Smokefree 2030

Jim Shannon Excerpts

Tuesday 26th April 2022 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to serve under your chairmanship, Ms Nokes.

I thank the hon. Members for Harrow East (Bob Blackman) and for City of Durham (Mary Kelly Foy) for securing this important debate. I well remember, as the hon. Lady will remember, that she had this debate in the main Chamber under the covid regulations. I was happy to assist in supporting her at that time, and my support is the same now.

As we turn our attention to the rebuilding of public health following the covid-19 pandemic, tackling smoking must be among our top priorities. Smoking is the leading cause of premature death, killing some 2,300 people in Northern Ireland each year—it is a devolved matter, but I think these figures are quite shocking—with 30 times as many suffering serious diseases and disabilities caused by smoking.

Ms Nokes, I have never had a wish to smoke. I can well recall the first time that I did, with my grandfather, back in the ’60s. He smoked Gallahers; there were no filters on them. I always admired my grandfather, and I said to him one day, “Granda, can I have a smoke of that cigarette?” I pestered and pestered him, and then, one day, he says, “Now, take one, and take a deep breath,” and I did. As a wee six-year-old, I was violently sick. I was green at the gills. In those days, we had—if I can say it—a po under the bed. I was sick into that, and I never had any wish, ever, to pursue the smoking of a cigarette ever since. It left a lasting impression. Maybe that is what we need to do for the young people of today. It is a bit drastic, perhaps, but none the less, it had a very sobering effect on me.

Achieving a smokefree 2030 would reduce the pressure on NHS services at a time when they are under the most severe strain in living memory. However, analysis by Cancer Research UK shows that at current rates of decline, Northern Ireland will not achieve the smokefree ambition of smoking rates of 5% or less until a decade after England—not until the late 2040s—with our most deprived populations not being smokefree until after 2050. We have really big issues to sort out in Northern Ireland regarding that.

While Northern Ireland and the devolved nations hold responsibility for our own public policies, the Government in Westminster maintain responsibility for important UK-wide policies. I therefore ask the Minister—as others have in relation to Wales—what discussions have taken place with the Northern Ireland Assembly and the Minister, Robin Swann?

There is substantial research supporting the implementation of health warnings on cigarettes and cigarette papers, and that is clearly under consideration in Canada, Australia and Scotland. Such warnings could be implemented by a simple amendment to the Standardised Packaging of Tobacco Products Regulations 2015. Tobacco manufacturers already apply print to cigarette papers, so that would be cheap and easy to implement.

Health warnings, such as “Smoking kills”, have been shown to be effective on billboards and tobacco packs, so why would they not be as effective on cigarette sticks too? Adding warnings to cigarette sticks is important because young people in particular are likely to initiate smoking with individual cigarettes rather than packs. Is that something that the Minister and the Government would be prepared to look at?

Cigarette pack inserts providing health information are not a new idea; they have been required in Canada since 2000. The health messages are effective, and research has been carried out in the UK which supports their use here too. The Government have already acknowledged in the prevention Green Paper that,

“there could be a positive role for inserts in tobacco products giving quitting advice”,

so, again, I look to the Minister for her thoughts on that.

All those measures would be cheap and easy to implement and would benefit all the UK nations. They would also support and reinforce the impact of other measures that require significant investment, such as behaviour change campaigns and stop smoking services. Although the Government opposed the introduction of the measures as amendments to the Health and Care Bill, they did leave the door open—I believe—to considering them when developing the next tobacco control plan. Does the Minister—or the Government—intend to do just that?

I have spoken before in this House about the use of licensing for tobacco retailers. In Northern Ireland, since 6 April 2016, retailers have been obliged to register with the tobacco register of Northern Ireland, with a final deadline of 1 July 2016. That built on a similar scheme already in place in Scotland, and a scheme that was due for implementation in Wales.

Since 2018, we have seen the implementation of a tracking and tracing scheme, which requires every retailer to have an economic operator identifier code. Since leaving the EU—as the hon. Member for Harrow East mentioned—the UK has established and launched its own system, with Northern Ireland operating in the UK and EU systems. That makes it easy for all nations in the UK, including England, to not just implement a retail register scheme, but go further and implement a comprehensive retail licensing scheme. If the Minister can give us some thoughts on that, I would be very pleased.

Retail licensing is the obvious back-up to the tracking and tracing of cigarettes and would help tackle the illicit trade that gives smokers access to cheap tobacco. Those who sell illegal tobacco have no compunction about selling it to children too, so the illegal trade makes it not just less likely that smokers will quit, but more likely that children will start smoking. My hon. Friend the Member for East Londonderry (Mr Campbell), who is no longer in his place, mentioned that in his intervention on the hon. Member for Harrow East.

I await with interest Javed Khan OBE’s independent review, which is due to be published shortly. I hope it will address this important issue. England remains an outlier on that important measure, which could help tackle illicit trade and protect children from tobacco. We can and must address these issues collectively, bringing knowledge from the nations we represent. I am happy to support the Minister here at Westminster in taking this matter forward and, from a Northern Ireland point of view, it is important that we address these issues together. If we do so, I am confident that we will then deliver a policy that helps not only us, but the constituents we serve.

--- Later in debate ---

[Maggie Throup]

If I may, I will come to that later in my speech, but the hon. Lady makes a very good point.

