Endometriosis Education in Schools

Debate between Caroline Nokes and Catherine McKinnell

Tuesday 21st May 2024 Westminster Hall

[Catherine McKinnell]

The right hon. Gentleman once again demonstrates how incredibly knowledgeable he is about this issue, and how much that knowledge is lacking among the wider public and in this place. We are grateful to him.

It is so essential that young people are taught about their bodies in school, and that they learn about not just relationships and sex, but health and wellbeing. That must include what is and is not normal throughout puberty, the menstrual cycle and hormones, to set young girls and young people up to live healthy lives, both mentally and physically.

[Caroline Nokes]

The hon. Lady makes an important point about what is and what is not normal. When the Women and Equalities Committee did some work on women’s reproductive health, we got the message from various witnesses that they simply had no comprehension that their periods were not normal, because the message that they got from medics the whole time was, “You just have to get on with it.”

[Catherine McKinnell]

The right hon. Lady makes an important point—her Committee has done so much important work in this area—and it points to the importance of our education system in combating misunderstandings and providing people with the knowledge that they need to be armed with in order to manage what they and those around them will experience through life.

Sex education has been compulsory in English schools since 2017 and initially covered broad elements of sexual and reproductive health. After many years of campaigning, it was revised in 2020, and since then both boys and girls in state schools have been taught about periods and menstrual wellbeing. Of course, as with the rest of relationships, sex and health education, resources need to be tailored to the relevant age group. They need to be sensitive to a young person’s maturity and their needs.

The Government website states:

“Educating all pupils and students about periods is crucial to tackling the stigma which surrounds it.”

Labour very much agrees, and the next Labour Government will ensure that the curriculum taught in all state-funded schools reflects the issues and diversities of our society and ensures that all young people leave school ready for life.

We have already pledged to deliver, in government, an expert-led curriculum and assessment review, which will learn from international best practice and research across all areas, from history to health, to make sure that our curriculum is as strong and relevant as it can be. I look forward to hearing more from Members in this place and from stakeholders when the review gets started, to ensure that we pick up on the issues that have been identified in the debate today.

Part of that will require having enough teachers in the classroom to improve children’s outcomes and ensure that the curriculum can be delivered to every child as intended. Over the past few years, we have seen dire statistics on teacher recruitment, especially in secondary schools. That is why we have made tackling the recruitment and retention crisis a real focus and announced fully funded plans to deliver 6,500 more teachers to fill the gaps across the profession.

However, I recognise that education will only go so far. This is very much a health issue too, and one on which far too many women are being failed. Nearly as many women in the UK have endometriosis as have diabetes, yet it is unseen in everyday life. Women are waiting far too long for treatment; gynaecology waiting lists have seen the biggest increase of all specialisms in the NHS since the pandemic. As the right hon. Member for Elmet and Rothwell painfully set out, that leaves those experiencing endometriosis with years of unrelieved pain in the bowel or bladder, poor mental health, fertility problems—the list goes on.

I was glad to see the women’s health strategy published in 2022, but it must go further. We must address the NHS backlogs, bring waiting lists down and set out a plan to properly address the workplace challenges in the NHS. For those living with endometriosis who are impacted by poor mental health, Labour has committed to establish a mental health hub in every community. We will deliver mental health support in every secondary school and ensure that young people who are experiencing symptoms relating to such conditions, as well as all those struggling with their mental health, can access that support.

For too long, women’s health has been an afterthought. I am glad that debates like these are being held so that there is an opportunity to discuss these issues in Parliament. I reiterate my gratitude to the right hon. Member for Elmet and Rothwell for bringing forward the debate and for all his contributions on this subject. I also thank all the other hon. Members who have attended for their contributions. We have to get the education right. We have to ensure that young people have the information they need to live a healthy life. I look forward to hearing from the Minister what steps the Government will take to improve our education in this important area.

Marriage Week

Debate between Caroline Nokes and Catherine McKinnell

Wednesday 1st February 2017 Westminster Hall

[Caroline Nokes]

I very much thank my hon. Friend the Member for Finchley and Golders Green (Mike Freer) for that comment. I congratulate my hon. Friend the Member for Enfield, Southgate on his 21 years of marriage to Janet, but I understand that my hon. Friend the Member for Finchley and Golders Green has recently also celebrated his wedding anniversary. Although he has only been married for two years, he has actually been with his husband for a quarter of a century. That is something that we can all be very impressed by and I extend my congratulations to them.

Of course, Marriage Week provides us with a very good opportunity to celebrate the commitment and connectedness that a stable relationship brings to a family. The Government view the role of families as fundamental in shaping individuals, and in having an overwhelmingly positive effect on wider society. We know that growing up in families where parents are collaborative and communicative gives children the skills they need to develop into happy and successful adults, and the vital institution of marriage is a strong symbol of wider society’s desire to celebrate commitment between partners.

