(8 years, 10 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Will the Minister confirm whether the Government or anyone else interested in the future of our industry has made any request about market economy status for China?
To my knowledge, absolutely no.
I must say that all questions will be answered by letter, but I want to make it absolutely clear now: the Government, under our Prime Minister, have described the steel industry as vital to the economy of this country—and it is. That is why the Government will continue to do everything they can to protect the steel industry and ensure that steel continues to be produced at both Port Talbot and Scunthorpe.
(8 years, 10 months ago)
Commons ChamberI am not going to go through all the things we have done again, but I assure the hon. Lady that we will work with the Welsh Government. We have asked to be part of their taskforce and I very much hope that they will have the UK Government as part of it—it is very important.
I thank the Minister for all the work and support she is providing to all of us affected in Scunthorpe—it is really appreciated—and for her commitment to support the sale of the site to Greybull, which I and other local MPs will meet later this week. On the specific issue of support to those who have been affected by job losses thus far, £9 million has already come our way. One question that has come up at our local taskforce is: how much of that money can be used, and how flexibly, to support new jobs as well as current ones? If we make a representation to her on that, can she assure us of maximum flexibility so that the money can be used to create new jobs as well as supporting existing ones?
The short answer is yes—that will please you, Mr Speaker—but, as the hon. Member for Redcar (Anna Turley) knows, when I find out about any difficulties I do not mess about in getting them sorted. We do not want any nonsenses. My hon. Friend knows my door is always open, so we can sort things out.
(11 years, 5 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I am not for a moment saying that there are not difficulties and problems in 111. We know there are, but if only the issue were as simple as solving the 111 problems. The out-of-hours service is just one of many factors. [Interruption.] I want to make some progress on this point: 111 is one factor among the failings in relation to the sort of out-of-hours service that people want. We have also had the difficulty of a long, cold winter, which has added pressures—that is something that often happens. Also, there are 1 million more people attending A and E. That is not the fault of the Government. We have not suddenly caused it. It is because of changes—
I will take interventions, but I want to make these points first.
The population is also living considerably longer. That is good and welcome, but there are many frail elderly people with complex illnesses and diseases, so they attend A and E in a way they did not previously. In addition, we suffered under the previous Government from a lack of integration between health and social care. That was one of the things that the Health and Social Care Act 2012 addressed, and will solve. It is about better integration. The hon. Member for Copeland sneers at that.
He laughs at it, Hansard will record. It is not a laughing matter at all. What I was describing is one of the achievements of the Act. I am confident it will deliver.
The Minister is making sensible points. As to manufactured indignation, if that is what it is, mine comes from the fact that I spend 30 to 40 hours a week volunteering in the NHS as a first responder, and I spent 30 hours doing so last weekend.
A big issue that creates pressure in the NHS is the lack of integration between social care and health services, and a lack of proper intermediate care facilities. We do not have the step-up, step-down facilities that we need to deal with the ageing population. That is one of the biggest problems in my area and a reason for increased pressure.
I, too, know that it does no one any favours to make out that someone forcefully and passionately giving a view based on their experience is manufacturing it. I know that that is not true of my hon. Friend, and I thank him for his valuable contribution. He is right.
No; forgive me. The most important thing, though, is that things are improving.
We on the Health Committee were provided with figures yesterday showing that referrals to A and E from NHS 111 were about half the amount of those from NHS Direct, but that there had been an increase in referrals to out-of-hours and GP services. The link between NHS 111 and pressures on A and E is perhaps not proven.
I am grateful for that intervention. I know that the university of Sheffield specifically examined the pilot and found that in most pilot areas, there was no impact. However, we also know that NHS England is monitoring the situation, reviewing the data and analysing all the different, complex problems causing pressure on A and E to ensure that we make the improvements that we want.
My right hon. Friend the Member for Thirsk and Malton—[Interruption.] Well, I am going to make her right hon. for the moment. It will not be put into Hansard, so no one will know; it is just between us. She made an important point about providing for people receiving palliative care, catheter treatment and so on. She said that perhaps they needed a different script. There is much merit in that. Again, I would hope that the commissioning services would put that aspect in the script. She asked specifically about the script. I am reliably informed that it has been written by clinicians at the highest levels, but I also know that there is concern at a senior level about the fact that it takes an average of 20 minutes to go through a prescriptive script.
