Menopausal Symptoms: Support

Jim Shannon Excerpts

Wednesday 9th June 2021 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

First of all, I congratulate the hon. Member for Swansea East (Carolyn Harris) on securing this debate. She and I have been in so many debates together that I have almost lost count. I have always supported her and, to be fair, she has always supported me.

I am here for two reasons: to support the hon. Lady but also because my wife has gone through this in the last wee period of time. Although I cannot begin to comprehend physically what it means to a lady for it to take place, I think that, as a dutiful husband, I am able to make a wee contribution to this debate.

I am also here because I am the Democratic Unionist party’s health spokesperson. I take a particular interest in all health issues debated in this place, whether in Westminster Hall or in the main Chamber, including Adjournment debates.

Although I will never experience physically the difficulties outlined today by every one of the hon. Ladies who has spoken, I have supported my wife through her journey, and from the outside looking in, it has been a tough time. Describing it as “the change” is very apt—there are so many changes, so much change—and with change there must be support. Also, at that time my wife lost her mother. So, in addition to having the menopause, she lost someone who was very dear to her and who we all miss greatly. Those were difficult times. My wife had to go to hospital as well. My mother helped her in that regard, because I was over here and so was unable to assist her directly.

I believe that there must be a wider understanding that all of those things that are different are so difficult to understand. There may be a list of symptoms, such as anxiety, low moods, poor concentration and memory, hot flushes and night sweats, insomnia and so on. However, knowing that they things may be symptoms is one thing; dealing with them is very different. So, it is about how we deal with these things.

In Northern Ireland we have only two menopause specialists. The service is understaffed and in dire need of funding and attention. I believe that every trust must have dedicated specialised clinics to deal with the menopause and to provide information, medication and support. Women, especially those in Northern Ireland, have a “grin and bear it” mentality about most things in life, but I believe that that is not enough to see you through. We need to have the conversations and have them heard, not simply woman to woman, but with men, husbands, partners and sons—although I understand that the hon. Member for Canterbury (Rosie Duffield) may have a slightly different opinion on that. I suppose the question is how to help them understand and to offer them support that makes this cosmic shift bearable.

I employ seven staff—four part-time and three part-time. I have six ladies and one gentleman. As an employer, I have to be aware of my duty and understand, sympathetically and compassionately, where we are. I have learned over the years that we—and in this case I—can step outside our comfort zones when needed. This message must be clear. I believe that these discussions are needed and have to take place. I stood with my wife as she went through a particularly tough time, and I have realised that things are only as awkward or as uncomfortable as I make them. A simple, “Is there anything I can do to help today?” means the world to someone who feels they are battling the world and their own body.

I thank the hon. Member for Swansea East for raising this issue and all the hon. Ladies who have spoken. I look forward to hearing those who will follow me, especially the Minister, as I always do. We need these conversations. We also need a dedicated programme and funding. I look to the Minister, who does not have responsibility for Northern Ireland but who always answers well, to outline how the Government can ensure that we can do better—and that means everyone, male and female.

Covid-19 Update

Jim Shannon Excerpts

Monday 7th June 2021 Commons Chamber

[Matt Hancock]

I pay tribute to the team at Harrow, and especially for the testing expansion. My hon. Friend said that there were 13,000 pupils and 12,000 of their relatives, and that includes me, because one of my children goes to school in the Harrow area. We got our PCR tests at home, we sat around the kitchen table and we all did them together, and I am glad to say they were all negative. This showed me—I felt like a mystery shopper —how effective this surge testing can be in making sure that we tackle these problems. We have seen that surge testing can work. We saw it in south London, where it worked. We have seen it in Bolton, where the case rate has come down. It has been used in Hounslow. It has been used in other specific areas, and I am glad it is now under way in Harrow to try to keep this under control.

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for his statement, as always. He has been clear in the approach that has been taken to the Indian variant, which is currently posing difficulties. I am anxious to understand the level of co-operation and data-sharing with the devolved Assemblies. In particular, I am aware that we are dealing with possible cases in Kilkeel in County Down in Northern Ireland, where 1,000 homes have been visited and 900 tests carried out by a specialised mobile unit. It is clear that the Indian variant problem must have a UK solution presented.

[Matt Hancock]

Yes, the hon. Gentleman is absolutely right. We talk about this when the Northern Ireland Health Minister and the Scottish and Welsh Health Secretaries join me on a weekly call. We are acutely aware of the importance of tackling the delta variant, as it is now called, and it is something we work on very closely together across the UK.

Covid-19: Government Handling and Preparedness

Jim Shannon Excerpts

Thursday 27th May 2021 Commons Chamber

[Matt Hancock]

That is literally the most important question to which we do not yet have a full answer. The data that we have suggest that, in the hotspot areas, around one in 10 of those in hospital are people who have had both jabs. That is a function both of the protection that we get from the vaccine against this variant and also of the age profile of those who are catching the disease. Those who have not been vaccinated include those who are old enough to have been offered the jab and those who have not yet been offered the jab. The fact that 90% of the people in hospital are those who have not yet been double vaccinated gives us a high degree of confidence that the vaccine is highly effective, but the fact that 10% of people in hospital have been double vaccinated shows that the vaccine is not 100% effective. We already knew that, but we are better able to calibrate as we see these data. We will learn more about this over the forthcoming week or two before we make and publish an assessment ahead of 14 June about what the data are saying about taking the step that is pencilled in for not before 21 June.

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for all that he has done to deal with the coronavirus disease and for the roll-out of the vaccine. My mother-in-law died last year from the virus. On Monday, she was taken to hospital, and five days later we lost her. I want to put it on record that we do not blame anybody, but we miss her every single day.

There are those in Northern Ireland who have questions to which they need answers. Our Prime Minister has committed himself to an inquiry, and the Secretary of State has committed himself to that inquiry. I want to ensure that those people from Northern Ireland who have lost loved ones and who have sincere questions can ask their questions—they do not want to blame anybody—and get an answer. Will the Secretary of State assure us that people from Northern Ireland who have those questions can and will be part of that inquiry?

