NHS

Debate between Diana Johnson and Victoria Atkins

Thursday 23rd May 2024 Commons Chamber

[Victoria Atkins]

I thank my hon. Friend not just for his question, which was excellent as always, but for his long record in the House, particularly in the world of healthcare. He was a superb Minister in the Department of Health and has chaired the Select Committee with great skill. He has scrutinised many a Minister, which I promise him is not a relaxing experience. I really pay credit to him.

May I also thank my hon. Friend for highlighting the importance of prevention? We want to bend the demand curve on the NHS. We know that demand has risen in recent years—we are seeing more people in A&E, we are seeing more cancer referrals and we are seeing more people accessing scans, checks and diagnostics—and we need to help people to understand that we can take responsibility for our own health. Through work such as that on using the NHS app as a gateway to prevention, I genuinely think that we will be helping not only our generations but, importantly, younger people, who sometimes get forgotten in our conversations about healthcare.

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

I welcome the commitment from the Health Secretary to paying the £210,000 interim payment to those infected under the contaminated blood scandal. But can I say that there is no clarity at all from the Government about the payments that Sir Brian recommended in April 2023 to those who have received nothing so far—the parents who have lost children and the children who have lost parents?

Can I seek a guarantee from the Health Secretary that we will see psychological support services put in place in England immediately? They are in place in Northern Ireland, in Scotland and in Wales. Since 2020, Ministers in the Department have been saying that those services would be made available. That is four years ago; it is not acceptable. After the statements earlier this week by the Prime Minister and the Paymaster General, that is something that the NHS could do quickly and which would have enormous impact, especially because, with the general election having been called, people do not quite know what will happen to the Government’s promises.

[Victoria Atkins]

I thank the right hon. Lady for all her work. She may recall that, when the inquiry was announced by the then Prime Minister, my right hon. Friend the Member for Maidenhead (Mrs May), we had a debate on that matter where I spoke as a Back Bencher on behalf of a constituent; I very much hope that he and others gain some reassurance from the fact that I understand exactly the issues they have faced over many years. As Health Secretary, it is my responsibility, and indeed my privilege, to try to help them now.

In relation to the compensation schemes for those who have not yet received payments, I know that the right hon. Lady will have carefully pored through the responses of my right hon. Friend the Minister for the Cabinet Office and Paymaster General. We want to give the independent compensation authority—I underline independent because I am sympathetic to the sensitivities of families and victims around the role that the Department of Health and others played in their pain—and Sir Robert the chance to set up the scheme, assisted by the expert panel.

I promise the right hon. Lady that I have been discussing psychological support with the chief executive of NHS England for some time. We want to recruit the right people to conduct that incredibly sensitive work. It will take us a little more time, but I assure her that NHS England is acting quickly to bring in those services, we hope, by the end of the summer.

NHS Dentistry: Recovery and Reform

Debate between Diana Johnson and Victoria Atkins

Wednesday 7th February 2024 Commons Chamber

[Victoria Atkins]

I have no doubt that with my hon. Friend’s characteristic joy and as an irresistible force of nature, she herself will be an advert for dentists to come to work in her constituency.

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

A constituent recently told me that when she tried to register members of her family with an NHS dentist, she was told that there was an eight-year wait. We know that workforce is a really big issue. On that basis, will the Secretary of State meet me and a cross-party group of Members of Parliament to talk about how we could develop a dental school at the site of the excellent Hull York Medical School to grow our own dentists for the future?

[Victoria Atkins]

The right hon. Lady will know that part of the focus of the long-term workforce plan is to train people where they are most needed. I will happily arrange for her to meet the relevant Minister. On registration, the current system is not like a GP practice where, once a family is registered, they can only go to that GP. The whole reason that we have been encouraging dentists to update their details on the NHS website is so that people can move around to visit different dentists to get the treatment they need. Today’s plan will help turbocharge those efforts.

NHS Winter Update

Debate between Diana Johnson and Victoria Atkins

Monday 8th January 2024 Commons Chamber

[Victoria Atkins]

I thank my right hon. Friend for her work in the Department. She knows only too well the difference an inspirational leader can make to a local NHS trust, and at regional or national level. Managers who are good and committed to their local area, who work with their clinicians and other healthcare staff to try to look after patients all year round, have been put under the most enormous pressure over the last few weeks because of the strikes. I thank every single one of them for doing what they can to safeguard patient safety. As I say, I trust their judgment. If they have put patient safety mitigations in, it is because they consider, in their professional judgment, that they are needed.

