Dementia Action Week

Christine Jardine Excerpts

Thursday 27th May 2021 Commons Chamber

[Christine Jardine (Edinburgh West) (LD) [V]]

It is an honour to follow the hon. Member for Redcar (Jacob Young). It is, I suppose, inevitable that with as emotive a subject as dementia, this debate would be emotionally charged. Those of us with familial experience, or who have felt helpless as we watched friends cope with the heartbreak of watching their loved ones decline, know how much a dementia diagnosis demands of not just those affected but those closest to them. In my own family, we saw my father-in-law, Alastair MacDonald—a bright, intelligent, articulate journalist who had covered five world cups and Aberdeen’s victory in the UEFA cup in Gothenburg, written books with various footballers and one legendary Manchester United manager, and was once described as one of the best sportswriters of his generation—gradually struggle with everyday life. Vascular dementia, which he had, is characterised by problems with reasoning, planning, judgment, memory and other processes, caused by impaired blood flow to the brain. Like all forms of dementia, it is cruel, relentless and irreversible.

In my health board area, Lothian, there are currently more than 7,000 people living with a dementia diagnosis. Throughout this current crisis, their plight has been accentuated, often by separation from their loved ones or because, in the case of someone I love dearly, although they are fortunate enough to be with their family, lockdowns and the current restrictions mean that their life lacks the stimulation they need to tackle the onset of the condition. His family have discovered that one of the most frustrating things is the lack of clarity in finding support. My cousin told me that you just kind of get signposted and have to manage and get on with it. Sadly, there are nearly a million people with dementia across the UK whose families are currently experiencing much the same, as they strive to get the vital support that they do not just need but deserve.

Underfunding and neglect over decades have left us with a care system in every part of the UK that is overstretched and inadequate to the challenge that families face daily. I know that all of us in the House recognise that and the need to continue to address it. We must work to change and improve a system that means that, as that wonderful organisation the Alzheimer’s Society has put it, a dementia diagnosis

“claims more than one life”

as families face its destructive effects.

Last week was Dementia Action Week. We know that we will probably not find the cure, but we must use the increased awareness to support organisations that are striving to mitigate the effects, improve care, increase research and find better treatments. We must find a cure for the system across the UK, to enable families to have the support and care and provide the love that their loved ones deserve.

Maternal Mental Health

Christine Jardine Excerpts

Wednesday 10th March 2021 Westminster Hall

[Christine Jardine (Edinburgh West) (LD) [V]]

It is a pleasure to serve under your chairmanship, Sir Edward. I thank my hon. Friend the Member for Richmond Park (Sarah Olney) for securing this important debate.

It was during a recent Zoom call with friends that the real, current issues affecting maternal mental health struck home for me. [Inaudible.] All of us on the call with her that evening were both upset for her and inspired by her attitude. As an expectant mother, I had my family round me—mother, sisters, husband, friends—antenatal classes and the knowledge that there would be ample post-natal care and support; but in covid-19 that is simply not possible. The impact is the exacerbation of a problem that already, in the best of circumstances, will affect one in five women who give birth. Those women—it could be any of us—will experience anything from anxiety to obsessive compulsive disorder or post-traumatic stress disorder. I am sure that each one of us in the debate has personal experience of a close friend or relative who has experienced those problems after giving birth—perhaps we have even experienced them ourselves.

We have come a long way as a society from the time when post-natal depression was described almost dismissively as the baby blues, and talked of in hushed tones. We now acknowledge the scale and widespread nature of what many women have to cope with. We have heard many stories in the debate. However, I do not believe that we are adequately responsive, or that we provide correct and sufficient care. In the pandemic, we know that as with many other issues things are much worse. Women going into labour at the moment have not had the benefit of face-to-face antenatal classes, forming bonds with other expectant mothers for common support. They have not had the assurance that their partners can be there, or that their closest family and friends can visit within a few hours—or take part in baby groups or have post-natal visits. All of that is against the background of lockdown—perhaps a feeling of isolation, financial worries or keeping other children amused, cared for, or home-schooled.

