European Union (Withdrawal) Act

Debate between Anna Soubry and Sarah Wollaston

Tuesday 4th December 2018 Commons Chamber

[Anna Soubry (Broxtowe) (Con)]

It may be that I can shorten my comments, because I want wholeheartedly and thoroughly to adopt the outstanding and excellent analysis and conclusions of the right hon. Member for Derby South (Margaret Beckett). She does indeed speak with great authority. She of course knows, as a proud representative of the city of Derby, the Rolls-Royce plant in her own constituency. She also knows the Toyota plant near Derby. When she speaks about the just-in-time supply chains and our manufacturing, I suggest that there are few who could speak with so much genuine authority and knowledge. In her analysis and conclusions, she is absolutely right. I am delighted that she and I also agree that we should now have a people’s vote on this, the most important decision that our country faces and will take for decades.

Mr Speaker, I also want to say this. You, I think, understand perhaps more than many how that consensus, that agreement, was here in this House shortly after the referendum result. The great failing—it gives me no pleasure to say this of my own Government—was from the outset, when instead of reaching out across this House and across our country to heal the divisions, to bring together the 48% and the 52%, I am afraid and sorry to say the exact opposite was done. The 48% were tossed aside. We were abused. We were sidelined. If we had even the temerity to question almost anything we were called remoaners. It is supremely ironic that it is because of brave colleagues who normally sit here in what is called the naughty Chamber, who about a year ago stood up to the abuse from those calling us traitors and mutineers—and yes, the death threats—and voted, with some courage, that hon. Members will be able to debate in the way that we will and then to vote. The irony is not lost on me that some of those who were most ardent in their opposition to what we did 12 months ago are now the most keen to take advantage of it.

I will not vote for this deal on any other basis than it goes to the people for their approval. This is not a good deal. In fact, as many have already observed, it is not a deal. It is certainly not what we were promised, not even by our Prime Minister. Shortly after the triggering of article 50, she was interviewed by Andrew Marr. The tape exists. He questioned whether it would be possible in the next two years to begin to get anywhere near securing all the various deals that had to be secured or even get to the beginning stage. She was confident that it could all be done within two years. Well, here we are today and what do we know? We have a political declaration that can be ripped up by any Prime Minister or any Government who come in once we have left the European Union. The withdrawal agreement is the only legally binding part of the so-called deal. As we know, there is nothing to implement, and certainly nothing that we were promised. The so-called transition period is to an unknown destination, because after two and a half years, we still do not know what our eventual relationship with the European Union will be. That is simply not good enough.

The withdrawal agreement is indeed a blindfolded Brexit that fails to deliver on the promises made not just by the leave campaign but, I am sorry to say, by my own Government. As the right hon. Member for Derby South said so beautifully and eloquently, the right hon. and hon. Government Members who think that we should just get on with it, do it, and that we can all go home for Christmas and it will all be over, are—with great respect—completely and utterly fooling themselves. We have already heard speeches from those who prefer a no-deal, hard Brexit, and people can be assured that if we leave next March with nothing more than this withdrawal agreement and a political declaration that can be torn up, they will carry on and on and on for years in their quest to sever all ties with the European Union. As I say, they will do that because of the non-binding nature of the political declaration.

How poor is that political declaration? As others have observed, it is so vague that the Government could not even apply their assessments to it to try to inform us of its financial consequences.

[Dr Wollaston]

Does my right hon. Friend agree that this is exemplified in article 107 of the future framework document? It just says:

“The Parties should consider appropriate arrangements for cooperation on space”—

and that is it.

European Union (Notification of Withdrawal) Bill

Debate between Anna Soubry and Sarah Wollaston

Committee: 1st sitting: House of Commons
Monday 6th February 2017 Commons Chamber

[Dr Wollaston]

I have no idea why this is happening, but I am saying, as an important point to the Chancellor of Germany, that making this clear unilateral offer is the right thing to do, and we should get on and do it. There is no reason not to do so. Even if other countries were to take an obstructive and unreasonable line, it would still be inconceivable that our Prime Minister would separate families such as my constituents. So let us get on with this.