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

The public health director in Hull published her report recently. She talked about the double jeopardy that my constituents face: from the most disadvantaged communities, they have shorter lives in far poorer health. At the end of last year in A&E, patients were less likely to be treated within the four-hour target than anywhere else in England. Why is that after 14 years of a Conservative Government who are committed, apparently, to levelling up?

[Victoria Atkins]

I am extremely grateful to the right hon. Lady, who will know that our constituencies, albeit not necessarily in the same region, nevertheless share similarities, being relatively close to each other. The work and the progress made on urgent and emergency care is precisely because we were concerned about, for example, ambulance response times and hospital discharges. We worked with NHSE to bring together the urgent and emergency care plan and, for example, bring about 800 new ambulances on to our roads and about 5,000 more core beds into the NHS to try to address those needs. Unfortunately, the strike action that we have seen over recent days has very much militated against those efforts. We all accept that winter is a very difficult time for the NHS, and through the urgent and emergency care plan we have worked with NHSE to try to meet the demands that she so rightly puts forward.

Rape: Criminal Prosecutions

Debate between Diana Johnson and Victoria Atkins

Tuesday 28th June 2022 Commons Chamber

[Victoria Atkins]

Very much so. My hon. Friend has enjoyed the success of ensuring that cyber-flashing will become a criminal offence when the Online Safety Bill is passed. In relation to her police force, this is precisely why we are publishing local data dashboards. I genuinely want Members across the House to scrutinise what is happening in their local area so that they can help us to hold the police, the CPS and others to account for decisions such as taking a police referral to the CPS. We will be trying to disaggregate that data even further, so that where there is a request for advice as opposed to a charge, for example, we are making that clear. This is a whole-system effort to improve at every single stage of the criminal justice system, and I would like to thank the police, the CPS and the courts for all their efforts.

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

I am pleased to see both the Home Office and the Department of Justice represented on the Treasury Bench for this urgent question. The Home Affairs Committee produced a report in April on the investigation and prosecution of rape, with several recommendations that I hope the Government will find helpful. Unfortunately we are outside the eight-week deadline for that report to be responded to by the Government, so could I raise two of the recommendations that I think will help the Government in their aim to sort this out? The first is to have specialist rape investigation teams in all police forces. The second is for the Government to ensure the publication of all specialist trained officers so that we know that there are sufficient officers in our police forces to do this important work.

[Victoria Atkins]

I thank the Chair of the Select Committee most sincerely for her Committee’s report. We will be responding, of course. I hope that she will bear with us. I am assured by the Under-Secretary of State for the Home Department, my hon. Friend the Member for Redditch (Rachel Maclean), who is sitting just behind me, that we want to ensure that our response is as thorough and positive as possible, so please watch this space. In terms of specialist police officers, I completely understand why this is a suggestion that people raise. My only caveat is that I want every single police officer in every single force to be trauma-informed and aware of how to investigate these cases, for the simple reason that when an officer first comes to the scene of a crime—on a busy Saturday night, let’s say—I want that officer to be an expert in how to treat victims in the aftermath of an attack. I want to be more ambitious than simply having a specialist in the force; I want every single officer to be aware of this, which is what we are trying to achieve through the roll-out of Op Soteria.

Tackling Violence Against Women and Girls

Debate between Diana Johnson and Victoria Atkins

Wednesday 2nd March 2022 Commons Chamber

[Victoria Atkins]

May I say that there has been progress since the hon. Lady has been in her place? I very much hope that she welcomes the progress that we have made. Importantly, there is now a statutory requirement and, what is more, there is specific training to help to roll it out. We take her point that it has to be done in a way that is appropriate and sensitive but also effective, so we get the messages through to children at the right stage and the right time in their lives.

There is one way in which every single person in this Chamber can help and do something today. When hon. Members leave the Chamber, will they please share the “Enough” campaign across their many social media networks? Not only are we bombarding social media, but over the weeks to come we will have adverts cropping up across our towns and cities on buses, billboards, television and so on. This is how, individually, we can make a real difference today.

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

I am sure we can agree with all the sentiments that the Minister has expressed. There is one other thing that we could do, which is naming this for what it is: not just violence against women and girls, but male violence against women and girls. If we start talking about it and naming it correctly, that will be a very big help.

[Victoria Atkins]

Male colleagues are in attendance today, although perhaps not quite as fully as in previous debates, but in fairness male colleagues across the House have accepted their role and are very much working with us to tackle this. I have one slight caveat, though: when we talk about sexual violence, we know that it disproportionately affects women and girls, but I want us to acknowledge that men can be victims of sexual violence as well. We will be addressing that in our male victims paper in due course, but it is very important that we are clear about the causes and themes that run through this behaviour.

