Covid Vaccine Passports

Jim Shannon Excerpts

Wednesday 8th September 2021 Commons Chamber

[Nadhim Zahawi]

We will set out in detail in due course exactly how the vaccine pass will work for domestic use: for example, in nightclubs.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for all the hard work he does and for answering these very difficult questions. It would seem that each region of the United Kingdom of Great Britain and Northern Ireland has differing versions of the system in relation to offering vaccine passports, and that confuses people whenever they read or hear it in the national news. What discussions have taken place with regional Administrations on this issue? Are there any plans to standardise each region to have a one-size-fits-all UK strategy that people can understand and follow?

[Nadhim Zahawi]

I am grateful for the hon. Gentleman’s excellent question. I am very proud, as are the Ministers from the devolved Administrations, of the work we have done collectively on the vaccination programme, which we will continue to do for the booster programme. As he heard earlier, this is a devolved matter but we try to co-ordinate wherever possible and do the right thing together.

Covid-19 Update

Jim Shannon Excerpts

Monday 6th September 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his statement. Can he reaffirm that no child will be vaccinated without explicit parental consent, and that, should consent not be given, that will not affect the child’s education in terms of school outings, sporting events or residentials? Does he believe that this protection needs to be further enshrined in law?

[Nadhim Zahawi]

I repeat to the House that no decision has been made on vaccinating 12 to 15-year-olds. We have to allow the chief medical officers to do the work that they need to do, with the JCVI in the room, and to come back to us. I will return to the House and share with Members the decision that is made. In terms of school-age vaccination programmes in general, parental consent is always required, and the NHS is well-versed in effectively receiving that consent. On the rare occasions when there is a difference of opinion between the child and the parents, the child’s competence and level of understanding of the vaccine come into play. NHS clinical advice is very much that that is a rarity, and parental consent is required for school-age vaccination programmes.

Medicinal Cannabis

Jim Shannon Excerpts

Monday 6th September 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Member for Edinburgh West (Christine Jardine) on bringing this debate forward, and it is a pleasure to follow the right hon. Member for Hemel Hempstead (Sir Mike Penning). He is a man who speaks with great passion for what he believes in, and I have been very fortunate to be able to support him in bringing this issue forward.

I rise to speak about one of my constituents. Darren and Danielle are the parents of little Sophia. I have absolutely no doubt that the reason why Sophia has improved so fantastically, way beyond what we ever hoped, is because of medicinal cannabis. Parents, as parents do, speak for their children and want the best for them. I brought Danielle over here and we met the previous Health Minister, who heard her story for the first time. As a result of hearing that story, he did his best to help us move forward to the next stage. A lot of people have helped. We would never have done any of these things without myriad people, including the right hon. Member for Hemel Hempstead and his friends and colleagues. Sophia is a lovely bright wee girl whose life was a litany of multiple seizures. She is a different girl today because of medicinal cannabis. I am very clear about what I want to see in relation to medicinal cannabis. I see its specific benefit for young people.

I am very fortunate to be a member of many organisations back home. One is the Royal Black Preceptory, and who were there at the side of the road in Newtownards on the last Saturday in August but Sophia, Danielle and Darren? That wee girl, who I had not seen for ages—for a couple of years at least, because of covid—was at the side of the road and she was as bright as a bean. Her mum and dad were pointing me out in the parade so they could say thank you for all we had done. Honestly, what did we do? All we did, really, was what any parent would do for their child, and that is what it is all about.

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

I thank the hon. Gentleman for giving way and for pointing out just what it means to families to have this opportunity. In my own constituency, Cole Thompson and his mother Lisa Quarrell have really fought and campaigned to pay for this medication. Aside from the financial costs, I hope he agrees that we must also recognise the psychological stress and turmoil we are continually putting these families through month after month after month. It really is incumbent on the Government to address that, because it is simply not fair: it is not fair on the children and it is not fair on the families.

