Junior Doctors Contracts

Jim Shannon Excerpts

Thursday 11th February 2016 Commons Chamber

[Mr Hunt]

The Welsh and Scottish Governments may have avoided the difficult decision that we are taking in the NHS in England, but the longer they go on avoiding the issue, the longer they will have higher mortality rates at weekends, which we are determined to do something about.

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for his statement. If we do not have enough junior doctors, patient safety cannot be guaranteed. In his statement, he referred to reducing the number of hours, nights, days and rostered weekends for doctors. Does he believe that that will ensure that there will be no strike? What safeguards are in place for patients, nurses and senior doctors if an agreement cannot be reached?

[Mr Hunt]

It is because an agreement cannot be reached that we have to take the measures that we are taking today. The bits of the new contract to which the hon. Gentleman draws attention are the bits that will have the biggest impact on the morale of junior doctors, because we are saying that we do not think it is right for hospitals to ask them to work five nights in a row or to work six or seven long days in a row. We are putting that right in the new contract. That will lead to less tired doctors and better care for patients.

Oral Answers to Questions

Jim Shannon Excerpts

Tuesday 9th February 2016 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

Northern Ireland has the lowest number of GPs per capita across the United Kingdom. In order to access GPs, we need to have GPs. In the whole of the United Kingdom of Great Britain and Northern Ireland 25% of GPs are aged over 55, and that is going to get worse. What steps have been taken to train more GPs and to ensure that they stay in the NHS and do not go overseas, where there are better wages and conditions?

[Mr Hunt]

We have plans, as I mentioned, to have 5,000 more doctors working in general practice, and there is a big interviewing process. We need to increase the number of GPs going into general practice by 3,250 every year and I am happy to liaise with the Province to see how we can work together on these plans.

Child Dental Health

Jim Shannon Excerpts

Wednesday 3rd February 2016 Commons Chamber

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

I have a well-known interest to declare as a very part-time, or occasional, dentist. I am a member of a number of dental organisations that have applied considerable pressure on me to seek this debate.

On 27 May, the Minister will give the opening address and take questions at the British Dental Association’s annual conference in Manchester. There are 39,000 dentists and 63,000 dental care professionals in the United Kingdom, spread over the four nations, with the majority of them in England. They will wish to hear about the national health service and contracts, but as professionals their biggest concern will probably be child dental health. Perhaps the Minister’s reply could be secret practice for opening the meeting, bearing in mind that, I suspect, very few dentists will be watching us.

Dentists feel that their small branch of general health is seen as a “Cinderella” service and a sideline within the national health service. Increasingly, the biggest problem they face is child dental health in the form of caries. This disease is almost entirely preventable, but it is not being prevented. As the Minister is aware, the biggest single factor in dental caries is sugar. The raw statistics on child dental health are pitiful. Deciduous teeth, or baby teeth, are particularly susceptible to decay as they have thinner enamel compared with permanent dentition, and this obviously contributes to children having dental decay. Dental decay is the No. 1 reason for children aged five to nine being admitted to hospital in the United Kingdom.

[Jim Shannon (Strangford) (DUP)]

In Northern Ireland, tooth decay among under-15s has fallen consistently since 2000, and specific education has been done by our health and education Departments to make that happen. The hon. Gentleman referred to those aged between five and 10 consuming sugar. Every child will eat their weight in sugar in a year. Does he agree that we need a tax on sugar, because if we address this at the early stages, we will go a long way towards addressing the problem of tooth decay?

[Sir Paul Beresford]

I wish it were that simple. I personally believe that that would not make one iota of difference after a few months. One need only stand in the supermarket watching the kids pushing the mothers for sweets and the mothers feeding them to realise that, as I say, it will not make one iota of difference unless it is prohibited, in which case we would have other difficulties that I will not go into.

As I have said, the No. 1 reason for children aged five to nine being admitted to hospital in the United Kingdom is dental decay. The NHS spent £30 million on hospital-based extractions for children aged 18 and under in the year 2012-13. That is 900 children a week, who are being admitted primarily for tooth extraction—often under a general anaesthetic, which carries a slight risk in itself.

I am sure that the Minister is aware of the results of the 2013 child dental health survey. For the sake of those who have not read the statistics and who may glance tomorrow at the debate, I will touch on some of the figures. For example, 31% of five-year-olds had obvious decay in their primary teeth. That figure was higher in more deprived areas, where 41% of those eligible for free school meals had decayed primary teeth, in comparison with 29% of other children of the same age. Of five-year-olds who were eligible for free school meals, 21% had severe or extensive tooth decay, compared with only 11% of those who were not eligible.

By the age of 15, 46% of our children have tooth decay. Of the 15 year-olds, 59% of those eligible for free school meals had decay, compared with 43% of other children of the same age; 45% reported that their daily life had been affected by problems with their teeth and their mouth in the previous three months; and 28% reported being embarrassed to smile or laugh because of the condition of their teeth. Those are 15-year-olds, who are suddenly taking notice of the world and hoping to be taken notice of themselves.

--- Later in debate ---

[The Minister for Community and Social Care (Alistair Burt)]

It is a great pleasure to respond to my hon. Friend the Member for Mole Valley (Sir Paul Beresford) and his excellent speech. The House has been fortunate to benefit from his professional knowledge on a number of occasions. As a new Minister coming into office some nine months ago, I had an early meeting with him, from which I benefited hugely and continue to benefit. I am grateful for the way in which he put his case and for the heads-up in respect of what I might do and the speech that I might make to the British Dental Association in due course.

I am grateful that the usual suspects have been here to listen because of their interest in these matters, namely the hon. Members for Strangford (Jim Shannon) and for Nottingham North (Mr Allen). I thank my hon. Friend the Member for Battersea (Jane Ellison), who is the public health Minister, for being here, together with the Whip and the Parliamentary Private Secretary. I also saw the hon. Member for Dewsbury (Paula Sherriff), who has been to see me to talk about dental matters and who clearly cares very much about these issues.

I congratulate my hon. Friend the Member for Mole Valley on securing this very important debate about children’s dental health. Poor oral health in children and young people can affect their ability to sleep, eat, speak, play and socialise with other children. Other impacts include pain, infections, poor diet and impaired nutrition and growth. When children are not healthy, it affects their ability to learn, thrive and develop. To benefit fully from education, children need to enter school ready to learn and to be healthy, and they must be prepared emotionally, behaviourally and socially. Poor oral health may also result in children being absent from school to seek treatment or because they are in pain. Parents may also have to take time off work to take their children to the dentist. This is not simply a health issue; it impacts on children’s development and the economy.

It is a fact that the two main dental diseases, dental decay and gum disease, can be almost eliminated by the combination of good diet and correct tooth brushing, backed up by regular examination by a dentist. Despite that, as my hon. Friend has set out, their prevalence rates in England are still too high. Dental epidemiological surveys have been carried out for the past 30 years in England and give a helpful picture of the prevalence and trends in oral health. Public Health England is due to report on the most recent five-year-olds survey in the late spring.

There is a mixture of news, as the House might expect. The good news is that the data we have at present show that oral health in five-year-olds is better than it has ever been, with 72% of five-year-old children in England decay free. Between 2008 and 2012, the number of five-year-old children who showed signs of decay fell by approximately 10%. The mean number of decayed, missing or filled teeth was less than one, at 0.94. Indeed, the data suggest that, notwithstanding the All Blacks’ rugby success and their bone-crushing efforts on the field, oral health in children is currently better in England than in New Zealand. New Zealand’s data for children aged five in 2013 showed that the proportion who were disease free was 57.5% and that the mean number of decayed, missing or filled teeth was 1.88.

[Jim Shannon]

We have had a marked reduction in dental decay in children since the year 2000, as I said earlier in an intervention. With respect, Minister, I would say that we are doing some good work in Northern Ireland. The Under-Secretary of State for Health, the hon. Member for Battersea (Jane Ellison) knows that I always say, “Let’s exchange ideas and information.” We are doing good work in Northern Ireland and we want to tell Ministers about it.

[Alistair Burt]

This is possibly the fourth or fifth invitation that I have received from my hon. Friend to come to see different things in Northern Ireland, and he is right about every one. He finds in me a willing ear, and we will make a visit because there are several different things to see. Where devolved Administrations and the Department can learn from each other, that matters, and I will certainly take up my hon. Friend’s offer.

In older children there are challenges when comparing different countries, because of how the surveys are carried out. The available data still show that we have among the lowest rates of dental decay in Europe, but despite that solid progress we must do more. There is disparity of experience between the majority of children who suffer little or no tooth decay, and the minority who suffer decay that is sometimes considerable and can start in early life. In this House, we know the children who I am talking about—it is a depressingly familiar case. We can picture those children as we speak, as my hon. Friend the Member for Mole Valley described in the sometimes horrific parts of what he told the House. The fact that we know that such decay affects children in particular circumstances makes us weep.

