HIV Testing Week

Bell Ribeiro-Addy Excerpts

Thursday 13th February 2025 Westminster Hall

[Bell Ribeiro-Addy (Clapham and Brixton Hill) (Lab)]

It is a pleasure to serve under your chairpersonship, Dr Allin-Khan. I congratulate the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) on bringing forward this important debate and on the work he continues to do with my hon. Friend the Member for Vauxhall and Camberwell Green (Florence Eshalomi) on the APPG.

While we will spend most of this afternoon’s debate speaking about the goal to end new HIV transmissions by 2030, I feel it is important to recognise just how far we have come in our understanding of HIV and treatments for it, and in our education and awareness raising. We have seen so much progress in the fight against HIV since the 1980s crisis. Although there is still a way to go, it is through open discussions, such as the one we are having today, that we have been able to reduce the number of HIV cases in the UK down to an estimated 113,500. But it is thought that 4,700 people are unaware that they are living with HIV, and that is why it is vital that we continue to push to increase testing. We know that when caught early HIV is treatable and that the quality of life of those living with HIV is far better than it was back in the ’80s. Unknowing carriers risk not only not getting the treatment they need or getting it too late, but unknowingly infecting others. Testing is easy, quick and can save lives.

We know that testing among men who have sex with other men is high. This is incredibly encouraging, but we must do more to increase testing among heterosexual men, heterosexual and bisexual women, and the trans and non-binary community. The stereotype that HIV is only something that affects men who have sex with men is not true. In fact, the increase in infections in 2023 was attributed to sex between men and women, with a 35% increase among heterosexual men and a 30% increase among heterosexual women.

We should be doing more to encourage testing among all groups. That means greater investment in local and community-based public health initiatives, so I am pleased that the Government are investing in local government public health. I am particularly pleased to hear about the £38 million that is being awarded to my borough of Lambeth, which will go a long way towards supporting people with HIV, preventing HIV and funding other public health initiatives that the borough runs.

My hon. Friend the Member for Dartford (Jim Dickson) spoke about the important role that councils play, and it is a crucial role indeed. They encourage testing and are well-poised to target the right communities and areas to increase awareness, and they can tailor messaging in the way that is needed. The work of local councils and community-based organisations has really helped to increase testing rates and reduce stigma. It has also helped to ensure that as many people as possible know their HIV status, and the recent round of Government funding will continue supporting that work.

I hope to see more from the Government on the international front. We must actively look to support international efforts to stop HIV transmissions, especially at a time when President Trump is running his reckless review of American aid and has put the future of the US President’s Emergency Plan for AIDS Relief in the balance. Any credible attempt to end HIV transmission must include a global response. When it comes to ending HIV transmission, we are not an island. Ending new cases here will only last for so long if we are not contributing to efforts to end them abroad. Where the US is stepping down from efforts to tackle global HIV transmissions, we should be stepping up.

As it stands, we are already not on track to reach our target of ending new cases by 2030, but I hope that today we will hear insights from the Minister on the steps the Government are taking to increase testing and to end new cases in the UK and abroad. As I am sure other hon. Members do, I eagerly await the Government’s new HIV action plan in the summer.

Endometriosis: Women in the Workplace

Bell Ribeiro-Addy Excerpts

Wednesday 15th January 2025 Commons Chamber

[Gill Furniss]

I thank the right hon. Member for that intervention, and I absolutely agree. I pay tribute to you, Madam Deputy Speaker, and to the right hon. Member for the efforts he has put in over many years.

Stigma and a lack of awareness by employers means that reproductive health conditions can have a significant effect on women’s experiences at work. It is almost impossible to remain at work when suffering from chronic pain and the mental toll that these conditions cause.

[Bell Ribeiro-Addy (Clapham and Brixton Hill) (Lab)]

I thank my hon. Friend for the fantastic speech she is making. Endometriosis UK, which provides the secretariat of the all-party parliamentary group on endometriosis, of which I am the chair, released a report last year that found that 47% of women had visited their GP 10 or more times with symptoms prior to diagnosis. Many of those women are likely to face issues with getting time off work to attend these appointments, or experience some form of disciplinary action because of it. Does my hon. Friend agree that being understanding and tolerant about the number of appointments needed to secure a diagnosis is critical to being an endometriosis-friendly employer, and that, ultimately, we need to take steps to ensure that the process does not take several years and so many appointments?

