Covid-19 Update

Jim Shannon Excerpts

Monday 15th November 2021 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

And finally, I call Jim Shannon.

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for his clear commitment to protecting all citizens in the United Kingdom where the control is. I am a type 2 diabetic. This Saturday, between 2 pm and 3 pm, through my local surgery, I will receive my covid booster, as will other priority cases as well. Can the Secretary of State outline what discussions have taken place to ensure that, before over-40s are able to access their booster jabs, the vulnerable groups of all ages, including diabetics, can access theirs in a timely manner throughout the UK? Decisions taken in this House set the marker for other regions to follow, including Northern Ireland.

[Sajid Javid]

As the hon. Gentleman will know, one reason why our vaccination programme has been such a huge success is that it is a truly UK-wide programme. We are able to do that because of the strength of our Union. I work closely with my colleague in Northern Ireland: we co-ordinate together and share resources. When it comes to supply, that supply is for the whole United Kingdom. In terms of making sure that particularly vulnerable people have access, each of the devolved Administrations has a slightly different approach, but we do work closely together to make sure that the supply is there.

Covid-19 Update

Jim Shannon Excerpts

Tuesday 9th November 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for his clear commitment and for the regular updates that we get in the House. Can he provide an assessment of the availability of the new covid drug molnupiravir? If people get that pill within five days of symptoms, hospitalisation and death rates are cut by 50%. Will the drug be available across the whole United Kingdom, and will the vulnerable classification include the diabetic and the immunosuppressed?

[Sajid Javid]

I can tell the hon. Gentleman that the antiviral drug that he refers to has been approved by the Medicines and Healthcare Products Regulatory Agency. We do have that drug, and since the point of approval last week we have already started deploying it in certain settings across the United Kingdom. We have put an order in for another antiviral, which has had very successful trial outcomes, but it has not received any final approval. If the MHRA independently decides to approve it—of course, that is a decision for the MHRA—the country will be in the fortunate position of having procured that drug, too.

Giving Every Baby the Best Start in Life

Jim Shannon Excerpts

Tuesday 9th November 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Members for Richmond Park (Sarah Olney) and for Newcastle upon Tyne North (Catherine McKinnell) and, in particular, the right hon. Member for South Northamptonshire (Dame Andrea Leadsom) for sponsoring the debate. I know that the right hon. Lady has pursued this issue in the House for many years, and I am pleased to see the culmination of her championing of it in the funding that the Government have set aside. Congratulations and well done.

As the proud grandfather of five children—Katie-Leigh, Mia and Austin, and two so-called lockdown babies in one-year-old Max, and Freya, who is one-and-a-half—I believe that our babies and our young families have never needed more help and, like others, I have a fervent desire that we in this place get it right. We must consider the pandemic’s effect on lockdown babies who have never attended a mother-and-toddlers group, never learned to play and share with another child, and never sung a nursery song or a rhyme in a group. I believe that will have a huge impact that they will carry into their early years at school. Others have referred to that, and I want to refer to it as well.

I have spoken in this place about the pandemic’s academic effect on schoolchildren and its mental effect on children. It is right and proper that we also address its effect on babies. We can simply do better. The debate may be England-centric, but the problems faced in the UK mainland mirror those faced by parents and babies in Northern Ireland. I am hopeful that proper funding streams in the mainland will be replicated when the Assembly allocates the Northern Ireland funding received for the levelling-up agenda. It is important that we in Northern Ireland also receive that assistance through the levelling-up agenda.

Action for Children has stated that, in 2018-19, only 57% of children from poorer backgrounds were ready for school at age five compared with 74% of their better-off peers. Its “Closed Doors” report found that, between 2014-15 and 2017-18, the number of children using children’s centres decreased by about 18%. That is a worrying trend, as it is that the numbers fell fastest in the most deprived areas. Those statistics give us concerns and show us that the debate must focus most on the deprived areas where the problems are.

