Suicide and Mental Health of Young People: Tatton

Debate between Esther McVey and Jim Shannon
Tuesday 26th November 2024

(3 weeks, 6 days ago)

Westminster Hall
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Esther McVey Portrait Esther McVey (Tatton) (Con)
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I beg to move,

That this House has considered the matter of suicide and mental health of young people in Tatton constituency.

It is a pleasure to speak under your chairmanship, Mr Dowd. I would like to convey my appreciation to the Minister for replying to this extremely important and sensitive debate on the management of withdrawal from antidepressant medication, specifically selective serotonin reuptake inhibitors, and the profound impact that that process can have on the mental health and suicide risk of young people.

I would like to begin by conveying my sincere thanks to my constituent, Gina Russell, who met me and bravely shared the experience of her daughter, Olivia, who tragically took her life in September 2021, following withdrawal from SSRI medication. Olivia’s mum is unable to be with us in Westminster Hall today. However, I know that she and her family are watching this debate at home, as they are determined to help prevent others having to suffer the same fate as Olivia.

I would also like to place on record my thanks to the charities Mind, Rethink Mental Illness, PAPYRUS Prevention of Young Suicide, as well as to The Children and Young People’s Mental Health Coalition and the House of Commons Library for the information provided to me before this debate. While the information was insightful, it was deeply disturbing, as it revealed that Olivia’s experience of declining mental health as medication was withdrawn was far from unique and was a known risk, which made me determined to pursue this debate on behalf of her family and thus bring Olivia’s story and her family’s suffering to a wider audience.

Let me start by painting a picture of Olivia, who was an intelligent, creative and hard-working 25-year-old who had just left Tatton to live in London. Her parents remember her as wonderful and vibrant—a loving daughter and a loving younger sister to her brother, Luke; a cherished and adored granddaughter; and a loyal, kind and supportive friend. She lit up a room and was admired by all who knew and loved her.

In November 2020, during the pandemic, Olivia became anxious. She began taking an SSRI—citalopram—to manage her anxiety. Initially, Olivia responded well to treatment. However, when the time came to discontinue the medication in June 2021, she experienced a rapid decline in her mental health, which was far worse than what she had previously faced. She then resumed SSRI treatment in August 2021, finally taking her life in September 2021. When she first came off her medication it was without consulting her GP, because she was feeling better. She should have been warned about stopping taking the antidepressant. The family was later to discover that citalopram is one of the most difficult antidepressants to come off.

Tragically, the Royal College of Psychiatrists suggests that between a third and half of people who take antidepressant medications experience withdrawal symptoms to some extent. The severity and duration of these symptoms, and whom they affect, is not certain. In Olivia’s case, the withdrawal symptoms were severe and the resulting deterioration in her mental state ultimately led to her taking her own life. Members should bear in mind that suicide remains the leading cause of death among young people under 35 in the UK, and the mental health of young people has declined alarmingly in recent years.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I commend the right hon. Lady for the very sensitive way in which she is delivering her speech. In Northern Ireland, the worrying thing about suicides is that we have had an 8% increase in the last year. It worries me greatly that people are unable to cope with life. Does the right hon. Lady not agree that the inability of GPs—I think she mentioned this—to refer patients to early intervention on mental health is something that must be tackled? Early support for young people, and easy access to it, is the only way to give a lifeline to those who are struggling at a very young age.

Esther McVey Portrait Esther McVey
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I thank my colleague and friend for that pertinent intervention.

The pandemic lockdown exacerbated the mental health crisis, as it brought isolation, uncertainty and disrupted routines at home, in education and in the workplace, taking an immense toll on young people’s wellbeing. During that period, the use of antidepressants, including SSRIs, rose significantly. Meanwhile, access to in-person medical support was often severely limited, which may have worsened the challenges faced by patients navigating their mental health and medication.

Last year, the closure of England’s only dedicated antidepressant withdrawal helpline, the Bristol and district tranquilliser project, left a further gap in support services for patients, at a time when mental health services are under immense strain. Analysis from the children and young people’s mental health coalition shows that 1.5 million children and young people could need new or increased mental health support as a result of the pandemic.

Those factors combined to create a perfect storm for young people struggling with mental health challenges, with many prescribed SSRI medication as a solution by their medical practitioners. It is important to note the life-changing and positive impact that such medication has had on many people across the country, and I do not seek to contest that or the ability of those medications vastly to improve the mental health of many patients. However, we must also acknowledge that the process of withdrawing from SSRIs can be fraught with challenges that leave patients vulnerable.

In Olivia’s case, her family believed that she was left in the dark. Her mother recalls that the information provided by her GP was limited and did not adequately warn of the risks of sudden or poorly managed withdrawal. As a result, following her death, the exceptional decision was taken by the coroner to produce a prevention of future deaths report. It found no evidence that Olivia was explicitly warned about the risks of relapse or the potential signs of withdrawal, or told that she might feel worse before feeling better. The report concluded that while advice may have been given, it was not conclusive and concern was expressed regarding the inconsistency of advice that each GP might give patients. The report could not say with confidence that every GP within Olivia’s practice was discussing the key risks associated with SSRI medication withdrawal.

That requires our immediate attention, as the principle of informed consent, which underpins our healthcare system, requires that patients are fully aware of the benefits and risks of any medical procedure or treatment. The General Medical Council’s professional standards for decision making and consent stipulate that doctors’ discussions should recognise the effect of the patient’s individual clinical circumstances on the probability of benefit or harm occurring.

Guidance from the GMC acknowledges that the amount of information doctors provide to patients can vary due to time constraints. Where such time constraints exist, doctors are encouraged to involve other medical professionals, such as clinicians, or to refer patients to the patient information leaflet accompanying their medication. Patients are legally entitled to a patient information leaflet with their prescriptions, but the responsibility for providing it lies with pharmacies. That places the onus on patients, potentially in a vulnerable position, to navigate complex decisions alone. The leaflets are often lengthy and rely on a patient reading and understanding information provided.

The issue is compounded by outdated guidance. Until recently, guidance from the National Institute for Health and Care Excellence—NICE—suggested that withdrawal symptoms typically last one to two weeks. That has now been updated to reflect the fact that symptoms can be more severe and prolonged, but the updates have not yet translated into comprehensive and systematic changes to ensure that patients are adequately supported. Inconsistent guidance on antidepressant withdrawal has resulted in many patients experiencing distressing and debilitating symptoms. Patients have been misdiagnosed as suffering from a relapse of their original mental health condition, and others have been left fearful about stopping using their antidepressants. That may have contributed to many individuals staying on their antidepressant medication for longer than is necessary, with a report in 2023 suggesting that 2 million people are taking antidepressants for five years or more.

What improvements can be made to ensure the better facilitation of SSRI withdrawal? Olivia’s family believe that there are measures that could be taken that would go far in protecting patients when withdrawing from the medication. A move as simple as placing a warning label on the packaging of SSRI prescriptions would be a straightforward way to convey the dangers of the medication. It would not replace the more comprehensive information provided in a patient information leaflet, or the guidance of a GP. However, it would act as a safeguard in circumstances should those fail. The safety of patients’ prescribed medications must be guaranteed, not left to change based on appointment time constraints or whether a patient has read in full the often lengthy patient information leaflet.