On top of the measures, the NHS has renewed its commitment to tobacco treatment through the NHS long-term plan, delivering NHS-funded tobacco treatment services to all in-patients, pregnant women and people accessing long-term mental health and learning disability services until 2024. The Government also continue to explore ways to move smokers away from smoking and towards alternative nicotine products such as vapes, as highlighted by the hon. Member for North Tyneside (Mary Glindon). We know that the best thing a smoker can do for their health is to quit smoking altogether, but we also know how hard that can be. It remains the Government’s goal to maximise the public health opportunities presented by vapes while ensuring that such products are not appealing to young people and non-smokers. The hon. Member for Denton and Reddish made a very good point on this issue in his speech, and it requires balanced and proportionate regulation.

Despite the progress made so far, the Government acknowledge that we need to go further to achieve our ambition to be smokefree by 2030, which is why the Secretary of State for Health and Social Care asked Javed Khan OBE to lead an independent review into tobacco control in January this year. The Khan review is expected to be published next month and will make a set of recommendations to the Government. The review has two objectives. The first is to identify the most impactful interventions to reduce the uptake of smoking, particularly among young people. The second is to identify how best to support smokers to quit, especially in deprived communities and among priority groups.

Mr Khan has met hon. Members from both the all-party parliamentary group on smoking and health and the all-party parliamentary group for vaping, and he has carefully considered their views and proposals. Quite a number of members of those APPGs have expressed their approval of that route and how Javed Khan is getting into the depth of everything. Once the review is published next month, the Government will consider its recommendations, which will help inform both the upcoming health disparities White Paper and the new tobacco control plan, to be published later this year.

[Jim Shannon]

I thank the Minister for her response to this issue, and what she is saying is very positive. I am ever mindful that Northern Ireland has the highest rate of deaths due to smoking. Health is a devolved matter, and we are 10 years behind the rest of the UK on achieving our goals. What discussions could the Minister have with the Northern Ireland Assembly, and particularly with the Health Minister, Robin Swann, to enable us to catch up and achieve the goals and targets that the Minister has referred to?

[Maggie Throup]

The hon. Gentleman makes a very good point. The hon. Member for Arfon (Hywel Williams) also mentioned discussions with the devolved nations, and I am very happy to have discussions with my counterparts in the devolved health authorities.

As we have heard from my hon. Friend the Member for Harrow East and others, many in this room are supportive of a “polluter pays” levy. As they will be aware, tobacco taxation is a matter for Her Majesty’s Treasury, and the tobacco industry is already required to make a significant contribution to public finances through tobacco duty, VAT and corporation tax. As part of the development of the tobacco control plan, the Department will also continue to explore and review with the Treasury the evidence base on the best options to raise funding in support of the Government’s ambition to be smokefree by 2030. As a number of Members asked, I am happy to meet the APPG to discuss funding matters and the levy in detail, while the Khan report is being published. I have met the APPG before and am happy to continue having those meetings.

Childhood Cancer Outcomes

Jim Shannon Excerpts

Tuesday 26th April 2022 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

First, let me thank the hon. Member for Gosport (Dame Caroline Dinenage) for setting the scene so very well, and all right hon. and hon. Members who have made fantastic contributions here today. I share her concerns, as we all do. I am the father of three strapping boys and I have five grandchildren, and our worst fear is that something like this may come along. As politicians in this House, we have a duty to put in place a system that can ensure a quick diagnosis; the availability of testing; the availability of treatment and staff; and the best possible set-up to aid the child in their fight against cancer. I commend all the charities in this area, particularly CLIC Sargent, which does tremendous work in my constituency. I am ever minded of the survey carried out by the all-party group on children, teenagers, and young adults with cancer. It surveyed young people, parents and healthcare professionals, with 56% suggesting that better training for GPs on cancer in children and young people would make the biggest single improvement. I would like to hear the Minister’s thoughts on that. Research has also referred to clinical depression and anxiety among young people, with those with multiple GP consultations before diagnosis becoming clinically anxious. Again, I would like to hear the Minister’s thoughts on that and how we can deal with it more quickly. Having functioning GP services as the first line of defence in health is essential for outcomes in childhood cancer.

I agree with the Teenage Cancer Trust’s recommendation that the 10-year cancer plan should also commit to achieving access rates to clinical trials of 50% by 2025, as has been highlighted by others. The plan should look further than 2025—it should also look towards 2032. Again, I would like to hear the Minister’s thoughts on how we can achieve that. Clinical trials can significantly improve cancer outcomes for teenagers and young adults, but young people with cancer are currently not getting an equal opportunity to participate in and benefit from them. A recent trial for patients with acute lymphoblastic leukaemia showed that young people’s survival rates improved by 18% through involvement in this clinical trial. Given that success in clinical trials, perhaps we should give more opportunity to young people to participate in them. Trial availability is the major determinant of participation. If there are no trials available or existing for young cancer patients, there is no possibility of inclusion. Where trials do exist, there are often barriers to accessing them, such as arbitrary age eligibility criteria. What can be done to ensure that those who can and wish to be part of those trials can be part of them? There is also no data publicly available to show progress towards the commitment of the 50% by 2025, and again I look to the Minister for help on that.

The issue is clear: we need more support and more access to clinical trials if we are to win this battle against childhood cancer. There is no more worthy battle that we must fight and must win, and we look forward very much to the Minister’s response.

Health and Care Bill

Jim Shannon Excerpts

Consideration of Lords amendments
Monday 25th April 2022 Commons Chamber

[Edward Argar]

I paid tribute to my right hon. Friend the Member for Chingford and Woodford Green, but my hon. Friend the Member for Wealden (Ms Ghani) has also taken a keen interest in this issue. The Secretary of State and I will continue to work closely with others across Government to ensure that our measures to eradicate modern slavery in NHS supply chains are effective and targeted, and reflect best practice.

