Services for People with Autism

Debate between Bambos Charalambous and Huw Merriman

Thursday 21st March 2019 Commons Chamber

[Huw Merriman]

The hon. Gentleman has referred to adults, but I remember going on a trip with the APPG to a young offenders institution that had tried to establish a wing that was autistic-friendly, and hoped to roll it out across the estate. He is right: a big cohort of the prison population are on the spectrum, and face particular challenges that need to be looked at.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

Will the hon. Gentleman give way?

--- Later in debate ---

[Huw Merriman]

I will give way one more time, but I really should make some progress.

[Bambos Charalambous]

The hon. Gentleman mentioned the issue of employment, which is vastly overlooked. Many employers do not know what adjustments they should make to become more autism-friendly, and people with autism are deprived of work as a result. Will the inquiry be looking at that issue?

[Huw Merriman]

A few years ago, Ambitious about Autism produced a big report looking looked at that specifically. I am fortunate to have in my constituency an organisation called Little Gate Farm, which takes people who have finished their education and makes them work-ready. However, it requires employers to give them a chance, and I am always writing to employers urging them to do so.

Let me give some examples. One young lad was obsessed with washing cars. We matched him up with a garage, and that is exactly what he does. Someone else was given a job in a bookkeeping firm. The big challenge there is ensuring that that young person takes time off, because they have become so used to the routine. The initiative has become so successful that people are throwing themselves into work. We must do all that we can, as Members of Parliament, to pair and support people.

My right hon. Friend the Member for Chesham and Amersham says that we in the APPG

“will hold the Government’s feet to the fire to see those recommendations reflected in the new strategy.

Our need to act is clear. Too many people”—

as we have just discussed—

“still have to wait too long for a diagnosis—more than three years in some parts of the country. Getting a diagnosis can be a crucial milestone, helping to unlock vital support. Delays in being diagnosed can result in people developing more significant needs, or mental health problems.

National guidance from the health watchdog NICE state clearly that children or adults suspected of being on the autism spectrum should start their diagnostic assessment within three months of being referred to their local autism team. But we know there is a postcode lottery in waiting times for appointments, with many parts of the country falling far short of the three-month target. Alongside the National Autistic Society, we have been pushing progress on this issue in this very chamber for several years. Valuable research”—

carried out by the right hon. Member for North Norfolk (Norman Lamb)—

“on behalf of the APPGA shone a further spotlight on these long waits and called for a mandatory minimum waiting time standard. I am pleased to have him on board again leading our inquiry on health and mental health, which heard evidence last week.

We also know that autistic people too often don’t get the physical and mental health care they need. They face high levels of health inequality, and evidence suggests that people may die early as a result, which has been highlighted by Autistica. It’s vital that all health and care staff receive autism training to ensure that our health service meets their needs and makes the changes and adjustments that it needs to—a key part of the Autism Act. I welcome the Government’s current proposals on mandatory training in autism and learning disability to all health and care staff following the dogged campaigning of Paula McGowan, a mother who tragically lost her son Oliver. It’s vital that this proposal is taken forward and that its impact is monitored. I hope the Minister will devote some time to make sure that this programme makes a difference.

I also welcome the inclusion of autism, alongside learning disability, as one of the four clinical priorities in the NHS 10-year plan to improve health services. This is a great step towards ensuring that the NHS supports autistic people as well as it supports everyone else. It sets out actions to reduce children’s diagnosis waiting times, reduce the number of autistic people inappropriately under section in mental health hospitals, and making sure that reasonable adjustments are put in place. But we need more details on how these, and other commitments in the Plan will be delivered (and how they will be funded). I would appreciate if the Minister could update the House on when we can expect to see this much-needed detail.

I am pleased to see the Government already thinking ambitiously about the future of the strategy. I warmly welcome the Government’s commitment to extending the autism strategy to include children and young people, as well as adults, for the first time.”

Refugee Family Reunion

Debate between Bambos Charalambous and Huw Merriman

Thursday 21st June 2018 Commons Chamber

[Bambos Charalambous]

I thank my hon. Friend for his comments. He is right that, given the uncertainty about what will happen post Brexit, we cannot be sure of anything, and these issues need to be spelled out and confirmed as soon as possible.