[Gill Furniss]

I thank my hon. Friend. The average length of time taken is now eight years, which is not good.

Many women feel unable to speak openly about endometriosis as they would other conditions, as if it were something to be ashamed of. Research shows that 23% of women take time off work because of period health issues while 80% lie about reasons for absence if they are related to periods. Having said that, endometriosis is not just about periods; it is a whole-body complaint. I do not think there is an organ in the body up to the chest that has not been found to be affected by what is a crippling disease.

World AIDS Day

Bell Ribeiro-Addy Excerpts

Wednesday 27th November 2024 Westminster Hall

[Bell Ribeiro-Addy (Clapham and Brixton Hill) (Lab)]

I thank my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for bringing forward this crucial debate. I will start by commending campaigners and activists who have worked tirelessly to ensure that we have international awareness of HIV and AIDS.

The legacy of racism surrounding the AIDS pandemic casts a long and enduring shadow for communities such as mine in Lambeth, and indeed across Africa and the Caribbean. Although the impact of the virus and our understanding of it has evolved, the legacy of racist attitudes towards AIDS continues to have consequences for black communities in the healthcare system. HIV-related racism and stigma increases vulnerability to infection in black communities, and those who are HIV-positive are less likely to come forward to be tested or to access treatment and health services.

Last year, more than one in three HIV diagnoses in Lambeth was classified as late, meaning that the immune system had already suffered damage. Across England, 44% of diagnoses are late and women are 51% more likely to receive such delayed diagnoses. Early detection saves lives, offering effective treatment that ensures that those living with HIV can lead long and healthy lives and not pass on the virus once it is suppressed.

People who are not infected are still at high risk because HIV stigma can prevent them from accessing information and education. Cultural taboos linked to sex and sexually transmitted diseases in black communities can also have an impact on people’s access to HIV prevention and education, which directly increases the vulnerability of those who are not infected.

Racist assumptions around HIV and AIDS have also had consequences in other areas of the healthcare system. As recently as 2021, the NHS had a discriminatory blood donation ban on black donors due to flawed science around HIV. The ban had a direct impact on sufferers of sickle cell, an illness that predominantly affects black communities. Treatment is dependent on blood transfusions, particularly for a rare blood group such as Ro, which is common in black people.

The legacy of those rules has resulted in a reluctance among the black community to come forward and donate blood. That is why I commend the work done by organisations such as the Terrence Higgins Trust, which makes a concerted effort to combat outdated and discriminatory policies and all the damage that they cause. I could not allow this opportunity to pass without mentioning the new Brixton blood donation centre in my constituency, which is opening in a few weeks. I extend an invitation to the Minister, and all Members, to come and visit the new clinic and to open their veins and donate. It is so important that we challenge the misgivings around blood donation and encourage people to donate.

Ending new HIV cases is not just a medical issue; it is a social justice issue. We have to challenge the racism and discrimination that prevents individuals from accessing care, education and support.

Oral Answers to Questions

Bell Ribeiro-Addy Excerpts

Tuesday 23rd July 2024 Commons Chamber

[Wes Streeting]

I welcome the hon. Lady back to her place. We worked constructively on the Opposition Benches together and, regardless of the size of the Government’s majority, we intend to work constructively with her on this side of the election, too. By extension, I congratulate her colleagues on their election. I have discovered that I have 72 new pen pals, all sitting there on the Liberal Democrat Benches, and they have been writing to me about a whole manner of projects. My colleagues and I will get back to them.

The hon. Lady is right that this is not just about the new hospitals programme, important though that is; the condition of the whole NHS estate is poor. In fact, backlog maintenance, the direct cost of bringing the estate into compliance with mandatory fire safety requirements and statutory safety legislation, currently stands at £11.6 billion. That is the legacy of the last Conservative Government.

