Mental Health Act Reform

Jim Shannon Excerpts

Wednesday 13th January 2021 Commons Chamber

[Matt Hancock]

Yes, absolutely. I can give the reassurance that for those who need to access IAPT—improving access to psychological therapies—services and talking therapies for lower-level mental health conditions, the waiting time has come down quite considerably. In the latest data I saw, it was 15 days, which is a considerable improvement. The services for more serious mental health conditions are under pressure at the moment and putting more resources into them will be critical.

[Jim Shannon (Strangford) (DUP)]

May I thank the Secretary of State for the statement today? I also thank him for the clear way that he has put forward to help those who are vulnerable and have problems, because that is important. I ask him for clarity on what support has been given to the frontline of mental health diagnosis in the form of GP practices, which refer patients on only to see them worsen in the months it takes for them to be formally assessed and get the help they need. That is leading to a high rate of strong medicine being used, instead of counselling. The issue is important.

[Matt Hancock]

The hon. Gentleman is right that GPs are the absolute frontline in treating mental ill health, not least because the first presentation of mental illness is often at GP practices. Funding for those services is increasing and it is important that that continues.

As GPs form larger groups—for instance, through primary care networks—the ability to have more specialist help is strengthened. I want to see closer integration between primary care, mental health trusts and acute trusts within the NHS. Throughout its history, the NHS has held mental health trusts separately from the provision of other services. It is increasingly clear that their integration, rather than separation, is the way forward.

Covid-19

Jim Shannon Excerpts

Tuesday 12th January 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I shall say just a few words. As I have listened to the others who have spoken, I have become aware that the fears of my constituency, Strangford, are replicated throughout the UK. We must remember that light dispels the darkness.

I plea for communication, particularly in relation to the teachers who have sometimes been unsure of what has been happening. It would be better if they had an email to tell them in advance what they could then tell parents.

I thank GPs for all that they are doing in relation to the vaccine roll-out. I make a plea again for the pharmacies, because they are well placed and well located and also have the ability to deliver the vaccines, if they get the opportunity.

The postmen and postwomen who have done their duty during their rounds deserve a lot of credit. Their work is necessary and it is essential that we provide them with support.

I thank all the workers who have come out of retirement —the doctors, nurses and careworkers—to carry out admin duties or to muck in and carry out work on the wards, and also those who have been vaccinated. Given the pressure that the NHS is under, it is essential that discussions are held. Perhaps the Minister could give some indication of what discussions have been held with private hospitals to secure beds and assistance throughout the United Kingdom.

On teachers again, last week I made a plea to the Secretary of State directly for teachers to be made a priority case, along with those who continue to work in nurseries and special schools during this strict lockdown. It is important that their role is recognised and that they are prioritised when it comes to the vaccine.

We must ensure that the vulnerable who have additional learning needs receive additional help and support as a matter of urgency. Although it is great to hear of the offer of learning tools, schools must have access to such tools so that they can give them to vulnerable children immediately, not later.

This is not the responsibility of the Minister, the hon. Member for Bury St Edmunds (Jo Churchill), but I stress that the issue is not just covid-19 but the fact that because of the Northern Ireland protocol we are seeing numerous empty shelves and businesses on the brink. People in Northern Ireland are fearful once again that they will not have the bare essentials. The issue is very clear for us. It is not the Minister’s responsibility, but the complications we have with the protocol add to the situation when it comes to covid-19.

Cancer waiting lists need to be addressed. The Minister is in her place and I know that she is totally committed, so I make that plea again.

We are quickly approaching a year of dealing with coronavirus. For some this has been a year of isolation, for some a year of fear and for some a long time mourning in these strange times. We are approaching the end of the journey, but we are not there yet. We need to bring people through with messages of truth, hope and positivity, and to do as we did at the start of this journey: pull together. The United Kingdom of Great Britain and Northern Ireland—always better together.

Covid-19: Vaccinations

Jim Shannon Excerpts

Monday 11th January 2021 Commons Chamber

[Nadhim Zahawi]

I absolutely join my hon. Friend in congratulating and thanking the heroes of the NHS and the volunteers in Telford and Wrekin and Shropshire for vaccinating 15,000 people—15,000 of the most vulnerable people to covid who, in a couple of weeks’ time, will have that protection. He is right, I can confirm, that anyone receiving a letter where it is inappropriate or not possible for them to travel that distance to a national vaccination centre does not have to do so. They will be able to be vaccinated in their primary care network at a time and place that is convenient to them. With the national vaccination centres—seven went live today, and there will be more next week, more the week after and 50 in total by the end of the month—we are trying to effectively add to the throughput that I described earlier.

[Jim Shannon (Strangford) (DUP)]

I have some good news: my mother, who is 89 years young, had her vaccine at 9.40 this morning, so it is a happy day—I was going to sing it, but then it would start to rain, so it is not a good idea. What system is in place to ensure that if someone does not turn up for their vaccine, not one slot or vaccine goes to waste, and that a secondary list is immediately available with staff to substitute? At Dundonald hospital in Northern Ireland over the weekend, some people did not turn up, but they were able to call upon the midwives team to come forward. What policy is in place to make sure that the vaccine is not lost for use?

[Nadhim Zahawi]

The people of Strangford will be pleased to hear that the hon. Member’s mother has got her first a dose of the vaccine. This is an important message to send to the whole country: if you are called up and have an appointment to get the vaccine, please turn up. This vaccine can protect your life. It can protect somebody else’s life. It is a shame to not turn up if you have booked an appointment. The NHS in England has made sure that the hospital hubs and primary care networks that have been vaccinating, and now the national vaccination centres, have on speed dial the care home workers and those on the frontline of the battle against covid who are in the JCVI’s top four cohorts, so that they can get them in as quickly as possible and not a single dose is wasted.

Covid-19 Vaccination Roll-out

Jim Shannon Excerpts

Monday 11th January 2021 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

Thank you, Sir David, for allowing me to make a few comments. I congratulate the hon. Member for Gower (Tonia Antoniazzi) on bringing forward this debate and setting the scene very well, as she always does with any issue she brings forward. I have previously highlighted with the Secretary of State for Health the need to include our teachers in the priority roll-call for vaccines. We did that just last week in the main Chamber.

The hon. Lady rightly highlighted that the education of children is paramount. Children are currently out of school and are being taught at home; that is not what families and children need. To expect a mother with no degree in teaching to understand how to teach a child the necessary tools of learning puts stress on the family, and too many children are missing out on learning. Some parents can home-school and others cannot. That is not disrespectful; it is a fact of life.

I have spoken to several teachers who are concerned about the fact that some parents are not logged on to the online learning tools for primary school children. Messages have been sent and encouragement has been given, yet the fact remains that some parents and carers are simply overwhelmed with home schooling. Add to the mix the parents who have to work from home and who are struggling to maintain their work life as well as spend adequate time on their children’s schooling. The pressures are immense, and it is very difficult on households. The pressure on teachers from trying to maintain contact and check the work of 30 pupils online is extensive. It is imperative that our children are back in class being taught by those who know what they are doing. It is clear that vaccinating teachers and teaching staff is necessary to keep them safe and keep our children in school.

