Health and Social Care Committee and Education Committee

Debate between Bill Esterson and Luciana Berger

Thursday 10th May 2018 Commons Chamber

[Luciana Berger]

I thank my hon. Friend for her important contribution. The chapter on the workforce was a key part of the report. The wellbeing of both the mental health workforce and the workforce in our schools and education sector should be addressed adequately. That is not happening at the moment. We heard in evidence that the mental health workforce, particularly for children, has the greatest vacancy rates. No doubt that is one of the reasons there is such a high absence rate due to sickness. We hope that Health Education England will heed our recommendation on the need to address an area that is massively wanting.

[Bill Esterson (Sefton Central) (Lab)]

Prenatal exposure to alcohol causes permanent brain damage and is one of the contributory factors in mental ill health among children—and indeed into adult life as well. In a recent study, as many as 40% of women said that they may have drunk alcohol during pregnancy. May I, through my hon. Friend, urge the Government to carry out a prevalence study on exactly how many children are damaged in this way? There is also a need for much greater awareness. The chief medical officer’s advice is that those who are planning a pregnancy or are pregnant should not drink alcohol, but that advice is not widely known. May I, through my hon. Friend, urge the Government to make sure that far more is done to raise awareness of the damage done by this condition?

[Luciana Berger]

I thank my hon. Friend for his comments. No doubt the Government were listening to the very important points he has made. We did not address this in our report, but clearly issues around perinatal mental health and support for expectant mums are very important, including in the area that he mentions.

Foetal Alcohol Syndrome

Debate between Bill Esterson and Luciana Berger

Tuesday 14th October 2014 Westminster Hall

[Luciana Berger]

My hon. Friend’s remarks lead me to the challenge that the Government themselves admit in their alcohol strategy. They say:

“We do not have good information about the incidence of FASD, so it is likely that significant numbers of children are not diagnosed.”

In the response to my parliamentary question, there was no information about what action the Government intend to take to address that information deficit, so will the Minister confirm whether she has any plans to commission a much-needed prevalence study of FASD and foetal alcohol syndrome in England? Will she share with us her plans to improve diagnosis across the country?

[Bill Esterson]

Will my hon. Friend give way?

[Luciana Berger]

Forgive me, but I will not: we must allow the Minister to respond, and we have just 10 minutes.

I move on now to improving support both for people who have a diagnosis and for their families. Many sufferers have special needs that require lifelong help, yet slip under the radar either because they are not diagnosed or because there are no services in place to support them. Lack of diagnosis for those who do not exhibit physical signs means that those children often receive no additional help from support services or at school. I recently met a head teacher, who said she did not have a single student in her school who had been formally diagnosed, but she was sure that some students were affected.

There is no systematic record of the needs of children with FASD and no official guidance on best educational strategies, as my hon. Friend the Member for Sefton Central said. There is just one specialist FASD clinic in the whole of England, which is run by Surrey and Borders Partnership NHS Foundation Trust. It is one of the few places that can confidently diagnose the disorder. It is a national clinic, supposedly serving the entire country, yet it is not commissioned by NHS England. Out-of-area patients must be paid for, and with a cost of £2,500 per patient, many local clinical commissioning groups refuse to refer. Worst of all, I understand that the clinic is not due to be commissioned beyond April 2015. What does the Minister intend to do to ensure that NHS England commissions services and that plans are in place to improve provision and to increase both the number and the spread of specialist FASD clinics? Without specific support, people who are affected are at higher risk of developing mental health problems, getting into trouble with the law, dropping out of school and becoming unemployed. That may come at massive personal cost and in turn produce a tremendous cost for society. The crux of this debate is how to prevent that.

I have highlighted how we need to improve diagnosis and support services. Let me reiterate a point that has been made several times today. FASD is entirely preventable. It is caused by drinking during pregnancy, but the information about the risks of drinking during pregnancy is wholly inadequate. The guidance is inconsistent and confusing, and women receive mixed messages. The Department of Health recommends that pregnant woman should avoid alcohol altogether, but that if they opt to have a drink they should stick to one or two units of alcohol once or twice a week to minimise the risk to the baby. The National Institute for Health and Care Excellence advises women to abstain from alcohol completely during the first three months of pregnancy because of the risk of miscarriage. It then refers to the number of units that they should or should not drink subsequently.

People struggle to use units as a way of monitoring their alcohol consumption. Research from the Joseph Rowntree Foundation found that very few people use units as a way of measuring their drinking or of monitoring their health. Is it any wonder that women are confused? What is the Government’s official advice and what plans does the Minister have to improve much needed awareness throughout the country?

It is not just expectant mums who are not being given the information they need. The hon. Member for Chatham and Aylesford (Tracey Crouch) referred to health professionals and my hon. Friend the Member for Huddersfield (Mr Sheerman) referred to GP training. Earlier this year, I asked a parliamentary question about midwives, but the reply did not fill me with confidence. The issue involves not just women who have mental health or substance misuse support requirements, as the reply suggested; it involves all women, but the Government’s 32-page alcohol strategy makes just one reference to FASD, and that is not good enough.

