Disability Action Plan
Alec Shelbrooke Excerpts(9 months, 3 weeks ago)
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Sir Alec Shelbrooke (Elmet and Rothwell) (Con)
I welcome my hon. Friend’s statement. I am particularly pleased about the aim to
“help our businesses of all sizes and sectors to understand the needs of, and deliver improvements for, disabled people”.
One group of people who feel that they should be recognised in disability plans are those with advanced endometriosis. In a debate that I led on endometriosis in the workplace, we heard that some of the issues that women face at that advanced stage are really disabilities, but because they are not listed as such, many women lose their jobs owing to poor attendance through sick days and so on. I very much welcome the strategy, but will my hon. Friend consider expanding it to those women’s health issues that are totally disabling?
Mims Davies
I thank my right hon. Friend for his question. Research shows that disabled people are more likely to experience difficulties and barriers in accessing products and services, which results in a lack of confidence —whether that is on the high street, in going to work, or elsewhere. The consultation proposes a voluntary accreditation scheme for businesses to train their staff in disability awareness. The benefits to business are absolutely clear: Purple says that the spending power of disabled households is £284 billion a year.
As my right hon. Friend knows, I lead on women’s health and on the wider issue of keeping women in the workforce within the Department for Work and Pensions. The debilitating impact of the menopause and the wider impact of menstruation in the oil and gas sector, for example, were issues raised in Aberdeen just last week, which links into our women’s health strategy. This is the second time that endometriosis has been mentioned in the Chamber recently. I would be happy to meet my right hon. Friend and others to discuss how we link it into our understanding.
Oral Answers to Questions
Alec Shelbrooke Excerpts(3 years, 10 months ago)
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Mims Davies
The young person needs to be on universal credit and working with our excellent work coaches. In respect of Hoxton and Poplar, which cover the hon. Lady’s constituency, we are recruiting 27 new work coaches in Hoxton and 67 in Poplar. Since the end of September, we have been working with the new Tower Hamlets youth hub, with local employers and gateways bringing opportunities. I encourage the hon. Lady to visit her local jobcentre to see what has happened there in the past year, because I do not believe she has visited and think that would put her mind at rest.
Alec Shelbrooke (Elmet and Rothwell) (Con)
The Parliamentary Under-Secretary of State for Work and Pensions (Mims Davies)
This Conservative Government and I, as the employment Minister, are committed to providing support to help our young people to move into work and avoid the long-term scarring effects of unemployment, both during the pandemic and as we recover from its impact. Our plan for jobs includes an expanded DWP youth offer, kickstart and more than 100 new youth hubs to assist young people to move into meaningful, sustained employment.
Alec Shelbrooke [V]
Small and medium-sized enterprises in my constituency have raised concerns about the time it takes to apply for the kickstart scheme. What action is the Department taking to ensure that applications are processed as quickly as possible?
Endometriosis Workplace Support
Alec Shelbrooke Excerpts(5 years ago)
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Alec Shelbrooke (Elmet and Rothwell) (Con)
I beg to move,
That this House has considered endometriosis workplace support.
It is a pleasure to serve under your chairmanship, Mr Pritchard. This issue affects not just the Minister’s Department, but the Department of Health and Social Care, the Department of Business, Energy and Industrial Strategy, the Department for Education and the Department for Work and Pensions.
I thank Dr Larisa Corda, who is an obstetrician, gynaecologist and fertility expert—she is in the Public Gallery—the many hundreds of women who have contacted me, and the very brave women who have made the journey to London today to support this debate. I will not reveal the names of the people who have written to me even if they are happy for me to do so, because I want to maintain their confidentiality and ensure that it remains their choice. In opening the debate, I will cover the following areas: the disease itself; the poor diagnosis and medical expertise in dealing with this debilitating condition; its impact on women’s lives; its impact on workplace activity; and the protections that many women feel are not honoured, despite strong workplace health assessment laws.
The disease is often described as cells from the womb growing in other places, but that is a gross underestimation. I believe that that simplistic description is among the reasons why women find it hard to get employers to understand the terrible condition that they are suffering from. According to Dr Corda, since the start of this year more than 100 women have taken their lives as a direct result of this disease.
Endometriosis comes with many symptoms, which occur not just at the time of a woman’s period. The most common are abdominal cramps, back pain, severe menstrual cramps, abnormal or heavy bleeding, painful bowel movements, pain urinating, painful sex, difficulty becoming pregnant, and nausea or sickness. According to endometriosis.org, people with endometriosis are more at risk of several diseases. The risk of ovarian cancer is 37% higher than for the general public; the risk of endocrine tumours is 38% higher than for the general public; the risk of kidney cancer is 26% higher than for the general public; the risk of thyroid cancer is 33% higher than for the general public; the risk of brain tumours is 27% higher than for the general public; the risk of malignant melanoma is 23% higher than for the general public; and, according to cardiosmart.org, a heart attack is 62% more likely. That series of statistics does not describe the impact of the symptoms; I will give some real-life examples later, but the stark truth is that 30% to 50% of women become infertile from the disease.
Tracey Crouch (Chatham and Aylesford) (Con)
I congratulate my right hon. Friend on securing this incredibly important debate. I am sure millions of women around the country will be enormously grateful that he is raising this issue at the highest level. Does he agree that one of the challenges that many people face is that there is a significant lack of understanding of the condition? That leads to all sorts of things, including dreadful delays in diagnosis and a lack of understanding in workplaces of what the chronic pain really means to those women.
Alec Shelbrooke
My hon. Friend summarises the biggest issues that those women face. I will talk about the real-life experiences of the women who have contacted me, but one of the most important things—I hope other Members will expand on this—is that there are support networks out there, because women often suffer in silence. As I said, this subject goes beyond the DWP: certainly, the Department for Education and the Department of Health and Social Care have a role to play.
In June 2015, the BBC carried out a study on 15,000 women in Scotland. It found that women with the condition had a 76% chance of miscarriage, which is unbelievably high. The article reported that women with endometriosis had a trebled risk of ectopic pregnancy. The chance of premature birth was 26% and the chance of having a caesarean was 40%.