I understand that the vaccine has not been tested for children, and there is little that we can do there. However, vaccinating school staff will help curb the spread of this virus. In my estimation, that is an essential part of our fight against covid. It is really important that teachers in nurseries and special needs schools also have the opportunity to have the vaccine—doubly so when we look at special needs schools, which are operating at full numbers and where staff are expected to teach with no protection around incredibly vulnerable children. We all know them; we meet them every day. I asked the Minister last week in the main Chamber to consider adding teachers to the priority vaccination list, and I am asking again for that to be done in Westminster Hall—it is probably one of the coldest places on the planet; it is so cold that we could hang beef in here and it would not go off—that is the truth. That is a fact of life; ask any butcher.

Today in the Chamber, the Minister replied to the hon. Member for Beckenham (Bob Stewart) on the issue of teachers and the vaccination. Education is one of the cornerstones of our society. That can continue only if our teachers are at full strength and are able to do their jobs, and vaccination is key to that.

Another issue that I want to highlight, as other Members have done—in particular, the hon. Member for Westmorland and Lonsdale (Tim Farron)—is the availability of the vaccine in rural areas and the need for support for rural GP practices that have thousands of patients on record. The patients who are most vulnerable need the best vaccine. We must make use of our incredibly capable armed forces logistics branches to arrange and implement in rural communities what could well be a mammoth task for GP practices individually. The fact is that people in towns will be quicker to receive the vaccine, but those in rural areas and in constituencies such as mine and that of the hon. Member for Westmorland and Lonsdale really need to have equality in the vaccine roll-out. The precision with which our military operates is second to none, and I believe that it is a resource that we have yet to make full use of.

My mother is 89 years young, and she received her vaccine at 9.40 this morning. It is a happy day for us all, and I am very pleased. I have a sense of relief. Although I have told her to remain at home and be careful, there is a definite ray of hope. We need such hope being felt by every family member of the vulnerable in our society, and I believe that our military—our Army of the whole of the United Kingdom of Great Britain and Northern Ireland—can support our GPs, who are under pressure, with the standard flu jab programme. It is interesting to read in the papers today that the flu jab—it is really good news, which we should welcome—has been so successful that the number of people dying of the flu has reduced dramatically. The figures for Northern Ireland are very clear.

We have the vaccine, and we have more knowledge than we did this time last year. It is now time to ensure that every person who wants to receive the vaccine will be able to do so in a timely manner. For those who are uncertain about it, or who are certain that they do not want to receive the vaccine, we must ensure that their wishes are respected and that the Government place no restrictions on those who exercise their free choice. Again, I ask the Minister to confirm that and put it on the record.

I am excited about the vaccine—I believe it is very hard not to be. We are in a better place today. We can have some confidence for the future. You and I, Sir David, are confident because we have faith, but we also have confidence in what the Government are doing, which is really important. I am sure the Minister will not let us down. There is a fully trained and obvious ready-to-go resource—let us use the military to get the vaccine out and make a difference to our battle against covid.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

It is a pleasure to see you in the Chair, Sir David. I want to start by thanking my hon. Friend the Member for Gower (Tonia Antoniazzi) for her comprehensive and compelling introduction to this subject. She raised a whole series of questions, dilemmas and judgments that follow on from the very clear objective that we all share: we want as many people as possible to be vaccinated as quickly as possible.

My hon. Friend the Member for Gower clearly set out that lots of people in the country have been discussing this issue, as we would expect, but this forum is the right place in a democracy for us to be discussing those ideas, exchanging views and doing so in a way that is respectful and tolerant of other opinions. She set out clearly, as did other Members, the consequences of missing school, particularly in terms of the widening attainment gap and the digital divide, and she explained why it really has to be a priority to get children back into school as soon as possible. It was so disappointing, if not sadly inevitable, that we had to make the decision to restrict attendance at school. It is also very regrettable that the decision was taken without a proper back-up plan to allow children to learn remotely. I agree with her that teachers inspire, build confidence and impart knowledge, and they do that best of all when they teach in person in the classroom.

We also heard from my hon. Friend the Member for Leeds North West (Alex Sobel), who talked about the overwhelming sense of fatigue that we all feel in dealing with this virus—I think we can all understand that. He described the vaccine as the way out of this situation and said that the wonders of human ingenuity have allowed the vaccines to be developed and made ready in such a short space of time. He gave a very good plug for our party’s campaign on the vaccination programme, and he raised the important point that it would be very helpful if employers gave paid time off for people to go and receive the vaccine.

My hon. Friend the Member for Leeds North West also raised an important question, which I hope the Minister answers, about whether hospice staff should be included in the priority group for vaccination. He talked about a 24/7 vaccination programme and told us that the Prime Minister had apparently said there is no appetite for it. After talking to Members present and to members of the public, I have to say that there is an appetite for that. Every minute, every hour and every day that we can vaccinate people is another step closer to the freedom that we all want to return to. Let us not miss any opportunity to get to that point as quickly as possible. As my hon. Friend the Member for Cardiff South and Penarth (Stephen Doughty) said, the 24/7 approach should apply not just to delivering the vaccine but to the production of it.

My hon. Friend was also right to talk about the importance of getting information out there, because everyone wants to know where we are up to with this. Certainly, my constituency office has had many phone calls and emails asking about the vaccination programme. He also spoke about the excellent work undertaken in Wales to roll out the vaccine. He made the fair point that this is not an easy choice—these are not easy options for anyone—but it is important that we take the best professional and scientific advice available when we take these decisions.

It is, of course, a source of great national pride that we were the first country to approve a vaccine for distribution and that our own scientists were integral to the development of the second vaccine, which is now beginning to be rolled out across the country. Having found ourselves in this good position, it would be very disappointing if we did not become the first country to mass vaccinate its population. For the grandparents who have not seen their grandchildren, for the businesses that have not traded properly for a year and are facing bankruptcy, and for the NHS staff exhausted by the relentless pressure that this virus has created, we all want the quickest route possible out of this.

To date, as we have discussed, the lockdown strategy has been our most effective weapon against the spread of the virus, but we all know that that has created another set of extremely tough challenges and that there are concerns that even that may not be enough to halt the spread of the new strain. Therefore, as has always been the case, mass vaccination is the key to ending the nightmare, which is why no stone should be left unturned and no component of the state left unutilised, and every member of society who wants to contribute should be engaged in some way so that we all play our part to get as many people vaccinated as possible, as soon as possible. We all share that ambition, but the Government have displayed a pattern in this pandemic of being too slow and of over-promising and under-delivering.

[Jim Shannon]

Does the hon. Gentleman share my concern—I suspect the Minister does—that the roll-out of the vaccine has been halted in parts of the United Kingdom because supplies are running out? Is there not a logistical issue to be addressed as well, to ensure that that does not happen?

[Justin Madders]

The hon. Gentleman predicts the journey I am about to embark on. I will talk about that very legitimate point, which hon. Members have raised. AstraZeneca promised 30 million doses by September, but that went down to 4 million by the end of the year and, clearly, much less has been delivered on the ground. All the best plans possible will not matter if the supply is not there. Various Members have raised this issue, so when he responds, I hope the Minister will set out the exact position in terms of supply. How many doses have been received to date from each manufacturer? How many are expected each week? What are the weekly projections for delivery?