Public Health England’s 2013 dental survey of three-year-olds found that of the children in England whose parents gave consent for their participation in the survey, 12% had already experienced dental decay. On average, those children had three teeth that were decayed, missing or filled. Their primary, or baby, teeth will only have just developed at that age, so it is highly distressing for the child, parents, and dental teams who need to treat them. Dental decay is the top cause of childhood admissions to hospitals in seven to nine-year-olds. In 2013-14, the total number of children admitted to hospital for extraction of decayed teeth in England was 63,196. Of those, 10,001 were nought to four-year-olds, and so would start school with missing teeth.

From April 2016, a new oral health indicator will be published in the NHS outcome framework based on the extraction of teeth in hospital in children aged 10 and under. That indicator will allow us to monitor the level of extractions, with the aim of reducing the number of children who need to be referred for extractions in the medium term. Extractions are a symptom of poor oral health, and the key is to tackle the cause of that. Today I commit that my officials will work with NHS England, Public Health England and local authorities to identify ways to reach those children most in need, and to ensure that they are able and encouraged to access high-quality preventive advice and treatment.

The good news is that the transfer of public health responsibilities to local authorities provides new opportunities for the improvement of children’s oral health. Local authorities are now statutorily obliged to provide or commission oral health promotion programmes to improve the health of the local population, to an extent that they consider appropriate in their areas. In order to support local authorities in exercising those responsibilities, Public Health England published “Local Authorities improving oral health: commissioning better oral health for children” in 2014. That document gives local authorities the latest evidence on what works to improve children’s oral health.

The commitment of the hon. Member for Nottingham North to early intervention and the improvement of children’s chances is noteworthy and well recognised in this House and beyond, and of course he can come to see me. I would be happy to discuss with him what he wants to promote in Nottingham, which sounds just the sort of initiative we need.

Public Health England is also addressing oral health in children as a priority as part of its “Best Start in Life” programme. That includes working with and learning from others, such as the “Childsmile” initiative in Scotland, to which my hon. Friend the Member for Mole Valley referred. It is important that health visitors—I know that the Public Health Minister takes a particular interest in their work—midwives, and the wider early years workforce have access to evidence-based oral health improvement training to enable them to support families to improve oral health.

Public Health England and the Royal College of Surgeons Faculty of Dental Practice are working with the Royal College of Paediatrics and Child Health to review the dental content of the red book—the personal child health record—to provide the most up-to-date evidence-based advice and support for parents and carers. The National Institute for Health and Care Excellence has also produced recent oral health guidance that makes recommendations on undertaking oral health needs assessments, developing a local strategy on oral health, and delivering community-based interventions and activities for all age groups, including children. Community initiatives to improve oral health include supervised fluoride tooth-brushing schemes, fluoride varnish schemes and water fluoridation.

I agree with my hon. Friend that water fluoridation is an effective way of reducing dental decay. However, as the House knows, the matter is not in my hands. Decisions on water fluoridation are best taken locally and local authorities now have responsibility for making proposals regarding any new fluoridation schemes. I am personally in favour. I think I am the only Member in the Chamber who remembers Ivan Lawrence and the spectacular debates we had on fluoridation in the 1980s. He made one of the longest speeches ever. Fluoridation was bitterly and hard-fought-for and I do not think there is any prospect of pushing the matter through the House at present. I am perfectly convinced by the science and that is my personal view, but this is a matter that must be taken on locally.

Diet is also key to improving children’s teeth and Public Health England published “Sugar reduction: the evidence for action” in October 2015. Studies indicate that higher consumption of sugar and sugar-containing foods and drinks is associated with a greater risk of dental caries in children—no surprise there. Evidence from the report showed that a number of levers could be successful, although I agree with my hon. Friend that it is unlikely that a single action alone would be effective in reducing sugar intake.

The evidence suggests that a broad, structured approach involving restrictions on price promotions and marketing, product reformulation, portion size reduction and price increases on unhealthy products, implemented in parallel, is likely to have the biggest impact. Positive changes to the food environment, such as the public sector procuring, providing and selling healthier foods, as well as information and education, are also needed to help to support people in making healthier choices.

Dentists have a key role to play. “Delivering Better Oral Health” is an evidence-based guide to prevention in dental practice. It provides clear advice for dental teams on preventive care and interventions that could be delivered in dental practice and school settings. Regular fluoride varnish is now advised by Public Health England for all children at risk of tooth decay.

For instance, the evidence shows that twice yearly application of fluoride varnish to children’s teeth—more often for children at risk—can have a positive impact on reducing dental decay. In 2014-15, for children, courses of treatment that included a fluoride varnish increased by 24.6% on the previous year to 3.4 million. Fluoride varnishes now equate to 30.9% of all child treatments, compared with 25.2% last year. This is encouraging progress.

There are many measures that can and should be taken in order to reduce the prevalence of decay in children, but we recognise it is unlikely that we will be able to eradicate entirely the causes or the effects of poor oral health in children. This means that the continued provision of high quality NHS primary dental services will continue to be an important part of ensuring that every child in England enjoys as high a standard of oral health as possible. NHS England has a duty to commission services to improve the health of the population and reduce inequalities—this is surely an issue of inequality—and also a statutory duty to commission primary dental services to meet local need. NHS England is committed to improving commissioning of primary care dentistry within the overall vision of the “Five Year Forward View”.

Huddersfield Royal Infirmary

Jim Shannon Excerpts

Tuesday 2nd February 2016 Westminster Hall

[Mr Barry Sheerman (Huddersfield) (Lab/Co-op)]

It is a pleasure to follow the hon. Member for Colne Valley (Jason McCartney) and my hon. Friend the Member for Dewsbury (Paula Sherriff), who have eloquently made the case and saved me from spending an awful lot of time going into the detail. However, I must repeat some of the narrative. Mr Speaker often, I think, verges a little on ageism when he points out how long I have been in the House of Commons, but it does mean that I have a long memory and I know the narrative of what has happened in health provision in my part of the world. That is always difficult for Ministers.

I noticed that this Minister, when asked whether he had visited Huddersfield, looked down at his papers rather intently. I do not blame him for that—there are parts of England that I have yet to visit—but Huddersfield is an absolute gem of a place. It nestles in the Pennines. I once had an American student who said, “I’ve found out the difference between Lancashire and Yorkshire—you’ve got the Pyrenees between you.” I said, “A lot of people in Yorkshire wish it was the Pyrenees; actually, it’s the Pennines.” That is a slightly humorous remark, but the fact is that it is a very hilly area; conditions can be very difficult. We see the special signs up in bad weather. Can we go over the tops? Often the conditions are such that we cannot. Very close to us, it is very hilly, with very difficult road networks. There is not much flat land. We were looking for industrial investment. You and I, Mr Pritchard, care very much about the manufacturing sector, and when people are trying to attract new businesses, they are all the time looking for flat land. We do not have any flat land; that is the truth. It is very difficult to find a flat space in our part of the world. It is difficult terrain.

What is nice about this debate is that from both sides of the Chamber we are making it clear that we do not want to beggar our neighbour. We want good health provision throughout our area. Good health provision is what motivates all of us. We want the highest-quality health provision. However, we do want accountable delivery of health provision. Many of us feel that the old system had its imperfections and the new system has its imperfections. Both the hon. Member for Colne Valley and my hon. Friend the Member for Dewsbury talked about the PFI. I have a long knowledge of PFIs. When I was chairing the Select Committee on Education, PFIs were used, as you know, Mr Pritchard, for much school building. I learnt over many years of controversy over PFIs that one cannot dislike PFIs on principle, but one can be against bad PFIs and in favour of good PFIs. I think that that is the truth of the matter.

There is a lot of evidence that some of the health PFIs were entered into with a rather amateur group of people representing the health trusts. That is the only explanation if we are to be kind to those people who made the arrangements. They were dealing with some pretty clever people—leading consultancies and people who really knew their stuff from the City of London. A senior professor said to me that some of the people sitting on the other side of the table were not as sharp as they could have been. They may have been local accountants and solicitors or the local management team, and perhaps they did not see quite how much the PFI was going to cost them over the number of years for which it was to run. That is the context.

A particularly worrying PFI was agreed for the Calderdale hospital in Halifax. There were two trusts in those days: the Halifax trust and the Huddersfield trust. The Huddersfield trust was always very well managed and had plenty of reserves, but when Halifax and Calderdale ran into trouble, we were pushed by the then Department to merge with the trust that was limping rather. People may remember this. We did merge, because we did believe in a good health service for all the people in our part of Kirklees and in Calderdale. That is the history; now we have to bring ourselves up to date.