Later, I will talk about the impact on women of abnormal and heavy bleeding and bowel movement impacts, which can be distressing in the workplace. I am aware that the issue I am about to talk about falls under the authority of the Department of Health and Social Care, but it is vital to add context and explain why this disease has a knock-on effect in the workplace. I ask the Minister to ensure that this debate is fed into the relevant Ministers in the Department of Health and Social Care.
The House of Commons digital engagement team put out a survey only last Thursday, and there have been 2,610 responses, 1,083 reactions, comments and shares on Facebook, and 215 retweets. I want to cite some of the quotes from it. Again, I will not put the names out there; I will just set out the reports.
“At 18 I am currently being put through medically induced menopause to try and fight back against my endo, it’s horrific, it’s debilitating and it’s exhausting. The pain I have I cannot even describe, and two operations later I am no further to being pain free or living a normal life. My next step is a hysterectomy, I haven’t even had children yet and this is what is being recommended to me. My life has been overtaken by operations, drugs, injections, sickness, anxiety, depression and a whole load of awful nights with no sleep and no rest. I am currently finishing my A Levels and I am absolutely terrified of what life will be like after. My dream is to become a primary school teacher, but I think that dream is unachievable. How will I find an employer who will understand that I often have to lay in bed because as soon as I move I will throw up, or that I have had to have time off work because I’ve got to have my ovaries removed? It’s about time that endometriosis is taken seriously, and people understand that life is so challenging and excruciating, but we carry on, smiling through the pain, simply because we have no alternative.”
Paula Sherriff (Dewsbury) (Lab)
I thank the right hon. Gentleman for securing this very important debate. Like the woman whose case he is discussing, I had a chemical menopause at the age of 37, but many women have to go to the GP at least 10 times in order to be referred to a specialist. Does he agree that we should include this issue in statutory sex and relationships education, so that when young girls and women experience gynaecological problems or even heavy periods, which may be a sign of endometriosis, they seek help at the earliest opportunity?
Alec Shelbrooke
I am most grateful to the hon. Lady, who speaks with a great deal of personal experience. We have been friends for a long time—since we came to this place. We are two West Yorkshire MPs, despite being on different sides of the aisle. I am grateful to her for making those points. As I said, it is important that the Department for Education and the Department of Health and Social Care take this forward. Other Members may wish to try to secure debates that are responded to by those Departments. I know that my hon. Friend the Minister will certainly feed those issues in.
I apologise for citing a lot of stories, Mr Pritchard, but it is important to set out the context. Another lady said:
“I had stage 4 (severe) endometriosis. I had a 7 year wait for diagnosis. From my referral to the hospital, I had a year and a half wait for surgery. My surgery was lifesaving as my bowel was 50% blocked with a mass of adhesions that had grown through the bowel. I was in constant pain, slept for 3 or 4 hours a day and was unable to care for my son properly, I considered putting him into care. If it wasn’t for him, I would have given up on everything. Despite being told in 2010 I ‘probably had endometriosis’ I was still given pain killers and mefenamic acid for years to manage the pain and symptoms. Throughout this time the endo was worsening, it is progressive. Had I been diagnosed earlier I may not have needed the bowel resection I needed and will have bowel issues for life. I was on the pill for 15 years, which is still considered a ‘treatment’. It is not. The same year I came off it (2010) I was at the GP with SEVERE bowel pain during my period (It was fused to my womb). The pill masked the symptoms, but it was quietly progressing. Please ban the use or presentation of the pill as ‘treatment’.”
Stephanie Peacock (Barnsley East) (Lab)
I congratulate the right hon. Gentleman on securing this incredibly important debate. One in five women will suffer from this disease, and it has been shown that, as that story shows, it can take up to seven years to convince a doctor. That is completely unacceptable. We have an issue in this country with what has been called the gender pain gap. We need to put more money into research and funding to look at proper cures and support for women when they need it most.
Alec Shelbrooke
I entirely agree with those sentiments. As I said, I hope this debate will go beyond the Department for Work and Pensions. I thank the hon. Lady for that contribution; it is spot on.
Endometriosis affects 1.5 million women in the UK. It takes an average of eight years to diagnose and there is not really a cure.
I will share a few examples from women who have spoken out through the digital platform. One said:
“I have suffered with endometriosis since the age of 15 and I was diagnosed aged 22. The worst thing about endometriosis is the lack of awareness. Even some doctors haven’t even heard of it which is very frustrating! I’ve had 4 surgeries to try to alleviate the symptoms. Unfortunately, this hasn’t worked. I want to try to basically create more awareness of endometriosis, especially online, as much as I can.”
Another woman said:
“I was diagnosed with endometriosis in May 2016. I would say 2 years was spent actively pursuing a diagnosis. But the previous 9 years I often went to the doctors, complained of pain and heavy flow and I was told ‘it’s just a bad period, it’s normal’. The hardest part of endometriosis for me would be the mental health side of things, coming to terms with the fact my body has limits and my life probably isn’t going to take the direction I thought it would.”
Someone else said:
“I was 17 when I was diagnosed with endometriosis. I’ve had 6 surgeries since. The thing I hate most about endometriosis is not being able to plan ahead because you don’t know how your pain is going to be that day. You could be absolutely fine, or you could be crippled.”
A young woman said:
“I was diagnosed with endometriosis on the 14 February last year, I was only 15. It took me 3 years to get diagnosed. For those 3 years, I was told I had unexplainable abdominal pain.”
Another story comes from a woman who said:
“I was diagnosed when I was 25 when I had a miscarriage. I had been struggling since I was a teenager with all the common signs of endometriosis. It just wasn’t picked up until I had my first surgery. What I hate most about endometriosis is that it takes time away from my children. Especially when I have to just go and rest in bed. I would love to be able to make it more aware for children, especially young girls and in schools, to be able to support them through this and see the early signs and educate GPs on the signs and symptoms.”
Hannah Bardell (Livingston) (SNP)
I thank the right. hon Gentleman for giving way and congratulate him on securing this hugely important debate. Does he agree that local groups, such as Endo Warriors in my constituency, which do such important work to educate young people in schools and to ensure that early signs of endometriosis can be picked up by doctors and health professionals, are absolutely vital and have such an important place in our communities and constituencies?