[Matt Hancock]

Yes, of course. I am sure that the hon. Gentleman, like me, will welcome the fact that this morning Northern Ireland has been able to open up vaccination to all adults over the age of 18, showing the progress that we are able to make working together with the UK vaccination programme and local delivery through the Department of Health in Northern Ireland. Of course the inquiry must and will cover the entire United Kingdom. In the three nations that have devolved Administrations, of course it will have to cover the activities both of the UK Government and of the devolved Administrations. Exactly how that is structured is yet to be determined and it will be done in consultation with the devolved Administrations. But as he rightly says, it is vital that we use the inquiry to ensure that people can ask questions and get answers in all parts of the United Kingdom.

Dementia Action Week

Jim Shannon Excerpts

Thursday 27th May 2021 Commons Chamber

[The Minister for Care (Helen Whately)]

I beg to move,

That this House has considered Dementia Action Week.

I congratulate the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) on securing this debate to mark Dementia Action Week. I pay particular tribute to her work as co-chair of the all-party parliamentary group on dementia, and to the charities that she and I both work with, including the Alzheimer’s Society.

I know how hard the last 12 months have been for those living with dementia and their families. Living with dementia is hard in normal times, but harder still during a pandemic. It has been an incredibly difficult year. I know that, and I have seen that. There are more than 850,000 people living with dementia and around 670,000 carers looking after them. I thank everyone who is caring for someone with dementia.

While many thousands of people have dementia, we must not, and I do not, see it as an inevitable part of ageing. Although one in six of those over 80 have dementia, five in six do not. Around a third of dementia cases are estimated to be preventable. I am ambitious—ambitious about preventing dementia, ambitious about developing treatments, and ambitious about one day developing a cure. However, first I will update the House on what we have been doing under the umbrella of the challenge on dementia 2020 and in response to the pandemic.

Last year, we assessed delivery of the 2020 challenge, which showed that we now have more than 3 million dementia friends, thanks to the Alzheimer’s Society. We have 437 areas across England and Wales signed up as dementia-friendly communities. We have 137 trusts signed up to the dementia-friendly hospital charter and, thanks to Skills for Care and Health Education England, more than a million care workers and another million NHS workers have received dementia awareness training. Added to that, our commitment to spend £300 million on dementia research over five years was delivered a year early, with £344 million spent over four years.

Timely diagnosis of dementia is really important to help people to understand what is going on, find out what support is available and get advice on what happens next. Since 2016, we have consistently met the challenge on dementia target of two thirds of people living with dementia receiving a formal diagnosis. However, at the start of the pandemic many memory assessment services had to close, and the dementia diagnosis rate has dropped below the national ambition for the first time since 2016.

While we have supported remote or virtual memory assessment services, I recognise that that is not for everyone. I want to see in-person services fully functional as soon as possible, because a diagnosis can make such a difference, allowing people to access the support that they need.

[Jim Shannon (Strangford) (DUP)]

The charity Music for Dementia says that those who have started to sing or listen to music on a daily basis have

“more than doubled their quality of life…whilst halving their depressive symptoms.”

Could that charity be introduced to the Government’s strategy?

[Helen Whately]

The hon. Member makes a really important point: music is one of the things that is known to really help people who are living with dementia. It helps to improve the quality of their lives, and it has been one of things that has been hard to access during the pandemic. I am determined that we see that kind of support restarted, and develop further support along those lines in the months and years ahead.

We have allocated £17 million of funding to NHS England to get the diagnosis rate that I was talking about back up to where it should be, to support the needs of those waiting for a diagnosis and to help those who have been unable to access support due to the pandemic. Everyone with dementia should receive meaningful personalised care, from diagnosis to end of life, to help them to live with the condition and to live the fullest possible life for as long as possible.

It is imperative that we support those—often husbands, wives, partners, sons and daughters—who care for loved ones with dementia. They take on a huge burden of care, both practically and emotionally. Since the Care Act 2014, every carer for someone with dementia should have their needs assessed by their local authority and should then receive the support that they need, whether that is support with caring or respite, time out for themselves or sometimes help with extra costs. That is crucial, not only because carers are so important to the person with dementia they care for, but because they need to have a life alongside caring.

Throughout the past year, we have worked with the Alzheimer’s Society, Age UK, Carers UK, other charities, care providers, local authorities and the NHS to work out how best to support people with dementia and their carers during the pandemic and put that support in place. We have provided more than £500,000 in funding to the Alzheimer’s Society for its Dementia Connect programme, £500,000 to the Carers Trust for its support to unpaid carers, £122,000 to Carers UK to extend its helpline opening hours and £480,000 to the Race Equality Foundation.

We have provided free personal protective equipment for carers where they live separately from the people they care for, in line with clinical advice. We have given carers priority to vaccines in line with Joint Committee on Vaccination and Immunisation prioritisation, considered them time and again in guidance, worked to better identify them and supported local authorities in the restoration of day and respite services, including with nearly £12 million in funding from the infection control fund.

As we come out of the pandemic, we want not only to ensure that we restore and improve early diagnosis and support for people living with dementia and their carers, but to go further: to prevent people from getting dementia in the first place, support research to develop effective treatments and, ultimately, find a cure. The National Institute for Health Research is right now supporting several studies on dementia.

The 2019 Conservative party manifesto committed to doubling funding for dementia research and delivering a moonshot of ambitious goals. The moonshot will expand the UK’s internationally leading research effort to understand the mechanisms underlying the development and progression of dementia, develop new therapies and help to prevent the condition. We are working right now on developing a new dementia strategy to boost dementia awareness, diagnosis, care, support and research in England. As everyone knows, we are committed to wider reform of social care; we will bring forward proposals for that later this year.