Action for Children’s most recent report found that 82% of parents of children in the nought to five age bracket struggled or were unable to access vital non-childcare and early years services. Some 78% of parents who were unable to access services were worried about potential impacts on themselves or their children. The most common concerns were about children’s development and parents’ own mental health and wellbeing. Other speakers have referred to that, and the fact that we are all saying the same thing based on our constituencies tells us that these issues are clear and real, so the work that Action for Children carries out is essential for giving babies the best start in life.

I am a great supporter, and always have been in all my years as an elected representative, of Home-Start in Northern Ireland. It knows that well trained volunteers complement the early years workforce, significantly contributing to the support that families receive and enabling them to access services when those are most needed. More than 1,500 families are being supported by 300 Home-Start volunteers in 16 communities in Northern Ireland. Newtonards, the main town in my constituency, has a Home-Start facility. During the dark days of the pandemic, more than 200 families were supported by the volunteers, and that was really significant and important work at a critical time. Although volunteers are helping out, funding is needed to enable their work to continue. Funds must be available to charities such as Home-Start to make a real and practical difference to the lives of the most vulnerable—our babies, who are what this debate is really all about.

Some 59% of respondents to a Home-Start inquiry admitted to feelings of loneliness and isolation, and 23% said they needed help with their mental health. After help, 94% said they were more able to cope, so it is clear that intervention can make a difference. The money that the Government have set aside for this strategy and these schemes over the next period can and will make a difference. The next debate is about a separate issue, but some of it will also refer to education and mental health issues.

It is my humble opinion that funding should be allocated to such streams, which allow trained and interested volunteers to go into homes and help with practical issues. The hon. Member for East Worthing and Shoreham (Tim Loughton) referred to going to a home where the deprivation and the problems were incredible and hard to take in, but these volunteers help households to find mechanisms to better cope with the pressures of young children. The UK mainland also uses the Home-Start charity, and I am sure the Minister will have cognisance of this great charity and the wonderful work it does.

Time is short, and I am very clear about what you said earlier, Madam Deputy Speaker, so I will come to the crux of my comments. Time has prevented me from talking in depth about the wonderful work carried out in churches. It is no secret, but I want to put it on the record, that what churches do at parent and toddler groups in community halls throughout the country is incredible. We all know those groups, and I have a large number in my constituency—indeed, I think that every church is actively helping parent and toddler groups.

One of my local churches, Newtonards Elim, had to go ahead and open its group again, and it has had massive numbers of parents and childminders simply desperate for company, desperate for their child to talk with others and to interact with them, and desperate for normality. However, if more churches and community facilities are to do these things, more expensive protocols need to be put in place. Perhaps a one-off grant would encourage more churches to take the same step, which can be somewhat daunting due to the way things are. We cannot neglect, we cannot forget and we cannot ignore what churches do and the commitment they give to our constituents.

In conclusion, I believe that we can now safely meet, and if we can, we must. The characters of our little ones are formed in this time, and people need people—children need children, and mums need mums. In this place we need to support, encourage and facilitate the essential component of early years development. Levelling up has promised it, but let us make sure that that levelling-up process reaches out to all parts of the United Kingdom of Great Britain and Northern Ireland. The levelling up starts here, today, through this debate.

UK Vaccination Strategy

Jim Shannon Excerpts

Monday 8th November 2021 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Maggie Throup)]

I thank my hon. Friend the Member for Mole Valley (Sir Paul Beresford) for bringing this important debate to the House and for his kind words about the success of the covid-19 vaccination programme. He speaks with a great deal of knowledge and personal experience, and I thank him for that.

I am going to talk about the covid vaccination programme as a great example of how well the UK has done in putting together a programme in a short time with great success, which I know my hon. Friend will want us to emulate in other areas. Our phenomenal covid vaccination programme continues at pace, with almost nine in 10 people aged 12 and over having now received at least one dose and more than 10 million people throughout the UK having had their booster and third vaccination dose.