On Lords amendment 29B, the Government are committed to improving workforce planning and are already taking the steps needed to ensure that we have record numbers of staff working in the NHS. In July 2021, the Department commissioned Health Education England to work with partners on reviewing the long-term strategic trends for the health and regulated social care workforce over the next 15 years. We anticipate the publication of that work in the coming weeks.

[Jim Shannon (Strangford) (DUP)]

Will the Minister give way?

[Edward Argar]

Very briefly, as I am conscious that we have limited time.

[Jim Shannon]

If the right hon. Member for South West Surrey (Jeremy Hunt) were to pursue the matter, my party and I would be minded to support him. Although I understand from the figures in the press today that there are significant numbers of new nurses coming into the NHS, there is still a large shortfall. Will the Minister confirm for Hansard in the Chamber today that every step is being taken to recruit the nurses needed to address the issue of workforce safety?

[Edward Argar]

The hon. Gentleman is right to highlight the work we are already doing, which I will address in a moment, and the number of nurses we have recruited. I believe we have now recruited 29,000 or so en route to our target of 50,000 more nurses by the end of this Parliament.

Oral Answers to Questions

Jim Shannon Excerpts

Tuesday 19th April 2022 Commons Chamber

[Maria Caulfield]

The Father of the House is quite right that the crux of the problem is that there is a shortage throughout the country not of dentists but of dentists taking on NHS work. The contract is the nub of the problem, which is why work is under way to reform it. We will shortly announce some short-term changes and some longer-term reforms, which will hopefully help my hon. Friend’s constituents.

[Jim Shannon (Strangford) (DUP)]

Bearing in mind that dentists are now determined to turn their practices wholly private as they cannot make ends meet with NHS prices, will the Minister pledge to review NHS payments to stop the haemorrhaging of NHS dentistry provision?

[Maria Caulfield]

The hon. Gentleman is correct that the units of dental activity payments are a perverse disincentive. Sometimes, when someone needs more extensive work, their dentist is paid the same as they would be for, say, one or two simple fillings. That is the nub of the problem and we are currently in negotiations on the matter.

Ockenden Report

Jim Shannon Excerpts

Wednesday 30th March 2022 Commons Chamber

[Sajid Javid]

Yes, I can give my hon. Friend that reassurance. I can add that Donna Ockenden, in doing her work, looked at cases from Wales as well. The issue that my hon. Friend has raised has also been raised by my hon. Friend the Member for Montgomeryshire (Craig Williams), and I can give them both that assurance.

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for his statement, for the obvious compassion that he has for all those involved, and for his support of the Ockenden report. I want to place on record my sympathy with all those parents who still grieve their loss, and for whom no report will never, ever soothe the pain. Will the Secretary of State confirm that the report into this dreadful spate of deaths will be made available to all hospital trusts across the United Kingdom, including Northern Ireland, to ensure that lessons are learned and that the 84 recommendations of the Ockenden report and any mechanisms of prevention can be understood and put in place UK-wide?

[Sajid Javid]

Yes, I can give the hon. Gentleman that assurance. We are more than happy to reach out to the Northern Ireland health service and to work proactively with it on improving maternity services in Northern Ireland.

Health and Care Bill

Jim Shannon Excerpts

Consideration of Lords amendments
Wednesday 30th March 2022 Commons Chamber

[Mr Deputy Speaker (Mr Nigel Evans)]

I intend to call the Minister at 5 o’clock to give him 10 minutes to wind up. We have not got long, so will Members please keep their contributions as short as they can?

[Jim Shannon (Strangford) (DUP)]

Thank you for calling me, Mr Deputy Speaker, to speak in this debate. I am pleased to follow the hon. Members for Sleaford and North Hykeham (Dr Johnson) and for Congleton (Fiona Bruce). I thank them both for the contributions.

It will be no surprise to the House that I am here because I abide by the absolute view that both lives matter—the unborn child and the mother. I know that many people believe that if someone is anti-abortion, they are anti-woman. I am not—I never have been, never will be and it is not the case. I believe in life and helping people. My career and all my life have been based around that, and I will continue as long as God grants me the strength to do so.

The Minister referred in his introduction to the fact that the regional devolved Administrations will make their own decisions. They can make that decision in Scotland and Wales, but we cannot make that decision in Northern Ireland, because the Government made it here. They took that decision away from us, and I am particularly concerned about that.

I have several concerns about the approach adopted during the pandemic in relation to so-called telemedicine to access abortion, which was recognised at the time as short-term. Without a face-to-face appointment, there is no confirmation of how many weeks pregnant a woman is, which makes a difference to the experience of an abortion at home. As reported in the summary of consultation responses, women who had experienced an abortion said that information should be provided on

“how inaccurate dating of pregnancy may mean increased pain and bleeding”.

A woman whose pregnancy is later than 10 weeks could find herself unexpectedly passing a mature baby at home, which could lead to significantly more complications. I understand that those advocating for the Lords amendment argue that complications have decreased since the pandemic, but I question the evidence, given that the Government and the Minister’s Department say that

“data on complications is incomplete”

and they are working on reviewing the system of recording abortion complications.

I am also persuaded by the concerns about the increased possibility of a woman finding herself pressurised at home to have an abortion that she does not want, as other hon. Members have said. There is a well-known link between abortion and domestic violence. Indeed, the BBC published a survey a few weeks ago reporting that 15% of those surveyed said they had felt pressured into ending a pregnancy. How are we protecting those women? How can doctors know that they are really speaking to a woman who is voluntarily calling about an abortion, or even that they are speaking to the right person at the other end of the phone?

There are many differing and strong views on this subject on both sides of the House, but I question whether the women who find themselves coerced into an abortion from their home, or who have found themselves bleeding unexpectedly at home or having an abortion much later in their pregnancy than they expected, would agree that telemedicine abortion is a positive step in women’s health. I doubt that they would.

