Special Educational Needs and Children’s Mental Health Services

Steve Brine Excerpts

Wednesday 9th February 2022 Westminster Hall

[Steve Brine (Winchester) (Con)]

It is an honour to follow my hon. Friend the Member for Bury North (James Daly).

In a few months, I will have been in this place for 12 years, but we are still having the same debate and saying the same things, so I want to give voice to a few constituents who have been in touch with me. One wrote that

“my son (6 in April) is diagnosed autistic…I had to fight to get an appointment with a paediatrician…I cannot express to you how stressful this was and for two years we didn’t get any support…We did find some support once he started school but…I am now paying for this privately…at £70ph…There is no one place to work out what support is out there. It is all piece meal. I’ve learnt far more from speaking to other parents of autistic children about available support than through official channels…if support was given beforehand, so many of these mental health difficulties could be prevented. The majority of parents I know of autistic children are burnt out and stressed—even when they have money to provide private help”.

Another constituent wrote:

“It was apparent at pre-school that he was experiencing difficulties, he was seen briefly by a speech therapist…He transitioned into primary school, where I still remember that fateful day where he just crumbled. Due to a lack of external help we sought the advice of a child psychiatrist…This cost us thousands. Eventually we received, with primary school SENCO help, admittance onto the CAMHS pathway for autism assessment. After many years of waiting we were discharged…We were then dropped from any further care and given a leaflet with web links for information…Any request for help that we have made has been firmly shut down…to navigate the system requires an MSc level of education, legal knowledge, money (we are on benefits!) and time. All at an emotional cost to one’s self.”

Another constituent wrote:

“We only get one childhood and it is proven that it has an impact on the rest of a person's life. I hear so many times of people being turned away from CAMHS and struggling to get support, even when their child is suicidal”,

and another said:

“SEN parents are really stretched to the limit. I cannot begin to tell you what a battle it is and how a more global approach would be of benefit...rather than the fragmented system of try the school, try the GP, try CAMHS etc.”

Another constituent wrote:

“Our experience of CAMHS? Well there isn’t much as we haven’t been able access any treatment for him!…My husband and I referred our son on the CAMHS online referral form in November last year. I wrote on the form that he was using the palm of his hand to slap his forehead out of frustration to get the compulsive thoughts out of his head…We didn’t hear anything so I sent an email asking them to confirm that they had received our referral form. The confirming email asks parents not to inquire about waiting list times...A member of the School Welfare Team phoned me to say that there is a waiting list of 18 months…As a family we are frazzled and I feel like I’m hanging by a thread. Where do we go from here?”

Another one wrote that

“the situation is abysmal. My family have been ripped apart by my daughter’s mental health and she is just SIX years old.”

Finally, another constituent wrote:

“Last night my nine-year-old son said, ‘I would rather have no life than this life’.”

None of those emails makes for easy reading. I have had so many emails, and the key thread I take from them is that, as many have said, early diagnosis is what is missing. As a result, children fall further down. They are helped later, and the help they need is consequently significantly more acute. Covid has been a disaster for children and young people’s mental health, so let us not compound that now by this constant asymptomatic testing.

“Don’t ask us how long the wait is.” I would love the Minister to explain how that message fits with the physical waiting list on My Planned Care, which was launched this week. Where is the parity? I have been really moved by what I have received this week. My constituents do not care about six people being shuffled around the same jobs in Government. They care about the services that they are paying a lot of money for and are not getting. One constituent said to me:

“Childhood is short but it also lasts a lifetime.”

We cannot have this debate for the next 12 years.

--- Later in debate ---

[Maria Caulfield]

Absolutely. Services are commissioned locally. Part of the issue is that there is no accountability for when services are not commissioned. The funding that is put forward needs to look at all service providers, and the third sector is often well placed to provide those services.

To touch on long waits, NHS England is working to ensure that CAMHS have embedded diagnostic pathways for autism and ADHD as a core part of their work. A sum of £13 million is going in to improve those pathways and identify those at risk of crisis; £2.5 million of that funding will test different approaches to diagnostic pathways and ensure that they are backed by research and are evidence-based. In addition, NHS England wants to develop a single point of access to ensure that referrals are triaged, and that individuals do not stay on lengthy waiting lists. We have heard today of the difficulties caused by not having a single point of access. I have met families in my constituency. As the hon. Member for Oxford West and Abingdon (Layla Moran) said, we are the last refuge and point of contact when they cannot get anywhere else.

We know that school settings can provide an invaluable opportunity to identify autistic children early in life. We are investing £600,000 in significantly expanding an autism early diagnosis pilot in Bradford. That will test at least 100 schools over the next three years to assess whether new approaches to achieving a faster diagnosis can be rolled out across the country. The early findings from that pilot are positive. Education staff report that they are better able to identify children and put in place the support they need to thrive in education. Local areas will look to upskill mainstream staff to better identify children’s needs. In Manchester, a project to support early identification and diagnosis in young children involves health visitors identifying those who show signs associated with autism and fast-tracking their assessment, with additional post-diagnostic support for families.