The institution of marriage can indeed be the basis of a successful family life and many people make this very important commitment every year. As we have heard, marriage can lay the foundations for parenthood, and is emblematic of the love and security that parents need to give their children.

A stable family that provides a nurturing environment for children is something that the Government will continue to champion and encourage. That is why we are focused on helping families and children, to enhance the educational and employment opportunities available to the young, and to reinforce the benefits that parental collaboration undoubtedly has.

[Catherine McKinnell]

Since 2015, Marriage Care in Tyneside has provided counselling services to 54 couples and 48 couples have received relationship education, undoubtedly helping those couples to form healthier marriages and stronger family units. Does the Minister agree that the Department for Work and Pensions should continue to fund face-to-face marriage and relationship counselling services?

[Caroline Nokes]

I thank the hon. Lady for that comment, and I have written the name of her constituency on my speech so I remember to mention specifically the point she has made about Newcastle upon Tyne.

The importance of marriage is reflected in the Government’s introduction of the marriage tax allowance. Furthermore, our commitment to supporting different types of family means that we have extended that tax allowance to include civil partnerships and, of course, same-sex marriages, which were introduced in 2014 and have been taking place since.

--- Later in debate ---

[Caroline Nokes]

I thank my hon. Friend for that comment and I will shortly make some very specific points about marriage that I know will make everybody very happy.

Over 48,000 couples have participated in counselling and more than 17,000 practitioners have been trained to help families in difficulty in the last four years, during which we have invested more than £30 million in services offering support to couples, to reduce parental conflict. In total, 160,000 people have been given access to support, to reduce that conflict. Alongside that, our ongoing child maintenance reforms are delivering a new programme designed to increase collaboration and reduce conflict between separated parents.

Our current programme was designed without the benefit of the latest evidence about the importance of good inter-parental relationships, while a focus on national commissioning of services makes it hard to establish effective referral mechanisms from local services. This means that, in some areas, take-up remains low, despite the prevalence of relationship distress. The hon. Member for Newcastle upon Tyne North (Catherine McKinnell) made an important intervention earlier and we will soon announce plans to procure new services to help disadvantaged parents, and others, to address parental conflict.

[Catherine McKinnell]

Will the Minister give way?

[Caroline Nokes]

I am really sorry, but I am now left with only three and a half minutes and I still have quite a lot that I would like to say.

The importance of both parents to children’s future outcomes is well known to all of us. Only around half of children in separated families see their non-resident parent every fortnight or more. Through both our programme to reduce parental conflict and our child maintenance reforms, we are specifically supporting fathers, as my hon. Friend the Member for Enfield, Southgate mentioned, in both intact and separated families, to form more collaborative co-parenting relationships and hence improve their children’s outcomes. We know that some fathers feel that they are not recognised by public services as having responsibilities for their children and we want to explore how to give them the same chance to engage in their children’s lives as mothers.

Of course, we are aware that different organisations offer classes specifically aimed at preparing a couple for marriage, and those classes can offer very real benefits to people in those circumstances. We want to support programmes that have the biggest impact possible, which is why our new programme will offer support to all family types.

I acknowledge the great work of the community of organisations that advise my Department on family and parental conflict issues. I recognise the great breadth and depth of experience they have in this area. In seeking to draw on their valuable experience, on 23 January I met members of the Relationships Alliance—Relate, Marriage Care, OnePlusOne and Tavistock Relationships. We enjoyed a really productive and informative discussion about the challenges involved in addressing parental conflict, including in the most disadvantaged families, and the new national development of this important work.

The Relationships Alliance is an important organisation that plays a key role in promoting the many benefits of healthy adult relationships, and our objectives are very closely aligned. Members of the alliance have been long-standing partners of the Department, both in their capacity as subject matter experts, and as contract-holders for our current and past delivery programmes. They have given their time and expertise to policy development, and I thank them for that support. In particular, they have supported our efforts to create a new programme targeted at reducing parental conflict. We will continue to engage with the Relationships Alliance, and a wide range of stakeholders, in the future.

The Green Paper that we will bring forward shortly is a listening exercise as much as a tool to express our policy intentions. It will provide an excellent opportunity to hear from stakeholders to garner their views and expertise, and I look forward to exploring the outcomes in more depth. Disadvantaged children are a priority for Government support, and as such will also be a priority for our parental conflict contracts.

In conclusion, let me assure hon. Members that this Government are clear on the importance of the family and of marriage, in all the different forms that it can take, and we are continuing to work to drive up outcomes for children by increasing collaboration between parents, which we know is so crucially important.

I reiterate my thanks to all Members who have expressed their views and their particular enthusiasm and support for marriage. I welcome that, I acknowledge that and I reassure them that the Department intends to continue to work very hard to ensure that marriage gets the support it needs to continue being a strong bedrock for the families and the children for whom we want to secure the best possible outcomes in the future.

Question put and agreed to.