[Bell Ribeiro-Addy (Clapham and Brixton Hill) (Lab)]

11. If he will take steps to help increase the number of accommodation units available for parents whose babies have been admitted to neonatal care units.

[The Minister for Secondary Care (Karin Smyth)]

I congratulate my hon. Friend on her re-election and thank her for raising this important issue. It is not right that three out of four parents are not able to stay with their critically ill baby overnight at such an important point in that new relationship. NHS England recently concluded a review of neonatal estates. It is in the early stages of analysing the findings, which will be used to inform the next steps. We are all determined to support parents to be involved in every aspect of their baby’s care.

[Bell Ribeiro-Addy]

I congratulate my right hon. and hon. Friends on their re-elections and on taking their places. Recent research from the charity Bliss showed that when a baby receives neonatal care, their parents are routinely expected to leave them in hospital overnight for weeks or even months at a time. Its research found that for every 10 babies who need to stay overnight in neonatal care, there is only one room available for a parent to stay with them. How will the Minister ensure that the existing guidance about facilities for families is followed, and how will she ensure that trusts can access the resources they need to stop the separation of babies and their parents?

[Karin Smyth]

My hon. Friend is absolutely right that the separation of babies and their parents at that time is not acceptable, and about the shocking state of the estate, as we have just heard. We will look at the findings of the NHS review very quickly, and I will be happy to get back to her on those specific points.

Oral Answers to Questions

Bell Ribeiro-Addy Excerpts

Tuesday 23rd April 2024 Commons Chamber

[Andrew Stephenson]

Thanks in part to the sterling work of my hon. Friend, monthly average patient recruitment to commercial clinical trials is almost five times the figure it was back in June 2023. That is hugely positive, but there is clearly more to do in this space.

[Bell Ribeiro-Addy (Streatham) (Lab)]

For over a decade, the Camberwell dialysis unit has provided high-quality NHS care to patients in south London, so my constituents were shocked to hear that these services are to be outsourced to Diaverum, a multinational for-profit health corporation, which has already had one of its clinics rated inadequate and put into special measures. Does the Minister accept that privatising the NHS bit by bit has disastrous implications for care, and will he listen to patients in my constituency and commit to maintaining our NHS dialysis provision?

[Andrew Stephenson]

That sums up the usual contradiction on privatisation between Labour Front Benchers and Back Benchers. Any service changes should be based on clear evidence that they will deliver better patient outcomes. In Lambeth, patients who receive dialysis at the new site in Brixton will receive care in a significantly improved environment with brand new facilities, in a great example of an innovative public-private partnership. NHS England has established the renal services transformation programme to reduce unwarranted variation in the quality of access to renal care.

Hospice Funding

Bell Ribeiro-Addy Excerpts

Monday 22nd April 2024 Commons Chamber

[Sally-Ann Hart]

I agree. It is important to point out that most hospices do not want 100% funding from the Government because they need the flexibility to do what they want. Fundraising is a really important part of the local community effort, bringing people together, but when the dependence on fundraising is so vast we might need to intervene to provide extra funding.

End of life care is an essential service that so many of us will need, but the situation is made worse by inflationary pressures and rising demand. We have an excellent ICB in Sussex—NHS Sussex, led by Adam Doyle—which has highlighted that hospices are recognised as having become increasingly fragile in recent years, due to a lack of resilience in their funding model, which is heavily reliant on gifted income alongside NHS grants.

[Bell Ribeiro-Addy (Streatham) (Lab)]

Royal Trinity Hospice in my constituency supports people across central and south-west London to live and die well. Next year it will cost it £19 million to deliver care for its around 2,500 patients and support for their nearly 1,000 loved ones—a 20% on-year increase. Meanwhile, the NHS funding that it receives will decrease in real terms to 24% of the costs of running its services. Does the hon. Member agree that the Government should commit to maintaining the funding levels that hospices such as Royal Trinity require to ensure that people receive the quality of end of life care and the dignified death that they deserve?

[Sally-Ann Hart]

This is the point of the debate: to work out what sort of funding models we need. ICBs also need to be given the freedom to assess the priorities in their local areas, but I take that on board.

