Early Parenthood: Supporting Fathers

Fiona Bruce Excerpts

Wednesday 30th January 2019 Westminster Hall

[Fiona Bruce (Congleton) (Con)]

Dads are good for lads—I know, because I have two boys—if only because they can share the interest of football. More seriously, it is true that fathers are good for sons in many ways. Anything we can do to support that relationship—and by we I mean the Government—we should do. I echo the respect expressed by others, which I share, for the Herculean task that single parents—most frequently, mums—do to bring up their children. Where we can, we need to look at how we can strengthen family relationships in a society where, today, over a quarter of children live with mum but not dad. More than one in seven are born into homes where there is no dad present.

The implications of that are serious; I will share a couple of sad statistics. The lack of a good male role model in young men’s lives is helping to lure them into substitute families: gangs. Apparently, most of the 50,000 or so young people caught up in county lines activities have come from homes where there has been no good male role model. Similarly, 60% of the sons of men in prison are likely to end up in prison, too. That statistic is even worse if both the father and a brother are in prison—it is then a 90% likelihood.

Those are staggering statistics that show why it is so important that we and the Government try to support families more. That support is positive for children and for the wider community.

[Eddie Hughes (Walsall North) (Con)]

I hope that later on in her speech my hon. Friend will refer to “A Manifesto to Strengthen Families”, which I believe has been endorsed by more than 60 MPs and has been available to Government for over a year now. It would be good to see some of its policies championed by Government.

[Fiona Bruce]

My hon. Friend makes an excellent point and I will indeed refer to it.

My hon. Friend the Member for Chatham and Aylesford (Tracey Crouch), who introduced the debate so well, referred to a CSJ report from this year. Another CSJ report, “Every Family Matters”, which was produced as long ago as July 2009, said very similar things, such as the importance of strengthening families and of having a good, strong input into a child’s life. Yet I have here an interesting statistic: 43% of unmarried parents split up before a child’s fifth birthday, but only 8% of married parents do. That is an interesting factor for us to consider: if we are looking at strengthening family life, we should not forget that supporting marriage is part of that.

Sadly, the UK has one of the highest rates of family breakdown among the 30 OECD countries. Just two thirds of children aged nought to 14 live with both parents. In the OECD countries overall, 84% of children of those ages live with both parents. Very interesting work is being done on the link between those factors and British productivity, which is 18% below the OECD average.

[Tim Loughton]

I admire my hon. Friend’s determination to promote marriage, but I must give a plug for my private Member’s Bill on civil partnerships, which, if it passes through the Lords, will make civil partnerships available for opposite sex couples by the end of this year. They would be an additional incentive for those couples to stay together, as overseas statistics show, particularly for the good of the children.

[Fiona Bruce]

It is so important that we do what we can. In the very short time that I have left, I will touch on some of the practical policies in “A Manifesto to Strengthen Families”, which more than 60 Members of Parliament support, and express a degree of frustration that the Government have not taken them up more practically. I know that individual Cabinet Ministers are very interested, but in order to see some real progress we need a senior Cabinet-level Minister who is responsible for drawing together the manifesto’s several policies.

I will touch on some of the manifesto’s policies on fathers. Policies 8, 9 and 11 talk about promoting the importance of active fatherhood in a child’s life. Policy 8 says:

“Maternity services should maximise opportunities to draw fathers-to-be in early.”

Policy 9 proposes that, where appropriate,

“The Government should…require all fathers to be included on birth certificates.”

Policy 11 proposes that “high quality marriage preparation” should be available at a cost-effective rate for young people thinking of getting married.

Finally, one of our key policies is the promotion of family hubs. As we have heard, children’s centres are not always as effective as they need to be. Families need support bringing up children, not just aged nought to five, but nought to 19. In the teenage years particularly, the input by fathers into their sons’ lives is often critical. We believe that it would be really positive to have family hubs in each local community, to support families at every stage of a child’s development.