[Jim Shannon (Strangford) (DUP)]

I spoke to the hon. Member for Mole Valley (Sir Paul Beresford) and he suggested that I should ask the Minister this question. Those over 50 with a vulnerable disease or who are on a priority list have been told that they can get the booster vaccine; if someone happens to be aged 40 or 35 and is a type 1 diabetic in a vulnerable position, should they not also get the booster injection as a priority?

[Maggie Throup]

The criteria for who should receive a third dose are set by the Joint Committee on Vaccination and Immunisation. We take its recommendations and roll things out according to that advice.

I thank each and every person who has come forward for their jab, as well as the tens of thousands of NHS staff and volunteers who have made this happen. Vaccines remain our biggest line of defence as we head into a challenging winter period. Vaccinated people are less likely to get seriously ill with covid-19, to be admitted to hospital or to die from it. There is also evidence that they are less likely to pass the virus on to others. Although the vaccine efficacy against severe disease remains high, we know that a small change can generate a major shift in hospital admissions—for example, a change in efficacy from 95% to 90% would lead to the doubling of hospital admissions among those vaccinated.

Early results from Pfizer show that a booster jab restores protection to 95.6% against symptomatic infection. That is why we have launched the booster programme—to top up the immunity for those at increased risk of complications from covid-19 over the winter months, helping to keep people out of hospital, to reduce pressure on our NHS, and, as my hon. Friend has indicated, to ensure that there are fewer patients with covid-19 in need of an expensive hospital bed. The UK already has one of the highest covid-19 vaccine uptake rates in the world and we are working closely with the NHS to make it as easy as possible for everyone to get a vaccine.

There are more than 2,200 vaccination sites in operation across the country, an additional 500 extra vaccination sites now compared with April this year. Hundreds of walk-in sites across the country are now also offering booster vaccines, making it even easier for people who are eligible to get their top-up jab. From Elland Road in Leeds to the Kassam Stadium in Oxford, the NHS is making it as easy as possible for people to get vital protection against the virus ahead of the winter months.

We are working with the NHS to provide advice and information at every opportunity on how to get a vaccine and its benefits as well as combating any misinformation. The NHS is engaging every single day with local authorities, faith leaders and organisations representing ethnic minority communities to provide advice and information about vaccines and about how they will be made available.

Our communications include information and advice via TV, radio and social media, and this has been translated into more than 13 different languages. Print and online material, including interviews and practical advice, has appeared in 600 national, regional, local and specialist titles. We have worked with clinicians and medical influencers to communicate the benefits of the vaccine and deliver content via the media and social media platforms.

This is just some of the huge amount of activity that has taken place, and that continues to take place, to ensure that as many people as possible can benefit from the vaccine, but we are not resting on our laurels. We have been continually learning throughout the roll-out of the vaccine. We look at research from trusted and reputable sources and we have identified some of the most effective interventions. I am sure that we can learn from this for other vaccination programmes, too. For example, we have learned that engagement with local communities, targeting specific gaps in vaccine uptake and getting local, trusted community leaders involved—people who know their communities well—is a very effective approach.

There are countless, brilliant examples of local activity around the country, but I shall mention Salford where they worked specifically with people experiencing homelessness, and were able to vaccinate 653 people. Every jab helps to save lives, and these are some of the hardest to reach people in our society, and also those who would have been most vulnerable to the virus. We have also increased the amount of information publicly available on vaccines, including more transparency about its benefits, safety, and potential side effects.

I can fully assure my hon. Friend that this Government are committed to tackling covid-19 vaccine misinformation, and I agree with every word that he has said so passionately on this: vaccine misinformation is dangerous and costs lives. That is why we stood up the cross-Whitehall counter-disinformation unit, specifically to tackle online misinformation and disinformation, and to hold social media companies to their public commitments to combat covid misinformation. We have also produced a wide variety of communications and toolkits to share case stories, build confidence, and provide trusted information about the safety of the vaccine.