I have recently been vocal regarding the need for face-to-face GP appointments. I have been inundated by constituents who simply have no confidence that a diagnosis by picture or telephone call is safe. I have constituents whose cancer has been undiagnosed because the GP was unable to see first hand what would have been clear in a face-to-face appointment. I believe that face-to-face appointments should be available.

I find it difficult to understand how pills to end life—to take away life—in a painful manner for the mother can be given without seeing someone to assess what cannot be seen on the phone. The signs and movements that an experienced GP can see that point to a deeper problem cannot be discussed in the two minutes allocated to such phone calls and I am fearful that the duty of care that we are obliged to discharge will continue to be missed. I am diametrically and honestly opposed to this legislation, because as I said at the outset, both lives matter. Lives could have been saved if abortion had not been available on demand.

I will vote against the permanent extension of this ill-advised scheme today and urge hon. Members on both sides of the Chamber to join me. It is a step backwards rather than forwards in providing adequate support and care for women, and it further normalises the practice of abortion as a phone call away rather than as a counselled decision under medical care, which is what it deserves to be. I, my constituents and my party are clear that this is a massive issue. I fully and absolutely oppose the Government in what they are putting forward today, for the safety of both mothers and the babies, because I am about saving lives, not destroying lives.

[Dr Ben Spencer (Runnymede and Weybridge) (Con)]

I rise to speak on the subject of the health services safety investigations body and on abortions. I begin by making a couple of declarations: I am a now non-practising doctor, my wife works as a doctor, and I am a member of the Royal College of Physicians and the Royal College of Psychiatrists.

On the HSSIB, I will keep it brief. I hugely thank the Minister for supporting the Lords amendment and ensuring that we have those safe spaces for doctors. That is critical for the body to work and for us to learn from it. Hopefully, we can undo some of the harms of previous atrocities and what has happened to previous doctors, as has been referred to.

On abortion, it is important to say that I wholeheartedly support and believe that women should have access to safe and legal abortion services, but the regulatory framework around them is complex and it is a sensitive area. As is clear from the powerful speeches that I have heard from both sides of the House, it is also sensitive for hon. Members. Many of my constituents—on both sides of the debate—care deeply and correspond regularly with me about it; I care deeply about it too. I have looked after women who are contemplating having an abortion and I have looked after women who have had abortions, so although I have never carried out one myself—I am a mental health doctor—I have seen it from both ends.

--- Later in debate ---

[Wes Streeting]

My hon. Friend is absolutely right and she will know of our party’s ambitious commitments, outlined by my hon. Friend the Member for Tooting (Dr Allin-Khan), to ensure that patients receive guaranteed mental health treatment within a month. That would be revolutionary. It will require investment and require recruiting the people we need to help provide that care, but this country is living through a mental health crisis on top of everything else. This has been a deeply difficult two years for our country during the pandemic. Many people bear not just the physical scars and ongoing physical health consequences of long covid, but the grief, the loss and the injury to their mental health and wellbeing caused by this deadly pandemic. Many of those people who are suffering mental health crises are the very people who are still turning up for their shifts in the hospitals, still turning up for their shifts in the GP surgeries, and still turning up at work to help care for others even though they are in need of care themselves.

Lords amendment 29 does not commit the Government to hire thousands more doctors and nurses, although they should. It does not commit to new funding for the NHS, although it desperately needs that. It does not even commit the Government to finally publish the workforce strategy the NHS is crying out for, despite the fact that the NHS has not had a comprehensive workforce strategy since the Labour Government’s plan was published in 2003. All we are talking about today is an independent review of how many doctors, nurses and other staff the NHS needs for the future. That is not just a view put across by Labour Members: it is supported by many Members right across the House, including the Chair of the Health and Social Care Committee, the right hon. Member for South West Surrey, who is a former Health Secretary. It is not the first time that he has helped to unite the sector, although I remember the days when it was sometimes united in opposition to, rather than in support of, his proposals.

I will say this, actually: when the right hon. Member for South West Surrey took over as Chair of the Health and Social Care Committee, I was really nervous about the prospect of a former Health Secretary effectively marking his own homework, but on this issue, he has shown a degree of honest reflection and has genuinely contributed his experience to the debate about the future of health and social care in this country. Not only has he been honest about where he fell short, and where other Conservative Ministers may have fallen short, but he is determined to make sure that we improve the quality of the health and social care debate in this House. I very much welcome his contribution to the debate about the NHS workforce challenge.

[Jim Shannon]

Will the hon. Member give way?

[Wes Streeting]

How can I resist?

[Jim Shannon]

The shadow Minister is always kind in giving way. I want to back up his comments about the right hon. Member for South West Surrey (Jeremy Hunt). On Lords amendment 29, does the shadow Minister acknowledge that Macmillan Cancer Support said that it needs an additional 3,371 cancer nurse specialists? That would double the nurses by 2030, and it gives us a reason why we need to support Lords amendment 29 and why workforce safety is critical.

[Wes Streeting]

The hon. Gentleman is absolutely right. If I am honest, I suspect that the Minister and the Secretary of State for Health and Social Care also agree that Lords amendment 29 is needed. I suspect the truth is that they are not the ones blocking it. They are in a Treasury-imposed straitjacket from the Chancellor, preventing them from doing what they know to be necessary for the NHS, because the Treasury would rather stick its head in the sand and not acknowledge the scale of the challenge or the reality of the cost. It hopes that ignorance is bliss and that we can carry on as we are, and perhaps nobody will notice—even the 6 million people on NHS waiting lists.