A mother’s poor mental health can affect the future outcomes for the child, as we have heard, and that knowledge must be uppermost in our minds. We have heard stories in the debate of the disruptions to life, and the impact on the mental health of both mother and child. It is clear that we need to listen to all that, and act. Listen to the mothers now and in future, about how they are struggling; listen to those who have struggled in the past. With no support network, and delays for treatment, we need to ensure that there is support from healthcare professionals with sufficient training. We need funding. We need a system that provides robust, integrated physical and mental healthcare for new mothers. Maternal mental health must be a priority for the Government, not only for the future wellbeing of mothers, but for all our children.

Covid-19

Christine Jardine Excerpts

Monday 22nd February 2021 Commons Chamber

[Christine Jardine (Edinburgh West) (LD) [V]]

A year ago, covid-19 was a distant threat. Today, it has claimed more than 100,000 lives and damaged tens of thousands more in this country. In its wake, it has left us with the worst death rate in Europe and an ailing economy.

We all, I am sure, welcome the terrific progress that has been made in vaccinating millions of people. It is that vaccination programme that will protect us all in the future. It will help to protect our NHS from being overwhelmed in the way that we heard from the Minister it almost was at the turn of the year. We need to protect and support our magnificent NHS staff, who have risked their own health on the frontline—many of them are foreign nationals with no guarantee that they will be able to stay—and those who look after mental health, which we know has come under immense pressure across the country.

I regret that I have to disagree with the hon. Members for Central Ayrshire (Dr Whitford) and for Aberdeen South (Stephen Flynn). The picture that Scottish National party Members paint in this place of their Government’s glorious success in leading the fight against covid-19 in Scotland and rolling out the vaccine north of the border is not, I am afraid, reflected in the daily calls I receive from constituents, as many others do, who watched the success down south and compared it with the delays we were encountering in Scotland. The people of Scotland, in my constituency and in many others, deserve much more respect for what they have endured and achieved in this past year. They deserve those of us who serve them to put all our attention, our sole focus, on recovering from the health and economic impact of this pandemic.

Tomorrow we are due to hear the latest unemployment figures and learn just how many jobs have been lost, and how many families are now paying the economic cost of the pandemic. The vaccine is crucial in fighting the health war, but we need a bold innovative plan next week from the Chancellor to rebuild and repair our economy to help the countless small businesses—retailers, florists, cafés, bars, taxi drivers—many of which are in my constituency of Edinburgh West. We need furlough extended and finally an acknowledgement of the thousands —no, millions—of people who have had no financial support at all in this crisis. No more patchwork reactions from the Chancellor, but a clear comprehensive plan for small businesses. The tourist industry, events, and our aviation sector, which is facing the biggest threat in its history, all need support.

My hon. Friend the Member for Twickenham (Munira Wilson) called for a resilience fund for our children and young people who have so often been forgotten. They need the best support we can offer. That must not end with the reopening of the schools; that is a step, not a solution.

We all want to see an end to lockdown and covid itself, to feel secure in our daily lives and be able to share them again with our families and friends. We have made progress, but we have so much more to do—

[Mr Deputy Speaker (Mr Nigel Evans)]

Sorry Christine. I call Jacob Young.

Covid-19: Dental Services

Christine Jardine Excerpts

Thursday 14th January 2021 Commons Chamber

[Christine Jardine (Edinburgh West) (LD) [V]]

One of the more surprising effects of covid-19 is that I miss going to the dentist—a phrase I never expected to use. Although we might recognise the impact on ourselves, we should be in no doubt about how difficult the situation has been for those who continue to work and provide vital dental services in the pandemic. It is different from the situation in hospitals, but still difficult and exhausting, and it carries the constant underlying worry of infection.