The issue for many years has been the lack of a national strategy, but that is changing. What we want, when pilot studies show good initial results, is to roll them out across the country. In the next year, on top of the £1.5 billion spent in the past two years, we are providing an additional £1 billion of high-needs funding for the education of children with more complex needs. The aim of that funding is to reduce waiting lists and variations in practice, make navigation pathways less complex, and improve the speed and quality of diagnosis.

Those points tackle some of the issues around waiting lists, but accountability was the main thread of the introductory remarks of my hon. Friend the Member for Newbury. At the moment, no one is held accountable locally if services are not commissioned. The integrated care system will be put on a statutory footing from 1 July, if the Health and Care Bill goes through on time, and ICS boards will be the accountable bodies for commissioning services. Their chief executive officer will be the accountable officer for the NHS locally and will be responsible for bringing those services together and will be accountable if that is not happening.

Since November 2019, NHS Digital has reported on waiting times for autism assessments, trying to ensure transparency in how services are delivered and highlighting areas where improvements are needed. It is incredible that, up until now, we have not had the data to hold people’s feet to the fire when services are not provided.

[Steve Brine]

On accountability, can the Minister shed any light on the issue of CAMHS in Hampshire telling parents not to ask how long, or will she take it away? It means that they cannot plan, for instance, decide to sell the car. Those are the choices that people are facing. They cannot plan for what is next. Does that sound right to her, that people have been told not to ask?

[Maria Caulfield]

No, that does not sound right. That is exactly why we want to bring some accountability to local services, so that when such statements are made, we can look at what the problems and the blocks in the system are to try to overcome them.

Local authorities also need to be held to account for how they support schools, because schools do a huge amount of work, going above and beyond in most cases to support children with special educational needs. That is why we continue to work with Ofsted and the Care Quality Commission to develop a new area of SEND inspections, which will look at how services and support are delivered in practice on the ground. That will hold local areas to account, so that there is no gap in oversight before full implementation of any new reforms resulting from the SEND review. It also recognises the importance of inspections in SEND services by highlighting areas of good practice and areas to improve on.

I reassure colleagues across the Chamber that that is an area of high priority. The SEND review will be published shortly, and the Green Paper will follow swiftly on from that. I encourage all colleagues to share their powerful experiences in that process, as they have today, so that we can improve services for the children and their families who at the moment are not getting the service that they deserve.

Elective Care Recovery in England

Steve Brine Excerpts

Monday 7th February 2022 Commons Chamber

[Edward Argar]

The hon. Gentleman makes a sensible and serious point. As I said earlier, it is about the workforce. Buildings and technology are fantastic, but it is the people who operate them who really make the difference. I can offer him the reassurance that we are already well on target to meeting our 50,000 nurses pledge from the 2019 manifesto. In October 2021 there were thousands more doctors and thousands more nurses in our NHS compared with October 2020. We continue to grow that workforce from a whole range of sources, including the additional medical school places that this Government delivered a few years ago.

[Steve Brine (Winchester) (Con)]

There is no question but that the waiting list is impacting on my constituents’ quality of life, but I fail to see how taking £36 billion out of the system would help. Can I ask my hon. Friend to look further upstream and tell me how the very welcome 10-year cancer plan announced on Friday will improve our health and prevent more complex future interventions? Will he confirm that the 28-day cancer standard, which does sound familiar—I left office three years ago next month—is a maximum, not a target? In other words, we always want to do much, much better, because we know that the quicker cancer is caught, the better the outcome.

[Edward Argar]

I am grateful to my hon. Friend for touching on the 10-year cancer plan. He is absolutely right that the earlier the diagnosis, the better the outcome, as a rule, in cancer treatment. Yes, we set targets, but we always hope to exceed them. It has been incredibly challenging to do that over recent years, and that is why we as a Government are not only investing the resources, but putting in place the reforms that are needed to achieve these targets.

Public Health

Steve Brine Excerpts

Tuesday 14th December 2021 Commons Chamber

[Sajid Javid]

I am very persuaded by what my hon. Friend says. I would love to stand here right now and just say that that is the case, but there are some issues that need to be resolved, and they are urgently being looked at. I hope that we can say something more on this as a Government, even as early as today. I do understand what he said, for exactly the reasons that he said it, including on reimbursement.