--- Later in debate ---

[Madam Deputy Speaker (Dame Eleanor Laing)]

I am surprised that the hon. Member for Strangford (Jim Shannon) does not wish to speak. [Interruption.] Oh, he does. I hope he will be brief, so that the Minister will have time to answer the debate.

[Jim Shannon]

I certainly will make my points quickly. My first is on the organ transplant amendment, to which the Minister referred. I fully support the measure and have been asking for it for a number of years in the House, so I am pleased to see it moved tonight. Secondly, I am not sure whether the right hon. Member for Chingford and Woodford Green (Sir Iain Duncan Smith) is going to push his amendment to a vote—[Interruption.] He is not, but if he did, he would have my support and probably that of my party, too.

Thirdly, I am pleased to lend my support to Lords amendment 29. It would create a national independent view of how many health, social care and public health staff are needed to keep pace with projected patient demand over the next five, 10 and 20 years. I wholeheartedly agree with Macmillan Cancer Support that the Bill will fail to address the biggest challenge facing the NHS and social care right now: staffing shortages and pressures. The Government need to take Lords amendment 29 seriously. The hon. Member for Ellesmere Port and Neston (Justin Madders) referred to it, too. We recognise that we need to address staff shortages as soon as possible. I have referred to Macmillan and their request for an additional 3,371 cancer nurse specialists to help address that issue.

I will conclude with this point. I understand that the Government may come back with all the justifications as to why this is not the right amendment—the Minister is a real good man; we all know that, and he responds well to all our requests—but I am content that it would begin to address the issue that our NHS workforce is disintegrating. One of my constituents is in a prestigious medical school here on the mainland. She went to do her rotation with a GP as part of the work she does. He told her, “Do any job but this.” I thought that was disappointing. He said, “It will consume your life. You will work long hospital shifts and you will not have a personal life.” This is a seasoned GP who simply cannot cope, so we must do something, and this amendment is a way forward. I therefore will support it whenever it comes to a vote.

Civil Proceedings

Jim Shannon Excerpts

Tuesday 29th March 2022 Commons Chamber

[Maggie Throup]

The right hon. Gentleman makes a very good point. We know that the pandemic has had a mental health impact not just on children and young people, but on people of all ages. That is why it is important that we are now living with covid and getting our lives back to normal, which is one way of helping restore that normality that we are so desperate to get back to.

The Government helped businesses at a time when many faced disruption, including through the coronavirus job retention scheme. We have also supported the self-employment income support scheme, which paid out more than £28 billion to nearly 3 million self-employed people and was one of the most generous schemes for the self-employed in the world.

[Jim Shannon (Strangford) (DUP)]

The legislation covers England, Wales and Northern Ireland. Will the Minister reassure me that full consultation has taken place with the Health Minister and the Economy Minister in Northern Ireland to ensure that what she is mentioning is endorsed by the Northern Ireland Assembly?

[Maggie Throup]

I shall come shortly to the specific parts of the extension that are relevant to Northern Ireland. I am sure that the hon. Gentleman will appreciate that we have had ongoing conversations with the devolved Administrations throughout the whole two years.

The Coronavirus Act 2020 also helped to ease the burden on frontline staff in our critical public services. For example, provisions in the Act have helped the courts and tribunal system to keep functioning throughout the pandemic by allowing thousands of hearings to take place remotely.

Lateral Flow Tests in Healthcare Settings

Jim Shannon Excerpts

Monday 28th March 2022 Commons Chamber

[Mr Virendra Sharma (Ealing, Southall) (Lab)]

I am delighted to have secured tonight’s Adjournment debate on an important topic for my constituents and people across the country. I feel driven to raise this point again because I do not believe that the Government are adequately considering the most vulnerable. Two weeks ago, I wrote to the Secretary of State on behalf of more than 50 hon. Members of this place and others. We were of all parties—this is not a party political issue but one of fairness and justice—and we were of one mind: that the charge for lateral flow tests would exclude many from a proper part of life in this country.

It is clear to everyone that the fight against covid-19 is not over. The rise of new variants and strains will continue. Researchers and healthcare professionals will develop and deploy new and more effective vaccinations and therapies. I think the Minister will agree that we have to learn to live with covid and that we will not eliminate it tomorrow, but living with it is a death sentence for many. Millions across the UK are clinically extremely vulnerable or have CEV relatives and friends in care homes and medical settings.

Protecting the most vulnerable has been a key aim of public health policy for two years, and that is right.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Gentleman on bringing forward the debate. I agree with him entirely. Does he agree that it is essential for testing to remain widely accessible for those who are face to face with the most vulnerable in society: the carers, who have been at the forefront of protecting all of us across the United Kingdom of Great Britain and Northern Ireland over the last two years? Lateral flow tests are still worth the cost, and they must continue to be available free for all vulnerable people and their carers.

[Mr Sharma]

I thank the hon. Member for that important intervention. I am sure that the Minister took note of his concerns.

We all know that we are experiencing and facing an increasing cost of living crisis, and earlier this month the Foreign Secretary agreed that the escalating crisis in Ukraine will only drive inflation higher, so in the midst of the most serious cost of living crisis for a generation, with a national insurance tax rise and with covid remaining a global threat, it would be wrong to add a further burden on to families wanting to stay safe from covid and visit friends and families in care settings. The introduction of charges for lateral flow tests risks introducing a serious cost on many for visiting their closest family when those visits mean so much to visitor and host.

