Financial and Social Emergency Support Package

Debate between Lord Beamish and Jeremy Corbyn

Wednesday 25th March 2020 Commons Chamber

[Jeremy Corbyn]

My hon. Friend makes a very strong point. Indeed, that has been raised by my right hon. Friend the shadow Home Secretary and others on many occasions. It is absurd that we have highly skilled people in our society who are awaiting a letter from the Home Office before they are able to contribute to our society. We are talking care workers, doctors, social workers—all sorts of highly skilled people. They want to contribute to help us out, so I absolutely agree with my hon. Friend and I strongly support the view that he is putting forward to the Home Secretary.

We should also take a moment to say thank you to civil servants in the Department of Health and Social Care and other Departments. They are putting in incredibly long hours. I talk to local government workers in my local authority who are working really hard to try to ensure that the community and society are safe.

We should thank teachers who are having to go into school to ensure that there are some facilities and teaching available for the children of essential care workers, as well as for children who have very special needs. Let us value them and the work they do, and thank the National Education Union and the other teaching unions for the work that they have put in to ensure that that takes place.

Let us also thank those who deliver stuff—delivery workers, delivery riders and delivery companies, and also our postal workers—for what they do. Our postal workers suspended their industrial action—their wholly justified industrial action, I might say—to ensure that essential deliveries can carry on throughout this crisis. We should say thank you to the Communication Workers Union and to those workers for all of that.

When we talk about key workers, it is not only those I have mentioned who keep society going. On Monday, the Minister for Crime and Policing, the hon. Member for North West Hampshire (Kit Malthouse), said that

“when we emerge from the crisis…there will be a general reassessment of who is important in this country and what a ‘key worker’ means.”—[Official Report, 23 March 2020; Vol. 674, c. 15.]

He is absolutely right. We can all now see that jobs that are never celebrated are absolutely essential to keep our society going. Think of the refuse workers, the supermarket shelf stackers, the delivery drivers, the cleaners—those grades of work are often dismissed as low skilled. I ask the House: who are we least able to do without in a crisis—the refuse collector or the billionaire hedge fund manager? Who is actually doing more for our society at this very moment? Let us value people for the contribution that they make and respect the skill of the cleaner, the refuse worker, the postal delivery worker and all those others. Let us have respect for those who are part of the glue of our society. Right now, they need our help, and I hope that, as we look beyond this crisis, they will continue to get our respect, because people we respect should not be treated in the way they have been treated throughout the past decade of austerity.

Right now, we must guarantee for our NHS staff the personal protective equipment that they are crying out for. There must be no excuses: get it there and deliver it for NHS staff, care staff and all the others. Doctors have said they have had to go along to Screwfix to buy face masks. They need visors, long gloves, surgical gowns and hand sanitisers—and they need them now. It is not as if this crisis happened yesterday; the coronavirus broke out in China some months ago and has spread rapidly across the whole world. One doctor was quoted as saying:

“I feel totally abandoned. We don’t have the protective equipment that we desperately need and our children are being treated like orphans and sent off to care camps.”

NHS staff are putting themselves on the line for the rest of us; we must not let them down for a moment longer. It is a matter of their safety and the safety of their patients. For the same reasons, let us test all our NHS staff for the virus as quickly as possible. It is an absolute requirement to accelerate testing throughout the population—“test, test, test”, as Dr Tedros Adhanom Ghebreyesus, the head of the World Health Organisation, instructed us all to do quite some time ago. I pay tribute to him and the World Health Organisation for their steadfast and calm leadership during this crisis, and for pointing out that a world pandemic is going on and some countries are better able to cope with it than others.

As we look beyond this crisis, our NHS staff should be treated with respect, which means ensuring that the health service in which they work is well funded; bringing down their levels of stress, which are enormous; and ending the threat of the privatisation of their jobs and the outsourcing of services in NHS hospitals. Right now, can we ensure that our social care workers have the very best protective equipment that they need, and can we also have full testing for them? They also need financial security, an issue I raised at Prime Minister’s Question Time four weeks ago. A quarter of social care workers are on zero-hours contracts. Their job is, as we know, to travel from house to house, making contact with those often at the highest risk of death from this virus. They sometimes see 12 or more clients a day, spending time in their homes and potentially passing on the virus from one home to another and another. A lack of testing increases that danger all the time, so it is not just urgent, it is super urgent—like today, it has to be done. They need to be given the security to know that they can afford to stay off work if they have symptoms, yet none of them are included in the Chancellor’s scheme to pay 80% of wages. That must be addressed immediately. I pointed out in Prime Minister’s Question Time the situation for construction workers, and exactly the same applies to care workers.

