Public Health

Nigel Evans Excerpts

Tuesday 14th December 2021 Commons Chamber

[Ms Rimmer]

My hon. Friend knows about health and care workers—

[Mr Deputy Speaker (Mr Nigel Evans)]

Marie, address the House please.

[Ms Rimmer]

I apologise. I know my hon. Friend knows about care and health workers so she knows how dedicated they are; they have a vocation. Does my hon. Friend agree that the Government can and should stop going too far? Let us not break the trust between patient and worker and between Government. Let us go down the route, which has been proven to work, of persuasion and education, and ask them and work with them to distil the fear.

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[Several hon. Members rose—]

[Mr Deputy Speaker (Mr Nigel Evans)]

The last speaker at five minutes is Wera Hobhouse, and then it goes to four minutes.

[Wera Hobhouse (Bath) (LD)]

Thank you, Mr Deputy Speaker. I might even stick to the four-minute limit.

No doubt we are at a pivotal point in the fight against covid, and my constituents in Bath, like many across the country, are doing their best to keep covid levels low in their community. I thank everyone for their efforts.

I am glad for the consensus in this place that getting vaccinated is the most important thing. What we are debating is the most effective way of getting the most people vaccinated, and I hope this debate does not distract from the fact that we all believe vaccines are the best way to beat covid. We will beat all the conspiracy theories about vaccines and about covid being an invention. I am glad there is consensus on the importance of us all getting vaccinated.

The Liberal Democrats have always supported mask wearing, which reduces but does not entirely eliminate the risk. It is important to wear a mask, and we deplored the fact that the requirement, which is not difficult, had been dropped, including in this House. Mask wearing is not just about keeping ourselves safe or even about keeping our loved ones safe; it is about keeping everyone safe. Yes, we enjoy our civil liberties and we should protect them, but they do not include the liberty to harm others. That is an important principle, and it is why we support these public safety measures.

Many of my constituents have been in touch with me to share their concern about the logistical difficulties of following Government advice. They want to do the right thing, but they often find it difficult. I met one of my constituents last week, and he has recently returned from Zambia, where his work is based. As Zambia is a red-list country, he was required to quarantine in a hotel for 10 days. He continually tried to book a quarantine hotel, but he was unable to do so because the hotels were fully booked. When he was finally able to book one, he received an email from Corporate Travel Management saying his booking had been cancelled due to an error on its part. Upon speaking to the call centre, a member of staff told him there was no problem.

The red-list system has now been dropped, but the stress and cost to people who tried to do the right thing has been considerable and needs to be addressed urgently. Will there be compensation for those who faced considerable cost and, as has already been asked, will those who are still in quarantine be released immediately?

Another constituent is housebound. Her son lives in Southampton and her multiple health conditions make it impossible for her to get to a vaccination centre on her own, which means she has not yet had a booster. Her story is all too common. The local clinical commissioning group says it is in the process of contacting people who are housebound, but many are still waiting to be contacted. Obviously they are very worried, so I hope the Minister is able to outline the steps being taken to ensure the housebound are able to receive their booster as a priority.

Lastly, another constituent was vaccinated abroad, yet is still unable to receive confirmation of his double-vaccinated status, because his vaccines are not recognised on the NHS app—a problem that has been noted since the summer. To make matters worse, my constituent and many others like him are not able to get their booster, because the system will not recognise them as having been doubly vaccinated.

The Government must address these issues as a matter of urgency. It should not be this difficult for those who are trying to do the right thing to follow the Government’s own guidelines. My constituents and many across the country want to do the right thing, but the Government must do their bit or people will lose further confidence at this already highly volatile time, when we need as many people as possible to have confidence in the system and the Government.

[Mr Deputy Speaker (Mr Nigel Evans)]

There is now a four-minute limit. I call Jane Stevenson.

Point of Order

Nigel Evans Excerpts

Monday 13th December 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Sajid Javid)]

Further to that point of order, Mr Deputy Speaker, I would like to reply to the hon. Lady. I have heard very clearly what she has had to say, and I will get back to the Department right now and chase that up immediately.

[Mr Deputy Speaker (Mr Nigel Evans)]

Look at that—instant solutions. I thank the Secretary of State for answering questions for over an hour on what is clearly a very important subject.

