Health and Care Bill

Debate between Caroline Nokes and Diana Johnson

Consideration of Lords amendments
Wednesday 30th March 2022 Commons Chamber

[Dame Diana Johnson]

I am talking about women’s experience, so I will continue, if the hon. Gentleman does not mind.

The woman may have to make arrangements if she has childcare or caring responsibilities, or she may have to take time off work. In the case of a coercive and controlling relationship, she would have to explain where she is going to a perpetrator, such as the Mumsnet user who said she had to visit a hospital to access abortion care and was “terrified” of her abusive ex-partner finding out where she was. She spoke of having to construct “various lies” about where she was that day and why she had to have someone look after her children.

I referred to NICE and the World Health Organisation in an intervention, but we should be aware that since telemedicine was introduced the risk of complications related to abortion has reduced, as women are able to access care much earlier in their pregnancy. I will rehearse the long list of supporters of the measure continuing: The Royal College of Obstetricians and Gynaecologists, the Royal College of Midwives, the Royal College of General Practitioners, the British Medical Association, the Royal Pharmaceutical Society, the Faculty of Sexual and Reproductive Health, the TUC, Women’s Aid, Rape Crisis, Karma Nirvana, the Terrence Higgins Trust, End Violence Against Women, Mumsnet, and many others. What I find most disappointing is that the Government are going against a wealth of robust and widely accepted peer-reviewed evidence from medical professionals and women’s charities, and appear to give greater weight to anecdote, erroneous opinion and misinformation focused on campaign groups with extreme views who bombarded a consultation. Sadly, that further emphasises that this is not an evidence-based policy decision.

[Caroline Nokes (Romsey and Southampton North) (Con)]

Will the hon. Lady give way?

[Dame Diana Johnson]

I want to address the issue of safeguarding. Let me be clear: creating more barriers to access does not help women; it helps abusers. The End Violence Against Women coalition and other major VAWG organisations reject the claim that telemedical abortions put women at greater risk of coercive abortions. The fact is that coercive pregnancies are far more common than coercive abortions, and since the introduction of telemedical abortions providers have seen a rise—a rise—in safeguarding disclosures, highlighting that the system provides a safe space for women to come forward if they are being coerced. Nurses are highly trained to assess safeguarding issues, and if concerned they will ask the women to come to the clinic for face-to-face assessment.

Finally and crucially, women themselves strongly favour keeping telemedicine for early medical abortion. A clear majority want it to continue.

As a country, we have an opportunity to be seen to be a shining light for women’s reproductive rights around the globe at a time when those rights are being rolled back elsewhere. The weight of the evidence in favour of maintaining this essential women’s healthcare pathway is overwhelming. I ask Members to support the amendment in lieu.

International Women’s Day

Debate between Caroline Nokes and Diana Johnson

Thursday 10th March 2022 Commons Chamber

[Dame Diana Johnson]

I absolutely agree with the right hon. Lady. Let me clear, so we are all aware in the Chamber, that telemedicine for early medical abortion services has enabled thousands of women to access care at home via both pills being posted to them following a telephone consultation with a qualified nurse or midwife. The evidence from the medical community is absolutely crystal clear. A study of more than 50,000 abortions before and after the change in England and Wales, published by the British Journal of Obstetrics and Gynaecology in February 2021, concluded that telemedical abortion provision is

“effective, safe, acceptable, and improves access to care”.

Evidence also shows that telemedicine means women can access an abortion much earlier in their pregnancy, with 40% of abortions provided at less than six weeks.

As well as the consensus in the medical community, women—including the influential Mumsnet—also support the continuation of telemedicine for abortion services. An independent poll of more than 1,100 women throughout the UK, commissioned by the Faculty of Sexual and Reproductive Healthcare, shows that a clear majority want telemedicine for early medical abortion to remain.

As the right hon. Member for Dwyfor Meirionnydd (Liz Saville Roberts) said, the Welsh Government have announced that they will make the pathway permanently available in Wales. I therefore struggle to see how the decision to end this service in August is in line with the Government’s commitment to put women at the centre of their own healthcare, as set out in the vision for the women’s health strategy. It is simply based on the Health Minister’s own prejudice. It is deeply disappointing and it flies in the face of all the other measures that have been taken within the NHS around virtual appointments and to use digital technology.

[Caroline Nokes]

I thank the right hon. Lady for her comments on this matter; she is making a really powerful point. Does she feel, as I do, that this is sending a message that the Government do not trust women to make their own decisions about their own reproductive health?

[Dame Diana Johnson]

The Chair of the Women and Equalities Committee puts that very well. That is exactly the message that is being sent out. I notice that time is going by, so I will conclude.