[Jim Shannon]

I thank the hon. Lady for her intervention. That is exactly how I feel, and I think it is exactly how we all feel as elected representatives on behalf of our constituents. I can well recall the bad old days of the pressure that was on the family: the pressure on the parents, the pressure on the child and the pressure on their friends, with all the multiple issues they had to address. There is an evidential base. It is as clear as a bell. I can see it in that wee girl Sophia. I can see it in the improvement that she has quite clearly made. That is why I totally support this product. I believe the evidential base is overwhelming. I can vouch for that, as I see that lovely wee girl and the improvements she has had.

My hon. Friend the Member for Belfast East (Gavin Robinson) sent me a letter, which I will record for Hansard if I can, written by his constituent, a fellow called Robin Emerson, whose daughter is a wee girl called Jorja. There is also an evidential base in her improvement. My hon. Friend very kindly gave me a copy of the letter last week, which refers to

“an important intervention to enable a number of children suffering with epilepsy to receive a treatment containing Cannabidiol (CBD) and Tetrahydrocannabinol (THC). This has made a crucial difference to their quality of life over the past two years”.

In some cases, quite honestly Mr Speaker, I believe they save lives. They definitely do. In my heart I believe that, which is why I am here tonight to speak on this matter. I feel it is so important.

[Tonia Antoniazzi]

I thank the hon. Gentleman for giving way on that point. Does he agree that there is no other medical intervention suitable for these children? It is intractable epilepsy. Nothing else has been found to give them that quality of life. Does he agree that we have to move forward in this debate?

[Jim Shannon]

The hon. Lady is absolutely right: we do have to move forward, and that is the message from us all in the Chamber tonight. I know that Robin, on behalf of Jorja, and Darren and Danielle, on behalf of Sophia, tried almost every other thing that they could before they came to medicinal cannabis, and they have seen the difference almost right away.

[Sir Mike Penning]

I am sorry to come back in because I did speak at length, Mr Deputy Speaker. Some of the medics have tried all the other medications. Many of those, as I alluded to in my speech, are completely off-label, were never intended for this and have not worked, but they are willing to block the medical use of cannabis oil with THCs. Why?

[Jim Shannon]

I bow to the expertise of the right hon. Gentleman and I wholeheartedly agree with him.

We need the Government and the Minister tonight to give us an assurance that they will cover the prescription beyond September. The letter I referred to asked the Government

“to clarify the guidance which enables children…to continue to receive this vital treatment”

via their GP

“under guidance from a specialist and funded by the NHS.”

The clinical trial for a treatment manufactured by MGC Pharma, which is due to begin in the autumn, was also referred to. Until that happens and until those trials are completed, we really need to recognise the proof that each of us as MPs have, on behalf of our constituents, and confirm that medicinal cannabis improves quality of life.

I also want to mention my sister and her son, Jake. Jake never had medicinal cannabis when he was young. I wish he did, because I tell you what: I can see the improvement that he would have had at a very early stage, which he does not have today because of all those years of epileptic fits. It grieves me greatly to realise that the opportunity that Sophia and Jorja had was something that wee Jake did not. If we had had that years ago, perhaps his improvement would have been much greater.

I support the hon. Member for Edinburgh West tonight and the right hon. Member for Hemel Hempstead and everyone else who will speak afterwards, including in interventions—I thank all those who have intervened. We are all united tonight on retaining medicinal cannabis for our constituents. We as MPs, on behalf of these parents and children, can see the evidential base, and what an evidential base it is. We always say, “Let’s have the evidence.” Well, we have the evidence. We have it individually and on behalf of those families, and tonight, I look to our Minister to give us the reassurance that we need on behalf of our constituents back home.

Covid-19 Update

Jim Shannon Excerpts

Thursday 22nd July 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful for my right hon. Friend’s questions, as always: challenging but nevertheless the right challenges to think through. As I said, there are no easy decisions in what we are attempting to do. We will, I hope, be one of the first nations, certainly one of the largest economies in the world, that will see a transition of this virus from pandemic to endemic status—to manageable menace—through our vaccination programme, which is our primary tool.

The second most effective method is to make sure that people do self-isolate: I take on board his point and the point made by my right hon. Friend the Member for South West Surrey (Jeremy Hunt). That is why we are working flat out with critical infrastructure and key workers—of course with frontline NHS and social care staff, as I announced on Monday—to make sure that people have the ability to do a PCR test and then follow it up with a week or up to 10 days of daily lateral flow testing instead of self-isolation for 10 days. The honest truth is that there are no easy answers, because the very clear clinical advice and evidence is that if we do not do this carefully and slowly, we could risk the transition of the virus.