Bill Presented

Hares (Closed Season) Bill

Presentation and First Reading (Standing Order No. 57)

Richard Fuller, supported by Mr Robert Goodwill, Simon Hoare and Alicia Kearns, presented a Bill to establish a closed season during which the killing or taking of hares is prohibited; to repeal the seasonal prohibition of the sale of hares in the Hares Preservation Act 1892; and for connected purposes.

Bill read the First time; to be read a Second time on Friday 21 January 2022, and to be printed (Bill 217).

Covid-19 Update

Nigel Evans Excerpts

Monday 13th December 2021 Commons Chamber

[Sajid Javid]

It is an important to make sure that capacity is increased throughout the country. I am pleased that the hon. Member has got boosted, by the way, but she is right to say that she, like her constituents, should be able to get it closer to home. With the plans that we have announced recently, and especially with the plans from this morning, I am confident that there will be many more opportunities to get boosted in Bath.

[Mr Deputy Speaker (Mr Nigel Evans)]

I thank the Secretary of State for his statement today and for taking questions for more than an hour.

Public Health

Nigel Evans Excerpts

Tuesday 30th November 2021 Commons Chamber

[Mr Deputy Speaker (Mr Nigel Evans)]

Order. Important though this matter is, the hon. Lady does appear to be straying. Could she please get back to the regulations that we are discussing?

[Daisy Cooper]

The point that I am trying to make is that the Government are framing the introduction of these specific restrictions in terms of whether or not there is extra transmissibility from the new variant. My concern is that they are not talking about whether we need these restrictions, and perhaps others in the future, because of the pressures on the NHS in its broadest sense.

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[Several hon. Members rose—]

[Mr Deputy Speaker (Mr Nigel Evans)]

I see five people standing; the debate has to finish at 3.58 pm and we all want to give the Minister sufficient time to be able to respond to the number of important questions asked during the debate, so will people be mindful of the length of their contribution?

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[Bob Seely]

The hon. Gentleman makes the point most eloquently. Politicians then become fearful. They think, “What if the worst-case scenario is right?”, and lose faith in more balanced predictions.

John Ioannides from Stanford University said of Ferguson’s modelling that

“major assumptions and estimates that are built in the calculations seem to be substantially inflated”.

He is a serious customer, Professor Ferguson, and Imperial has an impeccable reputation. I pay respect, overall, to their work, and I do not seek to criticise for the sake of it; I want to highlight that bad forecasting and bad modelling drives bad Government decisions that then become illiberal and intolerant of other people who have more balanced views.

More recently, in July 2021, Ferguson predicted 100,000 cases, saying that it was “almost inevitable”. Yet we got nowhere near there. The US forecaster Nate Silver, who is very good at predicting US elections, said:

“I don’t care that the prediction is wrong, I’m sure this stuff is hard to predict. It’s that he’s consistently so overconfident.”



The political scientist Professor Philip Tetlock agreed with Nate Silver, adding:

“Expect even top forecasters to make lots of mistakes…When smart forecasters are consistently over-confident, start suspecting”

other factors in play, such as

“publicity or policy-advocacy games”.

I make no such allegations.

More recently, I understand that this summer Professor Ferguson predicted upwards of 100,000 cases. They topped at just over 30,000. In an interview with The Times, the good professor said that his prediction was off because the football messed up his modelling. That for me comes to the essence of the problem with forecasting. When someone can predict 100 million deaths and no one dies but someone gets a sore thumb, they can say mitigations were taken by Government. When a forecaster’s work becomes verifiable, we can see when he predicts and gets it wrong. When that forecast comes up against reality, reality kicks in and makes a fool of the forecast and sometimes, sadly, a fool of the forecaster. Every time Professor Ferguson’s forecasts have been verifiable, they have been seen to be very badly flawed, and this is a serious man and a serious university.

To sum up, if we look at the forecasts made about covid, just like the forecasts for so many other things, reality changes those forecasts and very often undermines their credibility, so we need another set of factors to guide us. Members on the Opposition Benches and on this side have said we need principles. We need a precautionary principle, but we need a sense of balance so that we do not overstep the mark, damage our society, damage our young people and damage poorer people by seeking to control when we need to learn to live with this. My final question to the Minister is: will the Government look into forecasting and perhaps hold an inquiry into the success of forecasting and what we can learn from it, so that we do it less badly in future?