The story of Olivia and her family is a painful reminder of the urgent need to address the risks associated with SSRI withdrawal, and the broader mental health crisis facing young people today. While SSRIs have transformed countless lives, we cannot overlook the vulnerability of those navigating withdrawal. We owe it to families like Olivia’s to ensure that no one feels unsupported or uninformed when taking such important decisions. Simple measures, such as enhanced warnings on medication packages, improved guidance for medical practitioners and comprehensive advice can make the process of withdrawal palpably easier and safer, potentially offering better outcomes for individuals navigating the complex process of withdrawal from SSRIs.

I would be grateful for the Minister’s consideration of the issues I have discussed. Finally, in Olivia’s instance, the coroner produced a prevention of future deaths report, so I ask the Minister how such a report can become wholesale advice to the medical profession? Will he work with me to ensure that it does, in order to prevent lives like Olivia’s being cut tragically short?

Veterans: Handforth

Debate between Esther McVey and Jim Shannon
Wednesday 6th September 2023

(1 year, 3 months ago)

Westminster Hall
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Esther McVey Portrait Esther McVey (Tatton) (Con)
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I beg to move,

That this House has considered veterans in Handforth.

It is a pleasure to have you chairing this debate, Dame Angela. I thank my right hon. Friend the Minister for listening to the concerns of my Tatton constituents. This topic should and, I am sure, does concern each and every one of us, as it is about the support that we provide to our servicemen and women as they leave the armed forces and prepare for civilian life. I am here today representing veterans and their families in Handforth, who feel “forgotten about”. Those words struck a particular chord. They said that they had served in the armed forces, but when they left service, they felt that there was an abruptness to that end of service and very little help for them to adjust back into civilian life. To be blunt, they have struggled with that transition. Most importantly, they feel that it does not need to be that way. With more structured support, clear signposting and ongoing checks—interestingly, they mentioned to me a check at the seven-year mark—the transition could have been so much easier.

The veterans felt that much greater care and attention was given to the whole process of getting them into the armed forces than was given to them when they left. Removing “the individual” and fitting them into an organisation had a lot of thought put into it, but reversing that process it did not. They explained to me that, on arrival, each was given a number. They would be drilled and trained, and pushed both physically and mentally. It is a form of training that makes them a team and part of a great institution—without doubt one of the best in the world. They were absolutely proud to serve in that institution, but it does become their life. They said that it did become their mind in a way, controlling what they did in their thought processes.

Therefore, my constituents are asking for a similar process in reverse, and with as much thought and consideration, as they step away from the armed forces. To give up life in the armed forces and regain one’s autonomy might sound easy, but it had not been. They had had their time managed and their life controlled, so to now get the freedoms to do what they wanted and fill the hours was actually quite daunting. Without that drilled schedule, without every moment being filled, they felt that time dragged, allowing loneliness and depression to sink into their lives.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I commend the right hon. Lady for bringing this debate forward. She truly is a champion for veterans and she should be congratulated on her determination to do right by those who have done right for us. Does she agree that tremendous work is carried out by veterans charities such as the Royal British Legion or SSAFA, which I have helped over the last number of years? On Saturday past, I did a coffee morning with SSAFA and we raised some £5,500—just through coffee and scones—which is quite something. Such charities do a tremendous job, yet that does not and cannot absolve Government of the responsibility to our veterans and their families. The right hon. Lady is saying that. I fully support her and hope that the Minister is listening.

Antisocial Behaviour in Town Centres

Debate between Esther McVey and Jim Shannon
Wednesday 26th April 2023

(1 year, 7 months ago)

Westminster Hall
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Jim Shannon Portrait Jim Shannon
- Hansard - - - Excerpts

I thank the hon. Lady for her intervention. It is difficult for me to answer that, because I cannot speak for other areas. I can speak only for mine, and I must say that in my constituency, the police are never too far away. The issue for street pastors is that they are not police. That is probably why they are approachable, which is one of their advantages. I know from my constituents that they have probably saved people from abuse and physical and other harm, and that they have got people home safely. Street pastors have a working relationship with the police, but they are not the police. They are there to help, and I think people recognise that; the street pastors’ years of involvement in this work on the streets of Newtownards, Bangor, the Ards peninsula, Comber and elsewhere in my constituency have shown that to be the case. The hon. Lady is right; street pastors need to be safe, but in my area, I think they are.

I conclude with this: these issues are prevalent in all constituencies across the United Kingdom. An antisocial behaviour plan has recently been introduced in England, which it seems will tackle the worst of antisocial behaviour in England. I am grateful to the Minister, for whom I have the utmost respect. What discussions could she have with our Department of Justice back home? I believe wholeheartedly that we can do things much better together, because this is a national issue. That is why the debate is important, and that is why I am speaking in it—not that I can necessarily add anything more for the Minister to reply to. I just wanted to let her know that we have some ideas in Northern Ireland. It is good to exchange those ideas, and thereby do better for everyone.

Esther McVey Portrait Esther McVey (in the Chair)
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We move now to the Front-Bench spokespeople.

Attention Deficit Hyperactivity Disorder: Diagnosis

Debate between Esther McVey and Jim Shannon
Wednesday 1st February 2023

(1 year, 10 months ago)

Westminster Hall
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Esther McVey Portrait Esther McVey (Tatton) (Con)
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I beg to move,

That this House has considered attention deficit hyperactivity disorder diagnosis waiting times.

It is pleasure to serve under your chairmanship, Ms Nokes, and an honour to open this debate to recognise the importance of early diagnosis of attention deficit hyperactivity disorder, and to draw attention to the current severe delay in the diagnosis of it.

An early diagnosis of ADHD will have a significant impact on an individual’s life: on their development, self-confidence and self-awareness, and their physical and mental wellbeing. For someone with ADHD, a diagnosis can help them understand why they are struggling with life. It allows them to understand their impulsivity, hyperactivity, inattention and sensitivity to the simplest distractions, even to everyday noises.

Instead of having a life in which they feel lost and alone, they can find and understand themselves, and gain a feeling of belonging and control. It is believed that one in 20 adults in the UK has ADHD, according to ADHD Foundation, but only 120,000 have had a formal diagnosis. The charity says that that is because of a combination of poor understanding of the condition, stigma and delays in diagnosis.

Diagnosis is essential, especially when there is an identifiable link between ADHD and suicide: one in 10 boys and one in four girls who have ADHD attempt to take their own life. Early diagnosis can prevent those tragedies and offer an answer to those suffering from the condition.

Today’s debate has come about because of the tenacity of a constituent of mine, Tanya Bardsley. She has been open about the amount of pain ADHD has caused her, her difficulty getting the condition diagnosed and, in particular, the added difficulty for girls and women in being diagnosed. She allowed herself to be filmed last year, and shared that in an ITV documentary, “Me and ADHD”.

Today, Tanya is a very accomplished woman. She runs four businesses, a charity and a household, as well as being a mum and a wife. But it took her almost 40 years to understand her anxiety, depression and impulsivity. In fact, it took her to almost six weeks before her 40th birthday to get diagnosed. Tanya described her ADHD as like having

“17 TVs on in your head. You can’t focus and there’s lots of noise in your head. You feel like you’re being smothered, overwhelmed, like you’re drowning in life. You’re living with this inner restlessness, which is exhausting and relentless.”

So much was that the case that, even before Tanya was 15 years of age, she had tried to take her own life three times. From the age of 18, Tanya was given antidepressants for depression and anxiety. Tanya saw more than 20 doctors, who just kept changing her prescription, but the medication never worked. It was not until she eventually went to see a private psychiatrist specialising in anxiety that she was diagnosed with ADHD. Once Tanya got her diagnosis, she said,

“Finally, I know what’s wrong with me. After years of struggling and on loads of different medications, it now all just makes sense. To be honest with you, I have never felt better.”