Alec Shelbrooke
I am grateful to the hon. Lady, who raises a very important point; there are many support groups out there. I will come to the workplace impact, for which the Minister is responsible, but one of the things that I want this debate to achieve is to highlight to women far and wide that there are lots of support groups in different areas of the country. More importantly, I hope that the debate will be heard by the Department for Education. To strengthen our point, we may have to come back to debate the issue with each separate Department, and we should ensure that we do so.
Another sufferer said to me:
“I have suffered with endometriosis since being 19. I had always had heavy periods and then my symptoms escalated to constant bleeding, pain on intercourse, really bad pain in the lower tummy and lower back. I was backwards and forwards from anywhere between 6 months plus, who constantly checked me for STDs. They’d do swabs, send me on my way and they’d come back clear, and I was in that cycle. I was in work one day when I was given an awareness form for endometriosis. Every symptom listed, I ticked. I’m now 36 and I’ve had 22 laparoscopies. At 29, I had a hysterectomy. When they removed my cervix, they found the endometriosis in there.”
A young woman who has given me a huge amount of help in preparing for this debate told me:
“My journey with endometriosis began when I was 11 years old, when I had my first period. From a young age I was going back and forth to the doctors for leaking through my clothes at school, just after being to the toilet. I have always been active in football and dancing but found myself struggling with the disease due to the pain, lack of energy and continued leaking through my clothes.”
We are talking about an 11-year-old girl. She continued:
“Initially I was told they thought I had endometriosis but was too young for the surgery required for diagnosis. I ended up going through surgery for a womb polyp and ovarian cysts. To date, I have now had 10 surgeries, all with general gynaecologists. Finally, I have been able to see an endometriosis specialist after 10 years of suffering. I had surgery on the 8th of April 2019 which was the diagnostic surgery I had been waiting for. The specialist surgeon found years of missed endometriosis due to untrained surgeons. Unfortunately, a shortage of worldwide endometriosis specialists means this is not uncommon for women suffering.
This disease has had a huge impact on my mental health. Alongside other personal family issues, the daily pain I have been going through has made tackling day to day life harder. Whilst I have had friends and family support me, I have also lost friends because they don’t understand this disease. I have tried to take my life multiple times because of it. The problems have also extended to my fertility. I have had miscarriages and a medically advised abortion. Not only was this a devastating and horrific experience for me but had a dramatic impact on my work life as well as personal.”
Another lady said to me:
“As soon as my periods started when I was just 12 years old, the problems began. I suffered extreme pain and heavy bleeding, to the point where I passed out several times. On speaking to my GP, I was told ‘every girl has this, it’s normal’. The doctor prescribed me oral morphine for the pain, but most of the time it barely touched it. Finally, I was offered a laparoscopy in February 2016. The surgeon told me I had endometriosis, but that they had treated it and I wouldn’t have any further problems. I was so happy and relieved, little did I know the fight was far from over. By October the symptoms had returned. On speaking to my doctor, I was told it couldn’t have come back after surgery, it was part of being a woman and I simply needed to be more positive. Eventually, I got referred to an endometriosis specialist hospital where an MRI scan showed my left ovary and bowel were stuck to my cervix and I had 100% got endometriosis back. This means more surgery.”
I am so grateful to the members of the public who engaged with the digital engagement platform. A woman from Newcastle shared her workplace experience. She said:
“I have been disciplined for being off sick. I am terrified to go off sick again, so I have to force myself to work even when the pain makes me vomit. If I go off sick again, I know they will sack me, this has been made very clear. I work for HMRC and I know this is a massive issue for other members of staff as well.”
Another lady said:
“I have been fired from all my jobs, my last workplace bullied me and mocked my illness, nothing was done via HR and I was made to leave instead. I have never had support from any workplace.”
Gill Furniss (Sheffield, Brightside and Hillsborough) (Lab)
I thank the right hon. Gentleman for securing this extremely important debate. As a member of the all-party parliamentary group on endometriosis, which is ably chaired by the hon. Member for Southend West (Sir David Amess), I have been privy to many of these stories. Does the right hon. Gentleman agree that a major barrier to support in the workplace is the taboo around menstrual health? Surely, we have to get people talking about that. One idea may be to encourage employers to become endometriosis-friendly, so that people get support and HR departments understand that it is a real illness and not something that someone should have to endure.
Alec Shelbrooke
I am grateful to the hon. Lady for that important point. That goes back to the earlier example of the lady who suffered for so many years and who got a diagnosis only when she had ticked every single box of a workplace survey. That is why we need a debate with the Department for Business, Energy and Industrial Strategy—we need to work across so many areas of Government. The hon. Lady is right: any issue of women’s health, but especially menstrual health, is still taboo. Someone asked me why I secured this debate. The primary reason is that I have worked very closely on this with a previous constituent of mine, but I also think it important that a man stands here and says that women’s health is not a taboo subject. We are all human beings and we all have health issues. We should all stick together and help everybody, regardless of how embarrassing we might find the subject. There is nothing embarrassing about health and we need to look after people.
The stories that I have given all share the same underlying theme: “I was told by doctors that it was all part of being a woman.” Given the backdrop of the personal trauma that women with endometriosis suffer—years without a diagnosis, personal relationships breaking down and strain on personal finances—they should at least be able to expect the law to protect them in the workplace, like anyone else who suffers with a disability. The truth, however, is that a whole host of employers are completely unsympathetic to the disease, and often dismiss employees because of a “poor sick record”.
Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
My right hon. Friend makes a very good case and highlights the challenges faced by many women with endometriosis. He will recognise that many people have other chronic health conditions, such as inflammatory bowel disease, Crohn’s disease, ulcerative colitis or rheumatoid arthritis, which can also be life-limiting in the ways that he has outlined. For clarity, is he saying that endometriosis is a special case, or do the principles that he is outlining actually apply to many other chronic health conditions, the sufferers of which often find that they are also discriminated against at work?
