Inclusive PPE

Jim Shannon Excerpts
Tuesday 12th March 2024

(1 year, 7 months ago)

Commons Chamber
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Emma Hardy Portrait Emma Hardy (Kingston upon Hull West and Hessle) (Lab)
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There have been significant developments in both the design and use of personal protective equipment over the last few decades. UK workplaces are undoubtably safer as a result. The Personal Protective Equipment at Work Regulations 1992, now amended to the Personal Protective Equipment at Work Regulations (Amendment) 2022, were an important step forward. They placed a duty on every employer in Great Britain to ensure that suitable PPE is provided to employees who may be exposed to a risk to their health or safety while at work. Regulation 4(3) states that personal protective equipment shall not be suitable unless:

“(b) it takes account of ergonomic requirements and the state of health of the person or persons who may wear it;

(c) it is capable of fitting the wearer correctly, if necessary, after adjustments within the range for which it is designed”.

However, despite being revised seven times since coming into force, the regulations do not make specific mention of women, who I hardly need to remind the Minister comprise half the population, or to others with protected characteristics under the Equality Act 2010. That omission continues to have significant, real-world consequences.

The world is finally waking up to the fact that women are not just smaller men, whether that is in the design of crash test dummies or in the creation only three years ago of the first anatomically accurate female 3D physiological model for medical students. PPE needs to be designed with the female anatomy in mind. That also applies to the needs of others who are not catered for by a typical male body pattern.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I commend the hon. Lady for raising this issue; I spoke to her about it before the debate. It is so important for everyone to have access to PPE that fits correctly depending on the industry in which they work, including the female construction workers who the hon. Lady has referred to. Back home, I have been contacted by constituents about the provision of PPE for pregnant women who are still working towards the end of their pregnancies. Should not more consideration be given to ensuring that they have correctly fitting PPE, as they are more at risk from hazards and other safety concerns in the workplace? Let us do it right for them.

Emma Hardy Portrait Emma Hardy
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I completely agree. That is exactly what the debate is about—ensuring that everyone is safe while at work.

In September last year, the National Association of Women in Construction Yorkshire published a research report on women’s PPE in the construction industry. I pay tribute to its author, Katy Robinson. Not only is she a resident of my area, but she inspired the speech that I am making tonight. She is also the campaign manager of NAWIC Yorkshire, a voluntary role that she undertakes outside work. She told me that most PPE distributors do stock women’s PPE, but the issue sometimes lies with employers, despite such PPE being readily available on the market. Her study found that 59.6% of employers did not provide women-specific PPE, which resulted in women wearing PPE designed for men and led to issues relating to ill-fitting PPE.

Ill-fitting PPE was found to cause a range of health and safety issues, including increased slips, trips and falls, an increased risk of entanglement, a limited range of motion, decreased dexterity from gloves, and impaired vision from safety glasses. Worryingly, 42% of women reported experiences relating to ill-fitting PPE which had had an impact on their careers. Long-term health problems included plantar fasciitis, Morton’s neuroma and tendinitis from poorly-fitting safety boots, and injury from suspension trauma and circulation damage as a result of ill-fitting harnesses.

According to other studies, 40% of women have reported experiencing an injury or incident that they identified as being related to PPE, 32% have had to make alterations or adjustments to PPE to make it fit, 77% have been exposed to dangers because of ill-fitting PPE, and 57% have found that their PPE sometimes or significantly hampered their work.

Every study reported that the majority of PPE is designed for men, and is based on outdated information and measurements. It could be argued that that is due to a historical lack of women in some sectors of industry and that those sectors just need some time to “catch up”, but there are also issues involving ill-fitting PPE in female-dominated industries such as healthcare, where it became a headline issue during the covid-19 pandemic.

Inclusive PPE is defined as personal protective equipment that takes into consideration the user’s protected characteristics, and momentum for change is building. Katy Robinson, who I mentioned earlier, founded the PPE Campaign with the aim of addressing

“the widespread inequalities in PPE provision and design among minority groups across the construction industry and beyond”.

The Chartered Institute of Building has launched a “PPE that fits” campaign to drive awareness of the way in which ill-fitting PPE is affecting health and safety on site while also hampering the industry’s ability to attract and retain a more diverse workforce. The Considerate Constructors Scheme, which helps the construction industry to raise its standards through construction site accreditation, has mandated the requirement of women-specific PPE. SHP is running a campaign called “Protection for everyone” to raise awareness of the issue, and locally, East Riding of Yorkshire Council voted to urge the UK Government to enforce inclusive PPE in industries involving science, technology, engineering and mathematics. Arco, which is based in my constituency and a leading UK provider of health and safety products and PPE, recognises the need for change and fully supports the campaign to improve inclusivity. I understand that this campaigning is indeed leading to change and that an increase in women’s PPE provision has been seen since it began, but workers deserve a guarantee that they will be protected.

The Minister may say that the issues I have highlighted are covered by the regulations, but there is overwhelming evidence that as they stand, the regulations are not effective in ensuring that large numbers of workers are receiving the protection they need. Reference to the Equality Act 2010 can be found in guidance surrounding the regulations, but it is not statutory. Well-fitting PPE should not be seen as best practice; it should be the minimum standard. An increasing number of manufacturers are creating products designed for women, including maternity PPE, and those that do typically sell them at the same cost point as men’s. Unfortunately, some manufacturers still only make men’s PPE, meaning that they can sell them at a cheaper cost point, as there is more demand for it and they make a loss on women’s PPE—hence the assumption that men’s PPE is cheaper than women’s. This gives a competitive advantage to companies that choose to ignore 50% of the population and all others with protected characteristics who suffer from the impact of ill-fitting PPE.

I believe that specific reference to the Equality Act 2010 is a significant omission from the regulations and should be addressed. I acknowledge that the regulations have been regularly revised since they were drafted, and I note that it was rightly seen fit in the Personal Protective Equipment at Work (Amendment) Regulations 2022 to change the pronouns from he/his to they/theirs to be more inclusive, but the regulations did not address the issue that is materially affecting thousands of people’s lives and careers. I urge the Minister to return to them and make the necessary changes.

State Pension Changes: Women

Jim Shannon Excerpts
Tuesday 12th March 2024

(1 year, 7 months ago)

Westminster Hall
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Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I beg to move,

That this House has considered compensation for women affected by state pension changes.

I thank each and every Member who has come to speak in the debate, and I am greatly encouraged that they have, as are those from the Women Against State Pension Inequality Campaign in the audience today, who are here to ask us, as MPs, to speak for them.

This is not an issue that any of us is unaware of. My emails in the last few days have been incredible. People do not understand the unfairness of what has happened, so let me take a moment to put the issue into context and to set the scene—I am conscious of time, Sir Gary, and I gave you a commitment earlier that I would give everyone else a chance to contribute.