We want a society where the public think and feel differently about dementia—where there is less fear, stigma and discrimination, and more understanding. We want to reduce the number of preventable cases of dementia. We are determined to support those who are living with dementia to live the fullest possible life for as long as possible, and to support those who care for them. We will lead the way in dementia research and innovation to find effective treatments and, ultimately, a cure.

--- Later in debate ---

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to speak on this issue, which is incredibly important to many of us in the United Kingdom. Last week was Dementia Action Week, which reminded us all of how important it is. Dementia has touched many lives all too often. I am sure that all of us present know of someone who has been diagnosed with dementia. Some people have spoken of personal relationships. I have had a number of friends who have also, unfortunately, had dementia. It is one of the leading causes of death in the United Kingdom.

Statistics from Alzheimer’s UK indicate that some 850,000 people in the United Kingdom are living with dementia. Some 20,000 of those people live in Northern Ireland, and unfortunately there are 1,152 in my constituency. For those with dementia who reside in care homes the generalisation of memory loss is simply not enough. I believe that we need to consider the long-term effects that patients have suffered from not being able to seek comfort through seeing loved ones as often as needed. A constant feeling of fright, anxiety and loneliness has consumed the minds of dementia patients.

I mentioned the Music for Dementia charity in an earlier intervention on the Minister, and she was kind in her response. It is important that music is introduced to people with dementia because it can help them. The Department must consider research into the benefits of music, and a UK-wide strategy to implement such support would be welcome.

There are things that we can do ourselves to reduce the risk of developing dementia, such as taking care of our diet, getting plenty of regular exercise and stimulating our mental health. But people are not always to blame for what happens.

The Alzheimer’s Society’s recent “Cure the Care System” campaign highlights the struggles of looking after those with dementia, and I want to speak up for the carers. Some 700,000 unpaid carers are looking after people living with dementia across the United Kingdom of Great Britain and Northern Ireland. I find that astonishing, and more work must be done to offer them sufficient respite. The responsibilities, as I know from friends and their families, can become overwhelming, and it is crucial that carers know that help and support are available. The people supporting those who live with dementia have proved their dedication to this country, and it is our duty in this House and across the whole of the United Kingdom of Great Britain and Northern Ireland to ensure that they are protected in society today.

I conclude by thanking the Alzheimer’s Society, Music for Dementia and all the other charities. They should know—I put it on the record today—that their work is appreciated by so many, including me and every other elected representative and every carer who depends on then.

Obesity Strategy 2020

Jim Shannon Excerpts

Thursday 27th May 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I am grateful to be able to speak on this matter. It has been an ongoing issue for the United Kingdom and I appreciate that it is one of our greatest health challenges that affects people of all ages. I want to put on record my thanks to the Minister. I have been involved in many debates where she has responded on the issue of diabetes, which I think she referred to in her introduction. I believe that she is totally committed to bringing together a strategy that we can all endorse and will hopefully bring about a healthier and leaner United Kingdom. I also welcome the commitment to the alcohol strategy.

I am a type 2 diabetic and I have had diabetes for approximately 14 years. I am proud to say that since being diagnosed I have lost almost four stone on what I weighed back in 2008 and 2009. I am not proud of the circumstances that got to me to where I was. I did not even know what diabetes was, to be truthful. I was not even sure what the symptoms were until I met a diabetic maybe the year before. The choices that led me to be diagnosed with type 2 diabetes were ill-judged. I never really gave thought to the health issues that can come along with the foods I was eating. Sweet-and-sour pork and two bottles of Coca-Cola six nights week are not a good thing for anyone, and they certainly were not good for me, as I found out for the worse.

I am now confident and well pleased with how I deal with the issue. It takes self-control. The right hon. Member for Forest of Dean (Mr Harper) referred to self-control, which is very important. Not everybody can do it, but if they can, it is good that they can. Along with the tablets that I take for the diabetes, it seems to be bringing results. There is no place in society for judgment when it comes to the topic of obesity, as the hon. Member for South West Bedfordshire (Andrew Selous) said.

[Mr Harper]

I cannot remember whether I said—as I should have done, when I was talking about people being disciplined—that I accept that it is a simple thing in one sense to reduce one’s calorie intake and take more exercise, but it is not easy for people to do. I did not want to indicate, if I had left that impression, that I thought it was easy. Equally, while there is no alternative, ultimately, to people taking responsibility themselves, I accept that many people require help and support to do so. I am glad that the hon. Gentleman has given me the opportunity to put that on the record

[Jim Shannon]

I am grateful to the right hon. Gentleman for clarifying the matter. I knew that is what he meant, but I thank him.

The health survey for England refers to 1,000 people aged over 16, 277 of whom were obese and 31 were morbidly obese. In Northern Ireland, the figures are replicated; in fact, they are the same everywhere. Childhood obesity is a crucial issue on which much more needs to be done to make youths feel less self-conscious about the issue but at the same time able to do something about it. Obesity affects one in every five children in Northern Ireland. The figures there unfortunately show that there are outstanding problems to be addressed. Obesity exaggerates high blood pressure, diabetes and liver disease. Obesity is one of the three main causes of liver disease, in particular. Obesity also affects many other things, as the Minister said. It is very important to put that on record.

I have met constituents of mine over the years who had a medical condition that meant that they were not obese by choice but because of the circumstances of their own individual bodies. The people I am referring to had to go for bariatric surgery. I know some people who did that and I know it changed their lives. Perhaps the Minister could comment on how such procedures can be looked after within the NHS, because to do it privately costs over £10,000.

This is a serious health problem and it affects thousands of people. I want people to live their lives healthily and happily. I believe children should be taught that support is all around them and that their size is nothing to be ashamed of. There are ways to go about detecting obesity. However, I feel that one of the most important factors in tackling this issue is to reassure people that they will not be judged. Judgment often leads to resentment and failure, and there is no doubt that it is a sensitive issue for those who struggle with weight loss. I therefore urge the Minister to take that into consideration. I also urge others to be kind when it comes to such a topic. I believe that help and support is there for all those who are obese and seek help. I sincerely hope that in the coming years we can work together to bring forward a strategy that will encourage people and not do them down.