I will give the Minister a local example. My vaccination centre in Ellesmere Port is due to open sometime this week, but nobody knows exactly when because nobody knows when the first delivery will arrive. One thing this country is not short of is logistics experts. The Vaccine Taskforce is supposed to have been addressing this for months, so those on the frontline should not have been put in the position of not knowing when the vaccine is going to arrive. No vaccine should be left on the shelves, in warehouses or stuck at a factory gate waiting to be delivered. Greater transparency would be much appreciated. As my hon. Friend the Member for Leeds North West said, we could do with a performance dashboard covering not just the total figures published each week, but the proportionate numbers in each category of the priority list, including NHS staff—at clinical commissioning group level as well as nationally—so that everyone can see what progress is being made. There are references to that in the document that was produced today.

Turning to the subject matter of the petition, we know from what SAGE has said that schools are making a significant contribution to the R rate and that, with infections running out of control, the closure of schools—except for vulnerable children and the children of key workers—was, sadly, inevitable. As we have said, however, there are multiple reasons why reopening them has to be a priority, not least the importance of getting children back into the classroom. Although we could not go against the JCVI priority list—indeed, it is likely that a change now would be counterproductive—we believe that, as with the change to the period between the first and second doses, serious consideration needs to be given to the order in which the vaccine should be distributed after the initial phase. Indeed, I think Sir Simon Stevens has said as much today.

Of course, it is worth pointing out that the most clinically vulnerable adults who work in education will receive the vaccine shortly anyway, and we believe that the priority should be to increase the number of people who have received the first dose, so that debates over prioritisation become obsolete. However, if that is not possible, we believe that it is more than reasonable to look not only at the risk posed by particular workplaces but at the wider societal benefits of vaccinating particular groups of workers.

I hope that we have sufficient supplies and delivery networks so that we do not end up in a position where particular groups of workers are pitted against one another, but clearly there is a strong case for priority to be given to those working in education settings. At this point, may I thank everyone who works in education for their contribution? I know how hard many of them worked over the Christmas period to prepare for the mass testing regimes, and we could all hear their exasperation when they were asked to revert to remote working at 24 hours’ notice. I am afraid that some of that exasperation actually turned to anger when the Education Secretary delivered his warning that Ofsted could become involved if online learning was not up to scratch. If ever there was a sentence that summed up how he is not listening to the education world, that was it.

When I talk about education, I mean education in the widest sense. As various Members have said today, that includes all those who come into close contact with others as part of their job in an educational setting. For example, if we look at those in special educational needs settings, we see that they are often in much closer contact with others than most people. It is not just teachers whom we must consider but classroom assistants, cleaners, cooks and probably just about everyone who works in a school. We are not only talking about schools; as my hon. Friend the Member for Leeds North West said, nurseries and other childcare settings should be looked at. However, for reasons that are not entirely clear, they remain open at this time. I think we can all see how, in those settings, it can be very difficult to avoid close contact with others.

Public Health

Jim Shannon Excerpts

Wednesday 6th January 2021 Commons Chamber

[Matt Hancock]

While these regulations do provide for new restrictions until the end of March, that is not because we expect the full national lockdown to continue until then, but to allow the steady, controlled and evidence-led move down through the tiers on a local basis. Those tier changes do require a vote in Parliament. The restrictions will therefore be kept under continuous review; there is a statutory requirement to review them every two weeks and a legal obligation to remove them if they are no longer deemed necessary to limit the transmission of the virus.

[Jim Shannon (Strangford) (DUP)]

First, I thank the Secretary of State; I understand the reasons for the regulations, and I fully support them. Does the Health Department, in conjunction with the Education Secretary, have any intention to ensure that teachers are given priority for a vaccine because of the work that they do, along with nurseries and children’s special needs? If we ensure that they have it, we can continue with some reality.

[Matt Hancock]

Of course we are considering who, once we have vaccinated those who are clinically vulnerable, should be the next priority for vaccination. Teachers, of course, have a very strong case, as have those who work in nurseries. Many colleagues on both sides of the House have made that point, and we will consider it.

--- Later in debate ---

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

We will support the regulations, but like the Secretary of State, I did not come into politics to restrict people’s freedoms in this way. As one who represents Leicester, a city that has effectively been in a form of restrictions since last March, I well understand the devastating impact restrictions can have on our economy, on our way of life and on the mental health and wellbeing of our constituents. Indeed, many of our constituents will feel devastated by the prospect of weeks and weeks, perhaps longer—possibly until the end of March—in isolation, feeling anxious and lonely.

Last year, in the months following the long lockdown, 19.6 million prescriptions for antidepressants were issued—a 4% increase on the same period the year before—to more than 6 million people in England, which is the highest number on record. If we are to support lockdown we need assurances from Ministers that mental health services will be fully resourced, will stay open and can respond to people’s needs throughout lockdown.

I know that many people find solace in prayer, so I am grateful that communal prayer can continue during lockdown. With the indulgence of the House, may I take the opportunity to thank Leicester City Council, Peter Soulsby and our councillors, especially those for the wards of Stoneygate, Wycliffe and Spinney Hills, who have worked hard with our many mosques, temples, gurdwaras, synagogues and churches across Leicester to ensure covid-secure worship?

[Jim Shannon]

I think it is important to have prayer. Does the shadow spokesman agree with the call I have made in the past for a national day of prayer in this country?

[Jonathan Ashworth]

I think that that is a very good recommendation. May I extend an invitation to the hon. Gentleman to return to Leicester to watch our great football team, when we are allowed and are out of lockdown? Perhaps I will take him around and show him some of the great inter-faith work that we do in Leicester as well.

The lockdown will have a huge impact on the wellbeing of our children, so a plan to get our children back safely to school is a priority. There are thousands of children out of school in overcrowded, cramped accommodation, unable to access learning properly from home. There are other children at risk of abuse and violence. Members may know that I have spoken of my own experiences growing up in a home with a parent who had a problem with alcohol. Many children face the prospect of being locked in their home with a parent who abuses drink or drugs, so I urge Ministers to work with and fund children’s advocacy and support groups such as the National Association for Children of Alcoholics, with which I have worked closely, that will do so much throughout this lockdown.

Today, I agree with the Secretary of State. We do, unfortunately, have to restrict freedoms further to safeguard freedoms for the future and save lives. As he said, the tragic reality is that the virus is out of control. To be blunt, there is no freedom for our constituents if they are in the graveyard. There is little freedom either for those who suffer the enduring, debilitating effects of long covid. Yesterday, almost 55,000 cases were reported in England—one in 50, as the Secretary of State said, have the virus. The numbers in hospital are higher than in April, with over 1,800 in intensive care. Yesterday, there were over 3,300 hospitalisations—a record—and admissions are going up in every region.

This is a national emergency, and a national lockdown is necessary. Indeed, we should have locked down sooner. We are voting this lockdown through on Twelfth night, yet in the run-up to Christmas the alarm bells should have been ringing. The Secretary of State came to the House on 14 December to report a new strain, now known as the B117 strain. He told the House:

“Initial analysis suggests that this variant is growing faster than the existing variants.”—[Official Report, 14 December 2020; Vol. 686, c. 23.]

