(1 week, 2 days ago)
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I beg to move,
That this House has considered ADHD diagnosis.
It is a pleasure to serve with you in the Chair, Ms Vaz. This debate is about how pathways to attention deficit hyperactivity disorder diagnosis might be improved, including by offering screening in schools, so that people can access the right support in good time.
We all have a pretty good idea of what ADHD means, but I am here because a 19-year-old constituent of mine, Matty Lock, took his own life in September 2023. He was diagnosed with autism at the age of 14, but he and his parents, Christine and Richard, who are here this afternoon, did not know about his ADHD until much later. In Matty’s memory, Christine and Richard have set up the Matthew Lock ADHD Charity, and they have been part of the independent taskforce. One of the things that the taskforce has done—this has been accepted by the NHS—is to highlight the proven link between suicide and ADHD. The prevalence of ADHD is 10 times higher among men attempting to take their own lives.
Let me say a few words about Matty. I knew him because he was very interested in politics. He had become a town and parish councillor, and he had campaigned hard with me for some time. Those of us who knew him through politics believed that he would be in this place before much longer. It is very, very sad that that was not to be.
Matty was known on television as “The Vac Mat” for his repairs of vacuum cleaners and his advocacy of domestic appliances on “This Morning”. He was everywhere in the community of Maghull—clearing up and playing his part. He was a real, strong advocate of the community that he grew up and lived in.
Matty’s ADHD was linked to how hyperactive he was. We know that people with ADHD are restless, lack concentration, are impulsive, act without thinking and always talk over others—actually, as I go through the list, I can think of nearly 650 people in this place who have a lot in common with that description.
What is the impact of having ADHD? We know that it leads to a significant number of school exclusions and very high drop-out rates. We know about the link with addiction, and that the prevalence of ADHD among people in prison is five to 10 times higher than among people outside. Sadly, we also know about the link with suicide.
NHS figures suggest that about 700,000 people are waiting for a diagnosis, and that many of them have waited for several years. Nearly two thirds of those people have been waiting for more than a year. The economic cost is estimated to be about £17 billion a year.
Helen Maguire (Epsom and Ewell) (LD)
The hon. Gentleman is making a powerful speech that has affected us all. In November 2025, NHS Surrey Heartlands integrated care board in my constituency paused assessments on the Right to Choose pathway until April 2026, which has caused major disruption. My constituent’s daughter does not know when she will be seen or if she will be seen at all. I have talked to the ICB and I know that there has been a massive increase in referrals for ADHD, so does the hon. Gentleman agree that the Government must set out plans to improve local NHS provision of ADHD assessments?
The example of the hon. Member’s ICB is typical of ICBs around the country. The purpose of this debate is to raise the issue with the Minister and highlight how important it is to improve diagnosis and speed up how quickly people can get access to treatment and medication.
Rachel Taylor (North Warwickshire and Bedworth) (Lab)
I thank my hon. Friend for securing this really important debate. Last year, a number of constituents contacted me because they were similarly concerned that Coventry and Warwickshire ICB decided to pause new ADHD referrals for those 25 and over so that it could prioritise children on its waiting list, which was at a really critical point. I recently met the chief executive of the ICB, who confirmed that referrals for adults will restart in May. Does my hon. Friend agree that we must get the balance right so that children and adults with ADHD get the diagnosis and support that they so desperately need?
It is good news that we are seeing some progress in my hon. Friend’s ICB. I profoundly hope that NHS staff in other ICBs around the country are watching this debate and will follow the lead of her ICB in improving the access that is needed.
I commend the hon. Member for securing the debate. He has outlined the waiting lists, which are no better for us in Northern Ireland—they are over a year, and up to six years. The issue about early diagnosis is that every child with ADHD has a different level of ADHD. The diagnosis is really important because it enables the education system to respond for that child specifically. Does the hon. Member agree that for an educational programme to be tailored to a child, it must be absolutely right, which can be done only if there is early diagnosis?
Yes, I agree with the hon. Member. It is important to realise that everybody is different and that we all need different support. That is very true in school. When we call for diagnosis, we need to take great care around what we mean. Diagnosis is a means of getting support, getting the right treatment and getting the right medication, if medication is right—it is not right for everybody. ADHD is a spectrum and that individual, tailored support in school, and indeed in adult life, is an important part of what we are discussing.
I will give way to both my hon. Friends in a moment.
A key element of the discussion is that we have to be really careful what we are calling for. That situation partly explains some of the delays: at the moment, a specialist is the only person who can give a diagnosis because of the complexities that the hon. Member for Strangford (Jim Shannon) just referred to.