As we look beyond the crisis, we need to learn the lesson and end the scandal of paying so little to those entrusted with the care of our loved ones. Let us end the disgrace of 1.4 million people being denied the social care that they need. Right now, the Government can give peace of mind to all self-employed and insecure workers with an income protection scheme equivalent to the one devised for employees. The Prime Minister said he would work on this very quickly, and it has to be done very, very quickly indeed; otherwise, we are all put at greater risk and danger.

Freelancers, workers on zero-hours contracts and those with no recourse to public funds still have no support. From cabbies to childminders, actors to plumbers, people are being told to do something absolutely extraordinary: to stop earning a living. Having made that demand, the Government—yes, the Government—have an awesome responsibility to ensure that these people do not fall immediately into hardship and that they are able to do what is necessary for public health.

[Mr Kevan Jones (North Durham) (Lab)]

Does my right hon. Friend agree that there has to be a crackdown on some employers? Constituents have contacted me this morning to tell me that employers are insisting that people go to work and telling them that if they do not turn up, they will not get paid. Even businesses that are clearly not on the list of key industries have done this. Does he think the Government should crack down on employers that are putting their employees at risk?

[Jeremy Corbyn]

If employers are putting us all at risk by forcing people to work in a non-essential industry or company or non-essential work, they should be sanctioned, and those sanctions should include fines. They have to understand that they have a responsibility as well.

The Government should ensure the closure of any construction work that is not urgent or health and safety-related, just as Transport for London and the Scottish Government have already done—and remember, both have many major building projects going on at any one time.

UK's Nuclear Deterrent

Debate between Lord Beamish and Jeremy Corbyn

Monday 18th July 2016 Commons Chamber

[Jeremy Corbyn]

I will come to my hon. Friend in a moment.

Other countries have made serious efforts to bring about nuclear disarmament within the terms of the nuclear non-proliferation treaty. South Africa abandoned all its nuclear programmes after the end of apartheid, and thus brought about a nuclear weapons-free zone throughout the continent. After negotiation, Libya ended all research on nuclear weapons. At the end of the cold war, Ukraine gave up its nuclear weapons, although they were under the control of the former Soviet Union and, latterly, of Russia. Kazakhstan did the same, which helped to bring about a central Asia nuclear weapons-free zone, and in Latin America, Argentina and Brazil both gave up their nuclear programmes.

I commend the Government, and other Governments around the world who negotiated with Iran, seriously, with great patience and at great length. That helped to encourage Iran to give up its nuclear programme, and I think we should pay tribute to President Obama for his achievements in that regard.

The former Conservative Defence Secretary Michael Portillo said:

“To say we need nuclear weapons in this situation would imply that Germany and Italy are trembling in their boots because they don’t have a nuclear deterrent, which I think is clearly not the case.”

Is it not time for us to step up to the plate and promote—rapidly—nuclear disarmament?

[Mr Kevan Jones]

Like me, my right hon. Friend stood in May 2015 on the basis of a party policy which had been agreed at our conference, through our mechanisms in the party, and which supported the renewal of our continuous at-sea deterrent. He now has a shadow Front Bench and a shadow Cabinet in his own image, who, I understand, agreed last week to present that policy from the Front Bench. Is he going to do it, or will it be done by the Member who winds up the debate?

[Jeremy Corbyn]

My hon. Friend is well aware of what the policy was. He is also well aware that a policy review is being undertaken, and he is also well aware of the case that I am making for nuclear disarmament.

Mental Health

Debate between Lord Beamish and Jeremy Corbyn

Thursday 16th May 2013 Commons Chamber

[Mr Jones]

I have spoken at a few events with the Minister, and I want to thank him for his interest in, and understanding of, this subject. Getting Government Departments signed up to Time to Change would be a very good move, and he should please ask if he requires any assistance from me.

I want to talk about an issue that affects many of our constituents—namely, the work capability test and the ongoing issue with the company Atos. Is work good for people’s mental health? Yes, it is. Should people be in work if they can work? Yes, they should, with the right support. The problem with the work capability test, however, is that it is still not looking at people with mental illness with any sympathy or understanding.