I am disappointed that the Government have not taken that up more strongly. We shall continue to persevere and to press them to do so. The good news is that many local authorities have taken up those ideas very strongly and family hubs are springing up across the country. I invite colleagues to a family hubs fair, which will take place on 14 February. It is convened by Westminster City Council, which is setting up its own family hubs. The fair will flagship best practice from local authorities across the country that have set up family hubs, specifically to show how we can best support families with children. I am sure that there will be many examples of how we can best support fathers to engage in their sons’ lives, which is such an important thing on which we need to focus.

--- Later in debate ---

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

I have enjoyed listening to everyone’s contributions this morning. It is often said that MPs do not live in the real world, but we have heard some frank accounts this morning that very much prove that we do; we do share those experiences. I am proud of my hon. Friends who have been raw in their accounts of fatherhood. I hope that my hon. Friend the Member for Moray (Douglas Ross) has not been put off by any of the things he has heard today.

The tone for the honest and frank accounts was set by the opening comments by my hon. Friend the Member for Chatham and Aylesford (Tracey Crouch), who was characteristically honest in her expositions. I am grateful to her for obtaining this debate. It is time that we gave a big shout-out to dads.

The hon. Member for Ealing Central and Acton (Dr Huq), who is no longer in her place, mentioned the 400,000 single-parent families headed by dads. My partner was one of those 400,000; he raised his son alone for the first 10 years of his son’s life. It is often challenging for single dads, as things are focused on the mums. When he first started taking George to primary school, he was viewed as a bit of a curiosity by the mums and the teachers. A lot of low-level discrimination takes place towards dads in those circumstances, which we ought to be more alive to. That is probably symptomatic of discrimination towards dads. We have heard frankly today that it is all about the mum and the baby, and that the dad is a spare part. My hon. Friend the Member for East Renfrewshire (Paul Masterton) described driving home, having gone through the trauma of childbirth, and asking, “What happens now?”, then not being able to visit mum the next morning. Collectively, society needs to be a lot more understanding and welcoming of the father’s role in those early days, weeks and months, not least because it gives children the best possible start in life if dad is fully engaged.

We know that now, more than ever. My hon. Friend the Member for South West Bedfordshire (Andrew Selous) is my conscience on these issues. He constantly emphasises to me that good-quality relationships are critical for every member of the family. He is absolutely right. Where society can bolster that, obviously we should take those steps. He has highlighted some things for me to look at, and I assure him that I will.

Childbirth and parenthood is life-changing and my hon. Friends have shared their experiences to illuminate that. Having support from a father as well as a mother is extremely important. We know that there are very real barriers to that involvement, including the pressures of work, which a number of colleagues have alluded to, particularly where employers in particular fields of employment are less than understanding about the fact that family is dad’s work as well as mum’s. That is something that we need to tackle. We have mentioned that services are not always tailored to dad’s needs as well as those of mums.

There is a general lack of information. A life-changing thing happens, and people are kind of expected just to suck it up and go along with it. It can be extremely challenging and scary, so we need to be more understanding of that. We also need to be cognisant of the fact that it is the time of most acute stress and strain on relationships. It is probably the riskiest time for relationship breakdown. We need to make sure that wraparound support is available to dads who need it.

I would like to say that I was satisfied with progress. It is true that progress is being made, but the debate, and the research that has been mentioned, show that we need to do more. Among the things that we are putting in place and expect to deliver, our first steps clearly need to be in maternity services. We believe that they should do more to maximise fathers’ involvement, at a time that clearly offers the most important opportunity to engage them in the care of their partner and the upbringing of their children. I can tell my hon. Friends who did not have that experience that we have invested £37 million to support the involvement of fathers in labour and post-natal units, including en suite rooms and double beds adjacent to maternity wards. Clearly, that would be a much better experience for new fathers, and we will make sure that that arrangement is rolled out more and more. National Institute for Health and Care Excellence guidance states that women, their partners and their families should always be treated with kindness, respect and dignity. We need to make sure that that is done properly. Scrutiny will be through Care Quality Commission inspections, which will be designed to ensure that maternity services deliver what we expect.