On the requirement around nightclubs by the end of September, I assure my right hon. Friend that we will be coming back to the House to make sure that it has an appropriate say on the matter. As we have seen with this virus in other countries, it is the right thing to do.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his statement and for all that has been done on the covid-19 vaccine roll-out. The Northern Ireland Assembly’s Health Minister recently stated that at the end of July the closure of mass vaccination centres—for example, the SSE centre in Belfast—will come into force. The Minister in this House has today taken the opportunity through the press to urge people one last time to get the vaccine. Has he come to an assessment on the closure of mass vaccination centres in England, given the clear success of the vaccination process, and ever mindful that this autumn we will be doing a covid-19 vaccine booster process, which, along with the flu process, will add pressure to the health system? Will he ensure that there are options in place—for example, pharmacies and community centres—to bridge the gap?

[Nadhim Zahawi]

I thank the hon. Member for his excellent question. He is absolutely right. We are preparing a pretty ambitious vaccination programme, beginning in early September, for the covid boost. The interim advice from the JCVI could adjust as more clinical data comes through from the cov-boost trials that we are currently conducting. Wherever possible, we will co-administer flu vaccines at large scale. My big concern is that we have not had much flu circulating in communities and we could be in a position where in a bad flu year we could lose 20,000-plus people. Hence our ambitions are equally high for flu. We will look to co-administer wherever possible. We are looking to increase the number of pharmacies as well. We currently have over 600 pharmacies in the covid vaccination infrastructure, as well as the brilliant primary care networks, the hospitals and the vaccination centres. The cov-boost and the flu process will be equally ambitious as we look at the whole of the structure and how we utilise it, as well as making sure that GPs are able to get back to doing the work they need to do—looking after their patients.

NHS Update

Jim Shannon Excerpts

Wednesday 21st July 2021 Commons Chamber

[Helen Whately]

My hon. Friend makes a really important point. We have seen people not come forward for treatment during the pandemic and it is worth reiterating that if anyone is worried about their health, it is really important to seek that help and get a diagnosis or seek treatment. We are working to increase the number of appointments available in primary care. One thing we have also seen during the pandemic is that GPs have increased remote working and virtual appointments. We know that many people need to be able to see a GP in person, but there are also opportunities to combine GPs being able to offer services in person and virtually in a way that is good, hopefully, for GPs and patients.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for the statement and what she spoke about earlier. I want to ask about the NHS wage increase, which is on my mind. On the TV screens this morning, a nurse gave her story—it was very heartfelt, for those who had the opportunity to hear it—about the difficulties of retaining staff and ensuring that they were able to cope through the process. There is a real need to respond positively on the wage increase. A petition on that has also been handed into Government. I believe in my heart that NHS staff should receive the 3% increase. Does the Minister agree that 3% is enough, given their tireless and admirable efforts in tackling covid-19, and can she confirm that NHS staff will receive the wage increase and that it will be a priority for her and the Government?

[Helen Whately]

The hon. Gentleman is asking me to pre-empt the Government’s response to the recommendations of the pay review body and I am afraid that I am not able to do that at the Dispatch Box today. What I can say is that we are considering its recommendations and we will make an announcement on pay for NHS staff as soon as we can.

Do Not Attempt Resuscitation Orders: Guidelines

Jim Shannon Excerpts

Wednesday 21st July 2021 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Gentleman on bringing this issue forward. When I saw it on the agenda for Westminster Hall, I just knew that I had to be here. As light is spread, Members like me had the same idea. That is why I wanted to be here. During the first wave of the pandemic, there were ongoing issues with DNAR orders. It has been stated that human rights may have been violated in over 500 cases. That is an enormous amount. Every one of us knows people who have found themselves in those difficult positions. The hon. Gentleman made a critical point: when decisions are made for DNAR orders, full protocol must be followed. Most importantly, the next of kin, who really need to know what is going on, have been ignored. That cannot happen again.