Finally, going from the theoretical to the very practicable, and on a point related to the Isle of Wight, we are not getting the boosters in the Riverside Centre. My hon. Friend the Member for Winchester (Steve Brine) raised a specific point about his constituency, and in the same way, will the Minister please look at getting more booster jabs to the Isle of Wight and our Riverside Centre?

[Mr Deputy Speaker (Mr Nigel Evans)]

The last contribution before the Minister responds is from Dr Andrew Murrison.

Health and Care Bill

Nigel Evans Excerpts

Report stage
Tuesday 23rd November 2021 Commons Chamber

[Sarah Olney]

The right hon. Gentleman is absolutely right, and that is the point I want to make: we need to boost the status of our care home staff and improve their terms and conditions. We need to improve their pay. This lady who I spoke to on Saturday was telling me that she gets paid for the hours she spends in people’s homes, but not the time spent travelling in between. It is clear to me that the crisis of staffing we are experiencing in our care sector—I think every one of us as MPs is hearing about it regularly from our constituents, who are at the sharp end of that—is as much about workforce planning and improving terms and conditions. The Government needs to give that the most urgent attention, and amendment 10 would go some way to resolving that, although it will not resolve it entirely.

I know that Ministers will push back against the cost of boosting the workforce in all areas of the NHS, but they must surely realise the cost of failing to do so. The right hon. Member for South West Surrey. along with the hon. Member for Central Ayrshire (Dr Whitford), spoke about the cost of locum resource in the NHS. It is not just about the direct cost of locums or of worsening health outcomes as people wait longer for treatment; it is also about the lost productivity of days off sick, the cost of poor mental health as lives are put on hold and, as has been mentioned many times, the cost of exhausted and demoralised staff who are overwhelmed by the demands on the NHS. We cannot afford to continue to fail to effectively plan our healthcare workforce.

I am also very happy to support the amendments tabled by the hon. Member for North West Durham (Mr Holden) on virginity testing and hymenoplasty. I am delighted that the Government are adopting the provisions on virginity testing. We still have much to do to make this country a safe place for women and girls, but all progress is to be welcomed, and I am very glad that this opportunity to bring to an end the degrading practice of virginity testing has not been lost. I congratulate the hon. Member for North West Durham on all the work he has done and, although they may have left the Chamber, the representatives of the other charities referred to earlier. I hope in due course we will see the provisions for hymenoplasty as well, when the review has concluded.

[Mr Deputy Speaker (Mr Nigel Evans)]

I have three people indicating that they wish to speak. I ask people to make really short contributions, because I want to give the Minister six minutes to wind up and we will then go into the votes at half past.

[Matt Warman (Boston and Skegness) (Con)]

I will be brief, Mr Deputy Speaker. I should declare that I am married to a doctor.

Staff are the No. 1 priority for the health service, and have been historically for this Government, so I will support the Government today, but somewhat through gritted teeth. I implore the Minister to include a few things in his 15-year review. I ask him to engage with the feeling of staff, which we have all heard about: if there are fundamentally not enough staff within the system, it is impossible for them to feel that they can do the job they went into medicine to do as well as they possibly can. I know his plans in this 15-year review will address some of that, but I hope he will also address the fact that there is a huge role to play for technology and for the increasing integration between health and social care. If more patients are stuck in hospitals because they cannot be sent on to the social care system, then we need more doctors to staff those hospitals.

I hope the Minister will consider those multiple facets in the review, and also consider that perhaps more important than anything else is how we retain staff. Even if we are putting more and more people into the beginning of a career pipeline, we will never be able to fill up that pipeline sufficiently if people, whether for pension-related reasons or a whole host of other reasons, are leaving more rapidly than we currently imagine they will in the planning.

That retention aspect has to be a hugely important part of the review. I hope that the possibility of addressing all those multiple factors will be core to what the Minister has been talking about. As others have said, I also hope he will be as transparent as possible within that, and that he or his Department will come to the House to make those plans transparent. Fifteen years is good, and transcends the political horizon that so often derails good intentions for the NHS, but the more transparent we can be, and the more support we can give to recruitment, retention, technology, social care and a host of other issues, the less my teeth will be gritted as I support the Government today.

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This amendment enables regulations under paragraph 23 of Schedule 13 to vary the way VAT would have effect in relation to transfer schemes under paragraph 22 of Schedule 13.