The WASPI women are the generation of women born in the 1950s who have been adversely affected by the changes to the state pension age in the United Kingdom of Great Britain and Northern Ireland. They argue that they were not given adequate notice of transitional arrangements to adjust to the increase in their state pension age from 60 to 65 or 66, depending on their date of birth. That is the crux of this debate.

Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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I thank the hon. Member for securing the debate and for the great work he is doing. Unfortunately, Sir Gary, I have to leave early, so I will not be making a speech. The hon. Member said that the so-called WASPI women “argue” that they were not properly advised and informed, but the stage 1 report produced by the Parliamentary and Health Service Ombudsman actually confirmed that they were not properly advised and informed.

Jim Shannon Portrait Jim Shannon
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I thank the hon. Gentleman for that, and he is absolutely right. I will come to that point and confirm it. The issue is all about fairness and equality, but, with respect to the Minister and the Government, they have fallen down on that.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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I too congratulate my hon. Friend and colleague on securing the debate. He is a champion for women on this issue not only in his constituency but across the UK. Does he, like me, feel that last week’s Budget was a complete and total missed opportunity? The Government could have done something for these women if they really cared. They were able to step in and resolve issues to do with the Post Office, so why have they not been able to step in here, show a bit of compassion and demonstrate that they are prepared to solve this issue? Some 260,000 women have died since the campaign started in 2015. That is a disgrace, and the Government should act now.

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Jim Shannon Portrait Jim Shannon
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My hon. Friend and colleague is absolutely right, which is why we are all here to make that case.

The WASPI women claim that the issue has caused them financial hardship, emotional distress and health problems. Many have had to work longer than expected, rely on benefits or use their savings to cope with the gap in their income. The hon. Member for Dudley North (Marco Longhi) is a strong supporter of WASPI women, and although he was unable to come today because of a prior engagement, he does support everyone else here.

Sarah Dyke Portrait Sarah Dyke (Somerton and Frome) (LD)
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I too thank the hon. Member for securing the debate. Some 8,000 WASPI women live in my constituency, and many have been in touch with me. They are at their wits’ end and do not know how they will manage financially—one constituent told me that they have had to sell their home. Does the hon. Member agree that Ministers should accept the clear findings of maladministration in the ombudsman’s stage 1 report and that the Government should commit to meeting the compensation recommendations as soon as the final report is published—if the Government care?

Jim Shannon Portrait Jim Shannon
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Absolutely, and we all say hear, hear to that.

The WASPI women also contend that they have been discriminated against on the grounds of sex and age and that they have been disproportionately impacted by the changes, compared with men and younger women. On behalf of those in the audience today, I very much agree with that assertion.

Actions to inform the women are felt to have been inadequate—I am using very gentle language in saying that—and did not go far enough. The changes to the state pension age were primarily enacted through legislative measures such as the Pensions Acts of 1995 and 2011. The Government claim that those changes were publicised through official Government publications in the belief that those were accessible to the public, but the fact is that they were not.

Andrew Gwynne Portrait Andrew Gwynne (Denton and Reddish) (Lab)
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I too commend the hon. Gentleman on securing this really important debate. He puts his finger on the nub of the unfairness here: it was not just one Pensions Act that affected these women; many were subsequently affected by a further Pensions Act in 2011, so they were hit twice by the same injustice. It is all fine and well for the Government to say they do not accept that unfairness, but the reality is that the Parliamentary and Health Service Ombudsman has already ruled that there was maladministration in the functioning of the policy. Is it not time that the Government just accepted that and did what is right by these women?

Gary Streeter Portrait Sir Gary Streeter (in the Chair)
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Order. Just a reminder that interventions should be brief.

Jim Shannon Portrait Jim Shannon
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Thank you, Sir Gary. I wholeheartedly agree with the hon. Gentleman. Yes, there is maladministration, and I will use that word again shortly.

Many of the women concerned may not have been actively engaged with Government or have had knowledge of or access to Government publications. In that case, how could they have been informed to an extent that would have made a difference? That is the crux of the matter and of the debate, and it is why we are all here. This is about equality for women, and there has been a level of unfairness in the pensions system.

It is important to remember that women born in the 1950s entered a labour market and a society that was different from what young women experience today. They began working in the 1960s, in their teens, in a workforce where women were paid less than men and were expected to leave their jobs when they married or began a family.

Amy Callaghan Portrait Amy Callaghan (East Dunbartonshire) (SNP)
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I congratulate the hon. Gentleman on securing the debate and on his powerful opening speech. I am sure he will agree that it is important that we get on the record from the Minister today that the Department for Work and Pensions accepts the findings in the stage 1 report of maladministration. Most importantly, it must also act swiftly to compensate the women and the families of the women who have passed while waiting for compensation.

Jim Shannon Portrait Jim Shannon
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I thank the hon. Lady for that intervention. Everybody’s interventions so far have added to the debate and reinforced the issue.

Back when ladies started to work, there were no remunerated childcare schemes and it was not standard practice for ladies to be offered access to work pension schemes.

With all due respect to the Minister, the DWP has fallen down on this matter. The Department admitted in 2009 that direct communication with those affected by increases in the state pension age was limited. In 1995, leaflets explaining the changes were available from the Benefits Agency, but only on request. In other words, if someone wanted to know anything—if they even knew to ask—that is what they should have asked for. The fact is that the DWP has a responsibility.

Some 16 million voluntary letters were issued in the form of automatic pension forecasts projecting state pension entitlements, including to women aged over 50 at the time. Those letters did not include any details of state pension age or mention that it was changing, so those women were not fully notified. That is what this debate is about. When we look back specifically to the years between 1995 and 2000, we are reminded that we lived in a relatively pre-internet world, where information was not so readily available at the click of a button and social media did not exist. In the late 1990s, we had only five TV channels, and 24-hour broadcasting was still a thing of the future.

The DWP survey of 2004 asked working-age adults about awareness of state pension age equalisation. The results showed that, of those who were aware, 47% got their information from TV advertising, 37% were informed by reading a newspaper and only 2%—only 2%—cited the Pension Service as their source of information. The Pension Service had the responsibility, and it failed badly. Some 98% of those who qualified did not even know from the state Pension Service what should have been happening. That is a massive issue, and it has to be addressed. Furthermore, despite the efforts made through television and newspaper advertising, access to what we see now as the most basic avenues of communication was limited for women who were not securely housed or in unstable domestic environments.

WASPI women deserve to be compensated for the injustice they have had to face, and that compensation should be based on the principles of recognition, restitution and reconciliation. We could call them the three Rs—it is almost like going back to school—but here they apply to the WASPI women and pensions.

The first principle of compensation is recognition, and quite clearly there is a lot to do. The Government should acknowledge the harm and suffering caused by the changes to the state pension age, the inadequate communication of those changes and the failure to consult the women concerned for the reasons I have outlined. Recognition is important for restoring the dignity and trust of these women and for validating their experiences and grievances. It is also a precondition of achieving justice and reconciliation, as it shows that the Government are willing to take responsibility and to make amends for their actions. That is what this is about.