[Mr Deputy Speaker (Mr Nigel Evans)]

Wind ups begin at 4.44 pm. There are six speakers left. Hopefully, we will get you all in at four minutes. We will see.

Covid-19

Jim Shannon Excerpts

Tuesday 25th May 2021 Commons Chamber

[Nadhim Zahawi]

It is worth waiting for 14 June, when we will be saying more on this, but suffice it to say two things: first, even if someone has had two doses of either vaccine —I have had this experience in my own family—they can still contract covid and should therefore be isolating and quarantining; secondly, we are also looking at ways in which contacts of people who may have contracted covid can be regularly tested instead of isolating.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his responses so far and for the magnificent effort. I had my second vaccine yesterday, and just to show how national that was, the person who gave me the injection was a doctor from Lincolnshire. I believe that this very much shows that the United Kingdom of Great Britain and Northern Ireland works better together, and that this is a supreme example of that.

We understand that things will change depending on the circumstances and that localised lockdowns may be the way to ensure that areas with low numbers are able to allow people to live safely. Can the Minister outline what parameters will establish localised lockdowns and tell us whether the same approach will be taken UK-wide by the devolved regions?

[Nadhim Zahawi]

I am very pleased to hear that my hon. Friend has had his second dose; when people get that text message, they should please come forward and have their second dose. We are looking to ensure that the whole country comes out of this together, hence the advice being very much about exercising caution and self-responsibility. People actually get this; we see in much of the research data that they know the things that can add to the risk and that they should therefore abstain from doing those things while we vaccinate at scale to get to the place where we can all hopefully get our lives back.

A Plan for the NHS and Social Care

Jim Shannon Excerpts

Wednesday 19th May 2021 Commons Chamber

[Jonathan Ashworth]

I completely agree. I hope that Ministers on the Treasury Bench have listened carefully. If they are prepared to bring forward legislation, we would work constructively across the House to ensure its speedy passage. May I thank my hon. Friend for the reference in his amendment to the impact of alcohol abuse on children? He knows that it is a subject very close to my heart; on behalf of the children of alcoholics community, I am grateful that he referred to it in his amendment.

Although we have often said this in the House, I still think that the whole House will want to remember today the 127,691 people so far who have lost their lives to covid-19, this awful disease, including the 850 health and care workers. Although repeating the numbers has become almost routine in this House, that does not make the scale or gravity of the loss any less shocking. We grieve as a nation and we all pay tribute to our healthcare workers, our social care workers and our public sector workers.

I am sure that the whole House will want to dedicate itself in good faith to learning lessons for the future. Sadly, we are in an era when, according to the experts, pandemics are becoming more predictable and will become more regular because of climate change and biodiversity loss, so learning lessons is about preparing better for the future rather than settling scores.

We know that the B1617.2 variant is spreading. From the data that I have seen, it appears to have a growth rate advantage of about 13% over the B1117 variant. It could well become the dominant strain in the United Kingdom. Although vaccination should mean that many are much safer and ought to avoid hospitalisation, the Government still have a responsibility to do all they can to contain its spread, minimise sickness and ensure that the 21 June target is not disrupted, if at all possible.

That is why I said on Monday that we need more surge vaccination in hotspot areas. We know that with vaccination there are always pockets where rates are lower than necessary, and we need to drive those rates that up. We have seen that throughout history—with measles, for example. So we urge the Government again to do all they can to drive up vaccination rates in Bolton, Bedford, Blackburn and other areas where we know there is an issue. We also need the Government to do more to contain the virus through test, trace and isolate. We need more surge testing. We need more enhanced contact tracing locally, with local authorities given the resources to carry it out. We need sick pay and isolation support fixed as well.

For those who are going in to work, or for those who are now socialising in premises, those buildings and premises need proper air filtration systems. There are experts now who can easily fix filtration systems in buildings to make them much more covid secure, and we should be inspecting workplaces in all these areas to ensure that every workplace is covid secure.

We need transparency in decision making as well. For the first time in my life, I think, I find myself agreeing with Mr Dominic Cummings. I know the Secretary of State does not often agree with Mr Dominic Cummings, but I find myself agreeing with Mr Dominic Cummings, who tweeted yesterday:

“With something as critical as variants escaping vaccines, there is *no* justification for secrecy, public interest unarguably is *open scrutiny of the plans*”.

Mr Cummings, on this occasion, is correct. [Interruption.] A wry laugh from the Secretary of State. Mr Cummings may well have been saying something different when he was in government; I do not know, but at least his public statement yesterday is correct. That is why our amendment calls for the publication of a Government lessons-learned review; not so that we can try to undermine the Government or find some hole to use across the Dispatch Box, but so that we can learn the lessons in our efforts to contain variants, and ensure that we are better prepared for the future. I hope the Secretary of State looks sympathetically upon that request, and perhaps joins us in the Division Lobby this evening.

I now turn to the contents of the Gracious Speech more generally. This should have been the Queen’s Speech that unveiled a new NHS plan to bring down the elective waiting list, which now stands at 5 million. This should have been a Queen’s Speech that outlined proposals to tackle the backlog of 436,000 people waiting over 12 months for treatment—many of them waiting in pain and anxiety, many of them facing permanent disability as a consequence of those waits.

[Jim Shannon (Strangford) (DUP)]

Will the hon. Gentleman give way?

[Jonathan Ashworth]

I will certainly give way to my fellow Leicester City fan.

[Jim Shannon]

The shadow Minister and I, and many others in this House, shared that wonderful victory on Saturday. After 139 years of Leicester City, we won the FA cup; it is great news.