[Mr Deputy Speaker (Mr Nigel Evans)]

We are now coming on to the next group of amendments. As hon. Members can see, we have only an hour left, so can I plead to everyone who is participating, including the Front Benchers: short contributions, please, so we can get as many people in as we possibly can?

New Clause 62

Pharmaceutical services: remuneration in respect of vaccines etc

“(1) In section 164 of the National Health Service Act 2006 (remuneration for persons providing pharmaceutical services)—

(a) in subsection (8A) for ‘special medicinal products’ substitute ‘any of the following—

(a) drugs or medicines used for vaccinating or immunising people against disease,

(b) anything used in connection with the supply or administration of drugs or medicines within paragraph (a),

(c) drugs or medicines, not within paragraph (a), that are used for preventing or treating a disease that, at the time the regulations are made, the Secretary of State considers to be a pandemic disease or at risk of becoming a pandemic disease,

(d) anything used in connection with the supply or administration of drugs or medicines within paragraph (c), or

(e) a product which is a special medicinal product for the purposes of regulation 167 of the Human Medicines Regulations 2012 (S.I. 2012/1916).’;

(b) in subsection (8D)—

(i) for ‘special medicinal products are’ substitute ‘anything within subsection (8A)(a) to (e) is’;

(ii) in paragraph (b), for ‘special medicinal products’ substitute ‘that thing,’;

(c) subsection (8E), omit the definition of ‘special medicinal product’;

(d) after subsection (8E) insert—

‘(8F) Where regulations include provision made in reliance on subsection (8A)(c) or (d) and the Secretary of State considers that the disease to which it relates is no longer a pandemic disease or at risk of becoming a pandemic disease, the Secretary of State must revoke that provision within such period as the Secretary of State considers reasonable (taking into account, in particular, the need for any transitional arrangements).’

(2) In section 88 of the National Health Service (Wales) Act 2006 (remuneration for persons providing pharmaceutical services)—

(a) in subsection (8A) for ‘special medicinal products’ substitute ‘any of the following—

(a) drugs or medicines used for vaccinating or immunising people against disease,

(b) anything used in connection with the supply or administration of drugs or medicines within paragraph (a),

(c) drugs or medicines, not within paragraph (a), that are used for preventing or treating a disease that, at the time the regulations are made, the Welsh Ministers consider to be a pandemic disease or at risk of becoming a pandemic disease,

(d) anything used in connection with the supply or administration of drugs or medicines within paragraph (c), or

(e) a product which is a special medicinal product for the purposes of regulation 167 of the Human Medicines Regulations 2012 (S.I. 2012/1916).’;

(b) in subsection (8D)—

(i) for ‘special medicinal products are’ substitute ‘anything within subsection (8A)(a) to (e) is’;

(ii) in paragraph (b), for ‘special medicinal products’ substitute ‘that thing,’;

(c) in subsection (8E), omit the definition of ‘special medicinal product’;

(d) after subsection (8E) insert—

‘(8F) Where regulations include provision made in reliance on subsection (8A)(c) or (d) and the Welsh Ministers consider that the disease to which it relates is no longer a pandemic disease or at risk of becoming a pandemic disease, the Welsh Ministers must revoke that provision within such period as the Welsh Ministers consider reasonable (taking into account, in particular, the need for any transitional arrangements).’”—(Edward Argar.)

This amendment replicates the amendments currently made by clause 76 and makes corresponding provision for Wales. As a consequence clause 76 is left out by Amendment 115.

Brought up, and read the First time.

[Edward Argar]

I beg to move, That the clause be read a Second time.

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[Several hon. Members rose—]

[Mr Deputy Speaker (Mr Nigel Evans)]

Fantastic. I am grateful to the Minister for his brevity; he can see how many people are trying to catch my eye.

[Justin Madders]

Thank you, Madam Deputy Speaker—[Interruption.] It has been a long day, Mr Deputy Speaker, but we will get there.

I will speak to the amendments tabled in my name and those of my right hon. and hon. Friends. As the Minister said, this group of amendments covers a large range of important areas, so I will be brief.

New clause 27 flags up the issues around waiting times. Passing any amendment requiring a report is, of course, not a total solution, but it might be a source of focus. As Labour has said many times since 2010, winter pressures, waiting times and the flight into private healthcare to get earlier treatment have exacerbated the issues.