Interestingly, according to CQC’s survey of women’s experience of maternity care, 96% of women said that their partner was able to be involved as much as they wanted during labour and birth. Clearly that is not consistent with the figures that we heard today, but the explanation is probably that the question was asked of mums rather than dads. It illustrates what has been said about feeling like a spare part. My hon. Friends have been honest about their emotions at the time in question, and we know that men are not always frank in exposing their emotions. What the survey tells me is that a mum does not always know that the dad feels completely useless and like a spare part. That tells us that we have an issue to tackle. Seventy-one per cent. of women said that their partner or companion was able to stay in hospital with them as much as they wanted, but that is not borne out by the feedback today. My message going out to the health services is that in addition to inspections and standards there needs to be much more sensitivity and leadership, to make sure that dads are properly considered during such an important period.

I constantly challenge the instinctive prejudice within the system to spend the considerable amount of resource that the Government make available to the NHS on clinicians and clinical support, when we know that wraparound services, as often provided by the voluntary sector, are complementary to the services given by health professionals. When we are talking about supporting families and giving children the best start in life, the voluntary sector can obviously play a part. We have heard good examples of that today.

To move the subject on from birth to early parenthood, children clearly do better when both their parents are involved in their life. Where relationships are less strong, there is a risk of poorer outcomes in the long run, as we have heard today. The quality of fathers’ involvement matters more than the quantity of time they spend with their children and partner. We need to champion those who support their partners, which is facilitated by a father’s bonding with their baby or young child. When a father is an active parent, the secure attachment that is built as a consequence makes a big difference to the child as they develop their own relationships and resilience; it leads to better outcomes in life. For fathers it can be a positive experience, often helping them to re-engage with education, employment or training, and altering their outlook on life. My hon. Friend the Member for Chatham and Aylesford shared the experience of her partner’s doing exactly that.

How can we best support fathers in doing what I have described and exploring how to have the most satisfactory parenting experience? I see health visitors as our army in doing that. We have clear expectations about their work with new families. They keep an eye on them, with a view to getting the best outcomes for children and making sure that the family environment is secure. I see health visitors in that way because they often build a less formal and deferential, and more trusting, relationship with the new family. Often they are the only person who interacts with the dad. We shall be expecting health visitors to do much more to support fathers in the early months and years of a child’s life. We expect them to work to ensure that fathers are part of the holistic assessment of family fitness.

Where possible, both parents should be included in health reviews. I have heard the messages from various Members who said that that was not their experience, and we shall give a clear set of messages to the system about addressing that. Such an approach can only boost the chances of intervening early and getting proper support for the mother, the child and the father when it is needed. In doing my job I have been moved by health visitors’ accounts. We know that post-birth is a challenging time for mums, when they are most at risk of poor mental health. The feelings of isolation and helplessness on dads’ part in those circumstances are extremely difficult, and health visitors are incredibly well placed to provide support then, and steer them towards additional help.

[Fiona Bruce]

Will that encouragement of fathers include the time before the birth? As I understand matters—this is from CSJ—only about a third of fathers with a household income below £20,000 attend antenatal classes, compared with two thirds of those who are better off. One inhibiting factor is that if people cannot get a free antenatal class, a three-day course costs about £350. That is a lot of money for those who are already financially stretched.

[Jackie Doyle-Price]

The package of support that we are putting together, in terms of the continuity of carer, starts before birth and is designed to involve both parents. We are aware that there will be constraints on individuals’ ability to participate, and we need to make sure that the system is cognisant and respectful of that, and that it can make the relevant changes. My hon. Friend’s point is well made.