There is a new dilemma, and I do not want to make it party political, but the urgent question on national health service finances yesterday did point to the fact that up and down the country a number of trusts are in serious financial trouble. Until comparatively recently, our health trust was in pretty good shape. Only comparatively recently did we suddenly have some real financial challenges. The Minister will be very familiar with this dilemma. On the one hand, we are being asked to make savings, efficiencies—4% every year—in order to maintain a good record with all the organisations that look at our health provision. On the one hand, there is that pressure for greater efficiency and saving money, but at the same time on our patch we have this PFI that is a great drain. On the other hand, we have what is a pretty old hospital in modern terms. I was once with Harold Wilson in the hospital when I was a very young MP. He had come up, and we were waiting for the top brass to come down and guide us. He said, “Barry, I don’t think I’ve ever been here before,” and behind him was a great marble stone that said, “Opened by Harold Wilson in 1965”.

The hospital is a classic early 1960s building. Some of us love some of the 1960s buildings. There are some that we cherish, such as the Barbican. Many people hate the hospital; I quite like it. There is a kind of brutalism that one likes. However, a lot of 1960s building was a little bit below par. We have on the one hand a hospital PFI that is very expensive and on the other a local hospital that is getting old. It has been invested in over the years. A great deal of investment has gone in, but I am told that a conservative estimate is that at least £200 million would be needed really to get it back on track. That is a great pressure on local health provision.

All of us across the parties in our area—local councillors have also been very active in the campaign—understand that we want the best possible healthcare for all the people on our patch. I know that the Minister is not so familiar with our part of the world. Not only is it hilly but it has a very mixed population. A lot of wealthy people live on our patch. There are a lot of middle-class people and a lot of people who are more challenged in terms of their income. It is a very mixed area, and that is the beauty of it. It is not boring; it is in every sense a vibrant area. I recently challenged the Secretary of State for Business, Innovation and Skills to come to Huddersfield and have a decent suit made of fine Huddersfield worsted; we still make the finest worsted in the world. Indeed, Mr Speaker is now also coming to Huddersfield to have a fine worsted suit made. I see you looking interested, Mr Pritchard—the invitation could be extended.

The fact is that, were there not so much contest between the smaller towns, the area might have had the name “Greater Huddersfield”. It is a city—one of the biggest urban conglomerations in the country—but people, especially outsiders, do not realise that because we have broken it up into different names. Kirklees is vast, which means that there are great healthcare challenges. Put that together with our difficult geography and an interesting history, and we face real challenges. We want the Minister to be open-minded and to enter into a discussion to find a way to get the very best result for the people of our area.

I shall be quite blunt about my resistance to CCGs. I wanted to be independent in assessing PFIs, and I said that there had been good PFIs and poor PFIs. There are also good CCGs and not so good CCGs, and I am not impressed by the quality and leadership of my local CCG. Although I have some resistance to CCGs, the general model is not a difficult one. I chair the all-party parliamentary group on management, so I am keen on good management in the health service and outside. Sometimes I see doctors managing CCGs; management is not part of any medical course I know of. We would not expect it to be. We train doctors to be good clinicians and good GPs, not to be managers. Some CCGs have real difficulties because they lack quality management.

There has been a failure of management in our local CCG when it comes to a proper, rational assessment of where we are now and how we can get the best possible healthcare in our area, taking into account all the difficult pieces of information that I have mentioned, including an ageing hospital that needs investment, a newish hospital that was built under a PFI, and difficult communications. I ask the Minister to look very carefully at what has been going on in our locality and to get the whole situation appraised carefully, independently and objectively.

[Jim Shannon (Strangford) (DUP)]

I understand that this is an issue for the A&E in Huddersfield, but the hon. Gentleman mentioned getting other advice. In Northern Ireland, the Minister has set up a new panel to look at the whole health service and how best to take it forward in an area of financial restraint. Does he agree—I suspect that he does—that it is time to share those ideas across the whole United Kingdom of Great Britain and Northern Ireland? Thereby, we can all learn together.

[Mr Sheerman]

I very much welcome that information, which relates to the point made by my hon. Friend the Member for Batley and Spen (Jo Cox). She said that there was no clear, strategic plan for the broader area of West Yorkshire. West Yorkshire is very close to Barnsley on one boundary. On another, it goes a long way right up the valley to where a very large number of people live in places such as Todmorden, where a bridge was recently affected by floods. Those places are in strong Manchester commuting territory. The area is vast and complex, and I cannot remember a proper evaluation across the piece, rather than an assessment that just carved out one bit of territory and looked into that very carefully.

I do not want to go through how many people are enraged, but they include—I read in the Huddersfield Examiner—Sir Patrick Stewart. Until recently, he was the chancellor of Huddersfield University, which was university of the year last year. He sends, from Hollywood, his solidarity with the people of Huddersfield on the issue of keeping the A&E department open.

On 11 March this year, we celebrate the centenary of the birth of Harold Wilson—a great man and a great Prime Minister—who was born in Huddersfield. When I used to drive him around Huddersfield, we would pass the old further education college, which was the old, old Huddersfield hospital, and he always said, “My appendix is in there.” The area has a great history. Please, in this special year, let us listen to the voices of the people of Huddersfield and Halifax, and get this right. At the moment, the suggestion of closing A&E in Huddersfield is not right, nor is the suggestion that Halifax is the only alternative. Personally, I think that there is a scheme by which we could keep both A&E departments open. My request to the Minister is: get that rigorous, independent, thoughtful appraisal of what the hell is going on, and get it right.

NHS and Social Care Commission

Jim Shannon Excerpts

Thursday 28th January 2016 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to participate in this debate, which I thank the right hon. Member for North Norfolk (Norman Lamb) for securing. We know he has a passion for this subject—in our many debates, we always take great account of what he says—so it was good to have him leading the debate. I think that other Members who have spoken—the hon. Members for Totnes (Dr Wollaston), for Leicester West (Liz Kendall) and for Bracknell (Dr Lee)—sat on a social care Bill Committee I sat on in the last Parliament, so we have some knowledge of the subject. I also thank the right hon. Member for Sheffield, Hallam (Mr Clegg) for kindly letting me go before him. I have a plane to catch, and sometimes these debates can go on.

Those who have spoken have brought a wealth of knowledge and experience to this debate, as will those who have not yet spoken, and I want to add a wee bit of that in relation to Northern Ireland, while commenting on the mainland as well. This year marks the 10th anniversary of the Wanless review of social care for older people. Since the review, there have been attempts, first by the coalition Government and now by the Conservative majority Government, to shift the policy direction and introduce new legislation to optimise healthcare provision and make the system versatile enough to cope with the increasing demand associated with an increasingly elderly population—my constituency has one of the fastest-growing elderly populations. I am going that way myself, but that is by the by.

Despite the welcome efforts by the Government, problems remain. The challenges, not least the financial challenges, are making it more difficult to provide services for the elderly, and these challenges will be around for a while. We will need to learn how to address them as the demographics of the country make service provision for the elderly more challenging. We can foresee these challenges, however, and it is encouraging that the Government recognise that. It is good to see the Minister in his place, and I look forward to reading his contribution. I apologise to him and the shadow spokesperson for being unable to stay for their speeches, as I have already said, but we are always encouraged to see the Minister on his feet, given his interest in this subject.

The importance of an integrated health and social care system is widely accepted. We have seen exciting innovative developments in Northern Ireland, where the former Health Minister, my party colleague Edwin Poots MLA, launched the “Transforming Your Care” programme, which was continued by the next Health Minister, Jim Wells, and now by the present Health Minister, Simon Hamilton. The initiative seeks to move care for elderly people from hospital into their homes wherever possible. That is the focus and goal of the strategy. Not only does this provide care closer to home and a nicer experience all round for the patient, but it has the potential to save the NHS and the social care system a lot of money in the long run. The Minister might like to note that programme as an example of what is possible. If it was replicated nationwide, it could save a lot of money in the long run and make for a more personal social care experience that would benefit the elderly.

With the financial challenges of austerity in our public services, we need to come up with innovative ideas to modernise our health and social care system and offer a first-class service in a financially difficult environment. Whether we like it or not, finance is part of the system we have to work within. The importance of integrated health and social care is widely recognised by health professionals and charities. We now need to turn this into a reality. Adult social care needs to be on a sustainable financial path if we are to maintain a world-class health and social care system, during a time of changing demographics, and we need to make sure that the pressures on the system are properly understood.