The right hon. Member for Normanton, Pontefract and Castleford rightly challenges us to share what we have done so far. I agree that we want to look over not just the next decade, but the past few months and what we have done. We have funded local projects and initiatives across England and Wales, totalling more than £27 million, to improve the safety of women in public places, particularly as we come out of covid restrictions on social distancing and so on.

Through round 3 of the safer streets fund, we are providing more than £650,000 to the west midlands to provide interventions, such as the bespoke VAWG public spaces-tailored programme offered to all schools in conjunction with the mentors in violence prevention programme and the violence reduction unit place-based pilot, to address harmful sexualised attitudes in boys. In West Yorkshire, we are providing more than £650,000 to implement interventions such as Student Safe Spot, safe routes and sexual assault referral centre walkthroughs.

Further to the point that the hon. Member for Bath (Wera Hobhouse) made, relationships, sex and health education became statutory in schools from September. We are putting support in place to improve the quality of teaching so that we support children and young people through school.

The hon. Member for Oldham East and Saddleworth (Debbie Abrahams) talked about online crimes. The Online Safety Bill is coming to the House shortly. Precisely because we wanted help, assistance and input from Members of both Houses, and indeed from charities and campaigners, we opened the Bill up to pre-legislative scrutiny. We are going through that scrutiny at the moment and are very respectful of the Joint Committee’s efforts to draw our attention to parts of it. We are working with determination to make the online world as safe as we possibly can.

--- Later in debate ---

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

I am pleased to have this opportunity to debate male violence against women and girls.

My hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams) spoke about the online space, and I flag the work of the all-party parliamentary group on commercial sexual exploitation. We have taken extensive evidence on the prevalence of violent online pornography, which is ubiquitous and has, for some time, fuelled the epidemic of violence against women and girls.

Ministers have heard me talk about this many times, and I plea for them to look again at non-contact sexual offending and how it is a red flag for the possible escalation of offending behaviour into something far more serious. They will know of the case in my constituency where a man prowled the streets for months, flashing and taking part in acts of voyeurism. It was not reported, and he later got bolder and raped and murdered a student at Hull University, throwing her body into the river. I hope Ministers will look again at low-level offending.

The Government’s ending violence against women and girls strategy for 2016 to 2020 was clear about the outcomes they wanted to achieve by 2020, namely increases in reporting, police referrals, prosecutions and convictions for violence against women and girls, matched by a reduction in the prevalence of all forms of violence against women and girls, but sadly it appears that the opposite has happened. The volumes of police referrals, charges, prosecutions and convictions for offences of violence against women have plummeted since 2016-17, particularly for rape and serious sexual offences. Recent figures from the Crown Prosecution Service show that 1,557 rape-flagged cases proceeded to the prosecution stage in 2021, down from 5,190 in 2016-17.

I welcome the rape review, but I remain a little confused about which Minister is actually responsible for driving it.

[Victoria Atkins]

rose—

[The Parliamentary Under-Secretary of State for the Home Department (Rachel Maclean)]

rose—

[Dame Diana Johnson]

Two hands are up on the Front Bench.

[Victoria Atkins]

It is me.

[Dame Diana Johnson]

I am very glad to hear that because, of course, the Minister for Crime and Policing is also named as having responsibility for the rape review. There is a bit of confusion. As the Minister of State, Home Department, the hon. Member for Louth and Horncastle (Victoria Atkins), will know, the Home Affairs Committee has carried out an inquiry on rape investigations and convictions, and we will shortly publish a report.

[Victoria Atkins]

Precisely because this is cross-Government work, of course other Ministers are involved. We are bringing in everybody who needs to be in the room, but the Deputy Prime Minister and I are the leads. We own it, and we are monitoring it very closely and very frequently.

[Dame Diana Johnson]

That helps. The issue I have is that, unless one person is driving it through, things often do not happen. If the Minister is responsible, that is good to hear.

We are still waiting on some of the Government’s commitments on tackling violence against women and girls. Although there has been some progress, as the Minister pointed out—and I particularly welcome Deputy Chief Constable Maggie Blyth’s appointment as the national policing lead on tackling violence against women and girls—many campaigners have said that a number of central pledges in the most recent tackling violence against women and girls strategy, launched in July 2021, have not yet been implemented. For example, no timescale has been provided for the Home Office’s work on potential gaps in the law on public sexual harassment and how a specific offence might address them. A final version of the statutory guidance on the Domestic Abuse Act 2021 has also still not been published.