Covid-19: Impact on Social Work

Jim Shannon Excerpts

Wednesday 23rd March 2022 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Member for Lancaster and Fleetwood (Cat Smith) for raising such an important issue. I had hoped that we would have more people here today to participate because there is not one MP who does not have regular contact with their social workers on behalf of constituents; it happens in my office every week. I want to mention some of the issues and care packages in place, and I will mention some figures for my constituency.

I am pleased to see the Minister in her place. I always look forward to her response—not just because she is a good friend, but because she always answers with knowledge and help, which I think we all wish to see. That is exactly what the hon. Member for Lancaster and Fleetwood is seeking with the debate. I am also pleased to see the shadow Minister, the hon. Member for Bristol South (Karin Smyth), in her place—I look forward to her contribution—and my good friend the hon. Member for Linlithgow and East Falkirk (Martyn Day), who speaks on behalf of the Scottish National party. We are pleased to participate in this debate on such an important issue.

It is not the fault of anyone in this room, but the outbreak of the pandemic has cruelly exacerbated the social work situation. How we respond is the subject of the debate and the Minister’s responsibility. There is no doubt those in the profession have faced unprecedented challenges, and it is great to be here today to illustrate some of them and to discuss how we can support our brilliant social workers.

We have mentioned the NHS and many of those who kept the wheels turning and the shelves filled, who visited people and who made everything happen through a pandemic of unprecedented ferocity. All of society gelled together as a team to make that happen. I meet people every week in my constituency of Strangford who make the lives of the vulnerable and those in need better. That is their responsibility, and I have that responsibility on their behalf.

We are sometimes confronted with incredibly difficult cases. I am no different from anybody else, so I suspect that my response is the same as everyone else’s. Social workers are involved in some awful cases: the lives that people are confronted with, probably through no fault of their own, and the impact on children. I have a special place in my heart for children, because I am not only a father, but a grandfather; it is a great stage. Those of us in the Chamber who are grandparents will know that it is a wonderful experience. The great thing, Mr Robertson, is that we can give our grandchildren back at 7 o’clock at night! Whenever they get tantrummy and want to go to bed, or do not want to go to bed—it depends what mood they are in—we can always phone up their mum and dad to say, “By the way, the kids are ready to collect.” We can enjoy all the fun, but for others on the frontline, I am afraid that there are real problems.

As of 2021, 105,000 people were employed as social workers for children, the elderly, and those who are vulnerable and in need. I am not asking the Minister to answer for Northern Ireland as that is not her responsibility, but I want to sew the Northern Ireland perspective into this debate because it echoes what the hon. Member for Lancaster and Fleetwood said in her introduction. The Minister always gives me some succour and encouragement in her response, and that is important.

There is predicted to be a mismatch between the supply and demand of social care professionals, with 1 million workers needed by 2025, which is not that far away. We seem to be having anniversaries regularly—whatever they may be for—and I look back and think, “That can’t have been four or five years ago”, but it was. Three years will pass quickly, and it is predicted that there will be a 35% shortfall in social workers. Will the Minister tell us from a UK perspective what has been done to recruit and train social workers, and to have the support at every level that is critical to a good response?

[Mr Gregory Campbell (East Londonderry) (DUP)]

My hon. Friend is outlining the extent of the problem and the imminent mismatch between supply and demand, which is just two and a half years away. Does he agree that what we need to see and hear from Government, both centrally and throughout the devolved regions of the UK, is an acknowledgement and admission of an impending problem? Action needs to be taken now, so that social workers and others in the care sector can see that our Governments are looking ahead, planning and preparing for the problems that we will all face.

[Jim Shannon]

My hon. Friend has summed up in a few seconds exactly what the debate is about, whereas I will take 10 or 12 paragraphs to explain it. His point is that we have to be strategic and visionary, and have a plan of action. Today is all about what that plan of action is.

[David Linden]

I visit schools in my constituency and speak to some of the kids about what they want to be when they grow up—although I am probably not grown up yet and do not know what I want to be—and it strikes me that we have to look at this issue in the context of schooling, which I accept is devolved in Scotland. We need to encourage young people to think about careers in social work. Looking around the Chamber, I was probably the one in school most recently, but I do not recall being encouraged to look at social work, when we were told in the traditional way, “Here are careers you can do.” Does the hon. Gentleman agree that we can do more to encourage young people to consider a career in social work, and would he be willing to promote that in Northern Ireland?

[Jim Shannon]

The hon. Gentleman is absolutely right. Many social workers I deal with are probably of a certain generation. He makes the point that we need to be preparing, and that goes back to my question to the Minister about having a strategy and plan in place.

I understand that many young people do come into social work, because I have met some, but—I say this very gently, and it is not in any way meant to be critical—they need to have experienced social workers to work alongside and gain their knowledge. Young people will sometimes be confronted with cases that they might not have the life experiences to deal with. That is not a criticism; experience is gained over many years. I have been confronted by such cases on behalf of constituents, and I feel that decisions are not always made—in my opinion, as someone who is not a social worker—as they could or should have been.

[David Simmonds]

I entirely agree with the hon. Member’s point. Does he agree that programmes such as the fast-track ones bring the opportunity, in particular for young social workers who might be graduates straight out of university, to work with people who may have been in the profession for 20 or 30 years? Young social workers would have the chance to learn from experienced people and to see how they dealt with cases with which I, as a lead council member, was sadly familiar—for example, sometimes, the sexual abuse of children committed by professionals who were meant to be caring for them, or elderly people suffering complex financial abuse within a family. It is important that the Department of Health and Social Care and the Department for Education continue to support that type of professional development, so that we can grow our own highly professional social workers in the future.

[Jim Shannon]

As my friend, the hon. Member for Glasgow East (David Linden), said—and as I am trying to say, in my broken words—people have to start somewhere in life; they have to start their job somewhere and learn about their role.