Tanya’s diagnosis was very late and that is why she made it her mission, along with others, to ensure that ADHD is diagnosed much earlier in life, in early years of education.

ADHD was first mentioned in 1902, when a British paediatrician, Sir George Frederic Still, found that some children were affected but that they could not control their behaviour in the way that a typical child could. He also noted that it was not because they were not intelligent; it was because they could not control themselves. Over the past century, the understanding of ADHD has increased, as have diagnosis and treatments. It is defined as

“an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.”

In 2000, three sub-types of ADHD were recognised and are now used by healthcare professionals: combined type ADHD; predominantly inattentive type ADHD; and predominantly hyperactive-impulsive type ADHD. Six or more symptoms of inattention need to be proved for children up to the age of 16, and five or more for adolescents aged 17 or over and adults. Symptoms of inattention have to have been present for at least six months and have to be inappropriate to the person’s development level—for example, often failing to pay close attention to detail; carelessness with homework, work or other activities; having trouble sustaining attention during tasks or play; often seeming not to listen when spoken to directly; often not following through on instructions; failing to finish chores or homework; and having trouble organising tasks and activities.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - - - Excerpts

I thank the right hon. Lady for bringing the matter forward. I deal with this in my office every week of my life, so I am aware of the issue.

In Northern Ireland, which I know is not the Minister’s responsibility, there is going to be a gap of £110 million in the budget. This is my point to the right hon. Lady: the first sacrifice is often special needs provision, the cutting of which cannot be acceptable because it presents a risk to children who simply need a little extra help at an early stage in life. The risk is that a different way of doing things will be overlooked and the children will be abandoned at the most vulnerable point in their education. The right hon. Lady has said, “Get the diagnosis early,” and I agree with her. Does she agree that the Minister needs to respond positively?

Esther McVey Portrait Esther McVey
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I do indeed, and I believe the Minister will respond positively. As well as early diagnosis in respect of inattention, which the hon. Gentleman and I are saying is important, hyperactivity and impulsivity also need to be seen and recognised.

The criterion is six or more symptoms of hyperactivity or impulsivity for children up to the age of 16, and five or more for adolescents aged 17 or over and adults. Those symptoms have to have been present for at least six months to the extent that they are causing disruption and are inappropriate to the person’s development level. That means a person fidgets, taps hands or feet, squirms on a seat, often leaves a seat in situations in which remaining on the seat would have been expected, often runs or climbs in situations where that is not appropriate, is often unable to play or take part in leisure activities quietly, is often “on the go” and “driven by a motor”, and talks excessively.

In addition, the following conditions must be met: several inattention or hyperactive-impulse systems were present before the age of 12; several symptoms are present in two or more settings, whether that be the home, school or work, with friends or relatives, or during other activities; there is clear evidence that the symptoms interfere with, or reduce the quality of, social, school or work functioning; and the symptoms are not better explained by a different mental disorder.

Quite strict conditions must be met, and we know what the symptoms are. As the hon. Member for Strangford (Jim Shannon) said, there needs to be an early diagnosis. Indeed, the stipulation is that the symptoms have to have been present before the age of 12, so we need that early diagnosis. To enable early diagnosis for a child, there needs to be a clear pathway for referrals from the school or GP to the specialist, but that is not working swiftly enough, although it is essential. The number of people in the UK affected by ADHD is 2.6 million, according to the ADHD UK website. Of those, 708,000 are children and 1.9 million are adults. More than 117,000 individuals receive a prescription for ADHD medicine.

I note that in the papers only this week, concerns were expressed by some in the scientific and medical profession about overdiagnosis, as parents and individuals go online to self-diagnose, but I would say that self-diagnosis possibly came about because people have not been able to see a GP or a specialist and they have gone online. Yes, there could be overdiagnosis, but the bigger concerns are underdiagnosis of those who need a diagnosis, and securing rapid access to a professional to establish what they have and what treatment they need.

I note, too, that the journey for girls and the outward signs for them are very different from those for boys. As such, ADHD tends to be picked up in boys and not so much in girls. The symptoms for boys are more well known. Boys display a sort of naughtiness—a disruptive way of acting, being the class joker or trying to disrupt others. That gets them noticed. However, the symptoms for women and girls do not involve being naughty; rather, they seem more as though they are “away with the fairies” or distracted. Because their behaviour is non-disruptive, they do not get the attention they deserve and therefore remain untreated.

ADHD impacts the lives of those living with it very differently, and they all cope with it differently. However, its impact is significant. Adults with ADHD are five times more likely to try to take their own lives than those without it. That is a tragedy in and of itself, and why a diagnosis needs to be made. Given the impact of ADHD on people’s lives, Tanya and many others are calling for early diagnosis. Tanya was diagnosed when she went private, a luxury that most of my constituents cannot afford. The process usually involves a 60 to 90-minute consultation with a psychiatrist. There is not a scan or diagnostic test as such; people need to meet somebody who can look at their condition.

However, even if a referral is made by a professional, people risk being screened out. Thanks to ADHD UK, I have some local data on the screening out of referrals from the Cheshire area. The reason could be that, because screening is not part of the National Institute for Health and Care Excellence guidelines, people are blocked from receiving an assessment. However, blocking people from an assessment, despite a qualified referral, does not make sense. As we know, it will stop people getting the care they need. In the last three years, 84% of girls put forward for assessment in one part of Cheshire were removed following a local health authority assessment, despite girls being known to be under-diagnosed and despite the higher suicide risks for young girls. To obtain that information, ADHD UK had to submit a freedom of information request to each integrated care board. That is how we found out.

The problem is significant, it is sizeable and it needs to be sorted out, so these are my questions for the Minister. First, will she meet me and my constituent Tanya Bardsley to discuss ADHD and what steps the Government can take to ensure earlier diagnosis? Secondly, will the Government start collecting national data, as is the case for autism, and introduce an ADHD wait list dashboard, as there also is for autism? I thank the Minister for her time today and ADHD UK for all its hard work in getting this data about Cheshire to me and, of course, to Tanya Bardsley.

National Food Strategy and Food Security

Debate between Esther McVey and Jim Shannon
Thursday 27th October 2022

(2 years, 1 month ago)

Commons Chamber
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Esther McVey Portrait Esther McVey
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The right hon. Member absolutely can, and indeed he has. I expect other Members to talk about the farming in and the produce coming from their parts of the country. As I said, I am focusing on Cheshire, but I believe we all share the same concerns.

In my patch, farmers are leading the way in technology, too. In the case of APS, it is developing robotics for tomato production, starting with harvesting and going right the way through to packaging. It is putting significant money and research into this development to cope with the lack of people now coming forward to work in the farming sector. However, these robots will not be ready for four to five years, so it needs short-term help now to be able to deliver on its commitment to supply tomatoes for the country.

Farmers also care deeply about the environment. This particular farm is working hard to deliver compostable packaging. It uses its tomato plant waste to develop packaging, and it is using it for other sectors, including fake leather for car seats, coffee cups and even bactericidal treatment for the NHS. It is charged a packaging tax, yet it is developing green, biodegradable alternatives, so can the Minister let me know what incentives there are for such great British technology to help the companies providing these terrific developments, which will be used not just here, but right around the world?