Alec Shelbrooke
Of course, all employers should support people in the workplace who have any of the whole host of chronic illnesses that my hon. Friend mentioned, but quite a few of those illnesses get diagnosed relatively easily, or in a shorter time than endometriosis. One of the problems is that there is such a long diagnosis time—I will refer to that later. The hon. Member for Sheffield, Brightside and Hillsborough (Gill Furniss) made a point about better education in the workplace. I absolutely agree with my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter) that this is not about singling out one disease—the whole range of workplace diseases must be covered—but it creates many issues when women cannot even get diagnosed, and cannot tell an employer, “This is what is going on.”
I was given a copy of this text message, which a lady received:
“Hey Karen,
I hope you are doing a bit better, i am sorry to hear you have so much going on physically.
We have had to pause your email access due to confidentiality as you are signed off sick. I am aware you may be off for a few months, so we will end your contact at this point as you are off for a prolonged period of time.
Should you wish to reapply when things work out for you please get in touch through the usual route.
I hope this all makes sense for you, and you can take the time you need to recover and get things back to normal.
Many thanks for all your input, and maybe hear from you again in the future.”
That last sentence perfectly encapsulates an utter lack of understanding and support that is far too commonplace.
I quote from an email I received this morning from the Open University, highlighting the work of PhD student Victoria Williams. She has given the following statistics, based on her doctoral research on the workplace:
“In a study of 7,000 women across 52 countries, over 40% had given up or lost their job because of endometriosis…Others are being pushed into part-time roles or becoming self-employed whether the motivation or support is present or not…Women lose an average of 10.8 hours per week due to pain…Women lose an average of £5,757.72 per year due to lost work days…Many suffer in silence in the workplace in a bid to protect their jobs, careers, credibility and reputation. Women live with the daily predicament of disclosing symptoms which may drive accommodations or negatively fuel workplace discrimination…Endometriosis is a condition that is closely connected to menstruation alongside a history of shame, secrecy and lack of knowledge, it is classed as a taboo topic that constrains requesting and/or receiving organisational accommodations and support. Currently there is no advice for working with endometriosis from government bodies, occupational health specialists or the CIPD.”
One woman told me,
“I have had to have extended probations, sickness meetings, ‘what are you going to do to make this better’ and you have to sit there knowing you can’t do anything as there’s no cure.”
Going back to the lady in my previous story, when she had to have the medically advised abortion, a manager said, “Should’ve worn a condom.” The lady said it was hard to describe how disgusted she was, as the manager knew what she was going through.
A catalogue of women starting jobs only to fail the probation period due to sick leave is, I am afraid, an all too common reality. However, it would be remiss of me not to name an employer that women have told me has tried very hard to help sufferers. NPower allowed one severe sufferer to work from home, on flexible working, and was understanding of hospital appointments and surgeries. Let me take this opportunity to highlight an employer that shows that it is not impossible to support women in the workplace with this terrible disease.
My ambition for today’s debate is to raise awareness, especially of support groups, such as the one that the hon. Member for Livingston (Hannah Bardell) mentioned, and others such as the Northern Endometriosis Sisters Support and Period Powerful Hub, to mention just two. I want better education in schools for young girls, as we can easily overlook the problem that a young woman with a single-parent father may have in understanding these issues. As I said, I hope that this debate will be recognised by several Departments, but I ask the Minister to ask the Department for Work and Pensions to do a full assessment of how the Department recognises endometriosis as a disability.
For too long, women with this disease have been dismissed as lazy, unreliable, dishonest and a nuisance. It surely must be illegal for a manager who is told of a sufferer’s condition to dismiss it out of hand by saying, “Should’ve worn a condom.” Women have described having to cope with blood seepage through their clothes, but another common factor can be a complete loss of bowel control, and having to dash to the bathroom unexpectedly. To have such an embarrassing and distressing situation used against them, and sometimes to be mocked in the workplace, must surely be illegal. The Equality Act 2010 is a piece of legislation we should all be proud of, but as with all law, it should evolve and change, especially when previously unrecognised situations come to the fore.
I want an assurance from the Minister that he will instruct his Department to do an assessment of how the blatant breaches of law on workplace humiliation, employment protection and, quite frankly, workplace bullying can be addressed, since this silent disease, which often has no physical appearance, can be so easily ignored by employers.
Dr Poulter
One of the challenges that the Minister will face when responding to the debate is that while there are medical guidelines from the Royal College of Obstetricians and Gynaecologists, and I think there are some National Institute for Health and Care Excellence guidelines on how to diagnoses and support women with endometriosis, those guidelines are not particularly well known among all the medical community. I wonder whether more should be done by the Department of Health and Social Care to improve diagnostic rates. If more women had a confirmed diagnosis, it would strengthen this Minister’s hand in taking action in the workplace.
Alec Shelbrooke
I was just about to say that I need the Minister to work with the Department of Health and Social Care, because without a proper medical sign-off, this situation will keep arising, and by the time a diagnosis is finally made, many women have already seen their life destroyed. The Minister will have heard my hon. Friend’s intervention.
I close with some rhetorical questions. Why is a disease that affects 1.5 million women in this country so unrecognised, and so easily dismissed? Why is there not women’s health education in schools, to help young women through their life journey and illnesses they may be suffering from? Why do we have such poor medical diagnosis? How have we been able to go so long without in-depth training for gynaecological surgeons who can help tackle this disease? Fundamentally, and pertinent to this debate, why, despite decades of work on the protection of employee rights in the workplace, do employers try to not only ignore this disease, but shuffle sufferers out of the door?
More than 1.5 million women in this country have been desperately crying out for far too long. Let today be the day that we stop failing so many women in our society.
Several hon. Members rose—
Justin Tomlinson
I will come to that in my speech, so I ask hon. Members to be a little patient. I will cover most of the points raised.
When, of the four Departments, my Department and I were selected to respond to the debate—one of four Ministers could have been selected to respond—my initial reaction was: do I know much about this? I was contacted by a former employee, Kamya Gopal—she is happy for me to name her—who had this condition. When I employed her, we had had a conversation and made some relatively easy changes that involved being sympathetic: she had to go for short-notice GP appointments; we took into account a need for urgent toilet breaks when doing visits, making sure we were not too far away; and we took things on a day-to-day basis. For a reasonable length of time, no changes were needed. Sometimes they were, and we just accepted that, and it worked. The key thing is that it was easy for me to make those changes, and I as an employer benefited, for four years, from a really valuable member of my team. It was a win-win from having the confidence to have that conversation. She made it clear to me—this has come across clearly in hon. Members’ speeches—that it affects everyone differently. For her, it is a family trait, but they all have different symptoms and challenges to overcome. It all comes down to having that conversation.