The situation affects the whole UK. I hope that the Government will take the impact on dental health into account in discussions with Holyrood. That is a significant motivation for me today, because we have accounts of problems across the UK. James Craig of the Scottish Dental Association has described the experience of wearing a respiratory mask so tight that it was like breathing through a pillow. Another dentist felt that the profession had been thrown under a bus. Dentists have had to try to deal with public demand and then abuse when they cannot deliver through no fault of their own.

We must also accept that there are wider consequences for our health services as existing NHS dental health care becomes stretched, meaning that NHS-commissioned activity targeted at oral health inequality will be at risk. Many of us could find it difficult to get timely access to urgent, unscheduled dental work. As that begins to take hold, increased unmet care will have a widespread impact on our general health and wellbeing, leading to more and more people turning to GPs, emergency care and potentially hospital admissions.

Research shows that, as with so many of the impacts and so much of the collateral damage from covid-19, the vulnerable will suffer most. That will exacerbate the health inequality on which the pandemic has brought a stark focus.

Recently, I was contacted about an issue that young dentists assure me affects them across the UK. Associate dentists’ earnings have been halved because their payment is based on the work they carry out and the number of NHS patients on their books. We are currently awaiting the outcome of discussions between Holyrood and BDA Scotland to find a solution. Like everyone else affected by the pandemic, they need a solution soon.

 I once put off having a toothache checked out, because it was not much of a nuisance and I was busy with other more important and pressing stuff; I would mention it at my next check-up. Before that was due, it flared up, became much worse, and I needed emergency root canal treatment. I also got a lecture from my dentist about leaving problems so that they escalate and become more serious. It is sound advice that we should perhaps listen to in this situation.

[Mr Deputy Speaker (Mr Nigel Evans)]

I call Janet Daby. Janet, I will stop you at 4.42 pm, so please ignore the clock at the bottom of the left-hand side. Then we will come to the Front-Bench contributions.

Covid-19 Vaccine Roll-out

Christine Jardine Excerpts

Tuesday 8th December 2020 Commons Chamber

[Matt Hancock]

That is right. The MHRA has gone through the same safety processes as normal, but it has done them in parallel at the same time, rather than in a series, one after another. It is that sort of smart and thoughtful approach, alongside the work of the Vaccine Taskforce in buying the vaccine in the first place, that has allowed us to get to this point of having confidence in the safety and efficacy of this vaccine before anybody else in the world. Everybody in Basildon who gets the call can have confidence that they should come forward, get the jab, protect themselves, protect those around them and, therefore, help us all get through this terrible thing.

[Christine Jardine (Edinburgh West) (LD)]

I echo the sentiment that it is such a pleasure to be able to stand here today and talk about covid-19 with a smile on our faces, and to look forward to 2021 after such a horrific year. That is particularly true for people who are vulnerable and have been shielding, and they will now need reassurance that the vaccine will get to them. Does the Secretary of State agree that, as we go into next year, we should take with us and bear in mind the fact that we have done this across the UK, as a United Kingdom?

[Matt Hancock]

There is more in common than divides us, and we are stronger as a country when we all work together; those two things I have long believed. I have always thought that a vaccine would come through. Lots of people told me that it was not certain and that it could not happen, but I have always driven it forward for the whole UK, because it is the clear route out.

Coronavirus Regulations: Assisted Deaths Abroad

Christine Jardine Excerpts

Thursday 5th November 2020 Commons Chamber

[Matt Hancock]

The Government do not collect data on the number of people who travel abroad for an assisted death. We would consider collecting data on assisted dying if it was felt that that would improve and contribute to a sensitive debate in Parliament on this subject.

[Christine Jardine (Edinburgh West) (LD) [V]]

We have seen that there is widespread support in this House, and the research tells us that there is widespread support in the country, for a review of the law, so will the Government look at what has happened in other countries such as New Zealand and promise that there will be a review, with a view to decriminalising the situation and bringing some compassion into the law?