As well as the new measures we are proposing, we are restoring freedoms too, drawing on the defences that we have already built. At the end of last month, this House passed regulations requiring all close contacts of a suspected or confirmed omicron case to self-isolate for 10 days, but given the increasing dominance of omicron, this approach no longer makes sense for public health purposes and nor is it sustainable for the economy. So we are drawing on the testing capacity that we have built to create a new system of daily testing for covid contacts that has started today. Instead of close contacts of confirmed cases or suspected cases having to self-isolate, all vaccinated contacts, irrespective of whether the contact was with an omicron case, will be asked to take lateral flow tests every day for seven days. Regulation No. 1415 allows us to put this plan into action by revoking the omicron-specific provisions for self-isolation.

[Steve Brine (Winchester) (Con)]

The Secretary of State knows that I welcome that. The isolation regs that we passed two weeks ago that I did not support were sinister, and well done to him for getting rid of that. On test and release, though, he will know that many of our constituents—many of mine have contacted me to say this—cannot, for love nor money, get hold of lateral flow tests right now. Could he update the House on whether this problem has been resolved?

[Sajid Javid]

My hon. Friend will understand that there has been a huge surge in demand for lateral flow tests, perfectly understandably of course. The situation at present is that the warehouses of the UKHSA have plenty of stock, but the distribution channel has been limited, although it has added to that significantly in recent days, including building on the channels it has with Royal Mail, Amazon and other suppliers, and also opening up more access points other than direct ordering online so that people can pick up tests from far more pharmacies, for example, than they currently can. It is being worked on, and whatever the current situation is, it will be improved very, very quickly. I hope that reassures my hon. Friend.

--- Later in debate ---

[Steve Brine (Winchester) (Con)]

Here we are again, and this time, two weeks on, the concept of “learn to live with covid” is as dead as anything I know. In July, we were told many, many times from the Dispatch Box, and from the podium in No. 10, that we were on an irreversible road map to freedom. Do we all remember that? I thought it was an unwise hostage to fortune when it was said, and so it has proved.

When I vote tonight, I will consider the legislation before us. I completely agree with the hon. Member for Ellesmere Port and Neston (Justin Madders) that it should have been published long before this, less than 24 hours before the debate. That is why I did not tell anybody in the media how I was going to vote today—because I am rather old-fashioned and like to actually read the legislation before I decide how I am going to vote. I wish those on the official Opposition Front Bench had done the same. I look at the legislation and I also look at the intention behind it, so what is the intention here? Is it to stop omicron? Is it to slow the spread? That is clearly not happening now, so I guess the question we then have to ask is whether these four SIs are going to do that. Working from home is not in an SI; it is guidance. We are told that people need to work from home where they can, but they can meet the very same people in the pub that evening and every evening. Is that going to slow the spread? I do not think so.

I abstained on the SI on mask-wearing two weeks ago and I will do so again this evening. I have no issue with wearing a mask. It does not impact on my life or on my freedoms. Many of my constituents have been wearing masks in plenty of situations, indoors and out, for a long time throughout the pandemic. I think it is a bit of a crutch, but if people believe that it makes them safer, that is fine. In many ways, it is an instrument of people feeling they are safe. Today’s SI says that we have to wear a mask in certain shops but not in pubs or in restaurants, and some of the exemptions make a mockery of it, but I will not stand in its way.

On the covid passport, if we were to put aside the practicalities and the moral arguments, which I do not, and many of my constituents writing to me certainly do not, then a vaccine still does not stop people getting this and passing it on. Professor Whitty said to MPs on a call this lunchtime that there is a minimal impact on transmission with regard to all our vaccines.

Last Wednesday, when the Secretary of State made his late-night statement, I expected him to bring forward a devastating piece of science that basically said, “The drugs don’t work.” That is not what he said; he said that we are moving to plan B on the basis of some modelling. We have SAGE’s gloomy predictions and yet a confirmation that vaccines do work with two jabs, even better with a booster. I completely agree. Today we have a study that says that the Pfizer vaccine has 70% efficacy against the omicron variant. Last Wednesday’s statement should have been about the national booster effort that was announced in the live TV broadcast on Sunday night. I cannot say how many of my constituents have contacted me furious at the frightening nature of that broadcast that sent their children off to bed terrified.

If we truly mean the “learn to live with covid” mantra that we continue to hear, the booster campaign is 100% where our focus should be. We should be focusing on an ongoing plan to keep immunity high. We probably need a new primary care infrastructure, because “panic stations and cancel all else” is not a plan. Yesterday I spoke to three of the four primary care networks that cover my constituency. They are going to do their absolute everything to offer the booster to all eligible over-18s by the end of this month, but it will be really difficult. They are scrabbling around for venues in the week of Christmas. This is not the long-term thinking that we need.

