(1 year, 1 month ago)
Commons ChamberI understand what the hon. Gentleman is saying, and I know how strongly families and patients feel about this. It is not for me, as a Minister, to step on the independence of NICE, which has a remit to take those decisions. I am sure that the new Secretary of State for Health and Social Care, my hon. Friend the Member for Louth and Horncastle (Victoria Atkins), and other Ministers in the Department will continue to listen to the concerns of families about access to those treatments.
If we want to fully embrace preventive care, we must tackle the single biggest preventable cause of ill health, disability and death, which is smoking. Unlike drinking alcohol or eating fatty, salty or sugary foods, there is no safe level of smoking. It causes almost one hospital admission every minute, one in four cancer deaths and 64,000 deaths a year.
Four in five smokers start by the time they are 20, so the best thing we can do is to stop young people smoking in the first place. That is why this Government will automatically raise the smoking age by one year every year, so anyone who is 14 or younger today will never be able to buy tobacco legally. Increasing the smoking age works. When it rose to 18, smoking rates dropped by almost a third in that age group. Restricting choice is never easy, but this time it is the right thing to do. Existing smokers will not be affected, but the next generation will be smoke-free, saving thousands of lives, reducing pressure on the NHS and building a brighter future for our children.
I hear what the Minister says about the Government’s commitment to this policy, but can she explain why the Government are allowing a free vote rather than whipping Back Benchers to vote for Government policy?
(7 years, 8 months ago)
Commons ChamberI do not agree with the first of the hon. Gentleman’s two points. He should continue to listen to what I have to say. I agree with his second point and, if he listens to what I have to say, he may find that we are aligned on that.
I thank the Minister for being exceptionally assiduous in responding to and discussing my concerns on these matters. I have had several meetings with her in which she has emphasised her commitment to achieving the original aim of PIP, which is to support people to live full and independent lives. I have questioned her about the regulations in my role as chair of the all-party parliamentary group on mental health, and as a local Member of Parliament. For instance, we have discussed the case of a lady I met in Maidstone a few weeks ago who had been set on fire on a bus. That lady told me that she has been unable to go out of the house without being accompanied by somebody she trusts since then. Throughout the discussion about the regulations, she has been worried that the welfare system might not treat her the same as someone who has been unable to leave the house because of a physical disability. The Minister has assured me that that is not the case and that people are, and will continue to be, given payments based not on their diagnosis, but on their needs.
Will the Minister now clarify to us all that somebody suffering with severe psychological distress such as post-traumatic stress disorder, who needs to get out and about—for instance, to go to work or take their children to school—but finds it impossible to do so without significant assistance, could and would receive the enhanced rate mobility component of PIP, if their needs justified it?
Given the concern about the issue and the regulations, I also ask for the Minister’s reassurance on three counts regarding implementation. First, will she ensure that the guidance to PIP assessors is absolutely clear that people with mental health conditions can and should receive PIP awards based on their needs and costs, and that that may well be the enhanced level? Secondly, will she ensure, through the audit system that she has told me about, that this happens in practice? Thirdly, will she draw on the evidence provided by recordings of PIP assessments, the trialling of which I welcome, having pressed her and her predecessor, my hon. Friend the Member for North Swindon, who is sitting behind me, on recording PIP assessments?
I am just wrapping up.
Finally, I look forward to my hon. Friend the Minister assuring us all that the Government’s welfare system does, and will continue to, treat people the same, whether their needs arise from mental or physical conditions.
(8 years, 9 months ago)
Commons ChamberIt is a privilege and an honour to follow the hon. Member for Ynys Môn (Albert Owen), but I am afraid I cannot agree with much of what he said, and particularly not with his pessimism about what he called ordinary people. Thanks to the enormous growth in jobs, many of those people are now in work when they were not before. They are paying lower taxes and getting higher wages, so I think he is wrong to be pessimistic and should welcome much more of the Budget than he did.
I might also remind the hon. Gentleman of where we were in 2010, when more than 2.5 million people were unemployed and Government borrowing was more than 10% of GDP. That was a consequence, unfortunately, of years of reckless spending under the last Labour Government, who built up a ballooning budget deficit, even when the economy was strong. That, in turn, built up the country’s debt month by month. Opposition colleagues have no plan to pay off that debt—I can only assume that they plan to pass it on to future generations.
The hon. Lady was not in the House at the time, but will she explain why it was, then, that the Conservative party not only agreed with the last Labour Government’s spending until 2008, but, in some areas—including defence, which was my area—asked for more spending?
There are areas where we disagree on the allocation of expenditure, but overall my party has a plan for stability and Labour does not have a plan and simply wants to borrow more.
This Government have worked hard, and are working hard, to turn the economy around. We know that involves some tough choices, but one part of being a Conservative is thinking of the long term. I do not think that any of us, on either side of this House, wants to pass debt on to our children as individuals, and we should not do so as a country either. I welcome a Budget that looks to the future, investing in education, cutting taxes for businesses to stimulate growth, and balancing the books so that we are prepared for whatever financial shocks we may face.
I want to live in a country where every child has a chance to succeed and make the most of their lives, and that starts with a good education. Educational standards have gone up, but it is a mixed picture. I welcome the Chancellor’s and the Secretary of State’s announcement on schools, particularly the new funding formula, which I have campaigned for. The old funding formula was arbitrary and unfair. It left some schools in my constituency receiving far less per pupil than other schools with very similar students. As a result, those schools have had to cut back on important subjects and extra-curricular activities. We are also going to get an extra £500 million of funding that will speed up the introduction of the new funding formula. That is very important, because with every year that goes by another group of children in my constituency loses out under the current system.
My hon. Friend the Minister will know that I care a great deal about health. In the Health Committee, expert after expert told us that obesity is one of the greatest threats to the health of the nation, particularly among children. One in five children leaves primary school overweight. Obese children are more likely to grow into obese adults, with the associated health risks that that brings, as well as the cost to the economy. In the Health Committee we have also heard evidence on the quantities of sugar hidden in soft drinks. For instance, an average can of cola can contain nine teaspoons of sugar, or even up to 13.
I am therefore very happy that the Chancellor has been bold in introducing a levy on the soft drinks industry. That, in itself, sends a really strong message, rightly, about how unhealthy these drinks are, as my hon. Friend the Member for Chippenham (Michelle Donelan) said. I hope it will encourage manufacturers to reformulate their products. It will also raise some £520 million that will go to fund school sports. Despite the existing school sports fund, there is not enough sport in schools. Some children get to do sport for only one hour a week, and that is not enough for their health or for their academic achievement.
I look forward to the childhood obesity strategy that the Government are due to publish in the summer. I urge them to include in it more of the Health Committee’s recommendations: for example, its recommendations on controls on advertising and on promotion of sugary foods and its recommendations on giving greater powers to local authorities to ensure a healthier environment. A levy on sugar, or a sugar tax, is just one of the proposals that we put forward, and just one of the things that needs to be done to tackle the problem of sugar consumption and obesity.
Much in this Budget will be welcomed in my constituency, not least the tax cut that will mean that 1,854 people in mid-Kent are taken out of income tax altogether; the freeze in fuel duty, which is so important to rural areas; and a higher threshold for business rates, which will boost small businesses, hundreds of which will be completely taken out of paying business rates. The hon. Member for Ynys Môn might have laughed at the freeze in beer duty, but it will be very welcome in my constituency, not just to beer drinkers, who may raise a glass to the Chancellor, but to Shepherd Neame, the brewery, which is the largest employer in my constituency, so there will also be a big boost for jobs.