Defibrillators Debate
Full Debate: Read Full DebateGavin Williamson
Main Page: Gavin Williamson (Conservative - Stone, Great Wyrley and Penkridge)Department Debates - View all Gavin Williamson's debates with the Department of Health and Social Care
(5 months, 1 week ago)
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I beg to move,
That this House has considered public access to defibrillators.
It is a pleasure to serve with you in the Chair, Dame Maria.
Every year, 160,000 deaths—nearly a quarter of all deaths in the United Kingdom—occur as a result of heart and circulatory diseases. Of that figure, an estimated 100,000 people die each year from sudden cardiac arrest. Shockingly, the survival rate for out-of-hospital cardiac arrest has been persistently low, at around 8.5%. There is an urgent need for parliamentarians and the Government to improve the survival rate and radically change the way we approach cardiac arrest.
As chair of the all-party parliamentary group on defibrillators, I have heard some deeply moving stories that have led me to conclude that public access to defibrillators should be one of the Government’s foremost priorities. The APPG has undertaken a detailed inquiry into public access to defibrillators, which was published today. Its primary aim is to understand the impact of out-of-hospital sudden cardiac arrest and the need for improved public access to defibrillators. The plain reality is brutal: without defibrillation or cardiopulmonary resuscitation, someone’s chances of surviving cardiac arrest drop by 10% every minute. If a sudden cardiac arrest victim does not receive CPR or defibrillation within 10 minutes, they are unlikely to survive.
The quicker a defibrillator can be accessed, the more likely someone is to survive cardiac arrest. However, the APPG found that there are considerable regional disparities in access to defibrillators. The National Institute for Health and Care Research found that deprived areas had far more limited access: while 45% of the most affluent areas had at least one device, the figure was only 27% for the most deprived areas. Further, according to the journal Heart, people in England and Scotland’s most deprived areas are between 99 metres and 317 metres further away from their nearest 24/7 defibrillator than those in more affluent areas. Rural areas are also at a significant disadvantage: while 64% of urban areas have at least one device, the same can be said for only 36% of rural areas. Ambulance response times in rural areas are also considerably slower than in urban areas, heightening the risk of death by cardiac arrest. That should make access to defibrillators an imperative in those areas, but, much though I would like it to be, that is not currently the case.
Given the sad truth that socioeconomic factors, education, diet and stress can increase or decrease someone’s chances of cardiac arrest, that all goes to show that we need to improve public access to defibrillators significantly, especially in disadvantaged communities.
I congratulate my hon. Friend on securing the debate. I know that he has done so much on this issue. In Stone in Staffordshire, we have the amazing charity AEDdonate, which does so much on installing defibrillators. One of the key points that it always hammers home is the importance of having defibrillators registered so the emergency services know where to direct people. Does my hon. Friend think that is critical to ensure that we get the best use out of them?
I congratulate the Department of Health and Social Care on that fund. My hon. Friend the Member for Stoke-on-Trent North (Jonathan Gullis) and I referred to the charity AED Donate. There is a lot of charitable work going on in this sector. I wondered whether it would be possible for the Minister to arrange for the charity to meet up with suitable officials, so that it can best understand how it can deliver the Department’s aims and so that the Department has an understanding of what it is delivering in communities across the country.
My right hon. Friend makes a very important point. I join him in paying tribute to that organisation. I would be happy to arrange a meeting with relevant officials in the Department.
Our partners on the programme of rolling out defibrillators are Smarter Society and the London Hearts charity. They have been assessing applications for delivering additional AEDs, working with a wide and diverse range of groups. The first hundred devices that Smarter Society distributed were fully funded, and our partners at the University of Warwick helped us to prioritise the areas of greater deprivation without an AED in situ.
I am delighted to update hon. Members and tell them that, as of 12 March, Smarter Society and London Hearts have now delivered 1,590 AEDs and are working to deliver more. I would also like to pay tribute to the work of my hon. Friends in the Department for Education, who are ensuring that every state school has access to a defibrillator. I am told more than 20,000 devices have been delivered to almost 18,000 schools. That will drastically increase the chances of surviving cardiac arrest for pupils and school staff across England.
The Department for Education has supported schools in making the defibrillators available to the community, having offered external heated defibrillator cabinets to primary, special and alternative provision schools in areas of deprivation, where access to defibrillators is typically lower. It has also provided internal cabinets to secondary schools with two or more defibrillators, so one device can be placed at a sports facility where cardiac arrest is more likely to happen.