We need to promote initiatives such as Offload—a Warrington project for men aged 18 and over, in collaboration with rugby league. It helps men to learn the mental fitness techniques of professional sports players, to understand their own needs and help them cope. Such initiatives will enable new dads—because there is an issue with men facing up to mental health challenges—to reach out and get support from their peers.

The hon. Member for Ogmore (Chris Elmore), who is no longer in his place, raised the issue of loneliness, and my hon. Friend the Member for Chatham and Aylesford has done a great deal of work on that. Every father and family will have their own individual story. There is nothing like a life-changing experience to make one feel lonely, because all the familiar support networks are thrown in the air. We will expand social prescribing across healthcare services, so that all GPs can refer lonely patients to voluntary and community organisations. I reiterate that there is a role for the commissioning of the voluntary sector to do important work leading to better health outcomes. We will support spaces for community use, working with local groups to pilot ways to use space, to test how that can improve social connections. We need to make sure that we are keeping our eyes open for signs of loneliness, so that trusted support is given early.

In the short time I have left, I want to go further into the topic of mental health. Colleagues mentioned that 10% of fathers suffer mental ill health at the time of a child’s birth. We need to do more to support them. The “DadPack” used in Cornwall to help young fathers is a great development, and I want to champion all such models. I thank colleagues for the examples they have given.

We have had an excellent debate. It is only the start of our trying to do better at supporting dads and young families. I look forward to engaging with hon. Members on this important issue.

Question put and agreed to.

Resolved,

That this House has considered supporting fathers in early parenthood.

Children with Life-limiting Conditions

Fiona Bruce Excerpts

Tuesday 29th January 2019 Westminster Hall

[Fiona Bruce (Congleton) (Con)]

It is humbling to follow the hon. Member for Swansea East (Carolyn Harris). I want to put on record my respect for her campaigning on this and other issues, and for my constituency neighbour and hon. Friend the Member for Eddisbury (Antoinette Sandbach).

I commend the work of the Donna Louise Children’s Hospice in Stoke-on-Trent, which provides children’s and young people’s hospice services across Staffordshire and south-east Cheshire. It has written to me this week—given that time is short, I will pass the Minister a copy of the letter after the debate. It talks about the quality of palliative care as patchy:

“The way in which NHS CCGs and local authorities plan, fund and monitor children’s palliative care in hospitals, children’s hospices and the community represents”—

as we have heard—

“a postcode lottery. Staffordshire has no coherent plan and this is reflected in the poor financial support the Hospice receives from local commissioners. Donna Louise receives 8.9% of its income from the NHS”.

The hospice calls on the Government and NHS England

“to consider appropriate mechanisms to bridge the children’s palliative care accountability gap.”

I want to spend most of my speech talking about an issue that I know is uncomfortable for some people to hear about. For that reason, I am delighted that you are in the Chair, Ms Dorries, because you have spoken about this issue on a number of occasions. Many families face a difficult decision when a child in the womb is diagnosed with a life-limiting or life-threatening condition. This is not a small issue: in 2017 there were a total of 3,314 ground E abortions on the grounds that the child was diagnosed with a substantial risk that, if born, they would suffer from physical or mental abnormalities, such as being seriously handicapped. Parents have to make really agonising decisions.

A few years ago, I held an inquiry in this place on the difficult situations that parents face when their child is diagnosed in this way and they have to consider an abortion. We took evidence from dozens of witnesses. Some had come under huge pressure to have an abortion, and the support they were given to consider keeping their baby was very limited. Many told us that they were steered towards an abortion, and they felt like the medical profession was irritated by them. Many felt like they were given no information on the support they might get; often the best information they got was through contacting charities, which could put them in touch with parents who were bringing up children—often very successfully. Those children brought great joy to their families, but the medical professionals did not give the families the information they needed to make a decision that was right for them. Some told us that all they received was a leaflet telling them how to have an abortion. The mothers who had kept their children, even if it was for a very short time, felt like they could grieve and care for their children in a way they had not been able to do otherwise. One mother had to have an abortion with her first baby and then decided she would keep the second, even though she knew the condition was life-limiting. She felt like there was a much better outcome for her and her family’s going through the grieving process.

