Oral Answers to Questions

Debate between Alistair Burt and Lord Bellingham

Tuesday 30th October 2018 Commons Chamber

[The Minister for the Middle East (Alistair Burt)]

I discussed the proposed United States peace plan with the US President’s middle east envoy, Jason Greenblatt, on 28 September in New York. The Foreign Secretary discussed this with the special adviser to the US President, Jared Kushner, on 22 August. The UK remains committed to a negotiated settlement leading to a two-state solution based on 1967 borders, with Jerusalem as a shared capital.

[Sir Henry Bellingham]

I am glad the Minister has made that commitment, but does he agree that the time really has come for a re-energising and reinvigorating of a two-state solution? Will he personally take a lead in that? Surely what the world expects from both sides is restraint and statesmanship, with Hamas stopping the constant rocket attacks and Israel drawing a halt to the west bank settlement programme?

[Alistair Burt]

I am grateful for my hon. Friend’s questions. The need to keep the middle east peace process at the forefront of the world’s mind is perhaps greater than ever. Just because it has gone on for so long, that is no reason why it should slip away. I absolutely assure my hon. Friend that, everywhere I go and in every conversation I have in the region, they know that the middle east peace process will come up because the United Kingdom must not let it be as it is, because there will no peace or security for either the state of Israel or its neighbours unless the issue is finally resolved.

Oral Answers to Questions

Debate between Alistair Burt and Lord Bellingham

Wednesday 17th January 2018 Commons Chamber

[Alistair Burt]

We look very seriously at any such allegations. There is a constant review in the Department to ensure that some of the challenges that come in on religious discrimination are evidenced. I challenge the agencies as well, and we will continue to do this. We do not have evidence of significant discrimination, but we are always on the lookout for it.

[Sir Henry Bellingham (North West Norfolk) (Con)]

Does the Secretary of State agree that DFID money spent on repairing catastrophic hurricane damage in the UK overseas territories, which often hits the poorest the hardest of all, should always qualify as legitimate overseas aid?

Raqqa and Daesh

Debate between Alistair Burt and Lord Bellingham

Tuesday 24th October 2017 Commons Chamber

[Alistair Burt]

Yes, in a word. We have been learning over time the consequences of not taking action. We have all learned that there are consequences of action and of inaction, and sometimes the choices are impossible. But it is perfectly clear that decisions not to do anything will almost inevitably result in a situation becoming worse and steadily more difficult for those involved. The right decisions have to be taken on intervention or not, but the decision of the House to support David Cameron’s determination to take action in Syria was the right one.

[Sir Henry Bellingham (North West Norfolk) (Con)]

Is the Minister aware that a young medical student from my constituency, who was radicalised at Khartoum University, went to Raqqa, via Turkey, to work in an ISIS hospital? She and dozens of other such medical students are obviously authors of their own peril, but does the Minister agree that every effort should be made to get them out safely?

[Alistair Burt]

We have no facility to get British citizens out of Syria. Those who have gone to Syria have not been able to access any consular support, because we cannot put British officials at any risk in trying to deal with that. At present, that is the situation. Those who have gone to Syria have done so at their own risk. Inevitably, some people will return, and I hope that those who have a story to tell about turning against Daesh are able to convince others that this was a false ideology and that they should not be seduced by them into travelling abroad; these people may have a role to play in making that story clear.

Mental Health: Out-of-Area Placements

Debate between Alistair Burt and Lord Bellingham

Thursday 3rd December 2015 Commons Chamber

[Alistair Burt]

Of course it is, and I share the right hon. Gentleman’s frustration. I write a lot of letters to colleagues who express concerns and I have to signpost them to the other organisations in the health sector that have responsibility for taking particular decisions. That is quite right, because local decisions ought to be local. Clinical commissioning groups or trusts need to be responsible and accountable for what they are doing. However, I have to tell the right hon. Gentleman that it is occasionally frustrating when I feel that I cannot pick up the phone and make my own inquiry. We cannot run a system in which Ministers arbitrarily pick up cases because they are the ones we know about; there has to be a structured system. When particular things come to light, I am looking at how to use my position and the authority of the Department to make sure that something has been properly gone into—even if it is somebody else’s statutory responsibility. We in this House who remain accountable for things should be able to make sure that those statutory groups, including the CCGs, have really got a grip. I am keen to pursue that.

[Mr Bellingham]

Does the Minister agree that there is something fundamentally unsatisfactory—and, indeed, wrong—about moving someone late at night unless it is absolutely necessary for medical and clinical reasons?

[Alistair Burt]

Yes. It seems very puzzling that that should be a regular practice, if it is. That should not be the case. Of course there are all sorts of different pressures on the system, and it would probably not be appropriate to say that it should never happen, but, in principle, people who are in a state of anxiety should be moved with the maximum care, at the time that is of greatest benefit to them and their health needs.

As I was saying, it is not acceptable for people to be travelling for miles when they are acutely unwell. It is also not acceptable for staff to be spending time phoning around to find beds for their patients.

Let me return briefly to the impact of social media. A couple of weeks ago, I read in a tweet from a frustrated doctor—I hope he will pick up on today’s debate—that on that particular day no bed had been available for a woman anywhere in England. Along with the hon. Member for Liverpool, Wavertree (Luciana Berger), who had raised the matter with me, I made inquiries and found that that was not technically true; beds were available. The response from the doctor was, “You may be technically correct, Minister, but it is very difficult to find them”, and the results of my inquiries suggest that that is true. We need to establish a better system of identifying beds that may be available, because that too is part of the problem. People should not be spending time looking for beds. I have an idea about that, which I shall mention later in my speech.

I had to tell the clinician that I did not think that, technically, what he had said was true. However, I recognise that for those who are in the business of finding beds for people, it should not be as difficult as it appears to be, and I want to establish what we can do to help.

We know that the need to place people out of area, away from home, family, friends and networks, is a “warning sign” of a mental health system that is under pressure, and we know that no one wants to spend scarce resources on sending people out of area. However, we cannot look at out-of-area treatments in isolation, because they are part of the mental health acute care pathway as a whole. I welcome the interim report of Nigel Crisp’s commission, which was set up to review the provision of acute in-patient psychiatric care for adults, and I look forward to reading his final report and recommendations early in the new year.

Lord Crisp’s interim report made it clear that—as I am sure the right hon. Member for North Norfolk knows—the situation is more complex than a shortage of beds. We know that there has been a long-term reduction in the number of psychiatric beds in England, but the report suggests that in many areas there would be enough beds if improvements were made to other parts of the system and integrated, community-based services were commissioned. That very point has been made this afternoon in relation to the variability of practice. The report also made it clear that the so-called bed crisis, or admissions crisis, is a problem of discharges and alternatives to admission, and can be dealt with only through changes in services and in the management of the whole system.

As the right hon. Gentleman pointed out, that can be done, as has been demonstrated in a number of local areas. Sheffield, for example, has almost entirely eliminated adult acute out-of-area treatments, and has reduced average bed occupancy to 75% by redesigning the local system, That has included investing in intensive community treatment, and working in partnership with housing. In the right hon. Gentleman’s own constituency, Norfolk and Suffolk NHS Foundation Trust has begun to reduce its historical problem of out-of-area treatments through a combination of investing in more acute adult beds and working with commissioners to develop community and crisis resolution services.

I understand that the independent Mental Health Taskforce has spent some time discussing these issues. I hope that its report, which will be published in the new year, will be an important driver for improving mental health services over the next five years, and will address many of the key issues raised in Lord Crisp’s interim report.