Throughout the pandemic, the Government have been guided by the advice of the Joint Committee on Vaccination and Immunisation and the four UK chief medical officers, and we have consulted a wide range of experts and ensured that their advice is embraced and actioned. Trusted experts such as our deputy chief medical officer Jonathan Van-Tam and so many others have all helped to build confidence in the vaccine in our communities where uptake is traditionally low. That has made a big difference. YouGov polling indicates that vaccine hesitancy in ethnic minority groups reduced from 63% to 14% from October 2020 to August 2021.

I can assure my hon. Friend that we do not have an ounce of complacency, and will continue to do whatever we can to stamp out dangerous misinformation. He is keen that we translate the successes of the covid vaccination programme into all our immunisation programmes. I fully agree that there is so much learning from our response to the pandemic that can inform and strengthen our wider vaccination programme.

The UK already has world-leading childhood immunisation programmes, and vaccine coverage from most of our childhood programmes is generally high. My hon. Friend was quite correct when he indicated that uptake had fallen slightly due to school closures and social distancing. I reassure him that the mitigation measures are in place to ensure that no child misses out on those vaccinations. However, we know that uptake rates must improve to fully protect the public from preventable diseases. We made a manifesto commitment to maintain and improve the routine childhood vaccination programme, and we recognise that there is still more that can be done to improve uptake in all programmes.

The publication of England’s national vaccine strategy has been delayed as a result of our ongoing focus on responding to the unprecedented covid-19 pandemic, but rest assured the strategy has been kept under constant review and is in the process of being refreshed to reflect the changed landscape that the pandemic has brought, including new developments from the covid-19 vaccine and the extended NHS flu programme.

I know that my hon. Friend has a particular interest in the use of data and technology. Both offer immense benefits to every individual who seeks vaccination and to the health system that supports them. Our ambition is to make vaccination records easily available digitally so that each individual, and anyone treating them, can easily access their vaccination records, know which vaccines they have had, which they still need, and when they are due to receive them. The covid-19 pandemic has reinforced both the importance of vaccines—as they offer the best way out of the pandemic and the return to normal life—and our certainty that we can do even better and create even stronger, more effective vaccination programmes in the future.

Flu is another winter virus that can be serious, especially when combined with covid-19. That is why we are running the largest ever flu vaccination programme in UK history. A record 35 million people in England can book a free flu jab this year—the most ambitious effort ever to protect individuals and their loved ones from what can be a very nasty illness. It is vital that we build on the learning from the successes of the covid-19 vaccine programme, and use it to improve all vaccine programmes.

The covid-19 vaccine roll-out continues to be a success through every single vaccine given. I ask those people who peddle untruths and misinformation about the benefits of the vaccine to look at the evidence: more than 130,000 lives saved; and more than 24 million infections and 230,000 hospitalisations prevented. The facts are clear. That is 130,000 families who continue to have a mother, father, husband, wife, daughter, son, brother or sister still with them—and that is powerful. It is for that reason that we will continue to tackle vaccine misinformation head-on, and to promote the benefits of the vaccine to as many people as possible.

Finally, and as I have been grateful to have the opportunity to say many times at this Dispatch Box over the last few weeks, I urge everyone to get their booster jab as soon as they are eligible. To those who have not had their first jab yet: it is never too late.

Question put and agreed to.

Dame Carol Black’s Independent Review of Drugs Report

Jim Shannon Excerpts

Wednesday 27th October 2021 Westminster Hall

[Dan Carden (Liverpool, Walton) (Lab)]

I beg to move,

That this House has considered Dame Carol Black’s independent review of drugs report.

It is a pleasure to serve under your chairmanship, Ms Fovargue. I refer Members to my entry in the Register of Members’ Financial Interests. The damning conclusion of part two of Dame Carol Black’s review, setting out a way forward on drug treatment and recovery, was that

“the public provision we currently have for prevention, treatment and recovery is not fit for purpose, and urgently needs repair.”

I have called today’s debate because the report’s recommendations are too important to be left gathering dust on ministerial bookshelves. I want Dame Carol’s words ringing in ministerial ears. She says:

“Government faces an unavoidable choice: invest in tackling the problem or keep paying for the consequences. A whole-system approach is needed…This part of my review offers concrete proposals, deliverable within this Parliament, to achieve this.”