I believe that individuals with long-term mental illnesses should be taken out of the current work stream, and that there should be a dedicated system for dealing with such people. I am not saying that we should write them all off and leave them at home without making any assessment, but we cannot continue with the present ludicrous system in which they are assessed by the same people who assess claimants with bad backs and other injuries. There are assessors with no expertise at all in mental illness. The assessment process is leading to some people’s conditions being made worse, and, in some cases, to people taking their own lives. One of my constituents has taken an overdose because of the trauma of being asked to attend an interview.

[Jeremy Corbyn]

My hon. Friend is making an excellent point. Does he think it would be better if, instead of calling people with mental health conditions in for an interview, Atos simply sought medical reports on them and then considered setting up an interview with a suitably qualified examiner? Would that not be better than the production line that Atos operates at the moment?

[Mr Jones]

My hon. Friend makes a good point. The starting point should be the medical history of those individuals. Someone at the Department for Work and Pensions has said that it is not possible to identify such individuals, but that is complete nonsense. The process my hon. Friend has just suggested should be the starting point.

Professor Harrington’s review of the process put forward the idea of mental function champions. The Government spun that idea out a bit, as though it was the big answer to the problem, and I actually fell for it at the beginning, thinking that those people would be the ones who would carry out the assessments. That was not the case, however; they are there to give advice to the Atos assessors. We still have assessors with no mental health qualifications.

Representatives of the charity Mental Health Matters, a good advocacy charity in the north-east, have just met Atos to ask about the champions, and a number of questions have been raised. Atos would not tell them how the champions were recruited, and there is no indication that they need any formal qualifications. I understand that they are given a two-day Atos in-service training course, but they do not interact with any of the royal colleges or other outside bodies. Remarkably, they are also not accountable to the DWP. I put it to the Minister that he needs to tell the DWP that this must be looked at again. The process is not only causing a lot of heartache and difficulty for many of our constituents; it is actually not a good use of public money. People are failing the tests and going to appeal. At least one of my constituents has been affected in that way. They sometimes go through the process and end up in a residential hospital for a month, which must cost more than the amount of benefit that might have been saved.

We also need tailor-made programmes for people with mental illness. We should consider a separate work stream that could include voluntary work, given that many people with mental illness find the transition back into work through voluntary work easier than being thrown straight back in. We also need a pool of employers who understand and are sympathetic towards people with mental illness. There is an idea that such people can just join the normal job market and that employers will just accept that they might not turn up for work for a day or a week because they are not feeling well, but that is not the case. Those people will not keep their jobs for very long.

--- Later in debate ---

[Jeremy Corbyn (Islington North) (Lab)]

Like all the other Members who have spoken, I welcome the debate. It is important for us to have it, and I hope that it will become an annual event. It is a way of reducing the stigma that is attached to mental illness, increasing understanding of it, and also, quite correctly, holding the Government to account on how their policies develop.

There is still an enormous amount of discrimination against people who have suffered from some kind of mental illness or breakdown, or have spent time in a long-stay institution. Like all discrimination, it is incredibly wasteful of resources, because it means that those people cannot contribute to society in the way that we want, and as a result we all lose out.

I want to raise two points. The first relates to local experiences, and the second to national policies. My borough has an image as being relatively wealthy and high-achieving, and there are certainly some wealthy and high-achieving people in it. Islington council, however, undertook an interesting exercise: it set up a fairness commission to examine the quality of the delivery of public services to everyone in the borough, with the aim of ensuring that the purpose of the council’s policies, including health policies, was to reduce inequality.

According to a briefing that the council gave me before the debate, it is estimated that in my borough

“30,000 adults experience depression or anxiety disorders in any one week…. Mental ill health among 5 to 17 year olds is estimated to be 36% higher…than the national average”.

The briefing states that more than one in eight children are

“experiencing mental health problems at any one time.”

It also states:

“The suicide rate is… 8 per 100,000…second highest in London”,

and broadly

“similar to the national average”.

Physical ill health is often related to mental health problems. According to the briefing,

“Poor mental health was found in 43% of all Islington patients who died of cardiovascular disease before the age of 75. As people live longer, there are an increasing number of people with dementia, although Islington has a relatively smaller number of older people”—

only 9% of the population. Islington has a 70%—higher than average—rate of diagnosis of dementia. Increasingly, as others have pointed out, people who care for adults with mental health problems are much older people who find it extremely difficult to cope. Those carers need more support, so that they are better able to look after people who are becoming more and more dependent.