The tackling violence against women and girls strategy stated that the complementary domestic abuse strategy would be published in 2021, but it has been delayed. The perpetrators strategy, to which the Minister referred, is due by the end of April. When the Home Secretary recently appeared before the Home Affairs Committee, she did not give a date for publication and, concerningly, she did not say that it would be published in time. I know the Minister said the strategy will be published in the coming months, but there is a duty on the Home Secretary to publish a perpetrators strategy within 12 months of Royal Assent of the Domestic Abuse Act, which was given on 29 April 2021. This is urgent, and I hope we will see the strategy in time. The domestic abuse organisation SafeLives has highlighted the fact that less than 1% of perpetrators receive any form of intervention to help address their behaviour, which is why the perpetrators strategy is vital.

The support for migrant victims of domestic abuse pilot is due to end on 31 March 2022, and the external evaluation is not expected to finish until the end of August. The domestic abuse commissioner has raised concerns that the Home Office has not outlined what interim support will be made available after the pilot concludes, with survivors facing uncertainty and, potentially, a lack of support before a long-term decision is made. In its report on domestic abuse in 2018, the previous Home Affairs Committee stated:

“Victims of abuse with uncertain immigration status are particularly vulnerable because they can have difficulties in accessing financial support and refuge and other support services, so they have few options for escaping from abuse.”

I am concerned by the number of gaps and delays in the implementation of the male violence against women and girls strategy. This is now an endemic problem. The Minister said there is a cross-departmental approach, yet the Government seem to be struggling to enact reforms in one Department alone. I urge them to speed up the implementation of their commitments on this sadly growing issue as a matter of urgency.

Afghan Citizens Resettlement Scheme

Debate between Diana Johnson and Victoria Atkins

Thursday 6th January 2022 Commons Chamber

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

I thank the Minister for her statement this morning. I know that the Home Affairs Committee will want to look in detail at the Afghan citizens resettlement scheme in the coming months and take evidence from the Minister. May I press her on one issue that we raised in a recent Select Committee meeting? It is the problem of those local authorities that do not put themselves forward for schemes such as these, resulting in the burden not being evenly shared across the country. Will councils be compelled to participate? When councils are involved in these schemes, can she guarantee that the Home Office will be constructive in consulting with those councils and providing the resources that they need?

[Victoria Atkins]

I welcome the right hon. Lady to her new place. I very much look forward, I think, to being scrutinised by her formidable Committee. I am very happy to thank those local authorities, some of which have gone way beyond what we could have hoped for in offering actual properties for people to move into. This is why we have already been able to achieve 4,000 people being moved into or about to move into their homes. This is an unprecedented scale compared with the Syrian resettlement scheme, in which 5,000 people were resettled in a year. We have now managed to resettle around 4,000 in just six months, but there is so much more to do. We are very much working with councils to encourage and persuade them, and to clarify the funding arrangements, because I know that some have had concerns about that. We really must have every council play its part, so that we can welcome people across the country and so that they can contribute to our local communities across the United Kingdom.

Afghanistan Policy

Debate between Diana Johnson and Victoria Atkins

Monday 13th September 2021 Commons Chamber

[Victoria Atkins]

We have today announced £20,520 per person over the next three years. This is because we want to enable local councils to front-load their integration support. We have, in addition, up to £4,000 per child for education and associated tariffs for medical care. We want to ensure that people are moving into their permanent accommodation as quickly as possible. This is where the call for volunteers from our local authorities must be made strongly. We need permanent housing in order to settle people as quickly as possible.

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

Hull is a city of sanctuary and has always stepped up to its responsibilities around asylum seekers and refugees, even though at times the Home Office has been rather high-handed in the way it has dealt with the local authorities. What exactly is the Minister going to do to ensure that all other local authorities step up to their responsibilities for asylum seekers and refugees under the UK resettlement scheme and, now, under the Afghan citizens resettlement scheme?

[Victoria Atkins]

I am not going to tread on the ministerial territory of the Under-Secretary, my hon. Friend the Member for Torbay (Kevin Foster), as that is not my role. However, in terms of Afghan resettlement, the letters have gone out today, my officials will be hitting the phones this week, and we will be very much trying to encourage as many local authorities as possible to sign up if they can. It need not be huge numbers per local authority, and, as others have said, these people can make a huge contribution to our local communities once they are settled in.