Mr Rand
I thank my hon. Friend for giving way. I met Matty on a number of occasions, like many who sit on the Labour Benches representing the north-west, and he certainly made a lasting impression on me from the few opportunities when we met.
We know that when faced with lengthy waits for an NHS diagnosis, some people with ADHD turn to shared care, receiving a private diagnosis before their care transfers back to the national health service. I have a constituent who tried to do that for her son, but her GP refuses to accept the private diagnosis and provide treatment, meaning that my constituent now faces huge treatment costs, yet just a few years earlier her other son secured a shared care arrangement with the same GP practice. Does my hon. Friend agree that we need to address some of the inconsistencies in ADHD care that are caused by long waiting times?
I am glad that my hon. Friend raised that point, because one of my asks to the Minister is to iron out those inconsistencies.
Perran Moon
I thank my hon. Friend for securing this important debate, and thank the parents of Matty Lock for being in the Public Gallery for it. A couple of years ago, my son was diagnosed with ADHD while he was at university. To my shame, I always thought that his behaviour was simply a case of mischief or laziness. Does my hon. Friend agree not only that it is a case of early diagnosis, but that we need to increase awareness of ADHD—and neurodiversity more broadly—among parents, guardians, medical professionals and Government?
My hon. Friend is absolutely right, and he has made a very good point. My son has been diagnosed with ADHD—belatedly, like so many—but we were told early on that having a diagnosis would not help him. How wrong that was, because the diagnosis was the key to getting support and understanding what we were dealing with, both for him and for us as his carers. There is a lot of misinformation around, and getting that right is key, but yes—
John Milne (Horsham) (LD)
I am sorry for interrupting the hon. Member. Education, health and care plans are not supposed to depend on or require a formal diagnosis of ADHD but, in practice, that is how local authorities apply them. Families are far more likely to be challenged by the local authority if they do not have that diagnosis but, in my own area of West Sussex, the predicted waiting time for assessments has now risen to four and a half years, which is virtually an entire secondary education. Does the hon. Member agree that that Catch-22 situation requires urgent action from the Government?
The hon. Member is making the same point, which is that we need to clarify and have consistency across the country. That is, again, something that I hope will come out of the work that the Department is doing. I know that it is carrying out its own review and drawing on the work of the independent taskforce.
Several hon. Members rose—
I am going to give way. I am conscious that I am at 11 and a half minutes and a lot of people who want to speak. If Members intervene on me from now on, could they please keep it brief? I will give way to the hon. Member for North Down (Alex Easton) first.
Alex Easton (North Down) (Ind)
Based on UK-wide estimates, about 83,000 people in Northern Ireland are likely to have ADHD, yet it is clear that many remain undiagnosed, particularly women and girls. Does the hon. Member agree that there is an urgent need for clear, consistent and properly resourced diagnostic pathways across all health and social care trusts in Northern Ireland, and that a UK-wide source is needed for an even approach right across the United Kingdom?
It is a very well-made point, repeating what colleagues have said. I hope that professionals in Northern Ireland will have heard his point too, and will act on it while we are waiting for the Government to get to the UK-wide approach.
Sarah Russell (Congleton) (Lab)
I have similar stories of incredibly long waiting lists, my local ICB closing waiting lists and my constituents’ general difficulty in accessing support. Does my hon. Friend agree that the Government have already had a two-part report with recommendations on dealing with ADHD, and that there is plenty in there that could be implemented while further evidence is sought?
I do agree. Various Ministers’ answers at oral questions last week referred to the ongoing work. I know we are due a response in the summer; this is my opportunity to say directly to the Minister that sometimes, when Governments say they are going to respond in the summer, that is a very loose term. I hope that, in this case, it means early summer. Perhaps the Minister will come back to us with a bit more clarity on when he expects to respond.
Graeme Downie (Dunfermline and Dollar) (Lab)
My hon. Friend is being incredibly generous with giving way. Oddly, I was told by a Scottish Education Minister on the BBC recently that a diagnosis was not required in Scotland either to get the right support—we all know from our experiences that that is not the case. In Fife, we have more than 40,000 children waiting for neurodevelopmental assessments and there are no pathways at all for adults. Does my hon. Friend agree that it is important that we get this right across the United Kingdom, and that the Scottish Government also need to get their skates on and take some action?
Let us hope that someone from the Scottish Government is listening to the debate and acting on my hon. Friend’s request. We were talking before about the importance of supporting children to avoid stigma in education and ensure that support is in place, that staff understand and that they can improve their chances at school and beyond.