Linked to that, another impact is the need to use disabled toilets. Kamya has a RADAR key—it is a hidden disability—and recently someone challenged her for using the disabled toilet. She had to explain, which was embarrassing for her and for the lady who challenged her. That is why I pay tribute to the hon. Member for East Lothian (Martin Whitfield), who has been championing Grace’s sign, which is fully supported by my Department, to raise awareness of hidden disabilities and hidden health conditions and avoid those confrontational, embarrassing situations.
It is important that people with health conditions get the support that enables them to stay in work, and productive in work. Such support is wide-ranging and relies on employers being open to discussing health matters with their employees in a respectful and constructive way.
I am on my fifth Secretary of State as a Minister in the DWP, and I have many roundtables with different stakeholders. We were talking about disability employment yesterday, and it was interesting how there has been a shift in focus to ensuring that people do not drop out of work due to disability or a health condition. Collectively we must do much more in that area. I am encouraged that there is increasing awareness and recognition of hidden disabilities, and hidden health conditions in particular. There is still a huge way to go, but there is a willingness in society to do better.
Endometriosis is a serious condition; we have heard about the ways that it can be debilitating. For the estimated one in 10 women in the UK who suffer, the condition can have a huge effect on their daily lives, including their ability to work to their full ability. As the examples quoted by various Members today show, diagnosis is not always straightforward. Problems arise because symptoms can vary significantly, and because diagnosis tends to require invasive procedures. I do not profess to be a health expert, but it is clear that because endometriosis is seen as a taboo, that will impact on the ability to diagnose and provide support. Members have spoken powerfully about how we have to do much more in that area.
The challenging nature of the condition is recognised within the health system, which now has specialist training. NHS England has developed a service specification for severe endometriosis under the specialised commissioning area of complex gynaecology. That is a good step. It is the beginning of the journey and we will have to see what difference it makes, but I am encouraged that it is starting to happen.
Through these measures diagnosis and treatment should improve, but we must also consider the effect on the ability to work. A survey by investment firm Standard Life found that one in six women with endometriosis report having to give up work because of the severity of their symptoms, with almost all—some 87%—reporting that the condition affected their financial position in some way.
Individual women feel the harmful effects, but employers and the economy as a whole lose out. The leading charity, Endometriosis UK, has estimated that the total cost to the economy of the condition is £8.2 billion; the cost from loss of work is a key contributor to that figure. As outlined in the Work Foundation report, such an impact means that the days of dismissing topics such as these as “women’s issues” are long gone. We know that both the health and work landscapes must be more aware of the condition and its symptoms, for the sake of the women who suffer from it and in order to build a healthier and more productive society for all.
One way that people in work are protected is through the Equality Act 2010, which is the principal means through which disabled people are protected from discrimination in Great Britain. Other than for a very few exceptions, the Act recognises a disability by the impact on the person’s life rather than by the condition itself. Importantly, that means that women with endometriosis are protected by the Act if their condition has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities. I recognise the points that have been highlighted about how we need to improve the awareness and the enforcement of the Act, and about wider support. I will come on to some of the work in that area.
Individuals are also protected in law against unfair dismissal. While those legal protections exist, sufferers continue to face barriers to work and barriers in the workplace, as we have heard. More must be done to raise awareness of hidden conditions. Workplace cultures must adapt to spread understanding of the importance of supporting individuals with health conditions and the value of open discussions about health in the workplace.
Alec Shelbrooke
Can my hon. Friend pick up on the specific point that was raised about HMRC by myself and the hon. Member for Livingston (Hannah Bardell)? I absolutely agree with what he is saying, but it seems like an easy starting point to address that point with a Government Department.
Justin Tomlinson
Yes, absolutely. HMRC has been named and shamed in this debate; we will make sure it is made aware of that. I hope and expect that it will act to improve on that.
Alec Shelbrooke
I thank every single right hon. and hon. Member who has contributed today. Given the times we are going through, it goes to show the strength of parliamentarians from across parties that we have come together to deliver a clear message about where we want to get to as we move forward.
My main aim today was to raise the issue further into the public perspective. I welcome the Minister’s words; I know the APPG will be feeding into that. I am excited by the fact that the issue is now with the Cabinet Office, so that it can look at it across Departments. We have made it clear—all coming at the subject from different angles—that we need different Departments to get a handle on the issue if we are to sort it out.
I pay personal tribute to the hon. Members for Sheffield, Heeley (Louise Haigh) and for Dewsbury (Paula Sherriff). Many of us in this Chamber suffer from health issues, but not many of us are brave enough to stand up and say what they are. People who inspire other people make change possible. Being able to look at someone who is in the position of being a Member of Parliament and say, “That person has the same thing I am suffering from,” hopefully lets the word spread. Fundamentally, we have to break down the taboos. We have to educate better in the workplace and use the education system we have, but we have to break down the taboos. We have made a good start today.
Motion lapsed (Standing Order No. 10(6)).
Universal Credit
Alec Shelbrooke Excerpts(6 years, 8 months ago)
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Mr Marcus Jones (Nuneaton) (Con)
I welcome the universal credit regulations that the House is considering. We should not forget that universal credit is an important reform that is getting more people back into work and helping them to stay in work. People are getting help and support from DWP staff that they did not get in the past.
I think that a mark of the policy is the enthusiasm shown by jobcentre staff. I had the privilege of visiting my local jobcentre in 2014—I have visited it since, of course—alongside my right hon. Friend the Member for Chingford and Woodford Green (Mr Duncan Smith). That day they were holding a regional training conference for up-and-coming leaders, and when we walked into their training room, which was full of civil servants, they all immediately started applauding my right hon. Friend. That showed me that they do not owe any Government anything, in terms of support or loyalty. It showed me that they think the reforms that he was introducing, and that the Government are now rolling out, are worth doing. Having visited the people who work in jobcentres, and having spoken to them since, it is clear to me that they think that the reforms are now making a real and positive difference.