[Martin Vickers]

The hon. Gentleman makes some powerful points, particularly, as I just mentioned, about the involvement if not of the patient themselves, certainly of the next of kin.

There have been examples of elderly people who reported that they felt pressured into signing these orders against their will. On 16 June, the Daily Mail reported that research carried out by the University of Sheffield found that 31% of the patients in its study who were admitted to hospital for covid were issued with do not resuscitate orders. That is unacceptable. Decisions of that nature are for the individual. They have the right to make their decisions without feeling unduly pressurised.

There have also been reports of care home residents having these orders imposed without consent and some reports speak of “blanket use”, which again is completely unacceptable.

Another report was of a 76-year-old man being issued a DNAR order following a heart attack, from which he made a full recovery. The order had not been discussed beforehand, but when his wife protested, she was reportedly told to “let him go with dignity.” The situation was only put right after the intervention of a more understanding member of staff and the order was revoked.

Throughout the pandemic, there have also been distressing reports of disabled people being denied vital medical treatment. According to the charity Mencap, a number of disabled people have died prematurely when intervention could have saved their lives. However, such intervention was denied owing to DNAR orders that should not have been in place.

Suffice it to say that some of the stories I have heard are frankly sickening, especially those involving the disabled or those suffering from mental illness. Having said that, I do not want to identify individuals in specific cases, although one widely reported case referred to a former Member of the European Parliament, which is sort of halfway to identifying the person involved. However, as I say, that case has been public for some time. She was admitted to hospital in Oxford for an operation on a broken pelvis. After being discharged, she was, of course, shocked to discover that a DNAR order had been in place, without her knowledge or consultation. In the event, her heart stopped during the procedure, supposedly owing to the fact that she suffers from Parkinson’s disease.

I am sorry to say that, as a result of reports I have read, I am able to come to no other conclusion than that clinicians are making assumptions regarding their patients’ quality of life and chances of survival that frequently are harsh and unnecessary. It is evident that a robust response is required from the Department of Health and Social Care. Any delay is unacceptable.

Ministers from the Department have rightly offered reassurance. However, it is time we saw action. Best practice guidelines are already in place, having been set by the Resuscitation Council UK. However, the examples I have given clearly show that the guidance does not appear to have been adhered to by some clinicians.

Reducing Baby Loss

Jim Shannon Excerpts

Tuesday 20th July 2021 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to see you back in your place again, Mr Gray, after the operations you have had. I am very pleased you are back in Westminster Hall. I thank the hon. Member for Truro and Falmouth (Cherilyn Mackrory) for leading the debate. It is a pleasure to follow the hon. Member for Luton North (Sarah Owen) and the contributions from other hon. Members.

Very personal stories have been told, some of which have been raised in earlier debates. That does not lessen the pain and heartache that we feel. I imagine the introduction was not easy for the hon. Member for Truro and Falmouth, given the grief and tragedy she has had to deal with after the loss of her little baby last year. As politicians, we often disagree—we can agree to disagree and are given this platform to represent our differing opinions. However, this issue has brought us together and it is heart-warming to discuss a topic that has touched us all in some form and enabled us to come together. My mother had five miscarriages, my sister lost three babies and the young girl who is the PPS in my office had two, so this issue is very real to myself.

Estimates suggest that there are 250,000 miscarriages in the UK every year. One in five pregnancies miscarries and there are 11,000 emergency admissions to hospital for ectopic pregnancies. Those figures sadly represent the mothers, fathers, grannies and grandas who have suffered a heartbreaking loss. I stand here today as someone who has witnessed the effects that this can have on a family. I extend my sympathies to those who have been faced with this in the past and those who unfortunately will be in the future.

The impact of baby loss is difficult enough and I have no hesitation in saying that the covid-19 pandemic has not made these situations any easier. I had multiple constituents contact me regarding hospital appointments and scans. They expressed concern that restrictions only allowed an isolated appointment. A number of MPs—some here and others not—have raised this issue with Ministers and asked them to address it. It has always made me think of those who went through the tragedy of a miscarriage or pregnancy complications and, in some circumstances, went through it all alone. As an example, I remember my mother. We had a shop in Ballywalter. My mother had a miscarriage and the next day she was back in the shop working again. That is how things happened in those days of long ago.