Of the review, Dame Carol says:

“It calls for significant investment, but the payoff is handsome: currently each £1 spent on treatment will save £4 from reduced demands on health, prison, law enforcement and emergency services. I am hopeful that the recommendations will be welcomed by this government as they strongly support its crime reduction and ‘levelling up’ agendas.”

The 32 recommendations are a gift to the Government, and should be a moment for change. It is fitting that the debate falls on Budget day. The economic cost of drug misuse is upwards of £20 billion each year; yet the spending on prevention and treatment stands at just £650 million. The recommendations give hope that real change is possible. Addiction is a national crisis. Drug and alcohol-related deaths are the highest on record, at the very moment that treatment services are most ill-equipped to deal with the soaring need.

Forward Trust estimates that more than 2 million people are in need of help with alcohol, drugs or gambling, and its recent YouGov poll showed that 64% of people said that they knew someone personally struggling with addiction. Since I talked openly about my personal experience of addiction and recovery, I have been over- whelmed by the thousands of people who have reached out to tell me their personal stories—of the horror of addiction, and the blessings of recovery. The tragedy is that addiction is everywhere, yet remains so hidden.

In 2019 Dame Carol was commissioned by the then Home Secretary, the right hon. Member for Bromsgrove (Sajid Javid), to independently review illicit drugs in England. I thank her for her commitment and dedication over the last few years, and all those who contributed to this groundbreaking report. Most of all, I hope that my contribution today does justice to the absolute clarity that Dame Carol brings to these incredibly complex matters. Part one of her review was published on 27 February, and made for uncomfortable reading. The unflinching analysis detailed the extent of drug-related harm and the challenges posed by drug supply and demand, including the ways in which drugs fuel serious violence.

The Department of Health and Social Care swiftly commissioned Dame Carol to produce part two of her independent review, which focused on how to improve the funding, commissioning, quality and accountability of drug prevention, treatment and recovery services in England. Part two of her report, published in July, pulls no punches either. It says:

“Funding cuts have left treatment and recovery services on their knees. Commissioning has been fragmented, with little accountability for outcomes. And partnerships between local authorities, health, housing, employment support and criminal justice agencies have deteriorated.”

The report goes on:

“The workforce is depleted, especially of professionally qualified people, and demoralised. Vital services have been cut back, particularly inpatient detoxification, residential rehabilitation, specialist services for young people, and treatment for cannabis and stimulant users.”

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Member for bringing this issue to Westminster Hall for debate and discussion. Does he agree that more should be done to ensure that alcoholism in particular is treated urgently, along with drugs, and that help needs to be given to families for rehabilitation, which he has referred to, not in a punitive fashion, which is how some would like to do it, but instead to help to draw people away from their addiction? That has to be done in such a way that people wish to get away from their addiction and try to move forward.

[Dan Carden]

Absolutely. That is a valuable intervention, and it is good that we have a Health Minister responding to this debate, because it is a health response, joined up across Government, that this issue calls for.

Part two of the report goes on:

“Areas of the country with the highest rates of drug deaths or the poorest treatment services are the very same areas where the need to level up is greatest. These communities want to see urgent and effective action to tackle the violent drugs market, alongside purposeful efforts to rebuild treatment services and recovery support so that people can get the help they need.”

NHS England Funding: Announcement to Media

Jim Shannon Excerpts

Monday 25th October 2021 Commons Chamber

[Edward Argar]

We need to make sure that our NHS workforce, which is diverse in terms of its skills and background, is able to work where those skills are most effectively deployed to deliver the best outcomes for patients. My hon. Friend is absolutely right: where are there are administrative tasks, which I do not in any way denigrate, that are better performed by an administrator than a clinician, we should be looking to deliver that.