I will not say that the roll-out of universal credit has been without challenges. We all know it has, which is why the Government are putting forward this package today worth £1.5 billion. We should also acknowledge that if the package is voted down, people who need help might not be able to receive their advance within five weeks or get the extra six months to repay any advance, and they might have to go back to seven weeks of waiting time while their claim is processed. My right hon. Friend the Secretary of State also raised the possibility of people being in a worse position with regard to housing benefit. The House therefore needs to think very carefully before voting down these regulations, which are positive and are what Opposition Members wanted just a few months ago.
On free school meals, it is important to point out that the regulations we are debating today do not change the entitlement for year 1 and 2 children, all of whom receive free school meals. We also need to be careful with the figure of 1 million children losing out. As soon as I heard that figure—on that same afternoon—I accosted the Education Minister during a vote to ask him whether it was true. He said clearly that it was not true, so we need to look at the facts.
Alec Shelbrooke (Elmet and Rothwell) (Con)
My hon. Friend will recognise that the Opposition’s proposal on free school meals in their manifesto was to pay for them by charging VAT on private schools, which is illegal under EU law. Does my hon. Friend find it confusing that they would prefer to stay in the single market and the customs union, when that would be at odds with that policy?
Mr Jones
My hon. Friend demonstrates the complete confusion and disarray of the Opposition, not just on this policy but on our future outside the European Union. That goes to the heart of the situation: this is all about political dogma, rather than practical ideas and practical help for people.
Universal Credit: North-West
Alec Shelbrooke Excerpts(8 years, 10 months ago)
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Nick Thomas-Symonds
I am interested in history, as the hon. Gentleman might know, but I do not recall the Conservative party in the 20th century supporting a national minimum wage. His personal view might well have been different, but I do not recall his party voting for a national minimum wage—rather, at the 1997 election I remember the Conservatives saying that it would cost jobs. They seem to have changed their position significantly since, which is to be welcomed.
Nick Thomas-Symonds
If the Parliamentary Private Secretary wishes to intervene, he is welcome to do so.
DWP Data
Alec Shelbrooke Excerpts(9 years, 4 months ago)
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Housing Benefit (Abolition of Social Sector Size Criteria)
Alec Shelbrooke Excerpts(9 years, 11 months ago)
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Mr Harper
Someone who has an overnight resident carer is exempt from the policy. To deal with particular circumstances, we have given local authorities the ability to use discretionary housing payments in what they judge to be appropriate cases. I am sorry that the hon. Lady would not welcome the news that waiting lists have fallen by a fifth to 1.4 million. That is a very welcome statistic, showing that fewer families are waiting for homes because we are now using the housing stock in the social sector more efficiently.
Alec Shelbrooke (Elmet and Rothwell) (Con)
While my hon. Friend is on the subject of fairness in the system, does he think it is fair that the Labour-run council in Leeds has spent almost £3 million on new websites, furniture and tarting up meeting rooms rather than on concessionary payments?
Mr Harper
My hon. Friend makes a good point. Local authorities obviously make decisions about how they spend money. If they have indeed spent it on the things that he mentioned rather than on assisting families, their voters can make a judgment on that when they come to make these decisions at the appropriate time. I am glad that he put that on the record.
Alec Shelbrooke (Elmet and Rothwell) (Con)
What is depressing about this debate, which we have time and again, is that it calls for a policy that was invented by the Labour party to be reversed and does not offer any solutions for moving forward with the welfare state. We should take such opportunities to get out of the soundbite bingo and to get on with making policies that might help to tackle the long-term problems.
Out-of-control welfare spending leads to the situation that we find in countries not too far away—in Ireland, perhaps. In real terms, public pay, pensions and benefits had to be cut significantly to regain control of the public finances. There is nothing just about running an economy in that way, because when eventually people need to rely on the welfare state—which we, as the sixth richest nation in the world, should be proud of—they cannot, because the governing body of the day has destroyed the economy and left no money.
In these times, we lose sight of the original five evils laid down in the Beveridge report: squalor, disease, want, ignorance and idleness. We have tackled many of those, and we must ensure that we do not go backwards, but we are in danger of placing an increasing burden on the modern welfare state while still operating a system invented a long time ago. We need new thinking about how best to deliver efficiently and about ensuring that the resources we have are used in the best way to tackle poverty.
On 18 December 2012, I introduced a ten-minute rule Bill on the subject of a welfare cash card to pay benefits to all recipients of benefits in this country, in work or out of work, through electronic means. I have spent the two years since then researching some of the criticisms made at the time, the practicalities and how the idea could move forward. I thank the Joseph Rowntree Foundation, Oxfam, the Trussell Trust and the Money Advice Service for the discussions they have had with me.
A key point about electronic payment is the speed at which it can focus resources where they need to be and deal with one of the key problems that emerges in our discussions about housing benefit. The Trussell Trust highlighted the problem of people having to choose whether to eat and the problems caused by delays in benefit payments, which can sometimes lead to people having to go to a food bank. Electronic payment would allow immediate upload; there would be no delay.
It is sad that a dogmatic approach, saying that we absolutely cannot have such cards because they are equivalent to food vouchers, stops new thinking about efficient ways of using the state. If we do not move to a modern system, and if we do not move away from a system of barter like that in the Bible, quite frankly, we run the risk of making the system completely unworkable. We must therefore use debates such as today’s sensibly to consider how the welfare state can move forward to deliver the needs that people have when they hit hard times. That is what this debate is about. It is about how the Government can support people. Simply saying that we need to pour in more money and to reverse policies will leave us with a situation in which the welfare state will be inoperable because the country has gone bankrupt. We see this all around Europe, where people in the greatest need do not get the support they need.
Alec Shelbrooke
Does my hon. Friend agree that, as a result of the tough decisions on welfare that the Government had to make and the lower borrowing rates that they have now produced, we can give businesses the tax cuts that will enable them to pay more than the minimum wage and hopefully go further, thus helping the poorest in society to get on?