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[Mr Baron]

I will not. I do apologise, but time is short.

New clause has been endorsed by the founding chief executive of Cancer Research UK, Professor Sir Alex Markham, who has commented that

“comparable health services abroad continue to outperform the NHS in terms of cancer survival. They all remain focused on cancer outcomes and the UK would be foolish not to do likewise.”

The new clause has also been endorsed by others, including the Teenage Cancer Trust. I assure those who are concerned that it will not detract from process targets; quite the opposite because, by implication, improved outcomes can only be facilitated by improved processes and inputs.

I urge the Minister to adopt the new clause. He will then have more time to assess its impact, and perhaps, following consultation, suggest amendments—if necessary —in the other place. I am confident that sufficient cross-party support could be achieved if acceptable nuances were required. If that is not possible, I intend to press the new clause to a vote, but I sincerely hope that I—we—can work with the Government and other parties to drive up survival rates in the NHS across the United Kingdom.

[Mr Deputy Speaker (Mr Nigel Evans)]

I must ask for brief contributions from now on. I call Margaret Greenwood.

[Margaret Greenwood]

Thank you, Mr Deputy Speaker.

The proposed NHS payment scheme in the Bill will, in effect, give private healthcare companies the opportunity to undercut NHS providers, and I believe we will then see healthcare that should be provided by the NHS increasingly being delivered by the private sector, with money going into the pockets of shareholders rather than being spent on patient care. If that happens, NHS staff may well find themselves forced out of jobs that currently provide Agenda for Change rates of pay, NHS pensions and other terms and conditions, and find that only private sector jobs with potentially lesser pay and conditions are available for them to apply for if they wish to continue working in the health service.

My amendments 54, 55 and 56, which are supported by the Royal College of Nursing, are intended to ensure that the pay rates of Agenda for Change, pensions, and other terms and conditions of all eligible NHS staff are not undermined as a result of the adoption of the NHS payment scheme, and that all relevant trade unions and other organisations representing staff who work in the health and care sectors are consulted by NHS England on the likely impact of the proposed scheme.

On hospital discharge, I have tabled amendment 60, which would remove clause 80 from the Bill. The hospital discharge proposals pose risks to patients and staff. In its written evidence given to the Bill Committee, the RCS said:

“In the context of current high vacancy rates across district and community nursing, and poor understanding of workforce shortages across the health service, public health and social care, along with chronic underfunding due to failure of the current service payment model to recognise community nursing, this legislation should not seek to demand a service delivery approach which transfers such disproportionate risk to nursing staff and patients.”

As of May this year, 4 million patients had been discharged since 2020 under discharge to assess and the temporary measures of the Coronavirus Act 2020. I asked the Government how many of those patients had been readmitted within 30 days but they told me that they did not hold the data. In effect, they did not know; they do not have that information. Back in June of this year, the Government told me that the national health service had commissioned an independent evaluation of the implementation of hospital discharge policy, and that the evaluation was under way. It was due to report in autumn 2021—that is, now. Yet the NHS told me last week that the report containing the evaluation had not yet been finalised. It is therefore a matter of extreme concern that the Government are pushing ahead with a policy that is risky to both patients and staff without properly understanding its clinical outcomes, and that they know they are doing so. I ask the Minister to withdraw clause 80 from the Bill.

Health and Care Bill

Nigel Evans Excerpts

Report stage
Monday 22nd November 2021 Commons Chamber

[Geraint Davies]

It is a great pleasure to follow the hon. Member for Harrow East (Bob Blackman), who gave an eloquent speech about smoking. What he did not include, and what the Minister is not considering, is the mass passive smoking from air pollution, which causes 64,000 deaths a year. I know that I am in danger of being outside the scope of the Bill, but I will make this point just briefly, because it is about public health.

Indoor and outdoor air pollution is endemic. It costs £20 billion a year. We could simply ban wood-burning stoves, which 2.5 million people have and which contribute 38% of the PM_2.5 emissions in our atmosphere. That is particularly problematic in poorer areas. I make this point partly as I chair the all-party parliamentary group on air pollution, but this is a critical public health issue, so I feel that the Department of Health and Social Care should look at it centrally, rather than leaving it to the Department for Environment, Food and Rural Affairs as an air quality issue.