The inquiry made a series of recommendations—I will pass a copy to the Minister because time is very short. I hope she will consider them and respond to me. Many people generally find this issue a very difficult one to address, as do—I am sorry to say—Ministers. Many of the recommendations in that report, which was published a few years ago, are still valid today. We recommended that guidelines for the medical profession should include training for obstetricians, foetal medicine specialists and midwives on the practical realities of the lives of children who have such conditions, so that they can better advise parents and give them better information when they make this difficult decision. One parent summarised what many others reported:

“Guidelines and standards need to be set in place”

so that all hospitals can meet a certain standard. Can the Minister assure me that she will look at our report and perhaps produce guidance to ensure that all mothers feel like they can make a genuinely informed decision when they are carrying a baby with a life-limiting condition? Does she agree that we ought to provide much better information, so that parents in such circumstances can make an informed choice?

[Ms Nadine Dorries (in the Chair)]

I am afraid that I will now have to put a formal time limit of four minutes on Back-Bench speeches.

Oral Answers to Questions

Fiona Bruce Excerpts

Tuesday 8th May 2018 Commons Chamber

[Jackie Doyle-Price]

The right hon. Gentleman rightly identifies problem gambling as another important contributory factor to mental ill health. When it gets out of hand, it can lead to considerable stress. We will of course work with the Department for Digital, Culture Media and Sport to ensure that we have the right regulatory processes in place, as well as ensuring that we are giving support to those who need it.

[Fiona Bruce (Congleton) (Con)]

Does the Minister agree that, when children and young people have mental health challenges, it is important wherever possible to engage with their families to help them to overcome them?

[Jackie Doyle-Price]

What my hon. Friend says is self-evidently true. We are putting in more help in schools through the Green Paper, but we also need to ensure that we are engaged with families much earlier than that. We have the health visitor programme, and those visits help to build relationships with parents. We have also taken action on specific issues, including the initiative relating to the children of alcoholics. We will continue to focus support where it is needed.

Breast Cancer Screening

Fiona Bruce Excerpts

Wednesday 2nd May 2018 Commons Chamber

[Mr Hunt]

My hon. Friend may well be right that we need to do that, but what I would like to do first is to see the outcome of this review, what the lessons are and what precisely it says about the quality assurance that applied in this case, and then make a judgment about the implications for the rest of the NHS.

[Fiona Bruce (Congleton) (Con)]

I thank the Secretary of State for the genuine personal concern that he has shown today and for his determination to get to the bottom of the matter. Will he continue to keep the House and, more importantly, the public and any women affected informed as further information comes to light?

[Mr Hunt]

Yes, I am happy to give that assurance. The number of people affected is only an estimate at the moment, but there will obviously be great interest in the House and in the country in what the actual number ends up being.

Cancer Treatment

Fiona Bruce Excerpts

Thursday 19th April 2018 Commons Chamber

[Fiona Bruce (Congleton) (Con)]

In the short time that I have to speak in this debate, I should like to focus on two areas. I want to talk about the important progress that needs to be made in the drive to fight prostate cancer and also, briefly, about the need for more attention to be given to the link between alcohol consumption and several cancers. First, let me say that I appreciate the fact that the Government are committed to improving the cancer services offered by the NHS, and to making the UK a world leader in cancer research, diagnosis, treatment and care. Many innovations have been introduced, including the cancer drugs fund and the implementation of the independent cancer taskforce’s strategy. Cancer survival rates are now at a record high, and our access to the world’s leading cancer drugs continues to improve. However, there is always more to do, and that is certainly the case with regard to prostate cancer.