Heather Wheeler
Absolutely. I do not know whether you will allow me to give my hon. Friend a proper answer, Madam Deputy Speaker, because this is slightly off the point, but two major companies have factories in my constituency. One is Faccenda, whose turkey-processing plant is very busy at the moment, and the other is Nestlé. Both have announced publicly that no one working in those factories will earn less than the living wage. They are taking the lead, and that is the moral thing to do.
I am incredibly proud of my businesses, my council, and the tenants who have found the right way to obtain jobs and get out of the welfare benefit society that the Opposition seem to want to make everyone pay for. It should not be like that. Get into the 21st century, guys!
Oral Answers to Questions
Alec Shelbrooke Excerpts(11 years, 1 month ago)
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Alec Shelbrooke (Elmet and Rothwell) (Con)
2. What recent discussions he has had with representatives of the UN on the under-occupancy penalty.
The Secretary of State for Work and Pensions (Mr Iain Duncan Smith)
Strangely, I was not asked to discuss the removal of the spare room subsidy, or any other matter, with the UN representative.
Alec Shelbrooke
Does my right hon. Friend share my concern that the UN housing expert made no reference to the 250,000 households living in overcrowded accommodation or the efforts that the Government are making to bring fairness and respect to the welfare system after the mess that lot left it in?
Mr Duncan Smith
Mrs Rolnik from the UN appeared over here, seemingly at the invitation of those opposed to all our policies, the Labour, or welfare, party included. I was interested in the notes that came back from the UN after she left. Some of the officials said,
“who is that strange woman; why is she talking about bedrooms and why on earth do we have a UN Housing Rapporteur.”
My thoughts entirely.
Welfare Benefits Up-rating Bill
Alec Shelbrooke Excerpts(11 years, 10 months ago)
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Mr Duncan Smith
I agree with my hon. Friend. I want to make some progress because he is absolutely right. The reality that Labour will not face up to is that the programme it has put forward is hugely costly.
I want to deal with the programme that Labour put forward in the past week, which I think is in the amendment before the House. I looked at it and it seemed very familiar. I remembered something, looking back over the past 10 years. I went back and had a look at the programme that the shadow Chancellor and his then boss, the then Labour Prime Minister the right hon. Member for Kirkcaldy and Cowdenbeath (Mr Brown) came up with. [Interruption.] I seem to recall that they came up with a programme called StepUp. The right hon. Member for Morley and Outwood (Ed Balls) was an adviser at the time. [Interruption.] Well, he was certainly very close to him. Is he now denying—[Interruption.] Well, there we have it finally: he no longer wants to have the former Prime Minister as his friend. More than that, from his sedentary position, he will probably deny that, late in the hour while the then Prime Minister was troubled and in difficulty, he did not come by taxi or by car to consult him and help him out. A denial of a friend is pretty cheap, and I think we will remember that.
The reality is that the StepUp programme, on which the Opposition have clearly based this new programme, was piloted in 20 areas between 2002 and 2004. It was never rolled out nationally, and I want to quote from the evaluation report. The StepUp programme was all about giving paid employment to people who had been out of work for some two years. The report stated:
“StepUp produces a very modest improvement in job entries…but this is below the level of statistical significance.”
In fact, each of those jobs would have ended up costing £10,000—a massive cost for a very small regard. When they did it—[Interruption.] Wait a minute. When they did it—[Interruption.] They do not want to hear about it. They made a bogus announcement and now they do not want to hear how useless it is. The work prospects of under-25s in the pilot got worse as a result of this programme.
Here is what happened. The Opposition were in a hurry during the Christmas recess, worried about being attacked for having no proposals, so the shadow Chancellor said, “Oh, I remember something we did under the man who used to be my friend, but is no longer my friend. I remember we had this programme.” So they decided to put that out and propose raiding pensions savings yet again to pay for a bogus programme. If anyone thinks for one moment that it would help anybody at all, let me tell them that it is more than a joke—it is pathetic. And it is pathetic that they have done it to try to get themselves off the hook.
Alec Shelbrooke (Elmet and Rothwell) (Con)
Has my right hon. Friend pondered this question? The Government are trying to ensure that the social security net works for people who need social security. When does he think that Labour decided that they were not interested in social security, only in bribing the electorate?
Mr Duncan Smith
It is in its DNA, so I am not sure when it started, to be honest. The tax credit system was out of control, as I said earlier on, because Labour was chasing a figure it could never reach, and as a result its spending was enormous.
In conclusion—
Alec Shelbrooke (Elmet and Rothwell) (Con)
The problem with this debate is that nobody has gone back to the idea of what the social security welfare state was for. It was brought in to make sure that people who were in desperate need at a time of unexpected circumstances did not fall into poverty. When somebody lost their job, that often meant they were stuck. That is why the social state was created.
I have sat throughout this debate and listened to many a speech, and the only Opposition Member who has spoken with any passion is the hon. Member for Gateshead (Ian Mearns). He gets it—he knows what the welfare state is about. All the other speeches by Opposition Members have, I am afraid, been about pure political point scoring. I do not doubt for one minute that the vast majority of Opposition Members care deeply about the poorest in society, as we do on the Government Benches.
Alec Shelbrooke
Just give me two ticks. The constant mocking that has gone on is shameful political posturing.
Jim Shannon
The two commodities that have seen the highest inflation are food and fuel, which affect those on a low income more than anyone else. Does the hon. Gentleman think that the Secretary of State’s benefits cap will enable those people to come out of poverty and go for jobs?
Alec Shelbrooke
The hon. Gentleman mentions rising food inflation, but let us not forget that we have just knocked 10p off the price of a litre of fuel. That 10p was in the Opposition’s plans and would have created extra inflation.
This debate has been polarised, but a divide has been in existence for more than a decade and it is coming to the fore. As soon as we try to address it, we are described as nasty and heartless and told we are not dealing with people fairly. The fact is that too many people in this country have the wrong idea about benefits, which is not a dirty word.
Ian Lavery (Wansbeck) (Lab)
The divide has not been in existence for just the past decade—Lady Thatcher and Geoffrey Howe hatched a plan to dismantle the welfare state more than 30 years ago. Is this Bill just another phase in bringing the welfare state to a conclusion?