Social care organisations have revealed that 75% of social workers feel more negative about their work life in 2021 compared with in the first year of the pandemic. People come to us all the time with problems, and I like that because it is my job. Many people say, “I don’t know how you do your job, listening to people’s complaints and always solving their problems, and so on”, but I reply, “That’s what life is about. Life is about making lives better.” We need to be aware that social workers sometimes deal with complex and difficult issues. My question to the Minister is, has any assessment been done of the impact of the pandemic on social workers? If the figures are right—I understand that they are—that 75% of social workers feel more negative about their work life in 2021, we have a potential problem. I hope we do not, but we must at least consider that and respond.

This situation is down to the increasing pressures and challenges that the social work sector has faced. Referrals of children to social services in Northern Ireland have increased every month since February 2020. The highest figure was in April 2021, with 3,616 children being referred. That clearly indicates that parents are struggling to cope, and is a clear sign of the increasing pressure on our social workers, which the hon. Member for Lancaster and Fleetwood illustrated very well in her contribution, and as other Members have reported.

We must not forget the impact that the covid outbreak has had on the social sector in relation not just to children, but to the elderly and the vulnerable. The hon. Member for Ruislip, Northwood and Pinner (David Simmonds) rightly referred to an issue that is on my mind as well: people who depend on family members to look after their financial affairs. I have dealt with a few of those cases, which are always difficult because there are often two sets of family members saying two different things—but there is a person in the middle who is losing out.

The BBC revealed in mid-2021 that almost 2,000 people in Northern Ireland are waiting for care packages, so that they can be supported to live in their own homes. Just this week, a very lovely man who I have known all my life—he is well into his 80s now—has been ill and had to go to hospital. Although he wants to come home, and would be able to, he needs a care package in place before he can come home because, due to the nature of his disability, his wife would be unable to provide the physical care that he needs. That is not the Minister’s responsibility; I am just illustrating the issue.

The wait for care packages could mean an increase of patients to residential care. My constituency of Strangford takes in the South Eastern Health and Social Care Trust, which has reported that 282 people were waiting from the end of August 2021. Social workers are a key part of making that a success story. The provision of home care is crucial in taking the additional pressure off of hospitals and care homes. We must ensure that our social workers have the capacity to deal with the increasing amount of care packages needed. I have never seen anything quite like it. I know that we are getting older—we are living longer and our bodies are breaking down, meaning that more people need care packages—but there has to be a strategy and a vision for how we deal with that, as has been pointed out in other contributions.

There is an increased risk of covid infection for those who work in the social work industry, as we have seen happen over and over. That is nobody’s fault; it is the nature of life. It cannot be helped when tests are positive and people must take time off work. However, that is where we can step in to ensure that there is a sustainable number of social workers to cope with the level of care needed by children, the elderly, the vulnerable and the disabled.

We must also take into consideration the impact of the pandemic on our social workers’ mental health. Some 55% of respondents to a survey said that they felt increased anxiety—in an already difficult job—given the risk that they posed to the vulnerable by potentially carrying covid. I am keen to hear the Minister’s thoughts on how we can better deal with that. One way would be to have extra staffing, as the hon. Member for Lancaster and Fleetwood mentioned earlier. Social workers are as prepared as they can be in terms of personal protective equipment, as the Government and the Minister have done extremely well in responding to that need, but the Government must step in when it comes to staffing and workload. Many social workers have stated that their casework load has increased by as much as 40% over the pandemic. They are working longer hours—I know that, because they tell me that and I see it—and those longer hours are probably for the same money. Overtime rates will never compensate for the loss of physical wellbeing and mental health.

The Department of Health and Social Care must have provisions in place to ensure that our social workers are not under the most extreme pressure. I very much look forward to the Minister’s response and the encouragement that she will give us. I urge her and her Department to consider the impact of that pressure not only in England, where her responsibility lies, but across the United Kingdom. I know that the Minister, like those in other Departments, regularly contacts her equivalent Minister in the devolved Administrations, be that in Scotland, Wales or, in my case, Northern Ireland, so I know that there is continuity between those Administrations. I say very gently to my two friends, the hon. Member for Glasgow East and the hon. Member for Linlithgow and East Falkirk, that I very much think that within this great United Kingdom of Great Britain and Northern Ireland, we are always better together; we can work together and exchange ideas, and we can all benefit from that. I say that gently to my friends in the SNP, because I know that they really do agree with me that we are better together.

[Mr Laurence Robertson (in the Chair)]

I call Martyn Day.

Irish Diaspora in Britain

Jim Shannon Excerpts

Thursday 17th March 2022 Commons Chamber

[Conor McGinn (St Helens North) (Lab)]

Tá áthas agus bród orm páirt a ghlacadh sa díospóireacht seo agus labhairt ar son pháirtí an Lucht Oibre—I am delighted to be winding up the debate on behalf of the Labour party. Normally at this time on St Patrick’s Day I would be up to my oxters in Guinness and beaten dockets, either at Cheltenham or in the Sheephaven Bay pub in Camden. None the less, it is a pleasure to be here in surroundings and company that might be seen as more eminent, but are definitely less craic.

Being Irish is something of which I am very proud and which is very important to me, and being Irish in Britain—this great country that has given me so many opportunities—adds another special and distinct layer to my identity and, I know, the identities of millions of other people. My hon. Friend the Member for Rochdale (Tony Lloyd) understands that deeply, and I thank him not just for securing this debate, but for his decades of work in supporting the Irish in Britain and furthering the cause of good relations between Britain and Ireland. I know that all the Members who have spoken today are similarly committed. Some of the members of the all-party parliamentary group on Ireland and the Irish in Britain—for instance, my hon. Friend the Member for Cardiff West (Kevin Brennan) and the hon. Member for Bolton North East (Mark Logan)—cannot be here today, but they also undertake such work.