There is a wider problem here. We live in an age in which it is increasingly difficult to rely on common sense. When somebody rings up and says, “My father is a retired GP. We’ve been here before, and he has all the symptoms of a urinary tract infection,” they should not be asked whether he is still breathing. A large dose of common sense would mean that that question would not be asked, nor would “Is he bleeding?” and so forth. That is the stuff of nonsense.
(11 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Members of Parliament are never backward in coming forward to praise their local newspapers, not least in the hope that it guarantees them a friendly quote next week, but the hon. Gentleman makes an important point. Newspapers can be part of our going out to challenge—I do not want to say “shame”—businesses. I am a Conservative and I love businesses, but businesses make profits and do so on the back of their workers, to whom they have responsibility. [Interruption.] Well, I think that I am a Conservative. Of course, I am; or just the Brigg and Goole party these days, perhaps. [Interruption.] Well, I am certainly not a Liberal Democrat—no offence to my hon. Friend the Member for Southport (John Pugh)—because my views on Europe count me out.
Newspapers have a responsibility to go to businesses and challenge them, particularly big businesses. I understand that defibrillators would be expensive for smaller ones and those employing only one or two people, but we should ask big businesses, “What are you doing for the welfare of your workers? Where are your defibrillators?” Newspapers such as the Liverpool Echo and the Scunthorpe Telegraph have an important role to play in that.
I am grateful to my hon. Friend, and I congratulate him on his excellent speech, which follows another excellent one. Does he agree that there is a good argument that we can build an Olympic legacy based on the great volunteers who took part in the games by considering whether we can use some of the skills that they helped to bring to the games, and take those skills into the issues of training people and campaigning for defibrillators, which he has identified?
Indeed. My way to address the problem is to have a multi-faceted approach. In many ways, it has to come from the bottom up. We need people in communities to say, “I will be trained and I am happy to filter down that training, and I am even happy to knock on some doors to raise some money to get defibrillators in our communities.” A lot of parish councils have money in the bank, so we should go to them as well. We need a bottom-up approach through volunteers and the Olympic legacy, as the Minister says, but there is also a role for the Government to say to nursing homes and schools, “We want and expect you to provide a defibrillator, which is relatively cheap,” and of course to say the same to businesses. Is it not true corporatism to bring all three of those elements together? As I have said, there is a role for businesses in looking after the welfare of their workers in that way.
Goole high school has a pilot this year in which everyone in year 11 has been funded to go through the National Citizen Service. I have suggested to the head teacher that, as part of the community payback for that, all those young people should be trained in CPR this summer. Therefore, 100 or 200 young people in that community in Goole will leave at the end of the summer having received training, which is 200 more advocates for the whole issue and potentially 200 more life-savers.
That, again, is a good point. Clearly, one size does not fit all. Every area has different needs.
The problem with looking to the ambulance services is that they do not have the money to provide defibrillators to each of their communities. I would also question whether they necessarily know their communities all that intimately, being organisers, as they are, on large, regional scales.
We have discussed areas of responsibility outside those of the Minister’s Department, but will she undertake to look at the situation of nursing homes, particularly in Texas? Will her officials contact the health department in Texas to see what impact there has been as a result of requiring defibrillators in nursing homes? Then we can come to an evidence-based decision on the matter.
My hon. Friend’s point is, again, good and well made. I am glad that we worked out which part of the United States it was that something good could be said about in this respect. I am more than happy to take his point away, as one of the many ideas that hon. Members have suggested in this debate, and see whether we can consider in any way, be it making provision mandatory or issuing guidance to nursing homes and other institutions—[Interruption.] I think my hon. Friend the Member for Brigg and Goole said that he was going to send it to me. I will be interested in anything that ever comes across my desk. I will give it due consideration and pass it on, if necessary, to those who have responsibility for nursing homes in the Department of Health. As I said, it is a good idea.