The Prime Minister learned of the rapid spread of the new variant on 18 December. The New and Emerging Respiratory Virus Threats Advisory Group met that day and concluded that the new strain added at least 0.4 to the R. On 21 December, the chief scientific adviser, Patrick Vallance, said that the new strain was “everywhere” and cases would rise after the “inevitable mixing” at Christmas. He said:

“The lesson…you have to learn about this virus…is that it’s important to get ahead of it in terms of actions”.

The Scientific Advisory Group for Emergencies met on 22 December, the following day, and concluded:

“It is highly unlikely that measures with stringency and adherence in line with the measures in England in November…would be sufficient to maintain R below 1 in the presence of the new variant.”

Here we are, two weeks later, with half a million infections and 33,000 hospitalisations since 22 December. This is a national tragedy. Why does the Prime Minister, with all the scientific expertise at his disposal, all the power to make a difference, always seem to be the last to grasp what needs to happen? He has not been short of data—he has been short of judgment, and yet again we are all paying the price.

As the Secretary of State has said, there is light at the end of the tunnel. Vaccination is how ultimately we are released from these restrictions. I pay tribute to everyone involved in helping to distribute and administer 1.3 million vaccine doses so far. This a great achievement, but we need to go further and faster.  The Prime Minister has promised that almost 14 million people will be offered the vaccine by mid-Feb. That depends on about 2 million doses a week, on average. Both the Secretary of State and the Prime Minister have assured us in recent days that that is doable, based on orders, but, in the past, Ministers told us that they had agreements for 30 million AstraZeneca doses by September 2020 and 10 million Pfizer doses by the end of 2020, so I think that people just want to understand the figures and want clarity. How many of the ordered doses have been manufactured, how many of the ordered doses have been delivered to the NHS, and how many batches are awaiting clearance through the Medicines and Healthcare Products Regulatory Agency clearing processes? Two million a week would be fantastic, but it should not be the limit of our ambitions. We should be aiming to scale up to 3 million, to 5 million, to 6 million jabs a week over the coming months. If we can vaccinate 29.6 million people, deaths and hospitalisations will be reduced by 99%. That is what we should be aiming at now.

--- Later in debate ---

[Sammy Wilson (East Antrim) (DUP)]

Millions of citizens will be watching helplessly as the Government plod towards another damaging lockdown and respond to the pied piper advisers in SAGE and their mournful dirge of fear and terror. That is where we are going with these restrictions today. Unlike the poor children of the town of Hamelin, at least we know what the destination is, because we have been there before. We have seen the economic damage that lockdowns do. We have seen the damage they do to people’s mental health. We have seen the damage they do to education. We know what lockdown is doing to our country’s finances, yet, despite what the Government tell us, we are doing this lockdown to achieve the aims we were told would be achieved by the first lockdown. We had suppressed the virus. We had put our foot on its neck. That was the term the Prime Minister used, yet once, twice and now for the third time we are doing exactly the same thing.

I understand that the Government have tried to support industry and people who have been affected, and that is to be welcomed. Coming from Northern Ireland as a Unionist, I know that the support measures introduced by the Assembly in Northern Ireland could not have been done had we not been part of the Union and not had the resources that the Union makes available to devolved Administrations. Those who cry after a break-up of the Union ought to remember that. It is only by being part of a bigger unit that we can ensure we at least have the support measures.

We have this lockdown, and I am fairly sure that the 31 March date is there because the Government intend it to last for that period.

[Jim Shannon]

Does my right hon. Friend share the concern that I and many others have about the mental health of children? It has been strained like never before. Does he feel it is time for there to be online counselling services in every school, to ensure that young people have the help they need as a matter of urgency?

[Sammy Wilson]

That is one of the points I was going to come on to. If we are in for this long lockdown, the Government first of all cannot continue to abandon the self-employed who have been affected by previous lockdowns and still find themselves penniless and without any support.

Secondly, the Government cannot allow children’s education to be disrupted for that length of time. As a former teacher, I know how long periods—even summer holidays—can disrupt children’s education, and it is the poorest people who are affected by that, because very often they do not have the resources and the children do not have the space. The parents do not have the ability to help their children through the time off school. It is important that schools get back. Despite the impression given by some trade unions, I know that most teachers do want to get teaching their children in school. Indeed, some of them have been on to me this weekend, saying, “We want to get back to school, but we fear for our safety”—because there is an atmosphere of fear. Some priority must be given to ensuring that teachers are treated as frontline workers and are vaccinated quickly, so that they can continue to have face-to-face education with children.

Northern Ireland depends very much on aviation, because of the sea barrier between Northern Ireland and the rest of the United Kingdom. There needs to be a package of support for the aviation industry. There is no strategy there, and a package of support needs to be made available.

The one thing I would say is that these restrictions, if they are going to be in place until 31 March, have to be examined regularly by this Parliament, and there needs to be a commitment by the Minister to bring them back on a regular basis, so that they can be voted on.

Public Health

Jim Shannon Excerpts

Wednesday 30th December 2020 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

First, I put on the record my thanks to all the doctors, nurses and care workers who have done their utmost for each and every one of us and our constituents across the whole of the UK of Great Britain and Northern Ireland. These are difficult times and it is difficult to know whether we are getting it right, but as has been said to me, we have to do the best we can and, in my case and everybody’s case, we have to leave it to our Lord Saviour to take us through.

The public health motions before the House most certainly attempt to do what is seen as the best. However, it is only time that will be able to judge whether they are right. That is not anybody’s fault, by the way, because we and the Government are doing the best we can.

In his covid-19 update statement, the Secretary of State for Health and Social Care underlined that he has regular discussions with the devolved Health Ministers, and I know that he has regular meetings with the Northern Ireland Minister of Health. In the past week, the vaccine has been rolled out to all the nurses and care workers in all the trusts in Northern Ireland. Northern Ireland is, of course, under different restrictions. We have a strict curfew from 8 pm until 6 am every day. That really makes me wonder sometimes. We are allowing fewer businesses to open and the Health Department makes the call on what is and what is not essential. I tried to explain to the cooker and washing machine shop next to my advice centre in Newtownards that mechanics are essential but they are not. I sometimes find that hard to understand and explain. We ask those who can work from home to do so. That is right and proper, but can additional help be provided to coffee shops, which open for takeaway but have no footfall for their business? Although they are able to open, it is not cost-effective for them to do so. What help is coming the way of egg distributors whose sales have dropped by over one third due to hospitality closures and who have donated eggs to homeless centres, shelters and food banks?

We need to implement rules to keep people safe, but that cannot be done without help for businesses going hand in hand with them. I know that this is not the Minister’s responsibility, but my point is that the Chancellor and Health Ministers can work together to provide help.

Lives are paramount and so is future health and the health of the economy to pay for cancer drugs, innovative treatments and research on diseases that kill tens of thousands of people each year. That can only come with money in the Treasury, which can only be there if we invest in viable businesses to keep them afloat in these difficult days. We need to understand that paying rates and council tax is not enough when businesses have to deal with hiring equipment and with mortgaged or rented premises. Although the extension of furlough has undoubtedly saved jobs, and I thank the Chancellor for all he has done, it is not enough to save businesses in the long term. Although I welcome the moves to keep as many people as possible in work until the vaccine roll-out is well established, this may not be enough—indeed, for some it may be too late.