I, alongside many parliamentary colleagues across the House and in the other place, medical bodies and women’s groups, such as the British Medical Association, the Royal College of General Practitioners and Women’s Aid, are calling on the Government now to explain exactly how they will review this decision, as they have promised to do. Where access to reproductive healthcare is limited, there is a ripple effect on the health and social wellbeing of women and girls. We must continue to stand up for the rights of women to have full control over our own health and our own bodies. We still, apparently, have some way to go to achieve that.

Immigration: Pausing the Hostile Environment

Debate between Caroline Nokes and Diana Johnson

Thursday 12th July 2018 Commons Chamber

[Caroline Nokes]

If the hon. Gentleman looks in the Library, he will find that I have provided clarification on that matter.

[Diana Johnson (Kingston upon Hull North) (Lab)]

Can the Minister say whether she has issued any guidance to entry clearance officers about visitor visas? I have seen an upsurge in people who have been refused visitor visas. They have all the documentary evidence to fulfil the requirements of the immigration rules, but the disbelief of the entry clearance officer that they will not return to their home country seems to be the prevailing issue.

[Caroline Nokes]

It is important that entry clearance officers consider applications for visitor visas with the utmost rigour. Every year, we issue in the region of 3 million visas—I think that the figure is 2.7 million visas. As I said in Westminster Hall quite recently, I do not believe that we get the answer right in every case, but in the vast majority we do.

Immigration White Paper

Debate between Caroline Nokes and Diana Johnson

Monday 5th February 2018 Commons Chamber

[Caroline Nokes]

I absolutely refute the suggestion that we are a Department in chaos. I reassure the hon. Lady that we are determined to ensure that the registration of EU nationals is as simple and straightforward as possible.

[Diana Johnson (Kingston upon Hull North) (Lab)]

Has the Minister had a chance to read the Health Committee’s report on nursing shortages? It clearly sets out how much the NHS relies on nurses from overseas, and how many EU nurses are really worried about their future. Will she tell us how this delay will help the overstretched NHS to plan for the future and ensure that this country has the nurses it needs?

[Caroline Nokes]

The hon. Lady will be aware that nurses remain on the shortage occupation list. Nurses from the EU who are currently living and working here will of course have the same right to settled status as those in other employments.

Oral Answers to Questions

Debate between Caroline Nokes and Diana Johnson

Wednesday 11th October 2017 Commons Chamber

[The Parliamentary Under-Secretary of State for the Cabinet Office (Caroline Nokes)]

We will ensure that Government functions are increasingly spread throughout the UK and not just in the capital. The Government are reviewing the location of all arm’s length bodies to help to drive growth across the nation, and we will ensure that the east midlands is fully considered as a possible location.

[Diana Johnson (Kingston upon Hull North) (Lab)]

T4. Next week, the Government’s consultation on the contaminated blood scandal will close. As the Department of Health is an implicated party, many people are refusing to take part in the consultation. Will the Cabinet Office now take immediate control of the consultation, because otherwise the rules of natural justice will be offended?

Contaminated Blood

Debate between Caroline Nokes and Diana Johnson

Tuesday 12th April 2016 Commons Chamber

[Diana Johnson]

I wish to move on now to highlight a few of the problems with the consultation. First, as has already been said, many of the existing recipients will receive lower payments under the new scheme. The Government’s proposals would end all discretionary support, such as winter fuel allowance, child supplements and low income top-ups, which means that many people will lose out, potentially by thousands of pounds a year.

Secondly, most of the current beneficiaries have hepatitis C stage 1 and currently get no ongoing support. They are left begging for individual payments from the Caxton Fund. The Government proposals will provide annual payments for people in stage 1, which is welcome, but those people will be subject to regular individual assessments. That could result in fluctuating payments and reduced financial certainty for individuals. Assessments will also take only clinical factors into account. They will not look at the loss of education or employment, and decades of loss of amenity, ill health and loss of earnings. According to the information from the Government, those assessments will cost £500,000 a year to carry out. Would that money not be better spent on providing financial support to those people?

[Caroline Nokes (Romsey and Southampton North) (Con)]

I congratulate the hon. Lady on her determination and her decision to champion this issue. She highlighted the decades of ill health from which many suffer. There is also the emotional stress and trauma. Does she agree that the consultation process itself has added to that burden for some of those people? That is certainly the message that I have received loud and clear from my constituent, Mike Webster, who came to see me on this issue.

[Diana Johnson]

The hon. Lady makes a valid point. I will proceed with my concerns with the consultation, because I would like other Members to speak in the debate.

My third point is about the inadequate provision for the “affected” community—the widows, the partners and the dependants of those infected. The proposals for widows appear to be extremely complex. They create six categories of widows, with big variations in what is offered within each category. Department of Health officials could not explain how they would work when they met the APPG’s secretariat and have not provided an explanation of these proposals as promised. There also appears to be nothing here for dependent children.