Eating Disorders Awareness Week

Debate between John McDonnell and Philip Hollobone

Thursday 29th February 2024 Westminster Hall

[John McDonnell]

Thanks to the work that the hon. Lady, the campaigners and others have done, the media reporting of this issue has, to a certain extent, changed dramatically, but that has taken years to achieve. I agree that this is still seen as a lifestyle choice. It is not seen as serious; people do not relate deaths to this condition, but we all know from dealing with our constituents that that is what happens.

The other issue about the access to hospitals and clinics is that we have all had to map out, across the country, where constituents can go. Often, what happens is that they are discharged from one unit and it is then almost impossible to get them into another, particularly if there are specialist concerns.

The issues that we are reiterating today include the fact that the funding needs reviewing again, because the situation has moved on since we last discussed funding with the Government. There is also a lack of clarity, so we need a concrete action plan for the coming period. One of the issues is how we bring people together. There is a real concern about the lack of monitoring. One of the proposals, which I think Hope Virgo first raised, is to have a discussion about how we are monitoring this situation, both in terms of incidents and the effectiveness of different treatments. A proposal from one of the discussions we had is that it is time to bring together again those with experience of the condition and the key clinicians in the field, so that we can stand back and objectively look at where we are at. When we have dealt with homicides and suicides in other fields, we have set up independent inquiries because of the seriousness of the matter. In some instances, I feel that we need some form of inquiry to see where we are at and what is needed in the future.

The hon. Member for Bath and my hon. Friend the Member for Sheffield, Hallam mentioned the staff. The impression I get from the discussions I have is that, because of the increasing demand, staff are experiencing a level of exhaustion and a morale issue about simply being able to cope with the numbers and severity of the conditions they are dealing with. One thing we can do today, as others have, is to acknowledge the commitment and dedication of those staff, while recognising that they need greater support, in terms of both numbers and pay, to demonstrate just how valued they are.

The issue around the NICE guidelines has already been raised, and my experience is the same as others’, really. It is hit or miss; there is a postcode lottery in the provision of treatment under the guidelines. The Dump the Scales campaign by Hope Virgo and others has been effective at moving the debate on from just talking about BMI, so that a wider range of discussions are now taking place, which I really welcome. However, there is still no recognition across services that eating disorders are a mental health issue, and that therefore mental health practices that have been effective elsewhere need to be applied here. I argue very strongly for the need to fund cognitive behavioural therapy, which has a success rate of 70%, I think. It has also reduced readmission rates down to about 15%, so it is a huge money saver for the NHS. Again, we need to look at the levels of investment, both in training staff for that and in ensuring access.

I want to mention another issue that has been raised before. We have found too many examples of the provision of palliative care to eating disorder sufferers, which we are hoping will end. Palliative care should be offered only if there is another life-threatening condition; it should not be offered just because of this condition. We hope that that has now been ended, but it needs monitoring again to ensure that the message is out there. Our overall view is that, with the right support and early enough intervention, people’s lives can be saved, and that their lives can be transformed as a result, but it does need adequate funding.

The hon. Member for Bath mentioned the ringfenced fund that is needed for research. At this stage, it is time to stand back, bring together sufferers and clinicians, and look at what the strategy should be. We need an adequately funded, concrete strategy that we can all sign up to. This is a cross-party issue; it is not party political. As I say, I welcome what the Government have done so far. We are now at the stage where we know so much more about the escalation of the problem and the need for therapeutic interventions, and about what works and what does not.

My final point is to pay tribute, as others have done, to all the campaigners who have put this issue on the agenda and provided support throughout. I pay tribute to all the clinicians, of course, and to one group in particular, which is the school nurses—Members may recall that we held a session with them. They brought forward their programme for how they would provide advice and assistance to pupils, which proved to be incredibly effective. Of course, I also pay tribute to all those who have supported the all-party parliamentary group of the hon. Member for Bath with such expert advice, as well as consistent nagging.

[Mr Philip Hollobone (in the Chair)]

We now come to the Front Benchers, the first of whom will be Patricia Gibson for the SNP.

Global Vaccine Disparities

Debate between John McDonnell and Philip Hollobone

Wednesday 13th July 2022 Westminster Hall

[Mr Philip Hollobone (in the Chair)]

Welcome to the coolest place in the building on this very hot day.

[John McDonnell (Hayes and Harlington) (Lab)]

I beg to move,

That this House has considered disparities in the global distribution of vaccines.

I submitted a request for this morning’s debate because I want to draw attention to the grotesque inequalities in the distribution of vaccines to tackle the covid crisis. When we convene for these debates, often it is to seek more information from the Government or to make a request for changes in policy. Now that there will be a change of Prime Minister and potentially a rearrangement of the Government, including of Ministers responsible for this area in particular, this is a particularly opportune moment to place all the issues on the agenda and hopefully see some change. It is also worth using these debates to record one’s position, because when our children and grandchildren look back in decades to come on the Government’s performance, I think they will ask why we did so little to intervene effectively when there was such a huge scale of human suffering across the globe.

The global vaccine story is one of gross inequality. I heard the Prime Minister when he made the statement that it was greed that brought us the vaccine. It was not greed; it was public money. Very significant public resources went into all the vaccines. However, greed was certainly responsible for the obscene inequality that followed.