I know that many of us will be thinking of our friend Jack Dromey today. He would be so proud that we are having this debate, and of course he would be actively participating in it by making what he would describe as “just seven brief points”. We also think today of many colleagues who took up the cause of the Irish in Britain at a time when it was certainly not politically advantageous, and on occasion was even personally dangerous. You and I, Madam Deputy Speaker, talk frequently of your great friend Sir Patrick Duffy, who was one such champion. I know that the whole House will want to send him our best wishes. He is the oldest living former Member of Parliament. At the age of 101, he is still active, and has written the story of his incredible life, from Mayo to NATO, in his autobiography.

Let me now turn to the subject of our community, its place here in Britain, and its role in strengthening relations between the Britain and Ireland. The first thing to say is, like British citizens in Ireland, the Irish in Britain have a special status. That has benefited us greatly, and although paths diverged when the UK left the EU, the maintenance of that unique arrangement is very welcome.

About half a million Irish-born people live in Britain. I use the term “Irish-born” specifically because, of course, many more people here have Irish parents and even more have Irish grandparents, as was mentioned by the hon. Members for Bury North (James Daly), for West Dunbartonshire (Martin Docherty-Hughes) and for Coatbridge, Chryston and Bellshill (Steven Bonnar). As we heard from my hon. Friend the Member for Dagenham and Rainham (Jon Cruddas) and the hon. Member for Angus (Dave Doogan), the contribution made to British life by Irish people is enormous—economically, culturally, socially, in sport and, dare I even say it, politically; and also, of course, in public service.

Perhaps the last two years have shown more than ever the role of Irish people in every part of society here as we have come through the pandemic together. I am thinking of the thousands of nurses, doctors, clinicians, porters and cleaners in our national health service. I also think of the academics who researched and created the vaccine, who included an Irishwoman, Professor Tess Lambe, and of the first person to receive it—Margaret Keenan, another Irishwoman. Then there were those in the community groups and centres, from London to Liverpool, who put their shoulder to the wheel to help those who needed that help, from providing companionship for older people to providing food parcels for families. The work of organisations such as our many Gaelic Athletic Association clubs and their volunteers was incredible, and the national charity Irish in Britain was to the fore in creating the Vaccine Le Chéile, or “Vaccine Together”, campaign to encourage take-up. I know that that community campaign was strongly supported and assisted by my hon. Friend the Member for Bristol South (Karin Smyth).

This week alone showed me the strength, diversity and extent of the Irish community. Last week the British Irish Chamber of Commerce held one of its council meetings here in Parliament. Over the weekend the Taoiseach paid a visit, and was hosted in the City of London by the Lord Mayor, Alderman Vincent Keaveney, the first Irish citizen to have that role. On Sunday, the Liverpool Irish Centre hosted a lunch for Irish pensioners—and there are quite a few of them in Ireland’s 33rd county of Merseyside, including some in my own constituency and that of my hon. Friend the Member for Liverpool, Riverside (Kim Johnson). On Monday morning I went with my right hon. Friend the Leader of the Opposition to the London Irish Centre, which provides welfare support and advice for those in our community who need its help and assistance, while the arts-related and cultural side of its work showcases the best of our music, language, drama and literature.

[Jim Shannon (Strangford) (DUP)]

I apologise, Madam Deputy Speaker, that I could not be here for this debate because I had a debate in Westminster Hall that I had sponsored. I want to add my support for the hon. Member for Rochdale (Tony Lloyd) and the others who have spoken in the debate and for what they are trying to achieve. I am pleased to be supporting it through this intervention. Could I also ask a question? Would the hon. Member for St Helens North (Conor McGinn) support the request that I and others have made for the Republic of Ireland to join the Commonwealth?

[Conor McGinn]

I have a great deal of sympathy with what the hon. Gentleman says. He tempts me to stray into policy areas that are not mine, so I will pass on his comments to the shadow Foreign Secretary and ask for a response. But it was a nice try!

The hon. Gentleman will be delighted to know that, just on Tuesday, Their Royal Highnesses the Prince of Wales and the Duchess of Cornwall, alongside my hon. Friend the Member for Hammersmith (Andy Slaughter), visited the Irish cultural centre in Hammersmith. I think they were even persuaded to take up the bodhran and play their part in an impromptu music session. Yesterday here in Parliament I was proud to co-host an event for parliamentarians with the Irish ambassador and CHAMP, the peace and reconciliation organisation. And of course today, on St Patrick’s day itself, we are having this debate.

The position and prominence of our community has arguably never been stronger, but we have come through tough times and the impact of the troubles was felt acutely by the Irish community here. As my right hon. Friend the Member for Hackney North and Stoke Newington (Ms Abbott) and the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier) said, many were shunned and subjected to anti-Irish racism, personally and through the press. We know about the prominent miscarriages of justice, but we also remember the treatment of the wider community as a suspect community and the impact of legislation such as the Prevention of Terrorism (Temporary Provisions) Act 1974.

I am sure the hon. Member for Belfast South (Claire Hanna) would agree that, outside Northern Ireland, no group of people have benefited more from, or been more supportive of, the peace process and good relations between the UK and Ireland than the Irish in Britain. We still face challenges, however. We know that many of our fellow Irish in Britain still suffer health inequalities, for example, with higher rates of cancers and increasing mental health conditions. I know that the Minister has a keen interest in this. The Government have a duty to address that in the same way they would for other communities.