Prostate cancer is the most common cancer in men in the UK. It affects one in 10 men, so barely a family in the land will be unaffected. Indeed, my own grandfather died of it. More than 40,000 men were diagnosed with prostate cancer in 2016, and just over 10,000 men die of it each year. It is relatively rare in men under 50, but it gets more common as men get older, and the average age of diagnosis is between 70 and 74, which is often too late. It has been recognised that earlier diagnosis is the key. The Prime Minister and Health Ministers have considered what more can be done on prostate cancer, and they are looking at a range of options for further activity and taking expert advice. It is clear that the strongest chance of health gain lies in more research—particularly research that focuses on early diagnosis—together with innovative new treatments and care for men with prostate cancer.

I am pleased that, just a few days ago, the Prime Minister announced a very welcome £75 million plan to launch new research into prostate cancer. This will build on the already strong portfolio of prostate cancer research being done, and on the considerable investment that is already being put in. I know that the Department of Health and Social Care works closely with Cancer Research UK, Prostate Cancer UK, the Medical Research Council and others via the National Cancer Research Institute, which is a strategic partnership of the major UK funders of cancer research, and that the spending by that partnership on prostate cancer increased from £17 million in 2011-12 to £26 million in 2015-16.

As I say, more needs to be done, and the Government have indeed announced that substantially more will be done to help the thousands of men affected by this disease every year get treated earlier and faster. More than 40,000 patients will be recruited into prostate cancer studies over the next five years. Those studies will include trial testing, keyhole surgery, different types of radiotherapy, high-intensity focused ultrasound and cryotherapy. Other studies are seeking to identify predisposing hereditary genes, which could help to identify men at high risk, and this will include focusing on men with a family history of prostate cancer and also on black men, one in four of whom will develop the disease. Work will continue on supportive interventions, including exercise and dietary advice, and on the one-stop cancer shops being piloted in 10 areas to catch cancer early and speed up diagnosis, particularly for those suffering with less obvious symptoms. I appreciate the Secretary of State’s announcement that these plans will refocus the Government’s efforts to develop new treatments in this field.

I now want to touch on the link between alcohol and cancer. Over recent years the Government have exhibited admirable leadership by introducing a range of tobacco control legislation, helping people to reduce smoking, and they are now doing similar work to tackle obesity. Those are both high cancer triggers, and I applaud the Government for that work. Perhaps less recognised is the fact that alcohol can also be a cause of cancer.

As chair of the all-party parliamentary group on alcohol harm, I believe that this issue needs more attention from the Government, in the same way as they have looked at smoking and obesity. Indeed, consuming too much alcohol can increase the risk of at least seven types of cancer: bowel; breast; laryngeal, or cancer of the voicebox; liver; mouth; oesophageal, or cancer of the foodpipe; and pharyngeal, or cancer of the upper throat. Without being conscious about how much we drink, there is a risk that many people are drinking in a way that causes those cancers and that is preventable.

I ask the Government to do more to encourage people to drink responsibly to reduce cancer risks, as well as many other health risks. One way would be for the Government to help people better understand what 14 units a week, the amount in the chief medical officer’s guidelines, really means. I also ask the Government to meet me and the all-party group to discuss improving the labelling of low-alcohol and non-alcoholic drinks. That would do much to help change habits, promote responsible drinking and prevent cancer and other health risks that can come from drinking even slightly above the chief medical officer’s guidelines.

Surgical Mesh

Fiona Bruce Excerpts

Thursday 19th April 2018 Commons Chamber

[Fiona Bruce (Congleton) (Con)]

I echo the comments of many hon. Members and express my deep concern for all women who have experienced debilitating and sometimes severe pain and discomfort following the use of vaginal mesh. In all our considerations of the use of such devices, their health, safety and wellbeing must be our first concern.

I welcome the Government’s recent announcements of Baroness Cumberlege’s review of the use of vaginal mesh and two other areas of medical safety—the use of valproate and Primodos. I was in the Chamber when the Secretary of State for Health announced that review on 21 February and I could tell from the tone of his announcement, not just the content, that he personally cares very greatly about the women affected by this issue. He wants to ensure that lessons are learned wherever possible, so that care can improve to ensure that each woman gets the treatment that is right for her—the best that can be provided for her as an individual. I am sure that the Minister shares that view.