We have eight hospices across Sussex, and in 2019 seven of them formed the Sussex hospice collaborative—partnership working to ensure that the hospices’ combined resources can be used to maximise the impact, reach and cost-effectiveness of their activities. NHS Sussex works closely with that collaborative arrangement, which has supported the ability to have collective conversations. In January, the APPG on hospice and end of life care published a report on Government funding for hospices. The inquiry found that despite the introduction of a legal requirement for integrated care boards to commission palliative and end of life care, ICB commissioning of hospice services is currently not fit for purpose, and the value that hospices provide to individuals in the wider health system is at risk.

Hospice funding has historically not risen in line with inflation, which has been brought starkly to light during the periods of high inflation in recent years. Costs to keep palliative services running have increased rapidly over the past few years, but that is not reflected in the Government funding that hospices receive to deliver the services, which has increased by only 1% each year on average.

NHS Workforce

Bell Ribeiro-Addy Excerpts

Tuesday 6th December 2022 Commons Chamber

[Bell Ribeiro-Addy (Streatham) (Lab)]

The importance of this debate should not be understated because the NHS is in a dire state, and that is largely the result of a severe staffing crisis. Other than the generally inept economic policies we have seen from the Government, there is no denying that the Brexit deal has had a direct impact on staffing numbers, and that chronically low pay and poor working conditions have resulted in an exodus of staff leaving the NHS to work in the private sector, work abroad or leave the healthcare profession entirely.

I would like to start with one of the most undervalued groups in our NHS, which is the first that most of us meet in modern Britain—the midwife. The Royal College of Midwives has estimated that it has an existing and long-standing shortage of more than 2,000 midwives, and that for every 30 who are trained, NHS England loses 29. Vacancies for nurse positions are estimated to be at an all-time high, with a survey at the start of the year finding that 57% of nursing staff across healthcare settings are thinking about quitting or actively planning to quit their jobs.

With figures such as these, we cannot blame existing staff for wanting to leave or blame others for not wanting to fill these vacancies, particularly when we see the TUC’s estimates that, since the Conservatives took office in 2010, midwives have had a total real-terms pay cut of £5,657, nurses’ pay is down by £4,310 in real terms and the pay of all doctors is down by about 7.4%. We cannot forget the thousands of non-medical staff, who are often overlooked, but are integral to keeping the NHS running. Cleaners, security guards, porters and other important workers have, along with other NHS staff, faced real-terms cuts in pay since 2010.

Is it any wonder that the NHS waiting list has now tipped to over 7 million? When we hear of the scale of the vacancies, can we really be surprised that some A&E patients are left waiting for over 12 hours, or that ambulances are repeatedly failing to meet their target response times? The staffing crisis in the NHS is having a dire impact on patient safety, and if we are going to tackle the NHS backlog, address the crisis in staff recruitment and retention, and bring the NHS back to the standard it should be, we first and foremost have to address pay. We cannot be gaslighting nurses by saying that they should drop their pay demands to send a message to Putin, which is absolutely ridiculous.

We have to pay nurses what they are worth, and if the Government were not aware of what they are worth, the pandemic should have shown them. We called them key workers because we could not do without them, yet the Government justify their pay by calling them low-skilled workers. There is no such thing as low-skilled work; there is only low-paid work. All work is skilled when it is done well, and our NHS staff are the best example of this. On the contrary, Ministers, who are paid multiple times more but who have shown little skill in running the country, if the cost of living crisis and the economic situation are anything to go by, are completely different. They get paid so much more, but we cannot see their sense of skill in running this country.

In the past year, a number of NHS personnel have been taking strike action against low pay, and nurses will be striking later this month for the first time in the Royal College of Nursing’s 106-year history, while ambulance staff have announced their strike today. If that does not show us the scale of the crisis facing workers in the NHS, I do not know what does. No one wants to have to take strike action, least of all the workers in our NHS, but the dire situation of chronic underpayment and poor conditions is leaving them no choice. This Government have left them no choice. When we have 27% of NHS trusts operating food banks for their staff, when one in three nurses is taking out a loan to feed their family and when NHS staff across the board are severely underpaid, of course they are at the point of saying that enough is enough.