One could argue that only a limited number of hon. Members have participated in today’s debate. We should stop here for a moment, because all the Members who have spoken have come from the standpoint of having experienced someone—normally a child—dying suddenly from a heart attack. That touches people in a raw way, because it involves a child. Mercifully, out of all the horrors and badness invariably comes something good, which is a point raised by the right hon. Member for Belfast North (Mr Dodds). Hon. Members have raised many examples of the good that has come out of the terrible and tragic loss of a young life.
I have given my reasons for why I do not believe legislation, at the present time, is the answer. I agree with the hon. Lady that a lot of the matter depends on luck. Certain areas seem to offer a better service than others because of some unfortunate tragedy that has befallen them. With the Oliver King Foundation and many other charities that we have heard about today, people have come together and raised money to install defibrillators or to ensure that school children receive the right sort of training.
We heard examples of the work of mayors. The hon. Member for Barrow and Furness (John Woodcock) talked about the work of the mayor in his constituency, and the hon. Member for West Lancashire (Rosie Cooper) spoke about the work that had been done in her constituency by the mayor. She also mentioned the death of a young man and the work that his family has done as a result to ensure that other youngsters did not suffer a similar fate, and that the things that should be in place were there.
Again on legislation, I agree with the Minister’s point that we want a mixed approach to the matter, but if we expect communities to take charge of the matter themselves, we must understand that some communities do not have the capacity to do so. They might not be able to raise money quite as easily as more middle-class and better-off areas can. Some communities might be slightly better organised because they have a parish council speaking for them. We must bear in mind that not every community will have the resources or the individuals who feel confident enough to raise money for such provision.
My hon. Friend’s point is another well made point.
I will return to where this debate started—the subject of sudden adult death syndrome. Starting with screening, often when there has been a case of a sudden cardiac arrest, many people say, “Screening will have a big impact in the future.” As the right hon. Member for Leigh will know, the UK National Screening Committee, an independent expert body that advises Ministers about all aspects of screening, assesses the evidence for screening against a set of internationally recognised criteria. No doubt that is why the right hon. Gentleman listened to and followed its advice, which is that, while screening has a potential to save lives, it is not a foolproof process. The footballer Fabrice Muamba suffered cardiac arrest, and many of us will remember what happened to him at the game. We have heard many people describe the amazing medical assistance that he was given—I cannot remember for how long he was unconscious, but it was an incredibly long time—and that young man has made a remarkable recovery. However, I am told that he had received several screening tests throughout his career.
In 2008, the UK NSC reviewed the evidence for screening for the most common cause of sudden death in those under the age of 30, hypertrophic cardiomyopathy, including looking at athletes and young people who participated in sport. A number of the cases that we have heard today involved, invariably, young men or boys who died while playing sport, notably football. The UK NSC concluded that the evidence did not support the introduction of screening. Sudden cardiac death is a complex condition and is difficult to detect through screening; there is no single test that can detect all the conditions, nor is it possible to say which abnormalities will lead to sudden cardiac death. However, in line with its three-yearly review policy, the UK NSC is again reviewing the evidence. This time the review will go further than only looking at the evidence for screening for HCM and will cover screening for the major causes of sudden cardiac death in young people between the ages of 12 and 39. The review will take into account the most up-to-date international evidence, including evidence from Italy, where screening is currently offered to athletes between the ages of 12 and 35.
There will be an opportunity to participate in the review process later this year, when a copy of the latest review will be open for public consultation on the UK NSC’s website. No doubt, a number of the organisations and charities that we have heard about today will take part in that consultation. I am told that although screening is not routinely available in England, work to prevent premature death from cardiovascular disease is a priority, as it should be.
On 5 March, the cardiovascular disease outcomes strategy—not exactly words that trip off the tongue—was published. It sets out a range of actions to reduce premature mortality for those with, or at risk of, cardiovascular disease. The NHS Commissioning Board will work with the Resuscitation Council, the British Heart Foundation and others to promote the site mapping and registration of defibrillators, and to look at ways of increasing the numbers trained in using them. I pay tribute to the foundation, which a number of hon. Members have mentioned, and rightly so, as we are all grateful for its work in, for example, placing defibrillators in Liverpool primary schools. That is, no doubt, because of the outstanding work of the Oliver King Foundation.
