(8 years, 8 months ago)
Commons ChamberWe had an excellent debate. An extraordinary number of colleagues turned up in Westminster Hall, a debate of just half an hour, demonstrating how many people are interested in this important subject. I outlined in my response to the debate the fact that we have the bowel scope screening programme and the bowel cancer programme in England, which complement each other. The result, particularly of bowel scope screening, is that we can actually make a huge impact on mortality rates for people who are caught. I went into that in more detail in my response to the debate, but that is the key to making sure we identify more people and stop them dying from this dreadful disease.
2. What recent representations he has received on the effect on health budgets of the administration of deprivation of liberty safeguards.
(9 years, 9 months ago)
Commons ChamberI think that the hon. and learned Gentleman has made his point.
I agree that the connection between cultural preferences for one sex and the factors that might then lead to a state of inconsolable distress for the pregnant woman needs to be better understood to enable us to protect women from coercion and to support them in their pregnancies. We should certainly look at the facts before agreeing to any change in the wording of the 1967 Act, because we must be careful not to worsen the situation for already vulnerable women.
New clause 1 assumes that restating that sex-selective abortion is illegal will offer women protection from pressure to terminate their pregnancies, but women subject to intolerable pressure to abort will continue to be subject to coercion. My concern is about how women would interpret the inclusion of the new clause. They might feel that Parliament has legislated that if the sex of the child is at all an issue, irrespective of their mental distress, they will not have access to a termination. Sometimes it is not what legislation says that has a powerful effect on behaviour, but what people believe it says. That might lead them to pursue alternative routes as a first resort, rather than a last one. We do not want to go back to the days of the botched backstreet abortions that took place prior to the 1967 Act, which throughout the ages have been the resort of desperate women. I remember the lengths to which women would go to terminate their pregnancies prior to that Act, in spite of the risks to their own health.
If the assessment that we propose uncovers substantiated concerns that there is pressure to seek terminations on the grounds of gender, we need to put in place a plan to deal with what is giving rise to those pressures and how we can better support women who might be being coerced. That is the proposal in the second part of new clause 25. I hope that in bringing forward those proposals there would be extensive consultation with women from all cultural backgrounds.
Finally, I would like to share a story with Members. On a recent train journey I started talking with an Asian woman who was originally from Bangladesh. In the course of the conversation she showed me a photo of her three daughters, who are now grown up. I said that they were beautiful and how lucky she was to have three daughters, at which point she looked very distressed. She then told me that she had never enjoyed any of her pregnancies because she knew that she was carrying a girl and that her then husband saw girls as being of no value and, in turn, viewed her as having no value as a wife because she had not produced a son. He eventually abandoned her. However, I am happy to report that my travelling companion went on to have her own career and that her girls are confident young women who are finding their own ways in life.
When I asked her what she thought could be done about those attitudes to girls, she said that the answer was education, education, education. She of course is right. We understand that from our own history of fighting for women’s equality—a fight that many of us still feel is a work in progress. I hope that this cross-party amendment will be supported by the House and that it will mean that when the Secretary of State reports back in six months’ time on her assessment, with accompanying proposals, we will be better informed about a way forward in addressing concerns that I agree we should not ignore. No woman should feel pressured into seeking a termination for any reason, including gender.
I welcome the opportunity to speak in this debate, and I will try to do so relatively briefly in order to allow more Back-Bench contributions. New clause 1, which stands in the name of my hon. Friend the Member for Congleton (Fiona Bruce), and new clause 25, which stands in the name of the hon. Member for Stockport (Ann Coffey), both relate to the very important matter of addressing the abhorrent practice of sex-selective abortion.
The Government have been consistently clear that abortion on the grounds of gender alone is already illegal. The Department of Health repeated that in guidance issued in May 2014, and it is important to stress that all independent sector providers have agreed to comply with, and operate on the basis of, the Department’s guidance and that they must do so as part of their licensing conditions. The Care Quality Commission monitors compliance with that, including through its inspection visits.
(10 years ago)
Commons ChamberT5. Recent reports indicate that the extent of child sexual exploitation and abuse is more widespread than previously recognised. The trauma of sexual abuse can have massive, life-long consequences on the physical and mental health of victims. Will Ministers consider designating child abuse and child sexual exploitation as a public health priority in the same way as smoking, alcohol, drug use and obesity?
The hon. Lady is quite right to say that those are incredibly important issues, and we do see this as an important public health issue. We are committed to tackling child sexual abuse. In May the Department published its response to the recommendations of the independent health working group report on child sexual exploitation and we accepted the recommendations in full. We are taking this very seriously.
(10 years, 8 months ago)
Commons Chamber4. What representations he has received on community pharmacies.
We receive a number of representations about community pharmacies over any period. Of course, they play a vital role in their local area, providing high-quality care and support and improving people’s health, especially in hard-to-reach communities. For example, more than 5,000 pharmacies assist with smoking cessation work.
I thank the Minister for her reply. With GPs managing demands on their time by operating longer waiting lists for appointments, to the increasing frustration of my constituents, is it not time for a more radical change in the role of community pharmacists in primary care? Does the Minister agree that any proposals to reorganise health services in Greater Manchester should fully explore the contribution that pharmacists can make—for example, in supporting people with long-term conditions or prescribing for minor conditions?
The hon. Lady is right to say that pharmacists have a great role to play, and she has given a good example of their helping people to manage long-term conditions and helping people with their medication. NHS England’s community pharmacy call to action has stimulated the debate about where community pharmacies should sit. We see them as a vital part of front-line services, and I am glad that the NHS is looking at their role in the round, because it is a really important one.