I am ambivalent about regulation No. 1400 on face coverings and I will not stand in its way. On isolation moving to tests, I will support that if there is a Division, although I suspect there will not be. However, if people cannot get the lateral flow tests, as they have not been able to today and yesterday, as I raised in an intervention on the Secretary of State, then we get the pingdemic anyway, so we need to sort that supply out. I will not support the vaccine passport because it crosses a Rubicon. Italy began in exactly this way saying that it was all about providing lateral flow tests, and I think it will move, and move quite quickly. On the mandating of health staff, I will support that to be consistent with the mandating of vaccines in the care sector. If you work in the health service, working with vulnerable people, surely you have to believe in science above all else, and there is a precedent because of hepatitis B. So it is a mixed bag for me: I will support some of the measures before us today but not others.

Covid-19 Update

Steve Brine Excerpts

Monday 13th December 2021 Commons Chamber

[Sajid Javid]

Well, there will be variants of covid-19 for many years, as the right hon. Gentleman says—indeed, there have been many hundreds of variants. No country in the world is better at the surveillance of those variants; I remind him that the UK alerted the world to the threat of omicron. No country is better prepared, if we look at how swiftly the UK reacted—for example, with international restrictions and the information that we shared with the world about vaccines. I think he understands those points, and I regret the way that he has framed the question.

[Steve Brine (Winchester) (Con)]

I thank my right hon. Friend for his statement. Many of my constituents will be very surprised indeed to hear that, from this morning, anyone over 18 can walk into a vaccination centre. Will he give me an update on the Hampshire situation?

May I ask my right hon. Friend about the NHS covid pass being rolled out to 12 to 15-year-olds? That is such a welcome announcement; it is something the Secretary of State promised this House he would bring back, and I thank him for that. How exactly will it work? Many of my constituents will be travelling within the next few days, and certainly within the next week and over Christmas. How exactly will they be able to access this pass, given that they cannot access the NHS app in the same way that adults can?

[Sajid Javid]

I thank my hon. Friend for his remarks. He is right that the covid pass is a very important measure. We will shortly publish on the website exactly how it will work, but it is being rolled out as a digital pass in the same way as it is working for adults, starting today.

Covid-19 Update

Steve Brine Excerpts

Wednesday 8th December 2021 Commons Chamber

[Sajid Javid]

As I mentioned earlier, we will keep that under review.

[Steve Brine (Winchester) (Con)]

It is clear to me that “learn to live with covid” is now as dead as the zero-covid proponents want it to be. I am pleased about the change from isolation to daily tests, as that will avoid a dangerous pingdemic, but may I ask my right hon. Friend about the “papers please” mandatory certification world that we are now moving into, with respect to young people? Does he consider young people to be in possession of a vaccine passport if they are double vaccinated, which of course many are not yet able to be; and how will they be able to prove their status given that they cannot do so through a digital vaccine passport and are having huge problems accessing any other form of vaccine passport through their primary care centres?

[Sajid Javid]

I am pleased that my hon. Friend welcomes the move from isolation to daily testing. On his questions about the NHS covid pass, the requirement and definition of vaccination will be two jabs—a first and second dose—but I hope that he welcomes the fact that it is that or a negative lateral flow test.

Covid-19 Update

Steve Brine Excerpts

Monday 6th December 2021 Commons Chamber

[Sajid Javid]

The only way our approach discriminates is in terms of the risk of the virus. The hon. Lady will know from the information that I have shared today and the Government have shared previously that the epicentre of this variant is southern Africa at the moment. The reason Nigeria has been included is that at least 21 cases in England are clearly linked to Nigeria, but we have also taken into account further reports such as Ghana having reported 25 cases linked to Nigeria. She will also understand that some countries do not have the same ability to test or sequence, and so we, with other countries, provide them with that support. It is right that whenever we have the data, we must act to protect British public health.

[Steve Brine (Winchester) (Con)]

As of last week, as feared, my constituency—like many others, I am sure—is seeing Christmas events cancelled and moved online, including all manner of festive performances in schools. Local authority guidance is often what is cited. Given that last week national Government went out of their way to ask schools to go ahead with Christmas performances such as nativity plays, I am keen to understand who head teachers and other event organisers should follow—the town hall or this place.

[Madam Deputy Speaker (Dame Rosie Winterton)]

Can I once again urge the need for brevity if we want to get everybody in?

Adult Social Care

Steve Brine Excerpts

Wednesday 1st December 2021 Commons Chamber

[Gillian Keegan]

The hon. Lady is absolutely right that the complexity is broad. We have always anticipated that we would have winter challenges to deal with. With the global pandemic, there is a backlog of all kinds of things that people need—diagnosis, operations, electives and so on—plus all the other challenges such as winter flu and new variants of covid, which are still here. That is why we have specifically put a winter plan in place; we have also set out hundreds of millions of pounds of extra funding to look specifically at the winter challenges and the discharge process. It is not easy, because of the absolute growth in demand. We knew that it was always going to be challenging, and we regularly monitor and measure it with our NHS colleagues.