Voluntary organisations do fantastic work and some local authorities—just some—are raising awareness locally. Some include FAS in their joint strategic needs assessment, but that is far from commonplace. What will be the Government’s concerted and co-ordinated response and where is their national drive? I struggled to find any information on the website of the Department of Health and I found nothing on the website for Public Health England. I would be delighted if the Government pointed me in the right direction.

We have heard a lot this afternoon about alcohol labelling. There is no legal requirement in the UK to display proper warnings about the harm of drinking alcohol during pregnancy. We have heard many references to Lord Mitchell’s Alcohol Labelling Bill, which sadly did not progress beyond the Lords. Today, it is still left to businesses to decide whether to display warnings.

As part of the Department’s responsibility deal, alcohol retailers and producers have made a voluntary commitment to put an agreed warning or a pregnancy warning logo on 80% of labels on bottles and cans. In June, the Minister responded to me saying that an independent market survey is under way to measure compliance. I am keen for an update on how that survey is going.

Many hon. Members on both sides of the Chamber have said that the logos are very small, if they are there at all. They are difficult to see because they are just a few millimetres high. They go unnoticed by many people and fail to convey the seriousness of drinking during pregnancy. Many countries prescribe warning labels about pregnancy on all alcoholic beverages and we have heard about them this afternoon. They include Colombia, South Korea, France and South Africa. I would like to hear from the Minister when the UK will follow suit.

We have heard about other countries that are leading the way. Canada was held up as an exemplar for what it is doing on diagnosis, treatment and specifically prevention. It is spending millions of dollars, because it believes that that will not only prevent something that is very difficult for many people, but comes at great cost to society. It believes that preventing FAS in just 10 babies saves enough to fund all the comprehensive services that it provides.

Very few disabilities are preventable, but FASD is. The message about the risks must be loud, clear and consistent. No woman wants to harm her child, but we know that lack of knowledge about the dangers of drinking during pregnancy can have a devastating impact. The Government’s response to the problem must be thorough, coherent and carried through into effective action. I look forward to hearing the Minister’s response and what more the Government will do to address this serious issue.

BBC Local Radio

Debate between Bill Esterson and Luciana Berger

Wednesday 26th October 2011 Westminster Hall

[Luciana Berger (Liverpool, Wavertree) (Lab/Co-op)]

It is a pleasure to serve under your chairmanship, Mrs Osborne. This is one of the best attended Westminster Hall debates that I have been in as an MP.

I am conscious of the time and will not take many minutes. After speaking in a previous debate on this subject, I last week presented a petition with more than 2,000 signatures, from my constituents and people across the whole of Liverpool who are absolutely aghast at the cuts that the BBC proposes for BBC Radio Merseyside. BBC Radio Merseyside is the most listened to of the BBC’s 39 local radio stations outside London, with more than 300,000 listeners. One of the most pertinent facts is that the station has average listening hours of 16.2, compared with 11.7 for Radio 4. My constituents and the people of Merseyside depend on the service.

[Bill Esterson]

I congratulate my hon. Friend on the very strong case she has made on behalf of BBC Radio Merseyside over a number of months. A statistic that has really struck me is that the station gets 16.7% of all radio listening in the area, compared with just 8% for Radio 4. That makes a strong case for the importance of local radio over national radio in Merseyside.

[Luciana Berger]

I thank my hon. Friend for making that point. Another statistic is that a disproportionate number of constituents over the age of 65 listen to BBC Radio Merseyside. Some 42% of the audience is in that age group, and 27% is in demographic groups D and E. I add my voice to the representations made by a number of Members this morning, about this being yet another assault by the BBC on people who are consistently left out and do not have services—they depend on their BBC local radio.

We received a representation from the BBC in advance of this debate, from Julia Ockenden in its public affairs unit. She makes the point that with local radio the savings are only 12%, but she goes on to state:

“However the savings feel higher because the cost of buildings and technology needed to broadcast in 40 locations means that we cannot avoid cuts being made to the number of programme makers. That’s why in some stations we will be reducing teams by over 20%.”

That is happening at BBC Radio Merseyside. We have the fixed costs of the building, so the cuts will have to fall disproportionately on staff numbers, which will impact on our news service and sports programming, and on some very specialist music programmes that my constituents enjoy.

BBC Radio 4’s £119 million budget has been protected. That is three times the budget of the largest commercial radio station, and only a couple of million less than the amount that all 39 local BBC radio stations will have as a result of the proposed cuts. The “You and Yours” programme on Radio 4, which broadcasts for just one hour a day, five days a week, has more staff than the entire complement of BBC Radio Merseyside. The impact of the proposed cuts on all the programming is a travesty.