[Anna Soubry]

Does my hon. Friend not agree that the Prime Minister has given her word that this will be a priority and she clearly hears the compassion that my hon. Friend reflects for her constituent, as we all do for all our constituents? We must, as I certainly do, accept the word of the Prime Minister that this will be her priority and that she will sort it.

[Dr Wollaston]

I thank my right hon. Friend for that. Like her, I do trust the Prime Minister, and that is why I have taken a very reassuring line with my constituents. However, there is no substitute for a clear statement from our Prime Minister that, come what may, families such as this will not be separated, because that is the reassurance they seek. I hear what my right hon. Friend says, but I think we should get on and make that offer, because it can be nothing but good to do so.

I also hope the Prime Minister will take further action on the issue of those who work in our NHS and social care. One in 10 of the doctors who works in our NHS comes from elsewhere in the EU, and I would like to say thank you, on behalf of the whole House, to all those workers and to all those who are working in social care. It would also be very much a positive move if we could say, up front, that those who are working here will be welcome to stay and make it very clear that we will continue to make it easy to welcome people from across the EU to work in social care and in our NHS.

DRAFT REGISTER OF PEOPLE WITH SIGNIFICANT CONTROL REGULATIONS 2016 DRAFT LIMITED LIABILITY PARTNERSHIPS (REGISTER OF PEOPLE WITH SIGNIFICANT CONTROL) REGULATIONS 2016

Debate between Anna Soubry and Sarah Wollaston

Monday 22nd February 2016 General Committees

[Anna Soubry]

Of course I undertake to answer my hon. Friend’s question. As he will know, with all regulation we are absolutely determined—and indeed we do this—to check the cost, if any, to business and to mitigate it in any way we can; and in any event we have as an overarching principle the absolute determination to cut red tape and to reduce bureaucracy and regulation as much as we can.

[Dr Sarah Wollaston (Totnes) (Con)]

Will my right hon. Friend also set out what the penalties will be? Will there be a sliding scale depending on the size of the company? We so often see with these kinds of regulations that the penalties can be meaningless, so it would be interesting to hear more on that.

[Anna Soubry]

Of course I will also answer that question when I sum up the debate. If there are any more questions, I will be more than happy to take them. If not, that is all I will say. I will listen, of course, to the hon. Member for Cardiff West.

Oral Answers to Questions

Debate between Anna Soubry and Sarah Wollaston

Tuesday 11th June 2013 Commons Chamber

[Anna Soubry]

Unfortunately, I do not have enough time to advance all the arguments, but I am more than happy to meet my hon. Friend to discuss this with him at length and show him a packet of the said cigarettes from Australia, and he may see the light.

[Dr Sarah Wollaston (Totnes) (Con)]

Does the Minister agree that there is nothing plain about plain packaging? It just shows the reality of gangrene of the foot with graphic images, which is not very attractive to hand round at a party.

[Anna Soubry]

Yes.

Accident and Emergency Waiting Times

Debate between Anna Soubry and Sarah Wollaston

Wednesday 5th June 2013 Commons Chamber

[Dr Wollaston]

I commented on that on Twitter. The remark was unfortunate; I think women GPs contribute enormously, but there we are. I would say that, wouldn’t I?

[The Parliamentary Under-Secretary of State for Health (Anna Soubry)]

rose—

[Dr Wollaston]

I am short of time, I am afraid.

I go back to how we get people directed to the right place. We need NHS 111 to do the job it is intended to do—direct and signpost people to the right place. Some 42% of people do not know how to access their out-of-hours service; they will go to where the lights are on. We need to make sure that there is good-quality information about how to see the right professional in the right place at the right time and about communication in all parts of the system.