To date, there has been resistance to offering a formal apology to the WASPI women, and the Government have argued that the actions that were taken were lawful and reasonable. Let us be quite clear: they were not. That stance has been challenged by the PHSO, which found in 2021 that the Department for Work and Pensions had committed maladministration, as the hon. Member for Denton and Reddish (Andrew Gwynne) referred to in an intervention.

The PHSO also found that, by failing to act quickly enough to inform the women about the changes to their state pension age, the DWP had not given due regard to the impact of the changes on the women’s lives and offered them no adequate support or guidance. The PHSO recommended that the Government should apologise to the women and pay them compensation for the distress and inconvenience caused by the DWP’s maladministration —I use that word because it is the right word; it describes exactly what happened.

Chris Stephens Portrait Chris Stephens (Glasgow South West) (SNP)
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I thank the hon. Gentleman for the speech he has made so far. People have been waiting three years since the report he has just outlined. Does he agree that justice delayed is justice denied and that the Government should, as the hon. Member for North Antrim (Ian Paisley) said, compensate them now and use this Budget to deliver that compensation?

Jim Shannon Portrait Jim Shannon
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I thank the hon. Member for that, and he is right: there is a real onus on Government to reach out and help.

The PHSO also found that the DWP had not given due regard to the impact of the changes on women’s lives and had not offered women adequate support or guidance. It recommended that the Government should apologise to the women and pay them compensation for all those things, including the maladministration. The Government should take positive steps following the PHSO’s findings and recommendations and issue that sincere and public apology to the WASPI women. That would be a significant gesture of respect and remorse and a first step towards repairing the relationship between Government and the women we all represent.

The second principle of compensation is restitution. The Government should restore the affected women to the position they would have been in had the changes to the state pension not occurred, or at least mitigate the negative effects of the changes. Restitution is important for compensating the women for the material and non-material losses they have incurred and for ensuring that they can enjoy a decent and dignified retirement. Wow! How much do we all want to see a decent and dignified retirement? Restitution is also a way to correct the imbalance and inequality caused by the changes and to ensure that the women are not penalised for their sex and their age.

The WASPI women will have different views and demands in terms of what constitutes fair and adequate restitution. Some want a bridging pension or a lump sum payment to cover the gap between their expected and actual state pension age. There really has to be something, and we need to see that coming forward. The restitution that each woman should receive may also depend on their individual circumstances, such as their income, health and caring responsibilities.

John Penrose Portrait John Penrose (Weston-super-Mare) (Con)
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I join the chorus of congratulations to the hon. Gentleman for organising this debate. Like many here, he will have constituents who are starting to receive draft reports from the ombudsman about the second report, which will trigger the payment of the restitution he just mentioned. Obviously, they are in draft and we cannot comment on them now, but does he agree that if there is a final conclusion of injustice, to go alongside that of maladministration, it is essential that there is a rapid reaction from the Government to deal with that and to respond promptly, with a proper programme of compensation? Does he also agree that this will be incredibly complicated because lots of WASPI women, depending on their age and conditions, will have faced a different level of injustice, and everything has to be adjusted to reflect that?

Jim Shannon Portrait Jim Shannon
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I do agree with that. The Minister is obviously taking copious notes, and the civil servants have not had their heads up since the debate started, so I suspect and hope that they will have the answers we need.

The Government must adopt a flexible and tailored approach to restitution, based on the needs and preferences of the WASPI women. They should consult the women and their representatives to design a system of recompense that is fair, transparent and accessible. I call on the Government and the Minister to consider the PHSO’s recommendations when it publicises its final report on the financial remedy for the women in due course. If they do that, we will have taken a step in the right direction. The PHSO has indicated that it will consider the impact of the changes on the women’s standard of living, health and wellbeing, as well as the availability and adequacy of alternative sources of income and support.

The Government should also ensure that the restitution is delivered promptly and efficiently—do both those things—and ensure that the women are given clear and accurate information and guidance on how to claim and receive their compensation. The Government should monitor and evaluate the implementation of the restitution scheme and its outcomes, and adjust the scheme if necessary to ensure its effectiveness and fairness.

The third principle of compensation is reconciliation. It is a word often used in society, but reconciliation is what we want here. That means the Government should foster a positive and constructive relationship with the WASPI women and their representatives, and address the underlying causes and consequences of the changes to the state pension age. Reconciliation is important for healing the wounds and divisions caused by the changes and for building trust and co-operation between the Government and the women. Reconciliation is also a way of preventing similar injustices from happening in the future, which my hon. Friend the Member for North Antrim (Ian Paisley) referred to. If we do it right now, it will be in place for the future and will ensure that the pensions system is sustainable and equitable for all.

The Government should engage in a dialogue and partnership with the women and listen to their views and concerns. They should involve the women in the decision-making and policymaking processes related to the pensions system and ensure that their voices and interests are represented and respected. The Government should recognise and celebrate the contribution and achievements of the WASPI women, and support their empowerment and participation in society. They have done so much, and we salute and thank them for that.

The Government should address the broader issues and challenges that affect the pensions system and the ageing population, such as the adequacy and security of pension income, the availability and affordability of social care, the quality and accessibility of health services, the diversity and inclusivity of the labour market, and the promotion and protection of human rights. The Government should adopt a holistic and long-term approach to those issues, and seek the input and collaboration of the WASPI women and various stakeholders, including other pensioners, workers, employers, civil society and the public.

Compensating 3.8 million WASPI women is not only a matter of rectifying past injustices, but a recognition of the hardships they have endured due to the sudden and unexpected changes to their pension entitlements. Importantly, it is a recognition of the place in history held by this wonderful post-war generation of women from all communities across this great United Kingdom of Great Britain and Northern Ireland.

Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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I was hesitating before intervening on the hon. Gentleman—

Jim Shannon Portrait Jim Shannon
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I have not finished.

Gary Streeter Portrait Sir Gary Streeter (in the Chair)
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Order. Everyone calm down. This is an intervention.

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Gary Streeter Portrait Sir Gary Streeter (in the Chair)
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I call Jim Shannon to finish off.

Jim Shannon Portrait Jim Shannon
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I had not finished; I was giving way to the hon. Gentleman. I am almost there, by the way. I will keep to your timescale, Sir Gary, simply because everyone here deserves to give their input. I told you I would do that and I will do that.

Compensating those 3.8 million women is recognition of the place in history held by that wonderful post-war generation. I say that again because that is why I am here: to speak for those ladies who contact me in my office all the time. Those are the women who have collectively and individually played a pivotal role in shaping and inspiring change in society. We salute those women for what they have done over the years. They have contributed to the workforce and society throughout their lives, and they deserve to retire with dignity and financial security.