The Secretary of State said:

“It is an essential principle of patient safety that the regulatory environment gives sufficient voice to legitimate concerns reported by patients, families and campaigners, works alongside them and responds in a rapid, open and compassionate way to resolve issues when these are raised.”—[Official Report, 21 February 2018; Vol. 636, c. 166.]

Ministers want to ensure that we do better in future where necessary, and to ensure that patient voices are brought to the table. I support the review and I want to ensure that justice is done for all women who have concerns about the use of vaginal mesh. We need to ensure that we maintain public confidence.

[Chris Elmore (Ogmore) (Lab)]

On the hon. Lady’s comments about justice being done, I have been approached by two constituents who have been greatly affected by vaginal mesh. One of them is unable to work. She has to be lifted up to walk as she cannot stand by herself, so she needs carers. Does the hon. Lady agree that in many cases it is not only justice that is needed, but compensation? As the Chair of the Health Committee said, we need to start looking at compensation for some women. My constituent is in her early 50s and can no longer work.

[Fiona Bruce]

That is something that I have said not only about this issue, but about the use of valproate. It is important that we pay close attention to the experiences and difficulties that patients have endured. We need to be more open to learning what we can from their experiences, making changes where necessary and—as the hon. Gentleman says—examining where compensation should be sought for them.

Baroness Cumberlege has been instructed to look comprehensively at the whole issue. The Government want to listen. We have all seen examples in which people have appeared to listen to concerns, nodded their heads and then gone away and done nothing. That is not what is happening here. I believe that the Secretary of State and Ministers not only want to listen carefully to concerns on this issue, but stand ready to act appropriately. For that reason, I think the proposal in the motion for a full public inquiry is inappropriate at this stage. We need to give time for Baroness Cumberlege to report. We need to urge that that be done urgently, and we need to ask Ministers questions.

I have some questions of my own for the Minister. What is the timescale for the review and what progress has been made already? Does the Minister agree that introducing an outright ban would be inappropriate before the review? Can she assure the House that the new NICE guidelines which recommend against first use of the surgical mesh to treat pelvic organ prolapse are being carefully followed throughout the NHS? Is it correct that in the vast majority of instances the use of surgical mesh has proven to be an effective intervention that has enabled many women to live happily and independently after surgery? I believe that some 1,500 women receive vaginal mesh implants each year and the majority respond well. If that is correct, it is important to balance that against the distressing individual cases that we have heard about today. I also understand that the high rate of success for the use of surgical mesh to treat hernias suggests that an outright ban would be rash at this stage, and certainly premature before the Cumberlege review reports.

What information can the Minister provide on the recent development of a new material for surgical mesh implants? What more information do we have about how that is expected to reduce discomfort because of its greater likeness to human tissue? Can the Minister update the House on what progress is being made to improve GPs’ awareness of SUI and POP and how best to treat those conditions, so that women are given the most appropriate treatment for their circumstances? Will the Cumberlege review take into account international research on this issue? We have heard some mention of it today, but I understand that no other jurisdiction has imposed an outright ban on the use of mesh.

In conclusion, the Secretary of State has made it clear that we are building on substantial work from over the past few years—the Cumberlege report comes on the back of a lot of other work, and I hope the Minister will confirm that that will all be taken into account. I ask Members to await that report before we make any final decision. Professor Keith Willett brought forward the 2017 Mesh Oversight Group report, which followed the Mesh Working Group interim report in 2015. He said that

“there has been significant progress since this work began. Information available to women and clinicians is now better and more consistent, data recording has been improved, including of complications, and women can now be referred to multi-disciplinary teams of health professionals with the experience necessary to advise women who are experiencing complications from mesh surgery on their treatment options.”