Over the last year, the richer an economy was, the more likely that country was to have vaccines. At the top end, it would likely have had far more than it needed, and at the bottom of the scale, many countries had almost none at all. Still today, just under 20% of people across the African continent as a whole are fully vaccinated, and only 16% of people in low-income and poor countries are vaccinated. The Prime Minister has talked about vaccine hesitancy being the main factor accounting for that. That is simply untrue. Studies have shown that there is far more vaccine hesitancy in the United States than in most African countries. However, the way that the giant pharmaceutical corporations—big pharma—and richer countries have behaved has certainly fuelled that scepticism, which should worry us all.

The problem is not simply a lack of solidarity or generosity, although that is shocking in itself. As my hon. Friend the Member for Birmingham, Edgbaston (Preet Kaur Gill), the shadow Minister for international development, recently uncovered, a year ago the Prime Minister promised to share 100 million surplus vaccines with the world’s poorest countries. That is a very small amount, but at least it is something; yet a year later, barely a third have been delivered.

Those are the doses that we had already bought and were otherwise going spare. They would have been thrown away if they had not been distributed, yet they counted against the aid budget. In fact, it gets worse: we charged the aid budget double what the UK was widely reported to have paid for those doses. The Government had charged around £4.50 per dose versus the £2.30 per dose that they paid, as reported by The British Medical Journal. Yesterday, we discovered that over 1 billion doses are believed to have been wasted around the world. That would have been sufficient to vaccinate everyone in the poorer countries.

Detention of Jagtar Singh Johal

Debate between John McDonnell and Philip Hollobone

Wednesday 30th June 2021 Westminster Hall

[John McDonnell (Hayes and Harlington) (Lab) [V]]

I am here because of my personal concern about Mr Johal, but also because of the scale of representation that I have received from my constituents. The Government need to recognise the truly immense worry in our own country about this case. People are concerned because they have witnessed how Mr Johal can be picked up in this way, detained and deprived of his liberty. They feel that if it can happen to him, it can happen to any one of them, especially those who have raised real fears, concerns and criticisms about the current Indian Government’s human rights practices.

Those of us with family connections to India have immense affection for the country and its people. It pains me to see the reputational damage that has been caused to India by the actions of its Government in relation to Mr Johal’s case. I just want to ask a few basic questions about where our Government go from here.

First, in the light of the failure of their representations on Mr Johal’s case so far, can the Minister explain to us the strategy the Government will now pursue for effective representations from our Government directly to the Indian Government? Secondly, can the Minister explain their strategy to co-ordinate the representations from other countries and international bodies in order to create a climate of opinion that will, hopefully, force the Indian Government to act? What is the strategy to co-ordinate the work of human rights bodies to investigate and report on the adherence or non-adherence to basic human rights standards by the Indian authorities in relation to this case? Finally, if there are continued delays, what sanctions are the Government now prepared to take—politically, diplomatically, and if necessary economically—to either secure the release of Mr Johal or at least ensure that justice is done in this case?

There is a sense of frustration now within our own communities at the failure of the Government to act decisively. That is undermining confidence that our Government will actually protect their citizens when they travel abroad. I urge the Government strongly to listen to the representations that have been made so eloquently today, which I fully agree with, and to act. For goodness’ sake, we need speedy action on this appalling case.

[Mr Philip Hollobone (in the Chair)]

The last Back Bencher, but definitely not the least, is Jim Shannon.

Residential Leaseholders and Interim Fire Safety Costs

Debate between John McDonnell and Philip Hollobone

Wednesday 10th March 2021 Westminster Hall

[John McDonnell (Hayes and Harlington) (Lab) [V]]

I thank my hon. Friend the Member for Vauxhall (Florence Eshalomi) for securing the debate. May I say how impressive her introduction was? It is a reflection of the immense talent she brings to the House.

I will speak briefly, because I promised my constituents who live at the Ballymore development at High Point Village in Hayes that I would take every opportunity I could to raise their concerns. Like other Members, I find it virtually impossible to describe the distress that my constituents have experienced and are going through. It started the day after Grenfell, when they were concerned about their own safety, but it then took a long time to get a thorough inspection under way.

The developer has behaved totally irresponsibly and is failing to communicate effectively with my constituents. In addition, we are only now into the application stage for Government assistance to tackle the cladding costs and removal, and we have discovered that, as others have said, large measures will not be covered by the Government’s grant. I find it intolerable that the developer is now coming back and saying that all these other defects, which it is equally responsible for, including the wooden balconies, will not be covered in those costs. Therefore, my constituents feel that they will not be made safe, or, if they are, that it will be at a high cost to themselves and not the developers.

In the meantime, like other Members’ constituents, my constituents are being hit with increases in their service charges, particularly around insurance. There is no way that they can afford the waking watch costs that are being imposed on them. Like others, they feel lost. They are trapped in their homes. They cannot sell on. They are growing families. People are trying to move around the country to get a job, as a result of the job losses in my area, but they cannot, because they just cannot sell on. Their whole lives are being put on hold.

There has to be a sense of urgency from the Government now—a clarity about what is covered by the building grant put forward by the Government, to ensure that there is comprehensive cover. Secondly, all the interim measures have to be covered. Thirdly, there needs to be action from Government on the control of service charges imposed on many of our residents by some of these developers, whom most of us have lost confidence in, even if we had any in the beginning.

I close by re-emphasising the distress that this is causing my constituents—distress to the point that it is affecting their health. I think we have a number of mental health crises now as a result not just of what has happened to constituents because of the development of buildings that were not properly regulated or inspected and that were faultily built, but because of the distress caused by the laggard way in which the Government have handled this issue. I cannot stress enough the sense of urgency that there should be at the heart of Government about addressing these issues.

[Mr Philip Hollobone (in the Chair)]

Everyone has been so good that we can splash out and raise the time limit to three and a half minutes. Enjoy!