The WASPI women were the mothers, nurses, cleaners, dinner ladies, shop workers, teachers, carers, factory and farm workers—the list goes on. That is only a small group of who those people were. They were trailblazers for women in society and role models for subsequent generations of women, so when the time comes in the debate, let us do the right thing by them—it is imperative that we do.

Caroline Ansell Portrait Caroline Ansell (Eastbourne) (Con)
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The hon. Gentleman is paying such a beautiful and wonderful tribute to that group of women that I feel I must rise to mention the more than 4,000 WASPI women in my constituency, the 700 who signed a petition in 2016 and waited all these years, and the two who are my sisters, who very much reflect everything he says. Time is toxic—they have waited so very long. Does he agree that we cannot wait any longer? Every year we are losing our WASPI women.

Jim Shannon Portrait Jim Shannon
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It is fitting that the last intervention on my contribution was from a hon. Lady who has staff who fall into that category, along with many in the Public Gallery today. For me, and for all of us here, it is a simple thing. Wrongs have to be righted—that is our job as MPs. There is pressure on all of us, on both sides of the Chamber, but there is more pressure on the Minister and the Government. They must deliver what is right. Let us stand by the WASPI women and make sure that they get what they should.

None Portrait Several hon. Members rose—
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Jim Shannon Portrait Jim Shannon
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I thank each and every one of the right hon. and hon. Members present for their contributions. From a quick headcount, some 26 Back Benchers, as well as the shadow Minister and the Minister, have come along to make a contribution. Why did they do that? They did it because there is a wrong to be righted. That is the reason why.

I will make just a couple of quick comments. The hon. and learned Member for Edinburgh South West (Joanna Cherry) said that the Government

“could be proactive in finding a remedy.”

That is exactly what we are asking for. Have we seen that this morning? With respect to the Minister, I do not believe that we have just yet.

I encourage the Minister to continue discussions with his Department to ensure that these matters are addressed. We ask for an apology for the WASPI women. We ask for the issue of maladministration to be addressed. That is quite simple when what has happened has been categorised by the Department itself as maladministration. If that has been done, for goodness’ sake get it sorted. I cannot understand why it has not been.

The need for compensation is still outstanding. Are we moving closer to it? We cannot get a time or a date. We really need those in place. Every Member here wants it in place. The delay will have costs. The hon. Member for Cynon Valley (Beth Winter) referred to the 260,000 people who have died. How many more will die while the Government dither about getting the job done?

On behalf of the 3.8 million WASPI women, I suggest to the Minister with respect—I always at least try to be nice to everyone in the Chamber, because that is my nature—that we really do need an answer to our request. The hon. Member for Kilmarnock and Loudoun (Alan Brown) has put forward a ten-minute rule Bill. Let us do that.

We speak on behalf of all the ladies who are here in the Chamber, and all those who are not here. Those are the people we are fighting for. Minister, I was going to say “Get the finger out,” but I will just say: let’s get it done.

Motion lapsed (Standing Order No. 10(6)).

Child Maintenance Service

Jim Shannon Excerpts
Tuesday 27th February 2024

(1 year, 8 months ago)

Westminster Hall
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Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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It is a real pleasure to speak in this debate. I congratulate the right hon. Member for East Ham (Sir Stephen Timms) on his speech. I will comment not only from a Northern Ireland point of view, but from a personal point of view and on behalf of my constituents.

We brought in the Child Maintenance Service to ensure that when a parent—a mother or a father—leaves the family unit, the child is cared for. It is so important. We deal with these cases nearly every week in my office. Unfortunately, they are not always good to hear about, because the contribution—in most cases from the father, but in some cases from the mother—is not always up to scratch.

The Government give parents a small amount of money to help with childcare, but not many people can raise a child on less than £25 a week. Subsequently, it is incumbent on parents to do the bulk of the financial giving. For some parents, child tax credit helps to fill the gap, yet when there is a relationship breakdown, finances are inevitably strained. Instead of just one rent or one mortgage, there are now two. There are two sets of heating bills and two sets of electricity, yet the income has not doubled. I completely understand that it cannot all be done, but there can never, ever be an excuse for a parent not providing for their child.

The CMS was set up to facilitate things when a relationship breakdown means that an agreement cannot be reached. Its role is to ensure that help is there to work out how to pay the bills and provide for the children. That is the theory, and it is all great, but in practice I have parents coming to my office upset because their partner will not meet their obligations. I know of one who has holidays, nights out, a big car and a lavish lifestyle, and he is absolutely suntanned to the eyeballs—this is all detailed on social media! Everybody else seems to know what he is doing, but the CMS seems not to. I find that quite frustrating. What is he paying? He is paying £5 a week in maintenance. How can that be right? The computer will say that people are paying what they are able to pay, but the reality is that they have turned their back not only on their relationship, but on their child and on their obligation. Their life is so expensive. It hits you right between the eyes when you see that.

The most recent statistics that I have found, for Northern Ireland’s separate but very similar system, show that the compliance rate for paying parents on collect and pay remained relatively stable from September 2020 to September 2023. Between 75% and 83% of parents paid some child maintenance; in the quarter ending September 2023, compliance was at 79%. It is interesting that one in five parents are not paying towards their offspring, but to me the telling phrase is “some child maintenance”. That £5 a week example shows a real shortfall. How much is “some”? Is it £5 short? Is it £5 a week? It could mean the difference between a child who can afford to have swimming lessons in school and a child who has to sit on the sidelines and is made different from their peers because one parent has decided, “No, I’m not paying that.” That is absolutely unacceptable.

It is a difference that we need to know about. We cannot accept a reporting system that appears to say that any amount paid is a victory. Try explaining that victory to a struggling single parent whose mum is giving money out of her pension to keep the lights on! That is the reality for the CMS.

There is a mechanism by which those who are not paying can be taken to court. A 2018 review of the Northern Ireland child maintenance reform programme, commissioned by the Department for Communities, found that from the introduction of enforcement charges in 2014 to December 2016, £7,200 had been received in enforcement charges. I suggest that there needs to be a bit more action on that. On collect and pay, the review noted:

“Collection charges were introduced in August 2014. Up to December 2016, £432,100 have been received in collection charges from paying parents with £83,400 received from receiving parents.”

Part of the problem with parents pursuing CMS is that they speak to a different officer every time. How many times have we, as elected representatives, had to explain the whole case again to a different officer? If it is going to be one officer, that is okay, except for one thing—it does not work out either.

Gregory Campbell Portrait Mr Gregory Campbell (East Londonderry) (DUP)
- Hansard - - - Excerpts

The point about case officers not being fully au fait with the issue is an extremely frustrating one that more and more parents are describing. They are experiencing delays on the phone, and then they have to start from scratch to explain their case from A to Z. It is extremely frustrating for all concerned.

Jim Shannon Portrait Jim Shannon
- Hansard - -

It certainly is, and that is one of the problems. The Minister is a very compassionate and understanding Minister, and hopefully he will come back with the answers that we all seek. I am very keen to hear his thoughts on how we can we ensure better continuity.