The integration of health and social care is crucial to provide a patient-centred service that makes the best use of resources. With care and caution, and with movement in the right direction, it is possible to do more with less. Innovative approaches such as the “Transforming Your Care” initiative are examples of how we can modernise the public sector to deliver real results with a tighter budget. Health and social care need to be seen as equal partners and provided with the necessary resources to deliver high quality services that actually serve the people. “Resources” does not necessarily mean increased funding. We know that we are living in tough times financially, and while funding is always desirable, success should be judged on results rather than the bill for the investment.

Social care is important in its own right. The Local Government Association claims there is a continuing lack of proportionality between additional funding for the NHS and adult social care. While much of the funding for the NHS is front-loaded, additional resources from the better care fund will not be available until 2017. Can the Minister say whether it is possible to consider implementing the better care fund on a shorter timescale? We will not be facing problems down the road in 2017; we are facing them right now, as Members have said and will continue to say. The Government need to make a greater effort to address the issue and ensure that the social care sector is adequately funded and resourced as we seek to make the appropriate reforms to make it a versatile and modern service that delivers for the people that it needs to.

Childhood Obesity Strategy

Jim Shannon Excerpts

Thursday 21st January 2016 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I am pleased to be called to speak in this debate. I thank the hon. Member for Totnes (Dr Wollaston) for setting the scene so comprehensively, and for speaking along the lines that I and, I hope, most Members in the Chamber agree with. I declare an interest, because I am a type 2 diabetic, as is my friend and colleague the right hon. Member for Leicester East (Keith Vaz). He and I have many things in common. We are both type 2 diabetics and we both support Leicester City football club—who would have believed that Leicester City would be top of the league? They are equal with Arsenal now, so there we are. I am very pleased to share that as well.

Obesity is at epidemic levels across the nation. Although strategies and responses have been developed, achieving results and driving down levels of obesity appear to be very difficult, which is disappointing. I am not here to argue or fall out with anyone—that is not my form—but I do not agree with some of the things that have been said today. For example, I am in favour of a sugar tax. My colleague, Simon Hamilton, who is the Health Minister in Northern Ireland, is against a sugar tax. I am in favour of it because I think that it would be the best thing. I think that sometimes we have to make decisions for people and that we have to do what is right. We have the power in this House to bring in legislation that hopefully can be used for the benefit of all.

Northern Ireland has the worst levels of obesity in the United Kingdom. Just over 24% of the 1,300 children from Northern Ireland who were surveyed by researchers at the Institute of Education in London were found to be not just overweight, but obese. We all know that the Ulsterman and the Ulsterwoman are fond of an Ulster fry. I used to be, but now I am allowed a fry only once a week because I am a diabetic. Believe it or not, as a diabetic I used to weigh 17 stone, but now I weigh 13 stone, so we can address the issue if we put our minds to it. Had I known what diabetes was about before I became a diabetic, I think I would have taken steps to change. I did not know it then because I was not interested. I did not know it because I did not realise there was anything wrong, but things were wrong. Sometimes we have to educate ourselves and take important steps and move forward by legislative means.

Members have referred to a balanced meal. Some people who carry a bit of weight think that a balanced meal means one hamburger in each hand. We have to think about this seriously. A balanced meal is not two hamburgers and big bottle of Coke; it is much less than that.

Obesity levels for 11-year-olds are higher in Northern Ireland than they are in other parts of the United Kingdom; in Wales the figure is 23%, in England it is 20%, and in Scotland it is 19%. It was reported in the news the week before last that every child in the United Kingdom will eat their body weight in sugar each year. Just think about what that means. That is four or five stones of sugar. Adults probably eat their body weight in sugar as well—not me, though, because I am a diabetic.

[Will Quince]

I am interested to know why sugary soft drinks, in particular, are being targeted. Why are we not looking at cereals, biscuits and cakes as well? Why is it just sugary drinks?

[Jim Shannon]

I am happy to look at sugary drinks because we have to start somewhere, but I will happily look at cornflakes and other foods as well, so they should not think that we are going to let them off. The issue is that there are nine teaspoons of sugar in a can of fizzy drink, so we need to address the issue where it starts.

We cannot ignore the statistics, because they are very clear. The fact that by age 11 a quarter of children in Northern Ireland are not just overweight, but obese is an alarming statistic. I think that a comprehensive and robust approach will be required if we are to address that. One way to doing that is through education in schools. I think that we need to bring that education in at an early stage. I think that the Minister will probably respond along those lines.

I fully support having a tax on sugar, which I think would be a step in the right direction. If we do that, we can move things forward and address the issue of obesity and people being overweight very early. Without addressing this serious health issue at the earliest stage possible, it will lead to problems for the health of the person in question, and for public health and society as a whole. I found some statistics on obesity the other day. The obesity epidemic in Northern Ireland has led to a doubling in just three years in the number of callouts for firefighters to help obese people. Those are startling figures. We can sit and ignore those and say, “No, we’re not going to tax sugar,” or we can address the issue early on. I say that we should do it early on. Let us do it now.

Dr Hilary Cass, president of the Royal College of Paediatrics and Child Health, has said that if the problem is not tackled now, it will rapidly get worse. She said:

“We should be worried because if we do not fix this problem now, we will see unhealthy kids turning into unhealthy adults with diabetes, heart disease and kidney problems.”

Why is it that it tends to be those on low incomes who are overweight or obese? It is quite clear to me, but perhaps it is not clear to others. I think that it is because their income dictates what they buy. If they do not have much money, they will buy the cheapest food they can, even if it is not the healthiest food, and more often than not cheap food contains levels of fat and sugar that are far too high. The issue of low incomes is therefore something we have to address as well, for those whose food choices are dictated by what is in their pockets.

We should be tackling these issues now not only because that is the right thing to do morally, but because it makes economic sense. The right hon. Member for Leicester East referred to the supermarket that had all the chocolate and sugary foods in one aisle in the middle of the shop. That is where they should be. They should not be at the checkout, where kids will see them and want their chocolate bar or their bottle of Coke. We have to address that issue as well.

Despite greater education on food and nutrition, there is still an obesity epidemic. Children are getting too many of their calories from sugars—on average, three times the Government’s recommended amount. That only contributes to an overall overconsumption of calories. One in three children are overweight or obese by the time they start secondary school, and that is a very clear problem that needs to be addressed. Childhood obesity is associated with conditions such as insulin resistance, hypertension, asthma, sleep problems, poor mental health—we cannot ignore that in children; we cannot think that they do not have it, because they do—early signs of heart disease, and an increased risk of developing cancer. The hon. Member for Colchester (Will Quince) referred to the need to have more physical activity in schools, and that issue could be addressed. Ministers mentioned it during this morning’s Culture, Media and Sport questions, so they recognise it as well. I have mentioned just a small number of the health costs of not acting to address this epidemic.

It is not just health that suffers because of inaction on this epidemic. Health problems associated with being overweight or obese cost the NHS more than £5 billion annually. Poor dental hygiene costs the NHS £3.4 billion a year, of which £30 million alone is spent on hospital-based extractions of children’s teeth. The total societal cost of obesity in the UK in 2012, including lost productivity, was £47 billion. The evidence is clear.

There can be no one solution to this complex issue. We need to enhance our nutritional education strategy, tackle poor diets through legislation, and encourage greater physical activity among our children. Given the shocking statistics that we have all spoken about, it is clear that despite health being a devolved issue, obesity, and obesity in our children, is truly a national problem. As such, it will require a national solution and a comprehensive approach.

Infected Blood

Jim Shannon Excerpts

Thursday 21st January 2016 Commons Chamber

[Jane Ellison]

In truth, it is a little too early for me to give that level of detail. We want to ask for expert advice on that in order to get it right and, as I said in the statement, we are looking at the impact on people’s health now. We do not want this to be an invasive or onerous process for the people, who have gone through so much already, so we envisage involving people’s own clinicians as well as gathering other evidence. This is something we will ask experts to advise us on and we will come back at the end of the consultation.

[Jim Shannon (Strangford) (DUP)]

I commend the Minister for her work on this and thank her for her statement today. We know her as a compassionate person totally committed to this case; I do not think that anyone in the House has any doubts about what she is trying to deliver, and we thank her for that.

Some 7,500 people have been contaminated by blood. Last year, the Prime Minister gave a commitment of £25 million and this morning the Minister has given a commitment of a further £100 million, which is good news. Some 10 people have passed away. The European Commissioner for Human Rights has recently ruled that Italy must pay compensation immediately to all those who received contaminated blood. I know there is a consultation process, but when will we see the money actually getting to the victims? Is there a timescale? There has not been any commitment, as I understand it, with the Northern Ireland Assembly and the Minister, Simon Hamilton. What, if any, discussions have taken place?