We also need to consider how commissioners can be supported to keep people at home, which is the right place for frail elderly people, by using community resources. There are some wonderful organisations in my area—Brixham Does Care, Totnes Caring, Saltstone Caring and Dartmouth Caring. Having the flexibility to commission small local units is vital, rather than there being a push to commission larger units that do not have that local focus. The issue is about local focus helping to have local solutions. What works in Lewisham will not work in rural Devon, so let us get the solutions right and have flexibility.

Let us make sure that we address the delays within casualty departments and the pressures that cause that. Very often the issue is to do with diagnostics. Let us look at the groups of people who constantly re-attend. I do not want to bore the House too much with my views on minimum pricing, but anybody who wants to spend a Friday or Saturday night in an inner-city casualty department will see what the delays are due to. I hope to win my bet eventually with the right hon. Member for Exeter (Mr Bradshaw).

Let us have a sensible policy that considers mental health, for example. A huge number of readmissions in casualty departments involve people with mental illness. In the west midlands, liaison psychiatry is being used to help reduce readmissions among those with mental illness—again, it is about getting people the right support at the right time in the right place. Some 5.6% of bed days in the NHS are taken up by people who have been readmitted within a week of discharge. That is simply not acceptable.

There is also the issue of designing the tariffs. I was pleased to hear the Secretary of State refer to tariff reform. If the financial drivers are in the wrong place, we will not solve the problem. Let us try to take the party politics out of this debate and focus entirely on how we can support NHS England and our clinical commissioning groups to get the right care in the right place at the right time.

Mental Health

Debate between Anna Soubry and Sarah Wollaston

Thursday 16th May 2013 Commons Chamber

[Dr Sarah Wollaston (Totnes) (Con)]

It is a pleasure to follow the hon. Member for Islington North (Jeremy Corbyn), who made some powerful points. Perhaps I might add to what he said about the appalling difference in respect of the use of compulsory detention under the Mental Health Act 1983 for those from black and ethnic minorities. We heard in evidence that the fear of this among some communities is acting as a deterrent to seeking early help. We must address that, making sure that people do have that access and that that fear is removed from communities in order to improve health for everybody.

I wish to begin by stating for the record that I am married to a consultant NHS psychiatrist who is also chair of the Westminster liaison committee for the Royal College of Psychiatrists, which provides impartial advice to all political parties on psychiatry. He is also now a clinical director of NHS England’s mental health and dementia network in the south-west.

The corresponding debate last year focused importantly on the issue of stigma in mental health, and I congratulate the ongoing work of Time to Change in reducing stigma. The other issue that was raised, which many Members have focused on today, was parity of esteem. It is wonderful that that important principle is established within the Health and Social Care Act 2012, but we now need to ensure that that translates into action and practice on the ground. As we have heard, 23% of the overall disease burden lies in mental health, but we all recognise from stories that we hear in our constituency surgeries, and from clear evidence, that that does not translate into either funding or our constituents’ experiences of services. How are we going to see that translated into action? We need to look at the evidence of what works and to focus on the outcomes.

We know that 30% to 65% of hospital in-patients have a mental health condition and that mental health and physical health are inextricably linked. Not only is someone more likely to suffer from a mental illness if they have a chronic long-term condition, but someone who has a mental illness will find that there is an impact on their physical health. We have heard again about the scandal that the life expectancy of people with a serious mental illness will be shortened by between 20 and 25 years.

[Anna Soubry]

My hon. Friend is picking up on the point made by the hon. Member for Islington North (Jeremy Corbyn) about there being a real link between public health issues such as smoking and alcohol, and mental health issues. Does my hon. Friend agree that we can do great work in this area at a local level, especially under the new arrangements whereby public health is devolved back down to local authorities, where it used to be and always should have been?

[Dr Wollaston]

I am grateful to the Minister for that intervention. There has been a consistent tendency to ignore physical health problems in those who have severe mental health illness. She is right to say that putting in primary prevention work locally is important, but the Government could perhaps do more on primary prevention, through having a relentless focus. I am grateful to her for the personal support she has given to addressing issues such as alcohol pricing and the availability of ultra-cheap alcohol. Such issues are very important, and the Government need to deal with them to support the work that is being done. Minimum pricing is, of course, not a magic bullet, but unless we address the issue of ultra-cheap alcohol all the other measures that public health directors wish to take within local communities risk being undermined.

