Life-saving Skills in Schools

Andrew Smith Excerpts

Thursday 22nd November 2012 Commons Chamber

[Mr Andrew Smith (Oxford East) (Lab)]

I warmly welcome this debate. I congratulate the hon. Member for Newton Abbot (Anne Marie Morris) and other hon. Members on bringing this issue before the House, and commend all the newspaper and petitioning activity that led to that. It is not every motion before the House of which we can say it will save thousands of lives and cost very little, but that is precisely what this motion will do if the Government follow through on it, as the hon. Lady has been advocating. I wholeheartedly agree with everything she said about making it mandatory and with her demolition of all the arguments against it.

In the brief time allowed, I want to refer to a programme that originated 15 years ago at the John Radcliffe hospital in my constituency, which has been extended to nine other centres in the UK and emulated overseas in Hong Kong and Belarus. The injury minimisation programme for schools was, like most of the best ideas, very simple and obvious once someone was clever enough to think of it. The idea is that if we educate children in accident prevention and what to do when there is an accident, and at an age when they are old enough to understand and apply the lessons but before they become especially sensitive about their bodies, that will cut accidents and save lives. The programme works by combining work in the classroom with a visit to hospital to learn emergency life skills. Approximately 5,000 10 and 11-year-olds in Oxfordshire take part each year. Children enjoy it, teachers value it, and, most importantly, it works.

I congratulate all who work on the programme—its administrators and volunteers, as well as the medical staff and teachers. I have met children on the course, and it is uplifting to see their enthusiasm for the knowledge and practical skills that they have learned, and how proud they are to go home and tell their parents that they know how to save their life. I have one feedback message from a youngster who went on the programme:

“I have shown my mum how to do the recovery position! She was very impressed! I told her about CPR and I now know that if someone has collapsed then I could save their life. Hope you enjoy my feedback. Please carry on teaching children to save people’s lives.”

[Andrew Bridgen]

Does the right hon. Gentleman agree that if the practice were adopted and made mandatory, it could improve social cohesion? Young people could have the skills to save the lives of people from the older generation, and that would change perceptions in society.

[Mr Smith]

The hon. Gentleman makes a good point. It is vital to understand what children are capable of, and that we do not underestimate the live-saving skills they can learn. There is hard evidence for that. In a scientific abstract to the international conference on emergency medicine in June, the journal Academic Emergency Medicine reported on a study assessing whether children can defibrillate. The study was done properly and rigorously, with control groups and so on, and chi-squared analysis of the conclusion. In concluded:

“This study demonstrates that children aged 11-years-old can use a defibrillator effectively and safely, and retain this knowledge over several weeks”—

and that active training, unsurprisingly, is the most effective way of teaching it to them.

[Dame Joan Ruddock]

There is perhaps even more important feedback in the case histories that the St John Ambulance has circulated to all hon. Members, where children of that age have been shown to save lives, either of their peers or of their parents in some circumstances.

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[Mr Smith]

I wholeheartedly agree, and I have similar evidence from IMPS. What is more, and as the hon. Member for Newton Abbot argued, such initiatives are very cost-effective. The IMPS estimate is that it costs approximately £16 a head to enable children to take part. I would like to raise a couple of points about funding.

In Oxfordshire, 50% of the cost of IMPS has been met by the PCT, there has been some support from the county council, and the rest of the cost has been met by fundraising initiatives. Of course, classroom time and teacher involvement is met from the base education budget, which is right because there are wider commensurate educational benefits relating to the self-esteem of children who take part. Funding for some of the other centres is under acute pressure. Sadly, the Kensington, Chelsea and Westminster IMPS closed because of shortage of funds—absolutely tragic when one thinks of the benefits.

There is also a general issue about future funding with the establishment of the NHS Commissioning Board. It would be helpful if the Minister could tell us whether funding for this sort of initiative will be the responsibility of the Commissioning Board as the main successor to the PCT, whether it will fall to the county council with its public health responsibilities, or whether the responsibility will be shared. Whichever it is, it is essential that IMPS and similar initiatives are enabled to continue and thrive to form the basis of what we hope will be part of the mandatory curriculum provision for which we are arguing. At the end of the day, there can be nothing more important than helping children save lives, both their own and those of others.

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[The Parliamentary Under-Secretary of State for Education (Elizabeth Truss)]

We have had an interesting debate, and I know that many people feel very strongly about the provision of emergency life-saving skills in schools. I congratulate my hon. Friend the Member for Newton Abbot (Anne Marie Morris) and her colleagues, who have come together to put the subject on the agenda today. I have learned a great deal today about ELS, about staying alive and about the singing skills of some Members. The next time I tune in to “Saturday Night Fever”, I shall no doubt think about resuscitation.

We have heard some affecting stories about the impact of ELS and cardio-pulmonary resuscitation training on Members and their families. I am grateful to have had the opportunity to hear them, and to have the subject brought to life. I agree that the ability to save a life is one of the most important skills a young person can learn. I also recognise the excellent work being done by organisations such as the Red Cross, with its “Life. Live it” campaign and resources, and St John Ambulance with its classroom-focused “Teach the Difference” resources and schools first aid competition. In addition, the British Heart Foundation’s Heartstart campaign has already trained 2.6 million people, including many young people in our schools. I met representatives of that organisation earlier this week.

[Mr Andrew Smith]

While the Minister is talking about those initiatives, will she respond to the question I posed in my speech about whether the funding that currently comes from primary care trusts for initiatives such as the injury minimisation programme for schools—IMPS—in my constituency will in future be the responsibility of the commissioning groups or of the county council? If she does not know, will she undertake to write to me with the answer?

[Elizabeth Truss]

I was just about to mention the right hon. Gentleman and IMPS. I will certainly take up the matter with the Department of Health in order to understand that specific point.

Schools are free to take up all the programmes I have just mentioned and to make use of those reputable organisations in order to bring the subject to life and teach it in a high-quality way in schools. I am keen to see a higher take-up of the subject; I think it is a good thing. I want to see it done in such a way that quality will be on offer. The hon. Member for Cardiff West (Kevin Brennan) asked how we could achieve what we want in Britain’s schools. Should it be done through compulsion or through winning hearts and minds? I favour the approach of winning hearts and minds and of improving practice in schools, rather than ordering something to be done compulsorily and not necessarily getting the quality we need.

When the national curriculum was first devised in the 1980s, it was seen as a slim guide to core knowledge, with schools having the freedom to teach in the way they saw fit. However, even its first draft was far larger than its originators intended. A lot of that came about through people wanting particular subjects to be included, often for laudable reasons. I am now working on the drafts for the new national curriculum at primary and secondary level, and it is our intention that it should be slimmed to reflect a framework for essential knowledge. It has been rather content-heavy in the past, which has restricted what schools teach and how they are able to teach it.

My hon. Friend the Member for North Swindon (Justin Tomlinson) has given me many helpful suggestions over the past few weeks. Even though I have not been in the job long, I have had quite a few meetings with him at which he has suggested various topics that he considers to be part of that core knowledge, all of which we are considering. It is our aim, however, to reduce unnecessary prescription throughout the education system.