I know that these motions are about health, but, having dealt with businesses, I know that they hear the headline of what is to close and what can remain open, and then wait weeks to hear about the assistance they are to receive. The assistance needs to be there almost immediately, and we must do more to make dual announcements, instead of propagating fear, which inevitably turns to anger. I have seen local businesses breathe a sigh of relief to have made it through the lockdown, only to find out that there is another lockdown and more regulations. They then have to deal with that and muddle their way through, hoping that they can get enough of a breather to get to the other side. It is little wonder that fear and mistrust are giving way to lies spread on social media, which are taking hold, with people believing that it is safe to live life as they ever did before. No, they cannot! We all have a responsibility for each other. We must ensure that regulations, such as those we seek to approve today, come with information and guidance that take the fear out of the equation and deliver the facts. We must let people understand the medical rationale behind a decision, while understanding that they are not being left alone and that help is available.

Today, the Oxford vaccine has given us great hope. As I said earlier, it has almost put a skip in my step to realise that potentially we have turned the corner. It has been hailed as the easiest vaccine to distribute because it does not need to be stored at very cold temperatures. Some stories in the press have been about vaccine being lost because of the temperature controls not being right, but this time we will be able to produce and distribute the vaccine ourselves. We hope that it will speed up the ability of businesses to open, still in a safe way, but permanently.

The danger we have is that businesses are worried for the future, staff are waiting on the redundancy letter, families are stressed, the elderly and vulnerable are feeling alone, and schoolchildren are feeling isolated and uncertain as to what their future lives look like. I am aware, as are others in the Chamber, that mental health problems are rising among our children. The message that comes from this place must show a plan of action and highlight that our Government are standing shoulder to shoulder with every age group that needs help. I plead with the Government to ensure that the same messaging is clear in every region of the UK: we are stronger together, we are coming through this and we must help each other. We can help each other and we can be better together for the future.

Covid-19 Update

Jim Shannon Excerpts

Wednesday 30th December 2020 Commons Chamber

[Matt Hancock]

I will absolutely look into, and get back to my hon. Friend about, the BioNTech test. Of course, BioNTech is an absolutely fabulous pharmaceutical company, as the whole House knows. What he says about the pressures in Essex is very significant, and it is important. Of course, I will look favourably on any request for military assistance, working closely with my right hon. Friend the Defence Secretary, who has been incredibly supportive, as have the whole armed forces, during this whole year. They have done so much. They are already involved in the roll-out of testing, as my hon. Friend knows, and we draw on the ingenuity, reserve and sheer manpower of the armed forces when we need them. I am very grateful for my hon. Friend’s support for the work that we all need to do in Essex to support the NHS there and to try to get the number of cases down.

[Jim Shannon (Strangford) (DUP)]

May I first thank the Secretary of State, as always, for his good news on the TV this morning? At this time of the year, I think it has given every one of us a skip in our step to know that the vaccine can be delivered.

Can the Secretary of State confirm what discussions have taken place with devolved UK Administrations about the roll-out of the vaccine, the timescale for the completion of that and the approach to education and business production to ensure that a UK-wide lens with regional approaches is possible, while still ensuring that the message remains that we can save lives and the economies if we simply do the right thing?

[Matt Hancock]

Yes, absolutely. This is a UK vaccine that is being deployed across the UK fairly, according to clinical need. I spoke to my opposite number in Northern Ireland this morning, and I can confirm that, across Northern Ireland, the roll-out of the Oxford vaccine will start on Monday 4 January, as with the rest of the United Kingdom of course. We cannot give timelines on when any roll-out will be completed, because it does depend on the delivery schedule and the manufacturing schedule of the vaccine, but the good news is that we have on order enough approved vaccines now to ensure that every adult who wants one can have the vaccine, and that is true right across Northern Ireland and the whole of Great Britain.

Covid-19 Update

Jim Shannon Excerpts

Thursday 17th December 2020 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

I thank the Secretary of State for his kind words. The whole House, and certainly the whole of Mr Speaker’s team, thank the Secretary of State, his Ministers and the shadow Ministers, who have worked so hard to keep us informed all the way through this dreadful pandemic.

[Jim Shannon (Strangford) (DUP)]

rose—

[Madam Deputy Speaker]

It is alright. I have not forgotten that we have a late entry. The final question—I call Jim Shannon.

[Jim Shannon]

May I take this opportunity to wish you, Madam Deputy Speaker, and your family a very merry Christmas and happy new year? Thank you for all you do in this House. I congratulate the Secretary of State and all his team on their energy and dedication in what has been an extremely difficult year. It has given us encouragement whenever he has come to the House.

Students, families and workers from England, Scotland, Wales and Northern Ireland will be travelling by boat, train, car and plane to meet their families from all tiers and very strict conditions. What discussions has the Secretary of State had with the devolved Administrations, in particular Northern Ireland, to ensure that travel can continue to happen within the regulations that we must all adhere to?

[Matt Hancock]

I thank the hon. Gentleman very much for his kind words. He said that people have been encouraged every time I have come to the Dispatch Box. Given some of the things I have had to announce, I am sure that is not quite true, but it has been my duty to come and answer questions as much as possible. I have probably answered more questions from the hon. Gentleman than from anyone, and I am very happy to answer this last one for this year.

I spoke to Robin Swann, the Health Minister for Northern Ireland, this morning as part of a call with all four of us across the devolved Administrations. We are determined to ensure that people can travel across the whole of the UK as much as is safely possible, but, again, we urge caution and personal responsibility. People can take advantage of this change in the regulations over Christmas to see loved ones—sometimes loved ones they have not been able to see all year—but we urge them to do that with the appropriate concern for the risk of spreading the disease, and to make sure, therefore, that everybody has a merry Christmas and a happy new year. We will return here, no doubt, in 2021 with the hope of that vaccine coming fast into view so that we can get to the point where I do not have to return every week to discuss restrictions and, instead, we can all get our freedom back.

Breast Cancer Screening

Jim Shannon Excerpts

Wednesday 16th December 2020 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

Thank you for calling me, Sir Edward. First of all, I congratulate the hon. Member for High Peak (Robert Largan) on the way that he set the scene. I thank the hon. Member for West Bromwich East (Nicola Richards) for her contributions, as well as the hon. Member for Westmorland and Lonsdale (Tim Farron), and I also thank him for the leadership that he gives to the all-party parliamentary group on radiotherapy. I am a member of that APPG, but I know that the person who moves it and makes it happen is the hon. Gentleman, along with other colleagues who are trying to make this subject a focus for every one of us.

The statistics for breast cancer are horrifying. The hon. Member for High Peak set them out in his introduction, but I want to repeat them. It is salient and important to focus on the stats, because they are not just stats: they are a person’s life and they affect everybody around them. That is what I want to refer to. The breast cancer stats are clear: 55,000 women and 370 men are diagnosed every year in the UK. We sometimes overlook the fact that men can get breast cancer—not in the same numbers or percentages as ladies, but none the less it can develop in them.