The hon. Lady mentions a fundamental pillar: the integration of health and social care. That will be subject to another White Paper, which will come early next year and will have more details about integration. She is absolutely right that it is another solid foundation on which social care reform will stand.

[Steve Brine (Winchester) (Con)]

Obviously I will study the White Paper that has been published today, and I welcome the cap that we are introducing. Opposition Front Benchers may have turned up in force today, although they have scuttled off now, but they did not do anything about the issue in 13 years in government. As far as I can tell from the response today, there is absolutely nothing coming back across the Dispatch Box from any of the Opposition parties.

I think I am right in saying that the upper limit of the disabled facilities grant for home adaptations is being increased. Can my hon. Friend confirm that that will help my Winchester and Chandler’s Ford constituents with things like stairlifts and wet rooms, which are really important to people’s day-to-day quality of life? Will she say exactly when it will kick in, please?

[Gillian Keegan]

We will commit a further £573 million per year to the disabled facilities grant between 2022-23 and 2024-25. We are also taking steps to ensure that the disabled facilities grant can benefit more people in need. We will consult on some of those steps in 2022.

Public Health

Steve Brine Excerpts

Tuesday 30th November 2021 Commons Chamber

[Steve Brine (Winchester) (Con)]

’Tis the season to be jolly, Mr Deputy Speaker. As my colleagues know and as you know, I am always jolly, but it is not particularly jolly at the moment. [Interruption.] I did not hear that—I shall pretend that I did not.

It is always a pleasure to follow the hon. Member for Central Ayrshire (Dr Whitford), whom I remember shadowing me well when I was a Health Minister. She makes very many good points, as always. Her point about vaccinating the rest of the world is absolutely right—I agree completely—but we certainly should not throw away intellectual property, because it would leave absolutely no incentive for us to produce what we have produced in this country, which is what has saved so many lives around the world. However, she is absolutely right that we should be doing more through our overseas aid effort to help the rest of the world.

It was bad enough when the extension of the Coronavirus Act 2020 was nodded through without a vote. There has been lots of excitement and flurry recently about Members of Parliament and the work that we do. There is now one Labour Back Bencher, one Liberal Democrat—albeit that she is one twelfth of the parliamentary party—and one Democratic Unionist party Member in the Chamber. I understand why SNP Members are not here in force, because they rightly do not vote on English matters, but I think that this is something that the public should be concerned about. We are making an impact on their lives today, and it is a disgrace that this House is so empty.

Is anybody other than the Minister going to speak in favour of the regulations today? In the House of Commons, in my experience of 11 and a half years, you do not just have to win the vote; you have to win the argument as well. Of course the Government will win the vote today, because the Opposition—who always say “How high do you want us to jump?” when the Government propose new restrictions on our lives—will pretend to ask difficult questions while voting for the restrictions anyway. They said that they would vote for them before they had even seen the published regulations. Frankly, I think that that is a derogation of duty from Her Majesty’s Opposition.

Okay—now I will try to be nice. I know Jenny Harries of the UK Health Security Agency well; I worked with her when I was a Health Minister. I am sorry to return to this point, but for the benefit of Ministers on the Front Bench, she said to the media this morning that people should not socialise

“when we don’t particularly need to”.

She also urged people to decrease social contact.

I understand that Downing Street has had to dismiss and distance itself from those comments this morning, and rightly so. Jenny Harries is a very careful and very professional public servant—as I say, I know her well—and she does not just say things off the cuff without thinking. If what she said is not the Government’s position, we need to know. The Minister is quite right to say, as I would have said myself, that she cannot speak for others and cannot comment on what others say, but she can say what she thinks and what the Government’s position is; that is the duty of a Minister at the Dispatch Box. If the Government do not agree with that position, it should have been said at the Dispatch Box this afternoon—ample opportunity was given for it to be said. But if that position is the policy of the Government, we are in completely different territory.

As for the regulations before the House, I do not even know where to start. They are the fly on the back of the rhinoceros. Let me start with the face coverings regulations, which expire on 20 December. I have to say that I do not much like them—I think that they go against the individual choice that my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady) talked about—but it is not a huge imposition on my life to wear a mask when I am in the Chamber. I choose to do so. Nor is wearing masks a huge imposition on the lives of my constituents, many of whom I see wearing them in all sorts of settings, including outside—that is their personal choice. To be honest, the face coverings regulations do not bother me greatly.

The self-isolation regulations bother me a great deal more. Under new regulation 2B(1)(ba)—I know; how are the public meant to follow this?—of the Health Protection (Coronavirus, Restrictions) (Self-Isolation) (England) Regulations 2020, if one child in a class of 30 has had close contact with someone who

“is suspected of, or confirmed as, having an Omicron variant”,

presumably the other 29 are out. We are not just looking at a pingdemic in our economy and in our businesses; we are looking at a pingdemic that will devastate education again. After everything that we have learned—everything that I have felt in my own family—are we really, seriously, going to do that to our children again?