[Jane Ellison]

As I set out earlier, we offered a phone call this morning with the Minister in Northern Ireland, but I am more than happy to pick up on that. Our officials have been working quite closely together for some time on this, so I am more than happy should my opposite number want to have a conversation. The circumstances in Italy are different and, as I said in answer to the last question, other Governments must make decisions for themselves. I am aware of that case, but I think some of the circumstances are quite different. On timescale, our priority is to move forward the individual health assessments, and at the same time we will do some scoping work around reform of the schemes themselves. I cannot yet say how long that will take, but I obviously want to do it as quickly as possible. As I mentioned in my statement, I want to reassure Members that whenever we undertake those assessments, people will not miss out just because they are towards the end of the process. We will backdate all those annual payments, once they are awarded, to April 2016.

Cancer Drugs

Jim Shannon Excerpts

Tuesday 19th January 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

Thank you, Mr Streeter. You have put me on a sticky wicket. I congratulate the hon. Member for Mid Derbyshire (Pauline Latham) on securing this debate. It is good to be here and to be involved. About six months ago, I had a similar debate on the availability of cancer drugs, at which I think she was present. We hoped that six months later we might be back to say that things were better or had advanced, but unfortunately that is not so, or not in the way that we would like.

I would just like to mention the many organisations that are helpful, because every one of us will have some cancer organisations close to their heart. Mine are Cancer Research UK, Macmillan Cancer Support and Marie Curie, because I have a very good friend, Irene Brown, who is terminally ill and she is in the Marie Curie centre in Belfast. The treatment that Marie Curie gives is second to none, and people only have to be there to be part of that family that helps.

The Macmillan charity says that 2.5 million people in the UK were living with cancer in 2015. It says that 5% of our total adult population are affected, which shows the problem is enormous. For many of us, cancer is not simply something that others talk about; it is something that affects each and every one of us every day. My father was a survivor of cancer on three occasions. I put that down to the skill of the surgeon, the prayers of God’s people—something that many of us here would understand—and the care of the nurses. He survived and lived for another 36 years, dying just last year, at the ripe old age of 85. The marvellous steps that modern medicine has taken are fantastic.

Moves such as the removal of drugs prevents thousands of cancer sufferers across England and Wales from being able to access the quality treatment they deserve. Thousands of people are disadvantaged, thousands of people lose out and thousands of normal people are in despair. That is the reality of not having access to cancer drugs. I do not know what it is, but I have more people coming to my office suffering from cancer than I can ever recall. I know that there is a 50% survival rate today for those with cancer, which is fantastic—what a step forward—but I see more people with cancer than ever before. I am not sure whether it is due to diet or lifestyle, or whatever it is, but cancer is certainly a greater issue for me than ever.

[David Simpson (Upper Bann) (DUP)]

We understand that, from April, NICE will have the overall say on what drugs and treatments people will receive. We know that we have to be prudent with money, but surely finance should not be the overriding factor when it comes to people’s lives.

[Jim Shannon]

I thank my hon. Friend for saying that. Over the last few months and before Christmas, I had the opportunity to meet some of the pharmaceutical companies, and I have to say—and to be careful what I say—that they are not terribly happy with NICE and how it has responded to them. Some of those pharmaceutical companies have reduced their prices and still NICE does not respond in the positive fashion that we would expect it to. That is one of my concerns, certainly.

I would put Queen’s University Belfast up there as one of the universities working in partnership with medical companies, including companies from China and from across the United Kingdom. The partnerships that the university has developed and the innovative drugs that it is coming up with, as well as the investigations and trials that take place there to find new drugs, are impressive. We have new developments in Northern Ireland in cancer research, and we need to see a national strategy. Perhaps the Minister could respond to that point—let me apologise to him again, having already done so beforehand, for not being here for his response to the debate.

My party colleague Simon Hamilton is a Member of the Legislative Assembly and the Minister for Health, Social Services and Public Safety. Health is a devolved matter in Northern Ireland. We have a number of Members from Northern Ireland—there are five here today—which shows the interest in this issue in Northern Ireland. Simon Hamilton has taken the initiative to release £1.5 million to fund specialist cancer drugs. That will allow some of the NICE-approved cancer drugs and treatments to go ahead this year.

That move in Northern Ireland will go some way towards enabling the health service there to reach the cancer target. Each day in Northern Ireland, 23 people are diagnosed with cancer and 11 people die of it. There were more than 331,000 new cases of cancer in 2011 across the United Kingdom, and 161,823 deaths from cancer in 2012. The enormity of cancer—how it afflicts people and how many people die—cannot be underlined enough.

The latest delisting of drugs from the Cancer Drugs Fund looks like a step back rather than a step forward in the fight against cancer. I know that we cannot be completely resistant to change—the Minister knows that and, as elected representatives ourselves, we also know it. If drugs are proving ineffective, they should be delisted, but at the same time, if drugs are effective, let us get them on the list and make them available to those who need them most. We should be here to commend, I hope, the addition of a new form of effective treatment.

To conclude—I am very conscious of what you said earlier, Mr Streeter—the hon. Member for Mid Derbyshire mentioned Abraxane, and here is the postcode lottery. Those living in Northern Ireland do not have any access to Abraxane whatsoever. Those living in England had access to it in March 2014, but not now. People in Scotland have had access to Abraxane since January 2015 and will still have it. In Wales, people have been able to access it since September 2014, but now it looks like that might be affected as well. That is the postcode lottery for cancer drugs. It is completely unacceptable, and I commend the hon. Member for Mid Derbyshire for securing this debate.

Space Policy

Jim Shannon Excerpts

Thursday 14th January 2016 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to speak in this debate and to hear the other contributions.

It is always a pleasure to hear the hon. Member for Central Ayrshire (Dr Whitford). I look forward to hearing her speak about health issues, because she brings her wealth of knowledge to the House. Her contributions are always well worth listening to because we learn from them. That is why I enjoy them and I want to thank her. We have found out today that her knowledge goes beyond health issues: it extends to space policy and to places where no man has gone before.

Here we are in the Chamber with the chance to speak about this issue. It is always very nice to see the Minister in his place. I think that I can honestly say, without fear of contradiction, that if the Minister is in the House, I will be on the other side ready to ask him a question, and vice versa.

It is always good to consider this important and too often overlooked issue. Although it is not pertinent to Northern Ireland at the moment, I want to make sure that the Province is part of the Government’s strategy for the space sector. That is why I wanted to make a contribution. I want to put down a marker for Northern Ireland and to ensure that we have the chance to be part of the strategy.

Northern Ireland has one of the youngest workforces in the United Kingdom of Great Britain and Northern Ireland, as the Minister will know. We have a lot of well-educated young people with high skill sets who would benefit from jobs in the space sector. I believe that that would go some way to addressing the brain drain in Northern Ireland. Although that is declining, it is something that we need to get to grips with.

Perhaps in his response, the Minister will tell us how the space policy can interact with Northern Ireland. How can we get some of the benefits and spin-offs of it? How can we be part of the strategy of the United Kingdom of Great Britain and Northern Ireland? We are better together, as he would say. It is good to see all the Members who are in the Chamber, united within the United Kingdom of Great Britain and Northern Ireland.

[Mr Angus Brendan MacNeil (Na h-Eileanan an Iar) (SNP)]

Will the hon. Gentleman give way?

--- Later in debate ---

[Jim Shannon]

I am very happy to give way, although I will probably regret it.

[Mr MacNeil]

The hon. Gentleman will be aware of the press stories today mentioning Stornoway. Indeed, the name David Bowie is linked with it as well. Just a little bit north of Malin Head, the hon. Gentleman will see the Outer Hebrides. It is a fantastic place—near Northern Ireland—for such space adventures.

[Jim Shannon]

Earlier, the hon. Gentleman was waxing lyrical about black puddings; now he is doing the same about Stornoway in a different way. It is always good to hear from him.

[Mr MacNeil]

Black puddings in space!

[Jim Shannon]

Absolutely.

Ensuring that the space sector has a place in Northern Ireland and is aware of what we have to offer will go some way towards addressing the brain drain issue of too many of our young people emigrating. I would like to hear from the Minister how the space policy can better connect with Northern Ireland.

Northern Ireland has a proud history of air flight, although it is not linked directly to space policy. Henry George Ferguson, who was better known as Harry, a brother Orangeman, was a Northern Ireland engineer and inventor who was noted for his role in the development of the agricultural tractor. He was also the first Ulsterman and Irishman to build and fly his own aeroplane. The first ever airport in Northern Ireland was in my constituency of Strangford, in Newtownards, and was built in about 1910.