I chair the all-party parliamentary group for respiratory health. This morning, we were given some very worrying figures. They indicated that the halting of the lung cancer screening pilots restricted access to diagnostic tests, contributing to a 75% drop in urgent lung cancer referrals. Does the shadow Minister agree with me, and share my concern, that the outcomes for patients with the fastest-progressing cancers, such as lung cancer, are indeed very worrying?

[Jonathan Ashworth]

The hon. Gentleman is spot-on. I will come on to cancer in a few moments. He is a great champion for improving cancer care, and I thank him for reminding the House that Leicester City won the FA cup on Saturday. It is a reminder that even when the odds are stacked against them, a small team can still beat a well-funded, complacent opposition.

I will now move on to elective waiting lists. Where is the plan in this Queen’s Speech to bring down the rocketing waiting lists for treatment and surgery? Where is the plan to roll out technology such as in ophthalmology, for the thousands in our constituencies awaiting cataract operations? There are already 81,762 of our constituents waiting over 12 months for orthopaedic surgery. Where is the plan to get on with the hip replacements and knee replacements that many of our constituents will be raising with us in our surgeries, and how much longer will they have to wait? Where is the plan for the 24,407 of our constituents who are now waiting over 12 months for gynaecological surgery? How much longer will they have to wait?

Everyone understands that there has been a pandemic and that that has meant a disruption in care pathways, but the NHS was forced into this unprecedented position because we went into the crisis on the back of 10 years of Tory underfunding and cutbacks. We went into this crisis on the back of a 6% reduction in bed numbers between 2010 and 2019. That is why, at the beginning of 2020 when we debated the last Gracious Speech, 4.5 million people were on the waiting list for treatment. The target of 92% of patients beginning treatment within 18 weeks of referral from their GP had not been met for five years. We need a resourced plan now because the queues are set to lengthen further, as those who may have delayed seeking treatment for fear of covid infection will begin to emerge once again. Even though the NHS is dealing with significantly fewer covid patients, it is still operating at a much-reduced capacity and is unable to treat everyone in need of care.

Infection control measures meant that the number of beds fell by 9% in the first quarter of last year. It has only partially recovered in the past three months, but the number is still 6% lower than the previous year. What that means when we look at the most recent figures is that, on average, there are almost 4,000 fewer patients in NHS general and acute beds than the equivalent pre-covid period.

The Prime Minister has delayed the review of social distancing for entirely understandable reasons, but we must have a plan to drive up this capacity in the NHS. The solution to these capacity issues in the NHS cannot be a multi-billion pound deal with the private sector. The loss of capacity in terms of beds in the NHS is actually far larger than the whole capacity offered by the private sector. In order to reopen those closed and empty general and acute beds in the NHS, we need more capital investment. This investment needs to be built up now, so that the NHS can get on with the routine surgery that it will clearly have to confront in the coming years. I am afraid that, both the Queen’s Speech and, indeed, the Budget from a few weeks ago, failed to deliver that.

Covid-19 Update

Jim Shannon Excerpts

Monday 17th May 2021 Commons Chamber

[Matt Hancock]

Yes, we are making significant progress with the onshoring of vaccine capability. It is about developing the vaccine, as the team in Oxford did brilliantly, but also about manufacturing it onshore, and boy, if there is one lesson we have learned from this whole thing, it is that we cannot just not care about where manufacturing happens. Having it onshore really, really matters, for resilience but also to ensure that it is close to the NHS so that the whole supply chain can learn and constantly improve. I am delighted that we are pushing forward with the VMIC project in the same way that we have brought onshore manufacturing supply in Teesside, in Livingston in Scotland and in the fill-and-finish plants at Wockhardt in Wrexham, at Barnard Castle and elsewhere. It is a big project and, frankly, a big opportunity for life sciences in the UK to ensure that we can do all this onshore, because in my view, the pandemic has shown that we need to.

[Jim Shannon (Strangford) (DUP) [V]]

I thank the Secretary of State for his statement and for his comprehensive answers. I know that he has regular discussions with the Northern Ireland Assembly Health Minister, Robin Swann. There has been a surge in the Indian variant in Donegal in the Republic of Ireland and in the maiden city of Londonderry in Northern Ireland. Can the Northern Ireland Assembly Health Minister call upon the UK for expertise from Westminster to assist us, which I believe will show once again that we are always better together with the United Kingdom of Great Britain and Northern Ireland?

[Matt Hancock]

I could not agree more with the hon. Gentleman. The UK fights this together. There are outbreaks also in Moray and in Glasgow, and I have been talking to the Scottish Cabinet Secretary for Health about the action that is going on to tackle the outbreaks there. I talk frequently with Robin Swann, who is doing an absolutely brilliant job with the Health portfolio in Northern Ireland. The fundamental point is that the benefits of the United Kingdom working together are once more demonstrated by our ability to work together to tackle this variant.

Alcohol Products: Labelling

Jim Shannon Excerpts

Tuesday 27th April 2021 Commons Chamber

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

I am grateful to Mr Speaker for allowing me this Adjournment debate, and I am grateful to you, Madam Deputy Speaker, and to the Minister, whose reply I look forward to. Earlier this month, the details of the upcoming Government consultation on alcohol labelling—part of the obesity strategy—were leaked to the press. It is a long-overdue consultation and a welcome positive step that should lead to consumers being able to make more informed choices about their own health and wellbeing, but thanks to yet another hostile Government leak, the consultation was roundly attacked and misrepresented by tabloids and industry representatives. It sparked the usual outraged backlash against the nannying state and red tape, when that is simply not the case. I thought I would attempt to put the record straight.

To avoid confusion or misrepresentation, I whole-heartedly support our hospitality industry, and I understand the uphill battle it faces and the devastation that lockdowns and restrictions have caused. There is excitement and anticipation across the country about getting out, socialising, having a drink, seeing live music and enjoying life. We have all missed spending time with family and friends, whether that is relaxing and unwinding or going out and partying.