I have heard multiple reports from those in my constituency. One is a student midwife studying in Glasgow. She said that although tests can sometimes not identify any major issue, having efficient staffing levels and more adequate nurses and doctors allows staff to catch issues earlier. When responding, could the Minster give some assurance and encouragement that staffing levels will be sufficient to ensure that there is oversight and that these issues do not happen? An additional step that we as elected representatives can take is to ensure there is sufficient funding to employ more healthcare professionals, if this is what staff are telling us they need—and the staff are telling us that. We need to respond to that.

This is not the responsibility of the Minster but to give the figures, the latest report has shown that the neonatal mortality rate—deaths in the first four weeks of life—is the highest in Northern Ireland, when compared with England, Scotland and Wales. We have an issue back home, which is a devolved matter that the Minister Robin Swann is directly looking at.

When it comes to baby loss, hospitals do not have enough counselling services for parents who have suffered miscarriage, stillbirths and neonatal deaths. There need to be more trained counsellors in our hospitals to act at immediate effect. Baby loss can be prevented through increased research. Again, I urge the Minster and her Department to allocate funds for this.

I am a person of faith, as hon. Members know, and I believe it is important to have church representatives, be they leaders or those with pastoral abilities, to respond to people in hospital when they need it most. Has that been available for those who seek assurance at a particularly difficult time? Life is precious. There is nothing more valuable than the people we have around us and the loss of a wee baby, who has not even had a chance at life, occurs all too often. The Royal College of Midwives stated:

“Maternity and health services cannot do this alone, fantastic as their efforts are.”

We must add more support to our health service on baby loss. I am pleased to see the Minister, and look forward to her response to assure us on this issue.

I very much appreciate the subject of this debate, which is

“the national ambition to reduce baby loss.”

That ambition is shared by so many. I assure those going through the process that they are not alone. It is so important that people realise that they are not alone and that many others out there are trying to help them through those trials. Baby loss has touched the lives of so many, including mine. I am proud to stand here representing those who wish that those babies were with us today—they will not be forgotten. I call on the Minister to commit more time and more financial support to the national ambition to reduce baby loss. If we achieve that, we will have achieved a whole lot.

Covid-19 Update

Jim Shannon Excerpts

Monday 19th July 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful to my hon. Friend for his question. The vaccination rates in the United Kingdom have been incredibly high. We are at 88% with the first dose and 68% with double doses. On double doses, we are actually ahead of the United States of America. That does not mean we become complacent, however. We are doing everything we can to ensure that every cohort, and every ethnicity has the ability to access the vaccine.

Let me give him an example of some great work in the London Borough of Newham. Last week it had 23 different vaccination sites in pop-ups, in mosques, in GPs and in community pharmacies across the borough. Young people were literally tripping over a vaccine site. Part of it is access. Part of it is taking the vaccine to those communities. I am working with a number of colleagues to make sure we get into rural communities, for example with vaccine buses, and in community centres where people feel safe and comfortable to have the vaccine. The work does not end today. We continue to double down on our effort to continue vaccination. Again, I want to place on record my thanks to the metro Mayors for the work they do with us to make sure that happens as well.

[Jim Shannon (Strangford) (DUP)]

The Minister has been thanking everybody else, but I think we also need to thank the Minister, his Department, his team and the NHS staff for all they have done for the vaccine programme. Given recent news that those aged 12 to 17 will be offered a covid vaccination to protect them in the colder weather, has the Minister come to an assessment of how effective that will prove to limit the spread of covid-19 in schools? What discussions has he had with Education Ministers to deliver the vaccine roll-out?

[Nadhim Zahawi]

I am grateful to the hon. Member, who is always wonderfully complimentary and polite. I am grateful for his compliments and I will take them back to the team. We have conversations all the time. We are making preparations for the co-administration, wherever possible, of the flu vaccine with the covid boost, beginning early September, based on the interim advice from the JCVI. The only caveat is obviously that it is only interim advice and it could change as the JCVI gets more clinical data through. We have a big trial on seven of our vaccines to see which delivers the best boost possible. When it gets that data back, we will firm up that advice, but operationally we aim to begin in September.