[Mark Jenkinson]

The explanatory memorandum tells us that the regulations make provision for

“NHS Test and Trace to notify an individual that they are a close contact”.

In fact, the detail of the legislation makes such provision not just for NHS Test and Trace, but for anyone in a local authority involved with communicable diseases.

One of my children was sent home before the school holidays to isolate for 10 days, despite being confirmed by the headteacher as not having been a close contact. That had a significant impact on the rest of the family, as hon. Members can imagine; it was based on the advice of a director of public health that the whole year group should isolate. Does my hon. Friend share my concern that this is lockdown by default, through activist directors of public health and others?

[Steve Brine]

I do not think I would call directors of public health “activists”, although I understand that some of them play it very differently from us. It is the job of this place to get legislation and regulations right, and if we draft them in a way that makes them so wide, so loose and so flexible that any director of public health could be an “activist” if so minded, it will lie at this door, not that door. I should like the Minister, in summing up the debate, to define “suspected”, because I think there is an element of the Salem witch trials in this. What is a “suspected” case? I should like an answer from the Dispatch Box, please, before I am asked to vote for this measure.

I said in the House yesterday that the regulations, in and of themselves, were relatively mild. I have already talked about face coverings. What concerns me is the chilling effect that this is having on the rest of our society. The fact that No. 10 Downing Street, the centre of government, has taken to the national newspapers today to ask head teachers not to cancel nativity plays because of the announcement that we made on Saturday night makes me ask, “What on earth are we doing?”

We should think of the effect that this is having on confidence, on society and on hospitality. Those in hospitality have put everything into this Christmas in order to survive and to save their year. There is nothing in these regulations that says Christmas parties must be cancelled—unless, of course, Dr Harries is in charge—but there is everything in the language and the narrative coming out of the Government right now that is causing Christmas parties to be cancelled left, right and centre. I have seen organisations in my constituency cancel events that were due to happen within the next few weeks, on a “just in case” basis. These regulations will have a chilling effect, and we should not underestimate that just because it is not written in black and white.

[Alec Shelbrooke (Elmet and Rothwell) (Con)]

Does my hon. Friend agree that the Business Secretary should have been involved in these decisions? Does he share my concern about that? I have received several emails from travel companies in my constituency whose potential bookings have dropped off a cliff because of the cost of PCR tests. My hon. Friend mentioned a “chilling effect”, but it goes deeper than that: there is also a huge impact on business. If these regulations are to be implemented, it must surely be done hand in hand with the Chancellor and the Department for Business, Energy and Industrial Strategy.

[Steve Brine]

Having been a Minister of the Crown, I hope that the regulations have been through the right-round process, albeit an accelerated right-round process, but my hon. Friend is absolutely right. It will worry the travel industry that the regulations that have not been subject to a motion today are not being debated in the House—and yes, I am greatly concerned. I have to say that I agree with the Opposition about departure testing. Other countries, such as the Netherlands, have introduced it. I do not think that the Opposition have had an answer from Ministers about why they have not chosen to do the same, and I should like to hear an answer in the Minister’s winding-up speech.

[Mr Harper]

My hon. Friend has touched on an important point about the process within Government to ensure that all aspects are considered. What normally happens is that regulations are thought about and there is a right-round process—which, for the benefit of those listening to the debate, means that all Government Departments have the opportunity to provide an input. One thing we have discovered is that in the case of covid regulations, that right-round process does not operate in the normal way. Through my hon. Friend, I ask the Minister to clarify in her winding-up speech whether, as these regulations were being drafted, other Departments were consulted and given the usual opportunity to provide an input, or whether this was done purely in the Department of Health and No. 10 Downing Street.

[Steve Brine]

I thank my right hon. Friend for his comments, which will have been heard on the Treasury Bench.

I do not understand the timing here. What will we really know in three weeks’ time that we do not know now? This causes me to question the three-week rule. South Africa does not give us the insight into the progress of the virus, and of this variant, that we were able to take from, say, Italy—with a broadly similar European population—this time last year. South Africa has a much younger population, and, sadly, a greatly under-vaccinated population. As we heard from the hon. Member for Central Ayrshire, it was spreading like wildfire among students, who, of course, are younger and fitter and therefore less susceptible to serious illness as a result of this variant.

[Sammy Wilson (East Antrim) (DUP)]

I thank the hon. Gentleman for being so generous in giving way. Does he accept that the evidence from South Africa so far suggests that there have been very few hospitalisations, while we in the United Kingdom are introducing regulations that are causing economic disruption, are causing people further anxiety, and will disrupt all of Christmas because of this variant when we do not even know whether it will have a severe impact on the UK in any event?