When we consider the role of alcohol in our society, we see that there is a balance to be struck. As with many things in life, there is the good and there is the bad, because we cannot escape the very real harm alcohol inflicts. The evidence, which I will come to, speaks for itself. Tackling alcohol harm is not about punishing drinkers or landlords, or taking the fun out of socialising. However, we have a responsibility—the Government have a responsibility—to hold the alcohol industry to account, and to ensure its fair and proper regulation.

Alcohol harm is rising, and it has been for many years, however we want to count it. Alcohol is now linked to 80 deaths a day in the UK, many of them of the young, while alcohol-specific deaths are at their highest rates since records began, and the treatment and funding for alcohol addiction are in absolute crisis, yet there appears to be no sense of urgency from Government. Alcohol is responsible for more years of working life lost than the 10 most frequent cancers combined. Before covid, alcohol took up 37% of ambulance time and a quarter of A&E time. For the police, it is even higher, with more than half of police time spent on alcohol-related incidents. All of this comes at a high financial cost, too. Alcohol harm is estimated to cost the UK taxpayer upwards of £27 billion each year.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Member for bringing this issue to the House. It is a massive issue in his constituency, and very much one in mine as well. Does he not agree that alcohol-specific deaths are at an all-time high owing to a perfect storm? With coronavirus, isolation and lockdown, as well as the fact that very few people use standard pub measures at home, that there are supermarket deals on bottles of alcohol and people do not have to drive to work the next day, it is imperative that we take steps to remind people of the number of units per bottle, make it clear that the glass of wine they are accustomed to at home is not the same as their local pub one, and make people aware of the need to reduce their intake.

[Dan Carden]

I am grateful to the hon. Member, and he is absolutely right.

We know that those in the most deprived communities are disproportionately affected. Despite drinking less on average, they are up to 60% more likely to die from alcohol than more affluent groups. In Liverpool—just one city—there are more than 14,000 alcohol-related hospital admissions every year, and 535 new cases of alcohol-related cancer as well. Alcohol harm and addiction are destroying lives, livelihoods, communities and families.

To return to the matter of today’s debate—alcohol labelling—I would like to ask those listening to remember the last time they looked at a bottle of orange juice. They may remember a number in red detailing the sugar content, a number for how many calories are in the drink, and a whole table with further information on nutritional content. Now picture a bottle of alcohol—wine perhaps. Do they remember seeing any such information about the ingredients, calories or nutritional values? Was there any information about the impact of alcohol on health, or any guidelines for consumption? If I can make a guess, the answer is most likely to be no, or maybe “on some bottles”. That is because none of this information is legally required on alcohol labels. Alcohol products are a conspicuous outlier among consumables. They are exempt from other food and drink labelling requirements, and the only information that is legally required is the volume of the liquid, its strength in ABV—alcohol by volume—and whether any of the 14 most common allergens are present.

In July 2020, the Government unveiled the new obesity strategy. On the subject of labelling, the Health Secretary said

“it’s only fair that you are given the right information about the food you’re eating to help people to make good decisions.”

He is absolutely right, and what he says is as true for alcoholic drinks as it is for anything else. It is surely bizarre that if we buy a bottle of juice, we get a range of calorie, ingredient and nutritional information, yet if we buy a juice and vodka ready-to-drink product, we will usually not get any of the same information. Similarly, alcohol-free beer and wine must display calorie and nutritional information, yet alcoholic beer and wine does not have to.

Covid-19 has reminded us all of the need to take seriously the impact of diet and lifestyle on our physical and mental health. As we know that alcohol damages health and causes harm, it is inexplicable that alcohol products face less regulation than fruit juices and fizzy drinks, so the Government’s consultation is timely and important.

I want to press the Minister to go further with the consultation than calories, nutritional information and ingredients; it must consider health information as well. The majority of the public agree and want to know what is in their drinks. Opinion polling conducted for the Alcohol Health Alliance shows that 74% of people want ingredients on alcohol labels, 62% want nutritional information, including calorie content, and 70% want health warnings.

There is a strong case for displaying calorie information on alcohol labels. For those who drink, alcohol accounts for nearly 10% of their daily calorie intake. Around 3.4 million adults consume an additional day’s worth of calories each week, yet 80% of the public are unaware of the calorie content of the most common alcoholic drinks.

Alcohol harm is also poorly understood by drinkers. Only one in five people know the drinking guidelines, and only one in 10 can identify cancer as a health consequence of alcohol. We have warnings on cigarettes that tobacco can cause cancer, so why is similar information missing from alcohol?

I would like to quote one person with lived experience, who described the lack of health information to me like this:

“I knew little of how many recommended units per week, I knew nothing about the nutritional value, I could tell you how many calories were in a Mars Bar but not the glass of Merlot I was drinking. I knew nothing about the long-term health implications. If I buy a pack of cigarettes I am told they are highly addictive and I am told with every pack what health implication there could be. They are now behind a shutter in the shop – but alcohol? Nothing. I near lost my life to alcohol and the lack of information and regulation makes no sense to me”.

Alcohol labels are an effective tool to change that situation. A study in Canada showed that consumers exposed to health warnings on labels were three times more likely to be aware of the drinking guidelines and were also more likely to know about the link between alcohol and cancer.

A number of alcohol products voluntarily incorporate unit alcohol content per container, a pregnancy logo or message and active signposting to drinkaware.co.uk. I am grateful to the producers who contacted me ahead of this debate to share updated labels that now include calorie and nutritional information. One of the UK’s biggest pub chains has already taken that step and is providing calorie labelling for all alcoholic drinks on their menus. I am grateful to the Minister for confirming, in answer to my written question, that alcohol sold in licensed venues will also be part of the consultation.