I turn to the comments by the hon. Member for North East Bedfordshire (Richard Fuller), who sadly is not in his place, about free choice in advertising. Advertising is not about free choice; one would not need to advertise unless one was trying to convince somebody to do something they would not otherwise do. That is not to say that advertising is always bad—good things and bad things can be advertised—but let us be straightforward.

As it happens, I have a background in multinational marketing; I have been involved with PG Tips and Colgate toothpaste—good products. However, the reality is that if someone wanted to make money from a product such as a potato, which is intrinsically good for people, they could impregnate it with salt, sugar and fat, make it into the shape of a dinosaur, get a jingle and call it “Dennis’s Dinosaurs”, and make a lot of money out of that simple potato. That is the way a lot of processed foods work.

Going back to the point about diabetes and added sugar, it is important to remember that diabetes in Britain costs something like £10 billion a year. There is a compelling case for the Government to do more about added sugar, as opposed to natural sugar; obviously, we could discriminate between the two, though a lot of manufacturers will say, “Are you going to tax an apple?”. Clearly, when a child or adult can find a huge bar of chocolate in a shop for £1, we have problems, in terms of the amount of sugar we are supposed to have. Henry Dimbleby put forward a national food strategy, which is worth a read. He makes the key point that reducing the overall amount of money people have—for instance, through universal credit—has a major impact: we find that when universal credit goes down, consumption of alcohol and smoking go up.

It is important for the Department of Health and Social Care to have an idea of how the nutrition of particular natural foods can be increased through better farming. An app will be available next year that will enable people to test a carrot in their local shop. The carrot will have different levels of antioxidant, depending on how it is grown. If it is organic and not impregnated with all sorts of fertiliser and chemicals, it develops a natural resistance to pesticides and is much better for human health. The Government should, in this post-Brexit world, be actively encouraging local high-value, high-nutrition products for export and local consumption.

A whole range of public health measures that need to be moved forward are not in the strategy; but some are, such as those raised by the hon. Member for Harrow East.

[Mr Deputy Speaker (Mr Nigel Evans)]

I call Christian Wakeford. Do you wish to remain seated?

[Christian Wakeford]

That is greatly appreciated, Mr Deputy Speaker.

I would like to put on record my support for amendments 11, 12 and 13, and new clauses 15 and 16. I also thank the hon. Member for Liverpool, Walton (Dan Carden). We have heard why he cannot be here; I wish him well with what is going on in his family.

These much-needed amendments and new clauses are aimed at reducing alcohol harm by introducing advertising restrictions, transparent alcohol labelling and support for effective alcohol treatment. Alcohol abuse leads to many harmful things, and deserves to be called the silent killer. I am chair of the all-party parliamentary group on alcohol harm, and the group has heard in our evidence sessions the stories of those affected by alcohol. It has the potential to destroy individuals, families and wider society. Alcohol has a very public face, but it harms privately. Hospital admissions and deaths from alcohol are at record levels, and have been exacerbated by the covid-19 pandemic. Some 70 people die every day in the UK due to alcohol. Alcohol harm is a hidden health crisis that needs to be recognised.

The Bill does not go far enough to stem the rising tide of this issue. For instance, the Bill introduces restrictions on advertising for “less healthy” products, such as sugary soft drinks, but the same restrictions do not apply to adverts for alcoholic drinks, despite alcohol being linked to more than 200 health conditions, as well as having very high calorie and sugar content. There is significant evidence that children who are exposed to alcohol marketing will drink more earlier than they otherwise would. Existing laws are failing to protect children and vulnerable people. In fact, four in five 11 to 17-year-olds have seen alcohol advertising in the past month. The advertising they are exposed to builds alcoholic brand awareness and influences their perceptions of alcohol. A forthcoming report by Alcohol Health Alliance found that seven in 10 young people recognise the beer brand Guinness, including more than half of 11 to 12-year-olds. Amendments 11 to 13 would ensure that alcohol was considered a less healthy product and was therefore liable to the same proposed restrictions as sugary soft drinks when it comes to advertising on TV, on demand and online.