[Jim Shannon (Strangford) (DUP)]

I commend the Minister for being assiduous and incredibly dedicated. We welcome money wherever it comes from because it is important to have it. In Northern Ireland we are very keen to see what that money will mean. Will similar money be provided for Northern Ireland through the Barnett consequentials? Will there be any direction as to how the money is spent—for example, to address this year’s non-elective surgery waiting list to give people their sight back, their ability back, and indeed, for some, their lives back? What discussions have taken place with Robin Swann, the Health Minister, in relation to that?

[Edward Argar]

I am grateful to the hon. Gentleman —my hon. Friend—for his question. The Chancellor will set out the detail of Barnett consequentials in due course. The hon. Gentleman knows that I speak to Robin Swann, to whose work I pay tribute, at regular intervals—almost fortnightly—about a number of things. I have not yet discussed the detail of this matter with him, and it will be for him as a devolved Health Minister to make those decisions, but I will of course discuss it with him.

Covid-19: Government Response

Jim Shannon Excerpts

Thursday 21st October 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I wish the Minister well in her new role. Will she outline what plans are in place to begin to get on top of waiting lists, for example on breast reconstruction post mastectomy, hip replacements and tonsil operations? Will additional funding be made available to outsource work to private hospitals to reduce waiting lists and to give people back their health, mobility and confidence?

[Maggie Throup]

I thank the hon. Gentleman for his question. I reassure him that a lot of investment is being put into the health service, as I am sure he is aware, to ensure that we can tackle the backlog that has been created because of the pandemic.

Covid-19 Update

Jim Shannon Excerpts

Thursday 21st October 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

The Government’s vaccine roll-out has been a success story, but it is important that we continue that success story. I had the flu jab three weeks ago and I will have my covid booster in about four weeks. All sorts of constituents have contacted me to ask why they have been called for a third primary dose of the vaccine along with their flu jab. Are the Government considering a wider publicity campaign to clarify the reason behind the third jab, the criteria for the booster and the need for the flu jab as well at the same time?

[Maggie Throup]

A communications programme has been rolled out this week to encourage people to get their booster and their flu jab, and to get whichever comes first and then the other as soon as it is available.

World Menopause Month

Jim Shannon Excerpts

Thursday 21st October 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Member for Swansea East (Carolyn Harris) on her contribution. I cannot think of any debate that we have not been together on. Indeed, the hon. Lady usually puts forward her suggestion of what she wants me to do and I easily fall in with whatever she says. She is infectious; she makes others want to be part of the debate and enthuses them.

As a man, I am pleased to speak in this debate because, as other Members have said, it is important that we understand the issues. I am pleased to be part of the growing call to bring living through menopause out of the shadows and into mainstream life. Some cynics might wonder what gives me the authority to speak when I do not have the necessary equipment to understand fully. I acknowledge that, because, in much the same way, unless someone is a diabetic, as I am, they can never fully grasp the life-impacting changes that diabetes brings. Although I cannot bring first-hand experience to this issue, I believe that I can bring compassion and a desire for other men to understand that we have a role to play in the cycle of menopause about which each and every person who has spoken today has referred.

I was recently asked to make comment on the menopause for a blog. The hon. Member for Swansea East had made the bloggers aware that I would be very keen to do so, and I did, of course, as she knows. I said that I was raised by a very strong lady in my mother, who gave me a real appreciation for the work ethic with the kind and no-nonsense approach of a good woman. Sandra and I have been married for some 34 years. Some people may say, “How has she stuck it that length of time?” Well, there must be something right, otherwise we would not be together, let us put it that way. She raised our three boys. She volunteered in the local charity. She kept our home going while I worked incredibly long hours. I am so grateful for her support in every aspect of my life.

However, as Sandra has approached menopause, it is clear that while she can and does continue to bear the load of minding the grandchildren and all those other responsibilities, she does need my support, and others’ as well. It has been hard for me to understand as I have watched her go through all these changes. I have learned that I do not need to understand but I simply need to be there, and she needs to know that I am not there expecting her to facilitate my normal standard of life, but rather there for her. I came home one day and she said to me, “Oh, I heard you were on ‘Loose Women’ today.” Right away, I felt the cold sweat on my brow and my heart missed a beat, and then I realised that it was because the hon. Member for Swansea East was asked on that programme whether there were any men who were supporting her, and she referred to me. My wife was then greatly encouraged when she realised that I was supportive of this.