John Wilkinson, Director of Devices at the Medicines and Healthcare Products Regulatory Agency, stated:

“We continue to see that evidence supports the use of these devices in the UK for treatment of the distressing conditions of incontinence and organ prolapse in appropriate circumstances.”

We must ensure through this review that every circumstance in which these devices are used is appropriate, and that the women involved feel confident of that.

Mental Health Services: Children and Young People

Fiona Bruce Excerpts

Thursday 8th March 2018 Commons Chamber

[Mr Speaker]

Order. Many right hon. and hon. Members are seeking to catch my eye, but I remind Members that there are business questions immediately after these exchanges, followed by an important statement by the Home Secretary. Thereafter, the debate on International Women’s Day is heavily subscribed, so there is a premium on brevity from Back and Front Benchers alike, and I want to move on, whether we have incorporated everybody or not, no later than 11 o’clock. Single-sentence questions are much to be preferred.

[Fiona Bruce (Congleton) (Con)]

I commend the Government for promoting the Emotionally Healthy Schools project, which, in my constituency, is working well and engaging not just children who have challenges, but their families. Does the Minister agree that helping children with their mental health challenges needs to involve, wherever practical, their families, family relationships and inter-parental relationships, as recommended by the Early Intervention Foundation?

[Steve Brine]

As ever, my hon. Friend makes a point about families. I said that we are already rolling out mental health first aid training to every secondary school, which is of course important, and we are also committed to rolling out mental health awareness training to all primary schools by 2022, but to coin a phrase, it takes a village. This is about the state—of course, schools are part of that—but also the third sector, which has an important role to play. It is also absolutely about the love, support and Christian embrace of families.

Medicines and Medical Devices Safety Review

Fiona Bruce Excerpts

Wednesday 21st February 2018 Commons Chamber

[Fiona Bruce (Congleton) (Con)]

I thank the Secretary of State for the compassionate tone that he has struck today, and for taking account of the years for which many campaigners, such as Janet Williams and Emma Murphy, have tried to make their voices heard, on valproate in particular. If, following the review, various medicines or medical devices are found to be unsafe—or, indeed, to have been taken unsafely—will there be legal consequences for the regulators who should have acted differently?

[Mr Hunt]

The simple answer to that question is yes: there are legal consequences for regulators who have failed. In that instance, it would be the responsibility of the Government, or of the drugs companies who failed in their responsibility to inform patients of the dangers of taking drugs. The priority is to establish the facts. Some of those are clear now, but some are not, and that is why I think that the review will help us.

Acute and Community Health

Fiona Bruce Excerpts

Thursday 8th February 2018 Commons Chamber

[Stephen Barclay]

I referred earlier to my desire to work on these issues with members of the Health Committee, who include my hon. Friend, and I shall be happy to look into the points that he has raised. The previous statement was about the culture in the House of Commons. I think that what goes to the heart of my hon. Friend’s question and the matters that we are discussing is that issue of culture, and the need for the culture in pockets of the NHS to change. My right hon. Friend the Secretary of State has done a great deal to bring about such change, particularly in respect of patient safety, but I shall be happy to work with my hon. Friend to take that further.

[Fiona Bruce (Congleton) (Con)]

What lessons can be learnt by Liverpool Community Trust—and, indeed, by other underperforming trusts—from the successful turnaround of some 20 trusts under the Government’s new special measures scheme?

Oral Answers to Questions

Fiona Bruce Excerpts

Tuesday 6th February 2018 Commons Chamber

[Chris Skidmore (Kingswood) (Con)]

rose—

[Fiona Bruce (Congleton) (Con)]

rose—

[Mr Speaker]

Order. We might hear from the hon. Member for Kingswood (Chris Skidmore) later, but I say to him in all friendly courtesy that while Kingswood no doubt has a great deal to be said for it, as does Congleton, both have one thing in common, and that is that they are a very long way from northern Lincolnshire.