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.

Covid-19 Response

Christine Jardine Excerpts

Tuesday 2nd June 2020 Commons Chamber

[Matt Hancock]

Yes, absolutely. As my hon. Friend eloquently puts it, there is levelling up to do not just between different parts of the country and different regions of the country, but even within individual constituencies. Hers is of course one of the greatest examples of this, as are some of the other inner-city constituencies in boroughs. I think the levelling up of health inequalities across the country is going to be an even more important part of the agenda after coronavirus than it was before.

[Christine Jardine (Edinburgh West) (LD)]

The number of cases and deaths is falling, but several health officials, including the Association of Directors of Public Health, say they are not convinced that all five of the Government’s tests have been met sufficiently to ease lockdown restrictions. As of this morning, we hear that test and trace is up and running, but no figures are available. Given that easing the restrictions is risky—one could argue that having us all here discussing it is risky—and there has been, according to my mailbox, an undermining of public confidence in the Government’s approach by the Dominic Cummings scandal, what additional metrics will the Government use to monitor and contain transmission, and how do they suggest we reassure the public that they are effective and being followed by everyone?

[Matt Hancock]

The hon. Lady is quite right about the devices that we need for monitoring. Through the public health authorities, extensive operations are already in place to monitor outbreaks, and we have spotted some outbreaks, as per the hon. Member for Twickenham (Munira Wilson), who discussed the outbreak in Weston-super-Mare. She is also right to say that more is needed. The new joint biosecurity centre will be an important part of that operation.

Covid-19

Christine Jardine Excerpts

Tuesday 12th May 2020 Commons Chamber

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

It is a pleasure to take part in this debate today, as I look out of the window at this beautiful day in Edinburgh. Although the past few months have been tough and we have come through much, the people of this city and my constituency know that it will take every ounce of our energy to preserve what it is that makes Edinburgh such a wonderful place. Traffic at our airport is now almost negligible, the Royal Highland Show, which contributes £65 million to our economy, has been cancelled, and that shining gem in Scotland’s cultural calendar, the Edinburgh Festival, will not bring the world to our city this August. Across Edinburgh, myriad small, medium-sized and international companies are concerned for their future—a future of challenges for which they are not responsible.

For us here in Edinburgh West, as in most constituencies up and down the country, perhaps the biggest task is looking after the thousands of people concerned about their health, their jobs and their financial future. We calculated yesterday that during this period of lockdown we have dealt with around 1,000 pieces of individual casework, every one a personal emergency.

Much of this crisis has been managed by the UK Government, but also directly, here in Edinburgh, by the Scottish Government. The issues that they face are exactly the same; but in tackling them I would appeal to both our Governments to work together. Much has been said this week about mixed messages, uncertainty, a lack of clarity about what the UK Government were saying about lifting lockdown. Imagine what that is like for the people of Northern Ireland, Wales and Scotland, with advice that is often contradictory—not just different: completely contradictory. Can I go out? Can I go to work? Which Government do I listen to? Which advice do I follow? Which guidelines are appropriate if I am out walking my dog? That is ridiculous. It is also not good enough for my constituents, or for any other constituent in any other part of the devolved nations. And for those organisations and companies that I mentioned earlier, any uncertainty is a potential recipe for disaster. In Scotland, our businesses have now had more than eight years of debate about our future. Will our economy be in an independent Scotland? Will our economy be in the UK? Will we be part of the European Union or not? All the uncertainty they have had to deal with seems small now in comparison to the emergency that is Covid-19.

I would ask both our Governments to work together, so that our airports and our airlines, which are so vital to our economy, are able to build a strategy in which they know that they will be speaking to not just the devolved authority but the UK authority and wider authorities, so that companies like Diageo, based here in Edinburgh West, know which framework they are falling into, and the people of Edinburgh West, Scotland and the rest of the United Kingdom have a clear path- way out of this crisis—a clear, united pathway, with their Governments walking in lockstep for everyone’s future.