Alec Shelbrooke
In the past 10 years, people have said time and again, “Why should I do this when someone on out-of-work benefits gets double the pay rise I get?” That is a fact. Wherever we may want to lay the blame and whichever way we may want to look at the issue, the fact is that people do not believe in the welfare state in this country any more. That is not just a tragedy; it is deeply worrying for this country.
The measures being taken by the Secretary of State, which we will vote through, will bring back some fairness to society. They are part of a big package of measures. However, we have a problem. We all want to give as much money to people—of course we do—but we cannot afford it.
Penny Mordaunt (Portsmouth North) (Con)
Does my hon. Friend agree that when there is a limited pot of money, it is better to spend it on high-quality advice and support for people such as older workers who are back in the job market and are struggling to cope than on increasing an already enormous welfare bill? That kind of advice is long overdue and has been long neglected. [Interruption.]
Alec Shelbrooke
I thank my hon. Friend for those comments. I just heard Opposition Members say from a sedentary position—we have heard this several times today—that there has been a tax cut for millionaires. Let me be blunt. All the evidence shows that when the 50% tax rate came in, £7 billion disappeared from the Exchequer. Today’s policy will save £1.4 billion from the welfare state bill. If Labour had not brought in the 50% rate, we would not have had to introduce this policy. Opposition Members cannot pick and choose the arguments; they have to look at things consistently and completely.
This debate has shown that the Government are trying to ensure that we have a fair system of social security that is there when people unexpectedly fall into terrible circumstances. Several Opposition Members have described people who have been made redundant recently and who need to rely on the welfare state. That is what social security is for. That is why people pay their national insurance contributions—so that they do not fall into the starvation and poverty that existed before the welfare state. What is shameful about the Opposition, as has been shown today, is that the Front Benchers are not linked up with the Back Benchers. The Back Benchers believe in caring for people, whereas the Front Benchers are trying to score political points. If the Labour party once again votes against reforming social security, let the message go out to the country that it is not interested in the poorest in society, but is interested only in bribing the electorate to try to get back into power.
Unemployment
Alec Shelbrooke Excerpts(12 years, 11 months ago)
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Alec Shelbrooke (Elmet and Rothwell) (Con)
This debate is about unemployment and what can be done about it. However, the consideration of what unemployment means has been lost in some of our discussion. On Thursday, when travelling, we were delayed for an hour because someone had fallen in front of train in Alexandra Palace. I do not know whether it was a suicide attempt. At the weekend, we had the news in Leeds that a father had murdered his family and killed himself. Suicide is increasing and there must be a link with the economic situation. I hope that all hon. Members would deem that the personal disaster that it is.
I find it deeply offensive that Opposition Members mocked this afternoon every time Government Members said that we were trying to do something for the unemployed in this country. They are laughing at the unemployed. Do you know why you are laughing at the unemployed? Because the left has always used the unemployed as a political tool. If you keep people down, you try to use them as a tool. And what did you do in 13 years of government? You borrowed huge amounts of—
Madam Deputy Speaker (Dawn Primarolo)
Order. I understand the hon. Gentleman feels very strongly about this, but he is addressing me, the Chair. He will not use the word “you”; he will please refer to “hon. Members”.
Alec Shelbrooke
I apologise, Madam Deputy Speaker, but for 13 years, the Labour party bought jobs and did not lay a foundation for moving forward. It was left to this coalition Government—two of the major parties of this country coming together—to try to put in place the proper foundations.
The smiles of glee cannot be wiped off the faces of Opposition Front Benchers when there is bad economic news. That is reprehensible. Jobs cannot be bought by borrowing; economic stability that will last must be put in place. The difference between Government Members and Opposition Members is that we try to govern for the future of this country. Whether or not we are in power, we mean to ensure that we do what is right for this country. All the Labour party did was try to hang on to power, which is why we today face one of the biggest economic crises and the fastest growing level of unemployment in decades.
It is no good Opposition Members harking back to the ’80s and ’90s. We should not forget the very different circumstances, especially of the 1980s. The fact is that this Government have been dealt a terrible economic hand. I make the point again: it is not a Tory Government, as was said earlier, but a coalition Government of the two main parties of this country, which came together to sort this mess out. We have been mocked this afternoon. I have listened carefully and although the hon. Member for Bolton West (Julie Hilling) made a good speech, the most impassioned was by the right hon. Member for Rother Valley (Mr Barron)—he was the one who meant what he said. Other than that, unemployment has been used as a political football.
Grahame M. Morris
If the hon. Gentleman is advocating a particular course, he might give his opinion on this question: would he pay his 15-year mortgage off in five years if it meant sending his children to school hungry and without shoes?
Alec Shelbrooke
My response to that rather strange analogy is that if we were to follow the route taken by the Labour party, interest rates in this country would rise, hard-working families up and down the country would be paying another £1,000 a month on their mortgages and their children would go to school hungry, because of the folly of Labour’s policies.
We have only to look at events around Europe. A 40% cut in public sector wages was proposed in Greece, but Ireland cut public sector wages by 15% to get on top of things, and yet all the Opposition say is that we should spend more money and buy jobs. That does not lay the foundations to move this country forward.
Julian Sturdy (York Outer) (Con)
My hon. Friend is making a powerful point. As a fellow Yorkshire MP, does he agree that if we are to tackle unemployment in the north, we must tackle the north-south divide, which sadly widened under the previous Administration?
Alec Shelbrooke
I could not agree more with my hon. Friend. We could list example after example of when infrastructure spending was removed from the north of England and brought down to marginal seats in the south in what can only be described as an attempt to hang on to power, not operating in the best interests of this country.
A bit of humility from Opposition Members would not go amiss in this debate. Very few Opposition Members have this afternoon spoken about trying to tackle the problem. I go back to where I started: when someone becomes unemployed, it is a massive tragedy for that family. Where will they find the money to pay the bills? Where will they find the money for Christmas? It is no wonder that there is a rise in suicide rates. Opposition Members should not dare say that Government Members believe that that is a price worth paying. We do not. We believe that we need to put in place the strong foundations for an economy that will work in the long run, and that will work for generations beyond the one that has been terribly let down by the previous Labour Government.