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - - - Excerpts

Robotics is very important in my constituency of Strangford in two ways. First, for the dairy sector, it is a seven-figure sum to set up a new robotic milking dairy—my neighbours are doing that—and, secondly, it is a significant six-figure sum for those wanting to have tomato houses, as the right hon. Lady has mentioned. To make such vast investments happen, the Government must be involved, so the Department for Environment, Food and Rural Affairs here and the Department of Agriculture, Environment and Rural Affairs back home will have to be very much part of that process.

Esther McVey Portrait Esther McVey
- Hansard - -

I thank the hon. Member for joining in and adding that pertinent point.

We could not have this debate without talking about the high energy prices at the moment, with an increase of 400%, and what is happening to farms having to cope with those increased costs. For APS, this has resulted in reduced production of UK tomatoes and other foods, because the costs of production are not recovered through higher prices. Farmers must be mindful of passing on higher prices to customers—if they can, as the supermarkets and shops the food goes to will not accept them—so we must be mindful of how we support farmers.

That company has even developed a combined heat and power plant, which supplies 3 MW of power to Alderley Edge, and it uses the waste heat and the carbon dioxide from that to grow their crop. I wonder whether it can get some recognition that it uses carbon dioxide from power generation to produce food, because that would help it to offset the huge increases in energy cost. I know the Department for Business, Energy and Industrial Strategy is reviewing the move from the European Union energy trading scheme to the ETS UK equivalent post Brexit, but can the Minister liaise with his ministerial colleague at BEIS and give me the latest news on that?

Food production is essential for the delivery of the environmental benefits on which the Government plan to centre in their agricultural support policy, but unless we recognise the dual role of farmers as food producers and conservationists, we risk turning farmers into environmental contractors with little incentive to continue farming. That would do enormous damage to the jobs and communities that depend on farming, as well as weaken our food security. The strategy needs to be clearer in linking food production to action against climate change and enhancing the natural environment.

My final plea is for greater clarity on food labelling, so that the high standards of British food are known and recognised—so a shopper knows the quality of the produce and where it is from. Buying British and locally, for me that means buying from Cheshire, is important not just because of the high husbandry standards of UK food but the low transport mileage to get from field to fork. That low transport mileage is particularly important if we are concerned about the environment. As my beef and sheep farmers say, it is better to have high-quality beef and lamb from Cheshire than chickpeas from halfway around the world. [Interruption.] I thank Members for the cheers for that.

On food standards, it is important when the Government are negotiating and implementing free trade agreements to avoid undermining the domestic sector for farmers and growers and reducing standards. In its report on the UK-Australia free trade agreement issued on Friday 17 June 2022, the Environment, Food and Rural Affairs Committee concluded:

“In practice it appears unlikely that food produced to lower animal welfare standards will enter the UK as a result of this deal.”

That is positive news, but my farmers are calling for greater transparency on food labelling. Like me, they believe in choice, but we only have choice when we have knowledge of what we are choosing and what we are choosing from.

Child Sexual Exploitation by Organised Networks

Debate between Esther McVey and Jim Shannon
Wednesday 23rd February 2022

(2 years, 10 months ago)

Westminster Hall
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Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - - - Excerpts

I begin by thanking the hon. Member for Rotherham (Sarah Champion). As she knows, I greatly admire her for her determination to make changes to the system, not simply for her own constituents—which she clearly has—but for all the children and young men and women across the United Kingdom. I truly believe that her work and her passion for this topic will result in the changes that are needed to protect our youth from criminal grooming gangs.

I share the grave concern of many Members regarding making the long-term changes that are needed. I am thankful that the report clearly highlighted the need to end unregulated care homes for under-18s: too often over the years, I have had in my office young people who have been used and abused with no oversight and no sign of help. I am a long-standing advocate for a different way of helping these vulnerable young people who are cared for. However, many cared-for children who turn 18 are groomed due to the fact that they are unprotected, and there must be a continuance of care and support for those children. Turning 18 does not mean that a person is no longer a target for sexual exploitation, as the hon. Member for Rotherham said in her introduction—that was one of the things that struck me right away.

I am gratified that colleagues in the Northern Ireland Assembly are currently passing the Justice (Sexual Offences and Trafficking Victims) Bill, which seeks to criminalise masquerading as a child online and strengthen revenge pornography laws, as well as excluding the public from all serious offence hearings and introducing anonymity for defendants before they are charged. I know that is not the Minister’s responsibility, but I wanted to bring what we are doing in Northern Ireland into the conversation.

Ultimately there must be closer interaction between the police and the Crown Prosecution Service. We must provide communities and churches with the training needed to spot child exploitation, as well as the knowledge of how to deal with it. We very much need uniformed, clear steps that leave a network of invested, interested and informed volunteers who know what to look out for, and that takes funding and guidance from Government.

The loss of innocence is one of the saddest things I have ever read in the face of a victim of abuse. Indeed, one lady whom I knew very well in my office—I got to know her over the years—had the most vile trauma inflicted on her as a baby and a young child. For her and many others like her, I support the hon. Member for Rotherham and the calls for this House, our Government and our Minister to do more.

Esther McVey Portrait Esther McVey (in the Chair)
- Hansard - -

I thank all Members for keeping to the time limit, which was imposed because so many people wanted to speak. We will now come to the Front Benchers, who will have eight minutes each, and then Sarah Champion will wind up.

UK-EU Fisheries Allocations

Debate between Esther McVey and Jim Shannon
Tuesday 30th November 2021

(3 years ago)

Westminster Hall
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Esther McVey Portrait Esther McVey (in the Chair)
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Before we begin, I remind Members that they are expected to wear face coverings when they are not speaking in the debate, in line with current Government and House of Commons Commission guidance. I remind Members that they are asked by the House to have a covid lateral flow test twice a week if coming on to the parliamentary estate, which can be done either at the testing centre in Portcullis House or at home. Please also give each other and members of staff space when seated, and when entering and leaving the room.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - - - Excerpts

I beg to move,

That this House has considered allocations to UK-EU fisheries following the UK’s departure from the EU.

Thank you, Ms McVey, for allowing me to speak. I especially thank the Backbench Business Committee for allowing this debate. We all tend to think that somebody else is going to request a debate on this topic, but when I spoke to the Committee Chairman, the hon. Member for Gateshead (Ian Mearns), I realised that that had not happened. Therefore, we arranged it very quickly on Thursday evening and Friday morning, and were kindly given this spot.

It is so important to have this debate, and it is a pleasure to see so many right hon. and hon. Members in their places. I am especially pleased to see the Minister in her place. She has a wonderful appreciation of fishing and a good working relationship with the fishing organisations in Northern Ireland. They speak highly of her. I know them well, so I know that when they speak highly of somebody, they have earned it—well done for that.

Last Friday was a grey, breezy and cold day at Portavogie, Kilkeel and Ardglass harbours in County Down. Part of the fleet was in port, part of the fleet is scattered around the British Isles, and some of them are fishing in the North sea. Others have diversified into offshore, energy-related projects and are deployed away from home. Some of the trawlers opted to stay at home and were tied up at the beginning of October, and they have no plans to put to sea until the new year. The prawn fishery is the mainstay of the County Down fleet and, by and large, catches drop off during the autumn. I hold an advice surgery in Portavogie on the second Saturday of every month, and my workload comes from the fishing issues in the village. Seasonal gales impact on fishing operations, too, as does the increased cost of fuel, which, other than crew wages, is the single biggest overhead for a trawler and has impacted substantially on the profitability of fishing operations, adding to the challenges.