If someone pops into their local supermarket and takes a wander round the booze aisle, it is abundantly clear that there are huge inconsistencies in alcohol packaging. That hit-and-miss approach is just not good enough. It is time to put it right and standardise the approach, as we have done with food labelling. Even on the products that did carry chief medical officer guidelines and nutritional information, there are varying degrees of clarity and visibility.

In their report “Drinking in the dark: How alcohol labelling fails consumers”, Alcohol Change UK and the Alcohol Health Alliance recommend that:

“The UK Government and devolved administrations must give a new or existing independent agency appropriate powers to…enforce what appears on alcohol labels, working in the interests of public health and consumer rights and free from influence and interference from corporate interests.”

I support that recommendation and hope that the Minister will consider it in the consultation, when it gets under way.

Sir Ian Gilmore, a leading figure in Liverpool’s fight against alcohol harm and chair of the Alcohol Health Alliance, said:

“Alcohol labelling in this country is…not fit for purpose if we wish to build a healthier society. The public must be granted the power to make informed decisions about their health by having access to prominent health warnings and information on ingredients, nutrition and alcohol content at the point of purchase. The industry’s reluctance to include this information on their products suggests profits are being put ahead of people’s health.”

Ahead of this debate, I received a letter and information from the Portman Group, the alcohol industry-funded social responsibility body and regulator for alcohol labelling, packaging and promotion in the UK, and I am grateful for that. The Portman Group supports the consultation and its intention to provide consumers with more information on calories, the chief medical officer’s lower-risk guidance and drink-driving. It said that

“we believe this can be done most effectively on a voluntary basis”.

It is encouraging to hear some industry support for the consultation and I look forward to further discussions with it, but with alcohol-specific deaths at their highest on record, it is surely time for a proper review of how the industry is regulated and held to account.

The regulation of alcohol marketing in the UK is fragmented and largely self-regulating. Under the current set-up, the Advertising Standards Authority, funded by the advertising industry, Ofcom and the Portman Group, funded by the alcohol industry, all play a role in regulating marketing, from TV advertising to sponsorship deals to packaging. That is surely ripe for review, to consider how a new model and a new alcohol industry regulator could be made more accountable to the public and be fully independent of the alcohol industry.

I hope that the Minister will use her consultation as an opportunity to mandate wider health information on labels, too. This should, as a minimum, include the CMO’s guidelines, pregnancy warnings, drink-drive warnings and cancer warnings, so that we can make informed personal health choices and collectively seek to reduce alcohol harm.

I accept that alcohol labelling is only one small part of seeking to reduce alcohol harm across society. Any progress on improving labelling should be part of a broader strategy: a national, Government alcohol strategy. The last alcohol strategy was formulated in 2012, and, since then, harms have continued to rise. Over the last decade, we have learnt a lot more about the wider health impacts of alcohol, such as the link between alcohol and cancer. The World Health Organisation is clear that policies on the affordability, availability and promotion of alcohol are the most effective—policies that have also proved effective in reducing smoking.

What can really be said of attempts to reduce the increasing and worsening harms caused by alcohol misuse? Why is it that evidence-based research and policies are being ignored in this way? The Government’s addiction strategy is under way—it was promised in 2020, but we are waiting for it—and we also await the second part of the Dame Carol Black review of drugs. These are very welcome, but now is surely the time for a full-scale review of reducing alcohol harm across society. A focused alcohol strategy would allow a much broader and fuller understanding of the extent of alcohol harm and the measures needed to reduce it.

As it stands today, the UK has the highest number of alcohol-specific deaths on record. Drug and alcohol addiction services have been pushed outside the NHS into cash-strapped local authorities, decimated by funding cuts and fragmented. There are fewer addiction psychiatrists in training than ever. Alcohol is now 74% cheaper than it was in 1987, and in England there are over 300,000 children currently living with at least one adult who drinks at a high-risk level.

This current trajectory cannot continue and the urgent need for a national alcohol strategy cannot be overstated. In their approach to obesity, the Government have shown a willingness to take bold action to protect the public’s health. The same boldness is now required to tackle alcohol harm. The consultation on the labelling of alcohol products is the first step towards improving transparency and accountability across the alcohol industry, and ensuring an evidence-based approach to reducing alcohol harms. I implore the Minister to get it under way, and I look forward to her response.

--- Later in debate ---

[Dan Carden]

Will the Minister give way?

[Jim Shannon]

Will the Minister give way?

[Jo Churchill]

My goodness—stereo!

[Jo Churchill]

Now is a great time to focus on making sure that we enable people to make the healthier choice as the default choice, and that we work to ensure that people have the right information for them. All I am willing to say at this stage is that nothing is off the table. There are a lot of strategies. Rather than making any blanket statement, the important job now is to refocus and to deliver on some of the commitments that we would like to see, and to make sure that the consultation is rolled out so that we can have that dialogue and make sure that we are doing the right thing for individuals but also across the industry.

[Jim Shannon]

I thank the Minister for outlining very clearly a strategy to address the issues that the hon. Gentleman is referring to. Minister, I know that it is not technically your responsibility, but I think perhaps—

[Madam Deputy Speaker (Dame Eleanor Laing)]

No, please, the hon. Gentleman cannot disappoint me like this. He cannot say “you” to the Minister.

[Jim Shannon]

Apologies, Madam Deputy Speaker. One massive issue has been the promotion of drink at cheap prices so that people can get drunk cheaper. Would the Minister be sympathetic to discussing this issue with the industry—the Portman Group has been referred to—to try to address it?

[Jo Churchill]

I think the hon. Gentleman refers to minimum unit pricing. As I say, we are refocusing on making sure that we are having a broad range of discussions. As he pointed out at the beginning of his intervention, this is not something that sits within my responsibility. However, I have heard, and I am sure others have heard, his plea for that work, which does go on in other parts of the United Kingdom.