[Steve Brine]

I do accept that, and I also accept that the scientists who discovered the variant said on the media at the weekend that this was often a less serious disease than the delta variant. However, notwithstanding the point that I have just made about the people whom it has affected in South Africa—younger, unvaccinated people—given that numbers are so small in this country, I fail to see how we will be any the wiser in three weeks’ time. That may explain why the isolation regulations will apply until next March. Perhaps the Minister can enlighten me, through an intervention now or in winding up the debate.

Finally, let me return to the situation in my constituency. I have raised this matter twice in the House. This morning I spoke to the Winchester City primary care network, which is responsible for some 62,000 people who are on its roll. PCN patients will be contacted if they are in one of the Joint Committee on Vaccination and Immunisation’s groups 1 to 9, if they are clinically extremely vulnerable or if they are over 50, and will have been offered a booster. The PCN expects that process to be complete by 17 December, and by the middle of January it will start to offer the booster to others. From that date onwards the booster will be offered to those aged 18 and over, following the welcome announcement from the Secretary of State during his statement yesterday.

Many of my constituents do not live in the area covered by the Winchester City PCN, but have access to vaccinations at the Badger Farm community centre. If they consult the NHS website, they are offered the opportunity to go to Salisbury, Portsmouth or Southampton. That is not easy access to the booster. In my constituency there is no easy walk-in access to it, and I am inundated by questions from constituents about why they cannot have such easy access in Winchester today. The difference between what is being said on television and by Ministers from the Dispatch Box and the reality of the access available on the frontline is growing, and it is a problem.

[Maggie Throup]

rose—

--- Later in debate ---

[Steve Brine]

I know that the Minister has been looking into the matter for me. We have not teed this up, Mr Deputy Speaker, but she is kindly going to intervene.

[Maggie Throup]

I want to reassure my hon. Friend. I heard what he said yesterday, and I have asked my office to look into it further. I will get back to him as soon as I can.

[Steve Brine]

I greatly appreciate that. The Minister is a good friend, and I know she is sincere. This morning I sent her some correspondence between me and the head of the new integrated care system in Hampshire, where we are trying to make progress with this. If “boosterism” works—in the context of covid-19 and this variant, which is where it probably does work—that will be all to the good, but let us get those boosters, and let us make it easy for people to get them.

I will end by reiterating that I am ambivalent about the face coverings regulations, but the isolation regulations concern me greatly. I am concerned about the timing and the conclusion of their application, and about their chilling effect, and unless I hear a very good answer to my question about the definition of “suspected”, I will not support them today.

Covid-19 Update

Steve Brine Excerpts

Monday 29th November 2021 Commons Chamber

[Sajid Javid]

The hon. Lady makes an important point about contact tracing. On the contain outbreak management fund, especially given the emergence of this variant, we are actively reviewing it.

[Steve Brine (Winchester) (Con)]

I welcome the widening of the booster programme that the Secretary of State announced, but my constituents still have no walk-in access in Winchester. I would therefore really appreciate his help with that, on behalf of the increasing number of constituents who are contacting me.

The measures we will be asked to approve tomorrow night will likely appear rather small in and of themselves, but the Secretary of State knows that the wider impact of the past few days is absolutely huge. Nativity plays have been cancelled or moved online—these are moments that we just do not get back—and community events are being cancelled just in case. The Prime Minister said this lunchtime that if you are boosted, we know your response to this variant is strong. What evidence base is that drawn from, and when might we reasonably expect data from the scientists on how, if at all, the variant hits vaccine efficacy?

[Sajid Javid]

First, I noted what my hon. Friend said about walk-in access in Hampshire, so I will take that away and get back to him. Secondly, he is right to talk about the impact of these measures. Although I believe that they are right, proportionate and balanced, we must never forget the impact that they have on individuals and their daily lives. That is why they must be removed the moment it is safe to remove them. In terms of when we will have more data, we have set a three-week review point because that is the time when we believe that we will have more information—not just the information that we will have come up with, but information through our international counterparts.

Autism and Neurodiversity Research Funding

Steve Brine Excerpts

Tuesday 16th November 2021 Commons Chamber

[Robert Buckland]

I am grateful to the hon. Gentleman, who rightly outlines some of the pressures on the system—the increase in diagnosis, which in many ways is a good thing, and the personnel and capacity issues that cause many of the delays in diagnosis, which are all too familiar a pattern for many families, including those in England, Wales and Scotland.

It is interesting to note that research by, I think, the Northern Ireland Assembly calculated the estimated cost to the country of the failure to deal with autism at a staggering £32 billion. Let us just think about that. What a cost to our country: resources wasted, lives wasted and lives lost as a result of these omissions. It does not have to be like this.