Those are the factors that fishermen have to deal with year to year. However, in autumn 2021 they have been further complicated by the political closure of fishing grounds that fall within the maritime zone of Ireland, or the EU, in the Irish sea. As I often do, I will provide a Northern Ireland perspective—I am sure that hon. Members would be disappointed if I did not. The particular reason that I want to provide that perspective is that I represent the second biggest fishing port in Northern Ireland.

The sea border with Ireland is only a few minutes’ steaming time from Kilkeel. At this time of the year, access to those waters is vital for the local fleet. However, 11 months into the new relationship with the EU, issues such as mutual access by fishermen from both parts of the island to the waters are yet to be fully resolved.

--- Later in debate ---
Jim Shannon Portrait Jim Shannon
- Hansard - - - Excerpts

I thank all right hon. and hon. Members for their contributions. The combination of viewpoints in the debate shows that the fisheries sector is important for all parts of the United Kingdom, and our debate has encompassed all parts of the United Kingdom. The right hon. Member for Scarborough and Whitby (Mr Goodwill) referred to the stocks of prawns coming across to Northern Ireland, reinforcing the point that we need each other. We had hoped for some comment from the Minister on how her meeting went with Edwin Poots—I am sure she will follow up, as she always does.

I thank each and every person who spoke today, including about infrastructure and safety on the boats. The hon. Member for Plymouth, Sutton and Devonport (Luke Pollard) spoke about promised fish becoming paper fish. We need the promised fish. As I said, we need action, not words. We need the words and the action to follow the words.

The right hon. Member for Orkney and Shetland (Mr Carmichael) referred to the availability of crew. He, I and others in the House have pursued that issue unashamedly over some time. The Minister referred to a review in the new year. I think we will all feed into that review, and I look forward to it. The hon. Member for Edinburgh North and Leith (Deidre Brock) referred to fishing being the most dangerous job in peacetime. We need safety on the boats.

I welcome the shadow Minister, the hon. Member for Cambridge (Daniel Zeichner), to his place. I thank the hon. Member for Plymouth, Sutton and Devonport for all that he has done in his contributions in this House.

The Minister referred to the importance of fishing for the United Kingdom of Great Britain and Northern Ireland. We thank her for all her hard work and her endeavours on behalf of the fishing sector and for the special relationship she has—if I can say that to other Members—with our spokespersons in Northern Ireland. We wish her well in the negotiations, because she will be our voice for all the United Kingdom of Great Britain and Northern Ireland. We need each other. I always say that we are better together. The United Kingdom of Great Britain and Northern Ireland is better together, fighting together and standing together, with our Minister at the forefront.

Esther McVey Portrait Esther McVey (in the Chair)
- Hansard - -

I too would like to extend praise to the hon. Member for Plymouth, Sutton and Devonport (Luke Pollard) for all his hard work and his contributions.

Question put and agreed to.

Resolved,

That this House has considered allocations to UK-EU fisheries following the UK’s departure from the EU.

Education (Careers Guidance in Schools) Bill

Debate between Esther McVey and Jim Shannon
Esther McVey Portrait Esther McVey
- View Speech - Hansard - -

Most people, if asked, really want to go in and speak to pupils about what they do and the opportunities that are out there. I work with more than 200 successful women who give up their time for free because they want to help the next generation of pupils to do well. In the last decade, I have worked with thousands of pupils; I have written career books; and I have done a touring play with the National Youth Theatre and spoken to a thousand pupils at a time with panels of experts on stage who, as my hon. Friend mentioned, all gave up their time to talk about an array of different subjects.

Jim Shannon Portrait Jim Shannon
- View Speech - Hansard - - - Excerpts

When it comes to career opportunities, it is sometimes overlooked that there are opportunities in arts and culture, as the right hon. Lady has referred to. It is not always about jobs in construction or engineering; there are other opportunities out there as well.

Esther McVey Portrait Esther McVey
- View Speech - Hansard - -

Absolutely; that is what it is all about—finding the profession for the individual. What makes them tick and inspires them? Good consistent careers advice can change lives. Without it, some pupils will just drift, not knowing what they want to do.

Without doubt, covid has brought about significant changes in the world of work and in the teaching landscape. Good careers advice has always been important, but never more so than now, with the disruption in schools and the changes in the job market. It is really important to support young people. Data suggests that 65% of children currently in primary school will enter a job that has not been invented yet. As we know, that will not be a job for life. People will do a series of jobs, and that will speed up. That means that they will have to learn, relearn, upskill and reskill on a regular basis.

Clare Hayward, a leading businesswoman and chair of the Cheshire and Warrington local enterprise partnership put it simply: “We need to inspire young people about an array of jobs, new emerging jobs, roles they might never have been thought of in tech, digital, life science, jobs of the future. We need schools to engage with the business community who are alert to these future opportunities and have staff who can talk passionately and excitedly about these jobs. And we need schools not just to push traditional careers and traditional routes after school,” but to focus on all the opportunities that are out there.

Union Connectivity Review

Debate between Esther McVey and Jim Shannon
Tuesday 16th March 2021

(3 years, 9 months ago)

Westminster Hall
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Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - - - Excerpts

It is a pleasure to serve under your chairship, Ms McVey. I am also very pleased that the hon. Member for Berwickshire, Roxburgh and Selkirk (John Lamont) has brought this issue forward. I am unashamedly an Ulster Scot. I am also unashamedly British, because I want to be and because I feel it. I am very much a Unionist, so I will speak from a very pro-Union point of view. I share the Gaelic connection with my friend to my right-hand side in the Chamber, the hon. Member for Kilmarnock and Loudoun (Alan Brown), and I am very proud of that, by the way. If it came to it, we could probably speak the same language, I suspect.

I believe that the one United Kingdom of Great Britain and Northern Ireland—often my catchphrase in this House, Ms McVey—is always better together. I believe it to be the case, and I believe it in my heart. I want to repeat what my hon. Friend the Member for Upper Bann (Carla Lockhart) said just a few minutes ago. This is a debate about connectivity, and my constituency is being disconnected by the Northern Ireland protocol. I sit going through what businesses cannot access, and each day I see a different example: pet food, grass seed, plants, machinery parts, cheese, livestock—the list goes on and on. The Minister is undoubtedly aware that this responsibility lies with the Brexit Minister, the Chancellor of the Duchy of Lancaster, Lord Frost and also the Secretary of State. On numerous occasions, we have begged to be once again connected and considered as part of the United Kingdom, rather than as a protectorate, which is how we feel at present.

The Secretary of State has made some movements in relation to the soil. The soil that was okay on 31 December was not okay on 1 January—same soil, same plants, same trees, everything. I could not quite understand that. There was a palpable anger back home about the Northern Ireland protocol and where we are. So given the concern of the report, I say bend the Northern Ireland protocol and ensure deliveries can be made and received to ensure that the people of Northern Ireland feel connected in the most basic way, as actually being a part of the great United Kingdom of Great Britain and Northern Ireland.

I do not have the time to refer to the physical link that others referred to. I just want to say this: Northern Ireland has so much to offer international investors—a highly skilled workforce, high-speed internet connection and low rates. Yet what puts them off is the feeling that there is not enough connectivity. We could address that by reducing the air passenger duty. I understand the Minister has referred to that and I look forward to a response.

We must also allow investment in what we have to offer, securing and harnessing international flights as well. We must do that for Northern Ireland, by investing in the airports and the shipping ports. I welcome a physical connection, but at this time the priority must be investing in connections through the airports—Belfast City, Belfast International and Londonderry—and also through the four ports of Belfast, Larne, Warrenpoint and Londonderry. We have, I understand, a freeport. Perhaps that will bring us some jobs that we need as well.