Why would anyone want to deprive these child refugees of the right to be with their parents and families? These are vulnerable children, some suffering from post-traumatic stress disorder, dealing with the bureaucracy of being a refugee, having difficulty accessing support, in a culturally different environment and now lacking the support network of their family. Why heap that unnecessary cruelty on a child when it is obvious that a child refugee will do so much better in all areas with the support of their family?

The UK has already failed in its promise to accept 480 children from the Calais camp, which is shameful, and it is only thanks to the phenomenal work of charities such as Help Refugees that some of the Calais children living in the woods are alive today. I hope that hon. Members at least have the humanity to do the right thing by supporting the children who are already here.

Having looked at the first part of the Bill, I will now focus on the second part, which relates to legal aid. Legal aid was made unavailable for refugee family reunion cases following the passing of the Legal Aid, Sentencing and Punishment of Offenders Act 2012. It is difficult enough for adults to navigate the myriad complex legal procedures and forms that need to be completed. With family reunion applications, there is an additional requirement: family members have to attend the closest British embassy, which will necessarily mean travelling through conflict zones. In some cases, there is a need for DNA tests, and documentation gathering is also a necessary part of applications. The British Red Cross highlighted the complexities of applying for family reunion in its report “Not so Straightforward”.

As child refugees have no other way of accessing the legal support they need because of the bureaucracy created by the Government, it is only right that they should have access to legal aid to help them to navigate this process. If the Government want to reduce the cost of the Bill, perhaps they should look at making the process of family reunion easier and therefore cheaper. Since the Legal Aid, Sentencing and Punishment of Offenders Act came into effect in 2013, there has been a cut of more than £600 million in the legal aid budget, which is over and above the savings that the Treasury was demanding of the Ministry of Justice. The Act is due to be reviewed this year. I am not aware of how much progress has been made on that front, but the Bill gives the perfect opportunity for the Ministry of Justice to examine the impact of the legal aid cuts, particularly in the field of family reunion, and to put some money back where it is needed.

[Huw Merriman (Bexhill and Battle) (Con)]

A few weeks ago, I spent a few days in Djibouti in Africa, and I saw wave after wave of young people—predominantly men—on the march, walking away from the refugee camp set up there, which we visited. They were leaving because there was no secondary school. We all know that the overseas aid budget causes some controversy. I support it, but does the hon. Gentleman agree that, if there is a finite amount of money, we are better off setting up a secondary school, rather than trying to stretch the pounds over here, which in the end deprives people of some of the opportunities I have just referenced, which we could be funding more abroad.

[Bambos Charalambous]

I thank the hon. Gentleman for his intervention. He is right about refugee camps needing more support and the provision of education. Many people spend years and years in refugee camps and their education suffers. However, we want to tackle the cause of this. The reason that people are in refugee camps is war. Unless more is done to stop war and conflict, these refugee camps will continue to exist and there will be more asylum seekers and refugees.

There will no doubt be critics who say that this will open the floodgates, with more people traffickers exploiting young people and more migrants wanting to come to the UK. However, I remind hon. Members that the countries neighbouring Syria, such as Jordan and Turkey, have taken in millions of Syrian refugees, while across Europe, Germany, Italy and France received at least twice as many asylum applications as the UK in 2017. The UK received less than 3% of all asylum claims made in the EU last year. I also remind hon. Members that, in 2017, 3,119 people lost their lives in their desperate attempts to cross the Mediterranean to claim asylum. Even for those who make it to the UK, the asylum system here is extremely tough, with only 29% of initial asylum applications made in the UK being successful and only 35% of appeals being successful.

I want to give hon. Members an idea of the numbers that will be helped by the Bill introduced by the hon. Member for Na h-Eileanan an Iar. Last year, only 794 children who arrived in the UK as unaccompanied children were granted asylum. The Bill seeks to help those 794 children—that figure is less than the number of peers in the other place—and allow them to be reunited with their families. Not allowing child refugees to be reunited with their family members is morally wrong, legally wrong and inhumane. I invite all hon. Members to support the hon. Gentleman’s Bill, and I encourage the Government to bring forward a money resolution to allow the Bill to progress so that these children can be reunited with their families.