Ambulance trusts have had responsibility for the provision of defibrillators since 2005, and in my view they are best placed to know what is needed in their local area. However, it is important to recognise that defibrillators help only in a minority of cases. The majority of out-of-hospital heart attacks—up to 80%—happen in the home. Bystander CPR doubles survival rates, but it is only attempted in 20% to 30% of cases. It is clear that although defibrillators play an important part, we have to bear in mind, as I said, that 80% of heart attacks, if they do not happen in hospital, happen at home, and I absolutely concede that there is a real need for an increase in the amount of people trained in CPR, because we know that that also plays a hugely important part in ensuring that people who have a heart attack survive it.
When there is a sudden cardiac death, we need to take action to ensure that potentially affected family members are identified and offered counselling and testing to see if they are also at risk. We know that that does not always happen. There are continuing discussions with the chief coroner for England to determine how coroners’ services might help in the identification of potentially affected family members, so that more lives can be saved. The national clinical director for heart disease, Professor Gray, will work with all relevant stakeholders to develop and spread good practice around sudden cardiac death.
In conclusion, I will wait to see the latest recommendation from the UK NSC, following its latest review of evidence. The national clinical director for heart disease will continue to promote good practice and awareness around sudden cardiac death. However, as I have said before—forgive me for repeating myself—I will ensure that I speak to the relevant Minister at the Department for Education about all the arguments that have been advanced today for training in CPR and life-saving techniques to be part of the national curriculum. It is my understanding that that particular part of it is under review, and I will impress on him or her how strongly Members have spoken today.
Again, I thank everybody, especially those who signed the petition, for bringing the debate into this place and, effectively, for shining a spotlight on the matter. I hope that hon. Members will take the issue to their local press, as I am sure they will, and that the national press might also look at it. It is absolutely right that the more we ventilate it, the better the situation will be.
(12 years, 9 months ago)
Commons ChamberI am grateful to my hon. Friend, who is as gracious as ever. There is much merit in what he says about a woman who is on benefit chasing a father who is, frankly, not up to scratch. Although £20 is a lot of money for someone in those circumstances who is on benefit, does hon. Friend agree that, if the woman is guaranteed a system that is fit for purpose, there is merit in that small charge being excised on her because eventually she and, most importantly, her children will get what they deserve?
We all want to achieve a service that is fit for purpose, but I am not sure that the charge is about delivering such a service. It will certainly not cover the cost of so doing. It seems to be more about effecting a cultural change, and I do not believe that charging the mother £20 will effect such a change. It would therefore end up being a tax on the mother who is trying to get money from an errant father. That is why I have a bit of a problem with the principle.
(13 years, 6 months ago)
Commons ChamberMy hon. Friend is absolutely right. Lay magistrates normally sit in threes, as opposed to the stipendiary district judges who sit alone. Despite that fact, lay magistrates are considerably cheaper than stipendiary judges. I am not suggesting that they do a lesser job, however. Both are integral to our criminal justice system.
Another great challenge that our magistrates face is the cutting of 93 magistrates courts. That has been debated at length in this place and in Westminster Hall, and it is a matter of great concern. I do not have much difficulty with the reduction in the number of magistrates courts, but I accept that many people are concerned about the ability to deliver local justice and about the extra strain that this will put on our lay magistrates, who are volunteers, through the extra mileage and work that they will have to do.
My hon. Friend is entirely right in what she says about magistrates. She has mentioned court closures, and we are losing our magistrates court in Goole. When that happens, it will be quicker for some of my constituents to get to King’s Cross than to the replacement magistrates services in Beverley.
I take my hon. Friend’s point, and I am grateful for it. I would counter it, however, by saying that those of us who are familiar with the Crown courts will know that defendants and witnesses who appear in them make the effort and appear there without too much difficulty. I struggle to see how there will be much difference when a defendant or witness has to travel to a magistrates court that is further away following the closure of a more local one.
There are many myths surrounding our lay magistrates. The days of the stereotype of the middle-aged lady—not that there is anything wrong with middle-aged ladies—are long gone. The days are gone when women of a certain age and from a certain social class dispensed justice, usually wearing a hat—not that there is anything wrong with hats, I must also swiftly add. We now see magistrates drawn from all walks of life, and rightly so. Their experience and knowledge is also often brought to bear in the Crown court, when they sit with a Crown court judge to decide appeals. They perform an invaluable role there.