Northern Ireland has a fantastic aerospace industry with Magellan and Bombardier, which has been established for many years. I believe that there is a role for those aircraft companies to play in space policy and development. They can and should be part of it.

The space sector is fundamental to the future UK economy. I welcome the Government’s civil space strategy and the goal that the space sector will contribute £40 billion a year to the UK economy by 2030.

[Dr Philippa Whitford]

The point that I was trying to make in my opening speech was that the bid talks about a UK spaceport, whereas I think there will be different sectors. One sector that will come in the not-too-distant future is hyperbolic sub-orbital flight. Once we get past the Virgin Galactic model of a plane and a wee rocket, we will have the combination of jet and rocket engines, such as SABRE—the synergistic air-breathing rocket engine—which will go from standstill to orbit and back down. We will be able to fly to Japan in a short period of time. Different sites around the UK may therefore follow totally different routes. That should be enabled, not blocked.

[Jim Shannon]

I thank the hon. Lady for that significant and important intervention. She shows the vision that all of us in this House should have. There are no barriers to what we can do. Some of the things that are in “Star Trek” are not impossible, so let us look forward to those developments. I look forward to being able to travel from A to Z—from Belfast City to Heathrow—in a matter of seconds. If that is ever possible, we will be able to get here and back a couple of times and to do business at home and here, all in the same hour. Is that possible? I do not know, but I hope it will happen.

Thinking back on how space has been discovered, I am always mindful of the first time man stepped on the moon. It was one small step for man, one giant leap for mankind. For me, and I think for many others, that showed us the immensity and size of the universe that God created, and it focused our minds on God’s power and the fact that it was not for us as children, and that he is in total control of the universe.

[Mr MacNeil]

The hon. Gentleman quoted the historic phrase, “One small step for man, one giant leap for mankind”, but what about the seriousness with which the space industry considered the Isle of Man a number of years ago? Those in the know in the space industry said that only the United States, Russia, China and India were ranked above the Isle of Man for the likelihood of getting the next person on the moon. That shows that if the political will is there, a lot can be achieved.

[Jim Shannon]

I thank the hon. Gentleman for his intervention. We should believe in what we want to achieve, and that goal is achievable if we are determined to make it happen.

The Deregulation Act 2015 is an encouraging development that will allow the UK to be more competitive globally in this future industry. It is important to consider that and to ensure that we are world leaders in offering somewhere for the space industry to do business. We want to be part of that business across the United Kingdom of Great Britain and Northern Ireland. The 2010 space innovation and growth strategy is another welcome development that seeks to create a partnership between industry, Government and academia to develop, grow and make use of new space-related opportunities.

This debate is important because of the possibilities of what can be achieved, which enthuse us all. Although there were encouraging developments during the last Parliament, it is disappointing that space did not receive a mention in the Government’s 2015 manifesto. I am sure that the Minister will correct that when he responds, and clearly set out Government policy and strategy. I hope this is not a sign of the Government taking their eye off the ball.

The Government are hoping that the new regulatory framework enabled by the Deregulation Act will allow the creation of a commercial spaceport in the UK by 2018—again, a marvellous vision of what can happen in future. That is a welcome development because commercial space travel is an industry in which we can, quite literally, reach for the stars. In “It’s a Wonderful Life”, James Stewart talked about lassoing the moon. We are not going to lasso the moon; we are going to reach it and beyond, and it is important that we have that possibility.

The value of the space sector in the UK has grown from £6.5 billion in 2007 to £11.8 billion in 2014—it has almost doubled, and there is the potential for it to double again. With Tim Peake’s recent mission sure to rekindle interest in the space industry, that trend is sure to continue, and the ability to offer commercial space travel will make us world leaders in the space industry.

[Dr Lee]

I do not know whether the hon. Gentleman remembers this, but he was one of the few Members of the House who attended my Adjournment debate on microgravity. Prior to that I had been contacted primarily from America by Boeing and various other companies on the subject. They pointed out that the microgravity research industry had a potential $100 billion of growth. The hon. Gentleman is right to point out the future potential for the space industry.

[Jim Shannon]

I do remember that. It was one of those Adjournment debates that I am known to attend, and I remember intervening along those lines. It was three or four years ago.

Something else that I enjoyed, and that I think was positive, took place last week when Tim Peake was able to make radio contact with young people in a school. The inspiration that that gave to those young people was fantastic, as was the fact that it happened. Those young people were inspired, and they had a photograph and a TV show that showed him in their school making direct contact. I know it was a bit rehearsed, but it was exciting for us to watch. How much more exciting must it have been for the children, both male and female, to have that ambition and inspirational drive to try to be the next Tim Peake in space? As we seek to obtain secure jobs for the future, we need more such encouraging developments, and this has been a welcome opportunity to contribute to a debate on an issue of great importance to the future of our country and its economy.

In conclusion, the new national space policy, the Deregulation Act, and the space innovation and growth strategy are all signs that we are heading in the right direction. The positivity that comes through this debate will be noted not just in this Chamber by MPs, but outside the House and further afield. We can play our part in space travel and policy in future, and I hope that off the back of this debate we can maintain momentum and ensure that those plans turn into real delivery for the “better together” space industry and future economy of the United Kingdom of Great Britain and Northern Ireland.

--- Later in debate ---

[Mr Iain Wright (Hartlepool) (Lab)]

It is a pleasure to contribute to this debate. I congratulate the hon. Members for Central Ayrshire (Dr Whitford) and for Glasgow North (Patrick Grady) on securing it and I thank the Backbench Business Committee for agreeing to it. There have been far too many references to “Star Trek” at the expense of “Star Wars”, so let me try to even it up a bit. Space policy has not been debated as much as it should have been in this House given how important it is, but I am pleased that, as a result of the tenacious attitude of the hon. Members for Central Ayrshire and for Glasgow North, the force has awakened. [Laughter.] That’s the only thing you’re going to get.

As has been mentioned, Tim Peake’s mission on the international space station is a fantastic achievement. I think the whole House and the whole country wish him well as he embarks on his spacewalk tomorrow. His mission is important for a number of reasons. First, he is undertaking practical experiments and research that will have positive applications back on earth, a point to which I will return in a moment. Secondly, as has already been mentioned, Major Peake’s space mission is undoubtedly inspiring and motivating a whole new generation, rather like a previous generation was inspired by the Apollo programme. I remember the inspirational words of President Kennedy:

“We choose to go to the moon…and do the other things, not because they are easy, but because they are hard”.

That inspiration and ambition are incredibly important.

The young people looking at what Major Peake is doing—following his journey and progress on Twitter, Facebook and so on, and perhaps even interacting with him as he conducts experiments in space—will have their eyes opened to the enormous and often unlimited potential available to them in their lives and careers. They might not necessarily want to become astronauts—I still have a wish to be an astronaut; I think everyone in this debate does—but they will see the dizzying potential and scope of science, technology and engineering. I hope that the impact of Tim Peake’s mission into space will last for decades, as young people are inspired to go on to have an impact on science and research throughout the 21st century.

The third reason why Major Peake’s mission is so important is that it showcases a true British industrial success: the UK space industry, and that is what I want to focus on. Most people walking the streets today will not be aware, as the hon. Member for Central Ayrshire said, that Britain has a space sector. People will perhaps automatically think of NASA and, possibly, Russia. They might consider a space industry linked with putting people regularly into space or, as the hon. Member for Glasgow North said, with missions such as New Horizons and the exploration of Pluto and the Kuiper Belt. Major Peake’s journey gives us the opportunity to celebrate a great British economic success and highlight what I hope is a shared ambition—it certainly is in today’s debate—to see the sector grow.

I think the Minister would agree that the UK space sector is the very model of the type of modern, successful sector that Britain should be focused on: innovative and high value, and providing well-paid and highly rewarding —in every sense—careers. It taps into Britain’s strengths, based on the very best of science, engineering and world-class British research, but with a very clear nod to British excellence in professional services, such as legal, financial and regulatory work. It is a rapidly growing sector throughout the world—perhaps it is best to say above the world—and the British comparative advantage should be used to capture even more wealth and value for this country in the future.

We have been quite canny in this country in identifying precisely where in the space sector, and throughout its value chain, Britain excels. We have skills in upstream activities, such as satellite construction. I visited Airbus in Stevenage and saw the great work that goes on there. I saw satellites being built and walked on the surface of “Mars”, which was absolutely fantastic. Our real strength and potential, however, lie in the industry’s downstream activities, such as user equipment, applications, services and data. Our strengths in professional services such as legal, regulatory and financial services allow Britain to lead the world in raising capital to finance space technologies, as well as the expertise to provide licensing arrangements. It is these downstream activities that will increase demand in the future so that Britain is well placed for future growth.