Alcohol labelling is one part of wide-ranging cross-Government work to address alcohol-related health harms and their impact on life chances. The Government are committed to supporting the most vulnerable at risk from alcohol misuse. We have an existing agenda on tackling alcohol-related harms, including an ambitious programme to establish specialist alcohol care teams in the worst-affected 25% of hospitals, because I do recognise some of the challenges within the workforce that the hon. Member for Liverpool, Walton mentioned. We continue to support the children of alcohol-dependent parents—a situation that wreaks such havoc.

As part of the prevention Green Paper, we are committed to increasing the general drinking population’s direction of travel towards lower-strength alternatives when they have moderate drinking habits. We are working with the industry and other stakeholders to create more consumer choice and availability in the low-alcohol and no-alcohol sector. They are often very palatable alternatives, particularly for those who are driving or who may have a reason to want a clear head the following morning. The more choice that we can give people in that area, the better.

The Government have committed to publishing a new, UK-wide cross-Government addiction strategy that considers the full range of issues, including drugs, alcohol and problem gambling. While each of those comes with its own set of issues—as the hon. Gentleman said, the second part of Dame Carol Black’s review is due shortly—there is also much common ground and many benefits to tackling addiction in a complete, comprehensive and joined-up way. The scope of the addiction strategy is still being developed, so I consider this debate and his calls most timely as we consider what more can be done to protect people from those alcohol-related harms.

I emphasise the Government’s commitment to ensuring that alcohol labels provide the information that people need to make informed choices about the products that they are purchasing. I stress, probably for my husband and children mostly, that we are not saying, “You can’t enjoy a drink.” What we are saying very clearly is that we would like to encourage the nation’s drinking to be responsible, and to help people not to be one of those statistics that wreck lives.

We believe that people have the right to accurate information to help them to make decisions about the products that they purchase, and we are committed to ensuring that the labelling on alcohol provides that. Progress has been made in relation to the UK CMO’s low-risk drinking guidelines and other information on alcohol products, but we are not complacent. We will continue to actively monitor the position and keep it under review, and ensure that we level up so that people, no matter what drink they choose, can get accurate information from the product.

We await the consultation to ensure that we take everyone with us, because it is important that we do things in a measured but directed way in order to bring the benefits to the most people. I thank the hon. Member for Liverpool, Walton for introducing this Adjournment debate and for everything that we have discussed. Let us hope that we can get there.

Question put and agreed to.

Stroke: Aftercare

Jim Shannon Excerpts

Wednesday 21st April 2021 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to speak in this debate, Sir Edward, and I congratulate the hon. Member for Bromley and Chislehurst (Sir Robert Neill) on securing it. I can remember when he requested the debate during business questions—I believe it was in January—so it is good to know that the system works. We have in place two of the participants in a Westminster Hall debate on heart valves, which I think was held on a Thursday in February. This Minister responded, and the shadow Minister also made a significant contribution. I do not want to pre-empt what the Minister will say, but I think the hon. Member for Bromley and Chislehurst will be pleased with the response, because she certainly gave me a good response to my debate on heart valves. We will take the Minister up on her invitation for the all-party parliamentary group to speak to her about these matters.

This is an issue that has become very real for me, although probably not as real as it is for the hon. Member for North Norfolk (Duncan Baker), and for people whom I know who have had a stroke. Over a period of time, I have been greatly encouraged by those who have improved. Some improve almost back to where they were—about 80% to 85%—and others not as well, which is probably to do with age and the severity of the stroke.

I want to make three quick points to the Minister, and I am quite sure that the reply will be positive and helpful. I believe there is a need to increase the availability of clot-removing treatment—thrombectomy—to enable all hospitals to carry out the procedure. We should have a target of delivering a tenfold increase in the proportion of patients who receive a clot-removing thrombectomy in order to end their strokes, so that 1,600 more people can be independent after a stroke each year. If we are to do that in reality, we have to address some of the reasons why strokes happen. Perhaps our health conditions have not been as good as they should have been, and it is about improving people’s health. Can the Minister tell us what has been done to deliver that across every region?

Back home in Northern Ireland—I presume it is the probably the same here—we have regular adverts. Chest, Heart & Stroke has an advert on UTV that tells people what to watch out for, and it is really helpful. Can the Minister confirm whether the mainland has the same number of adverts? They tell people what to look out for. To take up the point made by the hon. Member for North Norfolk, time is of the essence when someone has a stroke. It is what people do in those minutes afterwards, regardless of whether they have the qualifications or just want to do something that helps, because time is absolutely critical.

I recently watched something on TV. It was a clip of a darts match in which a player is having a stroke. His face distorts, and he loses all power in his arm. Seeing that take place in real time has shocked me, because it really brought home the issue that pertains to those who have had a stroke, as well as what can be done in that short time. We need to incorporate a greater awareness of the warning signs. Getting help quickly makes the difference between a fast recovery and a slow one. Can the Minister tell us what has been done to raise awareness among the general public?

I said that I know people who have had strokes and who have recovered quite well. Indeed, a friend of mine had one a while ago and is now back to almost 95%. It is incredible that someone can have a stroke and recover so quickly. In Northern Ireland, over a third of strokes happen to people over the age of 69, and 50% to people over the age of 60. However, it is not uncommon, unusual or unique for those under that age to have a stroke. What has been done among all those groups? Those who are most at risk must be aware of the signs and symptoms.

The hon. Member for Bromley and Chislehurst was absolutely right to refer to long-term personalised care. I am asking things that have perhaps been asked before, but I am quite sure that the Minister will be able to reiterate and to assure us on that, and on the national stroke programme and the lessons learned and the changes that can provide better protection, raise awareness and ensure that we improve health for everyone in this great United Kingdom of Great Britain and Northern Ireland. I know that the Minister has no responsibility for Northern Ireland, but I look to her, as always, for a response to the queries we have all put forward. It is important, not only for me, as my party’s spokesperson on health issues, but for all of us to know that we are improving long-term care and help following strokes for those who need it.