No one goes to work for the NHS for the money, but it cannot be fair to expect people to live on poverty wages. If the Government want to address this crisis in recruitment and retention, they must get over this ideological aversion to paying public sector workers what they are worth. That means committing to a proper cost of living pay rise, and setting out plans to reverse a decade of real-term cuts in pay for our NHS workers.

Baby Loss and Safe Staffing in Maternity Care

Bell Ribeiro-Addy Excerpts

Tuesday 25th October 2022 Westminster Hall

[Bell Ribeiro-Addy (Streatham) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Davies. I congratulate the hon. Member for Hartlepool (Jill Mortimer) on securing this important debate.

The loss of a baby at any stage of pregnancy or after birth can be an incredibly painful experience for any parent. I pay tribute to everyone who has and will share their experience of baby loss in this Chamber. It takes a lot to relive that trauma, but I have heard that it means so much to everyone listening when we speak about such issues in this House. Sadly, when baby loss happens, people are often told, “It is one of those things” or “It just happens”. I remember being told in my grief that I was not the first woman that this happened to and that it was one of those things. It is heartbreaking that women continue to be gaslit in this way when we know that negative pregnancy and birthing experiences can drastically or even fatally change outcomes. We have to accept that it is not always “one of those things” and work to come up with solutions to end it.

I want to touch on two things. The first is a report conducted by Five X More—the black maternal health awareness campaign. It conducted the largest nationwide study of black women’s experiences of maternity services in the UK, and the results make for some shocking reading. The report will be presented to Parliament next Tuesday, and will be followed by a lobbying event by the campaign—where it will reiterate the call on the Government to set a target to address disparities and close the gap in mortality rates—to which all hon. Members have been invited. I put that request to set a target to the Minister again today.

The report encompasses the views of more than 1,300 black and black mixed-heritage women and their maternity experiences, including a number of black women who have experienced baby loss. As some will know, black women are four times more likely to die during pregnancy, labour or post partum; Asian women are twice as likely; and women of mixed heritage three times more likely. Black women are 40% more likely to experience a miscarriage, and black babies have a 50% increased risk of neonatal death and a 121% increased risk of stillbirth.

The Five X More report highlights all the negative interactions that women experience with healthcare professionals: feeling discriminated against in their care; receiving a poor standard of care, putting their safety at risk; and being denied pain relief. After experiencing negative maternity outcomes, 61% of the women surveyed reported that they were not even offered additional support to deal with the outcome of their pregnancy—something that, as we have heard today, is widespread. It is vital that we acknowledge these racial biases when we discuss maternity care.

To make maternity care safe for all patients, it is vital that the level of staffing and the treatment of staff is looked at. For every 30 midwives trained in this country, 29 are lost—what an indictment of the state of maternity services in this country. That is one of the reasons I am proud to support March with Midwives and the awareness it is trying to raise of the dire conditions midwives are facing. Midwives are overstretched, under strain and working in situations they know are unsafe, but pushing ahead anyway at a risk to their physical and mental health. They do not do it for the big bucks, but the least we can do is pay them decently—something that we know we are not doing.

All we ask from the Minister today is to address the pay conditions and shortages that midwives are facing. Everybody in this room owes their life or the life of one of their loved ones to a midwife. They deserve better, as do the women and babies they aim to care for.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health and Social Care (Dr Caroline Johnson)]

First, I thank all the Members who have taken the time to attend the debate and those who have spoken so openly about their own, and their constituents’, experiences and concerns. I particularly thank my hon. Friend the Member for Hartlepool (Jill Mortimer) for securing the debate and enabling us to have this important conversation.

Let me take this opportunity to recognise the work of everyone who has been involved in Baby Loss Awareness Week. It is important that we make it easier to speak about pregnancy loss and enable people to have open conversations about their experiences, which in turn can help those who have experienced the tragic loss of a baby. I also take this opportunity to commend the work of the charities that provide excellent support to families experiencing baby loss, including all the members of the Baby Loss Awareness Alliance and the Lily Mae Foundation, which was mentioned by my hon. Friend the Member for Meriden (Saqib Bhatti).

