Excess Death Trends

Debate between Gary Streeter and Grahame Morris

Tuesday 16th January 2024 Westminster Hall

[Grahame Morris (Easington) (Lab)]

It is a pleasure to serve under your chairmanship, Sir Gary. I congratulate the hon. Member for North West Leicestershire (Andrew Bridgen) on securing this debate. It is important that Parliament considers all the available evidence. As you might expect, Sir Gary, I have to declare an interest: I am vice-chair of the all-party parliamentary group for radiotherapy. I am a supporter of Action Radiotherapy and an advocate for the Catch Up With Cancer campaign. The two issues that I will highlight are delayed access to cancer treatment and health inequalities.

Inequitable access to and availability of radiotherapy services are leaving the UK lagging behind other countries in cancer outcomes. That was true before the pandemic and it was amplified by the delayed diagnosis and treatment caused by the pandemic. I hope the Minister is well versed in the arguments, but I am always happy to meet if it would help to advance the cause of the campaign and promote the idea of accessing this cost-effective life-saving treatment.

There is no doubt that covid-19 impacted routine access to healthcare. It is little comfort to those protected from covid through cancellations and delays to routine services and treatment if the outcome for them is delayed cancer diagnosis, with the inevitable impact on prognosis and delayed treatment. I do not always agree with the hon. Member for North West Leicestershire, but never again can the whole NHS be subverted to deal with a single illness or condition, no matter what challenges we face. As other Members have highlighted, cancer is not the only condition affected in this way.

Health inequalities are also an important issue, and I hope the Minister is aware of a recent report by Professor Peter Goldblatt of University College London entitled “Health Inequalities, Lives Cut Short”. The report considered the life expectancy of people across England and Wales, and it is clear that those in the poorest areas suffer the worst health inequalities. Economic inequalities affect health outcomes, and my constituency is on the frontline of health inequalities. We have the worst rate of chronic obstructive pulmonary disease in the UK, the highest levels of obesity and the third highest rates of epilepsy. We are well above the national average for diabetes, heart failure, depression and dementia.

For me, this is political. The hon. Member for North West Leicestershire said that this is not a political issue, but a public health issue—but public health is a political issue. In 2024, as in 1997, I expect it will once again fall to a Labour Government to begin the process of fixing the years of Tory neglect and mismanagement. For my constituents—the communities of east Durham—the general election cannot come quick enough.

[Sir Gary Streeter (in the Chair)]

You were doing so well until that point. I call Miriam Cates.

Caring Responsibilities

Debate between Gary Streeter and Grahame Morris

Wednesday 15th June 2011 Westminster Hall

[Grahame M. Morris (Easington) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Streeter, for the first time in a Westminster Hall debate. I echo the tributes to my hon. Friend the Member for Edinburgh East (Sheila Gilmore), whom I congratulate on securing this important debate on the effects of spending reductions on families with caring responsibilities, not least because of the important changes being made in the House of Commons in the Welfare Reform Bill.

I want to confine my remarks to a couple of issues, because of the shortage of time. A survey of more than 2,000 carers was recently carried out for carers week. It shows that 80% of unpaid carers are worried about cuts to services and that about 50% are unsure how they will be able to cope without the vital support that they currently receive. For the record and for anyone who is not involved directly as a carer, it is worth stating that three out of every five people will be an unpaid carer at some point during their lives. To respond to the point made by the hon. Member for Banbury (Tony Baldry), those unpaid carers save the economy a huge sum. It is difficult to quantify it, but it may be more than the total NHS budget—£103 billion each year.

We have done some research in County Durham. I am proud to speak up for the vulnerable, the disabled and for carers. My county alone has 61,000 carers and the estimated moneys saved to the public purse by the very important work that these unpaid carers carry out are £1 billion a year. We should not be dismissive of their needs and requirements. Each carer who works for nothing saves the Government, the taxpayer and the Exchequer the cost of a care worker, which is about £18,000 a year.

My own constituency of Easington is characterised by long-term ill health. As the hon. Member for East Londonderry (Mr Campbell) has mentioned, many carers, particularly in my area, are themselves victims of ill health. That was highlighted by a recent report by Carers UK. The legacy of coal mining and heavy industry has left many thousands of people debilitated in later life by long-term disabilities and in need of care, which is often provided not by the state, but by close family members.

I shall speak briefly about a number of issues. In particular, I want to draw Members’ attention towards, and place on the record, the effects being felt by some of my constituents as a result of the transport costs they now face due to local government cuts, and towards respite care, which has been mentioned. I also want to ask the Minister a couple of questions—I hope that she will answer them—about carer’s allowance and the provisions in the Welfare Reform Bill.

A constituent who came to see me recently is a full-time carer for her husband. She has one day a week of respite care. Her husband attends a day-care centre in Grampian House, in Peterlee in my constituency, once a week for four and a half hours. That is the only break she has. It is an excellent facility and I pay tribute to its care staff. I have visited it myself and a close relative of mine is in there. They do tremendous work in terms of physiotherapy and rehabilitation. However, from September, due to the front-loading of cuts of £67 million this year to my local authority of Durham county council, transport to the centre will be cut. It will cost my constituent £72 for specialist transport, which means that she will not be able to take her break and take advantage of the respite care.

The issue of transport has been raised by many of my constituents. They understand that cuts to social care by local authorities are due almost entirely to the swingeing, front-loaded cuts that the Government have imposed. Councils are struggling to cope with massive funding reductions from central Government.

People are also aware of the impact that the Government’s £18 billion package of cuts to the benefits system will have on carers in particular. The Government accuse Labour of rejecting welfare reform, but I am proud to say that we stand firm on the principle that the most vulnerable should not be paying that £18 billion when some of the richest in society—most notably, the bankers and the banking sector—contribute only between £2 billion and £5 billion to the cost of the deficit.

I shall conclude my remarks, because time is short. Another big issue that has been raised is that of ring-fencing moneys for social services, with a distinctive sum identified for carers’ services—the carer’s grant. Although it was not ring-fenced under the previous Government, councils at least knew how much money they were receiving for that purpose. The Minister has responsibility for public health and I would like to congratulate my own soon-to-disappear primary care trust, County Durham PCT, on clearly ring-fencing, identifying and spending its allocation from the Department of Health on the provision of respite care for people with disabilities and their carers.

How will the Government fulfil their pledges to improve the support for carers in the face of massive cuts to local government? How will the Government ensure that the proposed reforms, outlined in the Welfare Reform Bill, do not result in carers losing their carer’s allowance? The Government could give two promises that would give confidence to those who are most vulnerable and most in need. First, budget cuts should not result in carers losing the services that they rely on. Secondly, carers should not lose out under changes to the benefits system.

[Mr Gary Streeter (in the Chair)]

I call Rosie Cooper, who has four minutes.