[Matt Hancock]

As I said, the Government are neutral on this matter. It is a question for Parliament. There are many ways in which such a review could be brought forward, but the Government’s position of neutrality is important, because this is a matter of conscience on which there are deeply held and very sincere views on all sides. I think it should rest that this is a matter for Parliament, rather than Government.

Covid-19 Update

Christine Jardine Excerpts

Tuesday 20th October 2020 Commons Chamber

[Matt Hancock]

I agree with my hon. Friend that these things are better done by consent, and in the parts of the country where the whole local area has supported the measures, through getting the right messages out to people about their personal responsibility, we do tend to get a better response and see the case rate starting to come down. That is one of the many reasons why we worked so hard to try to get an agreement across Greater Manchester and why I regret that we have not been able to, although, as I say, our door remains open. On the point about consent, of course these measures will be brought to the House, and they sunset after 28 days. We keep them under review, because we would not want to keep these measures in place a moment longer than they are needed.

[Christine Jardine (Edinburgh West) (LD)]

None of us doubts the grave threat to public health and the difficulty of dealing with it, but there is also now a widespread real threat of poverty, so whether the £60 million is on the table or off the table is immaterial; it is not what the elected representatives of Greater Manchester say they need. Do the Secretary of State and his Government appreciate that the people of Greater Manchester feel tonight that they have been abandoned by this Government, and that my constituents in Edinburgh West and people up and down the country will be wondering whether they will be abandoned next?

[Matt Hancock]

No. On the contrary, we are putting extra support into Greater Manchester, and we are willing to continue with the support akin to the support that we agreed with the leadership of the Liverpool city region and with Lancashire, as my hon. Friend the Member for Hyndburn (Sara Britcliffe), who has now gone from the Chamber, set out. The unprecedented level of support across the whole of this pandemic has been possible only because of the UK acting together and working together. I hope that we can continue to work with the hon. Member for Edinburgh West (Christine Jardine) and her party to make sure that we get through this as best as we possibly can, suppressing the virus and supporting jobs and the NHS.

Covid-19 Update

Christine Jardine Excerpts

Thursday 16th July 2020 Commons Chamber

[Matt Hancock]

We have been working very closely with the city council, and the officers of the city council have been doing a heroic job. I think it is best if everybody pulls together and tries to come together to tackle the virus. Given that we have involved local leaders in all the critical decisions, it is best if people just try —try—to stay on the same page as much as is possible, no matter how hard some people seem to find that.

[Christine Jardine (Edinburgh West) (LD)]

Secretary of State, two of the recurring themes of your statement today have been people asking—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. Even at this late moment, will the hon. Lady please address the Chair, not the Secretary of State?

[Christine Jardine]

I do apologise, Madam Deputy Speaker.

As we look at the lessons that we learn from the first wave of this virus, at the threat of a second wave and at the fact that the British public have been so keen to thank those working on the frontline—we talked earlier about clapping for the NHS—would the Secretary of State consider using his influence with the Home Secretary to offer migrants working in health and social care in this country the right to remain indefinitely?

[Matt Hancock]

We absolutely value enormously all those who work in health and social care. Just this week I was able to say that the exemption from the immigration health surcharge has been extended right across those who work in health and social care. That demonstrates the value that we place on them.

Independent Medicines and Medical Devices Safety Review

Christine Jardine Excerpts

Thursday 9th July 2020 Commons Chamber

[Ms Dorries]

Yes, we will look at that.

[Christine Jardine (Edinburgh West) (LD)]

Baroness Cumberlege’s report is not just welcome, but blunt, both in the way it talks about the specific problems with women patients treated by Primodos, sodium valproate and mesh, and the way it talks about the systemic and cultural problems that we have, which mean that this is not the first time that we have dealt with these issues in this place. Hopefully, it will be the last, but the report does say that there is nothing that leads them to believe that this is not happening with other medications and devices. I was in exactly the position of those women who were prescribed sodium valproate, but I was lucky. I had a female GP who spotted the danger and advised me, and I was given alternative medication—taken off it completely in fact—before I became pregnant. Can the Minister assure me that from today, we will take a much more positive approach, so that as well as the recommendations, we will have some kind of strategy—a cultural approach—to getting across how important it is that these issues are dealt with when women go to their GPs?