Awareness of the risks of alcohol is low: about 80% of people do not know the chief medical officer’s low-risk drinking guidelines of 14 units a week; only 25% are aware that alcohol can cause breast cancer; and only 20% know the calories in a large glass of wine. I need only refer you, Mr Deputy Speaker, to the Six Nations championship earlier this year—you may have a slightly better recollection of it than I do. There was alcohol-related advertising on billboards around the stadiums. There were many billboards advertising alcoholic brands. There were also drink awareness campaigns, but they were not seen, due to where those advertisements were placed. People were seeing adverts for Guinness, but not for Guinness 0.0 or for drink awareness campaigns. This is something that the Government really need to look into.

Covid-19 Update

Nigel Evans Excerpts

Tuesday 9th November 2021 Commons Chamber

[Mr Deputy Speaker (Mr Nigel Evans)]

I thank the Secretary of State for Health and Social Care for his statement today and for responding to questions for 40 minutes.

North Tees Hospital

Nigel Evans Excerpts

Thursday 28th October 2021 Commons Chamber

Motion made, and Question proposed, That this House do now adjourn.—(Scott Mann.)

[Mr Deputy Speaker (Mr Nigel Evans)]

I understand that Mr Cunningham has sought permission to speak briefly in this debate, and that Mr Vickers and the Minister have agreed, so after Mr Vickers has resumed his seat, I will call Mr Cunningham to speak.

World Menopause Month

Nigel Evans Excerpts

Thursday 21st October 2021 Commons Chamber

[Carolyn Harris]

I would say, “Take the example of the hon. Gentleman, who has become a menopause warrior: be there for the women in your lives and make sure you provide listening ears and thoughtful words on how you can support your loved ones and the women in your workplaces.”

I understand that women have found it difficult to talk, because across society we have been encouraged not to. A funny story, but a very true story, is that I remember my mum ushering me out of a room when her and my aunts were discussing a “rather difficult sensitive issue”. One of my aunts will probably be absolutely horrified that I am talking about this now. They were discussing her menopause. I hasten to add that I was 36 years of age at the time—[Laughter.]—but that just goes to show the taboo around talking about this subject. There will be some people out there who will be absolutely astounded that I used the expression “vaginal dryness” in the Chamber of the House of Commons, but it is a fact of life.

The stories that women are sharing with me are often really distressing: from women who have struggled for years with no support and feel it has ruined their lives, to women who have experienced early menopause due to medication or surgery and feel that they are literally on their own; and from women who have experienced some of the most extreme physical symptoms and those whose mental health has really suffered, struggling in silence because that is what they thought they had to do and did not know what was happening to them.

In the public engagement survey earlier this year, Helen shared her story. She told us:

“My perimenopause symptoms started at 41....by the time I was 42, I had developed palpitations and anxiety attacks. I suddenly couldn’t leave the house or meet people and was scared all the time that something was seriously wrong with my heart. I was a shell of the woman I used to be.”

Then there are those who have taken the next step and visited their GP to ask for help, only to be turned away or sent packing with a prescription for antidepressants. I am not pointing the finger at GPs because I know how hard they work, but there is a woeful lack in their training and understanding of the menopause. Many are not able to join up the dots and women go undiagnosed.

In our survey, Catherine explained how she had experienced that exact problem. She said:

“With my own research I’ve had to work hard to convince my GP that constant increases and changes in antidepressants weren’t working and my difficulties were hormonal. I nearly lost my job and my husband...it’s taken 6 months to finally receive the HRT I need. Within 2 months of taking HRT I have successfully weaned off antidepressants, been able to start exercising and my home, work and personal life is”

completely “transformed”.

It does feel like we are starting to turn a corner. If we can just bring all the pieces of the jigsaw together, we can change the future for ourselves, our daughters, for our daughters’ daughters and for women who follow on behind us forever more. We can stop menopause being something people are afraid to talk about. We can help to ensure that everyone understands the symptoms so that women know what is happening to them and family and friends are able to support them. We can make sure that women get the right diagnosis and the right treatment plan for them to help to alleviate their symptoms, and we can ensure that every workplace is a menopause-friendly workplace so that women can continue to succeed in their careers. It is time for change. It is time for the menopause revolution. Women want it, women need it, and women deserve it.

[Mr Deputy Speaker (Mr Nigel Evans)]

I am going to try to have this debate without putting a clock on. If people can show discipline and keep their speeches to about six minutes, we will get everybody in with an equal time.