Reforms have been happening, thanks to the hon. Member for Stroud (Siobhan Baillie). Like other hon. Members, I want to thank her personally, because it was her determination and commitment that enabled the Department for Work and Pensions to impose tougher sanctions on non-paying parents such as forcing the sale of property and taking away passports and driving licences through a quick and simple administrative process. The Child Support (Enforcement) Act was designed to see families being paid faster, as it gives the DWP the power to use a liability order to reclaim unpaid child maintenance instead of applying to court and waiting for up to 20 weeks. My goodness me! How frustrating to wait that long for something to be done.

I want to keep to my six minutes, Sir Charles, so these will be my last few sentences. The reform is great, but more is needed. I look to the Minister to see what improvements can be made throughout the United Kingdom of Great Britain and Northern Ireland. I would appreciate hearing the Minister’s thoughts on discussions between the DWP and Northern Ireland to ensure that in a bitter breakdown, the child is not the one ultimately paying the price. That is what this debate is about, and that is what we should try to achieve.

Charles Walker Portrait Sir Charles Walker (in the Chair)
- Hansard - - - Excerpts

Thank you for your collegiate approach.

Disability Action Plan

Jim Shannon Excerpts
Monday 5th February 2024

(1 year, 8 months ago)

Commons Chamber
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Mims Davies Portrait Mims Davies
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Sport England is undertaking work on best practice and that is precisely about opening up that portal and making this a reality for youngsters. We know that all children’s wellbeing is absolutely about their social activities and opportunities to learn through play, and this plan should not and will not be a talking shop resulting in no change. I will keenly make sure that this information on accessible playgrounds makes a difference, and that will be part of the reports we do at six and 12 months.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I thank the Minister for her statement; it was most helpful. Several of my disabled constituents have raised an issue that I am sure is replicated in every constituency across the United Kingdom of Great Britain and Northern Ireland and which is not clear in the action plan: help to insulate homes to aid with energy costs for those who need health-related upgrades or ongoing help with energy costs rather than a one-off bonus payment. What consideration have the Government given to the issue of warm homes for our disabled constituents—something that they do not necessarily have?

Mims Davies Portrait Mims Davies
- View Speech - Hansard - - - Excerpts

I wrote to counterparts in Northern Ireland again today, as I did to all devolved groups, and the hon. Gentleman is right about the challenges we have heard in the Chamber today, and I am happy to look at the extra support available for his community. As usual, he makes a pertinent point about ensuring that everybody has that warm home and that support. This is of course devolved in a slightly different way in his community, but I am happy to share the details with him.

Oral Answers to Questions

Jim Shannon Excerpts
Monday 5th February 2024

(1 year, 8 months ago)

Commons Chamber
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Lindsay Hoyle Portrait Mr Speaker
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I call Jim Shannon. Always here.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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Thank you, Mr Speaker.

When I was 16, my mother took me to Danske bank—or Northern bank as it was then—and opened an account for me. When I was 18, my mother phoned up the pension man in Ballywalter and told him I needed a pension. My mother has been a big guide in my life. What would the Secretary of State say to encourage the young people of today to take their mother’s advice on opening bank and pension accounts and planning for the future?

Mel Stride Portrait Mel Stride
- View Speech - Hansard - - - Excerpts

I think the response to that is, always take your mother’s advice. I always did—and look where it got me. At the age of 16, I would have thought the hon. Gentleman would have been saving into a piggy bank, putting his little pennies in a porcelain pig. I direct him to the gov.uk website, where there is a plethora of information for young people and those of all ages about saving and what the Government are doing to assist.

Household Support Fund

Jim Shannon Excerpts
Wednesday 31st January 2024

(1 year, 9 months ago)

Westminster Hall
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Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I congratulate the right hon. Member for East Ham (Sir Stephen Timms) on securing the debate and on setting the scene so well. We have had marvellous contributions from right hon. and hon. Members. From the outset, I want to be clear that Northern Ireland has a different method of allocation —it is a different system. Our access to the household support fund ended with the energy costs support, and our constituents are directed to find equivalency in the discretionary support fund, as we have no existing household fund.

The funding in Northern Ireland is deliberately so pared back that people can claim discretionary support for only a small number of reasons. Simply being unable to cope is no longer one of them. It should be, but it is not. Those who suffer domestic violence and have to leave all their goods in the middle of the night cannot access good enough support. That is just one example.

Yet again, the ordinary person in Northern Ireland is still paying more to be part of the Union. If only we got all the benefits of being part of the Union! I am very supportive of it, but I think it is time that that was looked at. The Government committed today in the Chamber to looking at the Barnett consequentials and seeing whether we can have the equivalent of the Welsh provision. If we do, that will be a step in the right direction.

I have outlined in another debate how money in the local economy shrinks. The hon. Member for Tamworth (Sarah Edwards) mentioned food banks; I will speak about my food bank, to give some equivalency. Take a middle-class family with two working parents who perhaps used to take a wee weekend holiday once every quarter. The hotel now misses out on its income from them, so it cuts back the hours for the cleaner it employs, and the cleaner loses their income. The family no longer go to the restaurants they used to go to, so that money is pared back. Where do they end up? I will tell you where they end up, Mr Hosie: they end up at the food bank.

An answer has to be given to explain why the cost of gas and oil is substantially lower, and yet the savings are not being passed on. As an example, one family I know have paid £250 for their gas bill. They are a small family with two children. If they cannot manage it, there is no way in the world that pensioners can. The Government must step in with help for energy costs, not simply for those on benefits who need the help, but for all people who are struggling in every working and non-working capacity.

The Newtownards food bank, which is based at the House church in Newtownards in my constituency, is the first ever Trussell Trust food bank in Northern Ireland. The stats tell a story—I will finish with this point, Mr Hosie, because I know you are looking at the clock. The food bank helped to feed 1,272 people in December 2023, compared with 988 in December 2022. That is an increase of almost 29%. Many of those were new referrals: people who had never been before. That shows where we are. Poverty in Northern Ireland has risen, and people who have never had to claim before simply cannot meet the escalating costs. Action is needed, and action is needed now.

Stewart Hosie Portrait Stewart Hosie (in the Chair)
- Hansard - - - Excerpts

I call Vicky Foxcroft—five minutes.

Defined-Benefit Pension Schemes

Jim Shannon Excerpts
Wednesday 17th January 2024

(1 year, 9 months ago)

Westminster Hall
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Alistair Carmichael Portrait Mr Carmichael
- Hansard - - - Excerpts

It absolutely does. Representing a constituency that had the Sullom Voe oil terminal managed by BP for many years, I suspect that the reasons why the hon. Gentleman has Shell pensioners in his constituency and I have BP pensioners in mine are very similar.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - -

I commend the right hon. Gentleman for bringing forward this debate. It is a critical issue, and it goes beyond the two pensions that he has referred to. Does he agree that the Government—I say this with great respect to them—have had adequate warning that we are heading towards a UK-wide pension crisis if we do not make changes to pension schemes soon? Will he join me in asking the Department for Work and Pensions to begin, today, to take adequate steps to rectify the precarious position we are currently in, on behalf of our constituents?

