Oral Answers to Questions

Debate between Anne Milton and Jo Swinson

Monday 11th March 2019 Commons Chamber

[Anne Milton]

My hon. Friend believes that it is a growing trend; I do not know that it is a trend. I think we all agree that it is good when young people are passionate about the issues that they care about. I do not believe that anybody should go on strike as such, but I am sure that those students made up their studies in their own time and at weekends.

[Jo Swinson (East Dunbartonshire) (LD)]

The 15,000 young people who protested about climate change last month in the Youth Strike 4 Climate were passionate and committed. Instead of condemning them or branding their actions as truancy, as some would do, would it not be better for the Government to review the curriculum to ensure that greater importance is attached to the urgency of attending to the ecological crisis that we face?

[Anne Milton]

We would like to see those young people who have an interest in climate change becoming the engineers and scientists of the future, particularly the young women among them. It is important that people who care passionately about these subjects should use that passion to take up careers that will make a real difference to our climate.

Presidents Club Charity Dinner

Debate between Anne Milton and Jo Swinson

Wednesday 24th January 2018 Commons Chamber

[Anne Milton]

“Cross-party” is absolutely the phrase to use, and perhaps that work will start from today.

[Jo Swinson (East Dunbartonshire) (LD)]

The outstanding journalism of Madison Marriage at the Financial Times shines a spotlight on a real problem in our society. Some men, especially the rich and powerful, feel entitled to women, view their bodies as playthings and think that the lecherous pawing and groping of women is acceptable behaviour. That a charity is prepared to facilitate that behaviour as long as wealthy men are opening their chequebooks beggars belief. I am glad that David Meller has stepped down from the board of the Department for Education—perhaps he was encouraged to do so—but does the Minister agree that the Charity Commission urgently needs to investigate the failure of the trustees of this charity to discharge their duties to protect health and safety and the reputation of the charity?

[Anne Milton]

The hon. Lady mentions rich entitled men, but I will also mention powerful entitled men because this is not just about the rich. I gather that Great Ormond Street Hospital is not going to take the money that was raised by the event, which is a start, and I also gather that the hon. Lady has raised her point with the Charity Commission.

Oral Answers to Questions

Debate between Anne Milton and Jo Swinson

Tuesday 7th June 2011 Commons Chamber

[Jo Swinson (East Dunbartonshire) (LD)]

As the public health White Paper recognises, building positive self-esteem is important for children’s health and well-being. Yesterday, the Bailey review highlighted many parents’ concerns that exposure to very sexualised imagery in our visual culture fuels children’s anxieties about their bodies and reduces self-esteem. How do the Government plan to tackle that as a growing public health issue?

[The Parliamentary Under-Secretary of State for Health (Anne Milton)]

I thank the hon. Lady for her question. She raises an important point about children’s exposure to such imagery from a variety of media sources. It is crucial for the future public health of our country that children get help and support over this and are able to learn the skills they need, and we are determined to get that right. Many of our plans are laid out in the White Paper, and we look forward to seeing them become a reality.

Human Tissue (Availability)

Debate between Anne Milton and Jo Swinson

Wednesday 23rd June 2010 Westminster Hall

[Anne Milton]

I thank the hon. Gentleman for his intervention; he is absolutely right. I agree with the hon. Member for Wakefield—I call a sperm a sperm. The hon. Member for Cambridge strayed into areas that are way beyond me, but such matters are important. I welcome him to the House. At the last election, we lost a number of scientists and it is extremely important to have voices such as his in the House to inform journalists, particularly if there is not sufficiently extensive scientific journalism out there, although I am not in any position to judge on that matter. Such issues are important, and perhaps we should all take the opportunity to send a copy of this debate to our local press. That will perhaps highlight the issue of organ donation locally; we all have our responsibilities.

The issue of consent was raised. Legislation in that area was reviewed following revelations about the widespread retention of organs and tissue without the consent or knowledge of families, as the hon. Member for Wakefield mentioned. The Human Tissue Act 2004 makes it clear that consent is required for the storage or use of organs and tissue for research, whether they are taken from people during their life or after death.

As was mentioned, we know from talking to patients and their families that the vast majority of people are extremely supportive of tissue research and, when asked, will happily consent to their tissue being used. However, my colleague the hon. Member for East Dunbartonshire is rightly concerned that we should not waste opportunities to tap into that incredible good will. She suggested the use of generic consent for the retention of tissue, which could be sought at the same time as consent for other medical procedures—for example, surgery or a diagnostic biopsy. I entirely agree that people should be given the opportunity to donate tissue, but consent is not a straightforward issue.

I am not sure that a top-down approach is the best way to proceed with dealing with the matter. The good practice we seek cannot be imposed from the top, and history is littered with examples where a top-down approach simply somehow relieves professionals of their responsibility; they believe that they are no longer responsible for the matter. Increasingly, we find that organisations are tailoring their consent procedures to local needs; for example, there may be specialist clinics, where specific risks can be addressed. We are aware of successful and innovative approaches that have led to greater efficiency and a better experience for the patient or person. Innovative thinking must be encouraged and not constrained. I am often concerned about the latter happening with anything that takes a top-down approach.

[Jo Swinson]

I am sympathetic to what the hon. Lady is saying about enabling local decision making, but does she accept that there is a risk that if we have very different consent procedures across the country, it will hamper researchers and industry further? It would mean that when it came to accessing tissue samples, some would be available under certain consent rules and others would be available under others. That complexity is itself a real barrier and a problem.

[Anne Milton]

As with many things, it is a matter of balance. I heard my honourable colleague’s words about what the Department of Health must do. I do not know whether the Department of Health holds the solutions in this case. I really believe that the matter needs to be dealt with locally. Anyone who has first-hand experience of routine procedures knows that they can be quite unsettling for people. Most people about to undergo surgery are understandably nervous. The hon. Member for Alyn and Deeside expressed his visible concern about donating even blood. I suggest that he comes to see me afterwards—I will give him a talking to and get rid of his nerves.

We are dependent on the professionalism and humanity of health care professionals around the country, and we can draw on their experience to find the right time to discuss tissue research. Dealing with the issue is a question of trust—trust in the relationship between clinicians and patients, trust in local health organisations to provide the right information to people, and trust in health professionals to maintain the separation between treatment and research.

My colleague the hon. Member for East Dunbartonshire mentioned the fact that it might not be convenient for a surgeon to seek consent for tissue donation. I would suggest that it is not necessarily a matter of whether it is convenient; it is about whether it is appropriate. That is the difficulty. It is also true that clinicians can duck the issue and find it difficult to talk about. That also needs addressing. However, I do think that the solutions lie with the organisations and the clinicians, and should not come from the centre.