Cervical Screening

Jim Shannon Excerpts

Monday 19th July 2021 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is pleasure to serve under your chairmanship today, Mr Pritchard, as I often have in this Chamber, and I very much look forward to the Minister’s response. I very much look forward to speaking in this debate on cervical cancer screening.

I stand here to speak on behalf of my female constituents, whom this directly affects, and I speak in complete support of the e-petition, which had 146,000 signatures. Cancer is a tragedy that all of us know only too well. I am sure it has touched the lives of everyone in the room today. I am sure the Minister will not mind me saying that she has been directly affected, and we are very pleased to see her here as a survivor.

We must take every necessary step to catch cases sooner rather than later. The petition for Fiona’s law applies to women in England. However, I speak on behalf of my constituents and the women of Northern Ireland. It is estimated that some 3,200 women will be diagnosed with cervical cancer every year in the UK. Eighty people in Northern Ireland are diagnosed every year, and roughly 20 to 30 of those women will, sadly, pass away from the disease. The Public Health Agency in Northern Ireland has said that early detection and treatment can prevent seven to 10 types of cervical cancer. As the hon. Member for Berwickshire, Roxburgh and Selkirk (John Lamont) mentioned, Northern Ireland offers screening every two years. I would like to see it done better. I would like to see it every year; that is the best way to do it. The request is for early detection and treatment as the way to prevent cervical cancer.

It is important to remember that screening is not a test for cancer; it is a test to help prevent it. That is what we are trying to do, and that is why, to assist in preventing cervical cancers, we must do more to ensure that women have screening appointments regularly. Current legislation states that women between the ages of 25 and 49 will be invited for screening once every three years, and those aged 50 to 64 every five years. That is in line with the NHS’s long-term plan to detect 75% of cancers at stage 1 or 2.

I cannot stress enough the importance of screening appointments for women. First, I can only imagine that it is not a comfortable or easy procedure to go through, but I do believe that the prolonged interval of three years only increases the anxiety. Secondly, yearly screening would allow for more effective diagnosis, but it also provides an opportunity to make a procedure that a lot of women dread having more familiar and comfortable, if that is possible.

The UK’s leading cervical cancer charity, Jo’s Cervical Cancer Trust, report that 51% of women admitted to delaying their screening, that 24% delayed for over a year and that 9%, one in 10 women, have never attended a screening. Those are shocking figures, but they are understandable at the same time. These are lives being lost, and because of the frequency of cervical screening it is getting worse.

There needs to be more communication about screening so that people are aware of what they are going into. That would then provide confidence and would increase the numbers attending, which would ultimately result in lives saved: more mothers, more daughters, more sisters, more grandmothers and more wives living longer and healthier lives. My wife went through it. She did not for one second wish to go. She found the whole thing very uncomfortable and, honestly, a little embarrassing. Obviously, we encouraged her. My mother encouraged her, and I think that probably helped—from lady to lady is probably better. She went for the tests and got the all clear.

Cancer of all kinds has destroyed lives and families for too long. We must do all we can to increase early diagnosis, as the petition calls for, especially in the light of the impact of the pandemic, which has seen a further decrease in screening figures. We need to get back on our feet and allow women yearly screenings. I urge the Minister to undertake discussions with the UK National Screening Committee to ascertain why it feels that women do not warrant screenings every year.

To anyone who is offered a cervical cancer screening, I say please go. I say to the Government that the encouragement from the Minister will start here. More must be done to get more frequent appointments, more awareness of the benefits and more discussion around the appointment itself, because there is nothing more promising than the prevention of disease.

[Mark Pritchard (in the Chair)]

Before I call Mike Kane, there has been a slight adjustment to the call list. I will call Dr Philippa Whitford after Mr Kane, and then Alex Norris.

--- Later in debate ---

[Jo Churchill]

Indeed I will. I would be happy to write to the hon. Lady, because I have looked at that issue. If there is a chance that someone may have abnormal cells, they should get them checked out. The hon. Member for Coventry North West (Taiwo Owatemi) spoke about making sure that we reach those communities who would not necessarily come forward, for a number of reasons.