I have only one complaint, and I am grateful to my constituent, Mr Roy Plumb, in this regard. He lives in Kimberley, and he served as a magistrate for many years. He performed the role admirably. However, at the age of 70, he was forced to retire. The irony of the situation is that he was born on the very same day in the very same ward of the very same hospital as our esteemed Lord Chancellor. It is somewhat ironic that, while our Lord Chancellor was being appointed to his role, in which I hope he serves for many years, Mr Plumb was being forced to retire, as are other magistrates who reach their 70th birthday.
I am against ageism—of course, I would say that as I get older. It is wrong to assume that, just because someone is of a certain age, they will perform in a certain way. Just because someone who is under 30 is appointed to serve as a lay magistrate, which Governments of all persuasions have sought to encourage, it does not mean that they will necessarily bring to the bench more youthful ideas or be able to identify more closely with young people. I subscribe to the notion that it does not matter what it says on someone’s birth certificate; the test is whether they are young at heart and fit in mind, and whether they have all the faculties to exercise sound judgment.
I know that the previous Government were questioned by people of all political persuasions—this is not an issue of party politics—on whether magistrates should have to retire at 70. Crown court judges can often sit until they are 73 and I believe High Court judges do not have to retire until they are 75, or at least they can sit in court until that age. I would suggest that this seems a little unfair to magistrates, especially, as I say, with our great Lord Chancellor being able to continue to serve for many years to come.
I am sure that all would agree with me in celebrating and thanking our lay magistrates. I urge the Government to view ageism as a thing of the past, so that our magistrates should not have to retire at 70. Mr Plumb might be able to return to the bench. We should certainly give great credit to his campaign and wish it well for the future.
I shall speak about the compensation scheme for the victims of overseas terrorism. Before I do so, I would like to pay tribute to a number of Members from different parties who have worked hard on this issue—not least the hon. Member for Cumbernauld, Kilsyth and Kirkintilloch East (Gregg McClymont), who would have spoken in this debate were it not for the fact that he thought he would have to be in the Finance Bill Committee. I thank him and his staff for the support they have given. I would also like to thank my Lincolnshire colleague, my hon. Friend the Member for Grantham and Stamford (Nick Boles), who has secured meetings with Ministers, and my hon. Friend the Member for Bournemouth East (Mr Ellwood). I also thank the right hon. Member for Dulwich and West Norwood (Tessa Jowell) and the former Member for Makerfield, Lord McCartney, who have both worked hard on this issue over the years. Above all, I pay tribute to the families of the victims of terrorism who have also worked incredibly hard over a number of years and continue to campaign vigorously on it; some of them are present today. Let me outline some of the issues and problems connected with this matter, before looking at the history and putting some questions to the Minister.
Since the Bali bombings in 2002, there have been 58 deaths and 37 serious injuries arising from terror attacks against our citizens overseas. It is my view, and that of many Members, that the British Government continue to have a responsibility for their citizens even when they leave these shores. British victims of terrorism in the UK are eligible for compensation under the criminal injuries compensation scheme, but that does not extend to victims of terrorism overseas. Travel insurers do not normally pay out for death, injury or costs associated with terror attacks, as they do for death, injury and some costs associated with other violent crimes suffered abroad. Similarly, many foreign Governments do not compensate foreign nationals who are attacked on their territory. This is particularly true in countries such as Egypt, Indonesia, Turkey and India, where there are many Western tourists, including our own people, and multiple terror threats.
The real issue is that this is not just about British citizens being caught up by accident in attacks while overseas, as many of them have been targeted precisely because they hold Her Majesty’s passport. In Mumbai, gunmen in the Taj Mahal hotel said, “We want US and British,” before inspecting passports, and they then targeted individuals. That is why it is not appropriate for Ministers back here in the UK to bracket terror attacks with other crimes in their correspondence with victims. Terrorism is of a totally different order to other violent crimes suffered abroad. Surely our Government should bear some responsibility for our citizens when they are attacked overseas for nothing more than being British.