The hon. Member for Central Ayrshire and others have already mentioned the figures, but it is important to reiterate just how successful the UK space sector has been in recent years. It generates almost £12 billion for the UK economy, which is almost double the value of the sector just a short time ago in 2007. The industry directly employs 37,000 people in this country. That figure rises to 115,000 when one considers the supply chain, and supported and indirect jobs. UK space has seen an annual growth rate of 8.6% since 2008-09.

Madam Deputy Speaker, I think you were in the Chair yesterday when we discussed, in an Opposition day debate secured by the Scottish National party, some of the structural weaknesses in our productivity and trade positions. Frankly, if all other sectors in the British economy were performing at the same rate as the UK space industry, this country would be doing well. Productivity is three times the national average, with a value added of £140,000 per employee in the sector. Exports are twice the national average, representing about a third of the sector’s turnover. That success bodes well for the future. The global space industry is set to grow even further to about £400 billion by 2030. The UK space sector’s ambitions are challenging but achievable; the national space policy’s objectives are for Britain to have a 10% market share in the global space industry, provide £40 billion of value to the British economy and employ an additional 100,000 workers by 2030.

I hope there is a real consensus across the House, regardless of party affiliation, for that ambition, and for backing the Government and building on the back of previous support for UK space, regardless of which party is in government. Tribute must be paid to Paul Drayson, who launched, as it were, much of the Government’s interest in UK space. To be fair, David Willetts continued that policy in an excellent way throughout the coalition Government, providing all-important policy continuity and certainty that transcended Parliaments, and allowed confidence in the sector to grow and gave potential investors the reassurance that has provided much of the success for British space.

Given the characteristics of the UK space sector—a high-value, innovative, productive, export-focused industry that has identified our specific key strengths within the sector and built on that comparative advantage to secure more global market share in the future, assisted by a strong and long-standing partnership between industry, Government and research to provide policy certainty—it is surprising that the Government do not want to shout more about the virtues of an industrial strategy. An industrial strategy has been part of the success of the UK space industry. The Secretary of State seems to have abandoned such aspirations, with the possible exceptions of the aerospace and automotive industries. That seems wrong. I am pleased that the Minister on the Treasury Bench is the Parliamentary Under-Secretary of State for Life Sciences. I would single out life sciences as another great skill for Britain. It is a marvellous sector, so why is it not also classed as strategically important? That approach is very important.

In his autumn statement, the Chancellor announced a movement of research funding away from grants to loans, with the exception of the aerospace and automotive sectors. That runs the risk, as mentioned yesterday, of investment not being attracted to Britain. For such a successful and promising sector as space, that is worrying. Will the Minister consider expanding the definition of the aerospace sector to include space so that it can take advantage of the security of research funding and grants?

[Jim Shannon]

In seeking to advance the space industry, is it not important to involve universities and their expertise and knowledge? Is partnership with universities not also part of this?

[Mr Wright]

That is incredibly important. Britain’s unique blend of strong leadership and partnership between industry and Government, through things such as the UK Space Agency and the Space Leadership Council, and our world-class research expertise and strong university base, means we are well positioned to capture as much market value as possible.

Will the Minister accept—I believe he personally believes it—that industrial strategy works and commit to ensuring that the Government embrace such an approach so that sectors such as space and the life sciences can be exploited as much as possible for the benefit of Britain? I mentioned that the national space policy set out an ambition for 100,000 additional jobs in the space industry in the next 15 years—I think we would all sign up to that—but given the skills shortages in engineering and science-based industries throughout the economy, and the difficulty of encouraging girls and young women to consider science, technology, engineering and maths subjects in school, college and university and then as a career, what is he doing to address barriers to growth in the UK space sector? What further assistance, in terms of outreach activities, internships and apprenticeship opportunities, will be provided to motivate and inspire girls and young women to think about a career in space?

In criticising the space industry, it is often said that interest and investment in space is a luxurious folly and that, at a time of austerity and crisis in public services, we cannot afford a space industry: why are we sending a man into space, when patients are lying in hospital corridors? This is a false argument. To a vast extent, the UK space industry is driven by private sector investment—Government investment in the past 15 years has averaged 0.015% of total investment—and the value it creates grows the economy, employs people on good wages and increases tax revenues, thereby helping to fund public services. Research in space or in the space industry has positive applications on earth—for example, satellite technology and food crops or experiments into materials and how they react. Major Peake, while on the international space station, is carrying out experiments to measure pressure in the brain that could have important applications in serious trauma care. Investment in space results in tangible benefits for society on earth.

I am not just talking about the cost-benefit analysis. I was struck by the comments of the hon. Member for Bracknell (Dr Lee). Industry is important, and the bottom line is crucial, but as he said, exploration and imagination are fundamental to the human spirit, and it is difficult to think of anything comparable to space when it comes to letting our imaginations run riot. It is vital that we ensure an interest in space by showing what space can provide. The UK space industry is a huge success story, and has the potential to grow still further and inspire a whole generation, but that requires an ongoing partnership between industry, the Government and research. This debate shows that there is great consensus and that many people support the Government in ensuring that the UK space industry realises its potential.

[Drew Hendry (Inverness, Nairn, Badenoch and Strathspey) (SNP)]

I have much to thank my hon. Friends the Members for Central Ayrshire (Dr Whitford) and for Glasgow North (Patrick Grady) for. Anyone observing me in the Chamber today will have seen me smiling broadly all the way through this debate. It is an incredibly exciting opportunity. I remember, as a young child, playing with my Airfix kit of the Apollo 11, with its detachable parts and so on, seeing how it all worked, so it is exciting to be in the Chamber today discussing the future of space policy—there it is, up on the annunciator; what an opportunity! It is just a shame there is so much space on the Benches—but I will try to avoid the puns and conduct myself with gravity.

I want to talk about the exciting opportunities out there. Yesterday in the Chamber, we discussed trade and industry and innovation, and again I want to talk most today about innovation and the skills required. There are so many wonders in space and so many things we can learn that we cannot comprehend at the moment. Without the investment that hon. Members, including the hon. Member for Hartlepool (Mr Wright), have talked about, and without making sure we can learn those things, how can we hope to take full advantage of the opportunities to develop ourselves as a race? There are stars out there 1,500 times bigger than our sun, and how much do we know about them? 3c303 is a galaxy with a black hole in the middle of it that has the biggest electrical current ever detected in the universe. There are fantastic opportunities to find out how that happens. What can we learn from that about how we conduct our lives and protect our planet into the future? I was stunned to find out there was a gigantic raincloud out there, floating in space, that is not just the size of the Pacific ocean, but 100,000 times larger than the sun. It is an amazing thing to comprehend, but we do not know enough about these things. We have to invest.

The Scottish Government see huge potential for the space industry in Scotland, and we are pleased that the UK Government and the Civil Aviation Authority do too. We should be exploring these opportunities jointly. The Scottish Government have committed to supporting science and technological development in education and industry, having recognised science’s contribution to a sustainable economy. The hon. Member for Hartlepool talked about opportunities. The space industry, 16% of whose employees are in Scotland, is growing by 7.5% a year. These are encouraging figures, but we must do more. There is a recruitment exercise to ensure that there are members to join the Scottish Science Advisory Council. The Scottish Government have engaged with the world-leading science sector on the post of chief scientific adviser for Scotland and are currently advertising for the post, which is the right thing to do just now. They are continuing to invest in four science centres and to support science festivals in Scotland. They continue to promote the value of science as a career for young people.

In my previous career as a councillor in the highlands, I was passionate about getting our young people interested and encouraging them to lift their sights and see the opportunities available, not just to us as a set of countries on these isles but to them. There are rewarding and meaningful careers and they can build something important for themselves. As a new councillor eight years ago, I saw an advert put out by the European Space Agency calling for the next generation of recruits to come forward. As an enthusiastic councillor, I thought I would put out a press release across the highlands saying, “Young highlanders should come forward.” I was disappointed that it was met with scepticism from my colleagues on the council. They thought it was a mad idea to encourage highland children to get involved in the space industry. I was desperately disappointed by their attitude, but it highlighted to me the need to change people’s attitudes to these opportunities and how they could take advantage of them.

I am pleased to say that one development from that is the science skills academy, which is starting up in the highlands. It is a collaborative enterprise that brings together organisations such as Highlands and Islands Enterprise, the Highland Council and a range of private businesses and engineering firms, as well as other non-governmental operatives in the highlands. It aims to encourage young people from pre-school, throughout their education and beyond, to take advantage of the opportunity of gaining these skills, which directly transfer not just into the aerospace industry but to and from oil and gas, renewables and so forth. These are similar skill sets that can be transferred across. Embracing this into the future provides enormous opportunities. I hope that future attitudes in the highlands will be changed, but there is a job of work to be done in this Chamber, in the Holyrood Chamber and in all the devolved Administrations to make sure that we get the word out to our young people to raise their sights and look for an opportunity.