The hon. Member for Wythenshawe and Sale East (Mike Kane) spoke, as several did, about using technology better, and about the challenges of screening and the health inequality that there is in certain communities for access to screening. I have met NHS England several times about that, to think how we can use that technology and different avenues—I will speak in a minute about the self-sampling sample.

We have to think differently about how we encourage women, because not every woman will come forward in the same way. We have different pressures on our lives at different times. Perhaps we are not as good at the younger end, because people think, as the hon. Member for Pontypridd said so eloquently, “I didn’t think it would happen to me.” Perhaps they have a young family or are busy at work. All those things mean that we have to make it as easy as we possibly can to access screening wherever you are and in whatever form suits you, because there are also cultural barriers for some not only to cervical screening but to breast screening, where they are hesitant to come forward.

[Jim Shannon]

I referred to my wife, who had some difficulty making the appointment. What she did was talk to my mum. I feel women talking to women is much easier. We should not always push to the back of the queue, for instance, a family member having a substantial discussion. Sometimes it starts with a discussion, before they go to the hospital. It very important to have family members around to support and give advice.

Health and Care Bill

Jim Shannon Excerpts

2nd reading
Wednesday 14th July 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Sajid Javid)]

I beg to move, That the Bill be now read a Second time.

The covid-19 pandemic has tested our country like never before, and nowhere more has this been seen than in our health and care system. Everyone delivering health and social care in this country has risen to meet these tests in remarkable new ways. We have seen bold new ways of working, of overcoming bureaucracy and of people working seamlessly across traditional boundaries. New teams were forged, new technologies adopted and new approaches found.

There is no greater example of this than the extraordinary success of our vaccine roll-out, where health and care colleagues have been able to draw on the collective scale and strengths of our Union to deliver one vaccination programme for the whole of the United Kingdom. Today, I can confirm to the House that two thirds of adults have received both jabs against covid-19 one week earlier than planned. It is a remarkable achievement. Everyone working in the NHS and social care can be proud of what they have achieved, and we are all in this House very proud of them.

As we look to the post-pandemic world, we know there is still no shortage of challenges ahead—an ageing population, an increase in people with multiple health conditions and, of course, the chance to embrace the full potential of data and technology.

[Jim Shannon (Strangford) (DUP)]

Will the Secretary of State give way?

[Sajid Javid]

I will.

[Jim Shannon]

It is just, Secretary of State, because you mentioned the issue I wanted to bring up about people getting older. I spoke to your colleague, the Minister for Health, yesterday and I am appreciative of that—

[Madam Deputy Speaker]

Order. The hon. Member really must not refer directly to the Secretary of State; it is through the Chair.

[Jim Shannon]

Recent statistics show that over 40,000 people under 65 in the UK have dementia, and many more have not been diagnosed as of yet. It would seem that these figures are not addressed in the Health and Care Bill, so can I ask the Secretary of State what more will be done to offer support to those suffering with dementia and Alzheimer’s in the UK through this social services care Bill?

[Sajid Javid]

I am pleased that I gave way to the hon. Gentleman as he raises a very important issue. In this Bill, as I will come to, one of the central themes is integration. When I come to that, I hope he will see how that integration between NHS and social care will help to deliver a better service for those with dementia.

Everything I refer to—these challenges—are all in addition to the challenges of the pandemic that of course we still face and the elective backlog that we know is going to get worse before it gets better. Meeting the future with confidence relies on learning lessons from the pandemic—what worked and what did not work—and building on a decade of innovation in health and care.

Sometimes the best intentions of the past cannot stop what is right for the future. Bureaucracy can still make sensible decision making harder, silos can stifle work across boundaries and sometimes legislation can get in the way. We have seen how unnecessary rules have meant contracts have needed to be retendered even where high-quality services are being delivered, we have seen the complicated workarounds needed to help the NHS and local government to work together, and we have seen the uncertainty about how to share data across the health and care system. People working in health and social care want the very best for people in their care. That is what they have shown time and again, not least in the way they have embraced integration and innovation to save lives through this pandemic. They want to hold on to the remarkable spirit of integration and innovation, but they want to let go of everything that is holding them back and we want to help them to do it.