[Steve Brine (Winchester) (Con)]

It is such a shame to see my right hon. and learned Friend not in Government, but such a pleasure to have him on the Back Benches and to be here for his first speech from the Back Benches in what I suspect is a number of years. Seeing that we have a lot of time in tonight’s Adjournment debate, does he, as a former Lord Chancellor, agree that the way we look at people on the autistic spectrum within the secure estate, and the way he is proposing we might look afresh at that, might affect the way we look at the secure estate as a whole—to understand a lot more, and condemn a lot less? We have such a high prison population, many of whom, especially women, should not be in the secure estate. Could this be the issue that causes us to look afresh at our prison system?

[Robert Buckland]

I am grateful to my hon. Friend. In 2020, he and I visited his local prison in Winchester, a prison with many challenges and, there is no doubt about it, a share of the population with a brain condition, sometimes undiagnosed and often an acquired brain injury. Many people who are in for offences of violence have themselves been the subject of violence. Those issues are frankly endemic within the criminal justice system.

That is why, when I was Lord Chancellor, in last year’s sentencing White Paper, I announced a call for evidence on neurodiversity in the system. I was hugely grateful to Charlie Taylor, Her Majesty’s Chief Inspector of Prisons, and Justin Russell, Her Majesty’s Chief Inspector of Probation, for leading that independent call for evidence. Charlie Taylor was a public servant who came from the education sector, specifically the special needs sector, had real frontline knowledge and experience of autism and brain conditions and previously ran the Youth Justice Board for England and Wales.

The good news is that, thanks to the published results of the call for evidence, the Government committed—I am pleased to say I committed—to training for frontline staff and the upskilling of those staff right across the criminal and youth justice system, as part of a new custody and detention apprenticeship that is being offered and that will be completed by all prison officers. Her Majesty’s Prison and Probation Service is developing a revised policy framework and guidance all about those issues, but in particular about children in custody with those conditions. This work is carrying on. I will develop those points a little further. I know people are anxious to come in.

--- Later in debate ---

[Robert Buckland]

I am very grateful to the hon. Lady. I think we formed a pact on Sunday night that we would work together cross-party on these issues. There are plenty of others on the Labour Benches—the hon. Member for Stalybridge and Hyde (Jonathan Reynolds) has a similar experience and knowledge of autism—who I know will put their shoulder to the wheel, and that will be incredibly powerful. She has done work on the issue of knife crime. All too often, there is a sad correlation between the isolation of people who might be suffering from anxiety driven by an undiagnosed condition and what I call a cycle of isolation that can often lead to the decision to arm themselves for their own protection. That is an aspect of knife crime—we always think and talk about gangs—that we misunderstand at our peril, so I am grateful to her for taking part in the debate.

I was talking about the golden opportunity we have. We are between the autism strategy as published and the White Paper, which I am waiting for with relish. The Prime Minister knows that that is another issue I will be pressing him and the Government on in the next few months. Many of us identify social care as an issue not just for older people, important though that this, but for adults with disabilities who need lifelong support. They must be part of the mix. More than half of local government expenditure is on adults with disabilities. If we do not pay regard to that in the plan, we are failing. Although I supported and am happy to support difficult decisions on national insurance and on funding issues, we have to make sure that the system that we are funding is well evidenced, produces the outcomes that we all want to see and has an element of accountability that, at the moment, is lacking. People talk about the black hole of health and social care funding. With respect to everybody concerned with that, that is what it feels like to us on the outside, and we have to change. That is why research on care will be so important.

[Steve Brine]

I am so pleased that my right hon. and learned Friend made the point that social care is not just about older people. That is so important. What he is actually talking about—who knew that the Back Benchers and Front Benchers were so joined up?—is levelling up. He is talking about realising the potential of everybody in our country. It is not that autism is therefore a condition to be managed and kept in its box, as we seek to minimise the damage, but that we want people to achieve their potential, and if everybody can achieve their potential, that is just levelling up really, is it not?

[Robert Buckland]

I could not have put it better myself. Levelling up is about people and communities, not things. Things are important and they deliver us levelling up, but levelling up is about people. That is why the Government have to show seriousness of purpose. I am with the Government on these things—I helped to author a lot of the documents on which they will be held to account. This matters, but if we do not focus on people, we are not going to level up. That is the point that my hon. Friend made so well.

I commend the Autistica report to hon. Members, but if I may crave the indulgence of the House for a little longer, I want to outline what Autistica suggests the key stages of support should be that will make a real difference. First, the report made the important point that support for autistic families around and shortly after the time that they receive a diagnosis has to be improved, because it is big news for families. It is a big moment when they get that diagnosis. I remember now the mixture between relief that the system is listening and deep sadness, grief and anger, and all the emotions that someone goes through as a result. These are big moments for families. It sounds axiomatic, but this does not happen, because we do not empower all families of people with autism to understand the diagnosis and to come to terms with what it means for them. This is a moment when services have an opportunity to get to know these families better and to ensure that their personal profile, which should be done, is really understood.