Alistair Carmichael Portrait Mr Carmichael
- Hansard - - - Excerpts

The hon. Gentleman strikes at the reasons why I brought forward this debate. We might benefit from a wider and longer ventilation of the issues at some later stage, but we have 30 minutes today, so let us use it. I had the opportunity to discuss the issues yesterday with the Minister, and he is alive to the concerns.

When it comes to regulating pensions, and indeed other similar financial provisions, the law of unintended consequences is never far away. The Government are right to be cautious, but they have to be alive to the fact that this is an emerging crisis. What happens to the beneficiaries of the BP and Shell pension schemes today could happen to just about any pensioner the future. As those pension funds come to a point of greater maturity, the concern that we hear from BP, Shell and other pensioners is that decisions are being taken not in relation to their best interests, which is the primary fiduciary duty of the trustees, but because of other concerns. There is a significant number of significant issues for the Government to look at in relation to pension regulation, not least of which is the balance between the companies that have created these pension funds in the first place and the independence of the trustees.

Cost of Living: Pensioners

Jim Shannon Excerpts
Tuesday 16th January 2024

(1 year, 9 months ago)

Commons Chamber
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Wendy Chamberlain Portrait Wendy Chamberlain
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I think it is reflected across a number of policy areas that we should look in all our services at sufficiency of income, allowing people to live with dignity and respect and knowing that they can cover the essentials, and for pensioners as well as for other age groups.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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Further to that point, will the hon. Lady give way?

Wendy Chamberlain Portrait Wendy Chamberlain
- Hansard - - - Excerpts

I give way to the hon. Member—it is not an Adjournment debate without him.

Jim Shannon Portrait Jim Shannon
- Hansard - -

I congratulate the hon. Lady, who always brings to the House and Westminster Hall bread-and-butter issues that I support. I am glad to come along and give my support to her tonight. The price of electricity in Northern Ireland is rising by 20%, but pensions are rising by only 8.5%. With similar increases in the cost of meat and veg, it is clear that those comfortable on their pension in 2020 will be substantially less comfortable now. Does she not agree that an investigation into energy prices must take place as people feel that they are being gouged every time they put on their light or gas and feel the pain of prioritising one necessity over another?

Wendy Chamberlain Portrait Wendy Chamberlain
- Hansard - - - Excerpts

I am grateful to the hon. Member. I agree that many people feel they are being held hostage by the vagaries of energy prices and systems. Although the cap and other measures have gone some way to helping with that, there is no doubt that it is a huge challenge. It also demonstrates why the triple lock remains required.

Wendy Chamberlain Portrait Wendy Chamberlain
- Hansard - - - Excerpts

One challenge in my right hon. Friend’s constituency is the number of his constituents who are off grid. We know that there is a lack of regulation in the sector off grid. One other challenge for the Government in responding to energy price fluctuations was getting a lot of money out to many people easily, and administrative issues materialised for those off grid. Many of them have still not seen the money to which they are entitled. We need to look at better regulation of our energy system.

I was talking about the Future Pension Centre and the challenges experienced by many constituents across the UK in topping up their pensions. I tabled a presentation Bill on the issue to extend the deadline and was glad that the Government took that up. In responding, will the Minister tell us what discussions he is having with His Majesty’s Revenue and Customs about making its systems align and function properly? If those systems were working as they should, many constituents would not have a gap to fill in the first instance. Will he consider implementing a proper receipting system so that older people have proof of payment as they do with any other transaction?

We know that errors by the Department for Work and Pensions are all too commonplace; we need only to look at the experience of the WASPI women—the Women Against State Pension Inequality—to see that. Those women, through no fault of their own, lost their ability to plan for their retirements. They lost their financial autonomy. Many of them continue to live in poverty, while others have sadly died without seeing any compensation.

I know that we are all awaiting the final report of the ombudsman setting out its recommendations for compensation for the WASPI women, but in the meantime will the Minister agree to meet me to discuss the next steps? He and I worked successfully together on the all-party parliamentary group on ending the need for food banks before he took on his current role, and I hope that we can do so again.

I return to pension income and want to raise pension credit with the Minister. This top-up benefit is the simplest tool at the Government’s disposal to lift pensioners out of poverty. It feels like every year we have a new attempt at increasing uptake with a fancy leaflet or other information campaign. I am sure we all go to the drop-ins, have our pictures taken and share them with our constituents, but pension credit take-up remains stuck at 63%, which suggests that the campaigns simply are not working. Pensioners either do not know about the benefit or do not realise they are eligible, or some struggle with the stigma of being seen to claim it.

I have been in this role for more than three years, and I have spent a lot of time having conversations about how to improve uptake. Clearly, an annual leaflet is not doing the trick. We need a long-term strategy on pension credit uptake with two key focuses: how we share data to identify people eligible for pension benefit, and how we target them efficiently and effectively so that they actually claim it and do not feel stigmatised?

Jim Shannon Portrait Jim Shannon
- Hansard - -

The hon. Lady makes a critical point. When I talk to pensioners in my constituency, I always ask what benefits they are on. I always mention carer’s allowance if they do not receive disability living allowance, and I always mention pension credit. In many cases, they are not on it. How do we make a better system? I suggest, with great respect, that maybe the Department needs to physically go to those people and introduce it to them. Many people are proud, independent and do not want to take it up because they think they should not, but they should. They worked hard all their days and paid their tax and national insurance, and it is time for payback.

Musculoskeletal Conditions and Employment

Jim Shannon Excerpts
Wednesday 10th January 2024

(1 year, 9 months ago)

Westminster Hall
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Margaret Greenwood Portrait Margaret Greenwood (Wirral West) (Lab)
- Hansard - - - Excerpts

I beg to move,

That this House has considered musculoskeletal conditions and employment.

It is a pleasure to serve under you chairmanship, Dame Caroline. Musculoskeletal conditions can be devastating for those affected. They can cause pain, reduce mobility, diminish self-confidence and lead to isolation. They can also lead to extended periods of absence from work and, in some cases, people giving up work altogether. Instead of enjoying a productive working life, people can find themselves unemployed and impoverished. In addition to the terrible human cost, MSK conditions bring substantial costs to the state in the form of social security and NHS spending.

Conditions include osteoporosis, rheumatoid arthritis, traumatic fractures, osteoarthritis, rheumatic rheumatoid arthritis, traumatic fractures and a range of conditions that cause pain in the lower back, the neck and parts of the arms and legs. The workplace can be a source of such conditions through injuries sustained from one-off accidents or through poorly managed working practices that lead to conditions developing over time.