Leigh Ingham (Stafford) (Lab)
I thank my hon. Friend for securing this incredibly important debate. He is right to raise the issue of ADHD waiting lists, and the Health Secretary is right to commission the review, which is needed, into rising demand. Does my hon. Friend agree that the right response is to understand and then fix the system with empathy rather than—as I often see in my constituency—blaming parents who are simply doing the best they can for their children?
It is a good point, and we have to get away from that very inappropriate approach that I am sure all of us have come across from time to time.
I want to say a few words about alternatives to diagnosis. I mentioned briefly that, at the moment, typically a specialist psychiatrist carries out the diagnosis process, yet there are many GPs and other health professionals who would very willingly step in and be in a position to carry out that diagnosis. I wonder whether—and this comes out of the independent taskforce report—there is a big opportunity to speed up waiting times through the use of GP diagnosis and expanding the role of GPs and other professionals who want to specialise in ADHD. That might also be a way of overcoming the problem we heard before about the shared pathway challenge between private clinics and GPs in prescribing.
There are undoubtedly a number of challenges in moving this forward and addressing the very lengthy waiting lists, and their consequences for people. I hope that the Government will pick up these challenges and address the recommendations of the taskforce in a timely fashion. It makes sense to improve the ability of GPs and other professionals to assess and support the management of ADHD. It also makes sense to improve screening in schools. Another recommendation is to extend training for GPs on to an extended role pathway, and shared care between specialists and GPs. All these changes can enable cuts in waiting times and improve life chances and prospects for many people.
I decided to put in for this debate in Matty Lock’s memory, but looking around the room at how many hon. Members are present, I can see that this has touched so many lives across the entire United Kingdom. Whether it is for Matty, for anybody who has been profoundly affected, for the loved ones—for Christine and Richard—or for so many other people, we have a duty to act. We know what is needed and how we can address these concerns. If the Government are minded to respond, we can build a system that supports people living with ADHD, and the people who want to care for them and improve their lives.
Several hon. Members rose—
In that case, I will thank all who have taken part and given their own testimonies and experiences. My hon. Friend the Member for Hertford and Stortford (Josh Dean) described the benefits of treatment and medication in exactly the same way as a constituent of mine did—mentioning the difference that comes from recognising that they can live their life the way that others do. I thank the Minister for what he said about Richard and Christine: that they have already had an impact. I just make a plea to him for early implementation of at least some of the findings ahead of the final response.
(2 months ago)
Commons ChamberI congratulate my hon. Friend on getting a lot of estates questions into that one point. The point is that local people value the local facilities that they have known for a very long time. That is why we are committed to reversing the decline in capital investment under the last Government—Lord Darzi outlined the shocking £40 billion black hole on capital. Part of our move towards neighbourhood health services is exactly about getting services closer to people’s homes, and we look forward to having further conversations with my hon. Friend and her constituents.
Rowan View mental health hospital at Maghull health park in my constituency is benefiting from lower costs from the installation of solar panels from GB Energy. May I encourage the Minister to support Maghull health park’s bid for an innovation and research facility so that we can address the Government’s priority of giving parity of esteem to mental health and physical health?
My hon. Friend makes an excellent point about working across Government with GB Energy to support local health systems in reducing health costs. That is an important part of our efficiency drive. He is a strong advocate for a local facility at Maghull, and we are absolutely committed to working with the ICB so that it develops the most efficient services where people are actually located, rather than expecting them to go to and fro and get bounced around the health system. I hope he can see further progress on that issue.
(1 year, 6 months ago)
Commons ChamberI thank my hon. Friend for her question, and warmly welcome her to her place and congratulate her on her election. The key aspects of our dental rescue plan include 700,000 more appointments through extra funding that we will generate by cracking down on tax dodgers and closing other loopholes. We will incentivise new graduate dentists to come to areas that are underserved to ensure that we plug the gaps—there will be golden hellos to make that happen. We are also working hard on things like supervised toothbrushing for three to five-year-olds, because prevention is always better than cure.
I congratulate my hon. Friend on his re-election. He will know that capital allocations are a matter for the integrated care boards. We are committed to introducing neighbourhood care centres to bring together vital care services, and I look forward to working with him on Labour’s mission to improve the front door to the local NHS.
I congratulate my right hon. and hon. Friends on their appointments. The predecessors of my right hon. Friend the Health Secretary—there have been quite a few over the past few years—all agreed with me that a health centre in Maghull in my constituency was a priority for the health service, but as my hon. Friend has just said, the allocation of capital by integrated care boards has meant that the priority has been acute hospitals, sometimes at the expense of community facilities. Will my hon. Friend meet me to discuss the importance of investment in health centres such as the one in Maghull, which make such a difference to reducing waiting times in the NHS and improving patient outcomes?