Strategy for Tackling Violence Against Women and Girls

Debate between Diana Johnson and Victoria Atkins

Wednesday 21st July 2021 Commons Chamber

[Victoria Atkins]

The hon. Lady has described just one of many calibrations—behaviours—that we all use and have used to ensure that we get home safely. I have talked before about the immediate term, the medium term and the longer term. The sort of cultural change she is talking about is going to take time. I wish that we could change it overnight or over a couple of days. However, I believe that this strategy sets out our clear ambition, over this Parliament and beyond, to change those attitudes, to improve the trust of victims and to pursue perpetrators relentlessly. That is how we are going to eliminate violence against women and girls.

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

I have a great deal of respect for the Minister, and I was very pleased that she recently met me, the hon. Member for Wycombe (Mr Baker) and Lisa Squire, the mother of Libby Squire, the Hull University student who was raped and murdered in 2019. It came out in the court case that the man who raped and murdered Libby had been prowling the streets of Hull for 18 months beforehand, committing low-level sexual offences such as indecent exposure, many of which had not been reported. I know that the Minister was particularly moved by the power of what Lisa Squire had to say to her.

I really welcome the strategy if it is going to encourage people to come forward and go to the police for those non-contact, low-level sexual offences, which we know are often the gateway to much more serious sexual offending. However, it will be effective only if it means that the police and the courts are able to take that early intervention. Will that happen under the strategy that the Minister has outlined this evening?

[Victoria Atkins]

I thank the right hon. Lady and my hon. Friend the Member for Wycombe (Mr Baker) for bringing Mrs Squire to meet me. It was an incredibly moving meeting. Indeed, Mrs Squire and parents of other women who have been murdered have set out very clearly the escalation of behaviours before such terrible, awful, horrendous crimes are committed.

We are doing a number of things. The right hon. Lady mentioned the public communications campaign—I know that was something that Mrs Squire was very interested in—but I hope that she will also see in the strategy that we want to review the police management of sex offenders to ensure that it is as effective and safe as it should be. She may note, too, that in the Police, Crime, Sentencing and Courts Bill, we are strengthening sexual risk orders and sexual harm prevention orders, which can be used to manage such offenders in the community.

However, the plea must go out that if you are the victim of a non-contact sexual offence—in common language, that means if someone flashes you, if they are following you, if they are masturbating in front of you, if they are making you feel unsafe in the streets, and it is sexually motivated—please, please, if you feel able to, ring the police so that we can get these crimes recorded and, hopefully, the police can start to find those serial perpetrators before they do something even worse.

Child Protection

Debate between Diana Johnson and Victoria Atkins

Thursday 27th February 2020 Commons Chamber

[Victoria Atkins]

I thank my hon. Friend for his questions, and I know he has great expertise and interest in this area. With this early intervention we are not just setting strategies but implementing work across the country through the targeted funds we have set up, including the youth endowment fund, which is deliberately designed to take place over a 10-year period so that the investment rolls through various spending reviews. It has been protected so that we can invest to learn and discover which projects work and which do not. It is fair to say that there have previously been misunderstandings about what works, and we want to learn more so that local authorities and other commissioners invest wisely.

I take my hon. Friend’s point and thank him for his information about an earlier iteration of the child sexual abuse strategy. We are looking across all the typologies of child sexual abuse. There are many typologies, particularly nowadays, sadly, with the prevalence of online abuse and exploitation, which I am afraid can take place with just an ordinary mobile phone and can have devastating consequences for the child who is targeted, not just in the immediate circumstances of the photo or video being taken but, of course, for many years thereafter, as we are discovering through our work with WePROTECT.

I am very conscious of my hon. Friend’s observations, and I am happy to meet him to discuss them further, because we want to get this right.

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

The Minister has referred to the stronger multi-agency child safeguarding arrangements that were introduced in September 2019. She says it is recognised that they are a key opportunity to deliver the kind of systemic change we need to see.

My hon. Friend the Member for Sheffield, Heeley (Louise Haigh) has said that police forces are not active enough. As a constituency Member of Parliament, I am concerned about children’s services in Hull. Humberside police is responsible for ensuring the safeguarding of children in Hull, so what should I ask its chief officers to deliver to make sure children are kept safe?

[Victoria Atkins]

The police and crime commissioner obviously sets the priorities for the force, so I would go to them before going to the chief constable. Police and crime commissioners play a vital role in commissioning local services, and we have seen some excellent commissioning decisions in relation to exploitation more widely than simply sexual exploitation and, of course, in their work to hold the police to account on this issue.

The hon. Lady should ask the chief constable whether he or she has confidence that the force is working in accordance with the vulnerability knowledge and practice programme that we have funded to enable policing best practice to develop in response to vulnerability. Vulnerability is key to many of the crime types we see nowadays, and it should be at the front of every chief constable’s mind.