Esther McVey Portrait Esther McVey (in the Chair)
- Hansard - -

We now move to the Front-Bench speakers, aware of time.

Covid-19: Access to Cancer Diagnosis and Treatment

Debate between Esther McVey and Jim Shannon
Wednesday 2nd December 2020

(4 years ago)

Westminster Hall
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Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - - - Excerpts

I congratulate the hon. Member for Westmorland and Lonsdale (Tim Farron) on securing the debate and setting the scene, and all hon. Members on their incredible contributions. I look forward—I said this yesterday and need to get away from saying it again—to the Minister’s response and the contributions of the shadow Minister and the Scots Nats spokesperson.

I have been contacted by many constituents asking me to attend and speak in this debate, and as my party’s health spokesperson I am very happy to do so. One of the heartbreaking stories I have heard in the past couple of difficult days is a widow saying:

“my husband only died of cancer—he isn’t important”.

I honestly could have cried when I heard those words, because I believe that she genuinely felt that no one cared, and that is what she told me. I felt that hardness; I had a compassionate understanding of what she was saying.

We are in unknown territory and undoubtedly we are distracted. How can we save people from contracting covid? How do we treat those who have it? How do we keep people in contact with others for their mental health? How do we ensure economic viability to pay for the future health needs of this nation? We are distracted, but when we have widows and cancer patients telling us how left behind and unimportant they feel, we know that in our distraction we have got this wrong. It pains me to say that.

Throughout this pandemic, I and others have lost loved ones. Two of the girls in my office have lost loved ones: one lost a sister and the other lost two uncles. We know the devastation, but we have all lost loved ones to cancer too. It is not that one is less important than the other, so that is why this debate is so important. I am thankful for this debate, which allow me to come alongside my colleagues and friends—that is what they are—to discuss how better we can do this together.

I was contacted by a radiotherapist who highlighted the massive problems they are dealing with daily. There are two main radiotherapy centres in Northern Ireland. I know this is not the Minister’s responsibility, but I am saying this to give some context to the debate. One is in Belfast, and the other is the newer, smaller North West Cancer Centre at Altnagelvin. I am told that the main issues in radiotherapy are the result of the lack of investment and funding. There are major problems as a result of staffing—doctors, therapy radiographers and physics—including recruitment, training and retention. That has a knock-on effect on service delivery, development and research. Investment is needed to replace old radiotherapy treatment machines.

Northern Ireland would like to feel more connected to mainland UK radiotherapy, through sharing best practice, training support, data sharing, peer review and so on, and that is what we are asking for. It is important that we take an holistic approach to this across the whole of the United Kingdom of Great Britain and Northern Ireland.

The covid problems found also included more patients having their treatments disrupted in many centres in the United Kingdom and a higher proportion than average reporting a poor or very poor experience. That also worries me greatly. We have members of the all-party parliamentary group for radiotherapy in the Chamber today, and I know that every one of us understands these issues, including the hon. Member for Westmorland and Lonsdale, who set the scene. One hundred per cent of responders said they were treating patients who would usually be having chemotherapy or surgery. The additional referrals were for a range of cancers, including oesophagus, lung, breast, head and neck, upper gastro- intestinal and bladder, and also included palliative cases.

I want to speak about one specific cancer, pancreatic cancer. It has been highlighted that there was already an emergency before covid-19. This was a critical issue back in March and it is even more critical today, in December. Surgery is the only potential cure for pancreatic cancer. Before the pandemic, only one in 10 people received surgery. With pancreatic cancer, a six-month delay to surgery means a 30% reduction in survival and a three-month delay a reduction of over 17%. Unfortunately, that sets the scene, with pancreatic cancer progressing from a curative to a non-curative disease while treatment is delayed. Surgery, for some, is no longer an option. That is greatly disturbing.

Reports of service restoration are encouraging. We hear from clinicians that, in most parts of the UK, surgery and treatment are now back up and running at near normal levels, but for so many people with pancreatic cancer and their families the damage has already been done. For those diagnosed in the future, the continued delays to the restoration of clinical trials are stunting crucial improvements in treatments and outcomes.

People with pancreatic cancer have also experienced an information gap, with 40% of patients who were impacted by the pandemic reporting having received insufficient information and support about treatment, symptom management or palliative care. We have had multiple reports of people being sent home from hospital with a new diagnosis without any further information on the disease, their prognosis or treatment options. Anyone facing something incredibly dark such as pancreatic cancer at an advanced stage will want the person opposite them to tell them what is wrong and give them some light on a way forward. All of us in this Chamber today, and all of us outside it, have been touched by cancer. For every two people we meet, one of them, or someone in their family, will have had it. Unfortunately we are continually confronted by this, each and every day.

Calls and emails to Pancreatic Cancer UK’s support line nurses have been up 58% on the normal weekly average, and there has been a 34% increase in the number of people being supported each week. Again, I think those figures are the critical factor in where we are on this. Pancreatic Cancer UK has also been contacted by a larger proportion of palliative patients than normal, because that is unfortunately what pancreatic cancer often leads to. If people do not get an early diagnosis and early surgery, they are confronted with end-of-life care. For families, that is incredibly difficult and complex, and a very difficult time in their lives. People with pancreatic cancer have reported feeling forgotten and isolated, at a time when they are also unable to see friends and family due to the risk of covid-19 transmission.

We are all heartened by the tremendous news today that we are going to roll out the covid-19 vaccine late this year and into next, given the time it will take to get to everyone. That is good news, but we have to address the issues for those with cancer now. I believe we need to do better, and the changes must be implemented from here at Westminster and across the whole of the United Kingdom of Great Britain of Northern Ireland. On behalf of all those cancer patients—all the ones who have contacted us, and all those facing an incredibly difficult time—I look, as I often do, to the Minister for a response. I know we will get that, but we really do need to be reassured. We need early diagnosis and extra care, and we need to show compassion in this place for those outside.

Esther McVey Portrait Esther McVey (in the Chair)
- Hansard - -

We now move to the Front Benchers.

Personal Independence Payments

Debate between Esther McVey and Jim Shannon
Monday 4th June 2018

(6 years, 6 months ago)

Commons Chamber
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Esther McVey Portrait Ms McVey
- Hansard - -

My hon. Friend is right. As I said earlier, more than 3 million assessments have been carried out, 9% have been appealed against and 4% have been overturned, so it is clear that the vast majority are right. However, we want to ensure as far as we can that all of them are right. If that means recording assessments—and I personally would prefer video recording—that is what we should do, so that everyone can have confidence in what is going on.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - - - Excerpts

I thank the Secretary of State for her statement. PIP applicants who are wards of court because, owing to brain injuries, they are unable to make any decisions for themselves must nevertheless go through the application process and are subject to house visits, although, according to the court, they cannot be allowed to make any financial or personal decisions. Is it not time that such people did not have to go through a process that clearly disadvantages them and causes considerable trauma and angst?

Personal Independence Payment

Debate between Esther McVey and Jim Shannon
Tuesday 23rd January 2018

(6 years, 11 months ago)

Commons Chamber
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Esther McVey Portrait Ms McVey
- Hansard - -

My hon. Friend puts his point so eloquently that I do not think that I can add much to it, but I reiterate that this is about opportunity and allowing everyone to lead an independent life.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - - - Excerpts

I thank the hon. Member for Glenrothes (Peter Grant) for securing this urgent question, but I also thank the Secretary of State for her response and promise of action. In my office, transfers from DLA to PIP occupy a large proportion of my staff’s time. For people with severe anxiety, depression and emotional and mental health issues, some of whom are suicidal, the system has pushed them to the very edge, even when there has been copious evidence and information from consultants, GPs and family members. I ask that the staff who process applications do so with more knowledge, more understanding and certainly more compassion.