One in seven women in the UK will develop breast cancer, and 35,000 women are living with incurable secondary breast cancer. Almost 1,000 die from breast cancer in the UK every month. Perhaps if they had screening, that would not have happened. That is 1,000 mothers, daughters, sisters—1,000 homes that will never recover from the loss. We must never underestimate the loss and hurt that people feel when someone they love is no longer there. We sometimes focus on the “if only”—we do not know what that “if only” would have done, but it does come into our minds and our questions.

About 600,000 people in the UK are living with or beyond breast cancer. Let us be honest: if it is caught in time and if the surgery and treatment go correctly, people can live for longer. We should perhaps not always focus on the negatives, although this debate is about breast cancer and is an opportunity to highlight the issues that we feel are important. Health is a devolved matter in Northern Ireland, and I understand that the Minister cannot answer for it—I am not asking her to—but I want to make a contribution to this debate because what happens here on the mainland will be replicated in Scotland, Wales and Northern Ireland.

I said that it is not only the person who has breast cancer who suffers. We have to look at the families around them who also suffer—those who feel the pain of their partner or loved one who unfortunately has breast cancer and, in some cases, is still waiting for the treatment or screening that they need.

I am my party’s spokesman, and I have a deep interest in health matters. That is why I attend all health debates whenever I have the opportunity. I cannot get to them all, but I do my best to get to most of them. Back in Northern Ireland, I have had the opportunity over the years to get to know some of my constituents personally. The hon. Member for Westmorland and Lonsdale referred to two names. I never refer to names—they probably would not know who they are when they are referred to in this Chamber, but I do not do that because this is a very personal thing. It is a very physical problem that they have gone through. Some of those people have survived and some have not. As an elected representative and a person with compassion, as we all are in this House, my heart goes out to those who are in need of treatment and need it now.

We cannot neglect—I do not think there is an intention to do so—those with cancer, because time is of the essence and early diagnosis is needed. This is where we are. What I and other Members want is a different set of statistics for next year. We do not want to be referring to the 100,000 and some of the other stats that I will give in a few minutes. We want statistics that show more early diagnosis, more successful outcomes and—please, God—nowhere near 1,000 grieving loved ones. How do we achieve that? That is the key issue of this debate, and why we are here. I believe we all agree on this. It is simple: screening. Early screening, frequent screening, structured screening, simple screening—screening, screening, screening. We need to get that into our minds for how we deal with this. We are here today because we all have the same idea. That is how we get better outcomes.

In the media and the newspapers yesterday and every other day I can recall, we have had stats for cancer treatment. We cannot fail to be annoyed when we see the stats for the people who are waiting for treatment, diagnosis or screening. It has all been put on hold, and we need to look at that urgently. The hon. Member for Westmorland and Lonsdale referred to the Government response to covid-19. The Government responded in an excellent way. They made all the necessary resources available and they gave us hope, up to the stage where we are now, with the vaccine in place. That hope will lead us into next year. Perhaps by this time next year everyone in the United Kingdom of Great Britain and Northern Ireland will have had that vaccine; that would be our hope.

The coronavirus is the biggest crisis that breast cancer care has faced in decades. With every month that passes, more women with breast cancer could be missing the best possible chance of early diagnosis, which is key to preventing death from the disease. The breast screening programme was officially paused in Scotland, Wales and Northern Ireland, and effectively paused in England, in March. Screening has now restarted, although that has happened more quickly in some parts of the country than others.

Breast Cancer Now has estimated that a significant backlog of nearly a million women requiring screening built up across the UK during the first pause, which is a massive number. If a million ladies are waiting to have the screening, that underlines the importance of putting resources into that, to try and give people peace of mind. It is unclear how long it will take to catch up. Around 8,600 of those women could have been living with undetected breast cancer, which is a worry.

When my wife went to get the test, we got the results back quickly, but imagine what it would be like for someone waiting for the screening if they suspected something was wrong but were not sure. Sometimes the screening can diagnose at an early stage something that the individual was not aware of or might not see themselves. Can the Minister be so kind, during her closing remarks, to clarify what the Government mean when they say they have cleared the backlog on breast cancer screening? Does that mean that open invitations to breast screening have been sent, but not that the actual screening has happened? I have every confidence that the Minister’s response will answer those questions and give us the hope and reassurance that we need.

The expected increase in referrals and backlog of women waiting for breast screening will lead naturally to an increase in demand for diagnostic and imaging services in the coming months, threatening to overwhelm a workforce that was already stretched before the pandemic. Combined with a reduction in the number of people that services will be able to see, as a result of infection prevention and control measures, there is grave concern that that may lead to people waiting longer to be diagnosed and receive treatment. Again, we need reassurance.

A recent survey by the British Medical Association revealed that 28% of doctors—the people on the frontline, doing the work—have found non-covid demand higher than before the pandemic. They recognise a serious gap that needs to be filled. Moreover, 58% are concerned about their ability to care for non-covid patients, 44% are worried about the plans to manage the huge backlog of patients and 65% say staffing shortages are their most pressing concern. I understand those concerns, and I look genuinely and respectfully to the Minister for her answers.

The unprecedented pressures put on the NHS by the first wave of the pandemic, which have already had damaging impacts on diagnosis and treatment for breast cancer patients, are now being exacerbated by the second wave and the winter pressures, which we all know are coming to every region in the United Kingdom. Winter pressures come every year, but this year they will be greater because of the waiting lists and the ways we are dealing with that.

While it is great to see Health Education England receive an additional £260 million to train more staff in 2021-22, Cancer Research UK estimates that £140 million to £260 million is needed over the next 35 years to grow the cancer workforce alone. It is not only about responding to the current waiting lists, but how we deal with the growing number of those with cancer over the next few years. An additional £260 million for HEE’s total budget in 2021-22 should go some way to address that, but will not fill the gap.

I conclude by reflecting on the comment by the hon. Member for Westmorland and Lonsdale, because to me it is the key to the issue. The Government responded in an exceptional way to covid-19. They made the resources available. A strategy for something we had never dealt with before was difficult to get together, but they did it in a way we all welcomed—we give credit where it is due—until now we have the vaccine.

However, when it comes to cancer we need a similar policy and strategy, so that we can give peace of mind to all those people who have breast cancer, and have a worrying process to go through. The Government have shown they can do it, and I believe they, and the Minister, can again respond in a way that will show us we can deal with breast cancer. We need a dedicated strategy and long-term investment. I look to the Minister to hear how that can and will be provided, in the light of the additional covid-19 demands. Covid-19 is not over yet. I wish it was, but at least we are going the right way. We can see the light at the end of the tunnel and there is hope for the future, but we need the same hope for those with cancer.

--- Later in debate ---

[Jo Churchill]

I am so sorry, Sir Edward. As I was saying, the challenge is that there is variation in the system. That variation occurs for a plethora of reasons, not only those that are covered by an impact assessment on accessibility via open appointments. It is important to keep an eye on all the data.

I am proud that we have a national breast screening programme that offers every woman between the ages of 50 and 70 an appointment every three years. We will strain every sinew to ensure that nobody waits longer than 36 months. We will not step back from that, even with the challenge of driving the backlog down. The programme reaches millions of women and detects approximately 20,000 cancers each year. I recognise the challenge, but every single individual provider has been asked to produce a recovery plan, which should help us to understand the variation. I recognise that about half a million women are waiting, but there are also 500,000 women who have not replied. They will need to be re-approached and encouraged into the system. It is incumbent on everyone to give women the confidence to come forward.