All state-funded schools are required to teach first aid as part of the mandatory relationship, sex and health education curriculum—another positive change made by the Conservatives since 2010—since we have been in government. That involves children over 12 being taught CPR and the use of a defibrillator. The Department for Education has also provided awareness videos showing how simple the defibrillators are to use, and it is encouraging schools to share the videos in staff meetings and assemblies. That will ensure that as many people as possible are able to respond in an emergency.
I know that making defibrillators as affordable as possible is important to my hon. Friend the Member for Stoke-on-Trent North, as he set out in his speech. The Government and I agree, although we have to keep these matters under review. He will appreciate that matters relating to VAT are for my right hon. Friend the Chancellor of the Exchequer.
Although having access to defibrillators is important, just as important is knowing where they are, so that they can be used in a time of crisis. That is why the NHS is working in partnership with the British Heart Foundation, the Resuscitation Council UK and the Association of Ambulance Chief Executives to set up The Circuit, which my hon. Friend talked about. The Circuit is a national database that will make it easier for ambulance services quickly to identify the nearest defibrillator when assisting someone who is having an out of hospital cardiac arrest.
As of 1 March, there were 86,337 defibrillators in the UK—68,509 in England— registered on The Circuit. We encourage everyone with an AED to register it. I can assure the House that all defibrillators granted by the community automated external defibrillator fund must be registered on The Circuit. The registration is completed by what is known as a defibrillator guardian—someone nominated by the organisation hosting the device. That role involves registering it on The Circuit, regularly checking the defibrillator to ensure that it can be used, and keeping the record updated. As I hope my hon. Friend appreciates, that is both an effective and a pragmatic approach to ensuring that defibrillators are where we think they should be, and that they continue to be ready for use in times of crisis.
I reinforce the fact that defibrillators are designed for ease of use. If there is one message I want to land in today’s debate, it is that these simple devices are easy to use, yet life-saving. Anyone can use them without formal training. That said, training is actively helpful in increasing the confident use of defibrillators in a community setting. For that reason, the NHS has partnered with St John Ambulance to help people gain the skills they need. That includes a national network of community advocates championing the importance of first-aid training, and training up 60,000 people, which will save up to 4,000 lives a year by 2028.
I would like to take the opportunity to pay tribute to those organisations and others that work tirelessly to improve defibrillator access and first aid training in communities across the country. Their contributions are crucial in getting help for people in some of the toughest moments of their lives and I cannot thank them enough.
My hon. Friend the Member for Stoke-on-Trent North has raised the idea of requiring defibrillator training as part of driving tests. My hon. Friend the Member for Colchester (Will Quince) was a strong supporter of that as my immediate predecessor in this role. While this is primarily a matter for the Department for Transport, I know that my hon. Friend the Member for Stoke-on-Trent North will continue to make representations in this area. I assure him that the Government are always happy to engage in those discussions.
I am also aware of my hon. Friend’s interest in ensuring that all emergency vehicles carry AEDs as a matter of course. While the Government fully recognise that the equipment carried by emergency vehicles is an operational matter, I encourage all services to consider the benefits of carrying AEDs as a matter of routine.
On a personal note, I would like to pay tribute to David Brown, the incredible team leader of the Pendle, Padiham and Burnley community first responder team, of which I am part. I was backed up by David on the first ever cardiac arrest I attended as a community first responder almost 10 years ago. He does incredible work delivering CPR training across Pendle, as well as putting in thousands of hours as a volunteer with the North West Ambulance Service.
I would also like to pay tribute to my late constituent, Ruth Sutton. In 2016, Ruth saw a photo of me in the local newspaper unveiling a new community defibrillator in the Pendleside village of Blacko. She contacted me to see how we could get even more defibrillators across Pendle. Over the following months, she worked with me and the North West Ambulance Service, investigating possible locations to install new defibrillator cabinets. By 2018, Pendle had the best coverage for public access defibrillators in Lancashire, with 20 cabinets installed: a real, lasting legacy of a remarkable lady.
I hope that our prevention and treatment work, including the forthcoming major conditions strategy, which my Department is in the final stages of drawing up, will act as a guiding light for a faster, simpler and fairer NHS. In combination with our efforts to increase defibrillators and increase first aid training across the country, we will improve our ability to intervene in an emergency situation and to save lives.
I once again thank my hon. Friend the Member for Stoke-on-Trent North for securing this incredibly important debate. I look forward to working with him long into the future to make progress on this vital issue.
Question put and agreed to.