Both my local council, in its study, and the Mental Health Trust draw attention to the enormous over-representation of people from black and minority ethnic communities in the context of diagnosis and, in particular, the context of long-stay institutions. We should ask whether there is, in fact, a higher level of prevalence, or whether there is a perception that it is somehow OK to put black and minority ethnic people into long-stay institutions, whereas it would not be OK in the case of other people.

Indeed, I urge Members to visit long-stay institutions and talk to people resident in them. I get the impression some of them have had very difficult lives and very little support, and that they have led very isolated existences. I also get the impression that many of them have very few friends and very little representation, and whereas those who come from a fairly stable family background with a series of understanding relatives are able to get representation and often win their cases where there has been a section order, others do not get the same quality of representation and consequently do not win any tribunal cases.

In an earlier speech, I made an intervention about the role of the voluntary sector in dealing with mental health conditions. As I have pointed out, my borough has considerable problems in dealing with mental health, but we have a number of very good local organisations that often deal with mental health issues in an innovative and supportive way, and are often very successful. Nafsiyat, an intercultural therapy centre based in Finsbury Park which was founded by the late Jafar Kareem, was groundbreaking in its ideas of looking at the cultural background and ensuring culturally appropriate treatment of people with mental illness, for example by making sure there are people who speak the necessary languages and understand something of the specific cultural background. The Maya Centre, which particularly relates to women, does much of the same work, as does ICAP or Immigrant Counselling and Psychotherapy, a counselling and psychotherapy centre originally founded by people in the Irish community that now deals with a much wider community.

We also have a considerable refugee population. A very good group called Room to Heal deals with people who have achieved asylum status in this country. They have often been through the most dreadful experiences of torture, which are frequently dealt with in a community way. People meet regularly and do things together, such as gardening and taking trips. Many of them improve a great deal and get through the terrible traumas they have suffered. I find it very interesting talking to people from different countries all around the world who have all experienced torture in one form or another and who have benefited from these activities. We also have the Refugee Therapy Centre and the Women’s Therapy Centre, which also provide therapy on a culturally sensitive basis. Finally, we have the Holloway Neighbourhood Group stress project.

These are all valuable groups, and they all depend on contracts obtained either from the local health authority or neighbouring health authorities. All of them spend a great deal of time filling in forms in order to gain what are often relatively small sums of money for relatively short-term contracts. Health authorities must value these organisations and look to use them. We should give out the message that we recognise that the voluntary sector has a very important complementary role to play in supporting statutory services in the treatment of mental illness. I do not see them as competitors or rivals; I see them as complementary.

[Mr Kevan Jones]

I agree with what my hon. Friend says about the smaller contracts these organisations get and the bureaucracy they have to deal with. Does he agree that some of them could bid for larger contracts to provide services as well, but the bureaucracy and financial hurdles involved in bids for such contracts make it very difficult for them to do so?

[Jeremy Corbyn]

I agree. The bureaucracy involved and the skewing of the contract culture frequently means voluntary organisations that have a tradition of the voluntary provision of services—often in an effective and innovative way, as I have described—are debarred by the contracting process. Instead, very large private sector medical companies come in to privatise those services and run them in a profit-related way, rather than the voluntary sector, which is motivated not by profit, but by the care of the individuals. I urge Ministers to look very carefully at how services are contracted out to the private sector, which is motivated by profit, as opposed to voluntary sector organisations, which often have a very good record in looking after people who need help and support.

We must also recognise that if we are to deal with mental illness problems in any community, there must be a level of understanding that goes wider than just what GPs, hospital doctors and the statutory services do. There is the question of signposting. I pay tribute to local organisations—voluntary groups, churches, mosques —that understand the situation and help signpost people into getting help and support, because many people in our society with some degree of mental illness get no support whatever. This debate may well help us to understand that that is needed.

We must also recognise that there is a cost involved. The cost to health budgets of dealing with mental health is very high. Unfortunately, the policy of community care for the mentally ill has often resulted in lack of care, and in deep isolation and serious problems for the individuals concerned.