As we take time to reflect, I want to acknowledge how difficult the loss of a baby is. Everyone’s grief will be different. It is a personal, individual process, which people will try to navigate in many different ways. Although it can be challenging to reflect on such tragic losses, this week provides an opportunity for people to remember, reflect, share and seek support and comfort from other people.

This is the seventh year in a row that a debate has been held to mark Baby Loss Awareness Week. I am honoured to take part as the new Parliamentary Under-Secretary of State at the Department of Health and Social Care and to work with everyone to continue making a difference in an area as vital as maternity and neonatal safety.

The independent review into maternity and neonatal services at East Kent Hospitals University NHS Foundation Trust, as mentioned by my right hon. Friend the Member for North Thanet (Sir Roger Gale), was published last Wednesday. I take this opportunity to extend my condolences to the families who suffered due to the care they received and express my gratitude to the individuals who were instrumental in establishing the review and to the inquiry team for carrying out the review to such a high standard. The Government and I take the findings and recommendations of that report extremely seriously, and I am committed to preventing families from experiencing the same pain in the future.

Our maternity safety ambition, as mentioned by my hon. Friend the Member for Hartlepool, is to achieve half the 2010 rates of stillbirths, neonatal and maternal deaths, and brain injuries in babies occurring soon after birth. Since 2010, the rate of stillbirths has reduced by 19.3%, the rate of neonatal mortality for babies born over 24 weeks gestational age has reduced by 36% and maternal mortality has reduced by 17%. However, it is important to note that there was an increase in the rate of stillbirths between 2020 and 2021. This increase occurred at the same time as the covid pandemic, and detailed work is going on to establish why that was the case. I reassure hon. Members that we remain committed to our maternity safety ambition.

Every woman giving birth has the right to a safe birth, and the Government and NHS England are committed to providing women with personalised and individual maternity care. The role of NHS staff in maternity services is critical to safe care for families, and I recognise all the great, hard work by teams across the country and thank them for it.

Members on both sides of the Chamber have talked about funding and workforce. NHS England has invested £127 million in bolstering the maternity workforce even further and in programmes to strengthen leadership and retention and provide capital for neonatal maternity care. We will keep that funding under review. That investment is on top of the £95 million investment made last year in the establishment of 1,200 more midwifery posts and 100 more consultant obstetrician posts. There are increasing numbers of midwifery and obs and gynae trainees.

I am grateful to the APPGs on maternity and on baby loss for producing their report into the maternity workforce, and I acknowledge the important themes in it. The hon. Member for Enfield North (Feryal Clark) raised the issue of retention. NHS England has established a nursing and midwifery retention programme, supporting organisations to assess themselves against a bundle of interventions aligned to the NHS people promise and it will use the outcomes to develop high-quality local retention improvement plans. In addition, in 2022-23 we made £50,000 available for each maternity unit in England to enhance retention and pastoral support activities.

[Bell Ribeiro-Addy]

Will the Minister give way?

[Dr Johnson]

I will not, because I have a lot of questions to get through in a really short time.

Many hon. Members talked about bereavement. In the difficult scenario of baby loss, we understand that bereavement care for women and families is critical. We continue to engage closely with the bereavement sector to assess what is needed to ensure that bereaved families and individuals receive the support that they need. This year we have provided £2.26 million of national funding to support trusts, expand the number of staff trained in bereavement care and directly support trusts to increase the number of days of specialist bereavement provision that families can access.

In the women’s health strategy, which hon. Members mentioned, published earlier this year, we discussed the introduction of pregnancy loss certificates for England. This will allow a non-statutory, voluntary scheme to enable parents who have experienced a pre-24 weeks pregnancy loss to record and receive a certificate to provide recognition of their baby’s potential life. The certificate will not be a legal document, but it will be an important acknowledgement of a life lost, and we hope that it will provide comfort and support by validating a loss.

We understand the impact of pregnancy and childbirth on mental health, especially for those affected by the loss of a baby, and we are committed to expanding and transforming our mental health services so that people can receive the support that they need when they need it.