The Health and Safety Executive has noted that MSK conditions can be caused by a number of things, including, but not limited to: lifting heavy loads, working with handheld power tools, long-distance driving or driving over rough ground, working with display screen equipment, and repetitive work that sees an individual using the same hand or arm action over a period of time. HSE statistics show that the industries with the most reported incidents of musculoskeletal disorders are agriculture, construction, health and social care, and transport and logistics.

It is clearly important to ensure that healthy working practices are the norm and that mitigations are put in place where such movements are required. That might include ensuring that there are sufficient breaks from routine activities. The Health and Safety Executive has reported that 35.2 million days were lost due to work-related ill health in Great Britain in 2022-23. MSK disorders accounted for 6.6 million of those lost days and was the second highest cause after stress, depression or anxiety. Research from the charity Versus Arthritis suggests that over 20 million people—around a third of the UK population—live with an MSK condition. For current UK employees, the figure is one in 10.

Of course, we have to remember that a lot of people have to give up work precisely because they have an MSK condition. According to the Government's statistics, the employment rate for people who have an MSK condition and are classified as disabled was 57.5% in 2022-23. In contrast, the employment rate for the whole population was much higher at 75.7%. Versus Arthritis estimates that the cost of working days lost due to osteoarthritis and rheumatoid arthritis, which are just two of the many types of MSK conditions, was £2.5 billion in 2017, and that that figure will rise to £3.43 billion by 2030. In 2022, the Government’s Office for Health Improvement and Disparities stated that musculoskeletal conditions represent the third largest area of NHS spend, costing around £5 billion a year. The report cited a 2016 study based on 2012-13 costs, and so is not recent. It would be helpful if the Government could revisit this and provide a more up-to-date figure.

The scale of the problem demands a clear and focused response from the Government. In short, the Government should come forward with a cross-departmental MSK strategy. That strategy must set out how the Government will seek to promote good MSK health, reduce the risk of accidents and practices in the workplace that lead to or exacerbate MSK conditions and ensure that support is there for people who need it through positive workplace practices and, where appropriate, the use of equipment, devices and assistive technologies. They should also invest far more in the provision of leisure centres and swimming pools, particularly in deprived areas, so that people can manage and improve their health, and should increase investment in research into MSK conditions. Ministers should consult with stakeholders including clinicians, health and safety experts, trade union health and safety representatives, employers and employees when coming up with this strategy.

Those who are in work need the right support so that they can remain in work, and those who are looking for work need to know of the support that is available to help them get back into employment. Modern design and technology can improve working conditions for people with some MSK conditions, yet people can often feel awkward asking for such adjustments.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- Hansard - -

I commend the hon. Member for Wirral West (Margaret Greenwood) for bringing this important issue forward for us to consider. I apologise to you, Dame Caroline, and to the hon. Lady because, unfortunately, I cannot be here for the debate because I have to attend a Northern Ireland Affairs Committee session. I will just make this point: in Northern Ireland, we have almost half a million sufferers of MSK. That equates to a quarter of the population. Does the hon. Lady agree that we need to enable working people to continue working by providing support and help? I think she does, and I believe that the Minister will as well. The Government must offer support to small businesses to ensure that they know how to make a reasonable adjustment to allow someone who wants to work to do so, rather than having to take sick leave, which they do not want to do.

Margaret Greenwood Portrait Margaret Greenwood
- Hansard - - - Excerpts

The hon. Gentleman is absolutely right. Support is needed particularly for small businesses who may struggle to understand and source what is required to support people, and to have the confidence to do so and the understanding that it is a positive investment in their workforce. He makes a really important point. I am also very glad that he cited the scale of the issue in Northern Ireland. One in four is incredibly high, so we need a focused response as a matter of urgency, and I thank him for that point.

There should be absolutely no stigma around having an MSK condition, nor for asking for help in relation to it. For example, in an office environment, it should be common practice that employees are made to feel comfortable in speaking up if they face issues, and that adjustments and equipment such as sit-stand desks, voice recognition software, a vertical mouse, split keyboards and other ergonomic computer equipment are made available to people if that would support their MSK health.

The strategy to which I have referred should be launched alongside a large public awareness campaign so that everyone can be involved and benefit. The Access to Work scheme provides important support for people who are disabled or have a health condition that impacts on their ability to get work or stay in work, but it seems that not nearly enough people know about it.

There has been much evidence to suggest that many people who could benefit from the scheme do not know that it exists. Indeed, I have heard it referred to as the Government’s best-kept secret. In 2021-22, only around one in eight—just over 4500 people—who received support from Access to Work had an MSK condition. The Work and Pensions Committee has highlighted that the application process can be complex and difficult for people to navigate. We therefore need a much greater effort from the Government to raise awareness of the scheme and the benefits that it can bring.

For example, the Government could make it a legal requirement for all employers to inform new and existing employees about Access to Work and to provide a point of contact for any employee who thinks they might benefit from it. This would highlight and promote the scheme, and it would give the opportunity for expertise to be developed within workplaces to support MSK health.

The Government must also give thought to the fact that over 7 million adults in England have very poor literacy skills. It is vital that information about the scheme is presented in a way that is easy for them to understand. Last year, the Government published their “Transforming Support” White Paper, which, among other things, pledged to pilot a new Access to Work enhanced package for people who need more support than the existing scheme can provide. How does the Minister envisage that that will benefit those with MSK conditions specifically? The White Paper also spoke of Access to Work developing an innovative digital service. Will the Minister guarantee that changes will be mindful of the fact that so many adults struggle with literacy and digital skills?

It is disappointing that the Government are failing to administer the Access to Work scheme promptly. In a response to a written question from my hon. Friend the Member for Lewisham, Deptford (Vicky Foxcroft), who will respond on behalf of the Opposition this morning, the responding Minister said that 21,780 applications were outstanding on 5 September last year. That is 21,780 people waiting to receive support for their health condition. It is completely unacceptable. I ask the Minister to update the House on the current state of affairs.

The last Labour party manifesto committed to help disabled people who want to work by bringing back specialist employment advisers and introducing a Government-backed reasonable adjustments passport scheme to help people move between jobs more easily. In their White Paper, the Government said:

“Access to Work is supporting a series of Adjustment Passport trials. The Adjustment Passport will provide a living document of the disabled person’s workplace adjustments, general working requirements and signposts adjustment support at every stage of the journey into work.”

Will the Minister give more information on these trials and how they are going? Can she say what actions her Department has taken to ensure that the passports are user-friendly for people who have problems with literacy?

The Government can promote MSK health and prevent issues from arising through specific campaigns developed with the expertise of health professionals and occupational therapists. They can also legislate for good working practices. It is important that the Government lead on creating positive workplace cultures around promoting MSK health, but for this to be most effective, they need to look at the issue from the employee’s perspective. Under the Equality Act 2010, employers must make “reasonable adjustments” to workplaces, working practices and policies or procedures, to remove or reduce any disadvantages faced by workers that are related to their disabilities. However, it can be difficult for people to raise concerns in the workplace, especially if their job is insecure. People on zero-hours contracts are a particular risk in this regard.