[Anna Soubry]

Does my hon. Friend agree that we can do great work on the minimum pricing of alcohol at local level? I urge her to examine the work being done in Newcastle and, in particular, in Ipswich, where all the agencies are coming together. We have seen supermarkets and many off licences agreeing not to sell cheap beer and lager. Does she agree that such an approach has the potential to be a better way—I think it is one—of dealing with this issue than minimum unit pricing?

[Dr Wollaston]

Although I absolutely agree that those projects in Newcastle and Ipswich are impressive, there will, unfortunately, always be ways in which they can be undermined. In my area we can find an example of maximum alcohol pricing, whereby white cider is being sold at a maximum price of 23p a unit, and that is destroying areas. There will always be a way for people to get around a minimum pricing level and, although we can see real benefits from these projects, particularly for street drinkers in isolated pockets, I feel overall that minimum pricing would be a good way of addressing this issue on a wider level. But I will not focus on that today.

I want to draw attention to the evidence on providing integrated services. Mental health and physical health services should be much better integrated. Is the Minister aware of the recent report by the Centre for Mental Health and the London School of Economics, which evaluated the use in Birmingham city hospital of the RAID service—the rapid assessment interface and discharge psychiatric liaison service? Is the Minister aware of the role that liaison psychiatry plays? Such services are greatly appreciated by patients and provide an excellent way for them to receive services; moreover, they are incredibly cost-effective. By providing rapid access to a professional service, not only for in-patients but for people who attend accident and emergency services and those who are seen by the poisons unit, it reduces re-admission rates, provides better care and far better outcomes, and saves money. The pressure on A and E services has been much in the news in recent weeks. Liaison psychiatry reduces re-attendance at minor injury units and A and E departments, so such services are vital. It would be really helpful to know whether the Minister is aware of the evidence base and will be promoting liaison psychiatry services.

I want to talk about social exclusion and the role of mental health services in social exclusion. If a person is homeless, they are far more likely to suffer from mental health problems. Equally, if a person has mental health problems, they are very much more likely to end up homeless and on the streets. In my area of Totnes, we tragically have suffered some deaths among our homeless population. We know from those who provide help to the homeless in south Devon the level of dual diagnosis—the number of people who have both mental illness and, for example, addiction problems. I would very much like to hear from the Minister in her summing up what work will be done to improve access to dual diagnosis. I pay tribute to Mark Hatch and the work that he has been doing, alongside very many dedicated volunteers, with the Revival Life Ministries and with Shekinah, providing an outstanding service to our local community.

I want to raise a point about access to GP services for the socially excluded and homeless. In coming months, there will be much focus on how we reduce health tourism. If, in reducing health tourism, we require people to bring a passport to their GP in order to be registered, very many people who are socially excluded will not be registered because they simply do not have access to identification. I ask the Minister, in addressing an important problem of great concern, to be particularly careful to avoid making it even harder for the socially excluded to obtain help with their problems. That would be a real avoidable tragedy.

Prior to the debate, a constituent wrote to me most movingly about the Cinderella service around autism, and lack of access to mental health services for those who suffer from autism, which has a knock-on effect on their carers. Listening to accounts from parents, who have been struggling for so long to obtain the help that their children need, and their description of what happens as their children move into adult services, it becomes clear that that is an area where services genuinely need to be improved. I look forward to hearing from the Minister what more can be done.

Finally, I return to the Health Committee’s review of the Mental Health Act. Would the Minister look at the evidence on the variation in the use of community treatment orders around the country, and tackle that variation? It cannot be right that in some parts of the country they are not used at all, while in others they are heavily used. The evidence base on their effectiveness is very poor. Should the Government lead on that, or should the royal colleges take a lead, so that we have a system that is transparent and used equally around the country?