Lesbian, Bisexual and Trans Women’s Health Inequalities

Christine Jardine Excerpts

Tuesday 10th March 2020 Commons Chamber

[Hannah Bardell (Livingston) (SNP)]

I beg to move,

That this House has considered lesbian, bisexual and trans women’s health inequalities.

It is a pleasure to move the motion and to speak in this very important debate on lesbian, bisexual and transgender women’s health in the week we have been observing for considering such issues. The aim of the LBT Women’s Health Week is to raise awareness about lesbian, gay, bisexual, trans and queer women’s health inequalities, to make it easier for service providers to empower service users and to make it easier for communities to support LGBTQ women.

Up front, I will declare an interest as a lesbian, who also suffers from anxiety and other mental health issues. I know that my own experiences have taught me a huge amount. In recent months and years of reflection since I came out in 2015, I have had a little bit of time, despite the political storms we have lived through in recent years, to reflect on some of the reasons why it took me so long to come out.

I am very grateful to the Backbench Business Committee for granting this debate, and to the many charities and organisations that operate in the LGBTQ space that have provided briefings for today, as well as our healthcare professionals—I know we will discuss them today, but we must pay tribute to them—and to the Women and Equalities Committee and the Parliamentary Office of Science and Technology, which have done much work and produced reports that many of us will draw on. I know some controversial issues will be discussed today, but I am certain that we will hold this debate and have our discussions with respect and integrity.

I also want to thank the many folk who contacted me after I put a shout-out on social media asking for lesbian, bisexual and transgender women’s experiences of health inequality. I am sure that everybody in this House will agree on the ills of social media, but I also hope we can agree that there are times when it can be incredibly positive and constructive as a tool to help us engage. At a time when this Parliament and the politics of this place can seem very far from folks’ lives, I have appreciated the ability to reach out to the public via Twitter and other social media channels, and I will shortly share some of the experiences that members of the public have shared with me on this issue. I know that some of them were very painful and very difficult to relive and to recount.

There are many facets to the debate on the healthcare of LGBTQ people and women in the LGBTQ community, and the fact that there is a specific week to raise awareness when there are so many other issues going on is really helpful. The Science and Technology Committee report states that there is

“emerging evidence demonstrates that lesbian, gay, bisexual and trans (LGBT+) people experience significant health inequalities across their lifespan, often starting at a young age.”

I came out literally as I was being elected, initially to myself, then later to my family and friends and publicly sometime after that, and that was challenging. It is fair to say that the impact on my mental health was profound. As most of us who have been here since 2015 will know, there was not exactly time to process any personal challenges or issues. But my experience of coming out publicly was hugely positive. Social media played a part in that, such as taking part in a photograph of LGBTQ MPs and peers, which then went online and attracted much attention; that showed the solidarity not just in this place and at the time in the other place for LGBT politicians, but across wider society. It was hugely positive, but I am also very conscious that I had an incredibly supportive network of family and friends, and that I have a very privileged position; in many ways I came out with the cover of political privilege. That is something that very few other people across the UK and beyond have, and we must always remember the challenges that folk across the UK and beyond face in coming out and those in the many countries where it is still illegal and people are persecuted for being LGBTQ.

[Christine Jardine (Edinburgh West) (LD)]

Does the hon. Lady feel that at this time we should include in our thoughts those lesbian, bi and trans women who are asylum seekers and have been asked by this Government to prove that?

[Hannah Bardell]

I absolutely agree with that. There are a number of stories in the press at the moment about LGBT asylum seekers that are hugely concerning, and I would like to think that, given the distance we have travelled, this Government will review their processes and policies and look very carefully at the treatment of LGBT asylum seekers. I have met a number of them myself, and some incredibly important work is ongoing, but the stories that we are reading in the press and the experiences that we are hearing of LGBT asylum seekers are deeply troubling, and I absolutely agree with what the hon. Lady said.

On coming out later in life, I discovered recently that middle age is classified as being between 30 and 50. I have to say that that was a shocking discovery.