[Ms Dorries]

I will try to keep my answers shorter. The hon. Lady is absolutely right. The sodium valproate pregnancy prevention programme is running hand in hand with an information awareness programme. Many GPs are aware, but of course there is still a problem and it is something that we are addressing.

Covid-19: BAME Communities

Christine Jardine Excerpts

Thursday 18th June 2020 Commons Chamber

[Christine Jardine (Edinburgh West) (LD)]

Thank you very much, Mr Deputy Speaker. It is a pleasure to follow the hon. Member for Ilford South (Sam Tarry). I add my voice to those paying tribute and thanks to the hon. Member for Brent Central (Dawn Butler) for introducing the debate.

I have to say I am disappointed and ashamed that we have got to this stage in our country. Here we are in 2020, and it has taken a pandemic like covid-19 and the protests from BLM to make us recognise something that was in front of us all along. Covid-19 has certainly shone a very stark spotlight on our society, and shown quite clearly that there are cracks that we may have thought we had mended, and inequalities that we hoped we had addressed. There are still gaping holes, and inequalities that have gone not just unaddressed but largely unacknowledged.

Our society’s acute emotional response to the disproportionate impact of covid-19 on BAME communities has been perhaps the one saving grace in this shocking failure to protect our communities, so many of whom were at the forefront of tackling the virus and have paid the ultimate price. The impact of covid-19 is only part of that unacceptable picture. Another is the economic crisis, which may grow and which is also hitting our BAME communities particularly hard. They are disproportionately likely to be on zero-hours contracts. Only 31% of BAME workers have been furloughed; 20% have already lost their jobs.

If the Government are serious about tackling the systemic racial inequality that is now absolutely and undeniably clear in this country, what we need is not just another review setting out specific points. There are immediate steps that they could take. They could scrap the hostile environment. They could stop suspicionless stop-and-search. They could amend the Domestic Abuse Bill. There are so many steps that they could take now. The review is a first step, and I hope that it will make recommendations, but we already have 35 recommendations in the Lammy report, 110 in the Angiolini review, 30 in the Windrush lessons learned review, and 26 in Baroness McGregor-Smith’s review. We have reports, reviews and recommendations on the shelves in Whitehall, which are weighed down with them. What we need now is action.

More than that, I believe we need a race equality strategy for the whole of the UK. If this Government are serious about tackling racial injustice, that is what they need. The commission may be a first step, and it shows that the BLM protests are having an impact, but it must not be a way of avoiding tackling the issues that they have brought to light. We need that racial equality strategy. In truth, we needed it decades ago. So often I have believed that we were turning a corner. So many of us hoped—indeed, believed—that the Macpherson report after the murder of Stephen Lawrence would prove a turning point. We now realise that despite all the work that has been done by so many people, there is so much—too much—still to do. We cannot afford another false dawn in this country.

I am disappointed that I cannot pay tribute to the BAME community in my constituency or anywhere in Scotland and talk about the impact on them, because National Records of Scotland does not record deaths by ethnicity—it is voluntary—so the impact could be anywhere between 1% and 10%. I find it unacceptable that the Scottish Government do not have the figures to recognise that and address the issue in the way that we are at least attempting to in Westminster. I ask them to do that now. In fact, I ask our Ministers here at Westminster to impress on the Government in Scotland the need to act now, so that we can have a cross-government race equality strategy like the one recommended by the Equality and Human Rights Commission, effective across the United Kingdom.

This has been a difficult time for all of us. Standing here as a white woman, I acknowledge that, while I might sympathise, I cannot fully feel the injustice that so many of our communities are feeling today. But I do know that we all feel that this must be our moment for change. We have to change our society, and we have to change it now.