I recall a debate in the House in 1986. The Select Committee on Health was looking in an interesting and critical way at the closing down of large asylums and long-stay institutions, such as Friern Barnet and Napsbury, that existed all around London, and, indeed, all around the country. The Committee warned that community care should not be seen as a cheap option, saying it should instead be seen as an opportunity, but as one requiring comprehensive support, support workers and care.

I am sure all MPs have talked at their surgeries with neighbours of those with mental health problems who have come to complain about noise and inappropriate behaviour. Many of them say to me they are sympathetic to the plight of the individual, and recognise there is a lack of support. We should not see community care as the cheap option. It is an option that can be followed, but a great deal of support is also required to carry it through.

[Mr Kevan Jones]

Does my hon. Friend also agree that under the new NHS structure, local councils will have to do a lot more in terms of understanding the needs of people with mental health conditions?

Mental Health

Debate between Lord Beamish and Jeremy Corbyn

Thursday 14th June 2012 Commons Chamber

[Mr Jones]

Yes, that is one of the key roles of those boards. Again, however, it will be important to ensure that we get the right people on those boards—for example, counsellors who really understand mental health. As the hon. Member for Loughborough said, people have empathy in respect of cancer, but do not quite understand mental health. I agree with the Minister that it is important that the boards are the counterweight to ensure that that happens, but I think that central Government also have to play a role in ensuring that it happens. As I say, we have some great opportunities here and the commissioned work that Chester-le-Street Mind delivers is excellent. In addition, it is cheap compared with some of the major contracts in terms of delivery, because it is delivered by well-trained professionals and by very committed and hard-working individuals in the community.

A lot of mental health charities also rely on charity funding from organisations. In the north-east this funding comes from, for example, institutions such as the Northern Rock Foundation, which has now been taken over by Virgin Money. There is real concern that as those sums contract, the money going into mental health services from those groups will also contract. We need to keep an eye on the situation to ensure that, be it through the lottery or through organisations such as the Northern Rock Foundation or the County Durham Community Foundation, where funds are limited because of the economic crisis, mental health gets its fair share of the funding available. I mean no disrespect when I say that people give happily to Guide Dogs for the Blind or to cancer charities, but it is very much more difficult to get a lot of people to recognise and give money to mental health charities, unless they have been through or had a family member who has been involved in mental health issues. We need to be wary of that, too.

I now wish to discuss the welfare benefit changes, which my hon. Friend the Member for Bolton West mentioned. I commend Mental Health North East, a very good group in the north-east that has interacted with the Department of Health. It is an umbrella group of mental health charities that not only campaigns for and raises awareness about mental health but delivers services to mental health charities and individuals. The organisation is run by a very dynamic chief executive, Lyn Boyd, and is made up of paid individuals and a large number of volunteers, many of whom have personal experience of mental health issues. They are very good advocates, not only ensuring that mental health is kept high on the political agenda but interacting very successfully with the Department of Health in consultations and so on.

One piece of work that that organisation has considered is on a matter that I have increasingly seen in my constituency surgeries. There are people with mental health issues who were on the old incapacity benefit and are now on the new employment and support allowance and who are, frankly, being treated appallingly. The way that is being done is costing the Government more money in the long term. I know that it is not the direct responsibility of the Department of Health, but some thought needs to go into how we deal with the work test for people with mental health illnesses. I am one of the first to recognise that, as most of the professionals say, working is good for people’s mental health; it is important to say that. However, we must recognise that certain people will have difficulties with that. If we are to get people with mental health problems into work, we must ensure that the pathway is a little more sympathetic than the one we have at the moment.

Another massive problem is the work needed with employers. If employers are going to take on people with mental health issues, they will have to be very understanding to cope with those individuals.

[Jeremy Corbyn]

Many of those who are taken for work-related interviews by Atos are declared fit for work, only to win an appeal to show that they are not. On many occasions, the levels of stress they have been through in going for the interview, failing it and winning an appeal are very detrimental to their health. Does my hon. Friend agree that the Department must be far more sensitive about that and think a lot more before it starts to call people in for these interviews?

[Mr Jones]

I totally agree and I shall give some examples of that in a minute.

We must try to get a system in which employers, even in these tight economic circumstances, understand the mental health issues and can make adaptations. Whether we support employers who take people with mental health issues on for a certain period or whether we do other things, we need to think it out a bit more than it is at the moment.