My hon. Friend is first out of the blocks on this issue, and has shown his commitment to improving primary care for his constituents. I am sure the local ICB has listened very carefully to his question, because we know that the existing primary care estate is under a great deal of pressure. That is why building a neighbourhood health service remains at the forefront of our mission to rebuild the NHS, and I would be pleased to meet him to discuss that topic.
(2 years, 7 months ago)
Commons ChamberAs the hon. Member said, Versus Arthritis is doing really important work not only supporting people with arthritis while they wait for treatment, but better preparing them for surgery. What is really important, as I said a moment ago, is reducing those waits and the work that we are doing on that. We have already virtually eliminated two-year waits, and 18-month waits have been reduced by more than 90%, which is quite a contrast, we know, to the performance of the Labour-run NHS in Wales. I encourage Versus Arthritis to contribute to our call for evidence on the major conditions strategy where we are looking at what more we can do to support people with, among other things, muscular skeletal conditions.
The Government are providing record levels of capital to the NHS, with more than £24 billion allocated between 2022-23 and 2024-25, over £12 billion of which is allocated to integrated care boards themselves to invest in local priorities, including primary care facilities, of which just under £700 million has been allocated to NHS Cheshire and Merseyside integrated care board.
The Minister has just reminded us that the allocations are made by Government to integrated care boards. The problem is that, with a board the size of Cheshire and Merseyside, there are very many competing priorities. Sefton Council has secured more than £1 million from developers for a new health centre in East Sefton. The Health Secretary’s recent predecessors, of which there have been many, have agreed with me that a new health centre there is a priority. Will he and his colleagues match the priority accorded to this by their predecessors, match the ambition of my constituents and support the commitment by Sefton Council and award that additional funding, so that my constituents can get that much-needed health centre in East Sefton?
The hon. Member has been campaigning doggedly for this for several years, and I am sure that his local ICB will be strongly seized of that and the strong arguments for it. He raised the issue of developer contributions. One thing that we have done in the most recent primary care recovery plan is set further steps to increase investment from developer contributions so that we match new housing with the much-needed infrastructure, such as primary care facilities.
(3 years, 10 months ago)
Commons ChamberI do not know whether the hon. Gentleman realises that there has been a pandemic for two years. The Government have committed funding for elective recovery. We are investing in those areas that are in greatest need in the country, including Hull. I am sure that the residents of Hull welcome the investment that the Government are making in their hospital.
Following the recent spending review, the next round of projects, including those from Mersey Care NHS Foundation Trust, are being considered, and local health systems should receive confirmation of their funding envelope for 2022-23 shortly.
In November 2018, the then Health Minister, the hon. Member for Winchester (Steve Brine), told me that building a new health centre in Maghull was a priority for NHS England, but the estates and technology transformation fund has closed and the funding for Maghull has not been approved by the Government. Can the Minister confirm that the Government still agree that a new health centre, as opposed to what she mentioned before, which is a mental health facility, is needed in Maghull? Can she also tell me what the funding arrangements are in the absence of the estates and technology transformation fund?
I take the hon. Gentleman’s point, and of course he will lobby for more investment in his constituency. As I said, the funding envelope will be announced shortly, and it will be for his local area to decide how it spends that.
(4 years ago)
Commons ChamberMy right hon. Friend makes a really good point. We know that omicron numbers are still really high, and we still have more than 2,000 people hospitalised every day, so we do need to be cautious. But my hon. Friend is right, in that our vaccine and testing programmes have been vital in being able to tackle this deadly virus. I encourage everybody to get their booster and, if they have not come forward for their first or second jab, to get those too.
We have significantly increased our testing and supply capacity since December, procuring over 700 million more lateral flow tests, ramping up our delivery capacity and expanding the UK’s daily PCR capacity. Around 1.7 billion lateral flow tests have been distributed across the UK since the start of the pandemic. Home delivery capacity is now at over 7 million lateral flow tests every day, and we have also recently increased capacity for PCR testing by more than 200,000 tests per day.
I asked the Prime Minister, but he did not know. I asked the Business Secretary and he did not seem to care. So today is third time lucky. Why were 30 million British-made lateral flow tests sitting in a warehouse waiting for approval while Chinese tests were given temporary approval, all while people could not get test kits from pharmacies or from Test and Trace? It took six months to give approval to SureScreen diagnostics: when will the Government support British test manufacturers and end the preference for imports from China?
I can give the hon. Gentleman an answer, and I am very happy to do so. He will know that whenever we try to procure tests, in this case lateral flow tests, we should always try to buy British first, and we do buy from SureScreen—it is a fantastic supplier. But he will also know that we can only, rightly, buy lateral flow tests once they have been approved by our independent medical regulator.