Oral Answers to Questions

Christine Jardine Excerpts

Tuesday 29th October 2019 Commons Chamber

[Matt Hancock]

The joint report was excellent.

[Christine Jardine (Edinburgh West) (LD)]

T7. My constituent Karen Gray will begin a hunger strike on Friday because she still cannot get cannabis oil on an NHS prescription despite the fact that, since her son started using it, he has had no seizures. It is costing the family £1,300 a month. When will the Secretary of State commit to making this available to the people he promised it to?

Social Media and Health

Christine Jardine Excerpts

Tuesday 30th April 2019 Commons Chamber

[Matt Hancock]

I will absolutely look at the matter raised by my hon. Friend, as it is alarming and distressing to hear about it. Amazon sells physical goods for the most part and surely has a duty of care to those who buy them, in the same way that a shop has a responsibility for what it sells. My hon. Friend makes an important point, which I will follow up. I will write to her with more details.

[Christine Jardine (Edinburgh West) (LD)]

I, too, welcome the statement by the Secretary of State, not least because I survived measles as a very small child and my family talked for a long time about how worrying and scary it was. On the other issue, as well as taking action against the social media companies, the long-term NHS plan talks about an increase in proportionate spending on child and adult mental health services. What will he do about that? What will the proportion be? I ask because it is crucial to fighting this problem.

[Matt Hancock]

The hon. Lady is absolutely right that there will be an increased spend on mental health services across England—a £2.3 billion increase. It is the fastest-growing area of spend in the long-term plan. We are investing £33.9 billion in the NHS in cash terms, and the fastest proportionate rise in spend is in mental health services. That is an important part of this, although there is an awful lot that the social media companies can do to reduce the demands on those services by reducing the negative impact on mental health. The whole House can agree that the hon. Lady being alive and here, having survived measles, is another reason why it is important to get this right. It would have been the House’s loss had the measles won.

Access to Medical Cannabis

Christine Jardine Excerpts

Monday 8th April 2019 Commons Chamber

[Matt Hancock]

Yes, I think that is exactly the right approach and it is what we are working towards.

[Christine Jardine (Edinburgh West) (LD)]

I thank the right hon. Member for Hemel Hempstead (Sir Mike Penning) for raising this important issue, which affects one of my constituents, Murray Gray, directly. His mother is one of those parents who is now desperate, having been given hope.

Does the Secretary of State agree that we have the evidence from abroad that these medicines can work and we have the willingness of everybody in this House to make it work, but somehow there is a gap between our willingness and our ability to make it happen? Will he assure the House that he will speak to the Home Secretary and to the devolved Administrations who have NHS responsibility to try to get some kind of action through co-operation to reassure the parents who are desperate not just because their children will suffer but because they may not survive?

[Matt Hancock]

Yes, of course; I am very happy to do that. Perhaps I should take this opportunity to welcome the new public health Minister, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for South Ribble (Seema Kennedy) to her post. She will, no doubt, have listened to all the questions today. She and I will be working on making this happen.

I would add to the hon. Lady’s list, because this is not just about the Home Office and the Department of Health and Social Care; it is about making sure that the independent medical establishment has confidence in the evidence that is presented. It is not enough for her and I to have confidence as lay politicians; it is important that the professionals who put their signature on the line have confidence in the evidence as well.

Oral Answers to Questions

Christine Jardine Excerpts

Tuesday 19th February 2019 Commons Chamber

[Matt Hancock]

It is unusual, but I am delighted to be able to agree with the thrust of the hon. Gentleman’s question. As he knows, we both come from Nottinghamshire mining stock, and it is surprising that we do not agree on more, but we do agree on the importance of having a properly funded NHS. That is why we have put the largest ever, longest ever cash injection into the NHS, because we care that it should be fit for the future.

[Christine Jardine (Edinburgh West) (LD)]

3. What assessment he has made of the effect of toxic air on children’s health.

[The Parliamentary Under-Secretary of State for Health and Social Care (Jackie Doyle-Price)]

Poor air quality is the largest environmental risk to public health in the United Kingdom. Long-term exposure to air pollution can cause chronic conditions, such as cardiovascular and respiratory diseases, as well as lung cancer, leading to reduced life expectancy. It has a particular impact on children as they grow. There is evidence to suggest that the process of normal lung function growth in children is suppressed by long-term exposure to air pollution.