As part of the NHS long-term plan, we are looking to improve the access to and quality of perinatal mental health care for mothers and their partners. Mental health services around England are being expanded to include new mental health hubs for new, expectant, or bereaved mothers. These will offer physical health checks and psychological therapy in one building.

Oral Answers to Questions

Bell Ribeiro-Addy Excerpts

Tuesday 19th April 2022 Commons Chamber

[Sajid Javid]

I share my hon. Friend’s concerns, which is why the NHS commissioned this review from one of our top paediatricians. It is already clear to me from her interim findings and the other evidence I have seen that NHS services in this area are too narrow; they are overly affirmative and in fact are bordering on ideological. That is why in this emerging area, of course we need to be absolutely sensitive, but we also need to make sure that holistic care is provided, that there is not a one-way street and that all medical interventions are based on the best clinical evidence.

[Bell Ribeiro-Addy (Streatham) (Lab)]

T5. Since February 2020 my local borough of Lambeth has seen a 14% drop in dementia diagnosis. That means people are not getting the support that comes from diagnosis. We also know that so far none of the announced £8 billion backlog funding has been dedicated to addressing the stagnation of diagnosis rates. Can the Secretary of State explain what exactly he is going to do to make sure that people get diagnosed on time?

[The Minister for Care and Mental Health (Gillian Keegan)]

The hon. Lady raises a very important question. We want a society in which every person with dementia and their families and carers receive high-quality, compassionate care from diagnosis through to end of life. We have provided £17 million this financial year to NHS England and NHS Improvement to increase the number of diagnoses. That funding was spent in a range of ways, including investing in the workforce to increase capacity in memory assessment services.

Children’s Mental Health

Bell Ribeiro-Addy Excerpts

Tuesday 8th February 2022 Commons Chamber

[Bell Ribeiro-Addy (Streatham) (Lab)]

This morning I visited a school in my constituency, Harris Academy Clapham, and I had the opportunity to speak to young people about their mental health challenges during lockdown, to meet Mabel, the cockerdoodle support dog, and to find out more about what they are doing during their wellbeing week. It is one of the few schools fortunate enough to provide an onsite counselling service, and not just to children, but to parents and teachers where needed. That is through the organisation Place2Be, the founders of Children’s Mental Health Week. But even in schools such as that, that is simply not enough to meet the demand: the schools that are able to offer that take it upon themselves, stretching already slashed pupil premiums or sometimes funding from their local authorities, whose funding has also been severely cut. There is no dedicated funding from the Government specifically to provide that service at this time.

The reality is that we do not have the capacity to treat the rising levels of mental health issues, because this Government simply will not invest in it. Between 2010 and 2015, spending on children’s mental health services fell by nearly £50 million. That is more than 6% in real terms. The early intervention grant, which was originally set at £2.79 billion for 2010-11, has since been cut by almost £1 billion.

Listening to the Minister speak earlier, I was reminded of something that my hon. Friend the Member for Luton South (Rachel Hopkins) was saying. If someone has £10 and I take that away from them and give them £1 back, I do not expect them to be grateful, but that is exactly what the Government seem to do every single day. Cuts, with austerity, real-terms cuts, and privatisation that ends up costing more and delivering less all mixed in for extra measure—that is the complete sum of this Government’s economic policy.

In the sixth largest economy in the world, every crisis in public services, including this mental health crisis, is a political choice. We are seeing nearly 1,500 children a week presenting with mental health problems, while specialist services turn away one in four children referred to them. Around 75% of young people experiencing a mental health problem are forced to wait so long that their condition worsens, or they do not receive any treatment at all.

All Members will no doubt agree that our mental health services are as important as our physical health services, so why do we not treat them that way? While various announcements sound good on paper, they are all completely tokenistic if they are not combined with systematic support. There has to be long-term investment in mental health and education and the focus cannot be solely on training teachers, who are there to teach. We need specialist services.

For every £1 spent on intervening early, there is a cost saving to individuals and society of £6.20. At the moment, there is so much pressure on all our services, and preventive support is obviously the most cost-effective way of targeting funding. It is vital if we are to tackle the spiralling mental health crisis across the country.