I am grateful to my hon. Friend the Member for Central Ayrshire for telling us that Helen Sharman was the first astronaut from Britain in space. It is important to repeat that message because we need to encourage young girls and women to consider these opportunities. Tim Peake is a fantastic ambassador for space and I have great respect for what he has already done in a short period of time, but let us imagine the impact if he had been Tina Peake and that message had gone out to young girls and women about such opportunities. When it comes to encouraging young girls and women into engineering just now, there are clear systemic problems in our culture that must be tackled. I call on the Government to join me and others to make sure that we change this attitude over the coming years.

Some 11% of engineers in the sector are women, but 21% of engineer graduates focused on the sector are women. This is the lowest percentage female employment rate in the sector in Europe, and we have the lowest retention rate in Europe. That is at a time when there are significant skills shortages at every level of the industry.

We have heard that many people are not aware of the opportunities in the space or the aerospace sector. I was delighted yesterday to meet Bridget Day, the deputy programme director for the national aerospace technology exploitation programme. I crave your indulgence, Madam Deputy Speaker, because I would like to read something she sent to me, at my request. She said:

“I have worked as an Engineer in the Aerospace industry for nearly 40 years. I worked for 30 years in the supply chain for a heat exchanger manufacturer in Wolverhampton, starting as a graduate apprentice and becoming Engineering Director. In my personal experience there has been little progress in encouraging women into engineering. I currently lead a team of engineers helping aerospace supply chain companies with new technology”—

within NATEP, as I have said. She continues:

“In a team of 24 there is only one other woman”,

That is a shocking figure. She continues:

“I know that engineering is considered difficult, dirty, and dying by the general public. This means that parents and teachers often encourage young people away from engineering, thinking that industry is something in the past and not for the future. The increasingly ‘green’ views of our youth are annoyed with industry building on green belt land and taking priority over wild life. So the reputation of industry publicly is not what my experience is. I have had a very varied working life, every day something different, everyday keeping me interested in solving problems with new ways of thinking, new materials, new possibilities. The amount of new possibilities is better than ever before and NOW”—

she capitalised it—

“is a great time to become an engineer. We are very short of engineers. As a woman in engineering I am often the only woman in the room, usually only 5% are women even at a large event. There is an assumption that I am the secretary and not that I am the boss. My reputation is never assumed, like a man’s often is, I always have to earn it.”

[Jim Shannon]

If I had been allowed to ask two questions at Women and Equalities questions this morning I would have raised this issue. The Government need to target girls-only schools and introduce the STEM industries, including engineering, to those girls.

[Drew Hendry]

I thank the hon. Gentleman for his substantive point about engaging young girls and women with these industries, and I absolutely subscribe to that view. As I have said—I will continue to repeat it here until we get it right—this is an issue that we need to tackle together to ensure that girls are able to take advantage of these opportunities.

Hand Hygiene: NHS

Jim Shannon Excerpts

Wednesday 13th January 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is always a pleasure to serve under your chairmanship, Sir Alan. It was especially nice to hear the hon. Member for Amber Valley (Nigel Mills) introduce the debate, and it is good to participate in it. I would like to give some personal knowledge and put forward some viewpoints.

I congratulate the hon. Gentleman on so succinctly setting the scene for the rest of us to follow. To add a bit of background to the debate, patients in the NHS today have a 6.4% chance of catching an infection in UK hospitals. There are 300,000 healthcare-acquired infections annually, of which 5,000 result in mortality. We cannot ignore the mortality rate—5,000 people dying in our hospitals is 5,000 too many. If the figure was one, that would be one too many. If we can take steps to prevent those deaths, we should do so.

Although our figures are below the European average, many other developed countries perform better, including the United States at 4.5%, Italy at 4.6%, Slovenia at 4.6% and Norway at 5.1%. I know that the Minister will address that in his response, but if the States, Italy, Norway and Slovenia can do it better, I am sure that we can achieve their levels, which would be a two percentage point drop or thereabouts from our current figure.

Not all healthcare-acquired infections are preventable, but it is believed that approximately 30% of them could be avoided by better application of existing knowledge and realistic infection control practices. Hand hygiene is an essential component of that.

I remember when my brother was in an accident. He liked racing motorbikes, but unfortunately 11 years ago he had a very serious accident that resulted in him being in a coma and in intensive care for some 19 weeks, followed by 2 years of rehabilitation. Whenever we visited him in the Royal Victoria hospital in Belfast, we all had to wash our hands. He was not able to respond to us at that stage, but his family and other people who knew him wanted to go and see him because of the severity of his injury. The nurse was clear: she said, “You have to wash your hands every time you go to that bed, because the risk of infection for someone in that extreme circumstance is very real.” Every time we left the bed and went outside the ward, we had to wash our hands before we went back to the bed—that was clearly outlined.

To me it was clear: we do that because we want to visit the person in the bed, but we may unwittingly have infections on our hands. The hon. Member for Bridgend (Mrs Moon) spoke earlier about sneezing. Unwittingly, we cover our mouth with our hand and then rub our hands. Then we might stick our hands in our pockets and rub them on the pockets. Even when using a hanky, there will still be infection on the hands. That is the point I am trying to make. It is clear that we have to do something.

The infection prevention and control sector claims that basic hand hygiene standards are not being met on many NHS wards. If that is the case, a clear guide needs to be given to those on wards to ensure compliance. The Deb Group claims that although 90% to 100% compliance with hand hygiene standards was reported by UK hospitals—it is easy to say that—the true figures are between 18% and 40%.

As health is a devolved matter, I have asked the Minister responsible for health back home questions on MRSA infections in hospitals, because even though we have few infections, it is clear that something needs to be done. Back home—it is probably the same elsewhere—many would say, “If you’re ill, be careful in hospital, because you have people with open wounds and people whose immune systems are down. If you bring in your colds, flus and coughs, or whatever it may be, that can have an impact.”

Deb also argues that the data collection method is flawed and that direct observation artificially inflates compliance, as nurses observe colleagues meeting the requirements and undertake a tick-box exercise. There needs to be more than that. NICE issues guidance on hand-washing in hospitals and encourages strict hand-washing practices, but it does not include a demand that accurate data be recorded. We want to ensure that that happens. If we record the data, we are making an effort and, if we are doing that, we are washing our hands. There may be some weight to Deb’s concerns, and that should be extremely worrying for all of us.

Good hand hygiene practice in hospitals is the single most effective way to prevent the spread of infection, and we should take action to ensure that more effective records of hand-washing on NHS wards are made in future. That is a simple yet effective way of making our hospitals safer, and with the recent growth in antimicrobial resistance we need to act sooner rather than later to ensure that poor hand hygiene does not further increase the severity of HAIs.

We have had an extensive hand hygiene strategy in Northern Ireland since 2008, and although some problems persist—in all honesty, we cannot stop all infections—we have seen results from simply adopting a thorough hand hygiene regime in our hospitals, with education on the importance and effectiveness of hand hygiene being an essential part of the Department of Health, Social Services and Public Safety’s regional infection control strategy. Like in Scotland and in some individual trusts, we are taking action to address the issue.

Accurate records are the starting point for addressing the problem. There are many examples across the world, but a recent three-year pilot in a hospital in South Carolina in the United States of America found that once staff were trained in how to use electronic hand monitoring systems, compliance with best practice increased and MRSA rates dropped. That saved the hospital $433,644 from April 2014 to March 2015. There was therefore also a financial advantage, and although that is not the reason to do it, it is an example of what can be done to stop infections and address costs.

As we seek to have a more streamlined and cost-effective NHS, those are the sorts of approaches we need to look into. Indeed, the introduction of such a system at Burton Hospitals NHS Foundation Trust drove up hand hygiene compliance by up to 50% in just three months. That is an example from this country, which shows what we can do if we put in the effort.

With 5,000 people dying each year as a result of HAIs, it is clear that action must be taken. With resistance to antimicrobial treatment increasing, we need to get on top of the issue before it is too late. Hand hygiene is the simplest and most effective way to do that, so let us make sure hospitals are doing that right and doing it well.

[Sir Alan Meale (in the Chair)]

We now move to the Front-Bench Members, and we have only until 5.30 pm. I therefore ask Members to be succinct. Minister, if it is possible, could you give a minute or so at the end to the Member who moved the motion to allow him to wind up the debate?