(4 years, 1 month ago)
Commons ChamberMy hon. Friend asks a very important question. The rules around the need to be vaccinated, whether for passes or otherwise, do not apply to anyone who is medically exempt. Many people have received exemption certificates directly from their GP. That is the best route. Some individuals have called 111 and received advice. If I can be of direct assistance to my hon. Friend, then of course I will help.
I thank the NHS staff and volunteers at the vaccination centres in my constituency, including at the one at Aintree racecourse and at the one at Holy Rosary, where my wife and I had our booster jabs in the past few days. There is low vaccine take-up in some communities in the Liverpool city region, as in communities across the country. The Secretary of State has told us many times from the Dispatch Box, as did his predecessor, that nobody is protected until everybody is protected. Will he make sure that the resources go to those areas of the country where vaccine take-up is low and additional resources are needed so that our public health directors and teams, and the NHS, have everything they need to protect everybody through the vaccination programme?
Yes, I agree wholeheartedly. Over the past hour or so we have, understandably, talked a lot about the importance of the booster programme, but it is still hugely important that we continue to focus on those that currently remain unvaccinated.
(4 years, 2 months ago)
Commons ChamberThe first thing to say is that obviously the vaccine saves lives, and it is our responsibility to do everything we can to reduce the risk for vulnerable people. As of 14 November, 92.5% of care home staff have had their second dose. We have put in place measures, as I said earlier, to support workforce capacity, which have only just gone to local authorities. The Department continues to closely monitor workforce capacity, bringing together the available data, including the vacancy rate, with local intelligence. Longer term, we have committed at least £500 million to support and develop the workforce, and that will go some way to addressing the barriers to people taking up work in adult social care, which has been an issue for a number of years.
There are 105,000 vacancies across all social care workforce grades, but employers are unable to recruit across those grades. The Government have accepted the need to add senior care workers to the shortage occupation list—they did that in April—but the Migration Advisory Committee is not due to report until next April on the need to recruit social care workers. It is no good the Minister saying employers need to pay more money to recruit UK workers, because this Government are the ones underfunding the employers, who cannot then compete with the likes of Amazon. When will the Government admit that they need to add all grades of social care workers to the shortage occupation list if they are to have any hope of addressing this shortfall and providing the care that is needed to address the care crisis?
As I mentioned earlier, we have sent out £162.5 million, which has not yet been put into effect. For example, Sefton received £1,032,474. That money has only just gone into the bank account, and has not yet been utilised to retain staff, or to recruit agency or other staff. As the hon. Gentleman says, adult social care providers can recruit key adult social carers from overseas from the shortage occupation list. That provides lower fees and a reduced salary threshold of £20,480 for someone to be eligible for the skilled worker visa.
(4 years, 3 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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I am sure my hon. Friend is aware that the Secretary of State laid the written ministerial statement in the House yesterday outlining the antiviral announcement that was made in Downing Street last night.
The Minister said a few minutes ago that the level of protection from vaccination is still very high in this country. My hon. Friend the Member for Sheffield South East (Mr Betts) pointed out that we have similar vaccination levels to those of France and Italy, but she did not answer him on what the difference was on infection rates. Does she believe that the reason they have so much lower levels of infection, hospitalisation and death in France and Italy than in this country is the range of measures that he outlined, or does she believe there is some other reason for that? If not, will she say why the Government have not introduced similar measures, including mask wearing, ventilation in buildings and the kind of green passes my hon. Friend mentioned?
There is a chance I might sound like a broken record, but our vaccines really are our wall of defence and our first line of defence. We must continue to make sure that everybody comes forward for their first dose, second dose and booster dose, and this includes 12 to 15-year-olds.
(4 years, 3 months ago)
Commons ChamberMy hon. Friend is right to raise the extra pressures that Kirklees is seeing. Public health officials and local council members are doing everything they can. Extra support is available—something we keep under review—but he is right to raise the importance of the booster programme. The more people who get boosted and the sooner they do so when they are eligible, the better it will be for not just them but the whole community.
Across the continent of Europe, mask wearing, ventilation in buildings and the use of green passes for events are commonplace. They also have much lower infection rates, hospitalisations and deaths, so while the Secretary of State addresses the backlog in the roll-out of vaccinations for children and of boosters, will he consider implementing the very good practice that can be seen in other countries?
In terms of the challenges of the pandemic and the challenges more generally over winter, the Government have set out a detailed plan. It depends very much on vaccinations, treatments, testing and surveillance, but we keep it constantly under review and, should we need to do more, there are contingencies.