We have also had to look at making sure that women are asked to come forward in accordance with priority by targeting the women who are most likely to have an occurrence of breast cancer. High-risk women will not have open appointments; they will be called immediately. We will then screen positive women in the pathway, followed by screening results that have not been processed, routine open episodes, those who have previously been invited but not screened, and the delays. It is important that we prioritise, so that we target the women we are most worried about.

I am aware that this year, the national breast screening programme could not maintain the service that it normally provides. In March, as the NHS responded to one of the biggest challenges that has faced our healthcare system in a generation, many local providers made the decision to pause appointments so that arrangements could be put in place to protect staff and patients from covid-19. We were unaware at that point what we were dealing with. Staff and facilities were redeployed to tackle the outbreak of the pandemic, but as soon as it was possible to do so, it was made an absolute priority that they were brought back in to do the job that we need them to do.

I am sure that there is not a single Member in this Chamber, or indeed the House, who does not pay tribute to the hard work of all NHS staff. Cancer staff and their teams have done a particularly incredible job of making sure that people across the cancer family have received treatment. Earlier today, I talked to a young man about the treatment he has had, and I talked to a young woman who experienced chimeric antigen receptor T-cell treatment earlier this year. The redeployment of staff left a shortfall in the breast screening programme, and screening appointments for many women have been delayed. I know that that wait, and the anxiety it drives, is incredibly difficult. For those who are looking for reassurance from their routine screen, or who are waiting to receive an all-clear or an early warning that something is wrong, this is undoubtedly a challenging time. However, I want to be absolutely clear that no woman has been left behind, and no woman ever will be. It is a priority to ensure that services are there. Improvements are being driven by the heroic efforts of staff, who have been working longer days and over weekends. They have gone above and beyond to schedule as many appointments as possible to help to drive down the backlog that was created earlier this year.

The first priority is to screen women aged 53 who have not yet had their first screening appointment; those who have passed their 71st birthday and have not yet received their final breast screen; those at very high risk of breast cancer, as I said; and those who have been identified for further treatment. I am pleased to say that the tremendous efforts of screening staff—the nurses, the radiographers and the whole team—are succeeding and the backlog is steadily reducing. The number of women waiting for screening, having received an invitation prior to the first wave, decreased by 98% between 1 June and 4 November.

Screening has been made a clear priority this winter and NHS commissioners have been instructed, where humanly possible, not to redeploy their staff or their facilities away from screening services. It is a priority, and that is absolutely the right approach. My message to everyone is that breast screening services are running, they are safe, they will continue to run through the winter and they are standing up to the increased capacity that is coming towards them.

When people receive an appointment to attend, I urge them to go. “Do not attends” are so frustrating. Those appointments could be taken by a woman who—although she would not want a diagnosis—might get into the stream quicker.

[Jim Shannon]

I suspect that on some occasions, ladies are not attending because of the fear of catching covid-19 at the hospital. I have spoken to some ladies back home and that was one of their concerns. How can we address that?

[Jo Churchill]

Essentially, by constantly reassuring them that the reason why we can do elective operations, have out-patient clinics open and carry on doing some of the business as usual is because heroic efforts have been made to make sure that there are safe places. I pay tribute to Dame Cally Palmer, who has made sure that rapid diagnostic centres have been stood up to ensure that patients can access care safely. We had 17 at the start of the pandemic, and we now have 45. The cancer alliances have worked extremely hard in all our regions. There is no one silver bullet, but it is important that we do what we can for patients.

If people have any concerns or notice any abnormal changes in their breasts, they should contact their GP. I pay tribute to my hon. Friend the Member for West Bromwich East, and I am pleased that her mum is now in good health. CoppaFeel! is a great charity and its website shows how to do a good check. Breast Cancer Awareness Month still went on—I did wear it pink—although it did not quite have the same profile as usual. It is every woman’s responsibility to make sure that they check their breasts monthly. If they see anything unusual that they are concerned about, such as puckering or discharge from the nipple, GPs are open and there to help women.

One thing that can help is to make sure that people go, but we are here to talk predominantly about screening services. Cancer diagnostics and treatments are back on track. The latest official data for October 2020 suggests that GP referrals are back to almost 85% of pre-pandemic levels, compared with August 2019. I appreciate that that leaves a lag, but we are heading in the right direction.

Urgent referrals were 156% higher in October than in April, which is when they were most affected. That shows that we are not only getting there, but beginning to go beyond. Nearly 88% of cancer patients saw a specialist within two weeks following their referral, and nearly 96% of patients received their treatment within 31 days of a decision to treat. In October, 83.5% of breast cancer patients received their first treatment within 62 days, and breast cancer treatment activity was at 101% of last year’s levels. However, these figures do not hide the fact that there is a backlog and we have to work as hard as we can to address that. The “Help Us Help You” campaign, launched in October, is a key part of this and reinforces that message of seeking help. We will closely monitor the effect of covid restrictions on referral rates to ensure that the number of people coming forward with symptoms remains high, because it is about confidence. Some pathways are more problematic than others, but the important thing is to make sure that we get as many people as possible through the pathway.

I turn to the theme of breast screening for younger women. As the hon. Member for Midlothian (Owen Thompson) has said, this has been found not to be evidenced-based. There is a risk in referring women for unnecessary tests, in over-treatment, and in operating on women who have diseases that mean that that is likely to cause harm. Women with a very high risk of breast cancer, such as those with a family history, may well be offered screening earlier and more frequently. Sometimes, in life, we just have to ask a question, and I recently asked a breast cancer specialist about this. My hon. Friends the Members for Chatham and Aylesford (Tracey Crouch) and for Norwich North (Chloe Smith), and the former Members for Dewsbury and for Eddisbury, all of whom are in the younger age group, are going through treatment—I think one of them is post treatment—and I was their age when I was diagnosed. Just because something looks right, it does not necessarily mean that it is, and we have to act on the evidence. That is where we are at the moment for young women.

We published the people plan in July, and I recognise, as Sir Mike Richards did, that the screening workforce is a challenge and it is important that we drive more individuals into the areas of radiography, mammography, pathology, nursing and cancer specialist nursing. The spending review provided another £260 million to continue to grow the workforce and support those commitments, which were so important in the NHS long-term plan.

Health Education England has also provided £5 million to support training and development programmes through the National Breast Imaging Academy, which aims to improve breast screening recruitment targets and early diagnosis. It has already made significant progress, launching the mammography level 4 apprenticeship; recruiting the first of the NBIA radiology fellows, who will benefit from specialist training in breast radiology; and developing e-learning for health programmes on the breast.