Esther McVey Portrait Ms McVey
- Hansard - -

I said that the Minister for Disabled People holds meetings for MPs, but she does the same for caseworkers, so MPs’ staff can attend those sessions, meet the Minister and ask relevant questions.

Personal Independence Payments

Debate between Esther McVey and Jim Shannon
Tuesday 22nd January 2013

(11 years, 11 months ago)

Westminster Hall
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Esther McVey Portrait Esther McVey
- Hansard - -

I will indeed congratulate the RNIB and other charities and organisations that have represented the needs of blind and partially sighted people. The hon. Gentleman makes a good point.

The approach taken in the DLA to recognise the mobility difficulties of blind and severely visually impaired people does not look at people as individuals; it looks at their conditions. What we are doing—and, I believe, what the hon. Lady seeks—is requiring that everyone needs to be looked at as an individual: how has their condition affected them? That really is what PIP is intended to do. It is personalised. It is about the individual: what help that person needs.

At the moment, for DLA, 50% of claimants do not have medical support for their condition. More than 70% have an award for life. We seek to serve the public, including the hon. Lady’s constituents, as well as we can by making an award that is personalised.

The hon. Lady’s first question was about means-testing: no, the award of DLA and PIP is non-means-tested and that is how it will remain. It is intended to help those people with the most barriers to overcome them and live independent lives. As I said, it is very much about the individual, about what is fair to that individual and about the needs arising from the condition. To that extent, it is very much personalised. It will be flexible enough to reflect individual needs—that is what PIP is specifically designed to do. It is about having clarity, so that people will be certain of what they will get, but also about flexibility.

I thank the hon. Lady for bringing her constituents’ concerns before the House, because that is what we are here to do, to put a face and a person behind the needs, so that we can explain things clearly.

Jim Shannon Portrait Jim Shannon
- Hansard - - - Excerpts

Can the Minister answer my intervention on the hon. Member for Bolton West (Julie Hilling)? What can the Government do for RNIB and Action for Blind People to help people to fill in forms? Those organisations will be inundated with people needing help, so whatever assistance the Government can give will be money and time well spent.

Esther McVey Portrait Esther McVey
- Hansard - -

The hon. Gentleman may not know that the people seeking the award can say how they would like the form delivered to them and in what context. If people so wish, they can be accompanied by someone from a charity or organisation or by a friend to help them with the assessment. The process is about finding out as much as we can about the individual to help with the assessment and the decision so that we can give the correct award. Again,

“reliably, repeatedly, safely and in a timely manner”

is key to the decisions—that phrase is in the guidance and in the contract with the providers. The hon. Member for Bolton West asked whether that could be put in regulation, and I announced before the Select Committee on Work and Pensions yesterday that we are examining whether that would be of benefit. The matter is with lawyers at the moment, because we do not want to introduce something that could go against what we are seeking to do, to ensure

“reliably, repeatedly, safely and in a timely manner”,

which is key to the assessment. We are therefore looking at whether it can be put in regulation or whether it is better staying in the guidance notes. The hon. Lady also asked about those notes, which will be published as soon as they can be, possibly by the end of the month.

This is a principled reform, which we have developed in consultation and collaboration with disabled people. We have listened to their concerns, and those of their representatives and organisations, and we have made a significant number of changes as a result of the feedback from groups that represent visually impaired people. Indeed, that was recognised by RNIB, which stated in its report to the secondary legislation scrutiny Committee that

“the final criteria include a number of significant improvements for blind and partially sighted people.”

We were told that our draft communication activity did not take appropriate account of the barriers faced by people who cannot access written information. As a result, we introduced an additional activity to assess ability to read and understand signs, symbols and words. Therefore, someone who is completely unable to read because of their disability—for example, because of blindness—will get eight points towards their daily living component score. The score from that activity alone will mean that they get the standard rate of the daily living component. That is only one of the criteria; there will be a further nine in that section.

We also acted on the feedback that the effect of visual impairment for people who use long canes was not appropriately reflected in the mobility activities and that the barriers such people face are similar to those faced by people who have a support dog.

Work Capability Reassessments

Debate between Esther McVey and Jim Shannon
Wednesday 5th December 2012

(12 years ago)

Westminster Hall
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Jim Shannon Portrait Jim Shannon
- Hansard - - - Excerpts

In my earlier intervention, I mentioned the possibility of medical evidence being sought before any decision. Have the Government considered direct contact with the GP so that an assessment of the person can clearly be made on a medical basis?

Esther McVey Portrait Esther McVey
- Hansard - -

As I said, all factors will be taken into account for the individual having an assessment. It is true that a small number of claimants are asked to attend a further work capability assessment as little as three months after a successful appeal, but only after careful consideration of all the available evidence by the decision maker. Our latest data show, however, that that only happens in around 5% of cases. As part of our ongoing commitment to continuous improvement, the process was reviewed, with revised guidance issued to decision makers in February 2011 to ensure that they were actively considering a suitable re-referral date, so that claimants are called back when most appropriate for them.

Following the recommendations from Professor Harrington’s year two review, a regular audit of decision-maker performance is now conducted via the quality assurance framework, whereby checks are made on a sample of ESA and IB reassessment decisions. We also conduct twice yearly calibration exercises at a national level to ensure consistent application of the quality assurance framework. More than 90% of decisions met the required standard each month between February and September 2012. Additionally, due to changes introduced in July 2012, we have improved the process for receiving feedback from the tribunals if the tribunal has overturned the original decision. Judges now have the discretion to include a recommendation of when the next WCA should take place on the tribunal’s decision notice. The decision maker will take account of that recommendation when setting the review date.

I recognise that the number of appeals that the Department receives, as well as the effect on the individuals concerned, is an emotive issue. I also acknowledge that the volume of appeals has increased significantly over recent years, but that, too, is being addressed. I want to ensure that the decision making is right first time around, which was a focus of Professor Harrington’s independent reviews of the WCA. He has made a number of recommendations to support such an approach to decision making. As a result, we have: changed how we communicate with claimants, to explain the process more clearly; put decision makers at the heart of the process; and introduced the quality assessment framework to improve the quality of decisions made. We have also introduced the personalised summary statement and regional mental function champions to improve the quality of face-to-face assessments.

If a claimant disputes a decision, however, we must be able to resolve the dispute within the DWP, whenever possible. If the dispute cannot be resolved within the DWP, we need to ensure that an effective and efficient dispute resolution procedure is in place. The DWP and Her Majesty’s Courts and Tribunals Service are working together to improve the quality of initial decision making to address the high levels of appeals while ensuring that fairness and efficiency are maintained.

Remploy

Debate between Esther McVey and Jim Shannon
Tuesday 16th October 2012

(12 years, 2 months ago)

Westminster Hall
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Esther McVey Portrait Esther McVey
- Hansard - -

Absolutely. It is not just inspiration, but the support of a good team. The independent panel has considered the comments of Scottish and Welsh representatives. I think a report will be coming out on that. The hon. Member for Aberdeen North (Mr Doran) and I met yesterday, and I hope that he now has a meeting with the CEO of Remploy. Straight away, I asked what we could do in the Aberdeen factory. All the points he raised with me about the assets, the factory and site ownership were dealt with this morning. I do not have the answers, but we are on to that. My phone lines are open. I am always here. If anybody wants to know anything more, I will be available to answer their questions.