[Christine Jardine]

In Edinburgh West we have two of Scotland’s most polluted roads, St John’s Road and Queensferry Road, according to recent figures. Studies show that if someone lives with 75 metres of any major road as a child, they have a 29% increased risk of lifetime asthma. Given that across the country there are 2,000 nurseries close to roads with dangerously high levels of pollution, what action can the Minister assure us is being taken, along with counterparts in Scotland and in the Department for Environment, Food and Rural Affairs, to tackle this on a UK scale?

Diabetes

Christine Jardine Excerpts

Monday 26th February 2018 Commons Chamber

[Liz McInnes]

I thank my right hon. Friend for that intervention. I think he must have read my speech, because I will be talking about the prevention of type 2 diabetes, and how important it is that we are aware of that and also make the population aware of the measures they can take.

There are more people living with diabetes in the UK than with any other serious health condition—more than dementia and cancer combined. The complications of diabetes are many. They include eye, foot and skin complications; anxiety and depression; hearing loss; gum disease; neuropathy; infections; slow wound healing; strokes; heart failure; heart attacks; lower limb amputations; renal problems; and early death.

[Christine Jardine (Edinburgh West) (LD)]

The diabetes crisis is one of the fastest growing health crises of our time. As the hon. Lady says, the physical consequences are well known, but recent research by Diabetes Scotland has shown that the stress, isolation and trauma of managing an invisible but life-threatening condition can have serious implications for a person’s emotional wellbeing. Does she feel that we need to look at offering support and increased provision of psychological support for diabetes sufferers?

--- Later in debate ---

[Steve Brine]

I will not give a commitment at the Dispatch Box, but I know the JDRF well. I have supported it in my constituency through various events, including the Alresford music festival, which I am sure the right hon. Gentleman is familiar with. I will take a look at what he said and if he wants to chat to me offline about that, I would be very happy to do so.

The diabetes prevention programme has been mentioned. Wherever possible, the aim is to prevent type 2 diabetes from developing in those most at risk. I am proud to say that NHS England, Public Health England, for which I am responsible, and Diabetes UK have had some success working on the NHS diabetes prevention programme—the first such programme that we have delivered at scale nationwide. I know that a lot of other countries are looking at what we are doing.

The programme is putting in place support for behavioural change in people who have been identified by their GP, or through the NHS health check, as being at high risk of developing diabetes. Individuals can then get tailored, personalised help to reduce their risk of developing the condition, including bespoke exercise programmes and education on healthy eating and lifestyle. It is incredibly positive.

I am aware of the time, so I will move on to treatment and care programmes. After successfully securing significant new investment in diabetes through the spending review, NHS England has developed a diabetes treatment and care programme, which is aimed at reducing variation and improving outcomes for people living with diabetes. As part of that, NHS England will invest £42 million in proposals from individual CCGs, collaborations and sustainability and transformation partnerships to improve the treatment and care of people with diabetes.

[Christine Jardine]

rose—

[Steve Brine]

I will not take another intervention, because I will conclude in just a second. The spending review made provision for significant transformation funding through to 2020-21, and I expect that to be spent in line with the priorities set out in NHS England’s mandate, including for diabetes.

We have talked about the childhood obesity programme and the national diabetes prevention programme. I am responsible for other public health initiatives, such as Change4Life and the One You programme. People like me with young children will see the Change4Life branding coming through in book bags for them. It has been an incredibly successful campaign. The programmes are crucial in both encouraging a healthy lifestyle and promoting exercise among young people, as are such things as the Golden Mile, which is almost universal in primary schools across England. The benefits of such programmes should be acknowledged in reducing not only the incidence of diabetes, but other debilitating and life-threatening conditions such as cancer and heart disease, in which I also have a great interest.