To improve screening uptake, we need to work with cancer alliances, primary care networks and the regional teams to promote the uptake of breast screening and to get to as many people as possible. As I said, the open appointments systems is something that we are looking at, and we hope that the result will be that we get more women through. The national cancer recovery plan was released this week. It is a joint effort from cancer charities, royal colleges, national teams and patient voices, and it was led by the national clinical director for cancer, Professor Peter Johnson. Its whole ethos is to outline the actions that need to be taken to restore demand to at least pre-pandemic levels by raising national public awareness through campaigns; ensuring that there are efficient routes into the NHS for people who are at risk of cancer; improving referral management practice in primary and secondary care; and setting out immediate steps to reduce the number of people who wait more than 62 days from urgent referral, so that patients are seen as quickly and safely as possible. Finally, it ensures sufficient capacity to meet demand through maximising the use of available capacity in both symptomatic and screening pathways, which both feed into the same funnel, optimising the use of the available independent sector capacity, enabling the restoration of other services, and protecting service recovery during winter.

This is an excellent plan, which will work towards the long-term plan ambitions for cancer services to continue during the pandemic. I am fully committed to seeing it through and working with Dame Cally Palmer and all the others to ensure that we can get to a better place. I recognise that, as the hon. Member for Westmorland and Lonsdale said, there have been some remarkable changes to treatments with radiography and other treatments in cancer. We must take those silver linings where we can.

I pay tribute to my hon. Friend the Member for High Peak for coming to me to say that High Peak was special due to its geography, and he did not want the women he serves in his constituency to be disadvantaged in any way by a loss of service. I understand that the decision to put breast screening services into static positions was taken to maximise capacity. I was quite amazed that, pre pandemic, 70% to 80% of screening happened in mobile units. They are particularly helpful in dispersed rural areas, but with some of the challenges of providing covid-secure spaces—some of those units did not even have running water—a decision was made to bring them back to a static site. The static units can stay open longer and at the weekend, making about 1,000 more appointments possible in a three-month period, so a lot more women can be seen.

Although I take on board the point about travel, I am asking women to bear with us—to work with us. These are temporary changes, but they are a vital measure in the recovery of breast cancer screening services, allowing more women to be seen, particularly those who may have missed an appointment this year. I know that longer travel times are difficult. I know that those beautiful hills that my hon. Friend’s constituency is blessed with do not have particularly good bus services either. This is not always an easy proposition, but it was decided that, for now at least, optimising the service to see as many people as possible should take priority over optimising a mobile service.

When my hon. Friend came and met me, I could not give him any assurance, and he has pressed me again today. I assure him that this is a short-term measure. The increase of appointment availability will assist us in in being able to resume mobile screening for High Peak, safety permitting, by July 2021. I have been reassured by the Chesterfield Royal Hospital NHS trust that it is monitoring attendance, that this compromise is temporary, while services recover, and that the usual screening locations will be reinstated in the longer term to ease access. I take this opportunity to stress that the screening services are safe to attend and a range of measures have been put in place to ensure that people go.

I thank my hon. Friend and all other hon. Members who have participated today. I pay tribute to all the incredible staff across the country who are working so hard on the backlog and to make sure that cancer services stand up and catch up over the winter period. Hon. Members have my absolute commitment that we are focused not only on the short-term recovery of screening services, but on their long-term improvement too. Prevention, public health and early diagnosis continue to be a huge priority for me. We will continue to bear down on screening services, making sure we have the right kit in the right place and that we are delivering the different parts of the cancer pathway for men and women to have the best treatment.

Covid-19: Effect on People with Learning Disabilities

Jim Shannon Excerpts

Tuesday 15th December 2020 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

Ms Ghani, it is obviously a pleasure to serve under your chairmanship—sorry, I think “chairship” is the right word in this PC age we live in. It is always a pleasure to follow many other hon. Members. Some of the speeches so far have been incredible, and we thank the Members for them. It is a pleasure to follow the hon. Member for Sheffield, Hallam (Olivia Blake). We seem to spar with each other here. In our first debate, we were of the same mind. In the second debate, we had different opinions. And now we are back together again to support the same thing on this issue. The hon. Member for City of Chester (Christian Matheson) always brings to the Chamber, with compassion and understanding, points that certainly I and, I think, many Members can subscribe to and are very pleased to be part of.

During lockdown, I experienced teachers and parents alike expressing grave concern for the children who need this specialised additional help, who thrive in specially designed schemes and education, and whose parents could see the adverse effect of their not being able to follow their routines and get the external help and support that they needed. Particularly for disabled children and children with educational challenges, it is so important to have a routine in place. From my constituency, I can easily call to mind two cases of children with special needs who required emergency day placement at their school during the initial lockdown period in order to give them some of their routine back. I want to express my thanks to Longstone and Tor Bank, which filled the breach; those are two of the special schools back home in Northern Ireland.

Children with special needs saw an impact on their entire routines, starting from the change in their at-home morning routine of getting up and getting ready for school. Then they were not collected as usual by their school bus. They did not have the presence of their teacher, assistant and peers in their daily lives. And they were restricted in their daily movements by not being able to go out and about. One child was unable to be taken as usual to the local playground to get the sensory stimulation that he needed, as it was locked for an extended period.

This was not the fault of any Department or person, but the fact is that the ramifications of the lockdown and subsequent extension of holidays and so on are still being felt even now by some of the most vulnerable in our society. As schools have closed and additional support has been halted, respite and rehabilitation services have been withdrawn. These are all the complications that we see.

In particular, parents of children with autism were on their own each day in their homes with no specialist assistance, and they reported that dealing with their child’s needs impacted on the family. Some reported that they felt at breaking point because of having little or no support while their children’s special needs schools were closed. I deal with parents of autistic children nearly every week in my office—my staff do as well—and I know the particular issues for those with autism. Support workers were unable to enter the family home, and tutors who provided one-to-one tuition to statemented children were unable to visit them, so their education was interrupted. If an autistic child’s routine is changed, that makes life extremely difficult for the child and for the family as well.

The pandemic has seen an attainment gap result from the isolation of the children from their teachers and peers. Continued schooling for children with a statement of special needs, which typically represents those with severe needs, was provided in some cases, but that was not universal by any means and did not cover all the additional support. I understand that the Minister does not have responsibility for Northern Ireland, but I want to tell the story, because I think it is replicated across the whole of the United Kingdom of Great Britain and Northern Ireland. The hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron), whose speech will follow mine, will probably confirm that. The gap in schooling can also be expected to make the full return to school and subsequent social interaction more challenging, especially for children with anxiety problems.

The economic impacts of the pandemic have been felt directly by those who had special educational needs in childhood. We see that in the use of food banks. Between March and September of this year, we had 180 families who were experiencing financial, social and emotional pressures, but the food bank in Thriving Life Church in Newtownards was able to help.

Since the onset of the pandemic, more than 70% of the youth who study or combine study with work have been adversely affected by the closing of schools, universities and training centres. Programmes such as STRIDE—support and training to realise individual development and employment—aimed at training and integrating vulnerable youth into the workplace, were halted because they are based in specific cafés and factories and those were closed during the pandemic. Right away, those people, who needed the daily routine of work, were not getting it, so things were quite difficult. Those programmes impart important social and educational skills and, where the young people make progress through routine and socialisation with members of the public and peers, their progress was impacted by the closure of the services.

I will conclude with this point. The most vulnerable have felt this pandemic more than anyone else. Now is the time to rebuild and restore their wee lives and the support for the families who have been left so alone. We in this place can make a difference with innovative programming and considered funding, and now is the time to take steps to make that difference.