I joined the APPG to highlight the fact that menopause is not an experience that a woman must suffer through alone; it is an experience in which we can all stand together as she comes through what can be a very difficult time in her life. It is an experience that men must better understand to provide the help and support that will change the experience. It is an experience that is a certainty of life for most ladies, but women do not have to walk alone. That is why on this World Menopause Day I am proud say that I stand alongside my wife, Sandra, my mother and indeed every other woman to offer my support and encourage other men to understand that we can make a difference and be a help. That is our role—to help.

I commend the hon. Member for Bradford South (Judith Cummins) for the work that she does on osteo-porosis. A prolonged lack of oestrogen affects the bones and the cardiovascular system, leaving those who are post-menopausal at increased risk of a number of long-term conditions such as osteoporosis. Women’s Health Concern, the patient arm of the British Menopause Society, emphasises that, unlike hot flushes—it is important for the Minister to address this when she responds—there are often no obvious symptoms of osteoporosis and the first sign is usually the fracture of a bone. The hon. Lady illustrated that only too well.

Osteoporosis makes bones fragile, which causes painful and disabling fractures. Women aged over 45 years spend more days in hospital due to osteoporosis than diabetes, heart attack or breast cancer, and osteoporotic or fragility fractures can have a profound impact on everyday life, causing loss of independence, misery and death. A post-menopausal woman has a 50% chance of sustaining an osteoporosis-related fracture in her lifetime. Once a fragility fracture has occurred, the risk of future fractures at least doubles. In women over 50 years of age, the lifetime risk of a vertebral fracture is one in three and is one in five for a hip fracture. The link is clear. I commend the hon. Lady, and others as well, for outlining that. I congratulate the International Menopause Society on highlighting this issue as a real and present danger that occurs after menopause.

I end with a further plea to all the men who are in this House and all the men who are watching on the screens outside: do not be embarrassed but be involved. Help your partner. Be informed about what your partner is going through and be part of the process and a help. I know what it is to feel helpless, and sometimes even clueless, as I am often reminded in my home by my good lady, but I have learned the truth of the scripture: two are better than one, for if one falls, the other is there to help them up. I may not have the right words—I often do not; although I have lots of words, I often maybe do not have the right ones—but kindness and understanding is worth more than an encyclopaedia. I encourage families to be involved and be of use.

Eighty per cent. of women suffer from menopausal symptoms; 100% of women deserve support. That is what we are calling for today—support from Government, support from employers, and support in families. I commend the hon. Member for Swansea East, and the right hon. Member for Romsey and Southampton North (Caroline Nokes) as well, for putting forward this case. I hope that, as a man, I have made a worthwhile contribution.

Oral Answers to Questions

Jim Shannon Excerpts

Tuesday 19th October 2021 Commons Chamber

[Gillian Keegan]

I look forward to working with my right hon. Friend. I have been along to the first board, although I have not yet chaired it. But we will be developing that action plan. I cannot commit to the date but I will let him know as soon as I can when we will publish the plan. We will be publishing a winter plan for the NHS, which will include lots of different support, in the next couple of weeks.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for her response. Given recent statistics that show that one in 20 schoolchildren in Northern Ireland has an autism diagnosis, may I ask her what steps have been taken here on the mainland to ensure that children with learning disabilities or autism have guidance in their health journey and are never left overwhelmed without specialised support at those very necessary appointments?

[Gillian Keegan]

I thank the hon. Gentleman for his question. He is right to identify this concern. Compared with the general population, people with learning disabilities are three times more likely to die from an avoidable medical cause of death. That is why these annual health checks to ensure that we get early diagnoses for these people are so important. That is why I am delighted that many people are coming forward and that the NHS is two years ahead of its plan here in England. Hopefully, others will follow that lead.