies all illustrated that very clearly and I know that the Front-Bench spokespeople will too.

I recently received an email about hundreds of thousands of pounds of national lottery funding making a difference to community organisations in my constituency, from Comber Regeneration to the Women’s Institute in Ballyblack outside Newtownards, and from Community Advice in Newtownards to the Portaferry gala, Portaferry Men’s Shed and the Killinchy social club. The benefits to all those groups are clear, but so is the regulation of the national lottery. We need to ensure that any changes to remove the cap on charity lottery fundraising will not adversely affect the regulatory protection that is in place. I believe that is the key to any changes. We all admire and appreciate the Minister for his frankness, but also for his humour and the way he puts his case; he is much loved by all of us in this House because of the way he approaches our questions.

In Northern Ireland, we are governed by stricter regulations regarding gambling under the Betting, Gaming, Lotteries and Amusements (Northern Ireland) Order 1985, which is why we do not have the People’s Postcode Lottery. I will outline some of the order’s key provisions. A society must register with the district council specifying the purposes for which it is established and conducted. Tickets may have a maximum price of £1. Each ticket must specify the name of the society, the name and address of the promoter, the date of the lottery and the name of the district council that registered the society. The price of every ticket must be the same and shown on the ticket. It is therefore not permissible to offer, for example, a book of six tickets for the price of five; it just cannot be done. The total value of tickets or chances sold in any one lottery must not exceed £80,000. No more than 50% of the proceeds of a lottery may be used to provide prizes.

It is clear that regulation remains much tighter in Northern Ireland than on the mainland, but I am keen—I have made this plea in Westminster Hall before—for the People’s Postcode Lottery to be able to come to us in Northern Ireland. The hon. Member for Motherwell and Wishaw described how it descended on her constituency and disbursed money in great amounts; perhaps someday that will happen in Strangford. Nothing would give me greater pleasure than to see my constituents benefit too.

I know that the Minister and Government have been considering the issue, and I understand that the small changes proposed today focus on allowing charities to raise more money and thereby do more good. I am keen to see that happen, because it is certainly admirable and welcome, but regulation must be in place to protect families as much as personal choice allows. I will always support good regulation when it comes to gambling; I know that the right hon. Member for Aldridge-Brownhills and everyone else who has spoken have the same opinion. I thank the right hon. Lady again for bringing the matter to Westminster Hall for consideration.