Jim Shannon Portrait Jim Shannon
- Hansard - - - Excerpts

As I said earlier, we have something similar in Northern Ireland. Do the Government intend at least to seek it out and see how it works? The finance comes from the Northern Ireland Assembly and it does the same thing that Remploy does in England and Wales. A new Accept Care is opening in the north-east too, in Darlington, so some things are happening that could benefit us all.

Esther McVey Portrait Esther McVey
- Hansard - -

I will take advice from wherever it comes and that could possibly play a part in stage 2. I do not know how it could possibly go backwards and affect stage 1, but I will listen and consider what can be done for stage 2.

Question put and agreed to.

Social Mobility

Debate between Esther McVey and Jim Shannon
Tuesday 31st January 2012

(12 years, 10 months ago)

Westminster Hall
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Esther McVey Portrait Esther McVey
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My hon. Friend makes a strong point. That was one of the key things that came up when I went round schools on Merseyside, asking children what they needed to know, and what answers they wanted. Some asked, “How did you ever know what you wanted to become?” or “How do you know what jobs and opportunities are out there?” More importantly, they said they wanted to see people like them, from their backgrounds, who had achieved. I put together a magazine and distributed it free to more than 5,000 girls in Merseyside, and the people in it were role models such as Jo Salter, the first lady from the UK to become a fighter pilot; Louise Greenhalgh, the first to become a bomb disposal officer; Debbie Moore, the first woman to set up a plc; Lucinda Ellery, a single mum of three kids who has an international company; Jayne Torvill, the ice skater; and Emily Cummins, the inventor. All those people managed to overcome personal adversity to achieve, irrespective of where they came from. That was what made me look into character types and personality traits, which seemed so much more influential on where someone ended up than background or grades. Ambition, focus, being a team player, being positive and being able to complete a task, were key, and we need to tell children about those things, which give them hope. They do not need to know that they came from a certain background. They need to know that they need inner strength to achieve.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I congratulate the hon. Lady on bringing this matter to the House. I hope she will comment on social mobility for people who are disabled, and on the need for public transport to enable them to go where they want to be. Does she agree, and will she comment?

Esther McVey Portrait Esther McVey
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I will make one comment, because I worked with people who were able-bodied, and with others who were not so able-bodied. One in particular who was a huge inspiration to me was a young girl called Shelly Woods, who I hope will get an Olympic gold in the Paralympics. She was supported by other people and thought she could achieve, even though she had always wanted to do sport as an able-bodied person. She became paralysed in an accident playing hide and seek, when she fell out of a tree, and has lived both as an able-bodied person and as someone who is not able-bodied. Her story was poignant, and she talked about the vital strength and support of teachers and family members. I do not know whether I can give a clear answer to the hon. Gentleman’s point—I am sure that the Minister can—but I hear what he says; the support he speaks of is needed.

It is important to look in the round at what can be achieved. The coalition Government are doing that, because social mobility will not be achieved by a single initiative. It is a question of a host of interventions, providing small steps at various stages in someone’s life, to enable them to climb up. Social mobility appears to have stagnated in the UK in the past 30 years. Children’s educational outcomes are still overwhelmingly tied to their parents’ income. The OECD published “A Family Affair: Intergenerational Social Mobility across OECD Countries” as part of “Going for Growth 2010”; it shows the United Kingdom as among the countries where socio-economic background appears to have the largest influence on students’ performance. Although initiatives have been introduced in the past 30 years, it appears there has been little success.

Grammar Schools

Debate between Esther McVey and Jim Shannon
Tuesday 8th November 2011

(13 years, 1 month ago)

Westminster Hall
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Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.

Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Esther McVey Portrait Esther McVey (Wirral West) (Con)
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I congratulate my hon. Friend the Member for Dartford (Gareth Johnson) on raising this issue. All of us are saying that grammar schools provide excellent education for all children from all backgrounds. As my hon. Friend the Member for South Thanet (Laura Sandys) explained most powerfully, we would not necessarily know what schools people’s children go to when we are knocking on doors while out canvassing.

For me, the debate is about acknowledging grammar schools and the excellent work they do. It is also about acknowledging the part that they play in the educational system. There are a number of different kinds of schools, and grammar schools are just one, but we cannot run away from the fact that they do an excellent job. They need to be supported, and I am delighted that the Government are backing them, which will enable them to flourish.

Grammar schools produce consistent, successful results and well-rounded citizens and adults. I say that as a previous governor of Calday Grange grammar, which is 365 years old this year. I was most impressed by the way in which the parents there came together to support not only the school, but the pupils in it. I was also impressed by the community engagement there. If parents want grammar schools and support them—this one has been going for 365 years, and there are many more like it, not just in Wirral West, but right across Wirral—we must keep hold of them. Parents know what is right for their kids and they want these schools to keep going.

The successful results of grammar schools in Wirral West speak for themselves, so let me give just a couple of examples. On the average point score per student, Calday Grange grammar gets 34.5% above the average in the country, Upton Hall school for girls gets 37% above the average and West Kirby grammar gets nearly 40% above the average. On the five A to C grades at GCSE, Calday Grange grammar is 44.5% higher than the average, Upton Hall is 35.5% higher and West Kirby grammar school is 43.5% higher. That is outstanding, and it is part of the grammar school system. Why try to mend something that is not broken? Why take away something that is unbelievably successful?

Wirral grammar school for girls had a 100% pass rate for A-level students, with 43% of its pupils getting A* and A grades and 73% getting between A* and B grades. The school is unbelievably successful. It is ranked in the top 100 state schools in the country in The Sunday Times list.

My area desperately needs great schools—I can say that because I am from Merseyside. In fact, every area could say the same. That really is key when we look at the future generation we are creating and at social mobility. Grammar schools have to be the engines for social mobility in communities.

Grammar schools are academic schools, and our top universities look to them. More than 1,000 grammar school pupils went to Oxford and Cambridge after taking A-levels in 2008. In areas such as mine, grammar schools provide an outlet for academic potential.

We all watch BBC and ITV and select excellence in dancing, singing or some other kind of performance—nobody has a problem with that. We all vote on these things and say that someone can win because they are the best. Why do we have a problem with looking at academic excellence and selecting people in that way, when the whole country is quite happy to send in a text to vote in these shows?

Jim Shannon Portrait Jim Shannon
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Why do people vote for Russell Grant in “Strictly Come Dancing” if this is about excellence? I cannot understand that.

Esther McVey Portrait Esther McVey
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To be fair, I think that man has got move and groove and slinky hips, and I will be voting for him. As an ex-dancer, I was taken by his dancing abilities.

I welcome what the Government are doing. I welcome free schools and academies, because I believe in choice. The grammar schools in Wirral West are moving to become academies and following the academy route. As they progress towards becoming academies, I hope they will remain true to their beliefs, aims, aspirations and founding principles. I hope they will remain the same when they become academies. I hope that our support for them will allow them to flourish, that we do not change a winning formula and that we ensure that these excellent schools remain in our community.

What the coalition Government are doing is a refreshing change. They are offering choice, pushing for discipline, looking to support and encourage all sorts of schools and looking for achievement in every area. Yes, there must be academic achievement, but there must be achievement and fulfilment for every child. What some might do in academia, others might do through practical skills, while others might provide for their community in a very different way. I support all those kids, because they all have a talent; we just have to find out what theirs is and nurture them.