One of the key sectors in which MSK has an impact is transport and logistics, and we know that many delivery drivers are on zero-hour contracts. Health and care is another key sector affected; again, many in the care sector are on zero-hour contracts. Clearly, then, banning zero-hour contracts, as Labour would do, is important not just to ensure that people know that they have stable work and a reliable income, but to prevent a race to the bottom in health and safety at work. The Health and Safety Executive is responsible for inspecting organisations and enforcing statutory duties in relation to health and safety law. The HSE can investigate businesses and has the power to bring enforcement proceedings, including prosecutions, in cases of serious failures. Its work is incredibly important, yet the HSE’s funding has been savagely cut since 2010.

Analysis last year from the Prospect trade union found that Government funding for the HSE decreased by 45% in cash terms between 2010 and 2019, from £228 million to £126 million. Funding increased to £185 million in 2022, but this still represents a huge decrease from 2010 levels. Prospect’s research also highlighted staff cuts of 35% across the HSE since 2010, while the number of inspectors has fallen by 18%. These cuts are an attack on the health and safety of all of us, and I call on the Government to review the needs of the HSE and restore funding to at least 2010 levels. We cannot allow the Government’s obsession with austerity to damage our health and safety.

The Government could also promote MSK health and prevent issues from arising by supporting the “Better Bones” campaign, which is led by the Royal Osteoporosis Society and the Sunday Express and backed by many organisations, including the Federation of Small Businesses, Parkinson’s UK, Coeliac UK and a number of unions and royal colleges. Some 50% of women and 20% of men over the age of 50 will have a fracture caused by osteoporosis—staggering rates. A third of those who have a fracture and have osteoporosis will have to leave their jobs.

Fracture liaison services can do invaluable work in identifying whether people have osteoporosis. However, only 51% of NHS trusts in England have them. As a result, many people will break bones and go to A&E, and will be seen without their underlying osteoporosis being diagnosed and treated. That leaves a massive risk that they will suffer further, more serious fractures in the future. As a result of this postcode lottery, around 90,000 people a year are missing out on important diagnosis for a condition for which they could otherwise receive medication that would reduce their risk of further fractures.

The “Better Bones” campaign is calling for access for all over-50s to fracture liaison services with dedicated bone specialists, £30 million a year of extra investment to make fracture liaison services universal in England, Wales and Scotland, and the appointment of a fractures tsar for each British nation. It was therefore extremely disappointing that there was no extra funding in the autumn statement for fracture liaison clinics, despite the Minister in the Lords saying in September:

“We are proposing to announce, in the forthcoming Autumn Statement, a package of prioritised measures to expand the provision of fracture liaison services and improve their current quality. NHS England is also setting up a fracture liaison service expert steering group”.—[Official Report, House of Lords, 14 September 2023; Vol. 832, c. GC241.]

That is especially disappointing from a Government who claim that they want to try to help people over 50 to get back into work. It is disappointing too that, in July, the then Secretary of State for Health and Social Care said that the Government planned to spend more than £8 billion from 2022-23 to 2024-25 to support elective recovery, with NHS England prioritising fracture liaison services in its elective recovery plan. However, in the end, fracture liaison services were not even mentioned in the elective recovery plan.

The Government must address the shortcomings in fracture liaison services, which would contribute to helping over-50s back into work, and I ask the Minister to press this point with ministerial colleagues. As the Federation of Small Businesses said of the “Better Bones” campaign, it

“is more than a health initiative—it’s a matter of economic vitality. We need to address the increased numbers of those who have left the workplace as employees, self-employed or small business owners themselves due to sickness. This campaign is one of those steps.”

The Government can support workers with MSK conditions, too, by ensuring flexible working from day one, as a Labour Government would do. We also need to see action from Government on people’s general health and MSK conditions through investment in the health and wellbeing of all communities.

Versus Arthritis argues that being overweight or obese increases the risk of developing arthritis conditions such as osteoarthritis and gout. It also points out that swimming is a good exercise for people with musculoskeletal conditions, such as arthritis or back pain. The water helps to support the weight of the body, which reduces strain on painful joints. The Government should also promote MSK health by ensuring people can access facilities such as swimming pools and leisure centres.

Sadly, central Government cuts to local government since 2010 have resulted in many pools and leisure centres closing across the country, including in my own constituency of Wirral West. During the campaign to save the Woodchurch Leisure Centre and swimming pool, I remember people telling me how they used the pool to cope with arthritis. The loss of this facility has been devastating for many people trying to manage MSK conditions in my constituency and it is doubtless the same for people across the country.

Government strategy must look at the impact of austerity policies on sport and leisure facilities and at the impact that this has on the health of the population. Musculoskeletal issues cause serious problems for millions of people and can have a devastating impact on an individual’s working life. The high prevalence of such conditions warrants a high-profile, cross-departmental policy intervention. I to pay tribute to all those who work so hard to promote safe and healthy working environments, including the HSE professionals, occupational therapists and of course hard-working trade union health and safety reps who do such invaluable work in identifying workplace issues and campaigning for greater safety for working people.

The Government must bring forward a cross-departmental MSK strategy with clear goals to improve prevention and to support those with MSK conditions. Failure to do so will only lead to continuing costs to people’s health and happiness and continuing costs to the Exchequer for NHS and social security spending. The benefits of taking action on MSK are clear to all, and I call on the Government to do just that.

Oral Answers to Questions

Jim Shannon Excerpts
Monday 18th December 2023

(1 year, 10 months ago)

Commons Chamber
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Lindsay Hoyle Portrait Mr Speaker
- Hansard - - - Excerpts

Here’s somebody who will shine. I call Jim Shannon.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
- View Speech - Hansard - -

Thank you very much, Mr Speaker. I thank the Minister for that response. Many of the long-term unemployed have disabilities. Some of them cannot work, but some wish to work, and they need flexible hours because they do not know the times and days that they will not be able to work and will be off. What can be done to help those who have disabilities get into work, so long as their health can dictate when?

--- Later in debate ---
Mims Davies Portrait Mims Davies
- View Speech - Hansard - - - Excerpts

I thank my right hon. and learned Friend for the opportunity to build on that incredible work, which will be life-changing for many of our constituents. The people we are talking about today are not statistics; they are humans, and they need to have a real difference in their lives. For Opposition Members, and everyone else listening today, let me say that I am determined to make sure that those people have a voice across Government and that I use my experience to deliver.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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Further to the point made by the hon. Member for Leeds East (Richard Burgon), a recent report by the National Institute of Economic and Social Research suggested that destitution in Northern Ireland is set to rise to 67%. That is a truly horrific and worrying figure. What discussions has the Minister had with partners back home in Northern Ireland on this matter?