--- Later in debate ---

[Judith Cummins]

I could not agree more wholeheartedly with my hon. Friend. Yesterday I had the honour of supporting the ROS, and a group of fantastic and passionate patient advocates who had helped with its report so enthusiastically, in delivering the report to the doorstep of No 10. Following that, we had a meeting with the Minister’s counterpart, the Minister for Care and Mental Health, the hon. Member for Chichester (Gillian Keegan), who received the report on behalf of the Government. I hope that both Ministers, working together with us, will carefully consider the points raised in the report—alongside the ROS’s new policy manifesto, to which my hon. Friend just referred—and will make sure that the needs and wellbeing of all those with osteoporosis, as well as women as they approach and go through the menopause, are at the heart of the Government’s health policies.

I have visited my local fracture liaison service at Bradford Royal Infirmary. It is an excellent and award-winning service. I spent time with the team discussing how good their work was at a local level, and how we could make improvements at a national level. We discussed the inconsistencies in terms of delivery of treatment across the country to which my hon. Friend referred. But one of the astounding things that stood out was their pride, their enthusiasm and their dedication to providing such excellent treatment for the people of Bradford in respect of a disease which, although important, is rarely spoken about.

Significant harm could be prevented if we put prevention at the heart of primary care. Digital solutions which could support that already exist, but they are not properly integrated into IT systems in our GP surgeries. Such systems could easily identify people at risk of osteoporosis before that all-important first fracture. Those who experience early menopause—before the age of 45, and especially before the age of 40—are at particular risk of osteoporosis and fractures in later life. They are advised to take HRT at least up until the normal age of menopause, which is around the age of 50.

I am proud to stand here today to help break the silence of this silent disease, a disease that affects so many women—young women in today’s society; women who have much to offer, women who should not be left undiagnosed, women whose quality of life is left literally to crumble, women who are left to suffer in pain—when in fact this is a treatable condition, because our bones are alive and can be built back stronger with the right treatment. I hope that the Minister will see why it is essential that, around the time of the menopause, women are properly supported to assess their risk of osteoporosis and fractures. I welcome her to her place, and I would also welcome any further conversations with her and her counterparts to ensure that we have the right policies in place to support women at this important time.

[Mr Deputy Speaker (Mr Nigel Evans)]

Just to talk through the timings, the wind-ups will start no later than 4.36. There will be six minutes for Marion Fellows, eight minutes for the other two Front Benchers and the last two minutes for Carolyn Harris.

--- Later in debate ---

[Carolyn Harris]

I hope that colleagues truly appreciate the impact that us in this place talking about this subject has on those watching and listening. I have lost count of the people who have contacted me and thanked me for raising the issue. The emotion and gratitude from those women, who finally feel that they have a voice, is truly overwhelming. But Parliament is not just being watched today by the women out there; we are being watched on the global stage. Me on the global stage—terrifying, isn’t it? But I am absolutely loving the fact that I have legislators, press, medical professionals and academics from right across the world saying, “You were talking about something in the UK Parliament; we want to learn from you.” We will be world leaders on this.

We have warriors such as Davina McCall, Louise Newson, Penny Lancaster, Louise Minchin, Lisa Snowdon, Gabby Logan, Nadia Sawalha, Mariella Frostrup and Kate Muir—prominent women in the media who are telling their story—as well as the Countess of Wessex and so many more voices. Everyone in this place brave enough to embrace talking about the menopause is a menopause warrior and is playing a huge role in allowing women to be fabulous all their lives. So, words I never thought we would say in the House of Commons Chamber—long live the revolution!

[Mr Deputy Speaker (Mr Nigel Evans)]

They don’t come more fabulous than you, Carolyn.

Congratulations to everyone on taking part in the debate. I am really pleased that Sir David Amess was mentioned today. I am absolutely certain that, had the tragedy not happened, he would have been here today cheering you all on.

Question put and agreed to.

Resolved,

That this House has considered World Menopause Month.

Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3)

Nigel Evans Excerpts

Tuesday 19th October 2021 Commons Chamber

[Dawn Butler]

The Act has always been presented on the Floor of the House as an all-or-nothing Bill; MPs never have an opportunity to change, amend or scrutinise it, so I think that the Secretary of State is just a little misleading in how he is presenting it to the House today.

[Mr Deputy Speaker (Mr Nigel Evans)]

Unintentionally misleading?

[Dawn Butler]

Unintentionally misleading.